Uma une- carpal tunnel syndrome (CTS), ungaqonda ukuthi izimpawu zingathinta kanjani umsebenzi wakho wansuku zonke nemisebenzi yokuzijabulisa. Ubuhlungu, ukulinganisa, nobuthakathaka esandleni sakho noma iminwe yakho kungakugcina ekutheni uthayiphe ikhompyutha yakho, ukubhala, noma ukubamba izinto. Futhi esinye sezici ezinzima kunayo yonke ye-carpal tunnel syndrome: ukuthola ukuxilongwa okunembile.
Ukuthola ukuhlonza okunembile kwesandla sakho nokuhlunguphaza isandla kungenza uqiniseke ukuthi uthola ukwelashwa okufanele kweso simo sakho. Ngakho-ke i-carpal tunnel syndrome ihlolwe kanjani, futhi wazi kanjani ukuthi ukutholakala kwakho kuyona okulungile?
Ukuhlola Ukuhlola / Ukuhlolwa Kwekhaya
Izimpawu ze-CTS zibangelwa ukucindezelwa kwe-nerve yakho yomzimba njengoba iwela kusukela esihlokweni sakho kuya esihlokweni sakho. Le ndawo, ebizwa ngokuthi umhubhe we-carpal, iqukethe ama-tendon amaningana nezinhlaka zamascular kanye nesisindo somphakathi. (Ama-carpals ayisigqoko samathambo, bese enza uphahla lomhubhe.)
Enye yokuzihlola okulula kakhulu kwe-CTS ihilela ukuhlaziya nokuqonda izimpawu zakho. Izimpawu ze-carpal tunnel syndrome zingabandakanya:
- Ubuhlungu ekhanda lakho nangaphambili
- Ubuhlungu ngesithupha sakho, inkomba yomunwe, nomunwe ophakathi
- Ukulinganisa ngesithupha sakho, inkomba, nomunwe ophakathi
- Ubuthakathaka esandleni sakho
I-Carpal tunnel syndrome ibhekwa njengokulimala okuphindaphindiwe kokucindezeleka .
Lokhu kusho ukuthi kubangelwa ukunyakaza okuthile noma ukuphindaphindiwe okuphindaphindiwe kaningi. Ngenxa yalesi sizathu, izimpawu zivame ukuza kancane kancane futhi kungekho ukulimala okuqondile. Izimpawu zivame ukwedlula amandla umsebenzi omningi wekhompyutha ohilela ukusebenzisa igundane nokuthayipha. Okunye imisebenzi ephindaphinda njengokubhala kungabangela i-CTS.
Ngakho inkinobho yakho yokuqala ukuthi ungaba ne-CTS iyimvelo nokuziphatha kwezimpawu zakho. Ubuhlungu, ukubetha, nokubuthakathaka esifubeni sakho kanye neminwe emibili yokuqala eyingozi kakhulu nokusetshenziswa okuphindaphindiwe kwesandla kuwuphawu lokuthi i-CTS ingaba yinkohlakalo. Uma kunjalo, kungaba yisikhathi sokuba uvakashele udokotela wakho.
Izivivinyo zezokwelapha
Uma usola ukuthi une-CTS, ukungena nodokotela wakho kuwumqondo omuhle. Ngemuva kokulalela umlando wakho nokurekhoda izimpawu zakho, angase enze izivivinyo ezithile zomtholampilo ukuqinisekisa (noma ukuphuma) i-carpal tunnel syndrome.
Ukulinganisa uhambo lokuhamba
Udokotela wakho angalinganisa ububanzi besandla nesibindi sokunyakaza . Abantu abaningi abanombukiso we-CTS banciphise ukuhamba ngesandla sabo. Lokhu kungenxa yokuvuvukala kwe-nerve and tendons leyo nkambo ngokusebenzisa umhubhe we-carpal. Lokhu kuvuvukala kuvimbela ukunyakaza okuvamile okuvela, futhi ukulahlekelwa kwesigqoko sekhanda nokunyuswa kwesandiso kungenzeka kube khona.
Uphawu lwe-Tinel
Uphawu lukaTinel luhilela ngobumnene ukuthinta izinzwa zokufaka izimpawu. Uphawu lwe-Tinel lwe-CTS lwenziwe ngokuthi udokotela wakho badonsa phezu kwenzwa yakho ephakathi nesikhumba sakho nje ngenhla yesandla sakho. Uma lokhu kushaya kungabangela ubuhlungu noma ukugubungula kwezithupha noma iminwe yakho, kungenzeka ukuthi kungenzeka ukuthi i-carpal tunnel syndrome.
Ukuhlolwa kukaPhalen
Ukuhlolwa kukaPhalen kuhilela ukubeka emuva izandla zakho phambi kwakho ngezigqoko zakho ezikhundleni ezimbi kakhulu zokuhamba. Le nkinga igxilisa umhubhe we-carpal futhi ingabangela ukuba izimpawu zakho zenzeke.
Amandla Okubamba
Ngezinye izikhathi, i-CTS ibangela ukulahlekelwa amandla esandleni sakho noma iminwe. Udokotela wakho angasebenzisa ithuluzi elikhethekile elibizwa ngokuthi i-grip dynamometer ukukala amandla akho. Ukunciphisa amandla esandleni sakho kungase kube uphawu lwe-CTS, ikakhulukazi uma unezinye izimpawu ezifana nobuhlungu nokukhwehlela esandleni sakho.
I-EMG
Ukuhlolwa kwe-Electromyographical ( EMG ) kuhilela ukufaka izinaliti ezincane engalweni yakho phakathi nenkinga yakho.
