Ese wigeze wumva ufite ibinya mu biganza byawe, mu ntoki zawe, cyangwa mu kuboko kwawe? Wenda ubu bubabare burushaho kwiyongera nijoro, cyangwa ikiganza cyawe kikumva kidafite ibinya mu gitondo. Imwe mu mpamvu nyamukuru zitera ubu bubabare ni indwara yitwa Carpal Tunnel Syndrome . Niba rero ufite ibi bimenyetso, hari uburyo bworoshye muganga agusuzuma. Ni cyo twita Phalen's Test . Uyu munsi, tugiye kuganira kuri ibi birambuye, nk'aho urimo kubibwira inshuti yawe.
Ikizamini cya Phalen ni iki?
Mu magambo make, ikizamini cya Phalen ni imyitozo mito ukora ukoresheje ukuboko no ku kuboko. Abaganga bayikoresha kugira ngo bamenye niba ufite indwara ya carpal tunnel syndrome . Hari n'abantu bayita ikimenyetso cya Phalen. Amazina yombi asobanura ikintu kimwe, bityo ntugahangayike niba muganga wawe akubwira kubikora.
Iki ni ikizamini gishobora gukorerwa kwa muganga. Ibyo bivuze ko kidasaba ibikoresho byihariye cyangwa gahunda yihariye. Muganga azagusaba gufata ukuboko kwawe n'ukuboko mu buryo butandukanye. Iyi myanya izashyira igitutu gito ku mitsi yo hagati mu kuboko kwawe. Niba wumva ufite ibinya cyangwa uryarya mu ntoki zawe iyo ubikoze, akenshi ni ikimenyetso cyiza cy'uko ufite indwara ya carpal tunnel syndrome.
Ariko, rimwe na rimwe nyuma y'iki kizamini, ikizamini cyo gufata amashusho , nko gupima, gishobora gukorwa kugira ngo hemezwe ko ufite indwara ya Carpal Tunnel Syndrome , cyangwa kugira ngo harebwe niba hari ikindi kibazo kiri mu kuboko.
Ni ryari ukeneye ikizamini cya Phalen?
Ushobora gukenera ikizamini cya Phalen niba muganga wawe atekereza ko urwaye indwara ya carpal tunnel syndrome . Niba ugiye kwa muganga ufite ububabare bw'ukuboko cyangwa ibindi bimenyetso mu biganza cyangwa intoki zawe, bashobora gukora iki kizamini cya Phalen nk'igice cy'isuzuma ryawe rya buri munsi.
Tekereza nawe, niba uri umuntu ukora kuri mudasobwa umunsi wose, cyangwa umuntu uhora akora imirimo iremereye y'amaboko, nko kudoda no kuboha, ushobora kurwara iyi ndwara. Indwara ya Carpal Tunnel Syndrome ni indwara ikunze kwibasira amaboko n'amaboko y'abantu.
Reka turebe icyo iyi Carpal Tunnel ari cyo. Mu kuboko kwawe, hari inzira nto isa n'inzira y'ubutaka. Iyi ni yo twita carpal tunnel. Iyi nzira igizwe n'amagufwa mato mu kuboko kwawe. Ni muri iyi nzira unyuramo intoki zawe.Ibintu by'ingenzi nk'imitsi , imitsi n'imitsi binyuramo. Indwara ya Carpal Tunnel ibaho iyo umutsi wo hagati, unyura muri uyu muyoboro wa carpal, ukandamijwe, upfunyitse, cyangwa ukarakazwa n'ikintu runaka.
Ni nde ukora ikizamini cya Phalen?
Mu by’ukuri, ni wowe ukora ingendo n’imyanya y’amaboko muri iki kizamini cya Phalen. Nta bikoresho bidasanzwe bisaba, kandi ntukeneye gutegura ikintu na kimwe mbere y’igihe. Muganga azakwereka uburyo bwo gufata amaboko n’amaboko neza. Muganga azagukurikirana mu gihe ufashe amaboko yawe muri iyo myanya. Rero nta kintu na kimwe cyo gutinya.
Ikizamini cya Phalen gikorwa gite?
Ikizamini cya Phalen gikubiyemo uburyo butandukanye bwo gushyira igitutu ku muyoboro wawe wa carpal . Wibuke ko niba ugize ububabare cyangwa ubabara mu gice icyo ari cyo cyose cy'ikizamini, ugomba kubibwira muganga wawe.
