Koj puas xav tias muaj ib txoj hlab ntsha raug kaw hauv koj lub luj tshib lossis koj lub dab teg? Cia peb tham txog Ulnar Nerve Entrapment!

Koj puas muaj tej lub sij hawm koj cov ntiv tes tsis muaj zog, lossis mob txawv txawv ntawm koj lub luj tshib, lossis koj puas xav tias tsis muaj zog thaum koj sim ncav tes mus cuag ib yam dab tsi? Los yog koj tus ntiv tes me thiab tus ntiv tes ntiv nplhaib puas zoo li nkhaus xwb? Cov no tsis yog tej yam uas koj xav tias tsis muaj tseeb xwb. Tej zaum muaj qee yam kev nyem rau ntawm cov hlab ntsha ulnar, ib qho hlab ntsha tseem ceeb hauv koj txhais tes. Hnub no peb yuav tham txog qhov mob no hu ua Ulnar Nerve Entrapment . Tsis txhob txhawj, yog tias koj paub txog qhov no, koj tuaj yeem nrhiav kev daws teeb meem sai sai.

Ulnar Nerve Entrapment yog dab tsi?

Hais yooj yim xwb, qhov mob ulnar nerve compression yog thaum muaj ib yam dab tsi nias rau ntawm ulnar nerve, uas nyob hauv koj lub luj tshib lossis dab teg. Qhov no kuj hu ua nerve compression syndrome . Ib yam li cov yeeb nkab dej nruj thiab dej tsis tuaj yeem ntws, thaum cov hlab ntsha raug nias, cov teeb liab uas hla nws raug cuam tshuam.

Thaum cov hlab ntsha raug nias li no, nws tuaj yeem o, ua rau mob neuropathic thiab neuropathy . Qee zaum, qhov no tuaj yeem cuam tshuam rau koj lub zog tuav , ua rau nws nyuaj rau ua tej yam xws li khaws thiab tuav ib yam dab tsi.

Cia peb xub saib seb, Ulnar Nerve no yog dab tsi?

Cov hlab ntsha ulnar yog ib feem ntawm peb lub cev lub paj hlwb peripheral . Lub cev no yog qhov uas nqa cov ntaub ntawv los ntawm peb lub hlwb hla tus txha caj qaum mus rau lwm qhov ntawm lub cev, thiab los ntawm cov qhov ntawd, nws coj cov ntaub ntawv rov qab mus rau lub hlwb.

Cov hlab ntsha ulnar feem ntau pab koj khoov thiab ncab koj tus ntiv tes me (pinky) thiab tus ntiv tes nplhaib . Ntawd yog, kev txav ntawm ob tug ntiv tes no yog qhov tseem ceeb rau kev tuav ib yam dab tsi. Nws kuj pab nqa cov ntaub ntawv sensory xws li kov, mob, thiab kub mus rau lub hlwb. Tej zaum koj yuav nco ntsoov, qee zaum thaum koj tsoo koj lub luj tshib qhov twg, koj tau txais qhov loog txawv txawv, zoo li "hluav taws xob poob siab," puas yog? Qhov ntawd hu ua "pob txha lom zem." Lub sijhawm ntawd, cov hlab ntsha ulnar tau raug pinched. Peb muaj cov hlab ntsha ulnar zoo li no hauv peb ob txhais tes.

Cov hom mob ulnar nerve entrapment tseem ceeb yog dab tsi?

Kev raug mob ntawm cov hlab ntsha ulnar tuaj yeem tshwm sim rau ob qho chaw tseem ceeb: ntawm koj lub luj tshib lossis ntawm koj lub dab teg. Yog li ntawd, muaj ob hom:

• Kab Mob Cubital Tunnel Syndrome: Qhov no tshwm sim thaum cov hlab ntsha ulnar raug nias lossis ncab ntawm lub luj tshib. Xav txog tias cov hlab ntsha ulnar hauv peb lub luj tshib zoo li lub qhov me me. Yog vim li ntawd nws thiaj hu ua Cubital Tunnel. Qhov mob no tshwm sim thaum cov hlab ntsha raug kaw hauv lub qhov no.
• Guyon's Canal Syndrome:Qhov no tshwm sim thaum muaj kev nias rau ntawm cov hlab ntsha ulnar ntawm lub dab teg. Muaj ib txoj kev tshwj xeeb (canal) uas cov hlab ntsha no mus ncig hauv lub dab teg. Qhov mob no tshwm sim thaum nws raug nias.

Tus mob no feem ntau tshwm sim li cas?

