I-Carpal Tunnel Syndrome

by UCarol Justice

Usebenza kwidesksi yakho, uzama ukungawunaki ukutshitshisa okanye ukuphazamiseka okwenziwe ngeenyanga kwi sakho nesandla. Ngokukhawuleza, ubuhlungu obubukhali, buhlungu bukhupha ngekristali kwaye uphakamisa ingalo yakho. Ikhefu elidlula nje? Kungenzeka ukuba une-carpal tunnel syndrome, iimeko ezibuhlungu ezibangelwa ukunyanzeliswa kwesibindi esisisigxina kwisandla.

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Yintoni iCarpal Tunnel Syndrome?

Iqela leZithombe zoLuntu / i-Getty Images

I-Carpal tunnel syndrome yenzeka xa i-nerve median, ephuma kwi-forearm ibe sesandleni, ixinwa okanye ifakwe kwi-wrist. I-median nerve ilawula ukuvakalelwa kwintendelezo yesundu yesithupha kunye neminwe (nangona kungenjalo umnwe omncinci), kwakunye nemishukumiselo kwezinye iintlobo ezincinci kwisandla esivumela iminwe nesithupha ukuba zihambe.

I-Carpal Tunnel

I-carpal tunnel yindlela enqabileyo, eqinile ye-ligament kunye namathambo kwisiseko sesandla esinezindlu zomlenze kunye neetoni. Ngamanye amaxesha, ukwanda kwamathambo okanye iinye ukuvuvukala kunciphisa umgca kwaye kubangela ukuba i-nerve median ixineke. Isiphumo sinokuba nentlungu, ubuthathaka, okanye ukuphazamiseka kwisandla nangesandla, ukugqithisa ingalo.

Nangona uvakalelo olubuhlungu lunokubonisa ezinye iimeko, i-carpal tunnel syndrome yinto eqhelekileyo kwaye yaziwa ngokubanzi ngama-neuropathies angenayo apho umzimba womzimba unxinzezelekileyo okanye uxinzeleleke.

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Iimpawu

Iimpawu ze-carpal tunnel syndrome zivame ukuqala ngokuthe ngcembe, ngokutshisa rhoqo, ukubetha, okanye ukutyhawula entendeni yesandla kunye neminwe, ngokukodwa isithupha kunye neenkcukacha kunye neminwe ephakathi. Ezinye izigulane ze-carpal zithi iminwe yabo iziva ingenalutho kwaye ikhubezekile, nangona incinci okanye ingekho ukuvuvukala kubonakala.

Iimpawu ze-carpal tunnel syndrome zivame ukuvela kuqala kwisinye okanye ezandleni zombini ebusuku, ekubeni abantu abaninzi balala nezigulana.

Umntu onesifo se-carpal syndrome angasuka evakalelwa ukuba kufuneka "ukukhupha" isandla okanye isandla.

Xa izibonakaliso zihamba

Njengoko iimpawu ze-carpal tunnel syndrome zibi kakhulu, abantu banokuziva becula ngelilanga. Ukunciphisa amandla okubamba kunokukwenza kube nzima uku:

yakha iqela
ukuqonda izinto ezincinci
ukwenza enye imisebenzi yesikhokelo

Kwimiba engapheliyo / engaphendulwayo ye-carpal tunnel syndrome, izihlunu kwisiseko sesithupha sinokutshabalalisa. Abanye abantu abakwazi ukuxelela phakathi kokutshisa nokubandayo ngokuthinta.

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Izizathu

I-carpal tunnel syndrome ngokuqhelekileyo ibangelwa kukudibanisa kwezinto ezinyukisayo uxinzelelo kwiimbambo zomlambo kunye neetoni kwi-carpal tunnel, kunokuba ingxaki yentsholongwane ngokwayo. Kungenzeka ukuba le ngxaki ibangelwa kukuzalwa komntwana-i-carpal tunnel yincinci kwabanye abantu kunabanye.

Ezinye izinto ezibangeleyo

ukuxhatshazwa okanye ukulimala kwisikristhi esibangela ukuvuvukala, njengokwenyuka okanye ukuphuka
ukugqithiseleka komgudu we-pituitary
hypothyroidism
irheumatoid arthritis
iingxaki zomatshini kwi-joint joint
uxinzelelo lomsebenzi
Ukusetyenziswa ngokuphindaphindiweyo kwezixhobo zokuxhaphaza izandla
ukugcinwa kwamanzi ngokukhulelwa ngexesha lokukhulelwa okanye ukuphela kwesisu
ukuphuhliswa kwe-cyst okanye i-tumor kwi-canal

Kwezinye iimeko, akukho nzathu ye-carpal tunnel syndrome echongiweyo.

