Ngaba usebenza kwikhompyutri iintsuku, uzama ukungaqapheli ukuphazamiseka kwesandla sakho esikukhathazayo ngeenyanga? Ngaba ngamanye amaxesha uvakalelwa ubuhlungu obukhawuleza, obubukhali obubuhlungu kunye ne "lumbago" kwisikrini sakho? Kwaye ngamanye amaxesha, kungekho sizathu nantoni na, ngaba sisiqhwaba? Zizo zonke iimpawu ze-carpal tunnel syndrome - imeko ebuhlungu ebangelwa ukunyanzeliswa kokuqhubeka kweentsimbi ezisisigxina. Ngoko, i-carpal tunnel syndrome - zize uncede - isihloko sesincoko namhlanje.
Yintoni iCarpal Tunnel Syndrome?
Esi sifo ngenye yeemeko zokungahambi kakuhle kubangelwa ukunyanzelwa kweentsimbi zomlambo kwi-carpal tunnel (ukusuka ngaphakathi kwesandla ngaphezu kwelayini lomgca). Imvakalelo engathandekiyo ibonakala yinto yokuba baqala ukubonakala ebusuku ebusweni bezandla okanye ngaphakathi kwinqanaba eliphakathi. Ngamanye amaxesha kukho ukuphazamiseka kokulala kunye nokukhathala kwansuku zonke. Ngokuqhelekileyo kwisigaba sokuqala esi sifo kunzima ukuyiqonda, iimpawu zomntu ngamnye "zibhalwa" ngokukhathala jikelele
Umgca wentsholongwane ulawula ukuvakalelwa kwesundu ukusuka kwicala lesithupha kunye neminwe (ngaphandle komnwe omncinci). Impembelelo yemisipha yeqela elincinci leengxube zengalo, kwakhona lijongene nokuqhuba ukunyakaza okucokisekileyo. Ngamanye amaxesha uxinzelelo olubangelwa ukuvuvukala kweetoni luxinzezela izibilini. Intlungu ingabonakaliswa ngongqongquthela obukhali entendeni yesandla sakho kwaye kaninzi inika ehlombe. Nangona ezi zintlungu zibonisa ezinye iingxaki emzimbeni, i-carpal tunnel syndrome yimeko eqhelekileyo yokulimala kwimizi yomzimba yomzimba.
Ukuvakalelwa okungahambi kakuhle kunye nentlungu Unako ukuhamba ukusuka ngesandla ukuya kumunwe, iphambili, amahlombe kunye nomva. Ngokuqhelekileyo kukho ukuphazamiseka nokunyakaza kweentshukumo. Ngokuqhelekileyo, umsebenzi owenziwe ngokomzimba ukudibanisa kwezandla ukhokelela kwiimeko ezinjalo: ukuhamba ngebhayisikili, ukuhlamba izandla, ukusetyenziswa kwamanye kunye nokunye okuninzi. Ngokumangalisayo, kodwa isizathu esivame ukuba sisisithuthi, kodwa, ngokuchaseneyo, sihleli kwindawo enye, oko kukuthi, kwikhompyutha ixesha elide. Xa iimpawu ze-carpal tunnel syndrome ziqala ukuvela, nayiphi na into engaqinisekanga kufuneka ishiyiwe. Buza umqeqeshi wakho wempilo ngendlela yokwakha ngokuthe xaxa ukusebenza, jonga udokotela ngcebiso, kodwa ungazami ukwenza ngokusemgangathweni "uzincede". Esi sisifo esibalulekileyo esifanele siphathwe ukuze sigweme iingxaki kunye nokulimala okongeziweyo.
I-Carpal tunnel syndrome yimbangela yentlangano yezinto ezikhokelela ekunyanzelekeni okwanda kweemithwalo kunye neetononi zesandla somlenze. Le ngxaki ichazwe ngokusemthethweni - umzekelo, isayizi encane yesiteshi kwabanye abantu. Ezinye izinto zibandakanya ukulimala okanye ukulimala kwisikristeni nokuvuvukala okulandelayo, ukunweba, ukuchithwa, i-hypothyroidism, i-rheumatoid arthritis, iingxaki ze-tendon, ukugqithisa umthwalo, ukugcinwa kwamanzi ngexesha lokukhulelwa okanye ukuyeka umyeni, i-cysts okanye i-tump tumor tumors. Kwezinye iimeko, isifo asikwazi ukuchongwa.