Lezi zinaliti zingase zigijimise entanyeni yakho nangengalo ephezulu nasesandleni sakho. Uma nje izinaliti zibekwa, ukushaqeka okuncane kagesi kuzothunyelwa ingalo yakho nasesandleni sakho. Izinsimbi ezikhethekile zizokala izinga legesi. Uma kukhona ukucindezela kwe-nerve yakho yomzimba, isignali kagesi izokwehla njengoba iwela esihlakaleni sakho, ekhombisa imilayezo ye-carpal syndrome.
Ukuthola Ukuxilongwa Kwakho
Ngezinye izikhathi ukwenza lezi zivivinyo ezikhethekile nokulingana kwanele ukuqinisekisa ukuxilongwa kwe-carpal tunnel syndrome. Udokotela wakho angase anikeze ukwelapha ukusiza ukwehlisa izimpawu zakho futhi uthuthukise umsebenzi wakho jikelele. Lokhu kungabandakanya ukudluliselwa kokwelapha ngokomzimba noma ukwelapha emsebenzini .
Uma izimpawu zakho zinzima noma uma ziqhubeka ngisho nangemva kokuhlanganyela ngenkuthalo ekwelapheni okulindelekile, izithombe eziphambili ezengeziwe zingenziwa.
Ukucabanga
I-Carpal tunnel syndrome ihlolwe ikakhulu ngokuhlolwa kwesandla sakho nesandla nangokuchaza izimpawu zakho zomtholampilo. Ngezinye izikhathi, izithombe eziphambili kakhulu zisetshenziselwa ukuxilonga ngokuphelele isimo sakho. Lezi zithombe zingafaka:
X-Ray
I-x-ray ingabonisa udokotela wakho amathambo asesandleni sakho, isibindi, nesandla, futhi ukuphuka lapha kungabangela ezinye izimpawu zakho. (Gcina ukukhuphuka kwesibindi ngokuvamile kubangelwa umcimbi oshisayo, kanti i-CTS ivame ukuza kancane kancane.)
I-MRI
Ukufaneka kwe-magnontic resonance (MRI) kuvumela udokotela wakho ukuba acabange ngeso lengqondo izakhiwo ezithambile zesisindo sakho nesandla sakho. Lokhu kuhlanganisa isithombe esicacile sezinzwa zakho zomzimba, izintambo esihlakaleni sakho, nemigqa esekela isandla sakho nesandla.
I-CT Scan
Iskena se-computed tomography (CT) siyisithombe esilandelayo samathambo esikristini sakho nesandla futhi singatholakala ngudokotela wakho ukuze akwazi ukuphuma kwamathambo noma ukuphuka.
Imiphumela yemifanekiso yakho, ehlangene nomlando wakho kanye nokuhlolwa komtholampilo, kungadala udokotela wakho ukuba ahlolisise ngokucacile nge-carpal tunnel syndrome.
Ukuhlonza okuhlukile
Kunezinye izimo ezingase zibonise izimpawu ezifanayo ku-CTS. Lokhu kungafaka:
I-Radiculopathy yomlomo wesibeletho
I-radiculopathy yomlomo wesibeletho kwenzeka lapho inzwa entanyeni yakho icindezelwa i-disc, i-arthritis, noma izinkinga ezihlangene zezinkinga. Lesi simo singabangela ubuhlungu ukuhamba kusuka entanyeni yakho nasesandleni sakho nasesandleni sakho, ukulingisa ezinye izimpawu ze-carpal tunnel syndrome.
Ukucindezela kwe-Ulnar Nerve
I- nerve yakho ye- ulnar ihamba phansi phansi ingalo yakho nasesandleni sakho ohlangothini lwe-pinky. (Uma uke wavala i-elbow yakho ethandeni lakho elihle, lokhu kuyi-nerve yakho ye-ulnar.) I-nern yakho ye-ulnar ingacindezelwa emgqeni wakho futhi ibangele ukugubha nokugwedla esandleni sakho kanye nokugcoba neminwe. Nakuba lezi zimpawu zihluke kakhulu ekucindezelweni kwe-median nerve esihlakaleni, zingase zidideke ne-CTS.
I-Thumb Arthritis
I-arthritis ingathinta ukuhlanganyela kwakho kwe-carpometacarpal (CMC) yesithupha sakho . Lokhu kungabangela ubuthakathaka nobuhlungu esifubeni nasesandleni sakho, okuholela ekukholweni ukuthi une-CTS.
I-Arthritis yesandla
I-arthritis yesandla sakho ingabangela nokuhlukunyezwa kwesandla, isithupha, nomunwe, okungase kudideke ne-CTS.
Uma usola ukuthi une-carpal tunnel syndrome, kubalulekile ukuthi ubone udokotela wakho. Angakwazi ukuhlola ngokucophelela emtholampilo futhi ahlele izivivinyo ezifanele ukuqinisekisa ukuxilongwa okufanele. Ngokuthola ukuxilongwa okunembile, ungaqala ukwelashwa okungcono kwesimo sakho esithile.
> Umthombo:
> Hultman, CS (2014). I-carpal-tunnel syndrome. Iminyaka engamashumi ayisishiyagalolunye yokuhlangenwe nakho ekutholeni kanye nokwelashwa ngezandla ezingamakhulu ayisithupha namashumi amahlanu nane. Ezifundweni ezingama-50 Wonke odokotela abahlinzayo abahlinzeka ngePulasitiki kufanele bazi (iphe. 59-65). I-CRC Press.