Ulnar tsinga kusagadzikana

Ulnar nerve kusagadzikana idambudziko netsinga inofamba kubva pabendekete ichienda kuruoko, inonzi ulnar nerve. Inobatsira iwe kufambisa ruoko, ruoko, uye ruoko.

Kukuvadza kune rimwe boka retsinga, senge ulnar nerve, inonzi mononeuropathy. Mononeuropathy zvinoreva kuti pane kukuvara kune imwe tsinga. Zvirwere zvinokanganisa muviri wese (systemic kusagadzikana) zvinogona zvakare kukonzera yakasarudzika tsinga kukuvara.

Zvinokonzera mononeuropathy zvinosanganisira:

• Chirwere mumuviri wese chinokuvadza tsinga imwe chete
• Kukuvadza kwakananga kumutsipa
• Yenguva refu-kumanikidza kune tsinga
• Kumanikidza pane tsinga kunokonzerwa nekuzvimba kana kukuvara kwezvimiro zvemuviri zviri padyo

Ulnar neuropathy inozivikanwawo kune avo vane chirwere cheshuga.

Ulnar neuropathy inoitika kana paine kukuvara kune ulnar nerve. Iyi tsinga inofamba ichidzika neruoko ichienda kuruoko, ruoko, uye mhete uye zvigunwe zvidiki. Inopfuura padyo nepamusoro pegokora. Nekudaro, kurova tsinga uko kunokonzeresa kurwadziwa uye kurira kwe "kurova bhonzo rinonakidza."

Kana tsinga ikamanikidzwa mugokora, dambudziko rinonzi cubital tunnel syndrome rinogona kubuda.

Kana kukuvara kuchiparadza chakafukidza tsinga (myelin sheath) kana chikamu chetsinga yacho pachayo, kusaina tsinga kunoderedzwa kana kudzivirirwa.

Kukuvadza kune ulnar nerve kunogona kukonzerwa ne:

• Yenguva refu-kumanikidza kugokora kana chigadziko chemuchindwe
• Kutsemuka kwegokora kana kutsemuka
• Kudzokororwa kwegokora, sekusvuta fodya

Mune zvimwe zviitiko, hapana chikonzero chinogona kuwanikwa.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kunzwa kusanzwisisika mumunwe mudiki uye chikamu chemhete yemunwe, kazhinji padivi remuchindwe
• Kushaya simba, kurasikirwa kwekubatana kweminwe
• Urema hwakafanana nehuso hweruoko nechiuno
• Marwadzo, chiveve, kudzikira kwekunzwa, kurira, kana kupisa kupisa munzvimbo dzinodzorwa neiyo nerve

Marwadzo kana chiveve zvinogona kukumutsa kubva kuhope. Mabasa akadai setennis kana gorofu anogona kuita kuti mamiriro acho awedzere.

Anokuchengetedza hutano achakuongorora obvunza nezvezviratidzo zvako uye nhoroondo yezvokurapa. Unogona kubvunzwa zvawanga uchiita zviratidzo zvisati zvatanga.

Miedzo inogona kudikanwa inosanganisira:

• Kuongororwa kweropa
• Kufungidzira bvunzo, senge MRI kuti uone nerve uye zvimiro zviri padhuze
• Nerve conduction bvunzo kuti uone kuti masisitimu etsinga anofamba nekukurumidza zvakadii
• Electromyography (EMG) kutarisa hutano hweiyo ulnar nerve uye mhasuru dzainodzora
• Nerve biopsy kuongorora chidimbu chetsinga tishu (kashoma kudikanwa)

Chinangwa chekurapa ndechekutendera iwe kuti ushandise ruoko uye ruoko zvakanyanya sezvinobvira. Wako mupi achawana nekurapa chikonzero, kana zvichibvira. Dzimwe nguva, hapana kurapwa kunodiwa uye uchaita zvirinani wega.

Kana mishonga ichidikanwa, inogona kusanganisira:

• Over-the-counter kana mishonga yemishonga (yakadai se gabapentin uye pregabalin)
• Corticosteroid majekiseni akapoterera etsinga kudzora kuzvimba uye kumanikidza

Wako mupi angangodaro anongedze matanho ekuzvichengeta-wega. Izvi zvinogona kusanganisira:

• Chitsigiro chinotsigira chero pachiuno kana kugokora kubatsira kudzivirira kumwe kukuvara uye kubvisa zviratidzo. Iwe ungangoda kuipfeka zuva rese nehusiku, kana chete husiku.
• Pira yegokora kana iyo ulnar nerve ikakuvara pagokora. Zvakare, dzivisa kurova kana kusendamira pagokora.
• Kurapa kwepanyama kurovedza muviri kubatsira kubatsira kuchengetedza tsandanyama musimba.

Kurapa pabasa kana kuraira kuratidza shanduko munzvimbo yebasa inogona kudikanwa.

Kuvhiya kubvisa kumanikidza kwetsinga kunogona kubatsira kana zviratidzo zvikanyanya, kana kana paine humbowo hwekuti chikamu chetsinga chiri kupera.

Kana iyo chikonzero cheiyo nerve dysfunction inogona kuwanikwa uye kubudirira kurapwa, pane mukana wakanaka wekuzara kuzere. Mune zvimwe zviitiko, panogona kuve neparutivi kana kuzere kurasikirwa kwekufamba kana kwekunzwa.

Zvinetso zvinogona kusanganisira:

• Kuremara kweruoko
• Kusarudzika kana kukwana kurasikirwa kwekunzwa muruoko kana minwe
• Kusarudzika kana kukwana kurasikirwa kwechiwoko kana kufamba kwemaoko
• Kakawanda kana kusingaonekwe kukuvara kuruoko

Fonera mupiki wako kana iwe uine kukuvara kwemaoko uye uchikura chiveve, kurira, kurwadziwa, kana kushaya simba pasi pemberi kwako uye mhete nezvigunwe zvidiki.

Dzivisa kumanikidzwa kwenguva refu kugokora kana chanza. Dzivisa kureba kana kudzokorora kugokora kukotama. Zvinokandwa, zvimedu, uye zvimwe zvishandiso zvinofanirwa kugara zvichiongororwa kuti zvakakodzera here.

Neuropathy - ulnar tsinga; Ulnar nerve palsy; Mononeuropathy; Cubital tunnel chirwere

• Ulnar tsinga kukuvara

Craig A. Neuropathies. Mune: Cifu DX, ed. Braddom's Panyama Mushonga uye Rehabilitation. 6th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 41.

Jobe MT, Martinez SF. Peripheral tsinga kukuvara. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 62.

Mackinnon SE, Novak CB. Kudzvinyirira neuropathies. Mune: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Inoshanda Ruoko Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 28.