Unyango lwe-carpal tunnel syndrome kuxhomekeke kuhlobo kunye nobude beempawu. Ngokuqhelekileyo kuya kuqala ngokunyanga okulondolozayo usebenzisa i-crystal knit kwaye unokufumana injini ye-corticosteroid ukunciphisa ukuvuvukala. Ukuba oku akunakunikezela ukukhululeka okanye ukuba iimpawu zakho zinzima, unakho utyando lwe-carpal release release.
I-Over-the-Counter (OTC) Iipilisi
Ukugqoka ubuqaqawuli okanye ubhinqa ebusuku kudla ngokuba yindlela yokuqala yokonyango.
Ungayifumana iigrafti zesandla kwivenkile yezilwanyana kwiindidi ezahlukeneyo. Ubunqamle obunzima obuhambelana nesandla sakho kwindawo engathathi hlangothi. Unokufumana kwakhona iinguqu ezinokuguquguquka ezinokusetyenziswa kwemini.
Ungasebenzisa i-OTC engekho imilingo yokulwa nezidakamizwa (i-NSAIDS) njenge-ibuprofen inokukunceda ukukhulula iimpawu zentlungu. Nangona kunjalo, la mayeza awayi kuphucula imeko ngokwayo.
IziPhulo zaseKhaya kunye nokuPhila
Unokufaka iipakethe ezibandayo kwisandla sakho ukuze uncede ukunciphisa ukuvuvukala. Kulungile ukuphepha imisebenzi eyenza iimpawu zakho zibi nakakhulu. Ufanele uthathe ikhefu rhoqo ukuze uphumle izandla xa kukho nawuphi na umsebenzi ofuna ukuchukumisa i-wrists. Gwema ukulala ezandleni zakho, ngokukodwa ngeentsimbi zakho.
Imigaqo
Ugqirha wakho unokumisela ukuba ubuqhetseba obungokwenkcubeko bwakhiwe ngumgqirha osebenzayo oya kulungelelanisa ngokuchanekileyo. I-corticosteroids yomlomo ingasetyelwa ukunciphisa ukuvuvukala nokuvuvukala.
Nangona kunjalo, kunokwenzeka ukuba injeya ye-cortisone iya kunikwa njengenkqubo.
Utyando kunye neNkqubo
Unyango olongezelelweyo luya kuxhomekeka kubunzima beempawu zakho ukuba ngaba abazange baphendule unyango olulondolozayo. Ungathunyelwa kwi-neurologist okanye ugqirha wamazinyo.
I-Cortisone Injection
Iilenjini zeCortisone sele zisetyenziswe njengonyango lwe-carpal tunnel syndrome. Ijoza ingakhokelwa yi-endoscopy. Nangona kukho iziphumo ezinokubakho , ziqheleke ukuba zikhuselekileyo kunokuba zisebenze. Ziyasebenza kakhulu xa i-CTS iyisigxina kwaye iyakusombulula, njengokuba emva kokulimala, kunokuba i-CTS ngenxa yesifo esingapheliyo okanye isizathu se-anatomiki. Ngamanye amaxesha inikwe i-cortisone injection ekuncediseni ukuxilongwa kwe-CTS, okufuneka ukuba okungenani ikhululwe ngethuba. Izibonakaliso ngenxa yezizathu ezahlukileyo aziyi kukhutshwa yijoza kule ndawo.
Unyango
Ugqirha wakho unokukuthumela kwiphilisi yesandla njengonyango olulondolozayo okanye ngexesha lokuphulukana nokuhlinzwa. Umgqirha unokukufundisa ukunyuka kweentambo kunye ne-tendon gliding exercises. Isandla somathambo singasebenzisa iontophoresis ukulawula i-steroids ngesikhumba. I-ultrasound yokwelapha ingasetyenziselwa ukunciphisa intlungu kunye nokunyuka.
I-Carpal Tunnel Ukukhutshwa kwezifo
Utyando lwe-carpal ukukhishwa kwinqanaba elilandelayo linyathelo elilandelayo ukuba iimpawu ezinzima okanye aziphendulanga unyango olulondolozo. Utyando lwasemini lwangaphantsi komsebenzi olwenziwe phantsi kwe-anesthetic yendawo okanye yesithili. Uya kubuyela ekhaya ngaloo mini.
Nangona kunjalo, unokuba ne-sedation kwaye ngoko uya kufuna omnye umntu ukuba akuqhube ekhaya. Ngokuqhelekileyo kuya kufuneka ukuba utyando kwezandla zombini kunye nokuhlinzwa kungenziwa ngexesha elifanayo.
Kwi-carpal opervicular operation, i-ligament ejikeleze isalathisi sinqunyulwa ukukhupha ingcinezelo kwi-nerve median. Uyakuziva ukhululekile lweempawu zakho ngokukhawuleza. Iigamente zikhula kunye ndawonye kwaye zinika indawo engakumbi kwi-carpal tunnel ye-nerve. Utyando luyakwenziwa ngeendlela ezimbini:
- Uvulo oluvuliwe luvuliwe ngokwenza u-incision nge-scalpel kwisikristeni kunye nokusika i-ligament.
- Ukuhlinzwa ngokugqithiseleyo kusetyenziswa enye okanye amabini amancinci encinane kwisandla nangesundu ukuze ufake ifakram ekhonkxwe kwiphubhu kwaye usike i-ligament ngetye elincinci elifakwe kwi-tube.
