I-Carpal tunnel syndrome yimeko eqhubekayo xa enye yeentsholongwane ezinkulu kwi-wrist ishintshiswa. Le ntsho, ebizwa ngokuba ngumdla wamanzi, inika amandla kunye nemisipha yomsebenzi kwisandla kunye neminwe. Iimpawu eziqhelekileyo ze-carpal tunnel syndrome ziquka ukuphazamiseka nokubetha kweminwe, intlungu eminwe, kunye nobuthakathaka bezihlunu zesandla.
Xa imeko ye-carpal tunnel syndrome iba yinto enkulu yokuphazanyiswa, oogqirha banokucebisa ukuba utyando lukhuphe uxinzelelo kwi-nerve median.
Injongo Yophando
Injongo yocwaningo lwe-carpal tunnel lucacile ngokucacileyo: kancincizela uxinzelelo kwi-nerve median. Kwiinkalo ezininzi, oku kufezwa ngokusika (okanye "ukukhulula") i-carpal transverse ligament entendeni yesandla. Kwezinye iimeko ezinqabileyo, into engavumelekanga ibangela uxinzelelo kwiimbilini, ezifana nokukhula kwinqanaba le-carpal. Nangona kunjalo, uninzi lwabantu lufumana ukukhulula ngokukhawuleza i-ligament.
Umbuzo wendlela yokunqumla le ligament ngokupheleleyo ukuqinisekisa ukuba uxinzelelo kwi-nerve likhululekile ngokwaneleyo ngelixa lingalimazi izakhiwo ezikufuphi ezingafaneleki. Ngokukodwa, ukuxilwa okufanayo kwesifo se-carpal isalathisi kwesinye seentsholongwane ezincinci (okanye mhlawumbi ukuya kwi-nerve median) kwisikristeni.
Oku kunokukhokelela kwiingxaki ezinokuba zibi ngakumbi kuneempawu zokuqala.
Izinketho zokuphanda
Kukho iindlela ezimbini ezibalulekileyo xa uphando luqwalaselwa. Enye inketho yindlela evulekile yokuhlinzwa. Kule nkqubo, ukufakwa kwesikhumba kwenziwa entendeni yesandla. Izicubu ezithambileyo phakathi kwesikhumba kunye ne-carpal ligament ejikelezayo ziyahlula, kwaye i-ligament iboniswe ngokuthe ngqo.
Kubalulekile ukubona zonke iziphelo ze-ligament ukwenzela ukuba ugqirha wakho aqinisekise ukuba i-ligament ikhutshwe ngokupheleleyo, kwaye ukuze izisondlo eziseduze zikhuselwe ngexesha le nkqubo. Ubungakanani besikhumba sesikhumba sinokuhluka ngokuxhomekeka kwintando yakho, ukukwazi ukubona oko kufuneke kubonwe, kunye nokukwazi ukubuyisela ngokwaneleyo izicubu ezizungezile.
Olunye uhlobo lokuhlinzwa lubizwa ngokuba yi-endoscopic carpal tunnel release. Olu uphando luyenziwa ngokucwangciswa, kodwa isincinci esincinci esiphezu kwesandla endaweni yesandla. Ikhamera encinci ifakwe ngaphantsi kwe-carpal ligament, kwaye i-ligament ibonakala ngekhamera ukusuka ngaphantsi kwayo. I-blade yokusika encinci isetyenziswe kwikhamera, kwaye i-ligament iyacinywa xa ugqirha ebukele kwikhamera, kwakhona kuqinisekisa ukuba iimbulunga eziseduze azilimazi.
Eyona nto ilungileyo: Oko Kuthetha Ngophando
Kukho izifundo ezininzi, kubandakanywa amanqaku amaninzi, aphande ukuba uphando nokuba i-endoscopic okanye i-opal polaral release release Idatha icacile kwizinto ezimbalwa.
