Kuyacasula kancane lapho ingalo noma umlenze wakho uphelelwa amandla, noma lapho uzizwa sengathi izintuthwane ziyagijima. Ngezinye izikhathi lokhu kumane kuvele kuphele. Kodwa uma lokhu kungapheli amandla kuqhubeka, kungaba uphawu lwenkinga kwenye yezinzwa emzimbeni wethu. Ezimweni ezinjalo, ukuhlolwa okulula okusetshenziswa udokotela kubizwa ngokuthi 'iSignali kaTinel', esikhuluma ngakho namuhla.
Iyini i-Tinel's Sign?
Kalula nje, uphawu lukaTinel luba lapho udokotela wakho ethinta isikhumba kancane lapho inzwa igijima khona, uzwa umuzwa wokuthuthumela noma wokuhlaba kuleyo nzwa. Uma uzwa umuzwa wokuthuthumela okuncane, njengokushaqeka okuncane kukagesi, kusho ukuthi inzwa ingaphansi kwengcindezi noma kungenzeka ukuthi yonakele.
Ibizwa nangokuthi uphawu lweHoffmann-Tinel, ngemuva kodokotela abaqale ukuchaza lolu vivinyo, uPaul Hoffmann noJules Tinel. Kodwa uma sikhuluma ngalo ngokujwayelekile, simane silibiza ngokuthi 'uphawu lweTinel'.
Udokotela wenza ngaphansi kwaziphi izimo lokhu kuhlolwa?
Uma udokotela wakho esola ukuthi kukhona inzwa ethile emzimbeni wakho ecindezelwe noma eyonakele, angenza lolu vivinyo olulula. Kunezimo ezimbalwa lapho lokhu kubaluleke kakhulu khona.
| Isimo sezokwelapha | Kalula nje, kwenzekani? |
|---|---|
| I-Carpal Tunnel Syndrome | Uma i-median nerve, i-nerve enkulu egijimela ezandleni zethu naseminweni, icindezelwa esihlakaleni, ivame ukubangela ukungakhululeki esithupheni, emunweni wokukhomba, kanye nasemunweni ophakathi. |
| I-Cubital Tunnel Syndrome | Uma indololwane yethu ishaya okuthile, umsinga wehla engalweni yethu, ucindezela inzwa ye-ulnar. Lokhu kungabangela ukungakhululeki kumunwe omncane kanye nomunwe wendandatho. |
| I-Tarsal Tunnel Syndrome | Umthambo ogeleza phansi kwethambo lethu (i-posterior tibial nerve) uyacindezelwa njengoba udlula ngaphakathi kweqakala. Lokhu kungabangela ukungazweli, ukusha, noma ubuhlungu ematheni onyawo. |
Yiziphi ezinye izimpawu ezingavela uma inzwa icindezelwe?
Ngaphezu kwesibonakaliso sikaTinel, uma inzwa icindezelwe, ungase ube nezimpawu ezifana nalezi:
- Ukusha: Umuzwa wokusha, njengokungathi uphethe ilahle elivuthayo.
- Ukuba ndikindiki: Umuzwa wokulahlekelwa umuzwa endaweni ethile, noma umuzwa ofana nezintuthwane ezigijima nxazonke.
- Ubuhlungu: Ubuhlungu bungase bube bukhali, buhlabe, noma bube buthuntu.
- Ubuthakathaka: Esandleni, kungase kuzwakale sengathi uphonsa indebe noma ubambe ipeni. Emlenzeni, kungase kuzwakale sengathi uyakhubeka lapho uhamba.
Ukuhlolwa kukaTinel kwenziwa kanjani?
Lolu vivinyo olulula kakhulu oluthatha isikhathi esingaphansi komzuzu. Awudingi ukulungiselela lokhu.
Isinyathelo 1: Udokotela uzokubuza imininingwane.
Okokuqala, udokotela uzokulalela ngokucophelela futhi afunde ngokungezwani kwakho. Isibonelo, ungase ubuze imibuzo efana nokuthi, "Uzizwa nini kakhulu ukuba ndikindiki?", "Yiziphi izinto ozenzayo ezenza kube kubi kakhulu?", "Ingabe uzizwa ubuthakathaka esandleni sakho?"
