Ukuqaqamba kwezandla nobuhlungu esihlakaleni? Ake sixoxe nge-Carpal Tunnel Syndrome!

Ingabe ngezinye izikhathi uvuka ebusuku unesandla esingenamsebenzi? Noma uzizwa uthukuthele futhi uzwa ubuhlungu uma ubamba ifoni yakho, uthayipha kukhompyutha, noma uzizwa sengathi awukwazi ukubamba lutho kahle? Lezi akuzona izimpawu okufanele uzishaye indiva. Namuhla sizokhuluma nge -Carpal Tunnel Syndrome , isimo esithinta abantu abaningi, kodwa esingabangela izinkinga ezithile uma singelashwa kahle.

Iyini i-Carpal Tunnel Syndrome? Kalula nje…

Cabanga ukuthi kukhona umhubhe omncane odlula esihlakaleni sakho ungene esandleni sakho. Ngokwezokwelapha, lokhu sikubiza ngokuthi “umhubhe weCarpal.” Kufana nomhubhe odlula entabeni, kodwa awuwenzelwe izimoto. Ngaphakathi kwalo mhubhe, kunezinzwa ezibalulekile, imisipha , kanye nemisipha eletha umuzwa esandleni sakho futhi ikusize ukuhambisa isandla sakho sidlule.

Manje, uma i-median nerve, i-nerve eyinhloko ngaphakathi kwalomhubhe we-carpal, icindezelwe noma icindezelwe ngesizathu esithile, lokhu okubizwa ngokuthi i-carpal tunnel syndrome kwenzeka. I-median nerve yiyo esisiza siphendule ingalo yethu futhi sinikeze umuzwa eminweni eminingi. Ngakho-ke lapho le nzwa icindezelwe, iqala ukuthumela izimpawu ezingalungile esandleni naseminweni. Yilapho-ke ukuba ndikindiki nobuhlungu okukhulunywe ngabo ekuqaleni kuqala khona. Kalula nje, lokhu kufana nokucindezela ipayipi lamanzi nokunciphisa ukugeleza kwamanzi.

Uma uzwa ubuhlungu, ukungazweli, noma ukuqaqamba esandleni sakho noma esihlakaleni, bheka udokotela ngokushesha. Lesi simo sivame ukuphela ngokwelashwa. Kodwa-ke, uma singelashwa, singadala umonakalo ongapheli emthanjeni ophakathi.

Sivame kangakanani lesi simo?

I-Carpal Tunnel Syndrome empeleni ivame kakhulu. Ucwaningo lubonisa ukuthi cishe abantu abathathu kwabayi-1,000 emhlabeni bahlushwa yilesi simo minyaka yonke. Ngakho-ke uma unalezi zimpawu, awuwedwa.

Yiziphi izimpawu eziyinhloko zalokhu? Ukubona kanjani?

Izimpawu ze-carpal tunnel syndrome zivame ukukhula kancane kancane. Zingase ziqale njengokungakhululeki okuncane futhi zibe zimbi kakhulu ngokuhamba kwesikhathi.

• Ukuba ndikindiki esihlakaleni, esandleni, noma eminweni: ikakhulukazi uzwane olukhuluLokhu kuba ndikindiki kungazwakala cishe engxenyeni yomunwe wokukhomba, umunwe ophakathi, kanye nomunwe wendandatho. Ngezinye izikhathi iminwe izwakala sengathi ayinampilo.
• Ubuhlungu esihlakaleni, esandleni, noma eminweni: Lobuhlungu ngezinye izikhathi bungazwakala njengomuzwa wokushisa noma umuzwa wokugwazwa.
• Umuzwa wokuthuthumela esandleni: Kufana nomuzwa lapho isandla silala.
• Ubunzima bokubamba noma ukulawula into ethile: Isibonelo, ungase uzizwe sengathi awunawo amandla esandleni sakho lapho ubamba ifoni, ubamba isiteringi semoto, ubhala ngepeni, noma uthayipha kukhompyutha. Ngisho nenkomishi ingase izwakale sengathi izama ukuphuma esandleni sakho.

Lezi zimpawu zivame ukuvela ebusuku. Ubuhlungu noma ukuba ndikindiki kungase kukuvuse ebuthongweni. Ngokuhamba kwesikhathi, lezi zimpawu zingase ziqale ukwenzeka emini, ikakhulukazi uma ungumuntu owenza uhlobo olufanayo lomsebenzi (isib. ukuthayipha, ukubhala, ukusebenzisa ithuluzi).

Kwabanye abantu, lokhu kuzwakala sengathi isandla sabo “silele.” Bese bezwa sengathi bavula isibhakela ngokushaya izandla, njengokungathi bathela amanzi esandleni sabo bese besivula.

