Ingaba umnwe wakho omncinci kunye nomnwe weringi ziyaqaqamba? Isenokuba yiCubital Tunnel Syndrome!

Ngaba wakha waziva uvakalelwa ngendlela engaqhelekanga njengokushukuma okuhamba engalweni yakho xa ungqubeka engqinibeni? Sonke sihlekisa ngokuthi "yithambo elihlekisayo." Kodwa ayilothambo ngokwenene. Yimvakalelo evela kumthambo obaluleke kakhulu ohamba ngaphakathi engqinibeni yakho. Ngamanye amaxesha lo mthambo uyaxinana. Emva koko umnwe wakho omncinci kunye nomnwe wendandatho zinokuvakala ngathi zindindisholo kwaye zibuhlungu. Yiloo nto siyibiza ngokuba yiCubital Tunnel Syndrome. Makhe sithethe ngayo ngokulula namhlanje.

Ngamafutshane, yintoni iCubital Tunnel Syndrome?

I-Cubital tunnel syndrome yimeko apho i-ulnar nerve, ekwi-elbow yethu, icinezelwa okanye icinezelwe. Oku kukwabizwa ngokuba yi-ulnar nerve entrapment.

Ngoku usenokuba uzibuza ukuba yintoni i-Ulnar nerve. Ingqondo yomzimba wethu ithwala imiyalezo kuwo wonke umzimba ngemithambo-luvo. Njengeentambo zombane. Sinemithambo-luvo emithathu ephambili esandleni sethu. Omnye wayo yi-Ulnar nerve. Iqala entanyeni yethu, yehle ingalo yethu, ize iphele entendeni yesandla sethu.

Njengoko le nerve idlula kwingqiniba, idlula kwingqiniba encinci eyenziwe ngethambo nezinye izicwili. Le yinto esiyibiza ngokuba yi-cubital tunnel . Le ngqiniba ikwindawo engaphantsi kweqhubu elincinci lethambo ngaphakathi kwengqiniba. Ngokwezonyango, le ngqiniba siyibiza ngokuba yi-medial epicondyle . Ungaliva ngesandla sakho, elo thambo libukhali ngaphakathi kwengqiniba. Yiloo ndlela oziva ngayo xa ubetha elo "thambo lihlekisayo."

Le tunnel imxinwa kakhulu. Kwaye akukho zicubu zininzi zokukhusela le nerve. Ngoko ke amathuba okonakala kule nerve aphezulu. Ukuba ngesizathu esithile i-nerve iyacinezelwa okanye ivaleleke ngaphakathi kule tunnel, kulapho kuvela khona iimpawu ze-cubital tunnel syndrome.

Kwenzeka ntoni esandleni sethu ngale mithambo-luvo ye-ulnar?

Le mithambo-luvo ibaluleke kakhulu ekusebenzeni kwezandla zethu.

• Ukubamba: Le mithambo-luvo ilawula ezinye zezihlunu ezinkulu ezandleni zethu, ngoko ke isinceda sibambe izinto kakuhle.
• Ukuva ngeminwe: Le mithambo-luvo inika uvakalelo kumnwe wakho omncinci nakwicala elikhanyayo lomnwe wakho weringi.
• Iintshukumo ezincinci: Le mithambo-luvo ilawula uninzi lwezihlunu ezincinci esandleni. Le mithambo-luvo ibalulekile kwiintshukumo ezincinci, ezifana nokuchwetheza kwikhompyutha okanye ukudlala isixhobo somculo.

Ngoku uyaqonda ukuba zeziphi iingxaki ezinokwenzeka xa le mithambo-luvo icinezelwa.

Ngubani osengozini enkulu yokuba nale meko?

Kukho izinto ezinobungozi ezinokubangela ukuba umntu abe nesifo se-cubital tunnel syndrome. Nangona kunjalo, ayinguye wonke umntu onayo le nto oza kuba nesi sifo. Nangona kunjalo, abanye abantu basengozini enkulu kunabanye.

• Ukuba nesifo samathambo engqinibeni.
• Ukugcina iingqiniba zakho zigobile ixesha elide (umzekelo, ukugcina iingalo zakho zigobile naphantsi kwentloko yakho ngelixa ulele).
• Ubukho be-spurs yamathambo amatsha ekhula emathanjeni engqiniba.
• IiCysts kwi-elbow joint.
• Ukuba nembali yokuphuma kwengqiniba ngaphambili.
• Ekubeni wayekhe waphuka ingqiniba ngaphambili.
• Ukudumba kwelungu lengqiniba.

