Ingabe ngezinye izikhathi uvuka ebusuku unesandla esingenamizwa? Noma ingabe iminwe yakho iyaba nemizwa ngenkathi usebenza kukhompyutha, usebenzisa ifoni yakho, noma ushayela imoto? Esinye sezizathu eziyinhloko zalokhu kungaba yisimo esibizwa ngokuthi i-Carpal Tunnel Syndrome . Ngakho-ke uma uya kudokotela ukuze umtshele ngalolu hlobo lokungakhululeki, namuhla sikhuluma ngokuhlolwa okulula kakhulu nokuthola ukuthi unalokhu. Lokhu kubizwa ngokuthi i-Phalen's Test.
Kuyini Ukuhlolwa KukaPhalen?
Kalula nje, lokhu ukuhlolwa komzimba okulula kakhulu okwenziwa udokotela wakho ehhovisi, ngaphandle kwemishini ekhethekile. Kubizwa nangokuthi uphawu lukaPhalen. Udokotela wakho uzokuqondisa ukuthi ubambe isandla sakho nesihlakala sakho ezindaweni ezithile.
Lezi zikhundla zibeka ingcindezi encane ku -Median Nerve, inzwa ebaluleke kakhulu edlula esihlakaleni sakho. Cabanga ngakho njengokucindezela ipayipi lamanzi. Ngakho-ke, uma une-Carpal Tunnel Syndrome ngempela, lapho le nzwa icindezelwa kancane, uzozwa ukuqaqamba noma ukuba ndikindiki eminweni yakho. Uma lezi zimpawu zivela, kuzonikeza udokotela wakho umbono omuhle wokuthi ungase ube nalesi simo.
Khumbula, lesi yisinyathelo esisodwa kuphela ekuxilongweni. Ngemva kwalokhu kuhlolwa, kungase kwenziwe ezinye izivivinyo ukuqinisekisa ukuxilongwa.
Kungani kwenziwa lokhu kuhlolwa? Ake sixoxe kancane nge-Carpal Tunnel Syndrome.
Ukuze siqonde lokhu kuhlolwa, sidinga ukwazi okuncane ngokuthi iyini i-Carpal Tunnel Syndrome.
Cabanga ukuthi kukhona umhubhe omncane esihlakaleni sakho. Yilokhu esikubiza ngokuthi i-Carpal Tunnel . Lo mhubhe wakhiwe ngethambo elincane kanye ne-ligament esihlakaleni. Ngaphakathi kwalo mhubhe, imisipha esisisiza sigobe iminwe yethu kanye ne-Median Nerve enikeza umuzwa esandleni iyadlula.
Ngakho-ke, uma ngesizathu esithile kukhona ukuvuvukala ngaphakathi kwalomhubhe, noma uma ngesizathu esithile isikhala ngaphakathi sincipha, i-median nerve engikhulume ngayo iqala ukucindezelwa nokucindezelwa. Yilokho esikubiza ngokuthi i-Carpal Tunnel Syndrome.
Uma le nzwa icindezelwa, kungase kube nezimpawu ezifana nokungazweli, ukuqaqamba, ubuhlungu, kanye nokulahlekelwa amandla ngesandla ngezinye izikhathi, ikakhulukazi esithupheni, kumunwe wokukhomba, kumunwe ophakathi, kanye nengxenye yomunwe wendandatho .
Uyenza kanjani kahle i-Phalen's Test?
Lokhu kulula kakhulu. Awudingi noma yikuphi ukulungiselela okukhethekile. Udokotela uzokukhombisa ngokucacile ukuthi ungakwenza kanjani.
1. Okokuqala, thatha izandla zakho zilingane cishe nesinqe, bese uzibeka ohlangothini lwangemuva lwezandla zakho. Ukuze uqonde kahle, phendula izintende zakho zibheke ngaphandle bese ubeka ingemuva lezandla zakho ndawonye.
2. Okulandelayo, ugcine izandla zombili zisesimweni esifanayo, phakamisa izindololwane zombili zize zibe sezingeni lesifuba. Kuleli qophelo, izihlakala zizobe sezigobile ngokuphelele.
3. Manje udokotela uzokutshela ukuthi uhlale kulesi simo cishe umzuzu .
4. Udokotela uzokubuza ukuthi ngabe ubhekene nanoma yikuphi ukungakhululeki, ukusha, noma okunye ukungakhululeki eminweni yakho ngalesi sikhathi.
Ingabe lokhu kunjalo nangokuhlolwa kwe-Reverse Phalen?
Yebo, lena enye indlela yokuhlola i-Carpal Tunnel Syndrome. Ngezinye izikhathi udokotela angenza zombili lezi zivivinyo.
