Akasiyana epakati median nerve kusagadzikana

Distal median nerve dysfunction is a form of peripheral neuropathy iyo inokanganisa kufamba kana kunzwa mukati memaoko.

Rudzi rwakajairika rwe distal median nerve kusagadzikana ndeye carpal tunnel syndrome.

Kusashanda kweimwe boka retsinga, senge distal median nerve, inonzi mononeuropathy. Mononeuropathy zvinoreva kuti pane chikonzero chemuno chekukuvara kwetsinga. Zvirwere zvinokanganisa muviri wese (systemic kusagadzikana) zvinogona zvakare kukonzera yakasarudzika tsinga kukuvara.

Aya mamiriro anoitika kana tsinga yatsva, yakasungwa, kana kukuvadzwa nekutambudzika. Chikonzero chakajairika kuteya (kubatwa). Kubata kunoisa kumanikidza kwetsinga uko kunopfuura nepane nhete nzvimbo Wrist fractures inogona kukuvadza median nerve zvakananga. Kana, zvinogona kuwedzera njodzi yekuteya huta gare gare.

Kuzvimba kwetendon (tendonitis) kana majoini (arthritis) inogona zvakare kuisa kumanikidza kune tsinga. Kumwe kufamba kunodzokorora kunowedzera mukana wekuvandudza carpal tunnel kubatwa. Vakadzi vanobatwa zvakanyanya kupinda varume.

Zvinetso zvinokanganisa munyama padyo nemutsinga kana kukonzera masipo kuti aumbike munyama zvinogona kuvhara kuyerera kweropa uye kutungamira kumanikidza kune tsinga. Aya mamiriro anosanganisira:

• Yakanyanya kukura mahormone mumuviri (acromegaly)
• Chirwere cheshuga
• Utachiona husingashandi (hypothyroidism)
• Chirwere cheitsvo
• Kenza yeropa inonzi multiple myeloma
• Kubata pamuviri
• Kufutisa

Mune zvimwe zviitiko, hapana chikonzero chinogona kuwanikwa. Chirwere cheshuga chinogona kuita kuti chirwere ichi chiwedzere.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Marwadzo muchiuno kana ruoko rungave rwakakomba uye ndokumutsa iwe husiku, uye izvo zvinogona kunzwika mune dzimwe nzvimbo, senge ruoko rwekumusoro (uku kunonzi kurwadziwa kunotaurwa)
• Kunzwa kushanduka pachigunwe, indekisi, yepakati, uye chikamu cheminwe mhete, senge kunzwa kupisa, kuderera kwekunzwa, kupera uye kurira
• Kuneta kweruoko kunokonzeresa kuti udonhedze zvinhu kana kunetseka kubata zvinhu kana kusunga mabhatani ehembe

Anopa hutano hwako anoongorora ruoko rwako obvunza nezve nhoroondo yako yekurapa. Miedzo inogona kuitwa inosanganisira:

• Electromyogram (EMG) kutarisa mashandiro emagetsi emhasuru
• Tsinga conduction bvunzo kuti uone kumhanya kwemasaini emagetsi kuburikidza nemutsipa
• Neuromuscular ultrasound kuona matambudziko ane mhasuru uye tsinga
• Tsinga biopsy umo tsinga tsinga inobviswa kuti iongororwe (kashoma kudikanwa)
• Magnetic resonance neurography (yakanyatsofungidzirwa kufungidzira kweanongoita mitsipa)

Kurapa kunoitirwa chinokonzera chikonzero.

Kana iyo median nerve ikabatwa necarpal tunnel syndrome, ruoko rwechiuno runogona kudzora kumwe kukuvara kune tsinga uye kubatsira kubvisa zviratidzo. Kupfeka splint usiku kunozorora nzvimbo uye kunoderedza kuzvimba. Jekiseni muchiuno rinogona kubatsira nezviratidzo, asi harigadzirise dambudziko riri pasi. Kuvhiya kunogona kudikanwa kana mutswe kana mishonga isingabatsire.

Kune zvimwe zvikonzero, kurapwa kunogona kusanganisira chero zvinotevera:

• Mishonga yekudzivirira marwadzo etsinga (senge gabapentin kana pregabalin)
• Kurapa dambudziko rekurapa kunokanganisa tsinga, senge chirwere cheshuga kana chirwere cheitsvo
• Kurapa kwepanyama kubatsira kuchengetedza simba remhasuru

Kana iyo chikonzero chekusagadzikana kwetsinga chikaonekwa nekurapwa, pane mukana wakanaka wekupora zvizere. Mune zvimwe zviitiko, kune kumwe kurasikirwa kwakazara kwekufamba kana kwekunzwa. Uturu hwemitsipa hunogona kuve hwakaomarara uye hunopfuurira kwenguva yakareba.

Zvinetso zvinogona kusanganisira:

• Kuremara kweruoko (kushoma)
• Rutivi kana kukwana kurasikirwa kwemaoko kufamba
• Kusarura kana kukwana kurasikirwa kwekunzwa muminwe
• Kakawanda kana kusingaonekwe kukuvara kuruoko

Fonera mupiki wako kana iwe uine zviratidzo zve distal median nerve dysfunction. Kutanga kuongororwa uye kurapwa kunowedzera mukana wekuporesa kana kudzora zviratidzo.

Kudzivirira kunosiyana, zvichienderana nechakonzera. Muvanhu vane chirwere cheshuga, kudzora shuga yeropa kunogona kudzora njodzi yekukuvara kweitsinga.

Kune vanhu vane mabasa anosanganisira kudzokorora mawoko ekufambisa, shanduko munzira iyo basa rinoitwa inogona kudikanwa. Kakawanda kupaza muchiitiko kunogona kubatsira.

Neuropathy - distal median tsinga

• Central nervous system uye yekumusoro tsinga system

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