He wiriwiri ngā ringaringa, he mamae hoki te pūngāwerewere? Me kōrero tātou mō te Carpal Tunnel Syndrome!

Ka ara ake koe i te pō me te ringa ngoikore? Ka rongo rānei koe i te ngau me te mamae ina pupuri koe i tō waea pūkoro, ina pato i runga i te rorohiko, kei te ahua rānei kāore e taea e koe te pupuri tika i tetahi mea? Ehara ēnei i te tohu hei wareware. I tēnei rā ka kōrero tātou mō te Carpal Tunnel Syndrome , he mate e pā ana ki te tini tāngata, engari ka pā mai pea ētahi raruraru mēnā kāore e rongoatia tika.

He aha te Carpal Tunnel Syndrome? He māmā noa iho…

Whakaarohia he kauhanga iti kei roto i tō ringaringa , ka uru ki roto i tō ringaringa. I roto i ngā kupu hauora, ka kiia tēnei ko te "Kauhanga Carpal." He rite ki te kauhanga i roto i te maunga, engari ehara i te mea i hangaia mō ngā motuka. I roto i tēnei kauhanga, ka pā ngā io nui, ngā uaua , me ngā hononga e kawe mai ana i te kare ki tō ringaringa, e āwhina ana hoki i a koe ki te neke i tō ringaringa.

Nā, ki te pēhia, ki te pēhia rānei te io waenga, te io matua i roto i tēnei kauhanga carpal, mō tētahi take, ka puta tēnei mea e kiia nei ko te mate kauhanga carpal. Ko te io waenga te mea e āwhina ana i a tātou ki te huri i tō tātou ringaringa me te whakarato i te rongo ki te nuinga o ngā maihao. Nō reira, ina pēhia tēnei io, ka tīmata te tuku i ngā tohu hē ki te ringa me ngā maihao. Ko te wā tēnā ka tīmata te ngoikore me te mamae i whakahuatia i mua ake nei. Ki te kī ngāwari, he rite tēnei ki te pēhi i tētahi paipa wai me te whakaiti i te rere o te wai.

Ki te pāngia koe e te mamae, te ngoikore, te ngau rānei i tō ringaringa, i tō ringaringa rānei, me toro atu ki te tākuta tonu. I te nuinga o te wā ka ora tēnei āhuatanga mā te rongoā. Heoi, ki te kore e rongoatia, ka pā he kino tuturu ki te io waenga.

E hia te auau o tēnei āhuatanga?

He tino noa te mate Carpal Tunnel Syndrome. E whakaatu ana ngā rangahau e toru i roto i te 1,000 tāngata o te ao ka pāngia e tēnei mate i ia tau. Nō reira, ki te pāngia koe e ēnei tohu, ehara i te mea ko koe anake.

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He aha ngā tohu matua o tēnei? Me pēhea e mōhio ai koe ki tēnei?

Ko ngā tohu o te mate carpal tunnel syndrome ka puta mārire. Tērā pea ka tīmata hei mamae ngawari, ā, ka kaha haere te haere o te wā.

• Te ngoikore o te ringaringa, te ringa, ngā maihao rānei: inā koa te māhunga nuiKa kitea tēnei ngoikore i te haurua o te maihao tohu, te maihao waenga, me te maihao mowhiti. I ētahi wā ka rite ngā pito o ngā matimati ki te mea kua mate.
• Te mamae i te ringaringa, i ngā maihao rānei: I ētahi wā ka rite te mamae ki te werawera, ki te wero rānei.
• He kare ā-ringa: He rite ki te kare ā-ringa ina moe.
• Te uaua ki te pupuri, ki te whakahaere rānei i tētahi mea: Hei tauira, ka āhua kore kaha tō ringa i a koe e pupuri ana i tētahi waea, e pupuri ana i te urungi o tētahi motuka, e tuhi ana ki te pene, e pato ana rānei i runga i te rorohiko. Ahakoa he kapu, ka āhua rite tonu ki te ngana ki te paheke atu i tō ringa.

I te pō ka puta tuatahi mai ēnei tohu. Tērā pea ka ara ake koe i te moe nā te mamae, te ngoikore rānei. I roto i te wā, ka tīmata pea ēnei tohu te puta i te awatea, inā koa mēnā he tangata koe e mahi ana i taua momo mahi anō (hei tauira, te pato, te tuhituhi, te whakamahi taputapu).

Ki ētahi tāngata, he rite ki te "moe" tō rātou ringa. Kātahi ka rite ki te whakatuwhera i te ringa ki te papaki, me te mea kei te mirimiri wai ki tō rātou ringa, kātahi ka whakatuwhera.

