Carpal tunnel kuburitswa

Carpal tunnel kuburitswa kuvhiya kurapa carpal tunnel syndrome. Carpal tunnel syndrome inorwadza uye kushaya simba muruoko iyo inokonzerwa nekumanikidza kune median nerve mune chanza.

Mitsipa yepakati nepakati uye tendon inoshandura (kana kupeta) minwe yako inopfuura nemupasi unonzi carpal tunnel muchanza chako. Uyu mugero wakamanikana, saka chero kuzvimba kunogona kutsinya tsinga uye kukonzera marwadzo. Iyo yakakora ligament (tishu) iri pasi peganda rako (iyo carpal ligament) inogadzira pamusoro peiyi tangi. Munguva yekuvhiya, chiremba anovhiya anocheka kuburikidza necarpal ligament kuti awedzere nzvimbo yenzara uye tendon.

Kuvhiya kunoitwa nenzira inotevera:

• Kutanga, iwe unogashira mushonga unovevesa kuitira kuti usanzwe kurwadziwa panguva yekuvhiyiwa. Unogona kunge wakasvinura asi unozogashirawo mishonga yekuzorodza.
• Cheka chidiki chekuvhiya chinoitwa muchanza cheruoko rwako padhuze ne ruoko rwako.
• Tevere, iyo ligament inovhara carpal tunnel inodimburwa. Izvi zvinorerutsa kumanikidza kune median nerve. Dzimwe nguva, nyama dzakakomberedza tsinga dzinobviswa futi.
• Ganda uye nyama pasi peganda rako zvakavharwa nemasuture (stitches).

Dzimwe nguva maitiro aya anoitwa uchishandisa kamera diki yakasungirirwa kune yekutarisa. Iye anovhiya anoisa kamera muchanza chako kuburikidza nekacheka kadiki kekuvhiya uye anotarisa tarisiro kuti aone mukati mechiuno chako. Izvi zvinonzi kuvhiya kwekupedzisira. Chimbo chinoshandiswa chinonzi endoscope.

Vanhu vane zviratidzo zvecarpal tunnel syndrome vanowanzoedza marapirwo ekuvhiyiwa kutanga. Izvi zvinogona kusanganisira:

• Mishonga inorwisa-kuzvimba
• Therapy yekudzidzira kurovedza uye kutambanudza
• Shanduko yebasa kunatsiridza pekugara kwako uye mashandisiro aunoita komputa yako kana zvimwe zvigadzirwa
• Ruoko rwechiuno
• Shots emushonga wekorticosteroid mumugwagwa wecarpal

Kana pasina imwe yeiyi marapirwo ichibatsira, vamwe vanovhiya vanoyedza chiitiko chemagetsi cheiyo median nerve ine EMG (electromyogram). Kana iyo bvunzo ikaratidza kuti dambudziko iri carpal tunnel syndrome, carpal tunnel kuburitsa kuvhiya kunogona kukurudzirwa.

Kana tsandanyama dziri muruoko rwako nechiuno zviri kuderera nekuti tsinga iri kupinzirwa, kuvhiya kunowanzoitwa munguva pfupi.

Ngozi dzekuvhiya uku ndedzekuti:

• Allergic reaction kumishonga
• Kubuda ropa
• Utachiona
• Kukuvadza kune median nerve kana tsinga dzino buda pairi
• Kushaya simba uye chiveve chakakomberedza ruoko
• Muzviitiko zvisingawanzoitika, kukuvara kune imwe tsinga kana ropa reropa (tsinga kana tsinga)
• Scar unyoro

Usati wavhiyiwa, unofanirwa:

• Udza chiremba wako anovhiya mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.
• Iwe unogona kukumbirwa kumbomira kwenguva pfupi kutora rako-rekuonda ropa zvinodhaka. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nemimwe mishonga.
• Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Kumbira mupiki wako kuti akubatsire. Kusvuta kunogona kunonoka kupora.
• Rega mupi wako azive nezve chero kutonhora, dzihwa, fivha, herpes kuputika, kana chimwe chirwere. Kana iwe ukarwara, kuvhiya kwako kungangoda kumbomiswa.

Pazuva rekuvhiyiwa:

• Tevera mirairo pamusoro pekuti iwe unofanirwa kurega kudya kana kunwa usati wavhiyiwa.
• Tora chero mishonga yaunokumbirwa kunwa nemvura shoma.
• Tevedzera rairo kuti unosvika rinhi kuchipatara. Iva nechokwadi chekusvika nenguva.

Uku kuvhiya kunoitwa kune wekunze. Iwe haufanire kugara muchipatara.

Mushure mekuvhiyiwa, ruoko rwako runogona kunge ruchinge rwuri musimbi kana bhandeji rinorema kweinenge vhiki. Chengetedza izvi kusvikira chiremba wako wekutanga ashanyira mushure mekuvhiyiwa, uye chengeta yakachena uye yakaoma. Mushure mekubvamburwa kana bhandeji, iwe unozotanga kufamba kwemaitiro kana chirongwa chekurapa chaiko.

Carpal tunnel kuburitswa kunoderedza marwadzo, tsinga kurira, uye chiveve, uye kunodzosera mhasuru simba. Vanhu vazhinji vanobatsirwa nekuvhiyiwa uku.

Kureba kwekudzoreredza kwako kunoenderana nekuti wakave nezviratidzo zvakadii usati wavhiyiwa uye kuti zvakakanganisa sei yako median nerve. Kana iwe uine zviratidzo kwenguva yakareba, unogona kunge usiri wakakwana zvachose nezviratidzo mushure mekupora.

Kuora mwoyo kweMedhia; Carpal tunnel kudzvinyirira; Kuvhiya - carpal tunnel

• Kuchengeta ronda rekuvhiya - rakavhurika

• Carpal tunnel chirwere
• Surface anatomy - yakajairwa chanza
• Surface anatomy - yakajairika ruoko
• Wrist anatomy
• Carpal tunnel kugadzirisa - akateedzana

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.

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.

Zhao M, Burke DT. Median neuropathy (carpal tunnel syndrome). Mune: Frontera WR, Sirivha JK, Rizzo TD, eds. Zvakakosha zvePhysical Medicine uye Rehabilitation: Musculoskeletal Dambudziko, Marwadzo, uye Rehabilitation. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015: chits.