Ingabe uzwa ubuhlungu obungalweni noma endololwaneni yakho? Kungaba yi-Radial Tunnel Syndrome!

Wake wazizwa ubuhlungu obungavamile buvela ngaphakathi kwengalo yakho, ikakhulukazi ngaphansi kwendololwane, kanye nomuzwa wokuqaqamba kanye nokulahlekelwa amandla engalweni yakho? Ngezinye izikhathi lobu buhlungu bungaba bukhulu kangangokuthi kuzwakale sengathi uzama ukuvula ingalo yakho. Lokhu kungaba olunye lwezimpawu eziyinhloko zesimo esibizwa ngokuthi i-Radial Tunnel Syndrome, esizokhuluma ngaso namuhla. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Iyini i-Radial Tunnel Syndrome? Kalula nje...

Cabanga nje, kukhona inzwa ebalulekile egijima engalweni yethu, ibizwa ngokuthi i-radial nerve . Le nzwa yiyo esiza eminye imisipha engalweni yethu ukuthi isebenze futhi izwe kwezinye izindawo. Uma le nzwa ye-radial ifika endololwaneni, idlula "emhubheni" omncane ukuze iye ngaphambili kwengalo. Le ntambo yakhiwe izinto ezifana nemisipha nama-tendon. Yingakho ibizwa ngokuthi i-radial tunnel .

Manje, kwenzekani uma, ngesizathu esithile, imisipha engaphakathi kwalomhubhe ojikelezayo ivuvukala noma iqina? Inzwa yomsakazo edlula kulowo mhubhe iqala ukucindezelwa nokucindezelwa. Yilapho-ke isimo esibizwa ngokuthi i-radial tunnel syndrome sivela khona. Kufana nalapho ipayipi lamanzi libhajwa phakathi, kwenza kube nzima ukuthi amanzi ageleze.

Izindaba ezinhle ukuthi lesi simo singelapheka ngokuphumula kanye nokwelashwa okulula okungekhona ukuhlinzwa. Ngakho-ke uma uzwa ubuhlungu endololwaneni yakho noma ngaphambili kwesandla sakho, kungcono ukufuna iseluleko sezokwelapha.

Ubuhlungu bomhubhe we-radial buzwakala kanjani? Ziyini izimpawu?

Lobuhlungu buvame ukuzwakala kusukela ngaphandle kwendololwane kuye phambili kwengalo ('ingalo yangaphambili') . Kuyibuhlungu obuhlala bukhona obuvela ngaphakathi. Ngezinye izikhathi lobu buhlungu bungaba khona usuku lonke, bukwenze uzizwe ukhathele futhi ukhathele.

Lobuhlungu bungakhula uma wenza imisebenzi ethile. Isibonelo:

• Imisebenzi eminingi ihilela ukusebenzisa ingalo kanye nesihlakala (isib., ukubamba into ngokuqinile, ukusebenzisa i-screwdriver).
• Uma uphakamisa into esindayo.
• Uma izindololwane zeluliwe kakhulu.
• Uma uphendula ingxenye engaphambili yesandla (isib. uma uvula umnyango).
• Uma ugoba isihlakala sakho.

Ngokuhamba kwesikhathi, i-radial tunnel syndrome ingenza buthaka imisipha engaphambili kwesandla futhi inciphise amandla esihlakala. Lokhu kungenza kube nzima ukubamba noma ukuphakamisa izinto ezithile. Abanye abantu bangase babe nobuhlungu lapho belele . Akuvamile ukuthi lesi simo sibangele ukuthi isihlakala siye phansi ('i-wrist drop') , okusho ukuthi isandla asikwazi ukuphakanyiswa.

Ngenxa yokuthi lezi zimpawu zifana kancane nesimo esibizwa ngokuthi "i-tennis elbow," kubaluleke kakhulu ukucaca ngezimpawu zakho uma ubona udokotela.

Kungani kwenzeka i-radial tunnel syndrome? Ziyini izimbangela?

Njengoba sishilo ngaphambili, njengoba i-radial nerve idlula emhubheni we-radial ngaphansi kwendololwane, idlula phakathi kwemisipha ehlukahlukene nangaphansi kwamaphepha ezicubu ezibizwa ngokuthi 'ama-fascial bands' . (Ama-fascial bands uhlobo lwezicubu ezizungeza, ezihlukanisa, futhi ezibopha izinto ezifana nemisipha nezitho zomzimba emizimbeni yethu.)

