Ingabe umunwe wakho omncane kanye nomunwe wakho wendandatho kuyathuthumela? Kungaba yi-Cubital Tunnel Syndrome!

Wake wazizwa umuzwa ongavamile njengokushaqeka kwehle engalweni yakho uma ushaya indololwane yakho? Sonke sihlekisa ngokuthi "ithambo elihlekisayo." Kodwa akulona ithambo ngempela. Umuzwa ovela emthanjeni obaluleke kakhulu ogijima ngaphakathi kwendololwane yakho. Ngezinye izikhathi lo mzwa umane ucindezelwe. Khona-ke umunwe wakho omncane nomunwe wendandatho kungazwakala kungezwakali futhi kubuhlungu. Yilokho esikubiza ngokuthi i-Cubital Tunnel Syndrome. Ake sixoxe ngakho ngamazwi alula namuhla.

Kalula nje, iyini i-Cubital Tunnel Syndrome?

I-Cubital tunnel syndrome yisimo lapho i-ulnar nerve, etholakala ngaphakathi kwendololwane yethu, icindezelwa noma icindezelwa. Lokhu kubizwa nangokuthi i-ulnar nerve entrapment.

Manje ungase uzibuze ukuthi iyini i-Ulnar nerve. Ubuchopho bomzimba wethu buthwala imiyalezo kuwo wonke umzimba ngemizwa. Njengezintambo zikagesi. Sinemizwa emithathu eyinhloko esandleni sethu. Omunye wayo i-Ulnar nerve. Iqala entanyeni yethu, yehle engalweni yethu, bese iphela entendeni yesandla sethu.

Njengoba lo mthambo udlula endololwaneni, udlula emhubheni omncane owenziwe ngethambo nezinye izicubu. Yilokhu esikubiza ngokuthi umhubhe we-cubital . Lo mhubhe utholakala ngaphansi kweqhubu elincane lethambo ngaphakathi kwendololwane. Ngokwezokwelapha, sibiza lo mhubhe ngokuthi i-medial epicondyle . Ungawuzwa ngesandla sakho, lelo thambo elicijile ngaphakathi kwendololwane. Yilokho okuzwakalayo uma ushaya lelo "thambo elihlekisayo."

Lo mhubhe mncane kakhulu. Futhi kunezicubu ezincane kakhulu zokuvikela lo mthambo. Ngakho-ke amathuba okulimala kwalo mthambo aphezulu. Uma ngesizathu esithile umthambo ucindezelwa noma ubhajwe ngaphakathi kulo mhubhe, yilapho kuvela khona izimpawu ze-cubital tunnel syndrome.

Kwenzekani esandleni sethu ngale nzwa ye-ulnar?

Lo mthambo ubaluleke kakhulu ekusebenzeni kwesandla sethu.

• Ukubamba: Lo mzwelo ulawula eminye yemisipha emikhulu esezandleni zethu, ngakho-ke usisiza ukubamba izinto ngokuqinile.
• Ukuzwa ngeminwe: Lo mzwelo unikeza umuzwa kumunwe wakho omncane kanye nohlangothi olukhanyayo lomunwe wakho wendandatho.
• Ukunyakaza okuhle: Lo mthambo ulawula imisipha eminingi emincane esandleni. Lo mthambo ubalulekile ekunyakazeni okuhle, njengokuthayipha kukhompyutha noma ukudlala insimbi yomculo.

Ngakho-ke manje usuyaqonda ukuthi hlobo luni lwezinkinga olungavela uma lo mzwa ucindezelwa.

Ubani osengozini enkulu yalesi simo?

Kunezici ezithile eziyingozi ezingaba nomthelela ekuthuthukisweni kwe-cubital tunnel syndrome. Kodwa-ke, akuwona wonke umuntu onalezi zinto ozoqala lesi sifo. Kodwa-ke, abanye abantu basengozini enkulu kunabanye.

• Ukuba nesifo samathambo endololwaneni.
• Ukugcina izindololwane zakho zigobile isikhathi eside (isibonelo, ukugcina izingalo zakho zigobile nangaphansi kwekhanda lakho ngenkathi ulele).
• Ukuba khona kwama-spurs amasha ethambo akhula emathanjeni endololwaneni.
• Ama-cysts esihlanganisi sendololwane.
• Ukuba nomlando wokukhumuka kwendololwane ngaphambilini.
• Njengoba ngike ngaphuka indololwane ngaphambilini.
• Ukuvuvukala kwelunga lendololwane.