Yenza lokhu ngakolunye uhlangothi. Beka izandla zakho ndawonye njengokungathi ugobile bese welula izindololwane zakho emaceleni. Bese, ngendlela efanayo, wehlisa izandla zakho ziye ezingeni lesisu sakho. Udokotela uzokutshela ukuthi uhlale kulesi simo cishe umzuzu. Kuleli qophelo, bazohlola futhi ukuthi izimpawu ozikhulumile ziyavela yini.
Iyini imiphumela yokuhlolwa futhi kwenzekani ngemva kwalokho?
Udokotela uzohlukanisa imiphumela yakho ngokuthi "Mihle" noma "Mibi" .
- Ukuhlolwa Kwe-Phalen Okuhle: Lokhu kusho ukuthi uhlangabezane nezimpawu (njengokungazweli nobuhlungu) ezihlobene ne-Carpal Tunnel Syndrome ngesikhathi sokuhlolwa.
- Ukuhlolwa kukaPhalen Okungalungile: Lokhu kusho ukuthi awuzange uzizwe ungakhululekile ngesikhathi sokuhlolwa.
Kodwa khumbula, ngezinye izikhathi ngisho noma umphumela ungemuhle, ungase ube ne-Carpal Tunnel Syndrome. Yingakho udokotela ezobe eqaphela kakhulu izimpawu nezinye izinto ozichazayo.
Ngemva kwalokhu kuhlolwa, udokotela angase ancome ezinye izivivinyo eziningana ukuqinisekisa ukuxilongwa noma ukubona ukuthi yimuphi umonakalo owenziwe emsipheni.
- Ukuskena kwe-MRI (Magnetic Resonance Imaging): Ukuze ubone ngokucacile izakhiwo ezingaphakathi kwesandla.
- Ukuskena nge-ultrasound: Ukubona usayizi we-median nerve nokuthi icindezelwe yini.
- Ukuhlolwa kwe-EMG (Electromyogram): Kukala isivinini lapho izimpawu zikagesi zihamba khona emthanjeni ukuze kutholakale ukuthi inzwa yonakele yini.
Ngemva kwalezi zivivinyo, uma kuqinisekiswa ukuthi une-Carpal Tunnel Syndrome, udokotela wakho uzoqala ukwelashwa okufanele wena. Lokhu kungafaka phakathi i-splint, umuthi, noma kwezinye izimo, ukudluliselwa kuchwepheshe wamathambo (udokotela wamathambo) ukuze ahlinzwe kancane.
Uyini umehluko phakathi kokuhlolwa kukaPhalen kanye nophawu lukaTinel?
Zombili lezi zivivinyo ezilula odokotela abazenzayo emakamelweni abo ukuze baxilonge i-Carpal Tunnel Syndrome. Kodwa-ke, kunomehluko omncane endleleni lezi ezimbili ezenziwa ngayo. Ake sikuqonde kahle ngethebula.
| Isici | Ukuhlolwa kukaPhalen | Uphawu lukaTinel |
|---|---|---|
| Indlela yokukwenza | Goba isihlakala ngokuqinile, cindezela imizwa, bese ubamba cishe umzuzu. | Udokotela uthinta kancane ngomunwe wakhe lapho inzwa ephakathi idlula khona esihlakaleni. |
| Lokho okuzwayo (uma kukuhle) | Ukuba ndikindiki noma ukulahlekelwa umuzwa eminweni ngenkathi ugcina ukuma. | Ukuzwa kokushaya ngezinaliti eminweni lapho ucindezela. |
| Inhloso eyinhloko | Ukuveza izimpawu ngokucindezela imizwa. | Ukuvuselela inzwa ecindezelwe ukuze kuvele izimpawu. |
Kuzo zombili lezi zivivinyo, udokotela uzama ukuthola ukuthi i-median nerve yakho icindezelwe noma ukuthi iyazwela yini.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kukaPhalen kuyindlela elula kakhulu, engenabuhlungu, futhi ephephile yokuxilonga i-Carpal Tunnel Syndrome.
- Ungakushayi indiva ukuba ndikindiki, ubuhlungu, noma ukulahlekelwa umuzwa esandleni noma iminwe yakho. Lokhu kungaba izimpawu ze-Carpal Tunnel Syndrome.
- Lokhu kuhlolwa kuyingxenye eyodwa nje yokuxilongwa okuphelele. Kubaluleke kakhulu ukutshela udokotela wakho incazelo ephelele yezimpawu zakho.
- Imiphumela yalolu vivinyo izoba usizo olukhulu kudokotela wakho ekunqumeni ukuthi yiziphi izinyathelo ezilandelayo okudingeka uzithathe.
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