Kodi mukumva dzanzi ndi kupweteka m'dzanja lanu kapena m'chigongono? Zingakhale Radial Tunnel Syndrome!

Kodi mudamvapo ululu wachilendo wochokera mkati mwa mkono wanu, makamaka pansi pa chigongono, ndi kumva kuwawa pamodzi ndi kutaya mphamvu mu mkono wanu? Nthawi zina ululu uwu ukhoza kukhala woopsa kwambiri moti umamveka ngati ukuyesera kutsegula mkono wanu. Ichi chikhoza kukhala chimodzi mwa zizindikiro zazikulu za matenda otchedwa Radial Tunnel Syndrome, omwe tikambirane lero. Musadandaule, tiyeni tikambirane za izi mosavuta.

Kodi Radial Tunnel Syndrome ndi chiyani? Mwachidule...

Tangoganizirani, pali mitsempha yofunika kwambiri yomwe imayenda m'dzanja lathu, imatchedwa mitsempha ya radial . Mitsempha iyi ndi yomwe imathandiza minofu ina m'dzanja lathu kugwira ntchito ndikumva m'malo ena. Mitsempha ya radial iyi ikafika pa chigongono, imadutsa mu "ngalande" yaying'ono kuti ipite kutsogolo kwa mkono. Ngalande iyi imapangidwa ndi zinthu monga minofu ndi minyewa. Ichi ndichifukwa chake imatchedwa ngalande ya radial .

Tsopano, chimachitika ndi chiyani ngati, pazifukwa zina, minofu yomwe ili mkati mwa ngalande iyi yatupa kapena yolimba? Mitsempha ya radial yomwe imadutsa mu ngalandeyo imayamba kupsinjika ndi kupsinjika. Pamenepo ndi pomwe vuto lotchedwa radial tunnel syndrome limachitika. Zili ngati chitoliro chamadzi chikamangika pakati, zimapangitsa kuti madzi aziyenda movutikira.

Nkhani yabwino ndi yakuti vutoli nthawi zambiri limatha kuchiritsidwa ndi kupuma komanso mankhwala osavuta osagwiritsa ntchito opaleshoni. Chifukwa chake ngati mukumva kupweteka pachigongono chanu kapena kutsogolo kwa dzanja lanu, ndi bwino kufunsa upangiri wa dokotala.

Kodi ululu wa mu ngalande ya radial umamveka bwanji? Kodi zizindikiro zake ndi ziti?

Ululu uwu nthawi zambiri umamveka kuchokera kunja kwa chigongono mpaka kutsogolo kwa mkono ('forearm') . Ndi ululu wopweteka womwe umachokera mkati. Nthawi zina ululu uwu ukhoza kukhalapo tsiku lonse, zomwe zimakupangitsani kumva kutopa komanso kutopa.

Kupweteka kumeneku kungawonjezereke pochita zinthu zina. Mwachitsanzo:

• Ntchito zambiri zimaphatikizapo kugwiritsa ntchito mkono ndi dzanja (monga, pogwira chinthu mwamphamvu, kugwiritsa ntchito screwdriver).
• Ponyamula chinthu cholemera.
• Zigongono zikatambasulidwa kwambiri.
• Mukatembenuza mbali yakutsogolo ya dzanja (monga potsegula chitseko).
• Mukapinda dzanja lanu.

Pakapita nthawi, matenda a radial tunnel syndrome amatha kufooketsa minofu kutsogolo kwa dzanja ndikuchepetsa mphamvu ya dzanja. Izi zingapangitse kuti zikhale zovuta kugwira kapena kunyamula zinthu zina. Anthu ena amathanso kumva ululu akagona . Nthawi zambiri, vutoli lingayambitse kugwa kwa dzanja (`wrist drop`) , zomwe zikutanthauza kuti dzanja silingathe kukwezedwa.

Popeza zizindikirozi zimafanana pang'ono ndi matenda otchedwa "tennis elbow," ndikofunikira kwambiri kudziwa bwino zizindikiro zanu mukapita kwa dokotala.

Kodi n’chifukwa chiyani matenda a radial tunnel amachitika? Kodi zimayambitsa chiyani?

Monga tanenera kale, pamene mitsempha ya radial imadutsa mu ngalande ya radial pansi pa chigongono, imadutsa pakati pa minofu yosiyanasiyana ndi pansi pa mapepala a minofu otchedwa `fascial bands` . (Ma fascial bands ndi mtundu wa minofu yomwe imazungulira, kulekanitsa, ndi kumangirira zinthu monga minofu ndi ziwalo m'thupi lathu.)