Uyini umehluko phakathi kweCarpal Tunnel Syndrome neCubital Tunnel Syndrome?

Yilapho abantu abaningi bedideka khona. Nakuba zombili lezi zimo zibangelwa ukucinana komthambo, umthambo othintekile nendawo izimpawu ezikuyo kuhlukile.

Kungani kwenzeka i-cubital tunnel syndrome?

Ngezinye izikhathi ngisho nodokotela angase angakwazi ukuthola imbangela eqondile, kodwa kunezimbangela ezimbalwa ezivamile.

• I-Anatomy: Abanye abantu bangase babe nongqimba olukhulu lwezicubu phezu kwe-ulnar nerve. Noma bangase babe nemisipha eyengeziwe. Lezi zinto zingabangela ukuba i-nerve icindezelwe ngokuhamba kwesikhathi.
• Ingcindezi: Zicabange usebenza njalo ngendololwane yakho etafuleni, noma ubeka indololwane yakho esisekelweni sengalo yesihlalo sakho. Ngisho nento elula njengalena ingabeka ingcindezi eqhubekayo emthanjeni we-ulnar. Khona-ke isandla sakho, umunwe omncane, kanye nomunwe wendandatho kuqala ukuzwakala sengathi kuyathuthumela.
• Ukuqhekeka kwenzwa: Abanye abantu bazwa inzwa ye-ulnar iqhekeka emuva naphambili lapho begoba noma beqondisa indololwane yabo. Uma lokhu kuqhubeka, inzwa ingalimala futhi ivuvuke.
• Ukuzelula: Uma ugcina indololwane yakho igobile isikhathi eside (ikakhulukazi lapho ulele), imizwa inganwebeka kakhulu. Lokhu kwelula njalo nakho kuyimbangela yalesi simo.

Ziyini izimpawu zalesi simo?

Uma ube nezimpawu ezingezansi isikhathi esingaphezu kwamasonto ayisithupha , noma uma ucabanga ukuthi zinzima kakhulu , qiniseka ukuthi ubona udokotela wakho. Lokhu kungenxa yokuthi uma kungelashwa, lokhu kucindezela kwemizwa kungaholela ekulahlekelweni kwemisipha esandleni. Lokhu kusho ukuthi isandla singase sibe buthakathaka futhi sibe buthaka. Kodwa-ke, uma uthola ukwelashwa ngokushesha, lezi zimpawu zingalawulwa noma zelapheke ngokuphelele.

Izimpawu eziyinhloko yilezi:

• Ukuqaqamba kanye nezikhonkwane nezinaliti ezandleni naseminweni. Lokhu akuvamile, kuyafika kudlule.
• Ubuhlungu ngaphakathi kwendololwane.
• Kunzima ukuhambisa iminwe yakho kahle uma ingezwani.
• Ubunzima bokubamba izinto, ukubamba ngesandla okubuthakathaka.
• Ngokuhamba kwesikhathi, imisipha esandleni iba buthakathaka futhi isandla siba sincane.

Lezi zimpawu, ikakhulukazi ukuqaqamba nobuhlungu, zivame ukuzwakala lapho indololwane igobile . Isibonelo:

• Uma ushayela imoto
• Uma ubamba ifoni futhi ukhuluma
• Ngesikhathi ulele

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba. Ngemva kwalokho, angase akuncomele ukuhlolwa okuningana ukuqinisekisa isifo nokunquma ubukhali baso.

• Ukuhlolwa kwegazi: Hlola ezinye izimo zezokwelapha, njengesifo sikashukela noma isifo se-thyroid.
• Ukuhlolwa kwe-X-ray: Hlola izinkinga ngamathambo endololwaneni (i-bone spurs, i-arthritis) bese ubona ukuthi ithambo liyayicindezela yini imizwa.
• Izifundo Zokuqhutshwa Kwezinzwa kanye Nokuhlolwa Kwe-EMG: Lolu vivinyo olubaluleke kakhulu lokuxilonga lesi sifo. Lubizwa nangokuthi i-Electromyogram (EMG) . Lulinganisa ijubane lemizwa kanye nomsebenzi wemisipha. Lolu vivinyo lunganquma ngqo ukuthi inzwa icindezelwe kuphi nokuthi icindezelwe kangakanani.

