Ukuba une- carpal tunnel syndrome (CTS), ngoko unokuqonda indlela iimpawu ezinokuchaphazela ngayo umsebenzi wakho wemihla ngemihla kunye nemisebenzi yokuzonwabisa. Intlungu, ukubetha, kunye nobuthathaka esandleni sakho okanye iminwe yakho kunokukugcina ekutyikitheni kwikhompyutha yakho, ukubhala okanye ukugcina izinto. Kwaye enye yeyona mingeni enzima kakhulu ye-carpal tunnel syndrome: ukufumana ukuxilongwa ngokuchanekileyo.
Ukufumana uvavanyo oluchanekileyo lwesandla sakho kunye nokukhwaza kungenza uqiniseke ukuba ufumana unyango olufanelekileyo kwiimeko zakho ezithile. Ngako-ke i-carpal tunnel syndrome ixilongwa njani, kwaye uyayazi njani ukuba ukuxilongwa kwakho ufumana okulungileyo?
I-Self-Checks / Ukuvavanywa Kwekhaya
Iimpawu ze-CTS zibangelwa ukunyanzelana kwentsholongwane yakho njengokuba uwela kwi-forearm yakho kwisandla sakho. Lo mmandla, obizwa ngokuba yi-carpal tunnel, uqulethe iintlobo zeetononi kunye nezakhiwo ze-vascular kunye ne-nerve median. (Ii-Carp are amathambo esandla, kwaye zenza uphahla lwe-tunnel.)
Enye yezinto ezilula ukuzihlola kwiCTS ziquka ukuhlaziya nokuqonda iimpawu zakho. Iimpawu ze-carpal tunnel syndrome zingaquka:
- Ubuhlungu kwisandla sakho kunye nephambili
- Ubuhlungu kwisithupha sakho, isalathisi somunwe, nomnwe ophakathi
- Ukulinganisa kwisithupha, isalathisi kunye nomnwe ophakathi
- Ubuthathaka esandleni sakho
I-Carpal tunnel syndrome ithathwa njengengozi yokuphinda uxinzelelo .
Oko kuthetha ukuba kubangelwa enye inkqubela okanye iziphakamiso eziphindaphindiweyo ngokuphindaphindiweyo. Ngenxa yoko, iimpawu zivame ukuza ngokuhamba kancane kwaye kungekho nzakalo ethile. Iimpawu zidla ngokugqithiseleyo ngumsebenzi wekhompyutheni obandakanya ukusetyenziswa kwe mouse kunye nokuthayipha. Ezinye izinto eziphindaphindiweyo ezifana nokubhala zingabangela i-CTS.
Ngoko inkcazo yakho yokuqala enokuba nayo i-CTS yinto kunye nokuziphatha kweempawu zakho. Ubuhlungu, ukubetha, kunye nobuthakathaka kwisithupha sakho kunye neminwe yokuqala yokuqala eyenziwa ngokuphindaphindiweyo kwesandla ngumqondiso wokuba i-CTS ingaba yinto enecala. Ukuba kunjalo, kusenokuba ixesha lokutyelela ugqirha wakho.
Uvavanyo lwezonyango
Ukuba uyakrokrela ukuba unayo i-CTS, ukujonga ngogqirha wakho kukulungileyo. Emva kokuphula imbali yakho kunye nokurekhoda iimpawu zakho, unokukwenza iimvavanyo ezithile zeklinikhi ukuqinisekisa (okanye ukulawula ngaphandle) i-carpal tunnel syndrome.
Ukulinganiswa koMlinganiselo
Ugqirha wakho unokulinganisa uluhlu lwesandla kunye nesibindi sokunyuswa . Abantu abaninzi abanombukiso we-CTS banciphise ukuhamba kwiseli labo. Oku kubangelwa ukuvuvukala kweentsimbi kunye neetoni eziya kuthi ziqhutywe ngecala le-carpal. Ukuvuvukala kukuvimbela ukunyakaza okuqhelekileyo ukuba kwenzeke, kwaye ukulahlekelwa kwesikhumba sesandla kunye nokunyuswa kwesantya kungaba khona.
Uphawu lweTinel
Uphawu lukaTinel lubandakanya ngokunyanzela ukubetha kwiimbilini zokunyusa iimpawu. Uphawu lwe-Tinel lwe-CTS lwenziwe ngokugqithisa ugqirha wakho phezu kwentsholongwane yakho eduze kwesandla sakho ngaphezu kwesandla sakho. Ukuba le ntonga ibangela ubuhlungu okanye ukubetha kwidwangu okanye iminwe yakho, i-carpal tunnel syndrome inokukrokra.
Uvavanyo lukaPhalen
Uvavanyo lukaPhalen lubandakanya ukubeka izandla zakho emva kwakho phambi kwakho kunye nezibilini zakho kwizikhundla ezigqithiseleyo zokuhamba. Le nkalo ibambezela i-carpal tunnel kwaye ingabangela ukuba iimpawu zakho zenzeke.
Amandla Amandla
Ngamanye amaxesha, i-CTS ibangela ukulahlekelwa ngamandla kwisandla sakho okanye iminwe. Ugqirha wakho angasebenzisa isixhobo esikhethekileyo esibizwa ngokuba yi-dynamometer ukuze ulinganise amandla akho. Amandla amaninzi esandleni sakho anokuba ngumqondiso we-CTS, ngakumbi ukuba uneminye impawu ezinjengeentlungu kunye nokubetha ngesandla sakho.
