Ngaba uziva ngathi kukho umthambo obambeke engqinibeni okanye esihlahleni sakho? Masithethe nge-Ulnar Nerve Entrapment!

Ngaba ngamanye amaxesha uziva ungenazinzwane kwiminwe yakho, okanye intlungu engaqhelekanga engqinibeni yakho, okanye uzive ubuthathaka xa uzama ukufikelela kwinto ethile? Okanye ngaba umnwe wakho omncinci nomnwe weringi ubonakala ngathi ugobile? Ezi azizozinto nje ezingaqhelekanga. Mhlawumbi kukho uxinzelelo oluthile kwi-ulnar nerve, umthambo obalulekileyo esandleni sakho. Namhlanje siza kuthetha ngale meko ibizwa ngokuba yi -Ulnar Nerve Entrapment . Ungakhathazeki, ukuba uyazi ngale nto, unokufumana izisombululo ngokukhawuleza.

Yintoni i-Ulnar Nerve Entrapment?

Ngamafutshane, uxinzelelo lwemithambo-luvo ye-ulnar luthetha xa into ibeka uxinzelelo kwimithambo-luvo ye-ulnar, ekwingqiniba okanye esihlahleni sakho. Oku kwaziwa ngokuba yi -nerve compression syndrome . Kanye njengokuba umbhobho wamanzi uqina kwaye amanzi engakwazi ukuhamba, xa imithambo-luvo icinezelwe, imiqondiso ehamba ngayo iyaphazamiseka.

Xa umthambo ucinezelwe ngale ndlela, unokudumba, nto leyo ekhokelela kwintlungu ye-neuropathic kunye ne -neuropathy . Kwezinye iimeko, oku kunokuchaphazela namandla akho okubamba , okwenza kube nzima ukwenza izinto ezifana nokuthatha into ethile.

Masiqale sibone, yintoni le Ulnar Nerve?

I-ulnar nerve yinxalenye yenkqubo ye -peripheral nervous yomzimba wethu. Le nkqubo yiyo ethwala ulwazi oluvela kwingqondo yethu ludlule kwi-spinal cord ukuya kwezinye iindawo zomzimba, kwaye ukusuka kwezo ndawo, ibuyisela ulwazi kwingqondo.

Umthambo we-ulnar unceda kakhulu ukugoba nokwandisa umnwe wakho omncinci (opinki) kunye nomnwe weringi . Oko kukuthi, intshukumo yale minwe mibini ibalulekile ekubambeni into ethile. Ikwanceda ekuthwaleni ulwazi lweemvakalelo ezifana nokuchukumisa, intlungu, kunye nobushushu ukuya engqondweni. Usenokukhumbula, ngamanye amaxesha xa ubetha ingqiniba yakho ndaweni ithile, ufumana ukungakhululeki okungaqhelekanga, njengoku "kuthuthumela ngombane," akunjalo? Oko kubizwa ngokuba "yithambo elihlekisayo." Ngelo xesha, umthambo we-ulnar ucinezelwe ngokwenene. Sinemithambo ye-ulnar efana nale ezandleni zethu zombini.

Ziziphi iintlobo eziphambili ze-ulnar nerve entrapment?

Ukuvaleka kwemithambo-luvo ye-Ulnar kunokwenzeka kwiindawo ezimbini eziphambili: engqinibeni okanye esihlahleni. Ngoko ke, kukho iintlobo ezimbini:

• I-Cubital Tunnel Syndrome: Oku kwenzeka xa umthambo we-ulnar ucinezelwe okanye woluliwe engqinibeni. Khawuthelekelele ukuba umthambo we-ulnar okwingqinibeni yethu ufana nomngxuma omncinci. Yiyo loo nto ibizwa ngokuba yiCubital Tunnel. Le meko yenzeka xa umthambo uvaleleke ngaphakathi kweli ngqamzana.
• Isifo seCanal sikaGuyon:Oku kwenzeka xa uxinzelelo lubekwe kwi-ulnar nerve esihlahleni. Kukho indlela ethile (umjelo) apho le nerve ihamba khona esihlahleni. Le meko yenzeka xa icinezelwe.

