Usebenza edeskini yakho, uzama ukungazinaki ukuxosha noma ukuphazamiseka okwenziwe izinyanga ezandleni zakho nasesandleni sakho. Ngokungazelelwe, ubuhlungu obuhlabayo, ukubhoboza buhlasela ngesikhumba futhi uphakamise ingalo yakho. I-cramp nje edlula nje? Kungenzeka ukuthi une-carpal tunnel syndrome, isimo esibuhlungu esiqhubekayo esibangelwa ukucindezelwa kwesibindi esikhulu esibukweni.
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Iyini i-Carpal Tunnel Syndrome?I-Carpal tunnel syndrome ivela lapho inzwa yomsindo, egijima esivela esandleni, iqhutshwa noma icindezelwe esihlakaleni. I-nerve median ilawula izinzwa ezihlangothini zesandla sesithupha nezithupha (nakuba kungenjalo umunwe omncane), kanye nemisamo eminye imisipha encane esandleni esivumela iminwe nesithupha ukuba zihambe.
Umhubhe weCarpal
Umhubhe we-carpal uyindlela encane, eqinile ye-ligament namathambo esezansi sandla esinezinzwa zomzimba nezintambo. Ngesinye isikhathi, ukuqina kwamathenda athukuthele noma ukunye ukuvuvukala kunciphisa umhubhe futhi kubangele ukuthi inzwa yomsindo iphoqelelwe. Umphumela ungase ube ubuhlungu, ubuthakathaka, noma ukugwedla esandleni nasesandleni, kukhanyisa ingalo.
Nakuba izinzwa ezibuhlungu zingase zibonise ezinye izimo, i-carpal tunnel syndrome iyona evame kakhulu futhi yaziwa kabanzi nge-neuropathies ye-entrapment lapho izinzwa zomzimba zicindezelekile noma ziphazamisekile.
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IzimpawuIzimpawu ze-carpal tunnel syndrome zivame ukuqala kancane kancane, ngokuvutha njalo, ukugubha, noma ukushaya umqubuzelo entendeni yesandla neminwe, ikakhulukazi isithupha kanye nenkomba kanye neminwe ephakathi. Abanye abathintekayo bemithi ye-carpal bathi iminwe yabo bazizwa ingenalutho futhi ivuvukala, yize incane noma kungekho ukuvuvukala kubonakala.
Izimpawu ze-carpal tunnel syndrome zivame ukuvela kuqala ngakwesinye noma zombili izandla ebusuku, njengoba abantu abaningi belala nezibhamu eziguquguqukayo.
Umuntu onesifo se-carpal syndrome angase avuke ukuzwa isidingo 'sokukhipha' isandla noma isibindi.
Lapho Izimpawu Zihamba
Njengoba izimpawu ze-carpal tunnel syndrome ziba nzima kakhulu, abantu bangase bazizwe bekhala ngesikhathi semini. Ukunciphisa amandla okubamba kungenza kube nzima uku:
- yenza ifonti
- ukuqonda izinto ezincane
- yenza enye imisebenzi yemisebenzi
Ezimweni ezingapheli noma ezingaphenduliwe ze-carpal tunnel syndrome, imisipha engaphansi kwesithupha ingase ichithe. Abanye abantu abakwazi ukutshela phakathi kokushisa nokubandayo ngokuthinta.
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IzimbangelaI-Carpal tunnel syndrome ivame ukubangelwa ukuhlanganiswa kwezici ezandisa ingcindezi emithonjeni emaphakathi nemithanga emhubheni we-carpal, kunokuba kube nenkinga ngesibindi ngokwayo. Kungenzeka ukuthi lesi sifo siwumphumela wokuzalwa kwangempela-umhubhe we-carpal ulula kakhulu kwabanye abantu kunabanye.
Ezinye Izinto Ezifakazayo
- ukuhlukumezeka noma ukulimala esihlakalweni esibangela ukuvuvukala, njengokungcolisa noma ukuphuka
- ukwedluleleka kwekhanda le-pituitary
- hypothyroidism
- i-arthritis ye-rheumatoid
- izinkinga zemishini ehlangene esihlangwini
- ukucindezeleka emsebenzini
- ukusetshenziswa okuphindaphindiwe kwamathuluzi esandla okudlidliza
- ukugcinwa oketshezi ngesikhathi sokukhulelwa noma ukuyeka esikhathini
- ukuthuthukiswa kwe-cyst noma i-tumor ku-canal
Kwezinye izimo, asikho imbangela ye-carpal tunnel syndrome.
