Ðe nèsena le ɖokuiwò me be lãmeka aɖe xaxa ɖe wò abɔta alo asibidɛ mea? Mina míaƒo nu tso Ulnar Nerve Entrapment ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe asibidɛwo vuvu, alo vevesese wɔnuku aɖe le wò abɔta, alo ɖe nèsena le ɖokuiwò me be yegbɔdzɔ ne èle agbagba dzem be yeaɖo nane gbɔa? Alo ɖe wòdze abe wò asibidɛ suea kple asibidɛ si le asigɛa le ƒoƒom ko enea? Menye nusiwo dzɔna le vome koe esiawo nye o. Ðewohĩ nyaƒoɖeamenu aɖe le ulnar nerve, si nye lãmeka vevi aɖe si le asiwò me. Egbea míele nu ƒom tso nɔnɔme sia si woyɔna be Ulnar Nerve Entrapment ŋu . Mègatsi dzi o, ne ènya esia la, àte ŋu akpɔ egbɔkpɔnuwo kaba.

Nukae nye Ulnar Nerve Entrapment?

Kpuie ko la, ulnar nerve compression nye ne nane de nyaƒoɖeamenu ulnar nerve, si le wò abɔta alo asibidɛ me la dzi. Wogayɔa esia be lãmekawo ƒe teteɖeanyi ƒe dɔléle . Abe alesi tsi ƒe pɔmpi me tsina eye tsi mete ŋu sina o ene la, ne wozi lãmekaa dzi la, dzesi siwo toa eme la nu tsona.

Ne wozi lãmeka aɖe nu alea la, ate ŋu axɔ dzo, si ana ahɔhɔ̃mekawo nase veve eye ahɔhɔ̃mekawo nawɔ dɔ . Le go aɖewo me la, esia ate ŋu akpɔ ŋusẽ ɖe wò asiléle ƒe ŋusẽ gɔ̃ hã dzi , si ana wòasesẽ be nàwɔ nuwo abe nane fɔfɔ kple eléle ene.

Mina míakpɔe ɖa gbã be, nukae nye Ulnar Nerve sia?

Ulnar lãmeka nye míaƒe ŋutilã ƒe lãmeka siwo le gota ƒe akpa aɖe . Nuɖoanyi siae tsɔa nyatakakawo tso míaƒe ahɔhɔ̃ me toa aklã me yia ŋutilã ƒe akpa bubuwo, eye tso akpa mawo me la, etsɔa nyatakakawo vaa ahɔhɔ̃a me.

Ulnar nerve koŋue kpena ɖe ŋuwò be nàbɔbɔ wò asibidɛ sue (pinky) kple asibidɛ si le asigɛ la ahakekee ɖe enu . Eyae nye be asibidɛ eve siawo ƒe ʋuʋu le vevie ŋutɔ hafi woate ŋu alé nane. Ekpena ɖe ame ŋu hã be woatsɔ seselelãme ŋuti nyatakakawo abe asikaka ame ŋu, vevesese, kple dzoxɔxɔ ene ayi ahɔhɔ̃a me. Àte ŋu aɖo ŋku edzi be, ɣeaɖewoɣi ne èƒo wò abɔta le afi aɖe la, ètsia dzodzodzoe wɔnuku aɖe, abe "elektrikŋusẽ ƒe ƒoƒo" ene, alo? Woyɔa ema be "ƒu si doa dzidzɔ na ame." Ɣemaɣi la, woƒoa ulnar nerve la ŋutɔŋutɔ. Ulnar nerves abe esia ene le mía si le míaƒe asi eveawo me.

Nukawoe nye ulnar nerve entrapment ƒomevi veviwo?

