Wake waphawula ukuthi ngezinye izikhathi uneqhubu elincane lethambo , njengesimila, esandleni sakho, ikakhulukazi ohlangothini olungaphezulu lwesandla sakho? Abanye abantu bayakhathazeka kancane uma bebona lokhu, becabanga ukuthi, “O, yini inkinga ngami?” Kodwa empeleni, isikhathi esiningi, lokhu akuyona into okufanele uyesabe. Namuhla, sizokhuluma ngeqhubu lethambo elinjengaleli. Ngokwezokwelapha, lokhu sikubiza ngokuthi (i-Carpal Boss) .
Iyini le ngqumba emathanjeni e-carpal (i-Carpal Boss)?
Kalula nje, i-carpal boss iyithambo elengeziwe elingaphandle kwesandla sakho. Yilapho iminwe yakho yokukhomba neyophakathi ihlangana khona phansi kwesandla sakho. Izwakala inzima kakhulu , njengethambo, futhi awukwazi ukuyishukumisa . Iningi labantu alizizwa ubuhlungu ngenxa yayo. Abanye abantu bayibiza nangokuthi i-carpometacarpal boss .
Ngezinye izikhathi abantu badidanisa lokhu (iCarpal Boss) nesinye isimo, isibonelo ( iGanglion Cyst). (iGanglion Cyst) futhi kuyiqhubu elivela ethanjeni le-carpal, kodwa aliqinile njengaleli, liyisiqhubu esithambile esigcwele uketshezi ngaphakathi. Ngakho-ke uma unalesi siqhubu, kungcono ukubona udokotela ukuze uthole ukuthi siyini ngempela. Kodwa-ke, uma ungenabo ubuhlungu noma ezinye izinkinga, lesi (iCarpal Boss) asidingi ukwelashwa okukhethekile.
Ziyini izimpawu zalokhu?
Esikhathini esiningi, lesi simo (i-Carpal Bossing) sibonakala esandleni osisebenzisa kakhulu (isandla esibusayo). Lokho kusho ukuthi uma usebenzisa isandla sokudla, sisesandleni sokudla, futhi uma usebenzisa isandla sokhohlo, sisesandleni sokhohlo. Kodwa-ke, kungenzeka kwesinye isandla, futhi ngezinye izikhathi ngisho nasesandleni sobabili.
Uphawu oluyinhloko, njengoba ngishilo ngaphambili, iqhubu eliqinile, elingashukumi phezulu kwethambo lentamo. Iningi labantu alizwa ubuhlungu, kodwa abanye abantu bangase babe nobuhlungu lapho benyakazisa noma begoba ithambo lentamo. Futhi, ungase uzizwe uthambile kancane uma uthinta iqhubu.
Enye into ukuthi lokhu kugobhoza kwamathambo kungacasula imisipha egijima phezu kwesandla. Uma lokho kwenzeka, ungase uzizwe umuzwa "wokuqhekeka" njengoba imisipha idlula phezu kwemisipha lapho uhambisa isandla sakho.
Kungani lolu hlobo lwefindo luvela? (Izimbangela ze-Carpal Bossing)
Uma ngikhuluma iqiniso, odokotela abakakwazi ukusho ngqo ukuthi kungani abanye abantu beba ne-carpal tunnel syndrome. Kodwa-ke, kunezici ezimbalwa okucatshangwa ukuthi zibangela lokhu:
- I-osteoarthritis): Kalula nje, lapho i-cartilage emalungeni akho iphela, amathambo aqala ukukhuhlana. Lokhu kungabangela nokuthi kukhule i-carpal boss.
- Inkinga yokuzalwa: Ngezinye izikhathi lesi simo singase senzeke ngoba amathambo ekhanda awakheki kahle lapho ezalwa.
- Ukusebenzisa ngokweqile: Cabanga nje, uma unomsebenzi osebenzisa isihlakala sakho ngendlela efanayo usuku lonke (isibonelo, ukusebenza embonini yokwakha), noma udlala umdlalo obeka ingcindezi njalo esihlakaleni sakho, njenge-tennis noma i-badminton, leli findo lingase livele ngenxa yokusebenzisa ngokweqile.
- Ukuhlukumezeka : Uma wake waba nokulimala esandleni noma esihlakaleni sakho, njengokuphuka kwethambo noma ukuklwebheka esihlakaleni, lokhu kungaba yimbangela yokuthuthukisa i-carpal boss kamuva.
Ubani osengozini enkulu yalesi simo?
Kutholakale ukuthi lesi simo (iCarpal Boss) sivame ukubonakala kubantu abaneminyaka ephakathi kuka-20 no-40 .
