Ingabe nawe uzwa ubuhlungu ezithweni zakho? Ake sifunde nge-Tinel's Sign, ekhomba inzwa ecindezelwe!

Ngezinye izikhathi sizizwa singasakwazi ukuzibamba kwesinye sezandla noma izinyawo zethu, njengokuzwa kokukitaza, akunjalo? Ngezinye izikhathi lokhu kungaba uphawu nje, kodwa ngezinye izikhathi kungaba ngenxa yenkinga yemizwa engaphakathi emzimbeni wethu. Ezimweni ezinjalo, kukhona ukuhlolwa okulula okusetshenziswa odokotela, okubizwa ngokuthi i-Tinel's Sign . Singakhuluma kancane ngalokhu namuhla?

Iyini i-Tinel's Sign?

Kalula nje, i-Tinel's Sign iwumuzwa "wokuthuthumela" noma "wokubhoboza" owuzwayo lapho udokotela wakho ethinta isikhumba sakho kancane lapho inzwa igijima khona. Kuzwakala njengokukhafula okuncane, njengokushaqeka kukagesi . Lo muzwa ungaba uphawu lokuthi inzwa endaweni ethintekayo icindezelwe noma yonakele.

Yini ngempela oyifunayo kulokhu?

Lolu vivinyo (i-Tinel's Sign) lusetshenziswa odokotela ukuhlola ukuthi ngabe inzwa yonakele noma ithukuthele endaweni ethile. Okusho ukuthi, inhloso yalolu vivinyo ukuzama ukuthola ukuthi inzwa ekuleyo ndawo iyacindezelwa ngandlela thile noma ukuthi umsebenzi wayo uyaphazamiseka yini.

Ingabe kukhona amanye amagama? Ubani owasungula lokhu?

Yebo, ngezinye izikhathi odokotela bayibiza ngokuthi uphawu lweHoffmann-Tinel . Womabili amagama avela emagameni abantu ababili abaqala ukuchaza uphawu ngo-1915. Kwakuyisazi se-physiology uPaul Hoffmann kanye nesazi sezinzwa uJules Tinel. Ngakho-ke leli gama lisetshenziswa ukubahlonipha.

Odokotela balusebenzisa nini lolu vivinyo (lwe-Tinel's Sign)?

Uma udokotela esola ukuthi kukhona ukulimala kwemizwa noma ukucasuka kwemizwa, angenza lolu vivinyo (i-Tinel's Sign). Uma unesifo sokungezwani komzimba, ubuhlungu, noma ubuthakathaka obuqhubekayo endaweni ethile, lokhu kungasiza ekunqumeni ukuthi kungenxa yenkinga yemizwa.

Ake sibheke ezinye izibonelo?

Kunezimo eziningana lapho lolu phawu (lweSibonakaliso sikaTinel) luwusizo khona. Ake sibone ukuthi luyini:

• I-Carpal Tunnel Syndrome: Kungenzeka ukuthi uke wezwa ngalokhu. Lesi simo senzeka lapho i-median nerve, edlula esihlakaleni sethu, icindezelwa. Lokhu kungabangela ukungakhululeki, ubuhlungu, futhi ngezinye izikhathi ukulahlekelwa amandla esandleni naseminweni. Cabanga nje, umuntu othayipha ikhompyutha usuku lonke noma owenza umsebenzi onzima wezandla cishe uzoba nalesi simo. Khona-ke, uma udokotela ethinta isihlakala kahle futhi ezwa ukungakhululeki, kungaba yi-Carpal Tunnel Syndrome.

• I-Cubital Tunnel Syndrome: Lokhu kwenzeka lapho i-ulnar nerve endololwaneni yethu icindezelwa.- Abanye abantu bakubiza nangokuthi "ithambo elihlekisayo", okuyilapho inzwa yonakele noma icindezelwa. Lokhu kungabangela ukungazweli kanye nobuhlungu esandleni (ikakhulukazi umunwe omncane nomunwe wendandatho) kanye neminwe. Abanye abantu, abanomkhuba wokugcina izindololwane zabo zicindezelwe etafuleni, noma abaye baba nengozi ngezindololwane, bangase babe nalesi simo.