Ulnar nerve entrapment ate ŋu adzɔ le teƒe vevi eve: le wò abɔta alo le wò asibidɛ gbɔ. Le esia nu la, ƒomevi eve li:

• Cubital Tunnel Syndrome: Esia dzɔna ne wotu ulnar nerve alo keke ɖe abɔta. Tsɔe be ulnar nerve si le míaƒe abɔta le abe mɔ̃ sue aɖe ene. Esia tae woyɔe be Cubital Tunnel ɖo. Nɔnɔme sia dzɔna ne lãmekaa tsi mɔ sia me.
• Guyon ƒe Tɔdzisasrã ƒe Dɔléle:Esia dzɔna ne wozi ulnar nerve si le asibidɛa dzi. Mɔ (mɔ) aɖe koŋ li si dzi lãmeka sia tona le asibidɛa me. Nɔnɔme sia dzɔna ne woƒoe ɖe enu.

Aleke gbegbee nɔnɔme sia bɔe?

Cubital Tunnel Syndrome nye ahɔhɔ̃mekawo ƒe dɔléle evelia si bɔ wu si gblẽa nu le míaƒe abɔ kple afɔ ƒe lãmekawo ŋu. (Gbãtɔ si bɔ wue nye Carpal Tunnel Syndrome , si lɔ lãmeka si le asibidɛ ƒe titina ɖe eme.) Gake , Guyon ƒe Canal Syndrome nye dɔléle si mebɔ o.

Nukatae ulnar lãmeka sia ƒoa ke ɖe to? Nukawoe gbɔ wòtsona?

Susu geɖe li siwo tae ulnar nerve ate ŋu aƒo ƒu ɖo.

Nusi koŋ gbɔ cubital tunnel syndrome tsonae nye ulnar nerve si le abɔta ƒe keke alo tete ɖe eŋu atraɖii. Le kpɔɖeŋu me, nɔnɔme sia ate ŋu atso numamewo abe alɔ̃dɔdɔ kple abɔta si wobɔbɔ le zã me ene gbɔ alo agblẽ ɖe edzi . Bu eŋu kpɔ, ne ènɔ nɔnɔme ma ke me eye wò abɔta bɔbɔ gaƒoƒo geɖe la, aleke gbegbe lãmekaa akeke ahanɔ tetem ɖe eŋu.

Ganglion cysts nye cysts siwo menye kansa o, siwo me tsi yɔ fũ, eye zi geɖe la, wodzɔna le asibidɛa me. Wosusu be ganglion cysts gbɔe Guyon ƒe Canal Syndrome ƒe dɔléle siwo ade 40% tsona . Le dɔléle siwo ade 45% me la, womekpɔa nusi gbɔ wòtso si me kɔ o (si woyɔna be idiopathic). Ƒã hafi ƒunukpeƒetetedɔ siawo siwo le abɔta hã ate ŋu ahe ulnar lãmekaa ƒe nyaƒoɖeamenu vɛ.

Tsɔ kpe ɖe esia ŋu la, susu bubu geɖewo li siwo tae ulnar nerve ate ŋu aƒo eye wòagblẽ nu le eŋu:

• Afɔkuwo kple nuveviwɔame: Adze anyi, ƒoƒo sesĩe ɖe abɔta alo asibidɛ ŋu.
• Ƒunukpeƒetetedɔ: Ƒunukpeƒewo ƒe dɔdzẽ nana wovuvuna eye woƒe nyaƒoɖeamenu si ƒo xlã lãmekaa dzina ɖe edzi.
• Ƒu gbagbãwo kple ƒu ƒe aŋgbawo: Ƒu kakɛ siwo gbã alo ƒu ƒe aŋgba yeyewo ate ŋu aƒo lãmekaa.
• Kuxi siwo dona tso amekoko aɖewo me: Le kpɔɖeŋu me, le abɔta ƒe dɔwɔwɔ vɔ megbe, alo le amekoko le abɔta ƒe gbagbã ta megbe.
• Suklidɔ: Suklidɔ nana lãmekawo ƒe gbegblẽ ƒe afɔkua dzina ɖe edzi.
• Abɔta si ʋuʋu.
• Nyaƒoɖeamenu si dona tso aŋɔ si wotsɔna ƒoa Paris (casts), atizɔtiwo zazã, alo aŋenuwo dodo me.
• Dɔdzẽ bubuwo alo ƒunukpeƒetetedɔ siwo me tsi yɔ fũ.