Ukunyakaza Okuphindaphindiwe
Kukhona idatha encane yomtholampilo ukufakazela ukuthi ukunyakaza okuphindaphindiwe nokuphoqelela kwesandla nesandla ngesikhathi sokusebenza noma ukuzijabulisa kungabangela i-carpal tunnel syndrome. Ukuhlelwa okuphindaphindiwe okwenziwa emsebenzini ojwayelekile noma eminye imisebenzi yansuku zonke kungabangela ukuphazamiseka okuphindaphindiwe kokuhamba njengokufana:
Cramp yomlobi
Umcibisholo womlobi, isimo lapho ukungabi khona kwezimoto ezihambisana nokusebenza kahle kanye nokucindezela eminwe, isibindi, noma ingxubevange kulethwa umsebenzi wokuphindaphindiwe, akusona uphawu lwe-carpal tunnel syndrome.
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Ubani OsesengoziniAbesifazane banamathuba amathathu ngaphezu kwamadoda ukuthuthukisa i-carpal tunnel syndrome, mhlawumbe ngoba umhubhe we-carpal ngokwayo ungase ube mncane kwabesifazane kunamadoda.
- Isandla esiphakeme ngokuvamile sithinteka okokuqala futhi siveza ubuhlungu obunzima kakhulu.
- I-Carpal tunnel syndrome ngokuvamile ivele kuphela kubantu abadala.
Abantu abanesifo sikashukela noma ezinye izifo ezibangelwa isifo somzimba ezithinta ngqo izinzwa zomzimba futhi zenze ukuba zikwazi ukucindezeleka nazo zingengozini enkulu.
Umsebenzi Wobungozi
Ingozi yokuthuthukisa i-carpal tunnel syndrome ayibandakanyi kubantu emkhakheni owodwa noma emisebenzini kodwa evame kakhulu kulabo abenza umsebenzi womugqa wemihlangano njengalokhu:
- ukukhiqiza
- ukuthunga
- ukuqedela
- ukuhlanza
- inyama, izinkukhu, noma ukupaka izinhlanzi
Eqinisweni, i-carpal tunnel syndrome iphindwe kaningi phakathi kwezihlanganiso kunabasebenzi abangena idatha. Ucwaningo olwenziwa yi-Mayo Clinic lathola ukusetshenziswa kwe-computer oluyingozi (kuze kube amahora angu-7 ngosuku) aluzange lwandise ingozi yomuntu yokuthuthukisa i-carpal tunnel syndrome.
Ezinye Amaqiniso
Kulinganiselwa ukuthi abasebenzi abathathu kwabayishumi abalahlekelwa isikhathi emsebenzini ngenxa ye-carpal tunnel syndrome. Ingxenye yalaba basebenzi yayingekho izinsuku ezingaphezu kwezingu-10 zomsebenzi. Isilinganiso semali yokuphila se-carpal tunnel syndrome, kuhlanganise nezikweletu zezokwelapha nokulahlekelwa isikhathi emsebenzini, kulinganiselwa ukuthi singaphezu kwamaRandi angu-30 000 esisebenzi ngasinye esilimele.
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UkuxilongwaUkuxilongwa kokuqala kanye nokwelashwa kubalulekile ukugwema ukulimala okungapheli emndenini ophakathi. Ukuhlolisisa izandla ngezandla, izingalo, amahlombe, nentamo kungasiza ukucacisa ukuthi izikhalazo zesiguli zihlobene yini nemisebenzi yansuku zonke noma isifo esiyinkimbinkimbi, futhi singakwazi ukulawula ezinye izimo ezibuhlungu ezilingisa i-carpal tunnel syndrome. Isikhwama sihlolwe:
- ububele
- ukuvuvukala
- ukushisa
- ukuguqulwa kwezinto
Umunwe ngamunye kufanele uhlolwe ukuzwa, futhi imisipha engaphansi kwesandla kufanele ihlolwe ngamandla kanye nezimpawu ze-atrophy. Ukuhlolwa kwama-laboratory njalo kanye nama-X-ray kungabonisa:
- isifo sikashukela
- i-arthritis
- amafractures
Ukuba khona kwe-carpal tunnel syndrome kuphakanyiswa uma uphawu olulodwa noma ngaphezulu, olunjengokubetha noma olwandayo, luzwakala eminwe engakapheli iminithi elingu-1. Odokotela bangase babuze iziguli ukuthi zizame ukwenza ukunyakaza okuletha izimpawu.
