Iningi labantu cishe lijwayelene ne- carpal tunnel syndrome lapho ukufakwa kwesigqoko (umhubhe we-carpal) kubangela ubuhlungu, ukuxubha, nokuguga ngokuyinhloko kwisithupha, iminwe emibili ehambisana nayo, kanye nengxenye yesundu.
Isimo esifanayo singase senzeke ngaphesheya kwesihenqo lapho ukufakwa kwesibindi se-ulnar kubangela ubuhlungu obunzima noma obunzima phakathi komunwe we-pinky, ugobe ngomunwe, nokuphezu kwesandla.
Lokhu kubizwa ngokuthi i-ulnar neuropathy engabangelwa izimo ezimbili ezihlukene ezibizwa ngokuthi umhubhe we-tunnel syndrome kanye ne- ulnar umhubhe syndrome .
I-Nerves yesandla nesandla
Ukuze uzwisise ukuthi kungani lezi zinkinga zenzekayo kudinga ukuqonda okuyisisekelo kwe-anatomy yesandla. Isandla sakhiwe inethiwekhi eyinkimbinkimbi yezinzwa eziqukethe izinhlobo ezintathu eziyinhloko: izinzwa ezisemoyeni, eziphakathi, kanye ne-ulnar. Ngamunye walezi zinzwa unomsebenzi ohlukile esandleni:
- I- radial nererve iyabangela ukuzwa kwesinye isikhathi ngemuva kwesandla, kanye nokuqondiswa kweminwe.
- I-nerve median yenza inzwa enkulu kwesithupha kanye neminwe emibili yokuqala, kanye nokuhlinzeka ngeminwe emibili neminwe yokuqala.
- I- nervous ulnar ibangela ukuzwa kumunwe we-pinky nengxenye yomunwe. Ibuye iguquguqule iminwe yakho futhi ikuvumela ukuba uguqule iminwe yakho ngaphandle.
Igama lezokwelapha "u-ulnar neuropathy" lisho ukuthi kukhona okungahambi kahle nge-nerve ulnar.
Uma lokhu kwenzeka, ngokuvamile kubangelwa okuthile okucindezela isisindo (njengokuthi ngandlela-thile kushaya kanjani umlenze wakho futhi unomuzwa wokuthi ubuhlungu be-jarring phansi ingalo yakho).
Njengoba izinzwa zihamba zisuka emgodini phansi ingalo esandleni, ngezinye izikhathi zidlula ezindaweni eziqinile lapho zingengozini yokulimala nokucindezela.
Izindawo ezimbili ezivame kakhulu ukucindezelwa kwe-ulnar nerve kuyi-elbow kanye nesandla.
I-Cubital Tunnel Syndrome
I-nerve ulnar (okungukuthi, "i-bone funny" ye-nerve) iphuma emgodleni bese igijima phansi ubude bengalo yakho. Umhubhe we-Cubital syndrome kwenzeka ngokuqondile lapho i-ulnar nerve igxiliwe ku-elbow.
Noma nini lapho le nerve icindezelekile kule nqanaba, noma yikuphi ubuhlungu eminwe nasesandleni kungasuswa ngokuphindaphindiwe kwe-elbow (njengokukhuluma efonini). Lezi zimpawu ngezinye izikhathi zingase zibe ezijulile ukuvusa ebusuku. Akuvamile, eqinisweni, ukuthi abantu balale ngezimbambo zabo beguquguquke ukuze bagweme ubuhlungu.
Umhubhe we-Cubital syndrome ungaphinda ubangele ubuhlungu obunzima emaphethelweni kanye nobuthakathaka emisipha yesandla. Ezimweni ezinzima, i-muscle atrophy kanye nokuhlunga kwesandla kungenzeka.