Amekawoe le afɔku gã me be woaxɔ dɔléle sia?

Ulnar nerve entrapment bɔ ɖe ŋutsuwo me wu nyɔnuwo. Ebɔ ɖe amesiwo si dɔ alo dɔwɔna siwo tea abɔta alo asibidɛ dzi ɣesiaɣi, alo amesiwo hea lãmekaa enuenu hã ŋu wu. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Fefewɔlawo lɔ̃a baseball, golf, kple tenis: Wozãa abɔta kple asibidɛwo wògbɔa eme le kamedefefe siawo me.
• Kekefɔlawo: Ne èlé asiléƒea ɖe asi ate ŋu ana asibidɛwo nate ŋu aƒoe.
• Dɔwɔla siwo le xɔtudɔwɔƒewo: le nu kpekpewo kɔklɔ kple dɔwɔnuwo zazã ta.
• Atamanolawo: Sigaretnono ate ŋu ado kplamatse ʋu ƒe sisi eye wòagblẽ nu le lãmekawo ŋu.
• Agbalẽŋlɔlawo, agbalẽŋlɔlawo, kple amesiwo zãa kɔmpiuta ƒe keyboard enuenu: le alesi womenɔa te nyuie o kple dɔwɔwɔ le nɔnɔme ɖeka me ɣeyiɣi didi ta.
• Kpekpemefɔlawo: Wotsɔa nyaƒoɖeamenu si gbɔ eme dea abɔta kple asibidɛwo dzi.

Nukae nye ulnar nerve ƒe mɔ̃ si xea mɔ na ame eye wògblẽa nu le ame ŋu ƒe dzesiwo?

Dzesi siawo medzena kpata o. Wotsina vivivi , eye ɣeaɖewoɣi la, wovana hedzona. Dzesiawo ate ŋu agblẽ ɖe edzi le zã me kple le dɔwɔna siwo dea nyaƒoɖeamenu alo teteɖeanyi dzi na abɔta alo asibidɛ me.

Dzesi vevi aɖewoe nye esi:

• Asibidɛ sue kple asibidɛ ƒe asibidɛ ƒe ƒoƒo (asibidɛ ƒoƒo): Asibidɛ eveawo bɔbɔna ɖe eme, abe asike ene.
• Vevesese le abɔta (ne enye cubital tunnel syndrome) alo vevesese le asibidɛ me (ne enye Guyon ƒe canal syndrome).
• Asibidɛ suea kple asibidɛ si le asigɛa me ƒe ʋuʋu kple ʋuʋudedi.
• Asi ƒe gbɔdzɔgbɔdzɔ: Esia wɔnɛ be esesẽna be woalé nuwo alo akɔ wo ɖe dzi, eye wowɔa dɔ sesẽwo abe awudziwui ŋɔŋlɔ alo eƒe abɔta ene wɔwɔ hã.
• Lãmetsi siwo bu le asibidɛ alo asibidɛ suea me: Esia nye dzesi si mebɔ o, gake ne edzɔ la, efia be lãmekawo ƒe gbegblẽ geɖe wu.

Nukawoe nye ŋutilãmedɔdada siwo wozãna tsɔ dea dzesi nɔnɔme sia?

Ne èyi ɖɔkta gbɔ la, awɔ ŋutilãmedɔ ʋɛ aɖewo atsɔ akpɔ wò dzesiwoe. Togbɔ be dodokpɔ siawo adze nu bɔbɔe hã la, woate ŋu akpe ɖe ɖɔktaa ŋu wòase alesi wò asibidɛwo kple asiwo sesẽe gɔme.