Uvivinyo
Ngokuvamile kuyadingeka ukuqinisekisa ukuxilongwa ngokusebenzisa ukuhlolwa kwe-electrodiagnostic.
- Esifundweni sokuqhutshwa kwezinzwa , ama-electrode afakwa esandleni nasesandleni. Ukwethuka okuncane kagesi kuyasetshenziswa futhi ijubane lapho izinzwa zithumela khona izimo zilinganiselwa.
- Ku- electromyography , inaliti enhle ifakwa emsimbeni, umsebenzi kagesi obukwe esikrinini unganquma ubunzima bomonakalo emndenini ophakathi.
- Ukufaneka kwe-ultrasound kungabonisa ukunyakaza okungafanelekile kwe-nerve median.
- Ukufaneka kwemifanekiso yamagnetic kungabonisa ukuthi i-anatomy ye-anatomy kodwa kuze kube yimanje ayikusizi ngokukhethekile ekutholeni imilayezo ye-carpal syndrome.
Odokotela bangasebenzisa izivivinyo ezithile ukuze bazame ukuveza izimpawu ze-carpal tunnel syndrome.
- Ukuhlolwa Kwe-Tinel: Esivivinyweni se-Tinel, udokotela ugxilisa noma ucindezela emndenini ophakathi nesikhumba sesiguli. Ukuhlolwa kulungile uma ukudonsa iminwe noma ukuzwa okufana nokushaqeka kwenzeka.
- Ukuhlolwa kwe-Phalen: I-Phalen, noma i-crystal-flexion, ukuhlolwa kuhilela ukuba isiguli sigcine izibuko zakhe ziqondile ngokukhomba iminwe phansi bese ucindezela izingxenyana zezandla ndawonye.
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UkwelaphaUkwelashwa kwe-carpal tunnel syndrome kufanele kuqale ngokushesha, ngaphansi kwesiqondiso sikadokotela. Izimbangela ezingezansi ze-carpal tunnel syndrome kufanele ziphathwe kuqala njengokuthi:
- isifo sikashukela
- i-arthritis
Initial Treatment
Ukwelashwa kokuqala kwe-carpal tunnel syndrome ngokuvamile kuhilela ukuphumula isandla nesibindi esithintekayo okungenani amasonto amabili, ukugwema imisebenzi engase ibe yinkimbinkimbi yezimpawu, futhi iphoqelele isihenqo esibucayi ukuze igweme ukulimala okuqhubekayo ekuguquleni noma ekuguquleni. Uma kukhona ukuvuvukala, ukusebenzisa ama-packs cool kungasiza ukunciphisa ukuvuvukala.
Alternative Therapies
Ukunakekelwa kwe-Acupuncture kanye ne-chiropractic kuye kwazuzisa ezinye iziguli kodwa ukusebenza okuqhubekayo akugcini. Okuhlukile yi-yoga eye yaboniswa ukunciphisa ubuhlungu nokuthuthukisa amandla okubamba.
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Imithi kanye Nezokwelapha OkungahambiKwezinye izimo, imithi ehlukahlukene inganciphisa ubuhlungu nokuvuvukala okuhlobene ne-carpal tunnel syndrome.
Izimpawu ezitholakale okwesikhashana noma ezibangelwa umsebenzi okhuni zinganciphisa izidakamizwa ezingavumelani nokuvuvukala, njenge:
Izidakamizwa ze-oral ("amaphilisi amanzi") zinganciphisa nokuvuvukala.
Ama-corticosteroids afana ne-prednisone, ajowe ngqo esihlakaleni noma athathwa ngomlomo, anganciphisa ingcindezi emndenini ophakathi futhi anikeze ngokushesha, isikhashana isikhashana kubantu abanezimpawu ezincane noma eziphakathi. ( Isexwayiso: abantu abanesifo sikashukela nalabo abafakwe isifo sikashukela kufanele baqaphele ukuthi ukusebenzisa isikhathi eside i-corticosteroids kungenza kube nzima ukulawula amazinga e-insulin, akufanele kuthathwe ngaphandle kokudokotela.)
Ngaphezu kwalokho, ezinye izifundo zibonisa ukuthi amavithamini B6 (pyridoxine) angenelela angase alulame izimpawu ze-carpal tunnel syndrome.
