Ese rimwe na rimwe ubyuka nijoro ufite ikiganza kidakomeye? Cyangwa intoki zawe zicika intege uri gukora kuri mudasobwa, ukoresha telefoni yawe, cyangwa utwaye imodoka? Imwe mu mpamvu nyamukuru zibitera ishobora kuba indwara yitwa Carpal Tunnel Syndrome . Rero iyo ugiye kwa muganga kumubwira ubu bwoko bw'ububabare, uyu munsi turimo kuvuga ku isuzuma ryoroshye cyane kandi ryoroshye kugira ngo umenye niba ufite iki kibazo. Iki cyitwa Phalen's Test.
Ikizamini cya Phalen ni iki?
Muri make, iki ni ikizamini cyoroshye cyane muganga wawe akora mu biro, nta bikoresho byihariye. Nanone cyitwa ikimenyetso cya Phalen. Muganga wawe azagufasha gufata ukuboko kwawe n'ukuboko mu buryo bumwe na bumwe.
Iyi myanya ishyira igitutu gito ku mitsi yo mu bwoko bwa Median Neurve, umutsi w'ingenzi cyane unyura mu kuboko kwawe. Tekereza nko gukanda umuyoboro w'amazi. Rero, niba koko ufite indwara ya Carpal Tunnel Syndrome, iyo uyu mutsi ukandagiwe gato, uzagira ububabare cyangwa umujinya mu ntoki zawe. Ibi bimenyetso nibigaragara, bizaha muganga wawe igitekerezo cyiza cy'uko ushobora kuba ufite iyi ndwara.
Wibuke ko iyi ari intambwe imwe gusa mu gusuzuma indwara. Nyuma y'iki kizamini, hashobora gukorwa ibindi bizamini kugira ngo byemezwe ko indwara yanduye.
Kuki iki kizamini gikorwa? Reka tuvuge gato kuri Carpal Tunnel Syndrome.
Kugira ngo dusobanukirwe iki kizamini, tugomba kumenya bike ku bijyanye n'icyo indwara ya Carpal Tunnel Syndrome ari cyo.
Tekereza ko hari umuyoboro muto unyura mu kuboko kwawe. Uyu ni wo twita umuyoboro wa Carpal . Uyu muyoboro ugizwe n'igufwa rito n'imitsi iri mu kuboko. Muri uyu muyoboro, imitsi idufasha kunama intoki zacu hamwe n'imitsi yo mu bwoko bwa Median Neurve itanga uburyo ukuboko kumva binyura.
Rero, niba ku mpamvu runaka hari ukubyimba muri uyu muyoboro, cyangwa niba ku yindi mpamvu umwanya uri imbere ugabanuka, imitsi yo hagati navuze itangira gukandamizwa no gupfunyikwa. Ibyo ni byo twita Carpal Tunnel Syndrome.
Iyo uyu mutsi ufashwe nabi, ibimenyetso nko kugira ibinya, kuribwa mu nda, kubabara, ndetse rimwe na rimwe no kubura imbaraga mu kiganza, cyane cyane mu gikumwe, urutoki rw'imbere, urutoki rwo hagati, n'igice cy'urutoki rw'impeta, bishobora kubaho.
Ni gute neza ukora ikizamini cya Phalen?
Ibi biroroshye cyane. Nta myiteguro idasanzwe ukeneye. Muganga azakwereka neza uko wabikora.
1. Banza ufate amaboko yawe hafi y’ikibuno, uyashyire ku ruhande rw’inyuma rw’amaboko yawe. Mu by’ukuri, shyira amaboko yawe inyuma hanyuma ushyire inyuma y’amaboko yawe hamwe.
2. Hanyuma, komeza amaboko yombi mu mwanya umwe, shyira inkokora zombi hejuru kugeza zigeze ku rwego rw'igituza. Muri iki gihe, amaboko azaba agororotse neza.
3. Noneho muganga azakubwira kuguma muri uyu mwanya mu gihe cy'umunota umwe .
4. Muganga azakubaza niba ufite ikibazo cyo kubura ibinure, ubushye, cyangwa ubundi burwayi mu ntoki zawe muri iki gihe.
Ese ibi ni ko bimeze no ku igeragezwa rya Reverse Phalen?
Yego, ubu ni ubundi buryo bwo gusuzuma indwara ya Carpal Tunnel Syndrome. Hari igihe muganga ashobora gukora ibi bizamini byombi.