Ixhaphake kangakanani le meko?

I-Cubital Tunnel Syndrome sisifo sesibini esixhaphakileyo se-peripheral neuropathy esichaphazela imithambo-luvo yamalungu ethu angaphezulu. (Esokuqala esixhaphakileyo yiCarpal Tunnel Syndrome , equka i-median nerve esihlahleni.) Nangona kunjalo , iGuyon's Canal Syndrome sisifo esingaqhelekanga.

Kutheni le nto le mithambo-luvo ye-ulnar icinezelwa? Zithini izizathu?

Kukho izizathu ezahlukeneyo zokuba umthambo we-ulnar unokuxinwa.

Eyona nto ibangela i-cubital tunnel syndrome kukolula okuqhubekayo okanye uxinzelelo kwi-ulnar nerve kwi-elbow. Umzekelo, le meko inokubangelwa okanye yenziwe mandundu yimikhwa efana nokulala i-elbow yakho igobile ebusuku . Khawucinge nje, ukuba ubunokuhlala kwindawo efanayo ne-elbow yakho igobile iiyure ezininzi, ingaba i-nerve iya kolula kwaye icinezele kangakanani.

Ii-cysts ze-ganglion azingomhlaza, zizele lulwelo ezidla ngokukhula esihlahleni. Ii-ganglion cysts kucingelwa ukuba zingunobangela we-40% yamatyala e-Guyon's Canal Syndrome . Kwi-45% yamatyala, akukho sizathu sicacileyo sifunyenweyo (esibizwa ngokuba yi-idiopathic). Amaxesha amaninzi, ezi cysts kwingqiniba zinokubangela uxinzelelo kwi-ulnar nerve.

Ukongeza koku, kukho ezinye izizathu ezininzi zokuba umthambo we-ulnar unokucinezelwa kwaye wonakaliswe:

• Iingozi kunye nokwenzakala: Ukuwa, ukubetheka okuqatha engqinibeni okanye esihlahleni.
• I-Arthritis: Ukudumba kwamalungu kubangela ukudumba kunye noxinzelelo oluphezulu olujikeleze imithambo-luvo.
• Amathambo aphukileyo kunye nee-bone spurs: Iziqwenga zamathambo aphukileyo okanye ii-bone spurs ezintsha zinokucinezela i-nerve.
• Iingxaki zotyando oluthile: Umzekelo, emva kotyando lwe-carpal tunnel, okanye emva kotyando lokwaphuka kwegxalaba.
• Isifo seswekile: Isifo seswekile sandisa umngcipheko wokonakala kwemithambo-luvo.
• Ingqiniba ekhutshiweyo.
• Uxinzelelo olubangelwa kukufaka iplasta yeParis (ii-casts), ukusebenzisa iintonga, okanye ukunxiba ii-splint.
• Ezinye iithumba okanye ii-cysts ezizaliswe lulwelo.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Ukubhajwa kwemithambo-luvo ye-Ulnar kuxhaphake kakhulu kumadoda kunabasetyhini. Kuxhaphake kakhulu nakubantu abanemisebenzi okanye imisebenzi ebeka uxinzelelo oluqhubekayo kwingqiniba okanye esihlahleni, okanye abatsalwa rhoqo kwimithambo-luvo. Nazi imizekelo embalwa:

• Abadlali abafana nebaseball, igalufa, kunye netenisi: Iingqiniba kunye nezandla zisetyenziswa kakhulu kule midlalo.
• Abakhweli beebhayisekile: Ukubamba iihandlebars kunokubangela uxinzelelo ezihlahleni.
• Abasebenzi kwishishini lokwakha: ngenxa yokuphakamisa izinto ezinzima kunye nokusetyenziswa kwezixhobo.
• Abantu Abatshayayo: Ukutshaya kungonakalisa ukujikeleza kwegazi kwaye konakalise imithambo-luvo.
• Abantu abachwetheza izinto, ababhali, kunye nabo basebenzisa iikhibhodi zekhompyutha rhoqo: ngenxa yokuma kakubi nokusebenza kwindawo enye ixesha elide.
• Abantu abaphakamisa iintsimbi: Uxinzelelo olugqithisileyo lubekwa kwiingqiniba nasezihlahleni.

