Kubuhlungu kancinci xa ingalo okanye umlenze wakho uphelelwa ngamandla, okanye xa uziva ngathi iimbovane ziyabaleka. Ngamanye amaxesha oku kuyenzeka nje kwaye kuphele. Kodwa ukuba oku kungapheli, kunokuba luphawu lwengxaki kwenye yemithambo-luvo emzimbeni wethu. Kwiimeko ezinjalo, uvavanyo olulula olusetyenziswa ngugqirha lubizwa ngokuba yi-'Tinel's Sign', esithetha ngayo namhlanje.
Yintoni iSignali kaTinel?
Ngamafutshane, uphawu lukaTinel luba xa ugqirha wakho echukumisa ulusu kancinci apho umthambo ubaleka khona, uzive urhawuzelelwa okanye urhawuzelelwa kuloo mthambo. Ukuba uziva urhawuzelelwa kancinci, njengombane omncinci, oko kuthetha ukuba umthambo uphantsi koxinzelelo okanye kusenokwenzeka ukuba wonakele.
Ikwabizwa ngokuba luphawu lweHoffmann-Tinel, emva koogqirha abachaza olu vavanyo okokuqala, uPaul Hoffmann noJules Tinel. Kodwa xa sithetha ngalo ngokubanzi, silibiza nje ngokuba 'luphawu lweTinel'.
Ngaphantsi kwaziphi iimeko apho ugqirha eqhuba olu vavanyo?
Ukuba ugqirha wakho ukrokrela ukuba kukho umthambo othile emzimbeni wakho ocinezelweyo okanye owonakeleyo, angenza olu vavanyo lulula. Kukho iimeko ezimbalwa apho oku kubaluleke kakhulu.
| Imeko yezonyango | Kalula nje, kwenzeka ntoni? |
|---|---|
| Isifo seCarpal Tunnel | Xa i-median nerve, i-major nerve ebaleka ezandleni zethu nakwiminwe, icinezelwe esihlahleni, idla ngokubangela ukuba ubhontsi, umnwe wokukhomba, kunye nomnwe ophakathi ungabi nanto. |
| Isifo seCubital Tunnel | Xa ingqiniba yethu ibetha into ethile, umsinga uhamba ngengalo yethu, ucinezela umthambo we-ulnar. Oku kunokubangela ukungaziva mnandi kumnwe omncinci nomnwe weringi. |
| Isifo seTarsal Tunnel | Umthambo ohamba ngeenyawo zethu (i-posterior tibial nerve) uyacinezelwa njengoko udlula ngaphakathi kweqakala. Oku kunokubangela ukungaziva, ukutsha, okanye intlungu ezantsi kweenyawo. |
Ziziphi ezinye iimpawu ezinokwenzeka xa umthambo ucinezelwe?
Ukongeza kwisibonakaliso sikaTinel, ukuba umthambo ucinezelwe, unokufumana iimpawu ezifana nezi:
- Ukutsha: Imvakalelo yokutsha, ngokungathi uphethe ilahle elivuthayo.
- Ubungqindilili: Ukuziva uphelelwe yimvakalelo kwindawo ethile, okanye ukuziva ngathi ziimbovane zibaleka zijikeleza.
- Intlungu: Intlungu inokuba ngathi ibukhali, ihlaba, okanye ayibonakali.
- Ubuthathaka: Esandleni, kusenokuvakala ngathi uwisa ikomityi okanye ubambe ipeni. Emlenzeni, kusenokuvakala ngathi uyakhubeka xa uhamba.
Uvavanyo lukaTinel lwenziwa njani?
Olu luvavanyo olulula kakhulu oluthatha ngaphantsi komzuzu. Awudingi kulungiselela oku.
Inyathelo 1: Ugqirha uza kukucela iinkcukacha.
Okokuqala, ugqirha uza kukuphulaphula ngononophelo aze afunde ngokungonwabi kwakho. Umzekelo, ungabuza imibuzo efana nale, "Uziva nini kakhulu ukuba ndindisholo?", "Zeziphi izinto ozenzayo ezenza kube mandundu?", "Ngaba uziva ubuthathaka esandleni sakho?"