Ko te mamae he rite ki te mea kei roto i te ringa e puta mai ana, ehara i te mea he whara kiri. E whakaaro ana ētahi tāngata he iti ake te kaha o ō rātou ringa, ā, kāore e taea e rātou te hopu i ngā mea. Tērā pea ka uaua ki a rātou te mahi i ngā mahi uaua pēnei i te pātene i te hāte, te kuhu rānei i te kī ki roto i te kōhao kī.

He aha tātou ka pāngia ai e te Carpal Tunnel Syndrome? He aha ngā take?

E ai ki te kōrero i mua ake nei, ko te take matua he pēhanga nui kei te io waenga. He iti te wāhi i roto i te kauhanga carpal. Nō reira, ki te pupuhi, ki te pakaru rānei tetahi wāhanga o te ringaringa, ka taea e ia te pana ki ētahi atu kiko. Koinei te wā e pēhia ai te io waenga. Ka tīmata te raruraru.

Anei ētahi mea ka pupuhi ai, ka mārō ai hoki tō ringaringa:

• Ngā whara whara auau: Hei tauira, he tangata e pato ana i runga i te rorohiko i te rā katoa, he tangata e tuitui kakahu ana, he tangata rānei e mahi tonu ana me tētahi taputapu pēnei i te hama.
• Ngā mate rumatiki : inā koa ko te rumatiki rheumatoid .
• Ngā whara, ngā whati rānei o te ringaringa.
• Ngā mea pēnei i ngā pūkahukahu ganglion e puta ana i te ringaringa.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

Ahakoa ka taea e te tangata te whakawhanake i tēnei mate, he nui ake te mōrearea o ētahi tāngata:

• Te hunga e mahi pinepine ana i ngā momo nekehanga ōrite ki ō rātou ringa me ō rātou ringaringa: hei tauira, te patu ki te hama, te mahi me te tīwiri, te peita.
• Te hunga e whakamahi ana i ngā taputapu hiko wiri (ngā taputapu hiko): hei tauira, ngā mīhini wiri, ngā hama.
• Ngā wāhine hapū: Ka pupuhi pea nā te nui haere o te wai e puritia ana i roto i te tinana i te wā e hapū ana.
• Ngā Wahine: He nui ake te kitea o tēnei mate i roto i ngā wāhine i ngā tāne, nā te iti pea o te rahi o te kauhanga carpal.
• Ngā tāngata neke atu i te 40 tau te pakeke.
• Mena kei tētahi o te whānau tēnei mate (tērā pea he tuku iho).

Hei tāpiritanga, ka taea hoki e ētahi mate pūmau te whakanui ake i te mōrearea o te whakawhanake i te mate carpal tunnel:

• te rumatiki
• Kauti
• Te ngoikore o te tairoi (te ngoikore o te mahi o te tairoi)
• Mate huka (Diabetes Mellitus)
• Momonatanga
• Ngā mate onge pēnei i te amyloidosis.

He aha ngā raruraru ka pā mai i tēnei? Me āwangawanga ahau?

Kāore he mea e wehi ai, engari ehara i te mea pai kia warewarehia. Ki te kore e tātaritatia wawetia, e rongoatia hoki e te tākuta, ka taea e te pēhanga o te ringaringa te whakararuraru tuturu i te io waenga. Ki te tupu tēnei, ka uaua pea te pā, te neke, me te mahi i ngā mahi o ia rā i roto i te ringaringa, ki te kore e taea.

Nō reira, ki te mea he iti noa iho tō whakapae kei a koe ngā tohu o te mate carpal tunnel syndrome, rapua tonutia he tohutohu hauora.

Me pēhea te mōhio o te tākuta mēnā kei te kitea tēnei āhuatanga, kāore rānei?

I te nuinga o te wā ka whakaū te tākuta i tēnei mā te whakahaere i ētahi whakamātautau tinana me ētahi atu whakamātautau mēnā e tika ana.

• Whakamātautau tinana: Ka tirohia e te tākuta tō ringaringa, tō ringaringa, me ō maihao. Ka pātai atu rātou ki a koe mō ō tohumate. Kia mārama te roa o te wā e pāngia ana koe e ēnei raruraru, āhea ka kino haere, me te mea ka kino haere ina mahi koe i tētahi mea.
• Ngā whakamātautau motuhake:
• Te tohu a Tinel: Ka pato mārire te tākuta ki te io waenga e rere ana i roto i tō ringaringa. Kātahi ka tirohia mēnā he ngoikore, he mākūkū rānei.
• Te whakamātautau a Phalen: Ka whakatakotoria ō ringaringa ki muri i a koe, ka piko ō ringaringa, ā, ka tonoa koe kia pupuri i aua ringaringa mō te meneti pea. Kātahi ka tirohia mēnā he ngoikore, he mamae rānei.
• Ngā hihi-X o te ringaringa: Tērā pea ka tonoa koe kia tangohia he hihi-X hei tirotiro mō tētahi atu raruraru, pērā i te mate rumatiki, te whati rānei o te wheua.
• Te Electromyography (EMG): Mā tēnei ka ine i te ngohe hiko o ngā io me ngā uaua. Ka taea e ia te āwhina ki te whakatau mēnā he kino te io.
• Matawai ultrasound: Ka taea te kite i te rahi o te io waenga me ngā kiko e karapoti ana.
• Matawai MRI (MRI):I ētahi wā, ka mahia he MRI hei tirotiro i te āhua o te mate, kia mārama ake ai hoki mēnā he pēhanga kei runga i te io mai i tētahi atu take.

