I-Theory of Nerve Compress njenge-Migraine Culprit
Ingabe uhlushwa ukuzwa okugubungelayo futhi kunesiginci esikhwameni sakho? Ingabe ufaka isandla sakho ebusuku noma ekuseni ukuze ususe umzwelo? Ungaba ne-carpal tunnel syndrome - futhi ingaxhunyaniswa nemigraines yakho, ngokusho kwesifundo esisodwa seveli.
Okokuqala ... Iyini iCarpal Tunnel Syndrome?
I-Carpal tunnel syndrome ibangelwa ukucindezelwa kwe-nerve median, egijima kusukela engxenyeni yesandla kuya kwesandla sandla.
Lokhu kucindezela kubangela ubuhlungu, ukuxubha, nokuguga kwesandla sesandla neminwe, ikakhulukazi isithupha, inkomba, kanye neminwe ephakathi. Ngesinye isikhathi ubuhlungu buyakwazi ukuphakamisa ingalo kanye nehlombe.
Ithiyori Eyingqayizivele Mayelana Nalokho Okubangela I-Migraines
I-etiology eqondile ye-migraines isaphikisana kakhulu ososayensi kanye nochwepheshe bezinsizi. Enye inoveli nombono ophikisanayo wukuthi imigraines ibangelwa ukucindezelwa kwemizwa ekhanda nasemqaleni. Abasekeli balezi zindawo zesifundo se-hypothesis eziye zabonisa ukuxhaswa kwe-migraine ekudonseni kwe-nerve ngokusebenzisa izindlela zokuhlinzeka noma ngemiphumela ye-botulinum toxin emisipha noma emisipha ejikelezayo.
Isifundo esisodwa sika-2015 ku- Plastic and Reconstructive Surgery Global Open safuna ukuhlola ukuthi uxhumano lukhona yini phakathi kwe-carpal tunnel syndrome, uhlobo lwe-compress neuropathy, kanye ne-migraine.
Kulesi sifundo, idatha evela ku-2010 National Health Interview Survey (NHIS) isetshenziselwa ukulinganisa ukusabalalisa kwe-carpal tunnel syndrome kanye ne-migraine.
I-NHIS yinhlolovo ephethwe kulo lonke unyaka "inhlolovo yezempilo yonyaka, ephakathi komuntu, engekho-institutional of the United States."
Umhlanganyeli ocwaningweni wayebhekwa ukuthi une-carpal tunnel syndrome uma ephendula ethi "yebo" kule mibuzo emibili:
- "Wake watshelwa udokotela noma omunye ochwepheshe bezempilo ukuthi unesimo esithinta isihenqo nesandla esibizwa nge-carpal tunnel syndrome?"
- "Ezinyangeni ezingu-12 ezedlule unayo yini i-carpal tunnel syndrome?"
Umhlanganyeli uthathwa ukuthi une-migraine uma ephendula "yebo" kulo mbuzo:
- "Ezinyangeni ezintathu ezedlule, ingabe unesifo esibuhlungu kakhulu noma i-migraine?"
Ezingu-25,880 abaphenduli bezocwaningo esifundazweni, amaphesenti angu-3.7 anesifo se-carpal tunnel syndrome kanti amaphesenti angu-16.3 ayene-migraines.
Imiphumela iphinde iphakamise ukuthi i-carpal tunnel syndrome kanye ne-migraine babelane ngezici ezithile zobungozi. Ngokwesibonelo, kokubili i-migraines ne-carpal tunnel syndrome yayihlotshaniswa nobulili besifazane, ukukhuluphala, nesifo sikashukela .
Omunye umehluko omkhulu otholakala phakathi kwalezi zimo ezimbili ukuthi i-carpal tunnel syndrome ihlotshaniswa nobudala obudala - obuvame kakhulu kubantu abaneminyaka engu-50 kuya kwengu-64 ubudala - ngenkathi i-migraine ihlotshaniswa nesikhathi esincane-esivame kakhulu kubantwana abaneminyaka engu-18 kuya kwangu-34.