Zithini iimpawu zokubanjwa kunye nokonakala kwemithambo-luvo ye-ulnar?

Ezi mpawu azibonakali ngequbuliso. Zikhula kancinci kancinci , kwaye ngamanye amaxesha ziyafika zidlule. Iimpawu zinokuba mandundu ebusuku nangexesha lemisebenzi ebeka uxinzelelo okanye uxinzelelo kwingqiniba okanye esihlahleni.

Nazi ezinye zeempawu eziphambili:

• Ukugoba komnwe omncinci kunye nomnwe weringi (ukugoba): Iminwe emibini igoba ngaphakathi, njengeenzipho.
• Intlungu engqinibeni (ukuba yi-cubital tunnel syndrome) okanye intlungu esihlahleni (ukuba yi-Guyon's canal syndrome).
• Ukungaziva mnandi nokurhawuzelela kumnwe omncinci nomnwe weringi.
• Ubuthathaka besandla: Oku kwenza kube nzima ukubamba okanye ukuphakamisa izinto, kunye nokwenza imisebenzi ebuthathaka efana nokubhala okanye ukuqhobosha ihempe.
• Ukulahlekelwa yimisipha kumnwe weringi okanye kumnwe omncinci: Olu luphawu olungaqhelekanga, kodwa ukuba luyenzeka, lubonisa ukuba kukho umonakalo omkhulu wemithambo-luvo.

Zeziphi iimvavanyo zomzimba ezisetyenziswayo ukufumanisa le meko?

Xa usiya kugqirha, uza kwenza uvavanyo oluthile lomzimba ukuze ahlole iimpawu zakho. Nangona olu vavanyo lunokubonakala lulula, lunokunceda ugqirha aqonde ukuba iminwe nezandla zakho zinamandla kangakanani.

• Uvavanyo lukaFroment: Kolu vavanyo, ugqirha wakho uza kukucela ukuba ubambe iphepha phakathi kobhontsi wakho nomnwe wakho wokukhomba. Ukuba i-interphalangeal joint ekwincam yobhontsi wakho omkhulu iyagoba xa uyibamba, oku kunokubonisa ingxaki yemithambo-luvo.
• Uvavanyo lukaTinel:Kolu vavanyo, ugqirha uza kucofa kancinci "ithambo elihlekisayo" engqinibeni yakho (apho i-ulnar nerve isebenza khona). Ukuba ukucofa kuvakala ngathi kukubetheka okukhulu kombane kumnwe wakho omncinci okanye kumnwe weringi, oko kunokubonisa ingxaki yemithambo-luvo.
• Uphawu lukaWartenberg: Kolu vavanyo, ugqirha uza kubeka isandla sakho phezu komhlaba othe tyaba, asasaze iminwe yakho, aze akucele ukuba uyidibanise. Ukuba awukwazi ukudibanisa umnwe wakho omncinci neminye iminwe xa usenza oku, oko kuthetha ukuba umnwe wakho omncinci ubonakala ngathi uyahamba kwenye iminwe, oku kunokuba yingxaki yemithambo-luvo.

Zeziphi ezinye iimvavanyo zokuxilonga ezenziwayo koku?

Ukongeza kuvavanyo lomzimba, kunokwenziwa olunye uvavanyo oluliqela ukuqinisekisa ukuba kukho uxinzelelo lwemithambo-luvo ye-ulnar okanye akunjalo, okanye ukubona ukuba kukho ezinye iingxaki.

• Izifundo ze -Electromyography (EMG) kunye nokuqhuba imithambo-luvo: Ezi mvavanyo zijonga indlela ezihamba kakuhle ngayo imiqondiso kwimithambo-luvo kunye nendlela ezivuselela ngayo izihlunu. Ukuba imithambo-luvo icinezelwe, isantya esihamba ngaso imiqondiso sinokucothiswa.
• I-MRI (magnetic resonance imaging), i-neuromuscular ultrasound, okanye ii-X-ray: Ezi mvavanyo zinokujonga ukucinezelwa kwemithambo-luvo kwaye zincede ekuthinteleni ezinye iingxaki, ezinje nge-arthritis, ukwenzakala kwe-ligament, okanye ukwaphuka kwamalungu.

