I-Carpal tunnel syndrome yisimo esivela lapho enye yezinzwa ezinkulu esihlakaleni iphoyintiwe. Le nerve, ebizwa ngokuthi i-median nererve, inikeza ukuzwa nokusebenza kwemisipha esandleni naseminwe. Izimpawu ezivame kakhulu zomzimba we-carpal tunnel syndrome zihlanganisa ukungena nokugubha kweminwe, ubuhlungu eminwe, nobuthakathaka bemisipha yesandla.
Lapho isimo se-carpal tunnel syndrome sinokuphazamiseka okukhulu, odokotela bangase bancome ukuhlinzwa ukuze kunciphise umfutho wezinzwa zomphakathi.
Injongo Yokuhlinzwa
Umgomo we-carpal umhubhe ukuhlinzeka uqondile kakhulu: khipha ingcindezi ku-nerve median. Kuzo zonke izimo, lokhu kufezwa ngokusika (noma "ukukhulula") i-carpal ligament engezansi entendeni yesandla. Kwezinye izimo ezingavamile, into engavamile ibangela ingcindezi emithanjeni, njengokukhula komhubhe we-carpal. Kodwa-ke, iningi labantu lithola impumuzo ngokumane usika i-ligament.
Umbuzo wukuthi ungayinqamula kanjani le ligament ngokuphelele ukuqinisekisa ukuthi ingcindezi ku-nerve ikhululekile ngokwanele ngenkathi ingabangeli ukulimaza ezakhiweni eziseduze ezingafanele zinqunywe. Ngokucacile, ukuphikisana okuvamile okuvamile kokuhlinzeka komhubhe we-carpal kuyingozi komunye wezinzwa ezincane (noma mhlawumbe ngisho nerve).
Lokhu kungaholela ezinkingeni ezimbi nakakhulu kunezimpawu zokuqala.
Izinketho zokuhlinza
Kunezinketho ezimbili ezinkulu uma ukuhlinzwa kucatshangwa. Enye indlela yokuhlinzwa evulekile yendabuko. Kule nqubo, ukufakwa kwesikhumba kwenziwa entendeni yesandla. Izicubu ezithambile phakathi kwesikhumba kanye ne-carpal ligament eguqukayo zihlukanisiwe, futhi i-ligament iboniswe ngqo.
Kubalulekile ukubona zonke zomphetho zomgogodla ukuze udokotela wakho ohlinzayo aqinisekise ukuthi i-ligament ikhishwe ngokuphelele, ngakho-ke izinzwa eziseduze zingavunyelwa ngesikhathi senqubo. Ubude bokuhlunga isikhumba kungenziwa ngokuhlukahluka kuye ngokuthandana kwakho, ukukwazi ukubona ukuthi yini okudingeka ibonwe, kanye nekhono lokubuyisela ngokwanele izicubu ezizungezile.
Okunye okukhethwa kukho okubizwa ngokuthi i-endoscopic carpal umhubhe ukukhululwa. Lokhu kuhlinzekwa kwenziwa nangomshini wokushisa, kepha ukuqubuka okuncane kakhulu okuphezu kwesandla esikhundleni sensika. Ikhamera encane ifakwe ngaphansi kwe-carpal ligament eguqukayo, futhi i-ligament ibonakala ngekhamera kusuka ngaphansi kwayo. I-blade yokusika encane isetshenziselwa ikhamera, futhi i-ligament iyakunqunywa ngenkathi udokotela ohlinzayo ebuka ikhamera, futhi aphinde aqinisekise ukuthi izinzwa eziseduze azilimazi.
Okungcono: Okushiwo Ucwaningo
Kube nezifundo eziningi, kufaka phakathi ukuhlaziywa kwamamitha amaningana, okuphenywe ukuthi ukuhlinzwa kokuvula komhubhe we-endoscopic noma ovulekile. Idatha icacile ezintweni ezimbalwa.
- Abantu babuyela emsebenzini ngokushesha uma bane-endoscopic umhubhe wokukhululwa uma kuqhathaniswa nokuhlinzwa okuvulekile komhubhe we-carpal. Abantu abanesidingo esiphuthumayo sokubuyela emsebenzini ngokushesha, ikakhulukazi uma bethembela ezandleni ukuze baphakamise noma bagxile kakhulu, ngokuvamile bahamba kahle nge-endoscopic ngokuhlinzwa okuvulekile komhubhe we-carpal.