Inyathelo lesi-2: Indlela yokwenza uvavanyo
Emva koko, ugqirha uza kucofa ulusu kancinci ngeminwe yakhe apho acinga ukuba umthambo ucinezelwe khona. Ngamanye amaxesha, angasebenzisa isixhobo esincinci esifana nesando (i-reflex hammer) koku. Umzekelo, ukuba urhanela ukuba i-carpal tunnel syndrome, uza kucofa esihlahleni sakho.
Inyathelo lesi-3: Xela oko uvakalelwa kuko.
Xa ugqirha ekucofa, kufuneka umxelele ukuba uziva urhawuzelelwa, uqhushumbo lombane, okanye urhawuzelelwa kuloo mthambo. Impendulo oyinikayo sisiphumo solu vavanyo.
Zithini iziphumo zovavanyo?
- Uvavanyo Oluqinisekileyo: Ukuba uziva ungenamandla xa ugqirha ekuchukumisa, oko kuthetha ukuba imithambo-luvo isenokuba iphantsi koxinzelelo okanye yonakele.
- Uvavanyo Olungalunganga: Ukuba awuziva ungenamdla, sisiphumo esibi.
Kodwa khumbula oku, ukuba olu vavanyo luphume lusithi 'negative' akuthethi ukuba ukhululekile ngokupheleleyo kwixhala.Ngamanye amaxesha, nokuba kukho ukuxinana kwemithambo-luvo, olu phawu lusenokungabonakali. Ke ngoko, oku kukunceda ugqirha aqonde imeko yakho.
Ngokusekelwe kwiziphumo zolu vavanyo kunye neempawu zakho, ugqirha wakho unokucebisa iimvavanyo ezongezelelweyo ukuba kuyimfuneko. Umzekelo:
- I-Electromyography (EMG): Uvavanyo olulinganisa umsebenzi wombane wemithambo-luvo kunye nemisipha.
- I-MRI scan: Fumana umfanekiso ocacileyo wezicubu ezithambileyo ezifana nemithambo-luvo kunye nemisipha.
- I-X-reyi: Ukubona ukuba ingxaki ngamathambo ibangela ukuba umthambo ucinezelwe.
Ngaba kukho naziphi na iingozi ngolu vavanyo?
Akunjalo konke konke. Olu luvavanyo olukhuselekileyo kakhulu. Kufana nogqirha obeka i-stethoscope esifubeni sakho, kwaye luvavanyo olulula olungabandakanyi mngcipheko okanye intlungu. Ngoko ke akukho mfuneko yokoyika oku.
Ndifanele ndimbone nini ugqirha?
Ukuba usoloko urhawuzelelwa, unesicaphucaphu, unesicaphucaphu, okanye ubuthathaka engalweni, emlenzeni, okanye kwenye indawo yomzimba wakho, musa ukucinga nje ukuba, "Le yimpawu nje." Isenokuba yimithambo-luvo ecinezelweyo. Ukufumana unyango kwangethuba kunokunceda ekuthinteleni umonakalo wemithambo-luvo ixesha elide. Ngoko ke, qiniseka ukuba ubona ugqirha wakho ukuze akunike icebiso.
Ungaze uzame ukuzixilonga ngokwenza olo vavanyo. Soloko ubona ugqirha ukuze ufumane uxilongo olufanelekileyo nonyango.
Umyalezo Wokuya Ekhaya
- I-Tinel's Sign luvavanyo olulula kakhulu nolungenabuhlungu lokujonga ucinezelo lwemithambo-luvo.
- Ukuba ugqirha uziva engenamandla xa echukumisa umthambo, oko kubonisa ingxaki yomthambo.
- Isetyenziswa kakhulu ukuxilonga iingxaki zemithambo-luvo ezinxulumene nomngxuma we-carpal, umngxuma we-cubital, kunye nomngxuma we-tarsal.
- Nokuba uvavanyo alubonisi ukuba unesithukuthezi, akuthethi ukuba awunangxaki yemithambo-luvo nge-100%. Oko kuxhomekeke kugqirha wakho ukuba agqibe.
- Ukuba uneempawu ezinje ngokuba ndindisholo okungapheliyo, ukutsha, iintlungu, okanye ubuthathaka, musa ukuzityeshela kwaye ngokuqinisekileyo bonana nogqirha.
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