Koj puas muaj teeb meem loog ntawm koj ob txhais ceg thiab? Cia peb kawm txog Tinel's Sign, uas qhia tias cov hlab ntsha raug nias!

Qee zaum peb xav tias loog hauv ib txhais tes lossis taw, zoo li qhov khaus khaus, puas yog? Qee zaum qhov no tsuas yog ib qho tsos mob xwb, tab sis qee zaum nws tuaj yeem yog vim muaj teeb meem nrog cov hlab ntsha hauv peb lub cev. Hauv cov xwm txheej zoo li no, muaj ib qho kev kuaj yooj yim uas cov kws kho mob siv, uas hu ua Tinel's Sign . Peb puas yuav tham me ntsis txog qhov no hnub no?

Lub Cim Tinel yog dab tsi?

Hais yooj yim xwb, Tinel's Sign yog qhov mob "tingling" lossis "pins and needles" uas koj hnov ​​thaum koj tus kws kho mob maj mam kov koj daim tawv nqaij qhov chaw uas cov hlab ntsha khiav. Nws zoo li me ntsis khaus, zoo li hluav taws xob poob siab . Qhov kev xav no tuaj yeem yog ib qho cim qhia tias cov hlab ntsha hauv thaj chaw uas raug kov raug pinched lossis puas lawm.

Koj tab tom nrhiav dab tsi tiag tiag hauv qhov no?

Cov kws kho mob siv qhov kev kuaj no (Tinel's Sign) los ntsuam xyuas seb cov hlab ntsha puas tau raug puas tsuaj lossis khaus rau hauv ib cheeb tsam tshwj xeeb. Yog li ntawd, lub hom phiaj ntawm qhov kev kuaj no yog sim nrhiav seb cov hlab ntsha hauv thaj chaw ntawd puas raug nias lossis nws txoj haujlwm puas raug cuam tshuam.

Puas muaj lwm lub npe? Leej twg yog tus tsim qhov no?

Yog, qee zaum cov kws kho mob hu nws ua lub cim Hoffmann-Tinel . Ob lub npe no yog los ntawm lub npe ntawm ob tug neeg uas tau piav qhia thawj zaug txog lub cim no hauv xyoo 1915. Lawv yog tus kws kho mob lub cev Paul Hoffmann thiab tus kws kho mob hlwb Jules Tinel. Yog li ntawd, lub npe no yog siv los ua kev hwm rau lawv.

Cov kws kho mob siv qhov kev kuaj no (Tinel's Sign) thaum twg?

Yog tias tus kws kho mob xav tias cov hlab ntsha puas tsuaj lossis khaus cov hlab ntsha, lawv yuav ua qhov kev kuaj no (Tinel's Sign). Yog tias koj muaj kev tsis taus, mob, lossis qaug zog tas li hauv ib qho chaw, qhov no tuaj yeem pab txiav txim siab seb nws puas yog vim muaj teeb meem ntawm cov hlab ntsha.

Cia peb saib qee qhov piv txwv?

Muaj ntau qhov xwm txheej uas lub cim (Tinel's Sign) no muaj txiaj ntsig. Cia peb saib seb lawv yog dab tsi:

• Kab Mob Carpal Tunnel Syndrome: Tej zaum koj yuav tau hnov ​​​​​​txog qhov no. Qhov mob no tshwm sim thaum cov hlab ntsha nruab nrab, uas khiav hla peb lub dab teg, raug nias. Qhov no tuaj yeem ua rau loog, mob, thiab qee zaum poob zog hauv tes thiab ntiv tes. Xav txog, ib tus neeg uas ntaus ntawv hauv computer txhua hnub lossis ua haujlwm hnyav tes yuav muaj qhov mob no. Tom qab ntawd, yog tias tus kws kho mob kov lub dab teg kom raug thiab xav tias loog, nws yuav yog Carpal Tunnel Syndrome.

• Cubital Tunnel Syndrome: Qhov no tshwm sim thaum cov hlab ntsha ulnar hauv peb lub luj tshib raug nias.- Ib txhia neeg kuj hu qhov no ua "pob txha lom zem", uas yog thaum cov hlab ntsha raug puas tsuaj lossis raug nias. Qhov no tuaj yeem ua rau loog thiab mob hauv tes (tshwj xeeb tshaj yog tus ntiv tes me thiab tus ntiv tes ntiv nplhaib) thiab cov ntiv tes. Ib txhia neeg, uas muaj tus cwj pwm khaws lawv lub luj tshib nias rau ntawm lub rooj, lossis cov neeg uas tau muaj xwm txheej nrog lawv lub luj tshib, yuav muaj tus mob no.