Kab mob Cubital Tunnel Syndrome yog kab mob thib ob uas feem ntau tshwm sim rau cov hlab ntsha ntawm peb ob txhais ceg sab saud. (Thawj qhov feem ntau tshwm sim yog Carpal Tunnel Syndrome , uas cuam tshuam rau cov hlab ntsha nruab nrab hauv lub dab teg.) Txawm li cas los xij , Guyon's Canal Syndrome yog ib qho mob tsis tshua muaj.

Vim li cas cov hlab ntsha ulnar no thiaj raug ntswj? Muaj tej yam ua rau mob li cas?

Muaj ntau yam ua rau cov hlab ntsha ulnar tuaj yeem raug ntswj.

Qhov ua rau muaj tus mob cubital tunnel syndrome yog qhov uas cov hlab ntsha ulnar ntawm lub luj tshib ncab tas li lossis muaj kev nyuaj siab. Piv txwv li, qhov mob no tuaj yeem tshwm sim lossis ua rau hnyav dua los ntawm kev coj cwj pwm xws li pw tsaug zog nrog koj lub luj tshib khoov thaum hmo ntuj . Xav txog, yog tias koj nyob hauv tib qho chaw nrog koj lub luj tshib khoov rau ntau teev, cov hlab ntsha yuav ncab thiab muaj kev nyuaj siab npaum li cas.

Cov cysts ganglion yog cov cysts uas tsis yog mob qog noj ntshav, muaj kua dej ntau uas feem ntau tshwm sim hauv lub dab teg. Cov cysts ganglion tau xav tias yog qhov ua rau muaj li ntawm 40% ntawm cov neeg mob Guyon's Canal Syndrome . Hauv li ntawm 45% ntawm cov neeg mob, tsis pom muaj qhov ua rau meej (hu ua idiopathic). Tsis tshua muaj, cov cysts no hauv lub luj tshib kuj tseem tuaj yeem ua rau muaj kev nyuaj rau ntawm cov hlab ntsha ulnar.

Ntxiv rau qhov no, muaj ntau lwm yam ua rau cov hlab ntsha ulnar tuaj yeem raug nias thiab puas tsuaj:

• Xwm txheej thiab kev raug mob: Poob, raug ntaus hnyav rau lub luj tshib lossis dab teg.
• Mob Pob Qij Txha: Kev o ntawm cov pob qij txha ua rau o thiab muaj kev ntxhov siab ntxiv nyob ib puag ncig cov hlab ntsha.
• Cov pob txha tawg thiab cov pob txha tawg: Cov pob txha tawg lossis cov pob txha tawg tshiab tuaj yeem ntswj cov hlab ntsha.
• Tej yam teeb meem ntawm qee yam kev phais: Piv txwv li, tom qab phais mob carpal tunnel, lossis tom qab phais mob pob txha caj npab tawg.
• Kab mob ntshav qab zib: Kab mob ntshav qab zib ua rau muaj kev pheej hmoo ntawm kev puas tsuaj rau cov hlab ntsha.
• Lub luj tshib tsis txav.
• Kev ntxhov siab los ntawm kev siv plaster of Paris (casts), siv crutches, lossis hnav splints.
• Lwm cov qog nqaij hlav lossis cov cysts uas muaj kua dej.

Leej twg muaj feem yuav mob no ntau dua?

Cov txiv neej feem ntau ntsib teeb meem ntawm cov hlab ntsha ulnar entangled ntau dua li cov poj niam. Nws kuj tseem tshwm sim ntau dua rau cov neeg uas muaj haujlwm lossis kev ua ub no uas ua rau lub luj tshib lossis dab teg raug nias tas li, lossis cov neeg uas feem ntau raug rub ntawm cov hlab ntsha. Nov yog ob peb yam piv txwv:

• Cov neeg ua si nyiam baseball, golf, thiab tennis: Lub luj tshib thiab dab teg raug siv ntau dhau hauv cov kev ua si no.
• Cov Neeg Caij Tsheb Kauj Vab: Kev tuav ntawm lub handlebars tuaj yeem muab kev nyuaj rau ntawm lub dab teg.
• Cov neeg ua haujlwm hauv kev lag luam kev tsim kho: vim yog kev nqa khoom hnyav thiab kev siv cov khoom siv.
• Cov Neeg Haus Luam Yeeb: Kev haus luam yeeb tuaj yeem cuam tshuam rau cov ntshav ncig thiab ua rau cov hlab ntsha puas tsuaj.
• Cov neeg ntaus ntawv, cov neeg sau ntawv, thiab cov neeg uas siv cov keyboard computer ntau zaus: vim yog lawv tsis sawv ntsug zoo thiab ua haujlwm tib lub sijhawm ntev.
• Cov Neeg Nqa Hnyav: Muaj kev nyuaj siab ntau dhau rau ntawm lub luj tshib thiab dab teg.

