Kodi nthawi zina mumadzuka usiku ndi dzanja lanu lopanda mphamvu? Kapena zala zanu zimafooka mukugwira ntchito pa kompyuta, pogwiritsa ntchito foni yanu, kapena kuyendetsa galimoto? Chimodzi mwa zifukwa zazikulu za izi chingakhale matenda otchedwa Carpal Tunnel Syndrome . Chifukwa chake mukapita kwa dokotala kukamuuza za mtundu uwu wa kusasangalala, lero tikulankhula za mayeso osavuta komanso osavuta kuti mudziwe ngati muli ndi vutoli. Izi zimatchedwa Phalen's Test.
Kodi Mayeso a Phalen ndi chiyani?
Mwachidule, iyi ndi mayeso osavuta kwambiri omwe dokotala wanu amachita mu ofesi, popanda zida zapadera. Amatchedwanso chizindikiro cha Phalen. Dokotala wanu adzakutsogolerani kuti mugwire dzanja lanu ndi dzanja lanu m'malo enaake.
Malo amenewa amaika mphamvu pang'ono pa Median Nev, mitsempha yofunika kwambiri yomwe imadutsa m'dzanja lanu. Taganizirani ngati kufinya chitoliro cha madzi. Chifukwa chake, ngati muli ndi matenda a Carpal Tunnel Syndrome, mitsempha iyi ikafinyidwa pang'ono, mudzamva kunjenjemera kapena dzanzi m'zala zanu. Ngati zizindikirozi zichitika, zidzapatsa dokotala wanu lingaliro labwino kuti mwina muli ndi vutoli.
Kumbukirani, iyi ndi sitepe imodzi yokha yodziwira matendawa. Pambuyo pa mayesowa, mayeso ena angachitike kuti atsimikizire matendawa.
Chifukwa chiyani mayesowa amachitika? Tiyeni tikambirane pang'ono za Carpal Tunnel Syndrome.
Kuti timvetse bwino mayesowa, tifunika kudziwa pang'ono za matenda a Carpal Tunnel Syndrome.
Tangoganizani kuti pali ngalande yaying'ono kudzera m'dzanja lanu. Iyi ndi njira yomwe timaitcha kuti Carpal Tunnel . Ngalande iyi imapangidwa ndi fupa laling'ono ndi ligament m'dzanja. Mkati mwa ngalande iyi, minofu yomwe imatithandiza kupinda zala zathu ndi Median Nevve yomwe imapereka kumva kwa dzanja imadutsa.
Kotero, ngati pazifukwa zina pali kutupa mkati mwa ngalande iyi, kapena ngati pazifukwa zina malo mkati mwake achepa, mitsempha yapakati yomwe ndatchulayi imayamba kupsinjika ndi kupsinjika. Ndicho chimene timachitcha Carpal Tunnel Syndrome.
Pamene mitsempha iyi yayamba kugwedezeka, zizindikiro monga dzanzi, kumva kuwawa, kupweteka, komanso nthawi zina kutaya mphamvu m'dzanja, makamaka chala chachikulu, chala chapakati, chala chapakati, ndi theka la chala cha mphete, zimatha kuchitika.
Kodi mumayesa bwanji mayeso a Phalen?
Izi n'zosavuta kwambiri. Simukusowa kukonzekera kwapadera. Dokotala adzakuwonetsani momveka bwino momwe mungachitire.
1. Choyamba, tengani manja anu molingana ndi chiuno, ndipo muwaike pambali pa dorsal ya manja anu. Kunena zoona, tembenuzani manja anu kupita kunja ndikuyika kumbuyo kwa manja anu pamodzi.
2. Kenako, sungani manja onse awiri pamalo amodzi, kwezani zigongono zonse ziwiri mpaka zitafika pamlingo wa pachifuwa. Pa nthawiyi, manja adzakhala atapindika kwathunthu.
3. Tsopano dokotala adzakuuzani kuti mukhale pamalo amenewa kwa mphindi imodzi .
4. Dokotala adzakufunsani ngati mukumva dzanzi, kutentha, kapena kusasangalala kwina kulikonse m'zala zanu panthawiyi.
Kodi izi ndi zomwe zikuchitikanso ndi mayeso a Reverse Phalen's?
Inde, iyi ndi njira ina yodziwira matenda a Carpal Tunnel Syndrome. Nthawi zina dokotala angachite mayeso onse awiriwa.