• Tarsal Tunnel Syndrome: Qhov no yog thaum lub Posterior Tibial Nerve, uas khiav raws sab hauv ntawm peb lub pob luj taws, raug nias. Qhov no tuaj yeem ua rau mob, loog, lossis tsis hnov ​​​​​​mob hauv peb txhais taw, tshwj xeeb tshaj yog cov hauv qab taw. Qee zaum, cov hlab ntsha no tuaj yeem raug nias thaum peb hnav khau tsis haum lossis thaum peb raug mob rau peb lub pob luj taws.

Tseem Ceeb: Cov no tsuas yog ob peb yam piv txwv xwb. Qhov kev kuaj no (Tinel's Sign) tuaj yeem pab txheeb xyuas ntau lwm yam teeb meem ntawm cov hlab ntsha.

Cov tsos mob ntawm cov hlab ntsha raug nias lossis cov hlab ntsha puas yog dab tsi?

Yog tias koj cov hlab ntsha raug nias lossis puas lawm, koj yuav muaj ib lossis ntau yam ntawm cov tsos mob no:

• Kev xav kub hnyiab
• Kev tsis muaj zog lossis kev poob tag nrho ntawm kev xav
• Qhov mob (tuaj yeem ntse lossis tsis muaj zog)
• Kev xav ntawm qhov mob tingling
• Qhov tsis muaj zog hauv thaj chaw cuam tshuam, uas yog, txo qis lub zog.

Yog koj muaj cov tsos mob no, tsis txhob tos kom lawv ploj mus xwb. Zoo dua mus ntsib kws kho mob.

Leej twg ua qhov kev xeem Tinel's Sign?

Txhua tus kws kho mob uas xav tias muaj cov hlab ntsha raug nias, txawm tias nws yog koj tus kws kho mob hauv tsev neeg lossis tus kws kho mob tshwj xeeb, tuaj yeem ua qhov kev kuaj no (Tinel's Sign). Nws yooj yim heev.

Koj puas yuav tsum npaj ua ntej rau qhov kev xeem no?

Tsis yog, tsis tas yuav npaj dab tsi tshwj xeeb. Koj tuaj yeem ua qhov kev kuaj no tam sim ntawd thaum koj mus ntsib koj tus kws kho mob li niaj zaus.

Muaj dab tsi tshwm sim ua ntej qhov kev xeem?

Tus kws kho mob yuav nug koj txog koj cov tsos mob ua ntej. Piv txwv li, qhov twg koj hnov ​​​​​​mob loog, thaum twg koj hnov ​​​​​​nws tshaj plaws, thiab hom kev ua ub no twg ua rau nws hnyav dua. Tom qab ntawd, ua ib feem ntawm kev kuaj lub cev, qhov no (Tinel's Sign) raug kuaj xyuas.

Muaj dab tsi tshwm sim thaum lub sijhawm xeem?

Qhov no yog ib qho txheej txheem yooj yim heev. Tus kws kho mob yuav maj mam kov thaj chaw ntawm koj daim tawv nqaij uas lawv xav tias cov hlab ntsha nyob, siv lawv tus ntiv tes lossis ib rab rauj me me. Tus kws kho mob yuav nug koj tias koj xav li cas thaum lawv kov. Qhov no tsis mob, yog li tsis tas yuav ntshai.

Cov txiaj ntsig ntawm kev xeem hais li cas?

• Ib qho txiaj ntsig zoo:Yog tias koj xav tias tingling lossis tearing thaum tus kws kho mob kov koj li ntawd, nws txhais tau tias tej zaum yuav muaj qee qhov kev puas tsuaj lossis kev khaus rau cov hlab ntsha hauv thaj chaw ntawd.
• Qhov tshwm sim tsis zoo: Yog tias koj tsis hnov ​​​​​​mob loog thaum koj kov, nws yog qhov tshwm sim tsis zoo. Txawm li cas los xij, muaj ib qho tseem ceeb uas yuav tsum nco ntsoov ntawm no. Qhov tshwm sim tsis zoo tsis tau txhais hais tias tsis muaj kev nias ntawm cov hlab ntsha. Qee zaum, txawm tias cov hlab ntsha raug nias, qhov no (Tinel's Sign) yuav tsis qhia nws.

Yog li ntawd, qhov kev kuaj mob (Tinel's Sign) no tsuas yog ib qho kev pab rau tus kws kho mob kom nkag siab txog koj tus mob xwb. Kev txiav txim siab tag nrho yog ua ua ke nrog lwm cov tsos mob thiab keeb kwm kev kho mob.