Ubuhlungu buvame ukuzwakala sengathi buvela ngaphakathi kwesandla, hhayi njengokulimala kwesikhumba. Abanye abantu bazizwa sengathi banamandla amancane ezandleni zabo, futhi abakwazi ukubamba izinto. Bangase babe nobunzima nokwenza imisebenzi ebucayi njengokufaka izinkinobho zehembe noma ukufaka ukhiye embobeni yokhiye.

Kungani sithola i-Carpal Tunnel Syndrome? Ziyini izimbangela?

Njengoba kushiwo ngaphambili, isizathu esiyinhloko ukuthi i-median nerve icindezelwa kakhulu. Isikhala esingaphakathi komhubhe we-carpal silinganiselwe. Ngakho-ke uma noma iyiphi ingxenye yesihlakala ivuvukala noma yonakele, ingacindezela ezinye izicubu. Yilapho i-median nerve icindezelwa khona. Inkinga iqala.

Nazi ezinye izinto ezingabangela ukuba isihlakala sakho sivuvuke futhi siqine:

• Ukulimala okuphindaphindiwe kokucindezeleka: Isibonelo, umuntu othayipha kukhompyutha usuku lonke, umuntu othunga izingubo, noma umuntu osebenza njalo ngethuluzi elinjengesando.
• Izimo ze-arthritis : ikakhulukazi i-rheumatoid arthritis .
• Ukuphuka kwesihlakala noma ukuphuka.
• Izinto ezifana nama-ganglion cysts akheka esihlakaleni.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Nakuba noma ubani engaba nalesi simo, abanye abantu basengozini enkulu:

• Abantu abavame ukwenza uhlobo olufanayo lokunyakaza ngezandla nasezihlakaleni zabo: isib., ukushaya ngesando, ukusebenza nge-screwdriver, ukupenda.
• Abantu abasebenzisa imishini kagesi edlidlizayo (amathuluzi kagesi): isib. imishini yokubhoboza, izinsimbi zokushaqa.
• Abesifazane abakhulelwe: Ukuvuvukala kungenzeka ngenxa yokugcinwa koketshezi emzimbeni ngesikhathi sokukhulelwa.
• Abesifazane: Lesi simo sivame kakhulu kwabesifazane kunabesilisa, mhlawumbe ngenxa yobukhulu obuncane bomhubhe we-carpal.
• Abantu abangaphezu kweminyaka engama-40 ubudala.
• Uma othile emndenini enalesi simo (kungase kube yisifo sofuzo).

Ngaphezu kwalokho, ezinye izimo ezingamahlalakhona zingase zandise ingozi yokuthuthukisa i-carpal tunnel syndrome:

• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• I-Gout
• I-Hypothyroidism (i-thyroid engasebenzi kahle)
• Isifo Sikashukela (i-Diabetes Mellitus)`
• Ukukhuluphala ngokweqile
• Izimo ezingavamile njenge-amyloidosis.

Yiziphi izinkinga ezingabangelwa yilokhu? Ingabe kufanele ngikhathazeke?

Akukho okufanele ukwesabe, kodwa akuwona umqondo omuhle ukungayinaki. Uma kungaxilongwa futhi kungalashwa ngokushesha udokotela, ukucindezeleka esihlakaleni kungabangela umonakalo ohlala njalo emsipheni ophakathi. Uma lokhu kwenzeka, kungaba nzima, uma kungenzeki, ukuzwa, ukunyakaza, nokwenza imisebenzi yansuku zonke esandleni.

Ngakho-ke, uma usola kancane ukuthi unezimpawu ze-carpal tunnel syndrome, funa iseluleko sezokwelapha ngokushesha.

Udokotela wazi kanjani ukuthi lokhu kukhona noma cha?

Udokotela uvame ukuqinisekisa lokhu ngokwenza ukuhlolwa okuningana ngokomzimba kanye nezinye izivivinyo uma kudingeka.

• Ukuhlolwa komzimba: Udokotela uzohlola isihlakala sakho, isandla, kanye neminwe. Bazokubuza ngezimpawu zakho. Cacisa ukuthi usunesikhathi esingakanani unalezi zinkinga, ukuthi ziba zimbi nini, nokuthi ziya ziba zimbi yini uma wenza noma yini.
• Ukuhlolwa okukhethekile:
• Uphawu lukaTinel: Udokotela uzothinta kancane i-median nerve edlula esihlakaleni sakho. Bazobe sebehlola ukuthi akukho yini ukungezwani noma ukuthuthumela.
• Ukuhlolwa kukaPhalen: Izandla zakho zibekwe ndawonye ngemuva komhlane wakho, izihlakala zakho zigobile, bese ucelwa ukuthi uzibambe cishe umzuzu. Bese behlola ukuthi azinamizwa noma azinabuhlungu.
• Ama-X-ray esihlakaleni: Ungase ucelwe ukuthi uthathe i-X-ray ukuze uhlole enye inkinga, njenge-arthritis, noma ukuphuka kwethambo.
• I-Electromyography (EMG): Lokhu kulinganisa umsebenzi kagesi wezinzwa nemisipha. Kungabona umonakalo wezinzwa.
• Ukuskena kwe-Ultrasound: Ubukhulu be-median nerve kanye nezicubu ezizungezile bungabonakala.
• I-MRI Scan `(MRI)`:Ngezinye izikhathi i-MRI ingenziwa ukuze kutholakale isithombe esicacile nokubona ukuthi kukhona yini ingcindezi emsipheni evela kwenye imbangela.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungelapheka?