Uhambo oluphindaphindiweyo

Kukho idatha encinci yekliniki ukubonisa ukuba ukunyuka kwakhona nokunyanzelisa ukuhamba kwesandla kunye nesandla ngexesha lomsebenzi okanye ukuzilibazisa kungenza i-carpal tunnel syndrome. Ukuphindaphindwa okwenziweyo ekwenzeni umsebenzi oqhelekileyo okanye eminye imisebenzi yansuku zonke kunokubangela ukuphazamiseka okuphindaphindiweyo kokunyuswa okufana noku:

Cramp yoMbhali

Inkcenkca yombhali, imeko apho ukungabikho kobuchule obufanelekileyo bokusebenza kunye nokuxinzelela kwiminwe, isikhonkwane, okanye ingqungquthela ifakwe ngumsebenzi wokuphindaphinda, akusiyo impawu ye-carpal tunnel syndrome.

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Ngubani Osemngciphekweni

Amakhosikazi aphindwe kathathu ngaphezu kwamadoda ukuhlakulela i-carpal tunnel syndrome, mhlawumbi ngenxa yokuba i-carpal tunnel ngokwayo ingancinci kwabasetyhini kunamadoda.

Isandla esiphezulu sisoloko sithinteka kuqala kwaye sivelisa intlungu ebuhlungu.
I-Carpal tunnel syndrome ihlala ivele kuphela kubantu abadala.

Abantu abanesifo sikashukela okanye ezinye izifo ezichaphazelekayo ezichaphazela ngqo izibilini zomzimba kwaye zenza ukuba banokunyanzeliswa kakhulu nazo ziphezulu.

Job Risk

Umngcipheko wokwakha i-carpal tunnel syndrome ayinabantu abasemashishini omnye okanye umsebenzi kodwa oqhelekileyo kulabo benza umsebenzi womgca wendibano njengale:

mveliso
ukuthunga
kugqiba
kucoca
inyama, inkukhu okanye ukuloba intlanzi

Enyanisweni, i-carpal tunnel syndrome iphindwe kathathu ngokubanzi phakathi kwamabandla kunabasebenzi bokungena kwedatha. Uphando olwenziwe yi-Mayo Clinic lufumene ukusebenzisa i-computer enzima (ukuya kwiiyure ezingama-7 ngosuku) alukhulanga umngcipheko womntu wokuphuhlisa i-carpal tunnel syndrome.

Amanye amaNqaku

Kuqikelelwa ukuba abasebenzi abathathu kwi-10 000 balahlekelwa ixesha emsebenzini ngenxa ye-carpal tunnel syndrome. Ingxenye yalaba basebenzi abangabikho ngaphezulu kweentsuku ezili-10 zomsebenzi. Iindleko zokuphila kwindleko yokuphila kwimizimba ye-carpal tunnel syndrome, kubandakanya iibhilidi zonyango kunye nokulahlekelwa ixesha emsebenzini, kuqikelelwa ukuba ngaphezulu kwama-30,000 kwi-workout nganye.

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Ukuxilongwa

Ukuxilongwa kwangaphambili kunye nokonyango kubalulekile ukuphepha umonakalo ongunaphakade kumgca we-median. Ukuhlolisiswa kwezandla ngezandla, iingalo, amahlombe kunye nentamo kunokunceda ukuba izikhalazo zesigulane zihambelana nemisebenzi yansuku zonke okanye i-disorder disorder, kwaye ikwazi ukulawula ezinye iimeko ezibuhlungu ezifanisa i-carpal tunnel syndrome. Isikhongo siyahlolwa:

bubele
ukuvuvukala
ukufudumala
ukuguquka

Umnwe ngamnye kufuneka uvivinywe ukuva, kunye nezihlunu kwisiseko sesandla kufuneka zihlolwe ngamandla kunye nemiqondiso ye-atrophy. Iimvavanyo zelabhoratri eziqhelekileyo kunye nee-ray-ray zingabonisa:

iswekile
arthritis
i fractures

Ubungqina bokuba i-carpal tunnel syndrome iphakanyiswa ukuba enye okanye impawu ezininzi, ezifana nokubetha okanye ukunyuka, zivakalelwa kwiminwe engama-1 ngomzuzu. Oogqirha banokubuza izigulane ukuba zizame ukwenza intshukumo ezisa iimpawu.