Emva kokuhlinzwa, mhlawumbi uya kucebiswa ukuba unxibe ubuqaqawuli besandla okanye ubambe iiveki ezimbalwa. Unokwenza ulungelelanise umsebenzi wakho wokusebenza ngexesha uhlaziya kwaye ufumana uncedo ngemisebenzi, kodwa ngokukhawuleza unokukwazi ukuqhuba umbane kwaye uphakamise ukukhanya.
Ukubuyiselwa ngokupheleleyo emva kokuhlinzwa kungathatha inyanga ezimbalwa, ngexesha apho uza kuba negalelo lokunciphisa amandla. Oku kuya kubakho ukubuyela emva kweenyanga ezimbini ukuya kwethathu, kodwa kunokuthatha unyaka ukuya kwiimeko apho ukunyanzelwa kwemizwa kunzima. Kuphela malunga nesiqingatha salabo abanesiphelo sokukhululwa kombhobho we-carpal ukuvuselelwa ngokugcwele kokusetyenziswa ngokuqhelekileyo kunye nokuvakalelwa. Kuqhelekile ukuba unxweme okanye ubuthathaka emva kokuphulukana. Iindaba ezilungileyo kukuba ukuphindaphinda kweengxaki akunqabile. Unokuthunyelwa kwisandla sonyango ukukunceda ukuba ufumane kwakhona xa usenobuthathaka kunye nobuthathaka emva kweenyanga ezimbini.
I-Alternative Medicine (CAM)
Ukuphononongwa kweengxelo ngo-2010 ezichazwe ngobungqinqi bokuba ezinye iindlela zokwelapha zinokuba luncedo kwiCTS. Nazi iziphumo zolu vavanyo:
- I-Yoga inokunceda ukuqinisa umzimba wakho ophezulu kunye nokuphucula amandla akho okubamba. Kuphawulwe njengokuba luncedo yiNational National Institute of Neurological Disorders and Stroke. Nangona kunjalo, akuzange kubekho uphando olulawulwayo ukuxhasa ukusebenzisa i-yoga kwiminyaka engama-20 edluleyo.
- Ukwenziwa kwe-Acupuncture kwaxhaswa njengonyango oluthile okanye olunye uhlobo lwesigqibo se-NIH ngo-1997. Izifundo ezahlukeneyo azange zibonise ubungqina obucacileyo obusebenzayo. I-needle acupuncture, acupressure, okanye i-laser acupuncture ingenziwa ngamagqirha asebenza ngonyango. Ulwaphulo lwe-laser low level lungenziwa nakwiimbindi zomlambo kunokuba zikhutshwe kwiindawo ezenziwayo. Ubungqina bokusebenza kwayo budibanisekile.
- Unyango lwamabala aseMagnetic luye lwaba nezifundo ezimbalwa, kunye neyona yakutshanje ingabonakali niphumo.
Nangona kungekho zifundo zokusetyenziswa kwazo, ezinye iingcali zincoma ezinye iindlela zokwelapha:
- I-Feldenkrais , eyona ndlela yokunyuswa kwakhona kwemfundo. Kujoliswe ekuphuculeni ukulungelelaniswa, ukunciphisa uxinzelelo oluhlangeneyo kunye nokuphucululwa kokuguquguquka.
- Isihogo sihlobo lomzimba olubandakanya iisisindo ezinzulu ezisebenza ngaphaya kwe-forearm kunye nekhanda, imfundo malunga nokumisa nokuhamba, kunye nencoko malunga nemvakalelo engachaphazela imisipha yakho nokuphefumla.
- Izibonelelo: I-Vitamin B6 icetyiswa ukuba yongezwa ngabo bacinga ukuba kunokuncedisa intlungu. Nangona kunjalo, kuyadingeka ukuba amanyathelo athathwe ngenxa yokuba amanani aphezulu angabangela umonakalo wamantongomane. I-Alpha-lipoic acid (ALA) yintsholongwane echazwe ngabanye abasebenza kwiCTS. Izongezelo ze-enzyme ezifana ne- serrapeptase , i- bromelain kunye ne- papain zicetyiswa ngabanye abasebenza kwiingcamango ukuba banokunciphisa ukuthunga kwezicubu. Xoxa nayiphi na isongezelelo ngogqirha wakho njengoko kungenako ukufaneleka kwabasetyhini abakhulelweyo, oomama, abantwana, okanye abo banezinye iimeko zonyango. Basenokuba nokusebenzisana namanye amayeza.
> Imithombo:
> UCarlson H, uColbert A, uFrydl J, uArnall E, uElliot M, uCarlson N. Iindlela ezikhoyo zolawulo lweCarpal Tunnel Syndrome. I-International Journal ye-Clinical Rheumatology . 2010; 5 (1): 129-142. I-doi: 10.2217 / IJR.09.63.
> I-Carpal Tunnel Syndrome. Isiko seSizwe seNational Psychology and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Carpal-Tunnel-Syndrome-Fact-Sheet.
> I-CD yaseJennings, iFaust K. iCarpal Tunnel Syndrome. I-American Academy ye-Orthopedic Surgeons. https://orthoinfo.aaos.org/en/diseases-conditions/carpal-tunnel-syndrome/.