Cov tsos mob ntawm cov hlab ntsha ulnar raug ntes thiab puas tsuaj yog dab tsi?

Cov tsos mob no tsis tshwm sim sai sai. Lawv maj mam tshwm sim , thiab qee zaum lawv tuaj thiab ploj mus. Cov tsos mob yuav hnyav dua thaum hmo ntuj thiab thaum lub sijhawm ua ub ua no uas muab kev nyuaj siab lossis kev ntxhov siab rau ntawm lub luj tshib lossis dab teg.

Nov yog qee cov tsos mob tseem ceeb:

• Ntiv tes me thiab ntiv tes ntiv nplhaib nkhaus (rau tes): Ob tug ntiv tes khoov mus rau hauv, zoo li ib tug rau tes.
• Mob ntawm lub luj tshib (yog tias nws yog mob cubital tunnel syndrome) lossis mob ntawm lub dab teg (yog tias nws yog mob Guyon's canal syndrome).
• Kev loog thiab tingling ntawm tus ntiv tes me thiab tus ntiv tes nplhaib.
• Tes tsis muaj zog: Qhov no ua rau nws nyuaj rau tuav lossis tsa khoom, nrog rau ua cov haujlwm yooj yim xws li sau ntawv lossis khawm lub tsho.
• Kev poob cov leeg nqaij hauv tus ntiv tes nplhaib lossis tus ntiv tes me: Qhov no yog ib qho tsos mob tsis tshua muaj, tab sis yog tias nws tshwm sim, nws qhia tau tias muaj kev puas tsuaj ntau dua ntawm cov hlab ntsha.

Cov kev kuaj lub cev siv los kuaj mob no yog dab tsi?

Thaum koj mus ntsib kws kho mob, nws yuav ua ob peb qhov kev kuaj lub cev los ntsuas koj cov tsos mob. Txawm hais tias cov kev kuaj no yuav zoo li yooj yim, lawv tuaj yeem pab kws kho mob nkag siab tias koj cov ntiv tes thiab tes muaj zog npaum li cas.

• Kev kuaj Froment: Hauv qhov kev kuaj no, koj tus kws kho mob yuav hais kom koj tuav ib daim ntawv ntawm koj tus ntiv tes xoo thiab tus ntiv tes xoo. Yog tias qhov sib koom ua ke ntawm qhov kawg ntawm koj tus ntiv taw loj khoov thaum koj tuav nws, qhov no tuaj yeem qhia txog teeb meem ntawm cov hlab ntsha.
• Kev kuaj Tinel:Hauv qhov kev kuaj no, tus kws kho mob yuav maj mam kov lub "pob txha lom zem" hauv koj lub luj tshib (qhov chaw uas cov hlab ntsha ulnar khiav). Yog tias qhov kev kov zoo li hluav taws xob hnyav rau koj tus ntiv tes me lossis tus ntiv tes ntiv nplhaib, nws yuav qhia tau tias muaj teeb meem ntawm cov hlab ntsha.
• Cov tsos mob Wartenberg: Hauv qhov kev kuaj no, tus kws kho mob yuav muab koj txhais tes tso rau ntawm ib qho chaw tiaj tus, nthuav koj cov ntiv tes sib nrug, thiab tom qab ntawd hais kom koj coj lawv rov qab los ua ke. Yog tias koj tsis tuaj yeem coj koj tus ntiv tes me los ua ke nrog lwm tus ntiv tes thaum koj ua qhov no, txhais tau tias koj tus ntiv tes me zoo li txav deb ntawm lwm tus ntiv tes, qhov no kuj tseem yuav yog teeb meem ntawm cov hlab ntsha.

Muaj lwm yam kev kuaj mob dab tsi ua rau qhov no?

Ntxiv rau kev kuaj lub cev, yuav muaj ntau yam kev kuaj ntxiv kom paub tseeb tias puas muaj kev nias ntawm cov hlab ntsha ulnar, lossis seb puas muaj lwm yam teeb meem.

• Kev kuaj hluav taws xob ntawm lub cev (EMG) thiab kev tshawb nrhiav txog kev xa xov ntawm cov hlab ntsha: Cov kev kuaj no saib seb cov cim qhia mus ncig tau zoo npaum li cas los ntawm cov hlab ntsha thiab lawv ua rau cov leeg nqaij ua haujlwm tau zoo npaum li cas. Yog tias cov hlab ntsha raug nias, qhov ceev uas cov cim qhia mus ncig yuav qeeb.
• MRI (magnetic resonance imaging), neuromuscular ultrasound, lossis X-rays: Cov kev kuaj no tuaj yeem kuaj xyuas seb puas muaj kev nias ntawm cov hlab ntsha thiab pab tshem tawm lwm yam teeb meem, xws li mob pob qij txha, raug mob ligament, lossis pob txha tawg.