Uvavanyo

Ngokuqhelekileyo kuyimfuneko ukuqinisekisa ukuxilongwa ngokusetyenziswa kovavanyo lwe-electrodiagnostic.

Kwisifundo sokuqhutyelwa kwamathambo , i-electrodes ifakwe esandleni nasesandleni. Ukutshatyalaliswa kwamancinci kagesi kusetyenziswe kwaye isantya esineentsholongwane ezithumela iimpembelelo.
Kwi- electromyography , inaliti enhle ifakwe kwisistim, umsebenzi ombane ugqityiweyo kwisikrini unokumisela ubunzima bomonakalo kwiimbilini zomlambo.
Ukubonakalisa i-Ultrasound kungabonakalisa ukunyanzeliswa kokunyanzeliswa kwentsholongwane.
Ukucatshulwa kwe-magnontic resonance kungabonisa ukubonakala kwekhanda kodwa kuze kube yimini akuzange kube luncedo ngakumbi ekufumaneni i-carpal tunnel syndrome.

Oogqirha bangasebenzisa iimvavanyo ezithile ukuzama ukuvelisa iimpawu ze-carpal tunnel syndrome.

Uvavanyo lwe-Tinel: Kuvavanyo lwe-Tinel, ugqirha ugxobhoza okanye ugxininisa kwi-nerve median kwisikrini somguli. Uvavanyo luyakhawuleza xa ukubetha kwiminwe okanye ukutshatyalaliswa okunjengoko kwenzeka.
Uvavanyo lwe-Phalen: I-Phalen, okanye i-wrist--xionxion, uvavanyo luquka ukuba isigulane sibambe iimbono zakhe ngokuthe tye ngokukhomba iminwe phantsi kwaye ucinezele umqolo wezandla ndawonye.

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Unyango

Unyango lwe-carpal tunnel syndrome kufuneka uqale ngokukhawuleza, phantsi kolawulo lugqirha. Izizathu ezingundoqo zezidumbu ze-carpal tunnel kufuneka ziphathwe kuqala njenge:

iswekile
arthritis

KuPhatha ko kuqala

Ukuqala unyango lwe-carpal tunnel syndrome ngokuqhelekileyo kubandakanya ukuphumla isandla nesandla esithintekayo ubuncinane ubuncinane iiveki ezimbini, ukuphepha izinto ezinokuthi zibe nzima kakhulu, kunye nokukhupha isalathisi esiqhekezayo ukuze kuphephe umonakalo owenziwe ukuguquka okanye ukugoba. Ukuba kukho ukuvuvukala, ukusebenzisa iipakethe ezipholileyo kunokukunciphisa ukuvuvukala.

Zonyango

Ukunyamekela kunye nokunyamekelwa kwe-chiropractic kuye kwaxhamla ezinye izigulane kodwa ukuphumelela kungagcinwanga. I- exception ye yoga eboniswe ukunciphisa intlungu kunye nokuphucula amandla okubamba.

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Amachiza kunye noNyango olungapheliyo

Kwezinye iimeko, amayeza ahlukahlukeneyo anokunciphisa intlungu kunye nokuvuvukala okuhambisana ne-carpal tunnel syndrome.

Iimpawu eziye zafumaneka ngexesha elifutshane okanye zibangelwa ngumsebenzi onzima zingancinwa ngamachiza angaphiliyo okuchasayo, njengale:

aspirin
ibuprofen
ezinye iintlungu ezingabonakaliyo

I-diuretics yomlomo ("iipilisi zamanzi") inokunciphisa ukukhukhumeza.

I-Corticosteroids njenge-prednisone, injected ngqo kwisandla okanye ithathwe ngomlomo, inokunciphisa uxinzelelo kwi-nerve median kwaye ibonelele ngokukhawuleza, ukukhululeka kwangethuba kubantu abaneempawu ezincinci okanye eziphakathi. ( Isexwayiso: abantu abanesifo sikashukela kunye nalabo abafakwe kwisifo sikashukela kufuneka baqaphele ukuba ukusebenzisa ixesha elide le-corticosteroids kungenza kube nzima ukulawula amanqanaba e-insulin, akufanele kuthatyathwe ngaphandle kwemvume kadokotela.)