Yebo, nakanjani! Esikhathini esiningi , ukwelashwa okulula okungekona ukuhlinzwa kuyisinyathelo sokuqala. Ukuhlinzwa kucatshangelwa kuphela uma kungasizi.

Ukwelashwa okungekona ukuhlinzwa (ukwelashwa okuvamile)

• Ukugqoka i-splint: Udokotela wakho angase akuncome ukuthi ugqoke i-splint ephakamisa isihlakala sakho, ikakhulukazi ebusuku, ngenkathi ulele. Lokhu kuzonciphisa ingcindezi emsipheni ophakathi.
• Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuze uqinise imisipha ezungeze isihlakala sakho futhi wandise ukuguquguquka.
• Ukushintsha indlela oma ngayo kanye nendawo osebenza kuyo: Udokotela wezokwelapha angakusiza ukunciphisa ukungakhululeki ngokushintsha izinto ezifana nendlela osebenza ngayo, indlela ohlala ngayo, kanye nendlela obamba ngayo ikhibhodi yekhompyutha.
• Ama-Painkiller: Udokotela wakho angase akunike imithi yokunciphisa ubuhlungu nokuvuvukala, njenge-paracetamol noma imithi engeyona i-steroidal anti-inflammatory (NSAIDs). Kodwa-ke, ungazisebenzisi njalo izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela wakho.
• Imijovo ye-Corticosteroid: Lena imithi enamandla yokulwa nokuvuvukala. Udokotela wakho angakunika umjovo we-corticosteroid ngqo emhubheni wakho we-carpal.

Ukuhlinzwa kweCarpal Tunnel Syndrome

Uma ukwelashwa okuvamile okukhulunywe ngakho ngenhla kungasizi, noma uma isimo sibi kakhulu, udokotela wakho angase aphakamise ukuhlinzwa kokukhululwa komhubhe we-carpal . Kule nqubo, udokotela ohlinzayo usika ucezu oluncane lomsipha we-carpal onqamula esihlakaleni oluxhumanisa isandla nesandla, okwandisa isikhala ngaphakathi komhubhe we-carpal. Lokhu kunciphisa ingcindezi emsipheni ophakathi, okuvumela imizwa kanye nemisipha ukuthi ihambe ngokukhululeka.

Lokhu ngokuvamile akuyona inqubo enkulu, futhi inqubo yokulaliswa esibhedlela lapho ungaya ekhaya ngalolo suku . Udokotela wakho ohlinzayo uzochaza konke ngaphambi kokuhlinzwa.

Ngizoqala nini ukuzizwa ngingcono ngemva kokwelashwa?

Uzoqala ukuzizwa ungcono ngokushesha nje lapho uqala ukwelashwa. Ukwelashwa okungekona ukuhlinzwa kungathatha amasonto ambalwa (noma ngisho nangaphezulu) ukunciphisa ingcindezi emsipheni ophakathi, kodwa izimpawu kufanele zithuthuke kancane kancane.

Ngemva kokuhlinzwa, izimpawu kufanele ziphele njengoba isihlakala siphola. Ngokuvamile, ukululama okuphelele kungatholakala phakathi nenyanga eyodwa noma ezimbili.

Uma nginalesi simo, yini okufanele ngiyilindele?

Kungadingeka wenze izinguquko ezincane emisebenzini yakho yansuku zonke, zama ukwelashwa okungekhona ukuhlinzwa ukuze usekele isihlakala sakho, futhi unciphise ukuvuvukala. Udokotela wakho uzoncoma ukwelashwa okuzosiza ekunciphiseni izimpawu futhi kuvimbele ukulimala kwemizwa.

Kungathatha isikhathi ukuthola ukwelashwa okufanele, kodwa abantu abaningi bangathola impumuzo. Khumbula, into ebaluleke kakhulu ukuqala ukwelashwa ngokushesha okukhulu.

Udokotela uzoncoma ukuhlinzwa kuphela uma ukwelashwa okuvamile kungasebenzi, noma uma isimo sibi kakhulu.

