Kodi mumamvanso ululu wachilendo, wopweteka kumbuyo kwa mkono wanu, pansi pa chigongono chanu? Uli ngati ululu wovuta womwe mukufuna kuuchotsa, koma sudzatha. Kodi nthawi zina mumamva ngati ululuwu ukuwonjezeka mukanyamula chinthu cholemera kapena kutembenuza mkono wanu? Ndiye mutha kukhala ndi vuto lotchedwa 'Radial Tunnel Syndrome'. Musadandaule, tiyeni tikambirane mwachidule.
Kodi Radial Tunnel Syndrome ndi chiyani?
Mwachidule, ichi ndi vuto lomwe limayamba chifukwa cha kupsinjika kapena kugwedezeka kwa mitsempha ya radial, yomwe ndi imodzi mwa mitsempha itatu yayikulu m'manja mwathu.
Tangoganizirani mitsempha iyi, yomwe ili ngati chitoliro cha madzi, ikuyenda kudzera mu ngalande yopapatiza yopangidwa ndi minofu ndi minofu pa chigongono. Timaitcha iyi kuti 'ngalande yozungulira'. Ngati pazifukwa zina pali kutupa kapena kulimba mkati mwa ngalande iyi, mitsempha imapindika. Zili ngati munthu akuponda chitoliro cha madzi. Pamenepo ndi pomwe timayamba kumva kupweteka.
Nthawi zambiri, vutoli limatha kuchiritsidwa kwathunthu ndi kupuma bwino komanso chithandizo chosavuta kuchokera kwa dokotala. Choncho palibe chifukwa chodera nkhawa.
Kodi zizindikiro za izi ndi ziti?
Chofunika kwambiri ndi ululu wakuthwa komanso wobaya womwe umayamba pansi pa chigongono ndikuyamba pa mkono. Ndi ululu wokhazikika komanso wovuta. Kwa anthu ena, ululuwu ukhoza kuyenda pansi pa mkono, mpaka kudzanja lamanja .
Pakapita nthawi, vutoli likhoza kufooketsa minofu ya mkono wanu ndikupangitsa kuti dzanja lanu lisamagwire bwino ntchito. Zingakhale zovuta kugwira kapena kunyamula zinthu zina. Ululu ukhozanso kukulirakulira usiku mukamagona. Anthu ena akhoza kukhala ndi vuto lotchedwa 'wrist drop', lomwe sangathe kukweza dzanja lawo .
Zizindikiro za vuto lotchedwa 'tennis elbow' zimafanana kwambiri ndi izi, choncho ndikofunikira kwambiri kufotokozera dokotala wanu zizindikiro zanu.
| Zochita zomwe zimawonjezera ululu | |
|---|---|
| Ntchito yomwe imafuna kugwiritsa ntchito dzanja/ dzanja pafupipafupi | Mwachitsanzo, kulemba nthawi zonse pa kompyuta, kugwira ntchito ndi screwdriver. |
| Kukweza zolemera | Ululu ukhoza kuwonjezeka mukanyamula matumba olemera ndi katundu. |
| Kutambasula chigongono kutali kwambiri | Ululu ungamveke mkono ukawongoka bwino. |
| Kuzungulira mkono wa pamphumi | Ululu ukhoza kuwonjezeka mukatembenuza mkono wanu, ngati kuti mukutsegula chitseko. |
| Kupindika kwa dzanja | Ululu ukhoza kumveka mukapinda dzanja mmwamba kapena pansi. |
N’chifukwa chiyani izi zikuchitika?
Monga tanenera kale, chifukwa chachikulu ndi kutupa mkati mwa ngalande ya radial, yomwe imafinya mitsempha. Pali zifukwa zingapo zomwe kutupa kumeneku kungachitikire.
- Kusuntha mobwerezabwereza: Taganizirani za munthu amene amalemba pa kompyuta tsiku lonse, kapena makanika amene amagwira ntchito ndi screwdriver. Kusuntha mobwerezabwereza kungayambitse kutupa kwa minofu m'dera limenelo.
- Kukankha ndi kukoka pafupipafupi: Monga kuponya mpira wa cricket. Choyamba, mumakoka mkono wanu kumbuyo kenako mwachangu patsogolo. Kukankha ndi kukoka kosalekeza kumeneku kungayambitsenso kukwiya kwa mitsempha iyi.
- Kumenya mwamphamvu pa chigongono kapena pamphumi: Kumenya mwachindunji pamalopo kungayambitse kutupa.
- Kupinda dzanja mopitirira muyeso kapena kugwira chinthu mwamphamvu.
Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?
Ngakhale kuti vutoli lingayambire aliyense, anthu ena ali pachiwopsezo chachikulu.
- Kawirikawiri zimachitika kawirikawiri mwa anthu azaka zapakati pa 30 ndi 50 .
