Ukwelashwa kwe-carpal tunnel syndrome kuncike ekutheni uhlobo nobude bezimpawu. Ngokuvamile kuzoqala ngezinqubo zokwelashwa eziqaphileyo ngokusebenzisa ububanzi bekhanda futhi ungathola umjovo we-corticosteroid ukunciphisa ukuvuvukala. Uma lokhu kunganikeli ukuphumula noma uma izimpawu zakho zinzima, ungase ube nokuhlinzwa kokuhlinzeka komhubhe we-carpal.
Ukwelashwa kwe-Over-the-Counter (OTC)
Ukugqoka ubucwebe noma ubusuku ebusuku ngokuvamile kuyindlela yokuqala yokwelapha.
Ungathola ama-splints esikhwameni esitolo sezidakamizwa ngobukhulu obuhlukahlukene. Ukuqhaqhazela okunamandla okuhambisana nesandla sakho endaweni yokungathathi hlangothi kungcono kakhulu. Ungathola futhi ama-splints amaningi aguquguqukayo angase afanele ukusetshenziswa komini.
Ungasebenzisa izidakamizwa eziphikisana nezidakamizwa ze-OTC (i-NSAIDS) njenge-ibuprofen engasiza ekunciphiseni izimpawu zobuhlungu. Kodwa-ke, lezi zidakamizwa ngeke zithuthukise isimo ngokwayo.
Amakhambi asekhaya kanye nendlela yokuphila
Ungasebenzisa amaphakethe ebandayo emlonyeni wakho ukuze usize ukunciphisa ukuvuvukala. Kuhle ukugwema imisebenzi eyenza izimpawu zakho zibe nzima nakakhulu. Kumele uthathe amaphuzu amaningi ukuze uphumule izandla uma kunoma imuphi umsebenzi odinga ukuzivumelanisa nezikhwama. Gwema ukulala ezandleni zakho, ikakhulukazi ngezigqoko zakho ezigobile.
Imigomo
Udokotela wakho angase anikeze ububanzi obungokweziko ukuze bakhelwe umuthi osebenza umsebenzi oyokufanisa ngqo. I-corticosteroids yomlomo ingase ibekwe ukuba kuncishiswe ukuvuvukala nokuvuvukala.
Nokho, kungenzeka ukuthi umjovo we-cortisone uzonikezwa njengenqubo.
Ukwelashwa Nezinqubo
Ukwelashwa okuqhubekayo kuzoxhomeke ekubambeni kwezimpawu zakho uma bengaphenduli ukwelashwa okungaqondakali. Ungathunyelwa ku-neurologist noma odokotela bamazinyo.
I-Cortisone Injection
I-Cortisone injection sekuyisikhathi eside isetshenziselwa ukwelashwa kwe-carpal tunnel syndrome. Umjovo ungase uqondiswe yi-endoscopy. Nakuba kunezimo ezimbi ezingase zibe khona , ngokuvamile zibhekwa njengephephile kunokuhlinzwa. Iphumelela kakhulu uma imbangela eyinhloko ye-CTS yesikhashana futhi izoxazululwa, njengokungathi ngemuva kokulimala, kunokuba i-CTS ngenxa yesimo esingapheli noma imbangela ye-anatomic. Ngezinye izikhathi umjovo we-cortisone unikezwa ukusiza ukuqinisekisa ukuxilongwa kwe-CTS, okumele okungenani kukhululeke okwesikhashana ngomjovo. Izimpawu ngenxa yezizathu ezihlukile ngeke zikhululeke ngomjovo kuleli sayithi.
Ukwelapha ngesandla
Udokotela wakho angakutjela kumthandi wezandla njengendlela yokwelashwa okulondolozayo noma ngesikhathi sokuvuselela kusuka ekuhlinzekeni. Udokotela angase akufundise ukuzivivinya kwezinzwa kanye nokuvivinya kwe-tendon gliding. Isandla somuthi singasebenzisa iontophoresis ukuphatha i-steroids esikhumbeni. I-ultrasound yokwelashwa ingase isetshenziselwe ukunciphisa ubuhlungu nokugabuka.
I-Carpal Tunnel Release Surgery
Umhubhe weCarpal ukuhlinzwa ukuhlinzwa kuyisinyathelo esilandelayo uma izimpawu zinzima noma aziphendulanga ukwelashwa okunamandla. Kuyinto yokuhlinzeka ngosuku lokuphulukiswa komzimba okwenziwa ngaphansi kwesikhumba esincane sendawo noma sesifunda. Uzobuyela ekhaya ngosuku olufanayo.
Kodwa-ke, ungahle ube nesidingo futhi ngakho-ke uzodinga omunye umuntu ukukushayela ekhaya. Ngokuvamile uzodinga ukuhlinzwa kuzo zombili izandla futhi ukuhlinzwa kungenziwa ngesikhathi esifanayo.
Ekuhlinzekeni komhubhe we-carpal, i-ligament elizungezile isihenqo sinqunywe ukukhulula ingcindezi emndenini ophakathi. Uzozizwa ukhululekile izimpawu zakho ngokushesha. Imigudu ikhula emuva ndawonye futhi inikeze isikhala esiningi emhubheni we-carpal for the nerve. Ukuhlinzwa kungenziwa ngezindlela ezimbili:
- Ukuhlinzwa okuvuliwe kuyenziwe ngokwenza ukuchotshozwa nge-scalpel esihlakaleni futhi ukusika i-ligament.
