Carpal tunnel chirwere

Carpal tunnel syndrome mamiriro umo mune kumanikidza kwakanyanya pamutsipa wepakati. Iyi ndiyo tsinga iri muchanza inobvumidza kunzwa uye kufamba kune zvikamu zveruoko. Carpal tunnel syndrome inogona kutungamira mukuvava, kurira, kushaya simba, kana kukuvara kwemhasuru muruoko neminwe.

Mutsipa wepakati unopa kunzwa uye kufamba kune chigunwe cheruoko. Izvi zvinosanganisira chanza, chigunwe, index munwe, wepakati munwe, uye chigunwe divi remhete munwe.

Nzvimbo iri muchiuno chako panopinda tsinga paruoko inonzi inonzi carpal tunnel. Uyu mugero unowanzo kuve wakamanikana. Chero kuzvimba kunogona kutsinga tsinga uye kukonzera marwadzo, chiveve, kurira kana kushaya simba. Izvi zvinonzi carpal tunnel syndrome.

Vamwe vanhu vanokudziridza carpal tunnel syndrome vakazvarwa vaine kadiki katepal tunnel.

Carpal tunnel syndrome inogona zvakare kukonzerwa nekugadzira iro rakafanana ruoko uye ruoko rwekufamba pamusoro nekudzokorora. Kushandisa maturusi emaoko anodedera kunogona zvakare kutungamira kune carpal tunnel syndrome.

Zvidzidzo hazvina kuratidza kuti carpal tunnel inokonzerwa nekutaipa pakombuta, kushandisa mbeva, kana kudzokorora mafambiro uchiita basa, kutamba chiridzwa, kana kutamba mitambo. Asi, izvi zviitiko zvinogona kukonzera tendinitis kana bursitis muruoko, iyo inogona kudzikisira carpal tunnel uye inotungamira kune zviratidzo.

Carpal tunnel syndrome inoitika kazhinji muvanhu vane makore makumi matatu kusvika makumi matanhatu. Inowanzoitika kune vakadzi kupfuura varume.

Zvimwe zvinhu zvinogona kutungamira kune carpal tunnel syndrome zvinosanganisira:

• Doro shandisa
• Bone kutsemuka uye arthritis yemaoko
• Cyst kana bundu rinokura muchiuno
• Zvirwere
• Kufutisa
• Kana muviri wako ukachengeta zvimwe zvinwiwa panguva yekuzvitakura kana kuenda kumwedzi
• Rheumatoid arthritis
• Zvirwere zvine zvakasarudzika dhizeti yemapuroteni mumuviri (amyloidosis)

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kusindimara kweruoko kana uchibata zvinhu
• Unhu kana kugwinha pachigunwe uye zvinotevera zviviri kana zvitatu zvigunwe zveimwe kana mawoko maviri
• Unhu kana kugwinha kwechanza
• Marwadzo anosvika kugokora
• Marwadzo muchiuno kana ruoko mune rimwe kana mawoko maviri
• Matambudziko nekufamba kwemunwe wakanaka (kubatana) mune rimwe kana maoko ese
• Kuparara kwemhasuru pasi pechigunwe (mune epamberi kana marefu-marefu kesi)
• Kushaya simba kana kunetseka kutakura mabhegi (chichemo chakajairika)
• Kushaya simba mune rimwe kana maoko maviri

Munguva yekuongorora kwepanyama, wako mupi wezvehutano anogona kuwana:

• Chiveve muchanza, chigunwe, index munwe, wepakati chigunwe, uye chigunwe padivi chemhete yako munwe
• Ruoko rwakasimba
• Kubaya pamusoro petsinga yepakati nepachiuno chako kunogona kukonzera marwadzo kupfura kubva pachiuno chako kusvika paruoko rwako (ichi chinonzi chiratidzo cheTinel)
• Kukotamisa chiuno chako kumberi nzira yese kwemasekondi makumi matanhatu kunowanzo kuguma nekugwinha, kurira, kana kushaya simba (izvi zvinodaidzwa kuti Phalen bvunzo)

Miedzo inogona kurairwa inosanganisira:

• Wrist x-rays kutonga kunze mamwe matambudziko, akadai seArthritis muchanza chako
• Electromyography (EMG, bvunzo yekutarisa mhasuru uye tsinga dzinoadzora)
• Tsinga conduction velocity (bvunzo kuti uone kukurumidza kwemasaini magetsi achipfuura nemutsinga)

Mupi wako anogona kupa zvinotevera:

• Kupfeka splint husiku kwevhiki dzinoverengeka. Kana izvi zvikasabatsira, ungangoda kupfeka chipenga mukati mezuva zvakare.
• Dzivisa kurara pamaoko ako.
• Kuisa zvinodziya uye zvinotonhora zvinomanikidza pane zvakakanganiswa nzvimbo.