Izibonakaliso kwi- tunnel syndrome epheleleyo
Iimpawu zivame ukubonakala kancane. Okokuqala kubunzima, ukutshisa okanye ukuqina ngokusondeza entendeni neminwe, ikakhulukazi phakathi kwesithupha kunye nesangaphambili, phakathi kunye neminwe, kodwa akukho ndawo kummandla omnwe omncinci. Amaxesha amaninzi izigulane ezinokubandezeleka okanye ukuphazamiseka kwiminwe yazo azikho izibonakaliso zokuvuvukala okanye ukulahlekelwa kwintlungu. Iimpawu zingabonakala kuqala kwisinye okanye zombini ngezandla ebusuku, ingakumbi ukuba izibonda zihamba. Ukunciphisa intlungu kunye nokuxhalaba, unokwenza i-mahi elula kunye neebhulashi okanye ukuhlambalaza iintlobo zakho. Xa iimpawu ziba nzima, kwaye akukho nanyathelo ezithathwayo - iimpawu zenzeka ngokuphindaphindiweyo emini. Isandla kunzima ukuxhoma kwisibindi, ubuthathaka bubunjwa, obunqanda ukunyakaza okuncinci kweminwe. Ukungabikho kwonyango, indawo yeso sikhumba ingaba yinto engafanelekanga, kwinto kuya kuba nzima ukuhlula ukuvakalelwa njengotshisa nokufudumala, ukuvelela kwintlungu kuya kudityaniswa.
Lilixesha lokuya kudokotela?
Naka ingqalelo ezi zinto zilandelayo:
- intlungu entendeni yesandla, ukunika isalathisi;
- ukuziva ubuthathaka kunye nokungenakunceda esandleni;
- izandla ezibandayo - izipho ezifudumeleyo;
- ukulahlekelwa kwamandla kwiminwe;
- ukulahleka kobubele kwiminwe;
- ukulahlekelwa koqhagamshelwano - uqala ukuyeka ukusika, iiglasi, iincwadi, njl.
- ubuqhophololo besalathisi, phakathi kunye neminwe;
- kunqunyulwa kwesithupha;
- ukulahleka kokuhamba kakuhle kwezandla - ukungabikho kweminwe;
- intlungu emahlombe nasemqaleni;
- ukubetha okanye ukuphazamiseka kwiminwe okanye ngezandla, ngokukodwa kwindawo leyo phakathi kwesithupha kunye nesangaphambili, phakathi kunye neminwe, kodwa kungekufutshane nomnwe omncinci. Uyabona ukuba xa udibana nomntu, kunzima ukuba ugxininise izandla kunye neqabane lakho. Ngokuqhubela phambili kwesi sifo, ubuthathaka kunye nokulahleka kwemvakalelo kunokuhlala isigxina.
Ngubani osemngciphekweni we-carpal tunnel syndrome?
Abasetyhini banamathuba amathathu okuba bahlupheke kwisifo esinjalo kunamadoda, mhlawumbi ngenxa yobukhulu becala lomsele. I-Carpal tunnel syndrome yimeko eqhelekileyo. Phantse i-30% yamadoda kunye ne-70% yabasetyhini baye bafumana le meko ngandlela-thile ebomini babo.
Isandla esiphambili sisoloko sisongelwa. Kwindawo "yobungozi" nabo bantu banesifo sikashukela okanye ezinye izifo ezixubileyo ezichaphazela ngokuthe ngqo imithwalo. Esi sifo, njengomyalo, siyabonakala kubantu abadala kwaye siyinqabile kakhulu kubantwana.
Indlela yokunyanga?
Unyango lwe-carpal tunnel syndrome kufuneka uqale ngokukhawuleza (ukuba iimpawu zokuqala zifunyenwe) kwaye ziyimfuneko phantsi kolawulo logqirha. Okokuqala, kufuneka uqwalasele izizathu, ezifana nesifo sikashukela okanye i-arthritis. Uphulo oluphambili lubandakanya ukuphucula isandla esithintekileyo, isandla, ngokulandelanayo, ubuncinane, kwiiveki ezimbini, ngexesha apho isigulane akufanele senze imisebenzi ebenokubangela ukonakalisa imeko yelungu. Ngokuqhelekileyo kuyimfuneko ukukhupha i-brush nge-bandage eqinile okanye okanye i-gypsum ukukhusela ukuguquka nokuguqa kwe-carpal tunnel. Yaye ukuba kukho ukuvuvukala, ukuxinwa okubandayo kufuneka kusetyenziswe ekunciphiseni ubuhlungu nokuvuvukala.
Unyango olungaphelelanga
Amachiza amaninzi anganciphisa intlungu kunye nokuvuvukala okunxulumene ne-carpal tunnel syndrome. Ngokuqhelekileyo imisela i-aspirin kunye nezinye iziyobisi ezinganciphisa iimpawu zexesha elifutshane. I-Corticosteroids ezifana ne-prednisone okanye i-lidocaine ingafakwa ngokuthe ngqo kwisandla okanye ithathwe ngomlomo (prednisolone). Bakhulula kwaye ekugqibeleni banqunyathe uxinzelelo kwi-nerve medial. I-Corticosteroids kufuneka isetyenziswe ngokulumkisa kwizigulane zesifo sikashukela kunye nabantu abanesifo sikashukela, kwaye oku kubangela ubunzima ekulawuleni i-insulin level. Kuye kwaboniswa ukuba ukuthatha i-vitamin B6 (pyridoxine) kunokunciphisa iimpawu zesifo.
