Ingabe nawe uzizwa ubuhlungu obungavamile, obuhlabayo ngemuva kwengalo yakho, ngaphansi nje kwendololwane yakho? Kufana nobuhlungu obuhlala bukhona ofuna ukubususa, kodwa ngeke buphele. Ingabe ngezinye izikhathi uzizwa sengathi lobu buhlungu buyanda uma uphakamisa into esindayo noma uphendula ingalo yakho? Khona-ke ungase ube nesimo esibizwa ngokuthi 'i-Radial Tunnel Syndrome'. Ungakhathazeki, ake sixoxe ngakho kalula.
Iyini i-Radial Tunnel Syndrome?
Kalula nje, lesi yisimo esibangelwa ukucindezelwa noma ukucindezelwa kwe-radial nerve, okungenye yezinzwa ezintathu eziyinhloko esandleni sethu.
Cabanga ngale nzwa, efana nepayipi lamanzi, ehamba emhubheni omncane owenziwe ngemisipha nezicubu endololwaneni. Lokhu sikubiza ngokuthi 'umhubhe oqondile'. Uma ngesizathu esithile kukhona ukuvuvukala noma ukuqina ngaphakathi kwalo mhubhe, inzwa iyacindezelwa. Kufana nomuntu onyathela ipayipi lamanzi. Yilapho-ke siqala khona ukuzwa ubuhlungu.
Ezimweni eziningi, lesi simo singalapheka ngokuphelele ngokuphumula okuhle kanye nokwelashwa okulula okuvela kudokotela. Ngakho-ke asikho isizathu sokukhathazeka.
Ziyini izimpawu zalokhu?
Into eyinhloko ubuhlungu obuhlabayo obuqala ngaphansi nje kwendololwane buqale engalweni. Buyibuhlungu obuhlala njalo, obuhlala buqhubeka. Kwabanye abantu, ubuhlungu bungahamba phansi engalweni, buze bufike esihlakaleni .
Ngokuhamba kwesikhathi, lesi simo singenza buthaka imisipha engalweni yakho futhi sibangele ukulahlekelwa amandla esihlakaleni sakho . Kungaba nzima ukubamba noma ukuphakamisa izinto ezithile. Ubuhlungu bungabuye bube bubi nakakhulu ebusuku ngenkathi ulele. Abanye abantu bangase babe nesimo esibizwa ngokuthi 'ukuwa kwesihlakala', lapho bengakwazi ukuphakamisa isihlakala sabo .
Izimpawu zesimo esibizwa ngokuthi 'i-tennis elbow' zifana kakhulu nalesi, ngakho-ke kubaluleke kakhulu ukuchaza izimpawu zakho kudokotela wakho.
| Imisebenzi eyandisa ubuhlungu | |
|---|---|
| Umsebenzi odinga ukusetshenziswa njalo kwesandla/ isihlakala | Isibonelo, ukuthayipha njalo kukhompyutha, usebenza nge-screwdriver. |
| Ukuphakamisa izinsimbi | Ubuhlungu bungase bukhule uma uphakamisa izikhwama nemithwalo esindayo. |
| Isandiso sendololwane sikude kakhulu | Ubuhlungu bungase buzwakale uma ingalo iqonde ngokuphelele. |
| Ukujikeleza kwengalo | Ubuhlungu bungase bukhule uma uphendula ingalo yakho, njengokungathi uvula umnyango. |
| Ukugoba kwesandla | Ubuhlungu bungase buzwakale uma ugoba isihlakala phezulu noma phansi. |
Kungani lokhu kwenzeka?
Njengoba kushiwo ngaphambili, imbangela eyinhloko ukuvuvukala ngaphakathi komhubhe oqondile, okucindezela inzwa. Kunezizathu eziningana zokuthi kungani lokhu kuvuvukala kungenzeka.
- Ukunyakaza okuphindaphindiwe okuphindaphindiwe: Cabanga ngomuntu othayipha kukhompyutha usuku lonke, noma umakhenikha osebenza nge-screwdriver. Ukunyakaza okuphindaphindiwe okuphindaphindiwe kungabangela ukuthi izicubu ezikuleyo ndawo zivuvuke.
- Ukusunduza nokudonsa njalo: Njengokuphonsa ibhola lekhilikithi. Okokuqala, udonsa ingalo yakho emuva bese usheshe uye phambili. Lokhu kusunduza nokudonsa okuqhubekayo nakho kungacasula lo mthambo.
- Ukushaywa kanzima endololwaneni noma ebunzini: Ukushaywa ngqo kuleyo ndawo kungabangela ukuvuvukala.
- Ukugoba isihlakala ngokweqile noma ukubamba into ngokuqinile.
Ubani osengozini enkulu yokuthola lesi simo?
Nakuba lesi simo singakhula kunoma ubani, abanye abantu basengozini enkulu.