Kotero, ngati pali kutupa kulikonse (`kutupa`) mu zinthu zomwe zili mkati mwa ngalande iyi ya radial, kumaika mphamvu yosafunikira pa mitsempha ya radial. Ndicho chifukwa chachikulu cha vutoli. Pali zifukwa zingapo zomwe zingayambitse kutupa uku:

• Kuchita mayendedwe omwewo mobwerezabwereza: Makamaka kuntchito. Mwachitsanzo, kulemba mobwerezabwereza, kugwiritsa ntchito chida monga screwdriver mobwerezabwereza.
• Kuchita mayendedwe okankhira ndi kukoka nthawi zonse ndi manja anu: Taganizirani izi, mukamenya mpira wa cricket kapena volleyball, mumakoka dzanja lanu kumbuyo ndikulikankhira patsogolo kachiwiri kuti mutumize mpirawo. Zinthu ngati zimenezo.
• Kumenya mwamphamvu komanso mwachindunji kunja kwa chigongono kapena kutsogolo kwa dzanja.
• Kugwira chinthu mwamphamvu, kuchikanikiza mwamphamvu ndi zala zanu, kapena kupinda dzanja lanu pafupipafupi.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Matenda a radial tunnel syndrome amapezeka kwambiri mwa anthu azaka zapakati pa 30 ndi 50. Azimayi ndi omwe ali ndi mwayi waukulu wopeza matendawa kuposa amuna. Kuphatikiza apo, zinthu zina zitha kuwonjezera chiopsezo chotenga matendawa:

• Kuchepa kwa mphamvu ndi kusinthasintha kwa dzanja ndi dzanja.
• Kusatenthetsa thupi bwino musanachite masewera.
• Kwa iwo omwe ali ndi matenda a shuga (`Diabetes Mellitus`) .
• Kwa iwo omwe ali ndi vuto la chithokomiro losagwira ntchito bwino .
• Kukhala ndi zotupa kapena zotupa (`zotupa kapena ganglion cysts`) m'dzanja.
• Kutupa (edema) kapena madzimadzi ochulukirapo m'dzanja.
• Kutupa kwa mitsempha ya radial.

Kodi dokotala amazindikira bwanji izi?

Mukapita kwa dokotala, iye adzakufunsani kaye za ululu wanu, zizindikiro zanu, ndi mbiri yanu ya matenda. Kenako, adzakuyesani thupi , makamaka kuyang'ana chigongono chanu ndi kutsogolo kwa dzanja lanu. Kenako, dokotalayo adzayesa kupeza komwe kuli mitsempha ya radial pokhudza kunja kwa chigongono chanu ndikukanikiza pang'onopang'ono.

Ndi mayeso apadera ati omwe amagwiritsidwa ntchito pozindikira izi?

Pali mayeso awiri enieni omwe dokotala wanu angagwiritse ntchito kuti adziwe vutoli:

• Mayeso a kukana: Dokotala adzachita mayeso ena a kukana pogwiritsa ntchito chala chanu chachikulu ndi chala chapakati. Ngati mukumva kupweteka kulikonse, mwina muli ndi vuto la radial tunnel syndrome.
• "Lamulo la mayeso asanu ndi anayi":Dokotala adzakukanikiza pang'onopang'ono mfundo zisanu ndi zinayi zosiyanasiyana pa chigongono chanu. Ngati mukumva kupweteka m'malo ena, mwina muli ndi vutoli.

Komabe, palibe 'mayeso ovomerezeka' omwe angazindikire chomwe ichi ndi chiyani. Chifukwa chake, zingakhale zovuta pang'ono kuzindikira bwino. Chifukwa chake, dokotala angachite mayeso ena kuti atsimikizire kuti palibe kuvulala kwina kapena matenda ena. Izi zimatchedwa 'mayeso ojambula zithunzi ':

• X-ray
• Kujambula kwa maginito (MRI)
• Mayeso omwe amayesa liwiro la mitsempha (`kuphunzira za kayendedwe ka mitsempha`)
• Mayeso owunikira momwe mitsempha imagwirira ntchito (`Electromyography - EMG`)

Kodi mankhwala ochizira izi ndi otani?

Njira yabwino kwambiri yochiritsira vutoli ndi kusiya kapena kuchepetsa kwambiri zochita zomwe zimayambitsa zizindikiro . Ngati n'kotheka, pumitsani mkono wanu ndipo yesetsani kupewa mayendedwe aliwonse omwe amayambitsa ululu. Kwa anthu ambiri, zizindikiro zimatha pakatha milungu isanu ndi umodzi mutapuma komanso kulandira chithandizo chamankhwala.

Pali njira zina zochepetsera ululu wokhudzana ndi radial tunnel syndrome:

• Kugwiritsa ntchito mankhwala oletsa kutupa (NSAIDs) omwe amagulitsidwa m'masitolo ogulitsa mankhwala.
• Kulandira jakisoni wa steroid kuti muchepetse kutupa ndi kupanikizika kwa mitsempha ya radial.
• Kuvala chigoba cha dzanja ndi/kapena chigongono. Izi zimathandiza kuchepetsa kuyenda kwa dzanja ndikuchepetsa kuyabwa kwa mitsempha ya radial. (Izi zimathandiza makamaka usiku mukagona.)
• Kuchita masewera olimbitsa thupi osiyanasiyana. Izi zimathandiza kutambasula ndi kumasula minofu/minofu yolimba yozungulira mitsempha ya radial.