• Froment ƒe dodokpɔ: Le dodokpɔ sia me la, wò ɖɔkta abia tso asiwò be nàlé pepa aɖe ɖe wò asibidɛ gã kple asibidɛ si wotsɔ fiaa nu dome. Ne ƒunukpeƒe si le wò afɔbidɛ gã ƒe nugbɔ la bɔbɔ ne èlée la, esia ate ŋu afia be lãmekawo ƒe kuxi aɖe le ŋuwò.
• Tinel ƒe dodokpɔ:Le dodokpɔ sia me la, ɖɔktaa aƒo "ƒu si doa dzidzɔ na ame" si le wò abɔta (afisi ulnar lãmeka la ƒua du le) la blewuu. Ne asibidɛ sue alo asibidɛ si le asigɛ ŋu la, ate ŋu afia be lãmekawo ƒe kuxi aɖe le ŋuwò.
• Wartenberg ƒe dzesi: Le dodokpɔ sia me la, ɖɔktaa atsɔ wò asi aɖo anyigba gbadza aɖe dzi, akeke wò asibidɛwo ɖe wo nɔewo dome, eye emegbe wòabia tso asiwò be nàgatsɔ wo aƒo ƒui. Ne màte ŋu atsɔ wò asibidɛ suea aƒo ƒu kple asibidɛ bubuawo ne èle esia wɔm o, si fia be edze abe wò asibidɛ suea le ʋuʋum tso asibidɛ bubuawo gbɔ ene la, esia hã ate ŋu anye lãmekawo ƒe kuxi.

Dodokpɔ bubu kawoe wowɔna tsɔ dea dzesi esia?

Tsɔ kpe ɖe ŋutilãmedodokpɔ ŋu la, woate ŋu awɔ dodokpɔ bubu geɖe atsɔ aɖo kpe edzi nenye be ulnar nerve compression le eme alo mele eme o, alo akpɔe ɖa be kuxi bubuwo hã li hã.

• Electromyography (EMG) kple lãmekawo ƒe ʋuʋu ŋuti numekukuwo: Dodokpɔ siawo léa ŋku ɖe alesi dzesiwo toa lãmekawo me nyuie kple alesi wodoa ŋusẽ lãmekawo nyuie ŋu. Ne wozi lãmekaa dzi la, woate ŋu ana dzesiwo ƒe duƒuƒu ƒe zɔzɔ nagbɔdzɔ.
• MRI (magnetic resonance imaging), ahɔhɔ̃mekawo ƒe ultrasound, alo X-ray: Dodokpɔ siawo ate ŋu alé ŋku ɖe lãmekawo ƒe tete ŋu eye woakpe ɖe wo ŋu woagbe kuxi bubuwo abe ƒunukpeƒetetedɔ, lãkusi ƒe abixɔxɔ, alo lãmekawo ƒe gbagbã ene.

Atikewɔwɔ kawoe li siwo menye amekoko o?

Zi geɖe la, woate ŋu aɖe nɔnɔme sia dzi akpɔtɔ amekoko manɔmee. Dɔdamɔnu vevi siwo wozãna na esiae nye:

• Atike siwo me steroid mele o siwo tsia dɔdzẽ nu (NSAID): Esiawo ate ŋu aɖe ahɔhɔ̃mekawo ƒe vevesese kple abi dzi akpɔtɔ, gake atikewɔlawo ƒe dzikpɔkpɔ te koe wòle be woano wo.
• Lãmesẽfefewɔwɔ kple dɔdamɔnu: Dɔdamɔnufiala siawo ate ŋu afia kamedede wò be wò asi nate ŋu atrɔ ɖe nɔnɔmewo ŋu geɖe wu. Woate ŋu afia mɔ yeye siwo dzi nàto awɔ gbesiagbedɔ siwo metsɔa nyaƒoɖeamenu ɖe ​​ulnar nerve dzi o hã wò. Nuwo abe lãmekawo ƒe ʋuʋu ƒe kamedede ene ate ŋu akpe ɖe ulnar lãmekaa ŋu wòazɔ nyuie, evɔ matsi cubital tunnel la me o.
• Aŋe alo abɔtaɖonu dodo: Esiawo dodo ɖe wò asibidɛ alo abɔta ate ŋu akpe ɖe ŋuwò nàɖe lãmekaa ƒe nyaƒoɖeamenu dzi akpɔtɔ eye wòakpɔ eta be womagahee o. Esiawo ate ŋu akpe ɖe ŋuwò nàna wò abɔta nanɔ dzɔdzɔe, vevietɔ le zã me.