Iki kizamini cyoroshye cyane. Dore aho ukuboko n'ukuboko bihagaze:
- Banza ushyire amaboko yawe hamwe ku rugero rw'ikibuno. Hanyuma, shyira amaboko yawe inyuma (ni ukuvuga uruhande rw'inyuma) hamwe, ibiganza byerekeze hejuru.
- Ugumye amaboko yawe muri ubwo buryo, shyira amaboko yawe hejuru kugeza aho inkokora zawe zigeze ku gituza.
- Muganga azakubwira kuguma muri uwo mwanya mu gihe cy'umunota umwe.
- Muri icyo gihe, muganga azakubaza niba wumva ufite ibinya mu ntoki zawe cyangwa se hari ikintu kidasanzwe ukumva ku mpande z'ukuboko kwawe.
Icy'ingenzi ni ukubibwira muganga wawe niba wumva ikintu kikubangamiye. Hanyuma ashobora gufata ingamba zikenewe.
Ikizamini cya Reverse Phalen ni iki?
Ikizamini cya Reverse Phalen gisa cyane n'icya Phalen. Gikubiyemo kandi ingendo nke zitandukanye z'amaboko n'imiterere. Gishaka kandi ibimenyetso bya syndrome ya carpal tunnel . Muganga wawe ashobora kugusaba gukora kimwe muri ibi bizamini cyangwa byombi.
Dore intambwe zo gukora ikizamini cya Reverse Phalen:
- Zamura amaboko yawe kugeza ku gituza, ibiganza byawe bifatanye. Inkokora zawe zigomba kwerekeza ku mpande (kure y'umubiri wawe rwagati). Tekereza nk'uko bamwe bafata amaboko yabo iyo baririmba Pirith cyangwa batanga icyifuzo.
- Ugumisha inkokora zawe mu mwanya umwe, manuka amaboko yawe werekeza ku nda yawe.
- Muganga azakubwira gufata amaboko yawe hafi y'ikibuno cyawe mu gihe cy'umunota umwe. Azakubaza niba wumva ufite ibinya cyangwa umerewe nabi muri iki gihe.
Ese ukeneye kwitegura ikizamini cya Phalen?
Oya, nta kintu na kimwe ukeneye gukora kugira ngo witegure ikizamini cya Phalen. Niba ufite ibimenyetso bishya mu kuboko, mu biganza, cyangwa mu ntoki, ugomba kujya kwa muganga.
Ni iki wakwitega mu gihe ugiye gukora ikizamini?
Gerageza gukora ibyo bikorwa byo kuboko no kubifata igihe kirekire gishoboka, nk'uko muganga wawe abikubwira. Niba ufite indwara ya carpal tunnel syndrome , ushobora kumva utameze neza, nko kugira ibinya. Ariko nta buryo bwo kumva ububabare bukomeye kandi bukabije.
Bigenda bite nyuma y'ikizamini?
Nyuma y'ikizamini cya Phalen, ushobora gukenera ikizamini cyo gufata amashusho , gifata amafoto, kugira ngo urebe imiterere y'ukuboko kwawe, ikiganza cyawe, cyangwa imitsi. Urugero:
- Ikizamini cya MRI (Magnetic Resonance Imaging) .
- Isuzuma rya Ultrasound .
- EMG (Electromyogram) ni ikizamini gipima imikorere y'imitsi.
Iyo ufashwe na kanseri y'imitsi , muganga wawe azayivura. Azakubwira ubwoko bw'ubuvuzi ukeneye n'icyo witeze. Hari igihe, niba ukeneye kubagwa kugira ngo ukosore ibyangiritse biri mu kuboko kwawe, uzoherezwa kwa muganga w'inzobere mu by'amagufwa .
Ese hari ingaruka zishobora guterwa n'ikizamini cya Phalen?
Mu by’ukuri, nta ngaruka zikomeye zibaho muri ubwo bwoko bwose bw’ikizamini cya Phalen.