Yintoni umahluko phakathi kweCarpal Tunnel Syndrome kunye neCubital Tunnel Syndrome?

Kulapho abantu abaninzi badideka khona. Nangona zombini ezi meko zibangelwa kukuxinana komthambo, umthambo ochaphazelekayo kunye nendawo ezikuyo iimpawu zahlukile.

Kutheni i-cubital tunnel syndrome isenzeka?

Ngamanye amaxesha nogqirha usenokungakwazi ukufumana unobangela ochanekileyo, kodwa kukho izizathu ezimbalwa eziqhelekileyo.

• I-Anatomy: Abanye abantu banokuba nongqimba olukhulu lwezicubu phezu kwe-ulnar nerve. Okanye banokuba nezihlunu ezingaphezulu. Ezi zinto zinokubangela ukuba i-nerve icinezelwe ngokuhamba kwexesha.
• Uxinzelelo: Khawuthelekelele usebenza rhoqo ngengqiniba yakho etafileni, okanye uphumza ingqiniba yakho kwisihlalo sakho. Nokuba yinto elula ngolu hlobo inokubangela uxinzelelo oluqhubekayo kwimithambo-luvo yesisu. Emva koko isandla sakho, umnwe omncinci, kunye nomnwe weringi ziqala ukuziva ngathi ziyarhawuzelela.
• Ukuqhekeka kwemithambo-luvo: Abanye abantu bafumana umthambo we-ulnar uqhekeka ubuyela umva xa begoba okanye belungisa ingqiniba yabo. Ukuba oku kuyaqhubeka, umthambo unokonakala kwaye udumbe.
• Ukolula: Ukuba ugcina ingqiniba yakho igobile ixesha elide (ingakumbi xa ulele), umthambo ungatsalwa kakhulu. Oku kolula rhoqo nako kuyimbangela yesi simo.

Zithini iimpawu zale meko?

Ukuba ubunezi mpawu zingezantsi kangangeeveki ezingaphezu kwezintandathu , okanye ukuba ucinga ukuba zinzima , qiniseka ukuba ubona ugqirha wakho. Oku kungenxa yokuba ukuba azinyangwa, olu xinzelelo lwemithambo-luvo lunokubangela ukuba izihlunu zesandla ziphele. Oku kuthetha ukuba isandla sinokuba buthathaka kwaye sibe buthathaka. Nangona kunjalo, ukuba ufumana unyango ngokukhawuleza, ezi mpawu zinokulawulwa okanye zinyangeke ngokupheleleyo.

Iimpawu eziphambili zezi:

• Ukurhawuzelela, iiphini neenaliti ezandleni nasezinzwaneni. Oku akuhlali kunjalo, kuyafika kudlule.
• Intlungu ngaphakathi kwengqiniba.
• Kunzima ukushukumisa iminwe yakho kakuhle xa ingasebenzi kakuhle.
• Ubunzima bokubamba izinto, ukubamba ngesandla okubuthathaka.
• Ekuhambeni kwexesha, izihlunu esandleni ziba buthathaka kwaye isandla siba buthathaka.

Ezi mpawu, ingakumbi ukurhawuzelela kunye nentlungu, zihlala ziveka xa ingqiniba igobile . Umzekelo:

• Xa uqhuba imoto
• Xa ubambe ifowuni kwaye uthetha
• Ngelixa ulele

Ugqirha uyixilonga njani le nto?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko uza kwenza uvavanyo lomzimba. Emva koko, angacebisa ukuba kwenziwe iimvavanyo ezininzi ukuqinisekisa isifo nokufumanisa ukuba sinzima kangakanani.

• Uvavanyo lwegazi: Jonga ezinye iimeko zempilo, ezifana nesifo seswekile okanye isifo se-thyroid.
• Uvavanyo lwe-X-ray: Jonga iingxaki ngamathambo engqiniba (i-bone spurs, i-arthritis) kwaye ubone ukuba ithambo liyayicinezela na imithambo-luvo.
• Izifundo zoQhubo lweMithambo kunye noVavanyo lwe-EMG: Olu lolona vavanyo lubalulekileyo lokufumanisa esi sifo. Lukwabizwa ngokuba yi-Electromyogram (EMG) . Lulinganisa isantya seempembelelo zemithambo-luvo kunye nomsebenzi wemisipha. Olu vavanyo lunokumisela ngqo apho imithambo-luvo icinezelwe khona kunye nokuba icinezelwe kangakanani.