Ɣekaɣie wòhiã be woawɔ dɔ na amekoko?

Ne atikewɔwɔ siwo menye amekoko o mekpena ɖe ŋuwò o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dɔ na wò. Le nusi gbɔ lãmeka si vuvu la tso nu la, nu geɖe li siwo woate ŋu awɔ to amekoko me:

• "Asiɖeɖe le" ulnar lãmeka ŋu tso eƒe mɔ̃ meEyae nye be wotsoa lãmeka si le lãmekaa tem ɖe anyi la heɖenɛ ɖa, si wɔnɛ be teƒe nɔa lãmekaa ŋu be wòaʋuʋu faa.
• Ne dɔdzẽ alo ʋuʋudedi siwo me tsi yɔ fũu la, ɖe wo ɖa.
• Ɣeaɖewoɣi la, woɖea ulnar nerve la yia abɔta ƒe ƒunukpeƒe ƒe ŋgɔgbe . Esia ɖea lãmekaa ƒe tete kple nyaƒoɖeamenu dzi kpɔtɔna ne wokeke abɔta.

Aleke nàwɔ axe mɔ na ulnar nerve sia be wòagaƒoe o?

Nu geɖe li nàte ŋu awɔ be nàɖe dɔléle sia xɔxɔ ƒe afɔkua dzi akpɔtɔ, alo akpɔ dzesiawo gbɔ ne wole ŋuwò:

• Ne wò dɔ alo dɔwɔna bia be nàbɔbɔ wò abɔta ɣeyiɣi didi aɖe la , ke keke wò abɔwo ɖe enu ɣeaɖewoɣi le ŋkekea me katã.
• Ne èle dɔ wɔm le kɔmpiuta dzi alo le nu ŋlɔm la, mègatsɔ wò abɔta da ɖe kplɔ̃a alo wò zikpui ƒe abɔtaɖonuwo dzi o. Ne anya wɔ la, zã nane abe aŋenu falɛfalɛ ene.
• Mègamlɔ anyi kple wò abɔta le zã me o. Be nàkpe ɖe ŋuwò la, àte ŋu ana wò alɔ nanɔ dzɔdzɔe eye nàtsɔ afɔkpa ablae. Alo àte ŋu ado abɔtaɖonu, si woatrɔ ale be wòanɔ abɔta ƒe ƒunukpeƒea megbe.

Kuxi kawoe ate ŋu ado tso ulnar nerve ƒe mɔ̃ me?

Ne ulnar nerve compression le abɔta alo asibidɛ me nu sẽ la, ate ŋu ana lãmekawo nabu le wò asi me . Le go aɖewo me la, nusiwo dome gblẽ sia ate ŋu anɔ anyi ɖaa . Esia tae wòle vevie be nàyi ɖɔkta gbɔ ne ènya dze dzesiawo kpɔkpɔ gɔme ko. Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae wòanɔ bɔbɔe be nàxe mɔ ɖe nusiwo agblẽ nu le ŋuwò tegbee nu.

Nukae nye ŋgɔdonya na amesiwo ŋu dɔléle sia le? (Nyagblɔɖi) .

Nya nyuiae nye be amesiwo ƒe ulnar nerve entrapment la dometɔ siwo ade afã ate ŋu akpɔ gbɔdzɔe tso woƒe dzesiwo me to atikewɔwɔ siwo menye amekoko o me .