Ushobora kumva ububabare cyangwa kutamererwa neza mu gihe cyo gupimwa. Ariko, nubwo waba ufite indwara ya carpal tunnel syndrome , iki kizamini ni cyoroshye cyane. Nanone, niba ubabara cyane, ushobora guhagarara igihe icyo ari cyo cyose. Rero, niba wumva ububabare mu gice icyo ari cyo cyose cy'ikizamini, menya neza ko wabibwiye muganga wawe.
Ibisubizo ni ibihe? Bitubwira iki?
Muganga wawe azashyira ibisubizo bya Phalen mu byiciro "byagaragaje ubwandu" cyangwa "byagaragaje ubwandu".
Ikizamini cya Phalen gitanga ibimenyetso bigaragaza ko wagize bimwe mu bimenyetso bya Carpal Tunnel Syndrome (nk'ibinya no kubabara) mu gihe cy'ikizamini.
Ikizamini cya Phalen kitari cyiza bivuze ko nta bimenyetso bya Carpal Tunnel Syndrome wagaragaje mu gihe wari ukiri muri iyo myanya.
Iki kizamini ahanini ni cyo cy’ukuri.Ibyo bivuze ko ari ukuri ku kigero cya 85%, cyane cyane iyo ufashe umwanya wawe mu gihe kirenze umunota umwe. Ariko, ikizamini cya Phalen ni kimwe mu bice by'isuzuma rusange ry'ubuvuzi bwawe. Nubwo wasanga igisubizo kitari cyiza, hari amahirwe make yo kuba warwara indwara ya carpal tunnel syndrome . Rero, menya neza ko wabwiye muganga wawe igihe urimo kubona ibimenyetso byawe n'uburemere bwabyo.
Ni irihe tandukaniro riri hagati ya Tinel's Sign n'ikizamini cya Phalen?
Ikizamini cya Phalen na Tinel's Sign ni ibizamini bibiri by'umubiri muganga ashobora gukorera mu biro kugira ngo amenye niba ufite indwara ya carpal tunnel syndrome mu kuboko.
- Ikizamini cya Phalen ni urukurikirane rw'imyanya y'amaboko n'ingendo zayo. Niba ufite indwara ya carpal tunnel syndrome, ikiganza cyawe cyangwa intoki zawe bishobora kumva bitameze neza cyangwa bitameze neza iyo ubikoze.
- Ikimenyetso cya Tinel ni ibyiyumvo bitera gushyuha iyo muganga wawe akoze ku ruhu buhoro buhoro ku mitsi yafashwe. Niba muganga wawe atekereza ko urwaye indwara ya carpal tunnel syndrome, azakora ku ruhu ku mitsi yo hagati mu kuboko kwawe. Niba ako kantu gato gatera gucika intege cyangwa "gukora udushinge" mu ntoki zawe, ushobora kuba ufite indwara ya carpal tunnel syndrome cyangwa ubundi bwoko bw'imitsi itera guhagarara .
Ibintu by'ingenzi ugomba kwibuka muri iyi nkuru
Noneho rero, dore ibintu by'ingenzi ugomba kwibuka mu byo twavuze:
- Ikizamini cya Phalen ni ikizamini cyihuse kandi cyoroshye cyo gupima imiterere y'intoki n'ikiganza gishobora gufasha gusuzuma indwara ya carpal tunnel syndrome .
- Nta kintu kidasanzwe ukeneye kwitegura mbere y'ibi.
- Niba urwaye ububabare bushya mu kuboko, cyangwa niba ufite ibimenyetso nko kugira ibinya cyangwa intege nke mu biganza byawe cyangwa mu ntoki zawe, menya neza ko wagiye kwa muganga . Bashobora gusuzuma neza ikibazo cyawe no kuguha ubuvuzi bukenewe.
Wibuke ko utagomba kwirengagiza ibimenyetso nk'ibi. Gushaka inama kwa muganga hakiri kare, bishobora gutuma indwara idakomeza kwiyongera.
Rero, ndizera ko ubu usobanukiwe neza ikizamini cya Phalen. Niba ufite ibindi bibazo, ntutindiganye kubaza muganga. Komeza ugire ubuzima bwiza!
Ikizamini cya Phalanx , indwara ya Carpal tunnel syndrome, ububabare bwo mu kiganza, gucika intege kw'intoki, imitsi yo hagati, gusuzuma ikiganza, indwara z'imitsi











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