Health Library Logo

Health Library

Isigwegwe Se-Carpal Tunnel

Uhlolojikelele

I-Carpal tunnel syndrome ingenye yezimo ezivame kakhulu zesandla. Ibangelwa ukucindezelwa komthambo we-median ku-carpal tunnel yengalo. I-carpal tunnel iyindlela ecinyiwe ezungezwe amathambo nemisipha ngecala lesandla. Uma umthambo we-median ucindezelwe, izimpawu zingafaka ukuntengantenga, ukuthimula nobuthakathaka ku-thumb nakeminwe. Ukwakheka kwengalo, izimo zempilo kanye nokwenza imisebenzi ephindaphindwayo yesandla kungenza kube nomthelela ku-carpal tunnel syndrome. Ukwelashwa okuqondile kuvame ukukhulula ukuthimula nokuntengantenga futhi kubuyisele umsebenzi wesandla.

Izimpawu

Izimpawu ze-carpal tunnel syndrome zivame ukuqala kancane kancane futhi zihlanganisa:

  • Ukukhahlela nokuqina. Ukukhahlela nokuqina kungase kwenzeke eminweni noma esandleni. Ngokuvamile umunwe omkhulu, omkhulu, ophakathi nomunwe wesigamu ziyahlushwa, kodwa hhayi umunwe omncane. Ungase ube nomuzwa onjengomshosha wokukhanya kule minwe. Lezi zimpawu zivame ukwenzeka uma ubamba ivili lemoto, ifoni noma iphephandaba, noma zingase zikuvuse ebuthongweni.

    Lo muzwa ungahamba futhi ehlombe uya phezulu engalweni.

    Abantu abaningi "bayazikhahlela" izandla zabo ukuze bazame ukukhulula izimpawu zabo. Umuzwa wokungabi namandla ungase ube uqine ngokuhamba kwesikhathi.

  • Ubuthakathaka. Abantu abane-carpal tunnel syndrome bangase babe nobuthakathaka esandleni futhi bawisise izinto. Lokhu kungase kube ngenxa yokungabi namandla noma ubuthakathaka bemisipha yokucindezela komunwe omkhulu, okulawulwa yi-median nerve.

Ukukhahlela nokuqina. Ukukhahlela nokuqina kungase kwenzeke eminweni noma esandleni. Ngokuvamile umunwe omkhulu, omkhulu, ophakathi nomunwe wesigamu ziyahlushwa, kodwa hhayi umunwe omncane. Ungase ube nomuzwa onjengomshosha wokukhanya kule minwe. Lezi zimpawu zivame ukwenzeka uma ubamba ivili lemoto, ifoni noma iphephandaba, noma zingase zikuvuse ebuthongweni.

Lo muzwa ungahamba futhi ehlombe uya phezulu engalweni.

Abantu abaningi "bayazikhahlela" izandla zabo ukuze bazame ukukhulula izimpawu zabo. Umuzwa wokungabi namandla ungase ube uqine ngokuhamba kwesikhathi.

Isikhathi sokubona udokotela

Bona udokotela wakho uma unezimpawu ze-carpal tunnel syndrome eziphazamisa imisebenzi yakho evamile kanye nezephupho. Ukonakala okungapheli komthambo nemisipha kungenzeka uma ungaphathwa.

Izimbangela

I-Carpal tunnel syndrome ibangelwa yi-pressure ku-median nerve. I-median nerve iqhubeka kusuka e-forearm iye endleleni e-wrist iye esandleni, eyaziwa ngokuthi yi-carpal tunnel. I-median nerve inikeza imizwa eceleni kwesandla sohlangothi lwe-thumb nakubo bonke omunye umunwe ngaphandle komunwe omncane. Le nerve futhi inikeza izibonakaliso zokunyakaza imisipha eduze kwesisekelo se-thumb. Lokhu kunyakaziswa kwaaziwa ngokuthi yi-motor function. Noma yini ecindezela noma ekhungathekisa i-median nerve endaweni ye-carpal tunnel ingabangela i-carpal tunnel syndrome. Ukuphuka kwe-wrist kunganciphisa i-carpal tunnel futhi kukhungathekise i-nerve. Lokhu futhi kungenzeka ngenxa yokubeleka nokutheleleka okubangelwa yi-rheumatoid arthritis noma ezinye izifo. Izikhathi eziningi, ayikho into ebangela i-carpal tunnel syndrome. Noma isizathu singaziwa. Kungase kube ukuthi ukuhlanganiswa kwezinto ezingozi kunegalelo ekukhuleni kwesimo.