Odokotela bakuthola kanjani lokhu? (Ukuhlonza I-Carpal Boss)
Uma uya kudokotela onesimila esifana nalesi, uzoqala akubuze ngezimpawu zakho . Usunesikhathi esingakanani unesimila, ingabe sibuhlungu, ubuhlungu buqala nini, nokuthi buthinte kanjani imisebenzi yakho yansuku zonke.
Udokotela uzohlola isihlakala sakho . Bazoshukumisa ingalo yakho emuva naphambili ukuze babone ukuthi ungayishukumisa kangakanani (ububanzi bokunyakaza). Bazozwa ilunga bese bebona ukuthi liqinile, likhululekile, noma liyanyakaza.
Ngaphezu kwalokho, udokotela wakho angase akucele ukuhlolwa okukhethekile ukuze anqume ukuthi lokhu kuyi-carpal boss, i-ganglion cyst, noma esinye isimo (isb. i-tendonitis, ukuphuka kwamathambo). Ezinye zalezi zivivinyo zifaka:
- I-X-ray yesihlakala
- Ukuskena nge-ultrasound
- I-CT scan (CT – I-Computed Tomography scan)
- I-MRI – Ukuskena kwe-Magnetic Resonance Imaging
- Ukuhlolwa kwe-EMG (i-Electromyography) (lokhu kuhlola ukusebenza kwezinzwa nemisipha)
Ngemva kwalezi zivivinyo, udokotela angakutshela ngqo ukuthi unani.
Ungasusa kanjani leli qhubu lethambo? (Ukwelashwa kweCarpal Boss)
Ake sithi une-(Carpometacarpal boss), kodwa ayibangeli ubuhlungu., awunankinga enkulu ngaleyo qhubu. Ngakho-ke, udokotela cishe uzothi, "Masingenzi lutho ngakho okwamanje, kodwa ake sibone ukuthi kuyawenza yini umehluko." Okusho ukuthi, bazoyibheka nje ngaphandle kokuyelapha.
Kodwa-ke, uma unezinhlungu noma ezinye izimpawu , khona-ke ukwelashwa kuyadingeka. Ukwelashwa okungadingi ukuhlinzwa ngokuvamile kuyisinqumo sokuqala. Lokhu kufaka phakathi:
- Ukugqoka i-splint yesihlakala: Ukugqoka le-splint kugcina isihlakala sisendaweni eyodwa, kusiphumuze futhi kunciphisa ubuhlungu.
- Iqhwa: Ukusebenzisa iqhwa kunciphisa imithambo yegazi endaweni, kunciphisa ukuvuvukala nokuvuvukala.
- Imithi yokunciphisa ubuhlungu : Ukuthatha imithi yokunciphisa ubuhlungu njenge -acetaminophen kunganciphisa ubuhlungu nokuvuvukala.
- Imijovo ye-steroid : Uma iqhwa kanye nemithi yokubulala izinhlungu kungasizi, udokotela wakho angase afake umjovo we-steroid endaweni ukuze anciphise ubuhlungu nokuvuvukala.
Lezi zindlela zokwelapha ezilula ezingadingi ukuhlinzwa zinikeza impumuzo ezimweni ezingama-70% kuya ku-80% . Lokhu kusho ukuthi abantu abaningi bazokwazi ukuthola impumuzo kulezi zindlela zokwelapha. Kodwa-ke, uma lezi zindlela zokwelapha zinganikezi impumuzo, khona-ke ukuhlinzwa kuyindlela elandelayo ephephile.
Ingabe ukuhlinzwa (ukuhlinzwa kweCarpal Boss) kuzodingeka?
Ukuhlinzwa kweCarpal Boss kuyindlela yokuhlinzwa esusa ithambo esihlakaleni sakho. Akuyona inqubo enkulu yokuhlinzwa . Kuthatha cishe ihora.
Okokuqala, uzonikezwa i-anesthesia yendawo . Lokhu kusho ukuthi uzobe uphapheme, kodwa indawo lapho kuzokwenziwa khona ukuhlinzwa izoba ndikindiki, ngakho ngeke uzwe ubuhlungu. Ngemuva kwalokho, udokotela ohlinzayo uzokwenza i-incision encane engxenyeni engenhla yengalo yakho bese esusa noma enquma i-bone spur. Ngezinye izikhathi, uma kukhona ithambo noma i-cartilage eyonakele ezungeze i-spur, ingasuswa ngesikhathi sokuhlinzwa.
Ngemva kokuhlinzwa, kuzodingeka ugqoke i-splint cishe isonto lonke kuze kube yilapho iqakala lakho liphola. Ngokuvamile uzokwazi ukubuyela emisebenzini yakho evamile zingakapheli amasonto amabili kuya kwayisithupha.