Iphathwa kanjani?

Kunezinhlobo ezimbili zokwelapha lesi simo: ukwelashwa okungadingi ukuhlinzwa kanye nokuhlinzwa. Odokotela bahlala bezama ukwelapha lesi simo ngaphandle kokuhlinzwa kuqala.

Ukwelashwa Okungahlinzwa

• Ukugqoka i-brace noma i-splint ukuze ugcine i-elbow yakho iqondile: I-elbow yakho ivame ukugoba, ikakhulukazi ebusuku uma ulele. Ukuze uvimbele lokhu, udokotela wakho angase akuncome ukuthi ufake i-brace noma i-splint ukuze kusize ukugcina i-elbow yakho iqondile.
• Ukuzivocavoca: Kunezivivinyo ezikhethekile (izivivinyo zokushelela kwemizwa) ezisiza imizwa ukuthi ihambe kalula emhubheni womzimba. Lokhu futhi kusiza ukuvimbela ukuba ndikindiki esandleni nasesihlakaleni. Kodwa-ke , kufanele ubuze udokotela wakho noma isazi se-physiotherapist ukuthi yiziphi izivivinyo ezifanele wena.
• Ukwelashwa Ngezandla: Udokotela wezandla angakufundisa ukuthi ungenza kanjani imisebenzi yakho yansuku zonke ngaphandle kokucindezela i-ulnar nerve.
• Ama-Painkiller (ama-NSAID): Imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen inganciphisa ukuvuvukala okuzungeze imizwa futhi ilawule ubuhlungu. Kodwa-ke, lokhu kufanele kusetshenziswe kuphela ngaphansi kweseluleko sikadokotela.

Ukwelashwa Kokuhlinzwa

Uma ukwelashwa okungenhla kungasizi, uma inzwa iqine kakhulu, noma uma imisipha iqala ukuba buthaka, udokotela wakho angase akuncome ukuhlinzwa. Ngenxa yalokhu, ngokuvamile uzothunyelwa kudokotela ohlinzayo wamathambo.

Kunezinhlobo eziningana eziyinhloko zokuhlinzwa:

• Ukukhululwa komhubhe we-Cubital:Lapha, udokotela ohlinzayo usika umsipha osebenza njengophahla lomhubhe we-cubital futhi wandise umhubhe, enciphisa ingcindezi emthanjeni.
• Ukuguqulwa kwangaphambi kwe-Ulnar nerve: Kulokhu kuhlinzwa, i-nerve isuswa ngemuva kwethambo le-elbow bese ibekwa phambi kwethambo (eduze kwesikhumba). Lokhu kuvimbela i-nerve ukuthi ingacindezelwa yithambo lapho i-elbow igobile.
• Ukuhlinzwa kwe-medial epicondylectomy: Lokhu kuhilela ukususa ingxenye encane yeqhubu lamathambo (medial epicondyle) ngaphakathi kwendololwane lapho inzwa icindezelwe khona, okuvumela inzwa ukuthi ihambe ngokukhululeka.

Lokhu kuhlinzwa kuvame ukwenziwa ngaphandle kwesibhedlela, okusho ukuthi ungaya ekhaya ngalolo suku ngaphandle kokudinga ukuhlala esibhedlela. Kodwa-ke, kungadingeka uhlale esibhedlela ubusuku bonke. Kuzodingeka ugqoke i-splint amasonto amabili kuya kwamathathu ngemva kokuhlinzwa. Ungabe usudinga i-physiotherapy ukuze ubuyisele ukunyakaza namandla esandleni sakho.

Yini esingayenza ukuvimbela lesi simo?

Nakuba kungenakuvinjelwa ngokuphelele, kunezinto eziningana ongazenza ukuze unciphise ingozi.

• Ungazisindisi izindololwane zakho. Gwema umkhuba wokubeka izindololwane zakho ezihlalweni zamatafula nezihlalo.
• Uma usebenza ehhovisi, lungisa ukuphakama kwesihlalo sakho ukuze izindololwane zakho zingagobi ngaphezu kuka-90° .
• Uma ulala ebusuku, zama ukulala uqonde izindololwane zakho . Sebenzisa into efana nomcamelo uma kudingeka.
• Gwema imisebenzi edinga ukuthi ugobe izindololwane zakho isikhathi eside (isib., ukukhuluma ocingweni njalo).