• I-Tarsal Tunnel Syndrome: Lokhu kwenzeka lapho i-Posterior Tibial Nerve, egijima ngaphakathi kweqakala lethu, icindezelwa. Lokhu kungabangela ubuhlungu, ukungazweli, noma ukulahlekelwa umuzwa ezinyaweni zethu, ikakhulukazi ezinyaweni zethu. Ngezinye izikhathi, le nzwa ingacindezelwa uma sigqoka izicathulo ezingasifanele noma uma silimele eqakaleni lethu.

Okubalulekile: Lezi yizibonelo ezimbalwa nje. Lokhu kuhlolwa (i-Tinel's Sign) kungasiza ekuboneni ezinye izinkinga eziningi zemizwa.

Ziyini izimpawu zokulimala kwemizwa noma kwemizwa?

Uma une-nerve ecindezelwe noma eyonakele, ungase ube nesinye noma ngaphezulu salezi zimpawu:

• Umuzwa wokushisa
• Ukuba ndikindiki noma ukulahlekelwa ngokuphelele kwemizwa
• Ubuhlungu (bungaba bubukhali noma bube buthuntu)
• Umuzwa wokuzwa ukuqaqamba
• Ubuthakathaka endaweni efanele, okungukuthi, ukwehla kwamandla.

Uma unalezi zimpawu, ungalindi nje ukuthi ziphele. Kungcono ukubona udokotela.

Ubani owenza ukuhlolwa kwe-Tinel's Sign?

Noma yimuphi umhlinzeki wezempilo osola ukuthi une-nerve ecindezelwe, kungaba udokotela womndeni wakho noma uchwepheshe, angenza lolu vivinyo (i-Tinel's Sign). Kulula kakhulu.

Ingabe udinga ukulungiselela lolu vivinyo kusenesikhathi?

Cha, asikho isidingo sokulungiselela okukhethekile. Ungenza lokhu kuhlolwa lapho lapho uya khona ukuyobona udokotela wakho njengenjwayelo.

Kwenzekani ngaphambi kokuhlolwa?

Udokotela uzoqala akubuze incazelo ephelele yezimpawu zakho. Isibonelo, lapho uzizwa khona ungenamizwa, ukuthi uzizwa nini kakhulu, nokuthi hlobo luni lwemisebenzi olukwenza kube kubi kakhulu. Bese kuthi, njengengxenye yokuhlolwa ngokomzimba, lokhu (iSignali kaTinel) kuhlolwe.

Kwenzekani ngesikhathi sokuhlolwa?

Lena inqubo elula kakhulu. Udokotela uzothinta kancane indawo yesikhumba sakho lapho ecabanga ukuthi kukhona khona inzwa, esebenzisa umunwe wakhe noma isando esincane. Udokotela uzokubuza ukuthi uzizwa kanjani uma ethinta. Lokhu akubuhlungu, ngakho-ke asikho isidingo sokwesaba.

Ithini imiphumela yokuhlolwa?

• Umphumela omuhle:Uma uzwa umuzwa wokucasuka noma wokuhlaba lapho udokotela ekuthinta ngaleyo ndlela, kusho ukuthi kungase kube nomonakalo noma ukucasuka emsipheni kuleyo ndawo.
• Umphumela ongemuhle: Uma ungazizwa ungenamizwa uma ucindezela, kuwumphumela ongemuhle. Kodwa-ke, kukhona into ebalulekile okufanele uyikhumbule lapha. Umphumela ongemuhle awusho ukuthi akukho ukucindezelwa kwemizwa. Ngezinye izikhathi, noma ngabe imizwa icindezelwe, lokhu (uphawu lukaTinel) kungase kungabonisi.

