Ukurhawuzelela ezandleni kunye nentlungu esihlahleni? Masithethe ngeCarpal Tunnel Syndrome!

Ngaba ngamanye amaxesha uvuka ebusuku unesandla esingenamsebenzi? Okanye uziva urhawuzelelwa kwaye uneentlungu xa ubamba ifowuni yakho, uchwetheza kwikhompyutha, okanye uzive ngathi awukwazi ukubamba nantoni na kakuhle? Ezi ayizompawu zokungazinanzi. Namhlanje siza kuthetha ngeCarpal Tunnel Syndrome , imeko echaphazela abantu abaninzi, kodwa inokubangela iingxaki ezithile ukuba ayinyangwanga kakuhle.

Yintoni iCarpal Tunnel Syndrome? Ngamafutshane...

Khawucinge ukuba kukho umngxuma omncinci odlula esihlahleni sakho uye esandleni sakho. Ngokwezonyango, siwubiza ngokuba yi "Carpal Tunnel." Ufana nomngxuma odlula entabeni, kodwa awuzange wenzelwe iimoto. Ngaphakathi kulo mngxuma, kukho imithambo-luvo ebalulekileyo, imisipha , kunye nemisipha ezizisa imvakalelo esandleni sakho kwaye zikuncede ukuhambisa isandla sakho sidlule.

Ngoku, ukuba i-median nerve, i-nerve ephambili ngaphakathi kweli tunnel le-carpal, icinezelwe okanye icinezelwe ngesizathu esithile, oku kuthiwa yi-carpal tunnel syndrome kwenzeka. I-median nerve yiyo esinceda sijike ingalo yethu size sinike imvakalelo kwiminwe emininzi. Ngoko ke xa le mithambo icinezelwe, iqala ukuthumela imiqondiso engalunganga esandleni nakwiminwe. Kulapho ke ukungakwazi ukuphefumula kakuhle kunye nentlungu ekuthethwe ngayo ngaphambili kuqala khona. Ngamafutshane, oku kufana nokucinezela umbhobho wamanzi kunye nokunciphisa ukuhamba kwamanzi.

Ukuba ufumana iintlungu, ukungaziva, okanye ukurhawuzelela esandleni sakho okanye esihlahleni, bona ugqirha ngokukhawuleza. Le meko idla ngokuphela ngonyango. Nangona kunjalo, ukuba ayinyangwa, inokubangela umonakalo ongunaphakade kwi-median nerve.

Ixhaphake kangakanani le meko?

I-Carpal Tunnel Syndrome ixhaphake kakhulu. Uphando lubonisa ukuba malunga nabantu abathathu kwabayi-1,000 emhlabeni banesifo esinjalo minyaka le. Ngoko ke ukuba unezi mpawu, awuwedwa.

Ziziphi iimpawu eziphambili zoku? Uzibona njani?

Iimpawu ze-carpal tunnel syndrome zihlala zikhula kancinci kancinci. Zinokuqala ngokungonwabi okuncinci kwaye zibe nzima ngakumbi ngokuhamba kwexesha.

• Ukuba ndindisholo esihlahleni, esandleni, okanye kwiminwe: ingakumbi ubhontsi omkhuluOku kungavakali kuvakala kwisiqingatha somnwe wokukhomba, umnwe ophakathi, kunye nomnwe weringi. Ngamanye amaxesha iminwe ivakala ngathi ayinabomi.
• Intlungu esihlahleni, esandleni, okanye kwiminwe: Le ntlungu ngamanye amaxesha ingavakala ngathi kukutsha okanye ukuhlatywa.
• Imvakalelo yokurhawuzelela esandleni: Kufana nemvakalelo xa isandla silala.
• Ubunzima bokubamba okanye ukulawula into ethile: Umzekelo, ungaziva ngathi awunawo amandla esandleni sakho xa ubambe ifowuni, ubambe ivili lokuqhuba imoto, ubhala ngepeni, okanye uchwetheza kwikhompyutha. Kwanekomityi ingavakala ngathi izama ukuphuncuka esandleni sakho.