Ne ehiã la, amekoko ate ŋu aɖe lãmekawo ƒe vevesese kple dzesi bubuwo dzi akpɔtɔ. Gake amesiwo ŋu cubital tunnel syndrome le siwo ade 1 le 8 ɖesiaɖe me ƒe dzesiwo agatrɔ ava le amekoko vɔ megbe. Esia ate ŋu atso esi womekpɔ nusi gbɔ wòtso la gbɔ bliboe o ta. Afɔku sue aɖe hã li be wòagblẽ nu le titina lãmeka, ulnar ʋuka, alo lãkusi siwo le abɔta/abɔ ƒe ƒu me ŋu le amekoko me.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne dzesi siwo gbɔna dometɔ ɖeka alo esi wu nenema le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ hena aɖaŋuɖoɖo:

• Ne nane léle alo kɔklɔ sesẽ.
• Ne wò abɔta alo asibidɛ le veve sem.
• Ne èse le ɖokuiwò me be yeƒe asiwo alo asibidɛwo le ʋuʋum alo wole ʋuʋum.
• Ne gbesiagbedɔwo wɔwɔ sesẽ na wò, abe awudziwui ƒe abɔta ƒoƒo alo nuŋlɔti léle ene.

Mègaŋlɔ be o, ɖeko aɖabaŋeŋe ƒu dzesi siawo dzi ana nɔnɔmea nagagblẽ ɖe edzi. Ne èdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba la, mɔnukpɔkpɔ asu asiwò be nàhaya to atikewɔwɔ bɔbɔewo zazã me.

Ulnar nerve entrapment nye ne nane te ɖe ulnar nerve si sina toa wò alɔnu dzi alo do dziku nɛ. Cubital tunnel syndrome gblẽa nu le ulnar nerve si le abɔta ŋu eye wònye ulnar nerve ƒe mɔ̃ si bɔ wu. Guyon ƒe canal syndrome, si gblẽa nu le lãmeka si le wò asibidɛ me ŋu la nye ahɔhɔ̃mekawo ƒe dɔléle si mebɔ o. Ne wò asiwo alo asibidɛwo le ʋuʋum, le veve sem, alo le ʋuʋum la, ƒo nu kple wò ɖɔkta. Afɔ aɖewo li nàte ŋu aɖe atsɔ axe mɔ ɖe lãmekawo ƒe gbegblẽ nu.

Nu vevi siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata mina míaƒo nu tso nusiwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me la dometɔ aɖewo ŋu kpuie:

• Ulnar nerve entrapment nye nyaƒoɖeamenu ɖe ​​ulnar nerve si le abɔta alo asibidɛ dzi.
• Asibidɛ sue kple asibidɛ ƒe asibidɛ ƒe ʋuʋu, vevesese, kple gbɔdzɔgbɔdzɔ ate ŋu anye dzesi vevitɔwo.
• Ne èna wò abɔta nabɔbɔ ɣeyiɣi didi aɖe eye nèwɔ dɔ si ana wò abɔta/asibidɛ nate ŋu aƒoe ɖe enu la, edzia afɔkua ɖe edzi.
• Ne dzesiwo le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ne wohe atikewɔwɔ ɖe megbe la, ate ŋu ana lãmekawo nagblẽ tegbee.
• Zi geɖe la, woate ŋu ahaya to atikewɔwɔ siwo menye amekoko o (kamedede, aŋesisi, atikewo) zazã me .
• Woate ŋu akpɔ nɔnɔme sia gbɔ ahaxe mɔ ɖe enu ne ame ƒe nɔnɔme nyuitɔ, asiwo gbɔ ɖe eme, kple atikewɔlawo ƒe aɖaŋuɖoɖowo dzi wɔwɔ .

Lé be na wò ŋutilã. Mègaŋe aɖaba ƒu dzesi suetɔ kekeake gɔ̃ hã dzi o. Nɔ lãmesẽ me!

` Ulnar lãmeka ƒe mɔ̃, abɔta ƒe vevesese, asibidɛ ƒe vevesese, asi ƒe ʋuʋu, lãmeka ƒe tete, cubital tunnel syndrome, asi ƒe gbɔdzɔgbɔdzɔ