Cholinga chachikulu cha chithandizo ndi kuchotsa zizindikiro zanu ndikuziletsa kuti zisabwererenso.

Ngati ntchito yanu ikuyambitsa zizindikirozi, mungafune kuganizira zosintha zina kuntchito kwanu kapena kupuma nthawi yochulukirapo patsiku la ntchito. Yesetsani kupewa kukankha ndi kukoka ntchito zambiri momwe mungathere.

Kwa othamanga, phunzirani masewera olimbitsa thupi omwe amalimbitsa mphamvu ndi kusinthasintha, ndipo musaiwale kutentha thupi bwino musanasewere kapena kuchita masewera olimbitsa thupi.

Pali chithandizo cha opaleshoni cha vutoli. Komabe, dokotala nthawi zambiri amalangiza izi pokhapokha ngati kupuma ndi chithandizo chosagwiritsa ntchito opaleshoni sizithandiza. Cholinga cha kutulutsa ngalande ya radial ndikuchepetsa kupanikizika kwa mitsempha ya radial pamene ikudutsa mu ngalande ya radial.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Nazi mafunso ena omwe mungafune kufunsa dokotala wanu okhudza radial tunnel syndrome:

• Kodi mungadziwe bwanji ngati ndili ndi radial tunnel syndrome kapena china chake?
• Kodi ndi njira ziti zochiritsira zomwe mumalimbikitsa?
• Ndi nthawi ziti zomwe mungalimbikitse opaleshoni?
• Kodi ndingatani kuti ndipewe kubwereranso kwa matenda a radial tunnel?

Kodi vuto la radial tunnel syndrome limeneli lidzachira lokha?

Ngati simulandira chithandizo, zizindikiro zanu sizingasinthe zokha. Ndipotu, zizindikirozo zimatha kuipiraipira pakapita nthawi. Ngati simulandira chithandizo, vutoli lingayambitse ululu wosatha kutsogolo kwa dzanja lanu. Choncho ndi bwino kufunafuna chithandizo mwamsanga.

Kodi chidzachitike ndi chiyani nditalandira chithandizo? Kodi ndidzachira? (`Malo oneneratu`)

Ngati mutsatira malangizo a dokotala wanu mosamala ndikupewa kuvulala kwa mitsempha ya radial mtsogolo, chithandizo chopanda opaleshoni nthawi zambiri chimakhala chothandiza kwambiri pa vutoli. Ngati chithandizo chopanda opaleshoni sichikuyenda bwino, opaleshoni ndi njira ina yomwe ingachepetse zizindikiro. Komabe, anthu ena angapitirize kukhala ndi ululu pang'ono atachitidwa opaleshoni.

Kupweteka kwa radial tunnel kungapangitse kuti zikhale zovuta kuchita zinthu za tsiku ndi tsiku. Kungakhudze zochita zanu za tsiku ndi tsiku, ntchito, masewera, ndi zosangalatsa. Chifukwa chake , ndikofunikira kwambiri kupuma dzanja lanu ndikusiya kuchita zinthu zomwe zimayambitsa zizindikiro . Pitani kwa dokotala ndikupeza chithandizo. Mukatero mudzakhala opanda ululu posachedwa.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, ndikukhulupirira kuti tsopano mwamvetsa bwino zomwe takhala tikulankhula, Radial Tunnel Syndrome. Nazi zinthu zofunika kukumbukira:

• Ngati muli ndi zizindikiro monga kupweteka m'chigongono kapena kutsogolo kwa dzanja, dzanzi, komanso kutaya mphamvu m'dzanja , izi zitha kukhala radial tunnel syndrome.
• Izi zimachitika chifukwa chakuti mitsempha ya radial m'dzanja imapanikizika nthawi ina.
• Izi zitha kuchitika chifukwa cha zinthu monga kuchita chinthu chomwecho mobwerezabwereza, kunyamula zolemera, kapena kugundana m'chigongono .
• Ndikofunikira kuonana ndi dokotala popanda kuchita mantha ndikupeza vuto lenileni.
• Nthawi zambiri, izi zimatha kuchiritsidwa ndi mankhwala osavuta monga kupuma, kupha ululu, ndi physiotherapy .
• Kutsatira malangizo a dokotala ndi kupumitsa dzanja lanu ndikofunikira kwambiri kuti munthu achire msanga.

Ngati muli ndi zizindikiro izi, musadandaule, funsani upangiri wa dokotala nthawi yomweyo. Kenako mutha kuchira mwachangu ndikubwerera kuntchito yanu mosangalala!

'Matenda a radial tunnel, kupweteka kwa mkono, kupweteka kwa chigongono, kupsinjika kwa mitsempha, mitsempha ya radial, dzanzi, kufooka kwa mkono