Iphathwa njani?

Kukho iintlobo ezimbini zonyango lwesi sifo: unyango olungenalo utyando kunye notyando. Oogqirha bahlala bezama ukunyanga esi sifo ngaphandle kotyando kuqala.

Unyango olungelulo utyando

• Ukunxiba i-brace okanye i-splint ukuze ugcine ingqiniba yakho ithe tye: Ingqiniba yakho idla ngokugoba, ingakumbi ebusuku xa ulele. Ukuthintela oku, ugqirha wakho unokucebisa ukunxiba i-brace okanye i-splint ukuze incede ukugcina ingqiniba yakho ithe tye.
• Imithambo: Kukho imithambo ekhethekileyo (imithambo yokutyibiliza) enceda imithambo-luvo ihambe lula kwi-tunnel ye-cubital. Le mithambo ikwanceda ekuthinteleni ukuba ndindisholo esandleni nasesihlahleni. Nangona kunjalo , ngokuqinisekileyo kufuneka ubuze ugqirha wakho okanye ingcali ye-physiotherapist ukuba zeziphi imithambo efanelekileyo kuwe.
• Unyango Lwezandla: Ingcali yezandla ingakufundisa indlela yokwenza imisebenzi yakho yemihla ngemihla ngaphandle kokubeka uxinzelelo kwi-ulnar nerve.
• Iipilisi zokunciphisa iintlungu (ii-NSAID): Amayeza angengo-steroidal anti-inflammatory (ii-NSAID) afana ne-ibuprofen anokunciphisa ukudumba okujikeleze imithambo-luvo kwaye alawule iintlungu. Nangona kunjalo, ezi zinto mazisetyenziswe kuphela phantsi kwengcebiso kagqirha.

Unyango lotyando

Ukuba unyango olungentla aluncedi, ukuba umthambo uqinile kakhulu, okanye ukuba izihlunu ziqala ukuba buthathaka, ugqirha wakho unokucebisa utyando. Ngenxa yesi sizathu, uya kuthunyelwa kugqirha wamathambo.

Kukho iintlobo ezininzi eziphambili zotyando:

• Ukukhululwa komjelo weCubital:Apha, ugqirha wotyando usika i-ligament esebenza njengophahla lomngxuma wom ...
• Ukutshintshwa kwangaphambili kwemithambo-luvo ye-Ulnar: Kolu tyando, imithambo-luvo isuswa ngasemva kwethambo lengqiniba ize ibekwe phambi kwethambo (kufutshane nolusu). Oku kuthintela imithambo-luvo ukuba ingaxinwa yithambo xa ingqiniba igobile.
• Utyando lwe-medial epicondylectomy: Oku kuquka ukususa inxalenye encinci ye-bone bump (medial epicondyle) ngaphakathi kwengqiniba apho umthambo ucinezelwe khona, okuvumela umthambo ukuba uhambe ngokukhululekileyo.

Olu tyando ludla ngokuba lolwe-out-patient, nto leyo ethetha ukuba ungaya ekhaya ngaloo mini inye ngaphandle kokuya esibhedlele. Nangona kunjalo, kusenokufuneka uhlale esibhedlele ubusuku bonke. Kuya kufuneka unxibe i-splint iiveki ezimbini ukuya kwezintathu emva kotyando. Emva koko ungadinga i-physiotherapy ukuze ufumane amandla nokushukuma esandleni sakho.

Singenza ntoni ukuthintela le meko?

Nangona ingenakuthintelwa ngokupheleleyo, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko.

• Musa ukuzifaka ubunzima kwiingqiniba zakho. Kuphephe ukuphumza iingqiniba zakho kwiindawo zokubeka iingalo zeetafile nezitulo.
• Ukuba usebenza eofisini, lungisa ubude besitulo sakho ukuze iingqiniba zakho zingagobi ngaphezu kwama-90° .
• Xa ulala ebusuku, zama ukulala iingqiniba zakho zithe tye . Sebenzisa into efana nomqamelo ukuba kuyimfuneko.
• Ziphephe izinto ezifuna ukuba ugobe iingqiniba zakho ixesha elide (umz., ukuthetha kwifowuni rhoqo).