I-Ulnar Tunnel Syndrome
Ulnar umhubhe syndrome kubangelwa ukucindezelwa kwesibindi esihlakalweni kodwa endaweni ehlukile kune-carpal tunnel syndrome, ikakhulukazi, isikhala esincane okuthiwa i-Guyon's Canal. Ulnar umhubhe syndrome ingabangelwa ukunyakaza okuphindaphindiwe okuhambayo, okufana nokunyakaza, noma ukucindezela okuqhubekayo esihlakaleni, njengokuthi kwenzeka lapho abashayeli bamabhayisikili bencike ezinkambeni zabo zokubamba isikhathi eside.
Esikhathini sesigaba esilandelayo, ulnar umhubhe syndrome ingabangela ubuthakathaka obuthakathaka ngenxa ye-atrophy noma shrinkage ye-hypothenar ne-muscle interosseous (imisipha ephansi kakhulu esandleni sakho). Ezimweni ezimbi kakhulu, i-atrophy ingabangela ukuhlunga kwesandla.
Ukuxilongwa Nokunakekelwa
Ukuhlolwa ngokomzimba kuvame ukuba konke okudingekayo ukuqinisekisa ukuxilongwa kwe-ulnar neuropathy. Uma izimpawu zinzima kakhulu futhi zidinga ukwelashwa okufutheka kakhulu, udokotela wakho angalawula i- electromyogram noma izifundo zokuqhuba izinzwa .
Ukwelashwa kwe-tubital tunnel syndrome kanye ne-ulnar emhubheni yokwelashwa kuyafana. Inhloso yokuqala ukukhulula noma yisiphi ukuvuvukala okungase kube ukucindezela inzwa.
Lokhu kuhilela ukuhlanganiswa kokuphumula, imikhakha efanele, nokukhazimula okusekelayo. Ukubuyisela ubuhlungu njengo-ibuprofen nakho kungabekwa.
Uma sekushiwo lokho, kunemibono embalwa yokuthi ukwelashwa kwenziwa kanjani.
- Njengoba i-tunnel syndrome yokuzalwa, ukuhlukaniswa okuxhasayo kwakuyobandakanya ukuguqa kwe-elbow emazingeni angu-45. Ubucwebe buyobe buguqulwe njalo noma ebusuku kuphela kuye ngokuthi ubukhulu bezimpawu. Uma ukwelashwa okulondolozayo kungaphumeleli, ukuhlinzwa kungase kusetshenziselwe ukukhipha i-nerve kwizinga lesigqoko
- Ngomsindo we-ulnar syndrome, ububanzi obusekelayo buyofana nalokho ku-carpal tunnel syndrome, besebenzisa ukusetshenziswa kobucwebe ukuze kugcinwe isihenqo. Uma ukwelashwa okulondolozayo kungaphumeleli, ukuhlinzwa kungase kusetshenziselwe ukudonsa inzwa emgodini kaGuyon. Kungase futhi kuhilele ukukhululwa komhubhe we-carpal, owenza uphahla lomabili umhubhe we-carpal kanye nengxenye yomhubhe we-ulnar.
Uma kwenziwa ukuhlinzeka, kwakuzolandelwa inkambo yokwakhiwa yokwelashwa ngokomzimba ukuze kutholakale amandla nokujika kwesigqoko noma isici. Ukubuyisela kungathatha amasonto angu-12.
Izwi elivela
Uma usola ukulimala kwesibindi esifubeni sakho noma ngesandla, sicela wenze i-aphoyintimenti nodokotela wakho, ongakunikeza ochwepheshe. Izimo ezinjenge-tunnel umdanso we-syndrome kanye ne-ulnar umhubhe syndrome zidinga ukuhlolwa okukhethekile nokuphathwa.
> Imithombo:
> Abakwa-Bednar, iM .; Ukukhanya, T .; kanye noBindra, R. "Isahluko 9. Ukuhlinza Ngesandla". Ukuxilongwa Kwamanje Nokuphathwa Kwama-Orthopediki (umagazini wesi-5). Ku: Skinner, H. no McMahon, P. eds. ENew York, NY: McGraw-Hill; 2014.