Ingabe kukhona esingakwenza ukuvimbela lokhu ukuthi kungenzeki?

Kunzima ukuvimbela ngokuphelele i-carpal tunnel syndrome, ikakhulukazi uma ibangelwa yisimo ongakwazi ukusilawula noma umsebenzi owenzayo. Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yakho:

• Yenza izivivinyo zokuzelula ngaphambi nangemva kwemisebenzi ekhandla izandla nezingalo zakho.
• Gqoka imishini yokuphepha efanele lapho usebenza noma udlala imidlalo.
• Phumula kaningi lapho usebenza ngezandla zakho.
• Uma usebenzisa imishini, okuhlanganisa nokuthayipha kukhompyutha, gcina ukuma okuhle futhi usebenzise amasu afanele.

Ingabe i-Carpal Tunnel Syndrome iyelapheka yodwa?

Ngezinye izikhathi, uma uphumuza isihlakala sakho futhi uyeka ukwenza uhlobo olufanayo lokunyakaza isikhashana, izimpawu zingase ziphele zodwa. Kodwa-ke, cishe ngeke kube ngcono ngaphandle kokwelashwa.

Kungcono ukubona udokotela ngokushesha nje lapho uzizwa ungenamizwa, ubuhlungu, noma unomuzwa wokuba nemizwa yokuba nemizwa esandleni sakho, esihlakaleni, noma eminweni kunokubangela umonakalo ongapheli emsipheni ophakathi.

Yimiphi imibuzo okufanele ngiyibuze udokotela ngalokhu?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Ingabe ngempela nginayo i-carpal tunnel syndrome, noma ingabe enye inkinga yesihlakala?
• Iyini imbangela yesimo sami?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe kuzodingeka ngihlinzwe?
• Hlobo luni lwe-splint okufanele ngiluthole? Kufanele ngilugqoke isikhathi esingakanani?

Yikuphi ukwelashwa okungcono kakhulu kwalokhu?

Ayikho impendulo eyodwa efaneleka kakhulu kulokhu. Ukwelashwa okungcono kakhulu kuzoncika embangela ye-carpal tunnel syndrome yakho nokuthi isimo sibi kangakanani.

Iningi labantu lingakwazi ukubhekana nalokhu ngokwelashwa okulula. Kodwa ngezinye izikhathi ukuhlinzwa kuyisisombululo esingcono kakhulu. Ayikho impendulo efanele noma engalungile uma kukhulunywa ngempilo yakho. Udokotela wakho uzochaza ukuthi yikuphi ukwelashwa okufanele wena nokuthi kungani.

Ngingazi kanjani ukuthi nginesi sifo se-carpal tunnel syndrome?

Akuwona wonke umuntu obhekana nalokhu ngendlela efanayo. Ungase uqale uqaphele izimpawu ebusuku. Ungase uvuke ebuthongweni unezinhlungu kanye nokungakhululeki esihlakaleni sakho. Noma, ungase uzwe ukungakhululeki esihlakaleni kusihlwa ngemva kokusebenza ngezandla zakho usuku lonke.

Into ebaluleke kakhulu ukuthi udokotela kuphela ongaqinisekisa ukuthi unesifo se-carpal tunnel syndrome noma enye inkinga yesandla. Ngisho noma ungenayo i-carpal tunnel syndrome, udokotela wakho angakusiza ukuthola imbangela yezimpawu zakho futhi akwelaphe.

Kungaba yinto eyesabekayo futhi ekhathazayo lapho okuthile kuphazamisa ikhono lakho lokusebenzisa izandla nezinyawo zakho. I-Carpal tunnel syndrome ingenye yalezi zimo. Kodwa khumbula, kuyisimo esingelapheka uma sitholakale kusenesikhathi.

Umlayezo Wokuya Nawe Ekhaya

Uma unezimpawu ezifana nokungazweli, ubuhlungu, noma ubuthakathaka esandleni sakho noma esihlakaleni, ungazinaki nje. Ukucabanga ukuthi, "Kuzophela ngokwako," kungaholela ekulimaleni okungapheli emthanjeni wakho ophakathi.

I-Carpal Tunnel Syndrome yisimo esingelapheka. Udokotela wakho angakusiza ukuthi uphathe izimpawu zakho futhi avimbele ukulimala okwengeziwe esihlakaleni sakho. Ngakho-ke, uma uzizwa ungakhululekile, funa usizo lwezokwelapha ngokushesha. Izandla zakho zibaluleke kakhulu kuwe, akunjalo?

I- Carpal Tunnel Syndrome, I-Median Nerve, Ukuba ndikindiki Kwesandla, Ubuhlungu Besihlakala, Ukucindezelwa Kwezinzwa, I-Carpal Tunnel, I-Splint, Ukwelashwa Komzimba