Bikore ku rundi ruhande. Shyira amaboko yawe hamwe nk'aho uri kunama hanyuma urambuye inkokora zawe ku mpande. Hanyuma, muri ubwo buryo, umanure amaboko yawe kugeza ku nda yawe. Muganga azakubwira kuguma muri uyu mwanya mu gihe cy'umunota umwe. Muri iki gihe, bazasuzuma niba ibimenyetso wavuze mbere bigaragara.
Ibisubizo by'ikizamini ni ibihe kandi ni iki kibaho nyuma yacyo?
Muganga azashyira ibisubizo byawe mu byiciro "Byiza" cyangwa "Bibi" .
- Ikizamini cya Phalen cyagaragaje ko ari mwiza: Ibi bivuze ko wagize ibimenyetso (nk'ibinya n'ububabare) bijyanye na Carpal Tunnel Syndrome mu gihe cyo gupimwa.
- Ikizamini cya Phalen kitari cyiza: Ibi bivuze ko nta kibazo wigeze wumva mu gihe cy'ikizamini.
Ariko ibuka ko rimwe na rimwe nubwo ibisubizo byaba ari bibi, ushobora kuba ugifite indwara ya Carpal Tunnel Syndrome. Niyo mpamvu muganga azaba yitonze cyane ku bimenyetso n'ibindi bintu urimo kuvuga.
Nyuma y'iki gipimo, muganga ashobora gusaba izindi suzuma nyinshi kugira ngo yemeze ko indwara yagaragaye cyangwa ngo arebe neza ibyangiritse byakorewe ku mitsi.
- Isuzuma rya MRI (Magnetic Resonance Imaging): Kugira ngo urebe neza imiterere iri imbere mu kuboko.
- Gupima icyuma gipima imiterere y'umubiri (ultrasound scan): Kureba ingano y'imitsi yo hagati n'uko ifunze neza.
- Ikizamini cya EMG (Electromyogram): Gipima umuvuduko w'amakuru y'amashanyarazi anyura mu mitsi kugira ngo hamenyekane neza niba imitsi yangiritse.
Nyuma y'ibi bipimo, niba byemejwe ko ufite indwara ya Carpal Tunnel Syndrome, muganga wawe azatangira kuvurwa neza. Ibi bishobora kuba birimo gusigwa agapira, imiti, cyangwa rimwe na rimwe, koherezwa kwa muganga w'amagufwa (inzobere mu by'amagufwa) kugira ngo abagwe byoroheje.
Ni irihe tandukaniro riri hagati y'ikizamini cya Phalen n'ikimenyetso cya Tinel?
Ibi byombi ni ibizamini byoroshye abaganga bakorera mu byumba byabo kugira ngo bapime indwara ya Carpal Tunnel Syndrome. Ariko, hari itandukaniro rito mu buryo ibi byombi bikorwamo. Reka tubisobanukirwe neza dukoresheje imbonerahamwe.
| Ibiranga | Ikizamini cya Phalen | Ikimenyetso cya Tinel |
|---|---|---|
| Uburyo bwo kubikora | Fata ukuboko cyane, shyira igitutu ku mitsi, hanyuma ufate umunota umwe. | Muganga akomanga buhoro buhoro n'urutoki rwe aho imitsi yo hagati inyura mu kuboko. |
| Uko wumva (niba ari byiza) | Kubura ibyiyumvo cyangwa kubura ibyiyumvo mu ntoki mu gihe ukomeje kwihagararaho. | Kumva urushinge rumeze nk'urushinge iyo urukoze ku ntoki. |
| Intego nyamukuru | Gutera ibimenyetso binyuze mu gukanda imitsi. | Gukangura imitsi ipfutse kugira ngo igaragaze ibimenyetso. |
Muri ibi bizamini byombi, muganga arimo kugerageza kumenya niba imitsi yawe yo hagati yashyizwemo agati cyangwa niba ifite ubushobozi bwo kumva.
Ubutumwa bwo kujyana mu rugo
- Ikizamini cya Phalen ni ikizamini cyoroshye cyane, kidatera ububabare, kandi cyizewe cyo gusuzuma indwara ya Carpal Tunnel Syndrome.
- Ntukirengagize ibinya, ububabare, cyangwa kubura ibyiyumvo mu kiganza cyawe cyangwa intoki zawe. Ibi bishobora kuba ibimenyetso bya Carpal Tunnel Syndrome.
- Iki kizamini ni kimwe mu bice bigize isuzuma ryuzuye. Ni ngombwa cyane kubwira muganga wawe ibisobanuro byuzuye by'ibimenyetso byawe.
- Ibisubizo by'iki kizamini bizafasha muganga wawe gufata icyemezo cy'intambwe zikurikiraho ugomba gutera.

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