Muaj kev kho mob dab tsi uas tsis yog phais?

Feem ntau, qhov mob no yuav kho tau yam tsis tas phais. Cov kev kho mob tseem ceeb uas siv rau qhov no yog:

• Cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs): Cov no tuaj yeem txo qhov mob neuropathic thiab o, tab sis lawv tsuas yog yuav tsum tau noj nyob rau hauv kev saib xyuas ntawm kws kho mob.
• Kev kho lub cev thiab kev kho mob ua haujlwm: Cov kws kho mob no tuaj yeem qhia koj cov kev tawm dag zog kom ua rau koj txhais tes yooj ywm dua. Lawv kuj tseem tuaj yeem qhia koj txoj hauv kev tshiab los ua cov haujlwm txhua hnub uas tsis muab kev nyuaj rau cov hlab ntsha ulnar. Tej yam xws li kev tawm dag zog rau cov hlab ntsha tuaj yeem pab cov hlab ntsha ulnar txav mus zoo, yam tsis raug ntes hauv qhov cubital tunnel.
• Hnav cov hlau nplaum lossis cov hlau nplaum: Hnav cov no rau ntawm koj lub dab teg lossis lub luj tshib tuaj yeem pab txo qhov kev nyem rau ntawm cov hlab ntsha thiab tiv thaiv nws kom tsis txhob raug rub. Cov no tuaj yeem pab kom koj lub luj tshib ncaj, tshwj xeeb tshaj yog thaum hmo ntuj.

Thaum twg thiaj tsim nyog phais mob?

Yog tias kev kho mob uas tsis yog phais tsis pab, koj tus kws kho mob yuav pom zoo kom phais. Nyob ntawm seb qhov ua rau cov hlab ntsha raug nias, muaj ntau yam uas ua tau los ntawm kev phais:

• "Tso tawm" lub paj hlwb ulnar los ntawm nws qhov kev ntesUas yog, cov nqaij uas nias cov hlab ntsha raug txiav thiab tshem tawm, tsim qhov chaw rau cov hlab ntsha txav mus los tau yooj yim.
• Yog tias muaj cov qog nqaij hlav lossis cov kua dej puv nkaus, tshem tawm lawv.
• Qee zaum, cov hlab ntsha ulnar raug tsiv mus rau pem hauv ntej ntawm pob qij txha ntawm lub luj tshib. Qhov no txo ​​qhov kev nruj thiab kev nyuaj rau cov hlab ntsha thaum lub luj tshib raug ncab.

Yuav ua li cas thiaj tiv thaiv tau tus hlab ntsha ulnar no kom tsis txhob raug ntswj?

Muaj ntau yam koj ua tau los txo koj txoj kev pheej hmoo ntawm kev mob no, lossis tswj cov tsos mob yog tias koj muaj lawv:

• Yog tias koj txoj haujlwm lossis kev ua ub no yuav tsum tau koj khoov koj lub luj tshib ntev ntev , ncab koj txhais tes qee zaum thoob plaws hnub.
• Thaum ua haujlwm ntawm lub khoos phis tawj lossis sau ntawv, tsis txhob muab koj lub luj tshib tso rau ntawm lub rooj lossis ntawm qhov chaw so tes ntawm koj lub rooj zaum. Yog tias ua tau, siv ib yam dab tsi zoo li daim ntaub mos mos.
• Tsis txhob pw nrog koj lub luj tshib khoov hmo ntuj. Yuav kom pab tau, koj tuaj yeem ua kom koj txhais caj npab ncaj thiab qhwv ib daim phuam ncig nws. Los yog koj tuaj yeem hnav lub pob luj tshib, tig ib ncig kom nws nyob tom qab lub pob qij txha ntawm lub luj tshib.

Tej yam teeb meem uas yuav tshwm sim los ntawm kev raug mob ntawm cov hlab ntsha ulnar?

Yog tias cov hlab ntsha ulnar raug nias rau hauv lub luj tshib lossis dab teg hnyav heev, nws tuaj yeem ua rau cov leeg nqaij poob hauv koj txhais tes . Qee zaum, qhov kev puas tsuaj no tuaj yeem mus tas li . Yog vim li cas nws thiaj li tseem ceeb kom mus ntsib kws kho mob sai li sai tau thaum koj pib muaj cov tsos mob. Thaum koj pib kho mob sai npaum li cas, koj yuav muaj feem ntau dua los tiv thaiv kev puas tsuaj mus tas li.