- Ukuhlinzwa okungapheliyo kusebenzisa ukucubungula okukodwa noma kokubili esihlakaleni nasesendeni ukuze ufake ikhamera ehlanganiswe ne-tube futhi usike i-ligament ngommese omncane ofakwe ngaphakathi kwiphubhu.
Ngemuva kokuhlinzwa kungenzeka ukuthi uzokwaziswa ukugqoka ubuciko besikhumba noma ukubamba amasonto amaningana. Kungase kudingeke ulungise imisebenzi yakho yomsebenzi ngenkathi ululame futhi uthole usizo ngemisebenzi yasekhaya, kodwa kufanele maduze ukwazi ukushayela futhi wenze ukuphakamisa okulula.
Ukubuyiselwa okugcwele emva kokuhlinzwa kungathatha izinyanga ezimbalwa, lapho kuzoba khona ukunciphisa amandla okubamba. Lokhu kuzovame ukubuyela ezinyangeni ezimbili kuya kwezingu-3, kodwa kungathatha isikhathi esingangonyaka ezimweni lapho ukungena kwesibindi kwakunzima. Ingxenye nje yalabo abanemiphongolo ye-carpal yokukhululwa ivuliwe ukuvuselelwa okugcwele kokusetshenziswa okuvamile nokuzwa. Kuvame ukuba nesifo esincane noma ubuthakathaka ngemva kokululama. Izindaba ezinhle ukuthi ukuphindaphinda kwenkinga akuvamile. Ungathunyelwa kumhlengikazi wesandla ukuze usize ekubuyiseleni uma usenabo ubuhlungu nobubuthakathaka ngemva kwezinyanga ezimbili.
Imithi yokwelapha ehambisanayo (i-CAM)
Ukubuyekezwa kwezifundo ngo-2010 kubikwe ngobufakazi obunqunyiwe bokuthi ezinye izindlela zokwelapha ezingase zenzeke zingase zibe usizo ku-CTS. Nazi okutholakele kwalokhu kubuyekezwa:
- I-Yoga ingasiza ukuqinisa umzimba wakho ophezulu futhi uthuthukise amandla akho okubamba. Kuphawulwe njengokusiza yiNIH National Institute of Neurological Disorders kanye neSroroke. Kodwa-ke, akuzange kube khona isifundo esilawulwayo sokusekela ukusebenzisa i-yoga kule minyaka engu-20 edlule.
- Ukwakhiwa kwe-acupuncture kwesekelwa njengendlela yokwelashwa okulungiselelwe noma okunye okushiwo yisitatimende sokuvumelanisa kwe-NIH ngo-1997. Izifundo ezihlukahlukene azibonanga ubufakazi obucacile obusebenzayo. I-needle acupuncture, acupressure, noma i-laser acupuncture ingenziwa ngamagciwane ahlukile. I-low-level laser therapy ingase yenziwe kanye nerve ye-median kunokuba kusetshenziswe amasayithi okukhwabanisa. Ubufakazi bokusebenza kwalo buxubene.
- Ukwelashwa kwe-magnetic field nakho kuye kwaba nezifundo ezimbalwa, okwakamuva kakhulu akubonisi umphumela.
Nakuba kungekho zifundo zokusetshenziswa kwazo, abanye odokotela batusa lezi zindlela zokwelapha ezingezinye:
- Feldenkrais , okuyinto uhlobo lokunyakaza kabusha imfundo. Ihlose ukuthuthukisa ukusebenzisana, ukunciphisa ukucindezeleka okuhlangene, nokuguquguquka okuguquguqukayo.
- I-Hellerwork yindlela yokusebenza komzimba ehlanganisa umsebenzi ojulile wezincubu ezungeze isixhumi nesandla, imfundo mayelana nokuma nokunyakaza, kanye nengxoxo mayelana nemizwelo engathinta imisipha yakho nokuphefumula.
- Izithako: I-Vitamin B6 iphakanyiswa njenge-supplement yilabo abacabanga ukuthi kungasiza ekusizeni ubuhlungu. Noma kunjalo, kunesidingo sokudinga ngoba amanani aphezulu angabangela ukulimala kwamantombazane. I-Alpha-lipoic acid (ALA) i-antioxidant ephakanyisiwe ngabanye abahlinzeki be-CTS. Izithasiselo ze-enzyme ezifana ne- serrapeptase , i- bromelain ne- papain zihlongozwa abanye abasebenzayo abathile kulo mqondo wokuthi banganciphisa ukuvuvukala kwezicubu. Xoxani nganoma yimaphi ama-supplements nodokotela wakho njengoba kungase kungalungele abesifazane abakhulelwe, omama abahlengikazi, izingane, noma labo abanezinye izimo zezokwelapha. Bangase babe nokuxhumana neminye imithi.
> Imithombo:
> Carlson H, Colbert A, Frydl J, Arnall E, Elliot M, Carlson N. Izinketho zamanje zokulawulwa kwezingubo ze-Carpal Tunnel Syndrome. I-International Journal of Clinical Rheumatology . 2010; 5 (1): 129-142. i-doi: 10.2217 / IJR.09.63.
> I-Carpal Tunnel Syndrome Fact Sheet. I-National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Carpal-Tunnel-Syndrome-Fact-Sheet.
> I-Jennings CD, iFaust K. Carpal Tunnel Syndrome. I-American Academy Yabahlinzeki Bama-Orthopedic. https://orthoinfo.aaos.org/en/diseases--conditions/carpal-tunnel-syndrome/.