Ngakho-ke, lokhu kuhlolwa (i-Tinel's Sign) kuwusizo kuphela kudokotela ekuqondeni isimo sakho. Isinqumo esiphelele senziwa kanye nezinye izimpawu kanye nomlando wezokwelapha.

Kwenzekani ngemva kokuhlolwa?

Kuye ngemiphumela yokuhlolwa kwe-Tinel's Sign, ezinye izimpawu zakho, kanye nokutholakele kokuhlolwa kwezokwelapha, udokotela wakho angase ancome ezinye izivivinyo eziningana. Isibonelo:

• I-Electromyography (EMG): Lokhu kuhlola ukusebenza kukagesi kwezinzwa nemisipha. Lokhu kusiza ekunqumeni ukuthi kukhona yini umonakalo wezinzwa nokuthi kungakanani.
• I-MRI scan: Lokhu kungabona ngokucacile imizwa nezicubu ezizungezile. Lokhu kubalulekile ukuthola ukuthi yini ebangela ukuba imizwa icindezelwe (isib. isimila, ukuvuvukala).
• I-X-ray: Lokhu kungasiza ukubona ukuthi inzwa icindezelwa yini yinkinga yethambo (isib. ukuphuka, ukukhubazeka kwethambo).

Ingabe zikhona izingozi ngalolu vivinyo (lwe-Tinel's Sign)?

Cha, akukho bungozi. Lokhu kuyindlela elula kakhulu futhi ephephile yokuhlola. Kuwukuthepha kancane nje. Ngakho-ke ungesabi lutho.

Kuthatha isikhathi esingakanani ukuthola imiphumela yokuhlolwa?

Ingxenye engcono kakhulu ukuthi ungayibona imiphumela ngokushesha . Ungabona ngokushesha uma uzizwa ungenamizwa noma uthukuthele uma uyithinta. Udokotela uzokhuluma nawe futhi axoxe ngokuthi yini okufanele uyenze ngokulandelayo.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ezibonisa ukuthi une-nerve ecindezelwe noma ecasukile (isib. ukusha, ukungazweli, ubuthakathaka, ubuhlungu obuqhubekayo), qiniseka ukuthi ubona udokotela. Ungakushayi indiva lokhu njengezinto ezilula. Ukuthola ukwelashwa kusenesikhathi kungasiza ekuvimbeleni isimo ukuba singabi sibi kakhulu.

Ngingazama lokhu (i-Tinel's Sign) ekhaya?

Kuhle ukubuza lokhu. Kodwa-ke, kungcono ukuba nodokotela ozokwenza lokhu kuhlolwa. Ngoba kudinga ulwazi lwezokwelapha ukuqonda kahle ukuthi inzwa ikuphi, ukuthi uyithinta kanjani, kanye nemiphumela. Ungahamba uyokwenza ngokwakho bese ufinyelela esiphethweni esingalungile. Ngakho-ke, uma unokungabaza, bona udokotela bese ukwenza lokhu.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule kulokho esikhulume ngakho namuhla:

• I-Tinel's Sign iwukuhlolwa okulula, okusheshayo, nokungenabuhlungu okubonisa ukucindezelwa noma ukulimala kwemizwa.
• Uma unezimpawu ezifana nokungazweli, ubuhlungu, noma ubuthakathaka ezithweni zakho zomzimba, ungazihluphi nazo. Ungazinaki.
• Uma uhlangabezana nalezi zimpawu, bonana nodokotela ngokushesha ukuze uxoxe ngezimpawu zakho, izinketho zokwelapha, kanye nezindlela zokuthola impumuzo ekhaya.
• Khumbula, ngokuxilongwa kusenesikhathi kanye nokwelashwa okufanele, ungalulama ngokushesha.

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

Uphawu lukaTinel , ukucindezelwa kwemizwa, ukuba ndikindiki, umhubhe we-carpal, umhubhe we-cubital, umhubhe we-tarsal, umonakalo wemizwa