Tom qab kuaj tas lawm, yuav muaj dab tsi tshwm sim?

Nyob ntawm seb koj tus kws kho mob tau kuaj Tinel's Sign li cas, koj cov tsos mob lwm yam, thiab cov ntaub ntawv kuaj mob li cas, koj tus kws kho mob yuav pom zoo kom kuaj lwm yam ntxiv. Piv txwv li:

• Kev kuaj hluav taws xob ntawm cov hlab ntsha thiab cov leeg nqaij (Electromyography - EMG): Qhov no kuaj xyuas cov hluav taws xob ntawm cov hlab ntsha thiab cov leeg nqaij. Qhov no pab txiav txim seb puas muaj kev puas tsuaj rau cov hlab ntsha thiab mus txog qhov twg.
• Kev thaij duab MRI: Qhov no tuaj yeem pom tseeb cov hlab ntsha thiab cov nqaij nyob ib puag ncig. Qhov no yog ib qho tseem ceeb kom paub seb dab tsi ua rau cov hlab ntsha raug nias (piv txwv li, qog, o).
• X-ray: Qhov no tuaj yeem pab pom seb cov hlab ntsha puas raug ntswj los ntawm teeb meem nrog pob txha (piv txwv li, pob txha tawg, pob txha puas zoo li qub).

Puas muaj kev pheej hmoo nrog qhov kev xeem no (Tinel's Sign)?

Tsis yog, tsis muaj kev pheej hmoo. Qhov no yog ib qho kev sim yooj yim heev, muaj kev nyab xeeb. Nws tsuas yog me ntsis kov xwb. Yog li ntawd, tsis txhob ntshai dab tsi li.

Yuav siv sijhawm ntev npaum li cas thiaj li tau txais cov txiaj ntsig ntawm kev xeem?

Qhov zoo tshaj plaws yog koj tuaj yeem pom cov txiaj ntsig tam sim ntawd . Koj tuaj yeem paub tam sim ntawd yog tias koj xav tias loog lossis tingling thaum koj kov nws. Tom qab ntawd tus kws kho mob yuav nrog koj tham thiab tham txog yam yuav ua tom ntej.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj cov tsos mob uas qhia tias koj cov hlab ntsha raug ntswj lossis khaus (piv txwv li, kub hnyiab, loog, tsis muaj zog, mob tas li), nco ntsoov mus ntsib kws kho mob. Tsis txhob tsis quav ntsej cov no ua tej yam yooj yim. Kev kho mob thaum ntxov tuaj yeem pab tiv thaiv kom tus mob tsis txhob hnyav zuj zus.

Kuv puas sim tau qhov no (Tinel's Sign) hauv tsev?

Nws yog qhov ncaj ncees los nug qhov no. Txawm li cas los xij, nws yog qhov zoo tshaj plaws kom tus kws kho mob ua qhov kev kuaj no. Vim tias nws yuav tsum muaj kev paub txog kev kho mob kom nkag siab meej tias cov hlab ntsha nyob qhov twg, yuav ua li cas kov nws, thiab cov txiaj ntsig. Koj tuaj yeem mus ua koj tus kheej thiab tuaj rau qhov xaus lus tsis raug. Yog li, yog tias koj muaj kev tsis ntseeg, mus ntsib kws kho mob thiab ua qhov no.

Cov lus tseem ceeb tshaj plaws rau koj yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li, ntawm no yog cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog hnub no:

• Tinel's Sign yog ib qho kev kuaj yooj yim, sai, thiab tsis mob uas qhia txog kev nias lossis kev puas tsuaj ntawm cov hlab ntsha.
• Yog koj muaj cov tsos mob xws li loog, mob, lossis tsis muaj zog ntawm koj ob txhais ceg, tsis txhob raug kev txom nyem nrog lawv. Tsis txhob tsis quav ntsej lawv.
• Yog koj muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd los tham txog koj cov tsos mob, cov kev xaiv kho mob, thiab cov hau kev nrhiav kev pab hauv tsev.
• Nco ntsoov tias, yog koj kuaj pom thaum ntxov thiab kho kom zoo, koj tuaj yeem rov zoo sai.

Vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig. Nyob kom noj qab nyob zoo!

Cov tsos mob ntawm Tinel, kev nias ntawm cov hlab ntsha, kev tsis muaj zog, qhov carpal tunnel, qhov cubital tunnel, qhov tarsal tunnel, kev puas tsuaj ntawm cov hlab ntsha