Ngakho-ke, uma kukhona ukuvuvukala (`ukuvuvukala`) ezintweni ezingaphakathi kwalo mhubhe oqondile, kubeka ingcindezi engadingekile emthanjeni oqondile. Leso yisona sizathu esiyinhloko salesi simo. Kunezizathu eziningana ezingabangela lokhu kuvuvukala:

• Ukwenza ukunyakaza okufanayo ngokuphindaphindiwe: Ikakhulukazi emsebenzini. Isibonelo, ukuthayipha ngokuphindaphindiwe, ukusebenzisa ithuluzi elifana nesikulufi ngokuphindaphindiwe.
• Ukwenza njalo ukunyakaza kokusunduza nokudonsa ngezandla zakho: Cabanga ngakho, uma ushaya ibhola lekhilikithi noma i-volleyball, udonsa isandla sakho emuva bese usisunduza phambili futhi ukuze uthumele ibhola. Izinto ezinjalo.
• Ukushaywa okuqondile, okunzima ngaphandle kwendololwane noma ngaphambili kwesandla.
• Ukubamba into ngokuqinile, ukuyicindezela ngokuqinile ngeminwe yakho, noma ukugoba isihlakala sakho njalo.

Ubani onamathuba amaningi okuthola lesi simo?

I-Radial tunnel syndrome ivame kakhulu kubantu abaneminyaka ephakathi kuka-30 no-50. Abesifazane banamathuba amaningi okuthola lesi simo kunabesilisa. Ngaphezu kwalokho, ezinye izici ezithile zingandisa ingozi yokuthola lesi simo:

• Ukuncipha kwamandla nokuguquguquka kwesandla nesihlakala.
• Ukungazifudumezi kahle ngaphambi kokudlala imidlalo.
• Kulabo abanesifo sikashukela (`Diabetes Mellitus`) .
• Kulabo abane -thyroid gland engasebenzi kahle .
• Ukuba nezigaxa noma izimila (`izimila noma ama-ganglion cysts`) esandleni.
• Ukuvuvukala (i-edema) noma ukunqwabelana koketshezi esandleni.
• Ukuvuvukala kwemizwa yomsakazo.

Udokotela ukubona kanjani lokhu?

Uma ubona udokotela, uzoqala ngokukubuza ngobuhlungu bakho, izimpawu zakho, kanye nomlando wakho wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba , ikakhulukazi ukuhlola indololwane yakho kanye nengaphambili lesandla sakho. Ngemuva kwalokho, udokotela uzozama ukuthola indawo eqondile yomthambo we-radial ngokuthinta ingaphandle lendololwane yakho bese ecindezela kancane.

Yiziphi izivivinyo ezikhethekile ezisetshenziswayo ukuxilonga lokhu?

Kunezivivinyo ezimbili eziqondile udokotela wakho angazisebenzisa ukuxilonga lesi simo:

• Ukuhlolwa kokumelana: Udokotela uzokwenza ezinye izivivinyo zokumelana esebenzisa isithupha sakho nomunwe ophakathi. Uma uzwa ubuhlungu, ungase ube ne-radial tunnel syndrome.
• "Umthetho wokuhlolwa kwesishiyagalolunye":Udokotela uzocindezela kancane amaphuzu ayisishiyagalolunye ahlukene endololwaneni yakho. Uma uzwa ubuhlungu ezindaweni ezithile, ungase ube nalesi simo.

Kodwa-ke, azikho 'izivivinyo ezisemthethweni' ezingabona ukuthi lokhu kuyini ngempela. Ngakho-ke, kungaba nzima kancane ukukubona ngqo. Ngakho-ke, udokotela angenza ezinye izivivinyo ukuqinisekisa ukuthi azikho ezinye izinkinga noma izimo zezokwelapha. Lokhu kubizwa ngokuthi 'izivivinyo zokuthatha izithombe ':

• Ama-X-ray
• Ukuthwebula izithombe ze-magnetic resonance (MRI)
• Ukuhlolwa okukala ijubane lemizwa (`Ucwaningo lokuqhuba imizwa`)
• Ukuhlolwa okuhlola ukusebenza kwezinzwa (`Electromyography - EMG`)

Yiziphi izindlela zokwelapha lokhu?

Indlela engcono kakhulu yokwelapha lesi simo ukuyeka noma ukunciphisa kakhulu imisebenzi ebangela izimpawu . Uma kungenzeka, phumula ingalo yakho bese uzama ukugwema noma yikuphi ukunyakaza okubangela ubuhlungu. Kwabaningi abantu, izimpawu ziyathuthuka zingakapheli amasonto ayisithupha ngokuphumula nokwelashwa.

Kunezinye izindlela zokwelapha zokunciphisa ubuhlungu obuhambisana ne-radial tunnel syndrome:

• Ukusebenzisa imithi yokulwa nokuvuvukala (ama-NSAID) etholakala ngaphandle kwemithi kadokotela engathengwa ekhemisi.
• Ukuthola imijovo ye-steroid ukunciphisa ukuvuvukala kanye nengcindezi emsipheni we-radial.
• Ukugqoka i-bant yesihlakala kanye/noma indololwane. Lokhu kusiza ukunciphisa ukunyakaza kwesandla nokunciphisa ukucasuka kwe-radial nerve. (Lokhu kuwusizo kakhulu ebusuku uma ulele.)
• Ukwenza izivivinyo ezahlukene zokwelapha ngokomzimba . Lokhu kusiza ukwelula nokukhulula imisipha/izicubu eziqinile ezizungeze inzwa ye-radial.