Ezi mpawu zihlala ziqala ukubonakala ebusuku. Intlungu okanye ukuba ndindisholo kunokukuvusa ebuthongweni. Ekuhambeni kwexesha, ezi mpawu zisenokuqala ukwenzeka nasemini, ingakumbi ukuba ungumntu owenza uhlobo olufanayo lomsebenzi (umz., ukuchwetheza, ukubhala, ukusebenzisa isixhobo).

Kwabanye abantu, oku kuvakala ngathi isandla sabo “silele.” Emva koko baziva ngathi bavula inqindi ngokuqhwaba izandla, ngokungathi bahlikihla amanzi esandleni sabo baze basivule.

Intlungu idla ngokuvakala ngathi ivela ngaphakathi kwesandla, kungekhona njengokwenzakala kwesikhumba. Abanye abantu baziva ngathi banamandla amancinci ezandleni zabo, kwaye abakwazi ukubamba izinto. Basenokuba nobunzima bokwenza imisebenzi ebuthathaka efana nokuqhobosha ihempe okanye ukufaka isitshixo emngxunyeni wesitshixo.

Kutheni sifumana iCarpal Tunnel Syndrome? Zithini izizathu?

Njengoko bekutshiwo ngaphambili, isizathu esiphambili kukuba i-median nerve ifakwa phantsi koxinzelelo olongezelelekileyo. Isithuba esingaphakathi kwe-carpal tunnel sincinci. Ngoko ke ukuba nayiphi na indawo yesandla iyadumba okanye yonakele, inokutyhala ezinye izicubu. Kulapho i-median nerve icinezelwe khona. Ingxaki iqala.

Nazi ezinye zezinto ezinokubangela ukuba isihlathi sakho sidumbe size siqine:

• Ukwenzakala okuphindaphindwayo: Umzekelo, umntu ochwetheza kwikhompyutha imini yonke, umntu othunga impahla, okanye umntu osebenza ngokuqhubekayo ngesixhobo esifana nesando.
• Iimeko ze-arthritis : ingakumbi i-rheumatoid arthritis .
• Ukutyumka kwesandla okanye ukwaphuka kwaso.
• Izinto ezifana nee-ganglion cysts ezenzeka esihlahleni.

Ngubani osengozini enkulu yokuphuhlisa oku?

Nangona nabani na enokuba nale meko, abanye abantu basengozini enkulu:

• Abantu abasoloko besenza uhlobo olufanayo lweentshukumo ngezandla zabo nezandla zabo: umz., ukubetha ngesando, ukusebenza nge-screwdriver, ukupeyinta.
• Abantu abasebenzisa izixhobo zombane ezingcangcazelayo (izixhobo zombane): umz. oomatshini bokubhola, ii-jackhammer.
• Abafazi abakhulelweyo: Ukudumba kunokwenzeka ngenxa yokugcinwa kolwelo emzimbeni ngexesha lokukhulelwa.
• Abafazi: Le meko ixhaphake kakhulu kubasetyhini kunamadoda, mhlawumbi ngenxa yobukhulu obuncinci bomjelo we-carpal.
• Abantu abangaphezu kweminyaka engama-40 ubudala.
• Ukuba kukho umntu kusapho onale meko (isenokuba yimfuza).

Ukongeza, ezinye izifo ezingapheliyo zinokwandisa umngcipheko wokuphuhlisa i-carpal tunnel syndrome:

• Irheumatoid arthritis
• Igawuthi
• I-Hypothyroidism (i-thyroid engasebenzi kakuhle)
• Isifo seswekile (iDiabetes Mellitus)`
• Ukutyeba kakhulu
• Iimeko ezingaqhelekanga ezifana ne-amyloidosis.