He aha ngā rongoā mō tēnei? Ka taea te whakaora?

Āe, tino pono! I te nuinga o te wā , ko ngā maimoatanga māmā, kāore he pokanga, te taahiraa tuatahi. Mēnā kāore e āwhina, ka whakaarohia te pokanga.

Ngā maimoatanga kore-pokanga (ngā maimoatanga tuku iho)

• Te mau i te whitiki whakarara: Ka tūtohu pea tō tākuta kia mau koe i te whitiki whakarara hei hiki ake i tō ringaringa, inā koa i te pō, i a koe e moe ana. Mā tēnei ka whakaiti i te pēhanga ki te io waenga.
• Whakaora tinana: Ka ako te kaiwhakaora tinana i ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i tō ringaringa, hei whakanui ake hoki i te ngāwari.
• Te whakarerekē i te tū me te taiao mahi: Ka taea e te kaiwhakaora mahi te āwhina i a koe ki te whakaiti i te mamae mā te whakarerekē i ngā mea pēnei i te āhua o tō mahi, te āhua o tō nohoanga, me te āhua o tō pupuri i te papapātuhi rorohiko.
• Ngā rongoā whakamamae mamae: Tērā pea ka tohua e tō tākuta he rongoā hei whakaiti i te mamae me te pupuhi, pērā i te paracetamol, i ngā rongoā anti-inflammatory kore-steroidal (NSAID) rānei. Heoi, kaua e tangohia tonutia ēnei mō ngā rā neke atu i te 10 me te kore kōrero ki tō tākuta.
• Werohanga corticosteroid: He rongoā ārai-mumura kaha ēnei. Tērā pea ka werohia tika atu e tō tākuta he corticosteroid ki roto i tō carpal tunnel.

Te Pokanga o te Mate Tunnel Carpal

Mena kāore ngā maimoatanga whānui kua whakahuatia ake nei e āwhina, mehemea rānei he kino rawa te mate, ka tūtohu pea tō tākuta i te pokanga tuku i te carpal tunnel . I roto i tēnei tikanga, ka tapahia e te taote pokanga tētahi wāhanga iti o te hononga carpal whakawhiti i roto i te ringaringa e hono ana i te ringa ki te ringaringa, ka whakanui ake i te wāhi i roto i te carpal tunnel. Ka whakamama tēnei i te pēhanga ki runga i te io waenga, ka taea ai e te io me ngā uaua te neke noa.

Ehara tēnei i te pokanga nui i te nuinga o te wā, ā, he tikanga tūroro tēnei e taea ai e koe te hoki ki te kāinga i taua rā anō . Mā tō taote pokanga e whakamārama ngā mea katoa i mua i te pokanga.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

Ka tīmata tō āhua pai ake i te tīmatanga o te maimoatanga. E hia wiki pea (e roa ake rānei) te roa o ngā maimoatanga kore-pokanga hei whakamama i te pēhanga ki te io waenga, engari me āta pai ake ngā tohu.

I muri i te pokanga, ka memeha haere ngā tohu i te wa e ora ai te ringaringa. I te nuinga o te wā, ka taea te whakaora katoa i roto i te marama, i ngā marama e rua rānei.

Mena kei a au tēnei āhuatanga, he aha taku e tumanako ai?

Me whakarerekē pea koe i ō mahi o ia rā, whakamātauria ngā maimoatanga kore-pokanga hei tautoko i tō ringaringa, hei whakaiti hoki i te pupuhi. Ka tūtohu tō tākuta i ngā maimoatanga hei āwhina i te whakamamae i ngā tohu me te ārai i te kino o ngā io.

Tērā pea ka roa te wā ki te kimi i te maimoatanga tika māu, engari ka taea e te nuinga o te tangata te kimi i te whakamarie. Kia maumahara, ko te mea nui ko te tīmata wawe i te maimoatanga.

Mēnā kāore e whai hua ngā maimoatanga noa, mēnā rānei he kino rawa te āhua, ka tūtohu te tākuta kia pokangahia.