EMG
Uvavanyo lwe-Electromyographical ( EMG ) luquka ukungenisa iinaliti ezincinci kwisandla sakho kunye nekhosi yakho.
Ezi naliti zingaphumelela entanyeni yakho nangengalo engaphezulu nasesandleni sakho. Emva kokuba izilingo zifakwe, ukutshatyalaliswa kwamandla ombane kuya kuthunyelwa phantsi ingalo yakho nasesandleni sakho. Izixhobo ezizodwa ziya kulinganisa ukunyuka kombane. Ukuba kukho inkcenkcesho yesigulane sakho, umqondiso wombane uya kuphuculwa njengoko uwela umnqweno wakho, obonisa i-carpal tunnel syndrome.
Ukufumana Ingxaki Yakho
Ngamanye amaxesha ukwenza le mvavanyo ekhethekileyo kunye namanyathelo okwaneleyo ukuqinisekisa ukuxilongwa kwe-carpal tunnel syndrome. Ugqirha wakho unokuyalela ukuba unyango luncede unciphise iimpawu zakho kwaye uphucule umsebenzi wakho jikelele. Oku kungabandakanya ukuhanjiswa kwonyango lomzimba okanye unyango lootitshala .
Ukuba iimpawu zakho zinzima okanye ukuba ziyaqhubeka nangemva kokuthatha inxaxheba kwindlela yokwenza unyango olusisigxina, i-imaging ehamba phambili ingenziwa.
Ukucinga
I-Carpal tunnel syndrome ifunyaniswa kakhulu ngokuhlolwa kwesandla sakho nesandla kunye nenkcazo yeempawu zakho zeklinikhi. Ngamanye amaxesha, i-imaging ephakamileyo kakhulu isetyenziselwa ukuxilonga ngokupheleleyo imeko yakho. Le mifanekiso ingaquka:
X-Ray
I-x-ray ingabonisa ugqirha wakho emathanjeni kwisalathisi sakho, isandla kunye nesandla, kwaye ukuphuka apha kungabangela ezinye iimpawu zakho. (Hlalani nikhumbula ukuba ukuphulwa kwesandla kubangelwa ngumcimbi osisigxina, kwaye i-CTS ihlala ihamba ngokuthe ngcembe.)
MRI
I- IMRI) ivumela ukuba ugqirha wakho abone ngeso lengqondo isakhiwo esincinci sesandla sakho nesandla. Oku kubandakanya umfanekiso ocacileyo weentsimbi zakho zomnxeba, iintambo zisesandleni sakho, kunye neendandatho ezixhasa isihenqo sakho nesandla.
CT Scan
Iskrini se- computed tomography (CT) siyimifanekiso emithathu yesithathu yamathambo esandla sakho kunye nesandla kwaye ingafunyanwa ngugqirha wakho ukulawula i-arthritis okanye i-break.
Iziphumo zemifanekiso yakho, ezidibaniswe nembali yakho kunye nokuhlolwa kwekliniki, kunokukhokelela ugqirha wakho ukuba ahlalutye ngokucacileyo nge-carpal tunnel syndrome.
Ukuxilongwa ngokungafani
Kukho ezinye iimeko ezingabonisa iimpawu ezifanayo kwiCTS. Ezi ziquka:
Radiculopathy yomlomo wesibeleko
I-radiculopathy yomlomo wesibeleko ivela xa inzwa entanyeni yakho ixhomekeke kwi-disc, i-arthritis, okanye iingxaki ezidibeneyo. Le meko inokubangela ukuba ubuhlungu buhambe entanyeni yakho nasesandleni sakho nasesandleni, ulinganisa ezinye iimpawu ze-carpal tunnel syndrome.
Ukunyanzeliswa kwe-Ulnar Nerve
Isilonda sakho se- ulnar sihamba phantsi ingalo yakho nasesandleni sakho kwicala le-pinky. (Ukuba uke wavala umgca wakho kwi-bone yakho ehlekisayo, le nto iyinzwa yakho yesigulane. Nangona le miqondiso ihluke ngokuthe ngqo kwi-median nerve compress in the wrist, inokudideka kunye ne-CTS.
Isiqu seArthritis
I-arthritis inokuchaphazela ukudibanisa kwe- carpometacarpal (CMC) yesithupha sakho . Oku kunokubangela ubuthathaka kunye nentlungu kwisandla sakho nesandla, okukhokelela ekubeni ukholelwe ukuba unayo i-CTS.
Isixhobo seArthritis
I-arthritis yesandla sakho sinokubangela ukuba intlungu, isithupha, kunye nomnxeba weentlungu, ezinokudideka kunye ne-CTS.
Ukuba ukrokrela ukuba une-carpal tunnel syndrome, kubalulekile ukuba ubone ugqirha wakho. Unako ukuqhuba uviwo olusisigxina kwaye ulungise iimvavanyo ezichanekileyo ukuqinisekisa ukuchongwa okufanelekileyo. Ngokufumana ukuxilongwa ngokuchanekileyo, unokuqalisa kwiziko elithile lonyango.
> Umthombo:
> Hultman, CS (2014). I-carpal-tunnel syndrome. Amava aneminyaka elishumi elinesibhozo ekuxilongeni nasekunyangeni kwamandla angamakhulu mathandathu anamashumi amahlanu anesine. Kwimibuzo engama-50 Wonke oPhando lwePlastiki kufuneka awazi (iphe. 59-65). I-CRC Press.