Ziziphi iindlela zonyango ezingezizo ezotyando ezikhoyo?

Kwiimeko ezininzi, le meko inokupheliswa ngaphandle kotyando. Iindlela eziphambili zonyango ezisetyenziswayo koku zezi:

• Amayeza angengowe-steroidal anti-inflammatory (NSAIDs): La mayeza anokunciphisa iintlungu ze-neuropathic kunye nokudumba, kodwa kufuneka athathwe kuphela phantsi kweliso likagqirha.
• Unyango lomzimba kunye nonyango lomsebenzi: Aba banyangi banokukufundisa imithambo yokwandisa ukuguquguquka kwesandla sakho. Banokukufundisa neendlela ezintsha zokwenza imisebenzi yemihla ngemihla engafaki uxinzelelo kwi-ulnar nerve. Izinto ezifana noqheliso lwe-nerve-gliding zinokunceda i-ulnar nerve ihambe kakuhle, ngaphandle kokubanjwa kwi-cubital tunnel.
• Ukunxiba ii-splint okanye ii-braces: Ukuzinxiba esihlahleni sakho okanye engqinibeni kunokunceda ukunciphisa uxinzelelo kwimithambo-luvo kwaye kuyikhusele ekutsalweni. Ezi zinokunceda ukugcina ingqiniba yakho ithe tye, ingakumbi ebusuku.

Lufuneka nini unyango lotyando?

Ukuba unyango olungelulo utyando aluncedi, ugqirha wakho unokucebisa utyando. Ngokuxhomekeke kwisizathu se-pinched nerve, kukho izinto ezininzi ezinokwenziwa ngotyando:

• "Ukukhulula" umthambo we-ulnar kwi-batch yayoOko kukuthi, izicubu ezicinezela imithambo-luvo ziyasikwa zize zisuswe, nto leyo eyenza ukuba imithambo-luvo ikwazi ukuhamba ngokukhululekileyo.
• Ukuba kukho iithumba okanye ii-cysts ezizaliswe lulwelo, zisuse.
• Ngamanye amaxesha, umthambo we-ulnar ushukunyiswa uye ngaphambili kwelungu le-elbow. Oku kunciphisa uxinezeleko kunye noxinzelelo kumthambo xa ingqiniba yoluliwe.

Ungayithintela njani le mithambo-luvo ye-ulnar ukuba ingaxinwa?

Kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wakho wokuba nale meko, okanye ukulawula iimpawu ukuba unazo:

• Ukuba umsebenzi wakho okanye umsebenzi wakho ufuna ukuba ugobe iingqiniba zakho ixesha elide , zolule iingalo zakho ngamanye amaxesha imini yonke.
• Xa usebenza kwikhompyutha okanye ubhala, musa ukuxhoma iingqiniba zakho edesikeni okanye kwiindawo zokubeka iingalo zesitulo sakho. Ukuba kunokwenzeka, sebenzisa into efana nephedi ethambileyo.
• Musa ukulala ugobile ingqiniba yakho ebusuku. Ukuze uncede, ungagcina ingalo yakho ithe tye uze uyisonge ngetawuli. Okanye unganxiba i-elbow brace, ijikwe ukuze ibe ngasemva kwe-elbow joint.

Ziziphi iingxaki ezinokubakho ngenxa yokubanjwa kwemithambo-luvo ye-ulnar?

Ukuba ucinezelo lwemithambo-luvo ye-ulnar kwingqiniba okanye esihlahleni luba nzima, lunokubangela ukulahleka kwemisipha esandleni sakho . Kwezinye iimeko, lo monakalo unokuba ngowonaphakade . Yiyo loo nto kubalulekile ukubona ugqirha kwangoko nje ukuba uqala ukufumana iimpawu. Okukhona uqala unyango ngokukhawuleza, kokukhona kunokwenzeka ukuba uthintele umonakalo ongunaphakade.