Zeziphi iingxaki ezinokubangelwa koku? Ngaba kufuneka ndixhalabe?

Akukho nto yokoyika, kodwa ayilocebo lilungileyo ukuyityeshela. Ukuba ayifunyaniswanga kwaye ayinyangwa ngokukhawuleza ngugqirha, ukucinezelwa esihlahleni kunokubangela umonakalo osisigxina kwi-median nerve. Ukuba oku kuyenzeka, kunokuba nzima, ukuba akunakwenzeka, ukuziva, ukushukuma, nokwenza imisebenzi yemihla ngemihla esandleni.

Ngoko ke, ukuba unesikrokro esincinci sokuba uneempawu ze-carpal tunnel syndrome, funa uncedo lwezonyango ngokukhawuleza.

Ugqirha uyazi njani ngokuqinisekileyo ukuba oku kukho okanye akunjalo?

Ugqirha udla ngokuqinisekisa oku ngokwenza uvavanyo oluninzi lomzimba kunye nezinye iimvavanyo ukuba kuyimfuneko.

• Uvavanyo lomzimba: Ugqirha uza kuhlola isihlathi sakho, isandla sakho, kunye neminwe yakho. Baza kukubuza ngeempawu zakho. Cacisa ukuba unexesha elingakanani na unale ngxaki, ukuba zimbi nini, kwaye nokuba ziya zimbi na xa wenza nantoni na.
• Uvavanyo olukhethekileyo:
• Uphawu lukaTinel: Ugqirha uza kuchukumisa kancinci umthambo ophakathi odlula esihlahleni sakho. Emva koko baza kujonga ukuba akukho nakuphi na ukurhawuzelelwa okanye ukudumba.
• Uvavanyo lukaPhalen: Izandla zakho zibekwe ndawonye ngasemva komqolo wakho, iingalo zakho zigobile, kwaye ucelwa ukuba uzibambe malunga nomzuzu. Emva koko, bajonga ukuba azinangqondo okanye azinantlungu.
• IiX-reyi zesinqe: Usenokucelwa ukuba uthathe iX-reyi ukuze ujonge enye ingxaki, efana nesifo samathambo, okanye ukwaphuka kwamalungu.
• I-Electromyography (EMG): Le ndlela ilinganisa umsebenzi wombane wemithambo-luvo kunye nemisipha. Iyakwazi ukubona umonakalo wemithambo-luvo.
• Iskeni ye-ultrasound: Ubungakanani bomthambo ophakathi kunye nezicubu ezingqongileyo bunokubonwa.
• I-MRI Scan `(MRI)`:Ngamanye amaxesha i-MRI inokwenziwa ukuze kufunyanwe umfanekiso ocacileyo nokujonga ukuba kukho uxinzelelo kwimithambo-luvo oluvela kwenye into.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Ewe, ngokuqinisekileyo! Uninzi lwexesha , unyango olulula olungelulo utyando lunyathelo lokuqala. Utyando luqwalaselwa kuphela xa lungancedi.

Unyango olungelulo utyando (unyango oluqhelekileyo)

• Ukunxiba i-splint: Ugqirha wakho unokucebisa ukuba unxibe i-splint ephakamisa isandla sakho, ingakumbi ebusuku, ngelixa ulele. Oku kuya kunciphisa uxinzelelo kwi-median nerve.
• Unyango lomzimba: Ingcali yonyango lomzimba iya kukufundisa imithambo yokuqinisa izihlunu ezijikeleze isihlathi sakho nokwandisa ukuguquguquka.
• Ukutshintsha indlela oma ngayo kunye nendawo osebenza kuyo: Ingcali yezonyango inokukunceda ukunciphisa ukungonwabi ngokutshintsha izinto ezifana nendlela osebenza ngayo, indlela ohlala ngayo, kunye nendlela obamba ngayo ikhibhodi yekhompyutha.
• Iipilisi zokunciphisa iintlungu: Ugqirha wakho unokukunika amayeza okunciphisa iintlungu nokudumba, anjenge-paracetamol okanye amayeza angengo-steroidal anti-inflammatory (NSAIDs). Nangona kunjalo, musa ukuzithatha rhoqo iintsuku ezingaphezu kwe-10 ngaphandle kokubonisana nogqirha wakho.
• Iinaliti zeCorticosteroid: Ezi ziziyobisi ezinamandla zokulwa nokuvuvukala. Ugqirha wakho angakunika inaliti yecorticosteroid ngqo kwi-carpal tunnel yakho.