Izici eziyingozi

Izici eziningi ziye zahlanganiswa ne-carpal tunnel syndrome. Nakuba zingase zingayibangeli ngokuqondile i-carpal tunnel syndrome, zingakhuphula ingozi yokucasuka noma ukonakala komthambo we-median. Lezi zihlanganisa: Izici zokwakheka komzimba. Ukuphuka kwesihlakala noma ukuhlukana kwesihlakala kungashintsha isikhala esiku-carpal tunnel. I-Arthritis ebangela ukushintsha kwamafudu amathambo esihlakala ingathinta i-carpal tunnel. Lokhu kushintsha kungase kubeka uxinzelelo komthambo we-median. Abantu abanokungena okuncane kwe-carpal tunnel bangase babe nethuba elikhulu lokuba ne-carpal tunnel syndrome. Ubulili obubekwe ngesikhathi sokuzalwa. I-Carpal tunnel syndrome ivame kakhulu kwabesifazane. Lokhu kungase kube ngoba indawo ye-carpal tunnel incintisana kakhulu kwabesifazane kunasemadodeni. Noma kungase kube ngenxa yemiphumela yamahomoni ekugqokeni kwezintambo ze-carpal tunnel. Abesifazane abanayo i-carpal tunnel syndrome bangase babe ne-carpal tunnel encane kunabesifazane abangenayo leyo simo. Izimo ezonakalisa umthambo. Ezinye izifo eziningi, njenge-diabetes, zikhuphula ingozi yokonakala komthambo, kufaka phakathi ukonakala komthambo we-median. Izimo ezivuvukalayo. I-Rheumatoid arthritis, i-gout nezinye izimo ebangela ukukhuluphala, okuaziwa ngokuthi ukutheleleka, kungathinta ukugqokwa okuzungezile izinsimbi esihlakala. Lokhu kungase kubeka uxinzelelo komthambo we-median. Amakhambi. Ezinye izifundo ziye zabonisa ubudlelwane phakathi kwe-carpal tunnel syndrome ne-anastrozole (Arimidex), ikhambi elisetshenziswa ekwelapheni umdlavuza wamabele. Ukukhuluphala. Ukuba lude kuyisici esingozini ye-carpal tunnel syndrome. Ukushintsha kwamanzi omzimba. Ukugcinwa kwamanzi kungase kukhuphule uxinzelelo ngaphakathi kwe-carpal tunnel, kukucasule umthambo we-median. Lokhu kuvamile ngesikhathi sokukhulelwa nokuyeka ukuba nesikhathi. I-Carpal tunnel syndrome eyenzeka ngesikhathi sokukhulelwa ngokuvamile iphulukana ngokwayo ngemuva kokukhulelwa. Ezinye izimo zezokwelapha. Izimo ezithile, njengezifo ze-thyroid, ukwehluleka kwesibindi ne-lymphedema, zingase zikhuphule amathuba okuthola i-carpal tunnel syndrome. Izici zendawo yokusebenza. Ukusebenza ngamathuluzi azamazama noma emgqeni wokubutha ofuna ukuphindaphinda ukuhamba okugoqa isihlakala kungase kubeke uxinzelelo komthambo we-median. Umsebenzi onjalo ungase ube mubi kakhulu ukonakala komthambo okukhona. Uxinzelelo komthambo lungaba sibi kakhulu uma umsebenzi wenziwa endaweni ebandayo. Kodwa-ke, ubufakazi besayensi buphikisana futhi lezi zici azizange zimiselwe njengezizathu eziqondile ze-carpal tunnel syndrome. Izifundo eziningi ziye zahlola ukuthi kukhona yini ubudlelwane phakathi kokusebenzisa ikhompyutha ne-carpal tunnel syndrome. Ezinye izibonakaliso zibonisa ukuthi ukusebenzisa imouse, kodwa hhayi ukusebenzisa ikhibhodi, kungase kuhlobene ne-carpal tunnel syndrome. Akukho ubufakazi obukhulu nobuhlala buqinile bokuthi ukusebenzisa ikhompyutha isikhathi eside kuyisici esingozini ye-carpal tunnel syndrome. Kodwa-ke, ukusebenzisa ikhompyutha kungase kubangele uhlobo oluhlukile lobuhlungu besandla.