He aha tā tātou e taea ai te mahi hei ārai i tēnei mea kei tupu?

He uaua ki te ārai katoa i te mate carpal tunnel syndrome, ina koa mēnā he āhuatanga kāore e taea e koe te whakahaere, he mahi rānei nāu. Heoi, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i tō mōrearea:

• Mahia ngā mahi totoro i mua atu, ā, i muri mai i ngā mahi e whakauaua ai ō ringaringa me ō ringaringa.
• Kia mau ki ngā taputapu haumaru tika i te wā e mahi ana, e tākaro ana rānei i ngā hākinakina.
• Me whai wā okioki i te wā e mahi ana koe me ō ringaringa.
• I te wā e whakamahi ana i ngā taputapu, tae atu ki te pato i runga i te rorohiko, kia mau ki te tū tika, me te whakamahi hoki i ngā tikanga tika.

Ka ora ko ia anake te Carpal Tunnel Syndrome?

I ētahi wā, ki te whakangāwari koe i tō ringaringa, ka mutu te mahi i aua momo nekehanga mō tētahi wā, ka memeha haere ngā tohumate. Heoi, kāore pea e pai ake me te kore he maimoatanga hauora.

He pai ake te toro atu ki te tākuta i te wā tonu ka pāngia koe e te ngoikore, te mamae, te ngoikore rānei o tō ringaringa, o tō ringaringa, o ō maihao rānei, i te mea ka kino tonu te io waenga.

He aha ngā pātai me pātai atu e au ki te tākuta mō tēnei?

Ina haere koe ki te tākuta, ka taea e koe te pātai i ēnei pātai:

• He mate carpal tunnel syndrome tōku, he raruraru ringaringa anō rānei?
• He aha te take o tōku āhuatanga?
• He aha te momo maimoatanga e hiahiatia ana e au?
• Me pokanga ahau?
• He aha te momo whitiki me whakamahi? Kia pēhea te roa me mau?

He aha te rongoā pai rawa atu mō tēnei?

Kāore he whakautu kotahi e tika ana mō tēnei. Ko te maimoatanga pai rawa atu māu ka whakawhirinaki ki te pūtake o tō mate carpal tunnel me te kaha o te mate.

Ka taea e te nuinga o te tangata te whakahaere i tēnei mā roto i ngā maimoatanga māmā. Engari i ētahi wā ko te pokanga te otinga pai rawa atu. Kāore he whakautu tika, kāore rānei he whakautu hē mō tō hauora. Ma tō tākuta koe e whakamārama ko tēhea maimoatanga te mea tika māu, me te take hoki.

Me pēhea taku mōhio mēnā he mate carpal tunnel syndrome tōku?

Kāore e rite te pānga o tēnei ki te katoa. Tērā pea ka kite tuatahi koe i ngā tohu i te pō. Tērā pea ka ara ake koe i te moe me te mamae me te māuiui i roto i tō ringaringa. Tērā pea ka pāngia koe e te mamae o te ringaringa i te ahiahi i muri i te mahi me ō ringaringa i te rā roa.

Ko te mea nui ko te tākuta anake ka taea te whakaū mēnā kei a koe te mate carpal tunnel syndrome, tētahi atu raruraru ringaringa rānei. Ahakoa kāore koe i te mate carpal tunnel syndrome, ka taea e tō tākuta te āwhina i a koe ki te kimi i te pūtake o ō tohu me te rongoā.

Ka taea te whakamataku me te whakapouri ina he mea e whakararuraru ana i tō kaha ki te whakamahi i ō ringaringa me ō waewae. Ko te mate carpal tunnel syndrome tētahi o aua mate. Engari kia maumahara, he mate ka taea te rongoā mēnā ka kitea wawetia.

Karere Tangohia ki te Kāinga

Ki te pā mai ngā tohu pēnei i te ngoikore, te mamae, te ngoikore rānei o tō ringaringa, o tō ringaringa rānei, kaua e wareware noa. Ki te whakaaro koe, "Ka memeha noa iho," ka raru pea tō io waenga.

He mate ka taea te rongoā i te Carpal Tunnel Syndrome. Ka taea e tō tākuta te āwhina i a koe ki te whakahaere i ō tohu me te ārai i ngā kino atu ki tō ringaringa. Nō reira, ki te pāngia koe e te mamae, rapua tonutia he awhina hauora. He mea nui rawa ō ringaringa ki a koe, tika?

Te Mate Pūnaha Carpal Tunnel, Te Io Waenga, Te Ngoikore o te Ringa, Te Mamae o te Ringa, Te Kōpeketanga o te Io, Te Pūnaha Carpal, Te Wīra, Te Whakaora Tinana