Isinyathelo 2: Indlela yokwenza isivivinyo
Ngemuva kwalokho, udokotela uzothinta isikhumba ngobumnene ngeminwe yakhe lapho ecabanga ukuthi inzwa icindezelwe khona. Ngezinye izikhathi, angasebenzisa idivayisi encane efana nesando (isando se-reflex) kulokhu. Isibonelo, uma usola i-carpal tunnel syndrome, uzothinta isihlakala sakho.
Isinyathelo 3: Yisho ukuthi uzizwa kanjani.
Uma udokotela ekuthinta, kufanele umtshele ukuthi uzwa umuzwa wokuxhuzula, ukushaqeka ngogesi, noma umuzwa wokuxhuzula kulowo mthambo. Impendulo oyinikezayo ingumphumela walolu vivinyo.
Ithini imiphumela yokuhlolwa?
- Ukuhlolwa Okuhle: Uma uzizwa ungenamizwa lapho udokotela ekuthinta, kuba umphumela omuhle. Kusho ukuthi inzwa ingase ibe ngaphansi kwengcindezi noma yonakele.
- Ukuhlolwa Okubi: Uma ungazizwa ungenamizwa, kuwumphumela ongemuhle.
Kodwa khumbula lokhu, ukuthi nje lokhu kuhlolwa kuphume 'kungekuhle' akusho ukuthi ukhululekile ngokuphelele ekukhathazekeni.Ngezinye izikhathi, noma ngabe kukhona ukucindezelwa kwemizwa, lesi sibonakaliso singase singaveli. Ngakho-ke, lokhu kumane nje kuzosiza udokotela ukuthi athole umbono ngesimo sakho.
Ngokusekelwe emiphumeleni yalolu vivinyo kanye nezimpawu zakho, udokotela wakho angancoma ukuhlolwa okwengeziwe uma kudingeka. Isibonelo:
- I-Electromyography (EMG): Ukuhlolwa okulinganisa umsebenzi kagesi wezinzwa nemisipha.
- I-MRI scan: Thola isithombe esicacile sezicubu ezithambile njengemizwa nemisipha.
- I-X-ray: Ukubona ukuthi inkinga ngamathambo ibangela ukuthi inzwa icindezelwe yini.
Ingabe zikhona izingozi ngalolu vivinyo?
Lutho neze. Lokhu kuhlolwa kuphephile kakhulu. Kufana nodokotela obeka i-stethoscope esifubeni sakho, futhi kuwukuhlolwa okulula okungabandakanyi izingozi noma ubuhlungu. Ngakho-ke asikho isidingo sokwesaba lokhu.
Kufanele ngimbone nini udokotela?
Uma unesicanucanu esiqhubekayo , ukungazweli, ubuhlungu, noma ubuthakathaka engalweni, emlenzeni, noma kwenye ingxenye yomzimba wakho, ungacabangi nje ukuthi, "Lokhu kuyisibonakaliso nje." Kungaba yi-nerve ecindezelwe. Ukuthola ukwelashwa kusenesikhathi kungasiza ekuvimbeleni ukulimala kwe-nerve kwesikhathi eside. Ngakho-ke, qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
Ungalokothi uzame ukuzixilonga ngokwenza izivivinyo ezinjalo. Njalo bonana nodokotela ukuze uthole ukuxilongwa okufanele kanye nokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Tinel's Sign iyindlela elula kakhulu yokuhlola ukucindezelwa kwemizwa.
- Uma udokotela ezwa sengathi ungezwani lapho ethinta inzwa, lokho kubonisa inkinga ngenzwa.
- Ivame ukusetshenziswa kakhulu ukuxilonga izinkinga zemizwa ezihlobene nomhubhe we-carpal, umhubhe we-cubital, kanye nomhubhe we-tarsal.
- Ngisho noma ukuhlolwa kungabonisi ukuthi unesizungu, akusho ukuthi awunayo inkinga yemizwa eyi-100%. Lokho kuncike kudokotela wakho ukuthi anqume.
- Uma unezimpawu ezifana nokuba ndikindiki okuqhubekayo, ukusha, ubuhlungu, noma ubuthakathaka, ungakushayi indiva futhi nakanjani ubone udokotela.
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