Ukuvimbela

Ncipha uxinzelelo ezandleni nasezinzwini ukuze usize ukuvimbela i-carpal tunnel syndrome. Uma usebenzisa ikhibhodi, ungagqobi izinzwini phezulu noma phansi ngokuphelele. Ayikho amasu aqinisekisiwe okuvimbela i-carpal tunnel syndrome, kodwa unganciphisa uxinzelelo ezandleni nasezinzwini ngalezi zindlela:

  • Ncipha amandla akho uphumule ukubamba kwakho. Uma umsebenzi wakho uhilela i-cash register noma ikhibhodi, umisale uthinte izinkinobho kancane.
  • Thatha amaphasi amafushane, ajwayelekile. Sika futhi ugobe izandla nezizwana zakho njalo. Shintsha imisebenzi uma kungenzeka. Lokhu kubaluleke kakhulu uma usebenzisa imishini e-vibrating noma efuna ukusebenzisa amandla amaningi. Ukuthatha ikhefu ngisho nemizuzu embalwa njalo ngehora kungenza umehluko.
  • Qaphela ifomu lakho. Ungagqobi i-wrist yakho phezulu noma phansi ngokuphelele uma usebenzisa ikhibhodi. Isikhundla esiphakathi esikhululekile ngezinzwani ezingqongqotha phansi kungcono kakhulu. Gcina ikhibhodi yakho phezulu kwehlombe noma kancane ngaphansi.
  • Shintsha i-computer mouse yakho. Qiniseka ukuthi i-computer mouse yakho ilungele ukusetshenziswa futhi ayihluphi i-wrist yakho.
  • Gcina izandla zakho zishisa. Kunokwenzeka ukuthi uthuthukise ubuhlungu bezandla nokuqina uma usebenza endaweni ebandayo. Uma ungakwazi ukulawula ubushushu emsebenzini, gqoka iziqhwaga ezingenamibhoshongo egcina izandla nezizwana zishisa.
Ukuxilongwa

Ukuthola i-carpal tunnel syndrome, ochwepheshe bakho bezempilo bangase bakubuze imibuzo mayelana nezimpawu zakho. Ungase futhi udinga uvivinyo olulodwa noma ngaphezulu ukuze uthole ukuthi une-carpal tunnel syndrome yini:

  • I-X-ray. Ungase udinga i-X-ray yesandla esithintekile ukuze kuqaleke ezinye izimbangela zobuhlungu besandla, njengokuqina kwamajozi noma ukweqa. Noma kunjalo, ama-X-ray awusizi ekwenzeni ukuxilongwa kwe-carpal tunnel syndrome.
  • I-Electromyography. Lo viyo luqapha ukukhishwa kwamandla amancane okukhiqizwa yimisipha. Phakathi nalesi sivivinyo, i-electrode encane enenhlangothi ibekwa emisipha ethile ukuhlola umsebenzi wamagetsi uma imisipha iqina futhi iphumule. Lo viyo lungabonisa ukulimala kwemisipha elawulwa yi-median nerve. Uvivinyo lungase futhi lukhiphe ezinye izimo.
  • Ukuhlolwa kokusabalala kwemisipha. Ngokwahluka kwe-electromyography, ama-electrodes amabili anqunywe oluswini. Ukushayiswa okuncane kudluliselwa nge-median nerve ukuze kubonwe ukuthi ama-impulses wamagethi ahambisa kancane yini e-carpal tunnel. Lo viyo lungase lusetshenziswe ekutholeni isimo futhi kukhiphe ezinye izimo.