Ukuzivocavoca - izandla ezolule kunye nokuqinisayo, ngokuqinisekileyo, ziya kuba zilungileyo kuphela. Kodwa kufuneka zenziwe phantsi kolawulo lwe-physiotherapist, olungiselelwe ngokukhethekileyo oku.
Olunye unyango olusetyenziswayo - ukwenziwa kwesikhokelo kukukhokelela ekuphuculeni ezinye izigulane, kodwa ukuphumelela kwexesha elide le ndlela kuhlale kungavunyelwe. Impendulo ye-yoga, eye yaboniswa ukunciphisa intlungu kunye nokuqinisa i-tendon phakathi kwabantu abajongene nexesha elide.
Ukuhlinzwa
Ukulungiswa komsebenzi we-carpal tunnel ngenye yeendlela eziqhelekileyo zokuhlinzwa kwi-USA. Kwezinye izigulane, ii-tactics zokugonywa ziwukuphela kokukhetha ukubuyela kwindlela yokuphila evamile. Lo mbandela uphakanyiswa ukugcina iimpawu ubuncinane ubuncinane kweenyanga ezintandathu. Le nqubo ibandakanya ukususwa kwenxalenye yezicubu ezixinzezela umgca wegazi kwaye zenziwa phantsi kwe-anesthesia yendawo. Hlalani kwiklinikhi kuphela ngosuku olu-1. Izigulane ezininzi zidinga uphando lweplastiki ezandleni zombini. Ngokusebenza "okuvulekileyo" (indlela yendabuko), i-incenti-five-cent incision incision is made on the wrist, kwaye ke, ukusika kwesigqabi samanxeba esiya kwinqanaba le-carpal.
Ukuhlinzwa ngokugqithiseleyo kuvumela ukukhawulezisa ukugeleza kokungenelela kwaye kunikeze ixesha elifutshane lokusebenza emva kokunciphisa ukuphazamiseka. Ngokwenza njalo, ukuboniswa kweentente ezimbini kwenziwe kwisandla nangengalo, ikhamera ifakwe efakwe ngaphakathi kwimizimba ye-ligament - kunye nama-tendon joints are cut. Inqubo yonke iboniswa kwesikrini.
Nangona iimpawu zancinci malunga ngokupheleleyo emva kokusebenza, ukufumana ngokutsha kuthatha iinyanga. Kwezinye izigulane, ukusuleleka, ukulimala kwamantongomane, ukunyanzeliswa kwamathambo esundu kunye neminye imiphumo. Iiseshoni ezilandelayo ze-physiotherapy zinceda ukunqoba umphumo wokuqhawulwa kwegigament. Uninzi lwezigulane zibuyiselwa ngokupheleleyo, ngokugqithiseleyo iimpawu ziyakwazi ukulungisa.
Iijoyi zengingqi ze-steroids
Ii-injection ze-Steroid zisebenza ngokwaneleyo ukwenzela ukucima iimpawu ze-carpal tunnel syndrome - zenzele ngokufunda le ndlela elula. Ezi azikho izicwangciso zexesha elide ezenzelwe ukuphatha izigulane ukuphucula indlela yokuphila. Le nkqubo ayifanelekanga unyango lwexesha elide - i-corticosteroids ineempembelelo zabo kunye nokwamkelwa kwexesha elide, ubuncinane baqala ukulahlekelwa amandla abo.
Physiotherapy
Kukho ubungqina bokuba ukusetyenziswa kwonyango lonyango lukhokelela ekunciphiseni iimpawu zezigulane ezinengxaki. Ngokuqhelekileyo iinjongo zokuphelisa iintlungu zesifo esingapheliyo. I-Physiotherapy inikeza iindlela ezininzi zokukhusela nokuphatha i-carpal tunnel syndrome. Iinkqubo ezijoliswe kwiintlungu (iimpawu) kunye nokungasebenzi. Kubandakanywa nenani leenkqubo - ukusuka kwi-massage ye-tissue massage kunye nokwelula ekusebenziseni nasekusebenziseni izakhono zokukhuthaza ngokukhawuleza iimbilini zezandla. Ukutshaya kuyasebenza kakhulu kweli phepha. Kule meko, kuyimfuneko ukuzalisekisa imeko enye - ukuphumla okupheleleyo kunye nokungabikho kokubambisana kwezandla ubuncinane kwiyure emva kwenkqubo.
Ukuthintela
Kwiindawo zokusebenzela ngexesha elide, kufuneka usebenze ngokulula kunye nekhefu elifutshane. Ungazibandakanyi kwimisebenzi apho izibonda ziza kuhlala ziphantsi kwengcinezelo okanye ngandlela-thile. Abanye abantu baphendukela ekugqokeni iimithambo ukufudumala izandla zabo ngoko ke balondoloza ukuguquguquka kwabo. Kodwa oku, njengoko uqondayo, akusoloko kuvumelekile. Ngokuqhelekileyo, le ngxaki ixazululwa kwaye ngendlela efanelekileyo kunokwenzeka ukuba ilahle iingxaki.