- Ngokuvamile kwenzeka kaningi kubantu abaneminyaka ephakathi kuka-30 no-50 .
- Abesifazane banamathuba amaningi okuthola lesi simo kunabesilisa.
- Abantu abanamandla amancane kanye nokuguquguquka kwezandla zabo kanye nezihlakala zabo.
- Abantu abangafudumali kahle ngaphambi kokudlala imidlalo.
- Abantu abanesifo sikashukela.
- Labo abane-thyroid engasebenzi kahle.
- Abantu abanezimila noma ama-ganglion cysts ezandleni zabo.
- Abantu abanokuvuvukala (i-edema) noma uketshezi oluqongelelekayo ezandleni.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala akubuze ngobuhlungu. Buqale kanjani, buqala nini, njll. Ngemuva kwalokho uzohlola ingalo yakho. Udokotela uzokucindezela indololwane yakho bese ezama ukuthola indawo eqondile lapho inzwa icindezelwe khona.
Kunezinhlobo eziningana zokuhlolwa okukhethekile zokuxilonga lesi simo:
- Ukuhlolwa kokumelana: Udokotela uzosebenzisa amandla amancane esithupheni sakho nasemunweni ophakathi. Uma kukhona ubuhlungu, lokhu kungaba yisimo.
- Umthetho wokuhlolwa kwesishiyagalolunye: Kulokhu, isiguli sicindezela amaphuzu angu-9 athile azungeze indololwane. Uma kuvela ubuhlungu lapho ucindezela amanye amaphuzu, lokho nakho kuyisibonakaliso.
Akukho ukuhlolwa kwegazi noma ukuskena okungaqinisekisa lesi simo ngokuphelele. Ngakho-ke, udokotela wakho angancoma okunye ukuhlolwa ukuze akhiphe ezinye izimo. Isibonelo:
- Ukuhlolwa kwe-X-ray
- Izikrini ze-MRI
- Ucwaningo lokuqhutshwa kwemizwa
- I-Electromyography (EMG)
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu nebaluleke kakhulu okufanele uyenze ukuyeka ukwenza umsebenzi obangela ubuhlungu. Phumula isandla sakho. Iningi labantu lizolulama zingakapheli amasonto ayisithupha ngokuphumula kanye nokwelashwa okulandelayo.
| Indlela yokwelapha | Incazelo |
|---|---|
| Ama-Painkiller | Izibulala-zinhlungu, ikakhulukazi imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID), enqunywe udokotela wakho. |
| Imijovo ye-steroid | Imijovo ye-steroid inikezwa ukuze kuncishiswe ngokushesha ukuvuvukala kanye nokucindezelwa kwemizwa. |
| Ukugqoka i-splint | I-splint iyibhande eligqokwa esihlakaleni noma endololwaneni. Lokhu kusiza ukuvimbela ukunyakaza okungadingekile kwesandla futhi kunikeza imizwa ukuphumula. Kunconywa ukuthi uligqoke ikakhulukazi ebusuku. |
| Ukuzivocavoca umzimba | Ukuzivocavoca okukhethekile okwenziwa ngaphansi kokuqondisa kochwepheshe bezokwelapha ngokomzimba. Lokhu kwelula imisipha nezicubu eziqinile bese kukhulula imizwa. |
Umgomo oyinhloko wokwelashwa ukuqeda izimpawu nokuvimbela ukuthi zingabuyi. Uma umsebenzi wakho ubangela lesi simo, kungadingeka ukuthi ucabangele ukushintsha isimiso sakho somsebenzi kanye nokuthatha ikhefu ngesikhathi somsebenzi.
Ingabe ukuhlinzwa kuzodingeka?
Uma kungekho kulezi zinto ezisebenzayo, udokotela uzocabangela ukuhlinzwa ('ukukhululwa komhubhe we-radial') njengesinyathelo sokugcina. Lokhu kwenzelwa ukukhulula inzwa ebambekile. Kodwa lokhu akudingeki ezimweni eziningi.
Umlayezo Wokuya Nawe Ekhaya
- I-Radial Tunnel Syndrome yisimo esibuhlungu esibangelwa ukucindezelwa kwe-radial nerve endololwaneni.
- Izimbangela eziyinhloko zalokhu kungaba izinto ezifana nokuqhubeka nokwenza ukunyakaza okufanayo nokuphakamisa izinsimbi.
- Ukwelashwa okungcono kakhulu kwalokhu ukuphumula isandla nokugwema imisebenzi ebangela ubuhlungu.
- Ungabunaki ubuhlungu. Ukwenza kanjalo kungenza isimo sibe sibi kakhulu. Bheka udokotela oqeqeshiwe ngokushesha ukuze uthole iseluleko.
- Ezimweni eziningi, lesi simo singalapheka ngokuphelele ngokwelashwa okulula.
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