Yuav muaj kev kwv yees li cas rau cov neeg uas muaj tus mob no? (Kev kwv yees)

Qhov xov xwm zoo yog tias kwv yees li ib nrab ntawm cov neeg uas muaj ulnar nerve entrapment tuaj yeem nrhiav kev pab los ntawm lawv cov tsos mob nrog kev kho mob tsis yog phais .

Yog tias tsim nyog, kev phais mob tuaj yeem txo qhov mob ntawm cov hlab ntsha thiab lwm yam tsos mob. Txawm li cas los xij, kwv yees li 1 ntawm 8 tus neeg uas muaj tus kab mob cubital tunnel syndrome yuav muaj cov tsos mob rov qab los tom qab phais mob. Qhov no tej zaum yog vim qhov ua rau tsis tau kho tag nrho. Kuj tseem muaj kev pheej hmoo me me ntawm kev puas tsuaj rau cov hlab ntsha median, cov hlab ntsha ulnar, lossis cov leeg ntawm lub luj tshib/pob txha carpal thaum phais mob.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no, nco ntsoov mus ntsib kws kho mob kom tau lus qhia:

• Yog tias muaj ib yam dab tsi nyuaj rau tuav lossis tsa.
• Yog tias koj muaj mob hauv koj lub luj tshib lossis dab teg.
• Yog tias koj xav tias loog lossis tingling hauv koj txhais tes lossis ntiv tes.
• Yog tias koj muaj teeb meem ua tej haujlwm txhua hnub, xws li khawm lub tsho lossis tuav cwj mem.

Tsis txhob hnov ​​qab, kev tsis quav ntsej cov tsos mob no tsuas yog ua rau qhov xwm txheej hnyav zuj zus xwb. Yog tias koj mus nrhiav kev kho mob sai sai, koj muaj feem yuav zoo dua los ntawm kev kho mob yooj yim.

Kev raug ntes ntawm cov hlab ntsha Ulnar yog thaum muaj ib yam dab tsi nias lossis ua rau cov hlab ntsha ulnar, uas khiav mus rau hauv koj txhais caj npab khaus. Cubital tunnel syndrome cuam tshuam rau cov hlab ntsha ulnar ntawm lub luj tshib thiab yog hom kev raug ntes ntawm cov hlab ntsha ulnar feem ntau. Guyon's canal syndrome, uas cuam tshuam rau cov hlab ntsha hauv koj lub dab teg, yog ib qho mob neuropathy tsis tshua muaj. Yog tias koj hnov ​​​​​​mob loog, mob, lossis tingling hauv koj txhais tes lossis ntiv tes, tham nrog koj tus kws kho mob. Muaj cov kauj ruam uas koj tuaj yeem ua kom tiv thaiv kev puas tsuaj ntawm cov hlab ntsha.

Tej yam tseem ceeb uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li cia peb sau qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Kev raug mob ntawm cov hlab ntsha ulnar yog kev nias rau ntawm cov hlab ntsha ulnar ntawm lub luj tshib lossis dab teg.
• Tej zaum yuav muaj cov tsos mob tseem ceeb xws li loog, mob, thiab tsis muaj zog rau tus ntiv tes me thiab tus ntiv tes nplhaib .
• Ua kom koj lub luj tshib khoov ntev ntev thiab ua haujlwm uas muab kev nyuaj rau koj lub luj tshib/dab teg ua rau muaj kev pheej hmoo ntau ntxiv.
• Yog koj muaj cov tsos mob, nrhiav kev pab kho mob tam sim ntawd. Kev ncua kev kho mob tuaj yeem ua rau cov hlab ntsha puas mus tas li.
• Feem ntau, kev kho mob rov qab zoo tuaj yeem ua tiav nrog kev kho mob uas tsis yog phais (kev tawm dag zog, kev siv cov khoom siv, tshuaj) .
• Tus mob no tuaj yeem tswj hwm thiab tiv thaiv tau los ntawm kev tswj tus cwj pwm kom zoo, so tes, thiab ua raws li cov lus qhia kho mob .

Saib xyuas koj lub cev. Tsis txhob tso tseg txawm tias yog qhov mob me me xwb los xij. Nyob kom noj qab nyob zoo!

Cov hlab ntsha Ulnar raug ntes, mob lub luj tshib, mob dab teg, tes tsis muaj zog, cov hlab ntsha raug nias, mob cubital tunnel syndrome, tes tsis muaj zog