- Azimayi ndi omwe ali ndi mwayi waukulu wopeza vutoli kuposa amuna.
- Anthu omwe ali ndi mphamvu zochepa komanso kusinthasintha m'manja ndi m'manja mwawo.
- Anthu omwe safunda bwino asanachite masewera.
- Anthu omwe ali ndi matenda a shuga.
- Anthu omwe ali ndi vuto la chithokomiro chosagwira ntchito bwino.
- Anthu omwe ali ndi zotupa kapena ma cysts a ganglion m'manja mwawo.
- Anthu omwe ali ndi kutupa (edema) kapena madzi m'manja.
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kukaonana ndi dokotala, choyamba adzakufunsani za ululuwo. Mmene unayambira, pamene ukukulirakulira, ndi zina zotero. Kenako adzafufuza mkono wanu. Dokotalayo adzakukanikizani chigongono chanu ndikuyesera kupeza malo enieni omwe mitsempha yapindika.
Pali mayeso apadera angapo kuti adziwe vutoli:
- Mayeso oletsa kuvulala: Dokotala adzagwiritsa ntchito mphamvu pang'ono pa chala chanu chachikulu ndi chapakati. Ngati pali ululu uliwonse, uwu ukhoza kukhala vuto.
- Lamulo la mayeso asanu ndi anayi: Pa ichi, wodwalayo amakankhira mfundo 9 zapadera mozungulira chigongono. Ngati ululu umachitika akakankhira mfundo zina, chimenechonso ndi chizindikiro.
Palibe kuyezetsa magazi kapena kujambulidwa komwe kungatsimikizire vutoli 100%. Chifukwa chake, dokotala wanu angakulangizeni mayeso ena kuti athetse matenda ena. Mwachitsanzo:
- Mayeso a X-ray
- Kujambula kwa MRI
- Kuphunzira za kayendedwe ka mitsempha
- Electromyography (EMG)
Kodi mankhwala ochizira izi ndi otani?
Chinthu chabwino komanso chofunikira kwambiri chomwe mungachite ndikusiya kuchita zomwe zimayambitsa ululu. Pumulani dzanja lanu pang'ono . Anthu ambiri adzachira mkati mwa milungu isanu ndi umodzi atapuma komanso mankhwala otsatirawa.
| Njira yochizira | Kufotokozera |
|---|---|
| Mankhwala opha ululu | Mankhwala ochepetsa ululu, makamaka mankhwala oletsa kutupa omwe si a steroidal (NSAIDs), omwe dokotala wanu wakupatsani. |
| Jakisoni wa steroid | Jakisoni wa steroid amaperekedwa kuti achepetse kutupa ndi kupsinjika kwa mitsempha mwachangu. |
| Kuvala chivundikiro chachitsulo | Chingwe cholumikizira ndi chingwe chomwe chimavalidwa mozungulira dzanja kapena chigongono. Izi zimathandiza kupewa kusuntha kosafunikira kwa dzanja ndipo zimapatsa mitsempha mpumulo. Ndikoyenera kuvala makamaka usiku. |
| Masewero olimbitsa thupi | Maseŵero apadera ochitidwa motsogozedwa ndi katswiri wa zamaganizo. Maseŵerowa amatambasula minofu ndi minofu yolimba ndikutulutsa mitsempha. |
Cholinga chachikulu cha chithandizo ndi kuchepetsa zizindikiro ndikuziletsa kuti zisabwererenso. Ngati ntchito yanu ikuyambitsa vutoli, mungafunike kuganizira zosintha nthawi yanu yogwirira ntchito ndikupuma nthawi yogwira ntchito.
Kodi opaleshoni idzakhala yofunikira?
Ngati palibe chilichonse mwa izi chomwe chikugwira ntchito, dokotala adzaganiza zochita opaleshoni ('radial tunnel release') ngati njira yomaliza. Izi zimachitika kuti amasule mitsempha yomwe yagwidwa. Koma nthawi zambiri izi sizikufunika.
Uthenga Wopita Nawo Kunyumba
- Matenda a Radial Tunnel Syndrome ndi matenda opweteka omwe amayamba chifukwa cha kupsinjika kwa mitsempha ya radial pa chigongono.
- Zifukwa zazikulu za izi zitha kukhala zinthu monga kupitiriza kuchita mayendedwe omwewo ndikunyamula zolemera.
- Chithandizo chabwino kwambiri cha izi ndi kupuma dzanja ndikupewa zinthu zomwe zimayambitsa ululu.
- Musanyalanyaze ululu. Kuchita zimenezi kungapangitse kuti vutoli liipireipire. Pitani kwa dokotala wodziwa bwino ntchito nthawi yomweyo kuti akupatseni malangizo.
- Nthawi zambiri, vutoli limatha kuchiritsidwa kwathunthu ndi mankhwala osavuta.
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