Utyando lweCarpal Tunnel Syndrome

Ukuba unyango oluqhelekileyo olukhankanyiweyo apha ngasentla aluncedi, okanye ukuba imeko imbi kakhulu, ugqirha wakho unokucebisa utyando lokukhulula umngxuma we-carpal . Kule nkqubo, ugqirha usika iqhekeza elincinci le-ligament ye-carpal enqamlezileyo esihlahleni edibanisa isandla esihlahleni, nto leyo eyandisa indawo ngaphakathi komngxuma we-carpal. Oku kunciphisa uxinzelelo kumthambo ophakathi, ovumela umthambo kunye nemisipha ukuba ihambe ngokukhululekileyo.

Olu ayilotyando olukhulu, kwaye lutyando oluqhutywa ngaphandle apho unokuya ekhaya ngaloo mini inye . Ugqirha wakho uza kuchaza yonke into ngaphambi kotyando.

Ndiza kuqala nini ukuziva ngcono emva konyango?

Uza kuqala ukuziva ungcono kwangoko nje ukuba uqale unyango. Unyango olungelulo utyando lungathatha iiveki ezininzi (okanye nangaphezulu) ukunciphisa uxinzelelo kwi-median nerve, kodwa iimpawu kufuneka ziphucuke kancinci kancinci.

Emva kotyando, iimpawu kufuneka ziphele njengoko isihlakala siphola. Ngokwesiqhelo, ukuchacha ngokupheleleyo kunokufikelelwa kwinyanga enye okanye ezimbini.

Ukuba ndinayo le meko, ndimele ndilindele ntoni?

Kusenokufuneka wenze utshintsho oluncinci kwimisebenzi yakho yemihla ngemihla, uzame unyango olungelulo utyando lokuxhasa isihlathi sakho, kunye nokunciphisa ukudumba. Ugqirha wakho uza kucebisa unyango oluya kunceda ekunciphiseni iimpawu kunye nokuthintela umonakalo wemithambo-luvo.

Kungathatha ixesha ukufumana unyango olufanelekileyo kuwe, kodwa uninzi lwabantu lunokufumana isiqabu. Khumbula, eyona nto ibalulekileyo kukuqala unyango ngokukhawuleza.

Kuphela xa unyango oluqhelekileyo lungasebenzi, okanye ukuba imeko imbi kakhulu, apho ugqirha angacebisa utyando.

Ngaba ikho into esinokuyenza ukuthintela oku ukuba kungenzeki?

Kunzima ukuyithintela ngokupheleleyo i-carpal tunnel syndrome, ingakumbi ukuba ibangelwa yimeko ongakwaziyo ukuyilawula okanye umsebenzi owenzayo. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wakho:

• Yenza umthambo wokuzolula ngaphambi nasemva kwemisebenzi ecinezela izandla zakho kunye nezandla.
• Nxiba izixhobo zokhuseleko ezifanelekileyo xa usebenza okanye udlala imidlalo.
• Phumla rhoqo xa usebenza ngezandla zakho.
• Xa usebenzisa izixhobo, kuquka ukuthayipha kwikhompyutha, gcina ukuma kakuhle kwaye usebenzise iindlela ezichanekileyo.

Ngaba iCarpal Tunnel Syndrome iyaziphilisa ngokwayo?

