I-Carpal bossing ligama elinikezelwa kwimeko esenza i-bony lump emva kwesandla. Umphathi we-carpal i-bump eyenziwe yindawo encinci ye-osteoarthritis eyenzekayo ekuhlanganyeleni kwamathambo amathambo kunye namathambo amancinane .
Umphathi we-carpal ngokuqhelekileyo ubonakala njengophotho emva kwesandla esiphakathi okanye kwi-joint carpometacarpal joint-apho amathambo esandla ahlangana kunye namathambo esiko.
Igama lomphathi livela kwigama lesiFrentshi elithi bosse, elithetha ukugquma okanye ukuvuvukala.
I-Carpal bossing yenziwa ngenxa yokukhula kwethambo kwisiseko samathambo e- metacarpal wesandla. Kumele ukwahlukaniswe kwezinye iimeko eziqhelekileyo zesandla njengesi:
Umphathi we-carpal ayikho umhlaza okanye isisu. Nangona kukho izidumbu ezingavumelekanga zamathambo ezinokuthi zenzeke esandleni, ugqirha wakho kufuneka akwazi ukwahlula umphathi we-carpal kwinto ethile.
Iimpawu neeMpawu
Uninzi lwezigulane zikhalaza ngumphathi we-carpal emva kokuba ziqhube okanye zibethe emva kwesandla. Olu hlobo loxinzelelo lunokubangela ukucasuka kumphathi we-carpal. Iitonti ngaphaya kwesandla singaphinde zithukuthelise ngenxa ye-bospal bossing. Ngamanye amaxesha unako ukufumana i-tendon ehluthayo njengoko ihamba phezu kwebala. Ekugqibeleni, ezinye izigulane azithandi ukubonakala kwezonyameko kweso sandleni sabo.
Ugqirha wakho osisiseko unokwazi ukukhangela ekugqibeleni okanye ungathunyelwa kwisicatshulwa ngesandla. Ukuba unesihlungu kunye nokuvuvukala, ugqirha wakho uya kufuna ukulawula ezinye izizathu ezifana ne-cyst ganglion, i-tendonitis, i-fracture, kunye nezona zinto eziqhelekileyo ezibangelwa izibonda kwisandla.
Ukuhlolwa ngokomzimba nokuphulaphula imbali yakho xa kuvela intsimbi kwaye iimpawu zakho zisetyenziselwa ukuxilongwa.
Iimvavanyo ezingenziwayo ziquka ii-ray-ray kunye nee-EMG, ezizame ukuhlolwa kwe-neurophysiology.
Unyango
Ngokuqhelekileyo, i-carpal bossing ingxaki engakwazi ukuyibukela-kungekho nonyango. Iimpawu ezichasayo ezinjenge-ibuprofen zinokucetyiswa ukuba zibuhlungu okanye zivutha. Ukuba kubuhlungu, ugqirha unokucebisa isalathisi somnxeba ukukhawulela ukunyakaza okanye injini ye-steroid ukuba loo nto ayinikezeli uxolo.
Kwiimeko apho imeko ibangela iimpawu ezibalulekileyo, inqubo yokucocwa yokususa amathambo angaphezu kwamandla angenziwa. Ngokuqhelekileyo kwenziwa phantsi kwe-anesthetic yendawo okanye yengingqi. Yinto emfutshane imisebenzi eyenziwa njengophando losuku. Isicatshulwa senziwa ngasemva kwesandla kunye ne-bump kunye naziphi na izicubu ezikhukhulayo ezijikelezayo. Ungasebenzisa isandla sakho kwisenzo esiqhelekileyo emva kweentsuku ezimbalwa uze ubuyele emsebenzini ngeveki okanye ezimbini.
Abanye oogqirha baya kuphinda bathe ithambo edibeneyo apho i-spur ikhona ukukhusela ukuphindaphinda kwimeko. Kukho uncwadi oluphikisanayo malunga nokuba kunokwenzeka njani ukuba i-bump ibuyisela emva kokugqitywa, kodwa kunokwenzeka. Nangona kunjalo, ukunyaniseka kunobungozi bokungazinzi ngokudibeneyo kunye nomngcipheko oqhelekileyo wokusuleleka kunye nokutshabalalisa.
Imithombo:
"Umphathi we-carpal ophawulekayo. J Hand Surg, Br; 24 (5): 591-5.
I-Porrino J, uMaloney E, i-Chew FS "Iingcamango zangoku zeCarpal Boss: I-Pathophysiology, iimpawu, iSikliniki okanye ukuCatshulwa, kunye noLawulo." I-Curr Probl Diagn Radiol. 2015 Sep-Oct; 44 (5): 462-8. i-doi: 10.1067 / j.cpradiol.2015.02.008. Epub 2015 uMatshi 7.
Park MJ, Namdari S, Weiss AP. "Umphathi we-carpal: ukuhlaziywa kokuxilongwa kunye nonyango." J Hand Surg Am. 2008 Mar; 33 (3): 446-9. i-doi: 10.1016 / j.jhsa.2007.11.029.