Ukuzivocavoca
Ukuzivocavoca okunamandla nokuqinisa (njengalezi zivivinyo ze- tendon gliding ) kungasiza kubantu abathintekayo izimpawu zabo. Lezi zivivinyo zingase zibhekwe ngumhlinzeki womzimba, oqeqeshwe ukusebenzisa izivivinyo zokuphatha ukukhubazeka ngokomzimba, noma ochwepheshe bezisebenzi, oqeqeshwe ukuhlola abantu abanokukhubazeka ngokomzimba nokubasiza ekwakheni amakhono ukuthuthukisa impilo yabo nenhlalakahle.
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Izinketho zokuhlinza- Umhubhe we-Carpal ukukhululwa kuyindlela evamile yokuhlinzwa. Ngokujwayelekile kunconywa uma izimpawu zihlala ezinyangeni ezingu-6, ukuhlinzwa kuhilela ukuhlukanisa i-band of tishu eziseduze nesandla ukuze kuncishiswe ukucindezeleka emndenini ophakathi. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia yendawo futhi akudingi ukuhlala esibhedlela ebusuku. Iziguli eziningi zidinga ukuhlinzwa kuzo zombili izandla.
- Ukuhlinzwa okuvuliwe , ukuhlinzwa kokulungiswa komhubhe we-carpal, kuhilela ukwenza ukuchotshozwa kuze kufike kumasentimitha amabili esihlalweni bese uqeda umgudu we-carpal ukwandisa umhubhe we-carpal. Ukuhlinzwa kuvame ukuphelelwa yisiguli ngaphansi kwe-anesthesia yendawo.
- Ukuhlinzwa okungapheliyo kungavumela ukuvuselela okusheshayo kokusebenza nokuncipha okuncane kokuthunyelwe ngaphandle kokuhlinzwa okuvulekile okuvulekile. Udokotela ohlinzayo wenza izimboni ezimbili esihlakaleni nasesendeni, ufaka ikhamera enamathele kwiphubhu, ubheka izicubu esikrinini, futhi usika umgudu we-carpal. Lokhu kuhlinzeka kokuphela kokugcina i-portal, okuvame kwenziwa ngaphansi kwe-anesthesia yendawo, kuyasebenza futhi kuncishisa ukwehluleka kanye nobunzima obunzima. Ukuhlinzwa okuphela kwe-portal endoscopic kuyatholakala.
Ukubuyisela
Nakuba izimpawu zingase zikhululeke ngokushesha ngemva kokuhlinzwa, ukutakula ngokugcwele kungathatha izinyanga. Ezinye iziguli zingase zibe nalezi:
- ukutheleleka
- umonakalo wezinzwa
- ubunzima / ubuhlungu obunzima
Ngezinye izikhathi isikhonkwane silahlekelwa amandla ngoba i-carpal ligament iyanqunywa. Iziguli kufanele zithole ukwelashwa ngokomzimba ukuze ubuyisele amandla esandla. Abanye bangadinga ukulungisa imisebenzi noma ukushintsha imisebenzi ngemuva kokuthola.
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UkuvimbelaEmsebenzini, abasebenzi bangakwazi:
- yenza isimo sokusebenza emsebenzini
- yenza ukwelula umzimba
- thatha isikhathi sokuphumula njalo
- gqoka ama-splints ukuze uhlale uqondile
- sebenzisa ukuhleleka okulungile nesimo sesikhumba
Ergonomics
Ukugqoka amagilavu ​​angenaminwe kungasiza ukugcina izandla zifudumala futhi ziguquguquka. Izindawo zokusebenzela, amathuluzi kanye nokuphatha amathuluzi, futhi imisebenzi ingahlelwa kabusha ukuze unike amandla isikhumba sesisebenzi ukugcina isikhundla semvelo ngesikhathi somsebenzi. Imisebenzi ingashintshwa phakathi kwabasebenzi.
Abaqashi bangathuthukisa izinhlelo ezise-ergonomics, inqubo yokulungisa izimo zendawo yokusebenza kanye nezidingo zomsebenzi emandleni abasebenzi. Kodwa-ke, ucwaningo aluzange lubonise ngokucacile ukuthi lezi zinguquko zendawo yokusebenza zivimbela ukutholakala kwe-carpal tunnel syndrome.
Umthombo:
Ukushicilelwa kwe-NIH No 03-4898 (okuhleliwe)