Ukongezelela, ezinye iincwadi zibonisa ukuba i-vitamin B6 (pyridoxine) isongezelelo iyakwenza impawu ze-carpal tunnel syndrome ziphucule.

Ukuzivocavoca

Izenzo ezixhasayo kunye nokuqinisa (njengalezi zivivinyo zentlambo ) zingabancedisa kubantu abanempawu zabo. Ezi zifundo zingabhekiswa ngumphathiswa wezonyango, oqeqeshwe ukusebenzisa imithi yokunyanga ukukhubazeka, okanye ugqirha lomsebenzi, oqeqeshwe ukuvavanya abantu abanezifo eziphathekayo kunye nokubanceda ukwakha izakhono zokuphucula impilo kunye nenhlalakahle yabo.

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Izinketho zokuphanda

Ukukhululwa kwee-carpal tunnel yindlela eqhutywayo yokuhlinzwa. Ngokuqhelekileyo isinconywe ukuba iimpawu ezidlulileyo kwiinyanga ezi-6, utyando lubandakanya ukuhlukanisa iqela leethambo ezijikelezayo kwisalathisi ukwenzela ukunciphisa uxinzelelo kwi-nerve median. Ugqirha lwenziwe ngaphantsi kwe-anesthesia yendawo kwaye ayifuni ukuhlala esibhedlele. Izigulane ezininzi zidinga ukuhlinzwa kwizandla zombini.
Ukuvulelwa ngokukhululeka, ukutyunjwa kwendlela yokulungisa i-carpal correctional, kubandakanya ukwenza i-incision ukuya kuma-intshi e-2 kwisikristeni uze unqumle umgudu we-carpal ukuze ukhulise umbane we-carpal. Utyando luvame ukuphelelwa isiguli phantsi kwe-anesthesia yendawo.
Ukuhlinzwa ngokugqithiseleyo kungavumela ukuphucula ukusebenza ngokukhawuleza kunye nokunciphisa ubuncwane be-post-op ngaphandle kokuhlinzwa okuvulekileyo. Udokotela ogqirha wenza izibini ezibini kwisandla nangesundu, ufaka ikhamera efakwe kwi-tube, ibona izicubu kwiskrini, kwaye isika i-carpal ligament. Ukuhlinzwa okugqithisileyo kwezi zimbini, ngokuqhelekileyo kwenziwa phantsi kwe-anesthesia yendawo, isebenza ngempumelelo kwaye iyancipha ukunciphisa nokunyuka. Uphando olulodwa lwe-portal endoscopic lufumaneka.

Ukubuyisela

Nangona iimpawu zingaphula ngokukhawuleza emva kokuhlinzwa, ukubuyiswa ngokupheleleyo kunokuthatha inyanga. Ezinye izigulane zinokuthi:

sulelo
umonakalo wesondlo
ubunzima / intlungu ebubini

Ngamanye amaxesha isalathisi silahlekelwa amandla kuba i-carpal ligament isinqunywe. Izigulane kufuneka zithathe unyango lomzimba ukubuyisela amandla esandla. Abanye bangadinga ukulungiswa kwemisebenzi okanye ukutshintsha imisebenzi emva kokubuyiselwa.

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Thintelo

Endaweni yomsebenzi, abasebenzi bangakwazi:

ukwenza kwimeko yokusebenza
ukwenza umsebenzi owelula
kuthatha ixesha lokuphumla
ugqoke izibhambathiso ukuze ugcine izibonda
sebenzisa ukuchaneka okufanelekileyo nesimo sesandla

Ergonomics

Ukugqoka iiglavu ezingenangununu kunokunceda ukugcina izandla zifudumele kwaye ziguquguquke. Izixhobo zokusebenza, izixhobo kunye nezixhobo zokusebenza, kunye nemisebenzi inokuphinda ihlelwe kwakhona ukwenzela ukuba isikhonkwane somsebenzi sihlale sikhundla sendawo ngexesha lomsebenzi. Imisebenzi ingajikelezwa phakathi kwabasebenzi.

Abaqeshi banokuphuhlisa iinkqubo kwi-ergonomics, inkqubo yokulungiswa kweemeko zendawo yokusebenza kunye neemfuno zomsebenzi kwizakhono zabasebenzi. Nangona kunjalo, uphando aluzange lubonise ngokucacileyo ukuba ezi ndawo zinguqu zengqesho zikhusela ukuvela kwe-carpal tunnel syndrome.

_Umthombo:

_{Upapasho lwe-NIH No-03-4898 (ehleliwe)}