Ngemuva kokulungiswa kwezinguquko eziningana, i-migraine itholwe ngamaphesenti angu-34 alabo abane-carpal tunnel syndrome kanye namaphesenti angu-16 alabo abangenawo i-carpal tunnel syndrome. Ehlangothini lwe-flip, i-carpal tunnel syndrome yayikhona ngamaphesenti angu-8 alabo abane-migraine namaphesenti amathathu alabo abangenawo ama-migraine.
Ngemuva kokulungisa izici, abalobi bathole ukuthi ukuhlukumezeka kokuba ne-migraine kwakunezikhathi ezingu-2.60 eziphakeme kulabo abane-carpal tunnel syndrome.
Izinkinga zokuba ne-carpal tunnel syndrome zaziphindwe izikhathi ezingu-2 67 kulabo abane-migraine.
Konke lokhu kushiwo, kunomkhawulo omkhulu wokutadisha. Omunye umkhawulo omkhulu ukuthi lolu cwaningo lusekelwe ekuhloleni. Ukuxilongwa kwe-migraine ne-carpal tunnel syndrome akuqinisekisiwe udokotela.
Ngaphezu kwalokho, umbuzo wokuhlola we-migraine uthi, "... ingabe unesifo esibuhlungu noma i-migraine?" Ikhanda elibi lingase lihlanganise nezinye izinkinga zamakhanda ngaphandle kwe-migraine, njengezinhloko zekhanda .
Ekugcineni, kube nomkhawulo wesikhathi obekwe emibuzweni. Ngokwesibonelo, "ezinyangeni ezingu-12 ezedlule unayo i-carpal tunnel syndrome?" Lokhu kungenzeka ukuthi kwakungekho abantu ababene-carpal tunnel syndrome eminyakeni embalwa edlule noma ngaphezulu.
Okubalulekile
Khumbula ukuxhuma phakathi kwezimo ezimbili zezokwelapha akusho ukuthi omunye ubangela omunye. Kunalokho uxhumano lusho ukuthi uhlobo oluthile lwenhlangano okungenzeka lukhona - imbangela noma umlamuleli walokhu kuxhumano kusasaziwa (futhi kungaba khona abaxhumanisi abaningi).
Iphuzu elithakazelisayo labalobi esiphethweni sabo:
- "Ngenxa yokuthi ikhanda le-migraine livame kakhulu ezigulini ezincane, futhi imoto yamathambo e-carpal isakazeke kakhulu kwiziguli ezindala, ikhanda le-migraine lingase liqiniseke ukuthi isimiso senzwa esisemkhatsini siyakwazi ukuthuthukisa ubuhlungu obuvela emuva kokucindezelwa kwesibindi emhubheni we-carpal."
Ngakho-ke i-migraines i-predictor of carpal tunnel syndrome? Asazi. Ucwaningo oluningi luyadingeka ukuze kuhlukaniswe lobu buhlobo, ikakhulukazi izifundo zesikhathi eside ezilungisa ukulinganiselwa okukhulunywe ngenhla.
Kungakhathaliseki, lokhu kuyintandokazi futhi kusisondeza (noma ngaphezulu!) Ekuqondeni imigraines - isizathu esiqondile (noma imbangela) namanje i-conundrum.
Imithombo:
UMthetho HZ, uAmirlak B, Cheng J, uSammer DM. Inhlangano ephakathi kweCarpal Tunnel Syndrome kanye ne-Migraine Headaches-National Health Interview Survey, 2010. Ukuhlinzwa Kweplastiki Nezokuvuselela I-Global Open , 19 Mashi 2015; 3: e333.
LeBlanc KE, Cestia W. Carpal Tunnel Syndrome. Am Fam Physician. 2011 Apr 15; 83 (8): 952-58.