Yintoni ingqikelelo yabantu abanale meko? (Ingqikelelo)

Iindaba ezimnandi zezokuba malunga nesiqingatha sabantu abane-ulnar nerve entrapment banokufumana isiqabu kwiimpawu zabo ngonyango olungenalo utyando .

Ukuba kuyimfuneko, utyando lunokunciphisa iintlungu zemithambo-luvo kunye nezinye iimpawu. Nangona kunjalo, malunga nomntu omnye kwabasibhozo abane-cubital tunnel syndrome baya kuba neempawu ezibuyayo emva kotyando. Oku kusenokuba kungenxa yokuba unobangela oyintloko awuzange unyangwe ngokupheleleyo. Kukwakho nomngcipheko omncinci wokonakala kwe-median nerve, i-ulnar artery, okanye i-ligaments kwi-elbow/carpal bone ngexesha lotyando.

Ndifanele ndimbone nini ugqirha?

Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, qiniseka ukuba ubona ugqirha ukuze akunike iingcebiso:

• Ukuba kukho into enzima ukuyibamba okanye ukuyiphakamisa.
• Ukuba uneentlungu engqinibeni okanye esihlahleni sakho.
• Ukuba uziva ungenazimvakalelo okanye urhawuzelelwa zizandla okanye iminwe yakho.
• Ukuba unengxaki yokwenza imisebenzi yemihla ngemihla, efana nokuqhobosha ihempe okanye ukubamba ipeni.

Ungalibali, ukungawunaki lo mqondiso kuya kuyenza ibe mandundu imeko. Ukuba ufuna ingcebiso kagqirha ngokukhawuleza, unethuba elingcono lokuchacha ngonyango olulula.

Ukuvalelwa kwemithambo-luvo ye-Ulnar kuxa into ethile icinezela okanye icaphukisa imithambo-luvo ye-ulnar, ehla ingalo yakho. I-Cubital tunnel syndrome ichaphazela imithambo-luvo ye-ulnar engqinibeni kwaye lolona hlobo luqhelekileyo lokuvalelwa kwemithambo-luvo ye-ulnar. I-Guyon's canal syndrome, echaphazela imithambo-luvo esihlahleni sakho, yi-peripheral neuropathy engaqhelekanga. Ukuba ufumana ukungaziva, iintlungu, okanye ukurhawuzelela ezandleni okanye eminweni yakho, thetha nogqirha wakho. Kukho amanyathelo onokuwathatha ukuthintela umonakalo wemithambo-luvo.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, masishwankathele ezinye zezinto ekufuneka uzikhumbule koko sithethe ngako:

• Ukuvalelwa kwemithambo-luvo ye-Ulnar kuxinzelelo kwimithambo-luvo ye-ulnar engqinibeni okanye esihlahleni.
• Ukungaziva mnandi, iintlungu, kunye nobuthathaka kumnwe omncinci kunye nomnwe weringi zisenokuba zezona mpawu ziphambili.
• Ukugcina ingqiniba yakho igobile ixesha elide kunye nokwenza umsebenzi obeka uxinzelelo kwingqiniba/isandla sakho kwandisa umngcipheko.
• Ukuba uneempawu, funa ingcebiso kagqirha ngoko nangoko. Ukulibazisa unyango kunokukhokelela ekonakaleni kwemithambo-luvo okungapheliyo.
• Kwiimeko ezininzi, ukuchacha kunokufumaneka ngonyango olungenalo utyando (ukuzilolonga, ii-splints, amayeza) .
• Le meko ingalawulwa kwaye ithintelwe ngokugcina ukuma okufanelekileyo, ukuphumla izandla, kunye nokulandela iingcebiso zonyango .

Lumka umzimba wakho. Musa ukuyityeshela neyona mpawu incinci. Hlala usempilweni!

Ukuvaleka kwemithambo-luvo ye- ulnar , iintlungu zengqiniba, iintlungu zesandla, ukungaziva kwesandla, ukucinezelwa kwemithambo-luvo, isifo se-cubital tunnel, ubuthathaka besandla