Shanduko dzaungaite munzvimbo yako yebasa kuti udzikise kushushikana pachiuno chako zvinosanganisira:

• Uchishandisa akakosha zvishandiso, senge keyboards, dzakasiyana mhando dzecomputer mbeva, yakakwenenzverwa mbeva mapedhi, uye makhibhodi dhizaini.
• Kuva nemumwe munhu achiongorora chinzvimbo chauri kana uchiita zviitiko zvako zvebasa. Semuenzaniso, ita shuwa kuti keyboard yacho yakaderera zvakakwana kuti mawoko ako arege kukotamira mudenga uchitaipa. Wako mupi anogona kupa zano rekubata murapi.
• Kuita shanduko mumabasa ako ebasa kana zviitiko zvepamusha nemitambo. Mimwe yemabasa akabatana necarpal tunnel syndrome inosanganisira ayo anosanganisira ekuzungunusa maturusi.

MISHONGA

Mishonga inoshandiswa kurapa carpal tunnel syndrome inosanganisira nonsteroidal anti-inflammatory drug (NSAIDs), senge ibuprofen kana naproxen. Corticosteroid majekiseni anopiwa munzvimbo yecarpal tunnel anogona kubvisa zviratidzo kwenguva yakati.

Kuvhiya

Carpal tunnel kuburitswa inzira yekuvhiya iyo inodambura mumutsipa uyo uri kumanikidza mutsinga. Kuvhiya kuri kubudirira nguva zhinji, asi zvinoenderana nekuti wave nenguva yakareba sei uine tsinga yekumanikidza uye kuomarara kwayo.

Zviratidzo zvinowanzovandudza pasina kuvhiyiwa. Asi inopfuura hafu yezviitiko pakupedzisira inoda kuvhiyiwa. Kunyangwe kuvhiyiwa kuchibudirira, kupora kwakazara kunogona kutora mwedzi.

Kana chirwere chacho chikarapwa zvakanaka, kazhinji hapana matambudziko. Kana ikasarapwa, iyo tsinga inogona kukuvara, ichikonzera kushaya simba zvachose, chiveve, nekurumwa.

Dana kuti usangane nemupi wako kana:

• Iwe une zviratidzo zvecarpal tunnel syndrome
• Zviratidzo zvako hazvipindure pakurapwa nguva dzose, sekuzorora uye kupokana-nekurwisa zvinodhaka, kana kana paine zvinoita sekunge kurasikirwa kwemhasuru yakawanda kutenderedza minwe yako.
• Minwe yako inorasikirwa nekuwedzera kunzwa

Shandisa maturusi nemidziyo yakanyatsogadzirirwa kudzikisa njodzi yekukuvara kweruoko.

Rubatsiro rweErgonomic, senge kupatsanura kiyibhodhi, matirairesi ebhodhi, typing pads, uye mawrist brace, inogona kushandiswa kugadzirisa chimiro chemuoko panguva yekutaipa. Tora mabhureki akawandisa kana uchinyora uye gara uchimira kana uchinzwa kurira kana kurwadziwa.

Median tsinga kusagadzikana; Median tsinga inosungwa; Median neuropathy

• Kudzvinyirira kweiyo median nerve
• Surface anatomy - yakajairika ruoko
• Carpal tunnel yekuvhiya nzira
• Carpal tunnel chirwere

Calandruccio JH. Carpal tunnel syndrome, ulnar tunnel syndrome, uye stenosing tenosynovitis. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 76.

Zhao M, Burke DT. Median neuropathy (carpal tunnel syndrome). Muna: Frontera WR, Sirivha JK, Rizzo TD Jr, eds. Zvakakosha zvePhysical Medicine uye Rehabilitation: Musculoskeletal Dambudziko, Marwadzo, uye Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 36.