Umbhalo wezimpawu. Iphethini yezimpawu zakho ibalulekile ekwenzeni ukuxilongwa. Izimpawu ze-carpal tunnel syndrome zivame ukwenzeka ngenkathi ubamba ifoni noma iphephandaba noma ubamba isikhululo. Zivame futhi ukwenzeka ebusuku futhi zingase zikuvuse ekulaleni. Noma ungase uqaphele ukungabi namandla uma uvuka ekuseni.

Kodwa i-median nerve ayinikezi umuzwa eminweni emincane. Uma unezimpawu kulowo mnwe, ungase ube nesimo esingafani ne-carpal tunnel syndrome.

Ukuhlolwa komzimba. Ochwepheshe bakho bezempilo bahlola imizwa eminweni namandla emisipha esandleni.

Ukwelashwa

Phatha i-carpal tunnel syndrome ngokushesha okukhulu ngemva kokuba izimpawu ziqale. Ezigabeni zokuqala, izinto ezilula ongenza zona ngokwakho zingase zenze izimpawu zihambe. Isibonelo:

  • Thatha amaphasi amaningi ukuze uphumule izandla.
  • Ungenzi imisebenzi eyenza izimpawu zibe zimbi.
  • Sebenzisa ama-cold packs ukunciphisa ukukhuluphala. Ezinye izinketho zokwelapha zihlanganisa ukubopha i-wrist, imithi nokuhlinzwa. Ukubopha nezinye izindlela zokwelapha ezilondolozayo kungenzeka kakhulu ukuthi kuzosiza uma unezimpawu ezincane kuya ezimaphakathi eziya futhi ziye ngaphansi kwezinyanga eziyi-10. Uma une-numbness ezandleni zakho, thola ukwelashwa kwisazi sezempilo. Uma isimo siqondiwe ngokushesha, izindlela ezingelona ukuhlinzwa zingasiza ekuthuthukiseni i-carpal tunnel syndrome, okuhlanganisa:
  • Ukubopha i-wrist. I-splint egcina i-wrist ihlala phansi ngenkathi ulele ingasiza ekuqedeni izimpawu zobusuku zokungcebeza nokungabi namandla. Ngisho noma ugqoka i-splint ebusuku kuphela, ingasiza futhi ekuvimbeni izimpawu zemini. Ukubopha ebusuku kungaba yindlela enhle uma ukhulelwe ngoba akubandakanyi ukusetshenziswa kwanoma iyiphi imithi ukuze kube nomphumela.
  • Imithi engalwi nokuvuvukala (NSAIDs). Ama-NSAIDs, afana ne-ibuprofen (Advil, Motrin IB, nabanye), angasiza ekuqedeni ubuhlungu oluvela kwi-carpal tunnel syndrome ngesikhathi esifushane. Akukho bufakazi, noma kunjalo, bokuthi le miithi iyayithuthukisa i-carpal tunnel syndrome. Imithi engalwi nokuvuvukala (NSAIDs). Ama-NSAIDs, afana ne-ibuprofen (Advil, Motrin IB, nabanye), angasiza ekuqedeni ubuhlungu oluvela kwi-carpal tunnel syndrome ngesikhathi esifushane. Akukho bufakazi, noma kunjalo, bokuthi le miithi iyayithuthukisa i-carpal tunnel syndrome. Ama-Corticosteroids. Isazi sakho sezempilo singafaka i-carpal tunnel ngemithi ye-corticosteroid efana ne-cortisone ukuze kuqedwe ubuhlungu. Ngezinye izikhathi i-ultrasound isebenziswa ukuqondisa lezi zibopho. Uma i-carpal tunnel syndrome ibangelwa yi-rheumatoid arthritis noma enye i-arthritis evuvukalayo, khona-ke ukwelapha i-arthritis kunganciphisa izimpawu ze-carpal tunnel syndrome. Noma kunjalo, lokhu akukaqiniswa ucwaningo. Ukuhlinzwa kungafaneleka uma izimpawu zinzima noma aziphenduli ezinye izindlela zokwelapha. Kunezindlela ezintathu ezahlukene ezisetshenziswa ekuhlinzweni kwe-carpal tunnel:
  • Ukuhlinzwa kwe-Endoscopic. Udokotela usebenzisa idivayisi efana ne-telescope ene-khamera encane ebizwa nge-endoscope. Lokhu kuvumela udokotela ukuba abone ngaphakathi kwe-carpal tunnel. Udokotela uqeda i-ligament ngokusika okuncane okukodwa noma amabili esandleni noma kwi-wrist. Ukuhlinzwa kwe-Endoscopic kungase kuholele ebuhlungwini obuncane kunokuhlinzwa okuvulekile ezinsukwini ezimbalwa zokuqala noma emaviki ngemva kokuhlinzwa.
  • Ukuhlinzwa okuvulekile. Udokotela wenza isika, okuthiwa futhi isika, ehlombe lesandla phezu kwe-carpal tunnel bese uqeda i-ligament ukuze akhulule inzwa.
  • Ukuhlinzwa okuqondiswa yi-ultrasound. Lolu hlinzwe lufana nokuhlinzwa kwe-endoscopic, kodwa udokotela usebenzisa i-ultrasound ukubona inzwa, ama-tendons, ama-arteries ne-ligament. Khona-ke udokotela uqeda i-ligament ngesikhafu esincane noma ngentambo ehlanganisiwe efakwe kwi-wrist nge-needle. Ukuhlinzwa kwe-Endoscopic. Udokotela usebenzisa idivayisi efana ne-telescope ene-khamera encane ebizwa nge-endoscope. Lokhu kuvumela udokotela ukuba abone ngaphakathi kwe-carpal tunnel. Udokotela uqeda i-ligament ngokusika okuncane okukodwa noma amabili esandleni noma kwi-wrist. Ukuhlinzwa kwe-Endoscopic kungase kuholele ebuhlungwini obuncane kunokuhlinzwa okuvulekile ezinsukwini ezimbalwa zokuqala noma emaviki ngemva kokuhlinzwa. Xoxa ngengozi nezinzuzo zazo zonke izindlela nodokotela wakho ngaphambi kokuhlinzwa. Izingozi zokuhlinzwa zingabandakanya:
  • Ukukhululwa okungaphelele kwe-ligament.
  • Ukutheleleka kwezindawo zokusika.
  • Ukwenziwa kwama-scar.
  • Ukulimala kwezinzwa noma izithelo zegazi. Phakathi nenqubo yokwelapha ngemva kokuhlinzwa, izicubu ze-ligament ziyakhula kancane kancane ndawonye ngenkathi zivumela indawo eningi yenzwa. Le nqubo yokwelapha yangaphakathi ithatha izinyanga eziningi, kodwa isikhumba siyaphola emavikini ambalwa. Udokotela wakho cishe uzokuncoma ukuthi usebenzise isandla ngemva kokuba i-ligament iphilile. Sebenza kancane kancane ubuyele ekusetshenzisweni okugcwele kwesandla futhi ungasebenzisi ukunyakaza okunamandla kwesandla noma izikhundla ze-wrist ezingapheli. Ubuhlungu noma ubuthakathaka kungathatha emavikini ambalwa kuya ezinyangeni ezimbalwa ukuze kuqedwe ngemva kokuhlinzwa. Uma izimpawu zakho zazinzima kakhulu, zingase zingapheli ngokuphelele ngemva kokuhlinzwa.

Ikheli: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.

Yenziwe eNdiya, yomhlaba