Umgomo oyinhloko wokwelashwa ukuqeda izimpawu zakho nokuvimbela ukuthi zingabuyi.

Uma umsebenzi wakho ubangela lezi zimpawu, ungase uthande ukucabanga ngokwenza izinguquko ezithile endaweni yakho yokusebenza noma ukuthatha ikhefu elengeziwe phakathi nosuku lomsebenzi. Zama ukugwema ukusunduza nokudonsa imisebenzi enzima ngangokunokwenzeka.

Kwabasubathi, zijwayezeni ukuzivocavoca okuthuthukisa amandla nokuguquguquka, futhi ningakhohlwa ukuzifudumeza kahle ngaphambi kokudlala noma ukuzijwayeza.

Kukhona ukwelashwa kokuhlinzwa kwalesi simo. Kodwa-ke, udokotela uvame ukuncoma kuphela uma ukuphumula kanye nokwelashwa okungeyona ukuhlinzwa kungasizi. Inhloso yokukhululwa komhubhe we-radial ukunciphisa ingcindezi emthanjeni we-radial njengoba udlula emhubheni we-radial.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Nazi ezinye imibuzo ongase ufune ukubuza udokotela wakho mayelana ne-radial tunnel syndrome:

• Wazi kanjani ukuthi ngine-radial tunnel syndrome noma okunye?
• Yiziphi izindlela zokwelapha ozincomayo?
• Kukuziphi izimo lapho ungancoma khona ukuhlinzwa?
• Yini engingayenza ukuze ngivimbele i-radial tunnel syndrome ukuthi ingaphinde ivele?

Ingabe lesi simo se-radial tunnel syndrome sizoba ngcono ngokwaso?

Uma ungelashwa, izimpawu zakho cishe ngeke zithuthuke zodwa. Eqinisweni, izimpawu zingase zibe zimbi kakhulu ngokuhamba kwesikhathi. Uma zingelashwa, lesi simo singaholela ebuhlungwini obungapheli ngaphambili kwesandla sakho. Ngakho-ke kuwukuhlakanipha ukufuna ukwelashwa ngokushesha okukhulu.

Kuzokwenzekani ngemva kokwelashwa? Ingabe ngizolulama? (`Isibikezelo`)

Uma ulandela imiyalelo kadokotela wakho ngokucophelela futhi ugwema ukulimala kwemizwa ye-radial esikhathini esizayo, ukwelashwa okungekona ukuhlinzwa kuvame ukusebenza kahle kakhulu kulesi simo. Uma ukwelashwa okungekona ukuhlinzwa kungaphumeleli, ukuhlinzwa kungenye indlela enganciphisa izimpawu. Kodwa-ke, abanye abantu bangase baqhubeke nokuba nobuhlungu obuthile ngemva kokuhlinzwa.

Ubuhlungu bomhubhe obangelwa imisebe bungenza kube nzima ukwenza imisebenzi yansuku zonke. Bungathinta imisebenzi yakho yansuku zonke, umsebenzi, ezemidlalo, kanye nezinto ozithandayo. Ngakho-ke , kubaluleke kakhulu ukuphumula isandla sakho futhi uyeke ukwenza izinto ezibangela izimpawu . Bona udokotela bese uthola ukwelashwa. Ngemuva kwalokho uzobe ungenabuhlungu maduze.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ngithemba ukuthi usuyaqonda kangcono lokho ebesikhuluma ngakho, i-Radial Tunnel Syndrome. Nazi ezinye izinto ezibalulekile okufanele uzikhumbule:

• Uma unezimpawu ezifana nobuhlungu obubuhlungu endololwaneni noma ngaphambili kwesandla, ukuba ndikindiki, nokulahlekelwa amandla esandleni , kungaba yi-radial tunnel syndrome.
• Lokhu kwenzeka ngoba i-radial nerve esandleni icindezelwe ngesikhathi esisodwa.
• Lokhu kungabangelwa izinto ezifana nokwenza into efanayo ngokuphindaphindiwe, ukuphakamisa izinsimbi, noma ukushaywa endololwaneni .
• Kubalulekile ukubonana nodokotela ngaphandle kokwethuka bese uthola ukuthi inkinga iyini ngempela.
• Ezimweni eziningi, lokhu kungelapheka ngokwelashwa okulula njengokuphumula , ama-painkiller, kanye nokwelashwa ngokomzimba .
• Ukulandela imiyalelo kadokotela nokuphumula isandla sakho kubaluleke kakhulu ukuze ululame ngokushesha.

Uma unezinye zalezi zimpawu, ungakhathazeki, funa iseluleko sezokwelapha ngokushesha. Khona-ke ungalulama ngokushesha futhi ubuyele emsebenzini wakho ngenjabulo!

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