Ngamanye amaxesha, ukuba uphumza isihlakala sakho uze uyeke ukwenza uhlobo olufanayo lweentshukumo okwethutyana, iimpawu zisenokuphela ngokwazo. Nangona kunjalo, kusenokwenzeka ukuba aziyi kuba ngcono ngaphandle konyango.

Kungcono ukubona ugqirha kwangoko xa uziva ungenamsebenzi, uneentlungu, okanye uziva ungenamsebenzi esandleni sakho, esihlahleni, okanye kwiminwe yakho kunokuba ubangele umonakalo ongunaphakade kwi-median nerve.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha ngale nto?

Xa usiya kugqirha, ungabuza imibuzo efana nale:

• Ngaba ndinayo ngokwenene i-carpal tunnel syndrome, okanye yingxaki ethile esinqeni?
• Yintoni isizathu semeko yam?
• Luhlobo luni lonyango endiludingayo?
• Ngaba kuya kufuneka ndityandwe?
• Luhlobo luni lwe-splint endifanele ndiyifumane? Ndifanele ndiyinxibe ixesha elingakanani?

Yeyiphi eyona ndlela ilungileyo yokunyanga oku?

Akukho mpendulo ifanayo koku. Unyango olungcono kuwe luya kuxhomekeka kwisizathu se-carpal tunnel syndrome yakho kunye nokuba imeko imbi kangakanani.

Uninzi lwabantu lunokuyilawula le meko ngonyango olulula. Kodwa ngamanye amaxesha utyando lolona sisombululo silungileyo. Akukho mpendulo ichanekileyo okanye engalunganga xa kufikwa kwimpilo yakho. Ugqirha wakho uza kukuchazela ukuba loluphi unyango olulungele wena kunye nesizathu.

Ndingaqiniseka njani ukuba ndine-carpal tunnel syndrome?

Ayingabo bonke abantu abahlangabezana nale meko ngendlela efanayo. Usenokuqala uqaphele iimpawu ebusuku. Usenokuvuka ebuthongweni unentlungu kunye nokungabi nanto esihlahleni sakho. Okanye, unokufumana ukungakhululeki esihlahleni ngokuhlwa emva kokusebenza ngezandla zakho imini yonke.

Eyona nto ibalulekileyo kukuba ngugqirha kuphela onokuqinisekisa ukuba unesifo se-carpal tunnel syndrome okanye enye ingxaki yesandla. Nokuba awunaso isifo se-carpal tunnel syndrome, ugqirha wakho unokukunceda ufumane unobangela weempawu zakho kwaye unyange.

Kunokuba yinto eyoyikisayo nebangela uxinezeleko xa kukho into ekuphazamisayo ekusebenziseni izandla neenyawo zakho. I-Carpal tunnel syndrome yenye yezi meko. Kodwa khumbula, yimeko enokunyangwa ukuba ifunyaniswe kwangethuba.

Umyalezo Wokuya Ekhaya

Ukuba uneempawu ezifana nokungaziva mnandi, iintlungu, okanye ubuthathaka esandleni sakho okanye esihlahleni, musa ukuzityeshela nje. Ukucinga, "Ziza kuziphelela zodwa," kunokukhokelela kumonakalo ongunaphakade kwimithambo-luvo yakho ephakathi.

I-Carpal Tunnel Syndrome yimeko enokunyangeka. Ugqirha wakho angakunceda ulawule iimpawu zakho aze athintele umonakalo ongakumbi esihlahleni sakho. Ngoko ke, ukuba uziva ungakhululekanga, funa uncedo lwezonyango ngoko nangoko. Izandla zakho zibaluleke kakhulu kuwe, akunjalo?

Isifo seCarpal Tunnel, iMedian Nerve, iHand depression, iintlungu zesandla, ukucinezelwa kwemithambo-luvo, iCarpal Tunnel, iSplint, unyango lomzimba