- Ukubamba amandla kungcono kakhulu emva kokuhlinzwa kwabalandeli abaye bathola ukukhululwa komhubhe we-carpal endoscopic. Ngesikhathi abanye odokotela abahlinzayo bephikisana ngokuthi lo mqondo awubalulekile (kusho ukuthi iziguli azikwazi ukubona umehluko), lokhu kungase kuchaze ukuthi kungani abantu bevame ukubuyela emsebenzini ngokushesha. Ngemuva kwezinyanga ezimbalwa, lo mthelela uhamba.
Kube nokunye ukukhathazeka okukhonjiswe nokupheliswa komhubhe we-carpal endoscopic . Enye yezinto ezithinta kakhulu ingozi ephezulu yokulimala kwemizwa ehambisana nale nqubo. Ucwaningo lwamuva lubonakala lubonisa ukuthi lokhu kukhathazeka kudlula isikhathi njengoba odokotela abahlinzayo beba nolwazi oluthe xaxa futhi imishini endoscopic ithuthukile.
Kukhona nokukhathazeka mayelana nezindleko zemishini endoscopic. Ukuhlinzwa komhubhe we-carpal ovulekile osebenzisa imishini isebenzisa imishini ejwayelekile kakhulu futhi ukwenza ukuhlinzwa akubandakanyi izindleko ezinkulu. Ukuhlinzwa okuhlinzekwa komhubhe we-endoscopic kudinga ubuchwepheshe obubi obungase bukhathazeke ngabanye abantu.
Ingabe i-Endoscopic Ilungile? Yini Engingayitholi?
Ngokusekelwe kwedatha, kubonakala sengathi i-endoscopic iyindlela yokuhlinzwa engcono. Abantu banamandla okubamba futhi bangabuyela emuva ukusebenza ngokushesha. Nokho, akulona lokho okulula. Ukuhluka okuhlukile okunzima ukuhlola ezifundweni ukuthi ukuhlinzwa okuvulekile kuye kwaguqulwa eminyakeni edlule, kanti abanye odokotela abahlinzayo manje sebekwazi ukwenza ukuhlinzwa okuvulekile ngokunciphisa okuncane okwanele ukuthi isikhumba esikhunjeni asinakuhluka ngobukhulu besayizi ukuchotshozwa kokuphela. Lokhu kuhluka kwindlela, okuthiwa ukukhululwa kwe-mini-okuvuliwe, kucatshangwa ukuthi abanye odokotela abahlinzayo babe ngcono ngisho nokuhlinzwa okungapheliyo. Ngokuhamba kwesikhathi, lezi zindlela zokuhlinza umhubhe we-carpal mini-ovulekile zingaqhathaniswa nokuhlinzwa okungapheliyo ukubona ukuthi umehluko (uma ikhona) ubonisa phakathi kweziguli.
Ngezansi: Yikuphi Okuhle Kakhulu?
Ukukhishwa komhubhe we-carpal ovulekile ovamile okhona kunamaphutha aphansi. Kodwa-ke, umhubhe we-carpal endoscopic ukhululiwe futhi ukukhululwa komhubhe we-carpal ovulekile kungenzeka ukuthi akufani nokuthi kuhlukile ngokwemiphumela. Esinye sezici ezibucayi kunazo zonke lezi zinqubo yinto yokuhlinza. Abahlinzayo abaqhuba lezi zinqubo kaningi banezinkinga ezimbalwa nemiphumela engcono. Ngakho-ke, kufanelekile ukukhuluma nodokotela wakho ohlinzayo mayelana nezinketho zakho futhi uqonde ukuthi iyiphi inqubo ayenzayo. Uma uzizwa enye yezinye izinketho kungaba ngcono, cela umbono wesibili kudokotela ohlinzayo owenza inqubo ehlukile.
> Imithombo:
> Vasiliadis HS, Georgoulas P, Shrier I, Salanti G, Scholten RJ: "Ukukhululwa kwe-endoscopic ye-carpal tunnel syndrome" I-Cochrane Database Syst Rev 2014; 1: CD008265. i-doi: 10.1002 / 14651858.CD008265.pub2.
> Sayegh ET, Strauch RJ: "Ukuvulelwa kwemikhakha ye-carpal endoscopic ukuvulelwa: Ukuhlaziywa kwemitha yezilingo ezilawulwa ngokungahleliwe" Clin Orthop Relat Res 2015; 473 (3): 1120-1132. i-doi: 10.1007 / s11999-014-3835-z. Epub 2014 Aug 19.
> I-Trumble TE, i-Diao E, i-Abrams RA, i-Gilbert-Anderson MM: Ukukhululwa kwe-carpal endoscopic emasalini okukhululwa ngaphandle kwe-portal kuphela uma kuqhathaniswa nokukhululwa okuvulekile: Isivivinyo esingaba khona, esihleliwe. I-Bone Bone Joint Surg Ngo- 2002; 84-A (7): 1107-1115.