Chitani izi mbali inayo. Ikani manja anu pamodzi ngati kuti mukuwerama ndipo tambasulani zigongono zanu m'mbali. Kenako, mofananamo, tsitsani manja anu mpaka pamlingo wa m'mimba mwanu. Dokotala adzakuuzani kuti mukhale pamalo awa kwa mphindi imodzi. Pa nthawiyi, adzafufuzanso kuti awone ngati zizindikiro zomwe mwatchula kale zikuwonekera.
Kodi zotsatira za mayeso ndi ziti ndipo chimachitika ndi chiyani pambuyo pake?
Dokotala adzaika zotsatira zanu m'magulu a "Zabwino" kapena "Zoipa" .
- Mayeso Abwino a Phalen: Izi zikutanthauza kuti mudakumana ndi zizindikiro (monga dzanzi ndi ululu) zokhudzana ndi Carpal Tunnel Syndrome panthawi yoyezetsa.
- Mayeso a Phalen Oipa: Izi zikutanthauza kuti simunamve kupweteka kulikonse panthawi yoyesedwa.
Koma kumbukirani kuti nthawi zina ngakhale zotsatira zake zitakhala zoipa, mutha kukhalabe ndi Carpal Tunnel Syndrome. Ichi ndichifukwa chake dokotalayo adzasamala kwambiri za zizindikiro ndi zina zomwe mukufotokoza.
Pambuyo poyezetsa uku, dokotala angakulimbikitseni mayeso ena angapo kuti atsimikizire matendawa kapena kuti awone bwino kuwonongeka kwa mitsempha.
- Kujambula kwa MRI (Magnetic Resonance Imaging): Kuti muwone bwino kapangidwe ka mkati mwa dzanja.
- Kujambula kwa Ultrasound: Kuona kukula kwa mitsempha yapakati komanso ngati yapanikizika.
- Mayeso a EMG (Electromyogram): Amayesa liwiro limene zizindikiro zamagetsi zimadutsa mu mitsempha kuti adziwe ngati mitsempha yawonongeka.
Pambuyo pa mayeso awa, ngati zatsimikizika kuti muli ndi Carpal Tunnel Syndrome, dokotala wanu adzayamba kulandira chithandizo choyenera kwa inu. Izi zingaphatikizepo kukulunga chigamba, mankhwala, kapena nthawi zina, kutumiza kwa katswiri wa mafupa (orthopaedist) kuti akachite opaleshoni yaying'ono.
Kodi pali kusiyana kotani pakati pa Phalen's Test ndi Tinel's Sign?
Zonsezi ndi mayeso osavuta omwe madokotala amachita m'zipinda zawo kuti adziwe matenda a Carpal Tunnel Syndrome. Komabe, pali kusiyana pang'ono pa momwe awiriwa amachitira. Tiyeni timvetse bwino ndi tebulo.
| Khalidwe | Mayeso a Phalen | Chizindikiro cha Tinel |
|---|---|---|
| Momwe mungachitire | Pindani dzanja mwamphamvu, ikani mphamvu pa mitsempha, ndipo gwirani kwa mphindi imodzi. | Dokotalayo akugogoda pang'onopang'ono ndi chala chake pomwe mitsempha yapakati imadutsa m'dzanja. |
| Zimene mukumva (ngati zili bwino) | Kusamva bwino kapena kutayika kwa kumverera m'zala pamene mukukhalabe ndi kaimidwe kanu. | Kumva ngati pali singano m'zala zanu mukagogoda. |
| Cholinga chachikulu | Kuwonetsa zizindikiro mwa kukanikiza mitsempha. | Kulimbikitsa mitsempha yotsekeka kuti iwonetse zizindikiro. |
Ndi mayeso onsewa, dokotala akuyesera kudziwa ngati mitsempha yanu yapakati yapanikizika kapena ngati ndi yovuta kumva.
Uthenga Wopita Nawo Kunyumba
- Mayeso a Phalen ndi njira yosavuta, yopanda ululu, komanso yotetezeka yodziwira matenda a Carpal Tunnel Syndrome.
- Musanyalanyaze dzanzi, ululu, kapena kutaya kumva m'dzanja lanu kapena zala zanu. Izi zitha kukhala zizindikiro za Carpal Tunnel Syndrome.
- Kuyezetsa kumeneku ndi gawo limodzi lokha la matenda okwana. Ndikofunikira kwambiri kuuza dokotala wanu kufotokozera kwathunthu zizindikiro zanu.
- Zotsatira za mayesowa zithandiza kwambiri dokotala wanu posankha njira zina zomwe muyenera kuchita.
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