Kwenzekani uma nginalokhu (Carpal Boss)?
Esikhathini esiningi, laba baphathi be-carpal abanangozi futhi ababangeli izinkinga.. Azinabungozi, ngokuvamile azibuhlungu, futhi aziholeli ezinkingeni. Uma une-carpal boss, kodwa ingakukhathazi, ungayishiya yodwa futhi ungakhathazeki ngokwelashwa. Kodwa-ke, udokotela wakho angase athi linda ubone ukuthi iqhubu liyashintsha noma liyakhula.
Kodwa-ke, ngezinye izikhathi lokhu (iCarpal Boss) kungabangela ubuhlungu noma ukungakhululeki . Lokhu kungenzeka uma iqhubu licindezela inzwa noma ligudla elinye ithambo. Uma lokhu kwenzeka, ungase ube nobunzima bokusebenzisa isandla sakho noma ukugoba isihlakala sakho ngezindlela ezithile. Ezimweni ezinjalo, kufanele ukhulume nodokotela futhi ufunde ngezinketho zokwelapha. Ungase uthole ukuthi ukwelashwa okungekona ukuhlinzwa okukhulunywe ngakho ngenhla kuzokunikeza impumuzo. Uma lokhu kungasizi, udokotela wakho angase asikisele ukuhlinzwa.
Ingabe lokhu (i-Carpal Bossing) kungavinjelwa?
Uma sikhuluma iqiniso, kunzima ukuvimbela iningi le-carpal tunnel syndrome ngoba asazi kahle ukuthi iyimbangela. Kodwa-ke, i-carpal tunnel syndrome, ebangelwa ukusetshenziswa ngokweqile, ingavinjelwa ngezinga elithile. Ungakwenza kanjani lokho? Udinga ukuvikela isihlakala sakho uma udlala imidlalo. Kufanele welule imisipha yakho kahle ngaphambi kokudlala, futhi kungadingeka ugqoke i-brace yesandla. Ungabuza nodokotela wakho ukuthi yini enye ongayenza ukuze ugcine isihlakala sakho siphilile.
Kufanele ngimbone nini udokotela?
Uma ubona iqhubu elisha noma iqhubu esihlakaleni sakho, kufanele nakanjani ubone udokotela ukuze akhulume ngakho. Ngoba lokho ongase ucabange ukuthi i-carpal boss kungaba yinto ehlukile, njenge-ganglion cyst engikhulume ngayo ekuqaleni. Izimpawu ze-ganglion cyst zifana kakhulu neze-carpal boss. Zombili zivame ukuba amaqhubu angenabuhlungu esihlakaleni. Kodwa-ke, ngenkathi i-carpal boss iqinile, i-ganglion cyst ithambile futhi igcwele uketshezi. Udokotela wakho anganquma ukuthi iyini nokuthi udinga ukwelashwa yini. Kubalulekile futhi ukuqinisekisa ukuthi akuyona into engathi sína kakhulu .
Yini okufanele ngiyibuze udokotela?
Uma uthola ukuthi une-carpal boss, ungabuza udokotela wakho imibuzo efana nale:
- Ingabe ngidinga ukwelashwa ngokushesha?
- Angakanani amathuba okuthi lokhu (Carpal Boss) kubuye ngemva kokwelashwa?
- Ucabanga ukuthi kufanele ngihlinzwe ngaphansi kwaziphi izimo esithweni sami (seCarpal Boss)?
- Yiziphi izingozi nezinzuzo zokuhlinzwa ukuze kususwe lokhu (iCarpal Boss)?
Ngakho-ke, umyalezo wokugcina okufanele uwuthathe ekhaya uthi:
Iyini leyo ngquza emathanjeni ngemuva kwesandla sakho? Lowo ngumphathi wakho we-carpal. Njengomphathi ehhovisi, lo mphathi we-carpal angaba yinto ecasulayo ngezinye izikhathi. Kodwa, ngenhlanhla, isikhathi esiningi, azinangozi futhi azidingi ukwelashwa.Uma kungekho zimpawu, abantu abaningi bangaphila ngokujwayelekile nalezi zimila.
Kodwa-ke, uma kubangela ubuhlungu noma okunye ukungakhululeki, kunezindlela zokwelapha ezingasiza ekunciphiseni . Ngakho-ke, uma leso silonda esisesandleni sakho sikukhathaza, khuluma nodokotela nakanjani. Ungakhathazeki, isikhathi esiningi kuyinto engalungiswa kalula!











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