- Abantu babuyela emsebenzini ngokukhawuleza xa benokukhululwa kwe-carpal tunnel endoscopic xa kuqhathaniswa nokuvulwa kwe-carpal tunnel. Abantu abanesidingo esiphuthumayo sokubuyela emsebenzini ngokukhawuleza kunokwenzeka, ngakumbi xa bathembela ezandleni ukuze baphakamise imithwalo enzima okanye badla, badla ngokugqithiseleyo nge-endoscopic ngexesha lokuhlinzwa ovuliwe lwe-carpal tunnel.
- Ukubamba ngamandla kunconyane ngokukhawuleza emva kokutyunjwa kwezigulane eziye zafumana ukukhululwa kwe-carpal tunnel. Nangona abanye oogqirha bebhikishe ukuba lo mmahluko awubalulekanga (ukuba izigulane azikwazi ukubona umehluko), oku kungachaza ukuba kutheni abantu bavame ukubuyela emsebenzini ngokukhawuleza. Emva kweenyanga eziliqela, lo mmahluko uhamba.
Kukho iinkxalabo ezichongiweyo kunye nokukhululwa kwe-carpal tunnel . Enye yezona zinto zininzi ngethuba eliphezulu lokulimala kwentsholongwane enxulumene nale nkqubo. Uphando olutshanje lubonakala lubonisa ukuba le nkxalabo idlulayo ngexesha njengoko oogqirha beba namava kwaye ixhobo zokugcina ziphucule.
Kukho nkxalabo malunga neendleko zexhobo zokusebenza ze-endoscopic. Utyando lwe-carpal ovulekile oluqhelekileyo lusebenzisa izixhobo eziqhelekileyo kwaye ukwenza utyando alubandakanyi iindleko ezinkulu. Utyando lwe-endoscopic optic trapery ludinga i-teknoloji eyindleko enokubakhathalela abanye abantu.
Ngaba i-Endoscopic Ingcono? Yintoni Engayiphumeliyo?
Ngokusekelwe kwidatha, kubonakala sengathi i-endoscopic yindlela yokuhlinzwa olungcono. Abantu banamandla okubamba kwaye bangaphinda basebenze ngokukhawuleza. Nangona kunjalo, akunjalo loo nto. Olunye uguquko olunzima ukuvavanya kwizifundo kukuba utyando oluvulekileyo luye lwaguqulwa ngaphezu kweminyaka, kwaye abanye oogqirha banokukwazi ukwenza uvavanyo oluvulekileyo ngokuchaneka okwaneleyo ukuba unqunywe ngesikhumba akunakunzima nakwehlukileyo ukusuka i-endoscopic incision. Olu hlobo kwiinkqubo, olubizwa ngokuba yi-mini-open release, kucatshulwa ukuba abanye oogqirha babe bhetele ngakumbi kunokuba utyando lwe-endoscopic. Ngethuba lexesha, ukuhlinzwa okwenziwe ngee-carpal tunnel ezincinci kunokuthelekiswa nokugqithwa kwe-endoscopic ukubona ukuba yintoni ukungafani (ukuba kukho) ukubonisa phakathi kwezigulane.
Ngaphantsi: Yiyiphi eyona nto ilungileyo?
Ukukhululwa komgca we-carpal we-tunnel evulekileyo kunemihla ecacileyo. Nangona kunjalo, ukukhululwa kwe-carpal tunnel kunye ne-mini-open open carpal tunnel ayikwazi ukuba yinto eyahlukileyo ngokwemiqathango. Enye yezona zinto zibaluleke kakhulu kuzo zombini le nkqubo yile ngxaki yonyango. Abagqirha abenza le nkqubo bahlala benenkxalabo embalwa kunye neziphumo ezingcono. Ngoko ke, kunenjongo yokuthetha nodokotela wakho ogqirha malunga neendlela ozikhethayo kwaye uqonde ukuba yintoni na ayenzayo. Ukuba uvakalelwa enye yezinye iindlela ukhetho lungcono, cela isibini ngumbono ogqirha owenza enye inkqubo.
> Imithombo:
> Vasiliadis HS, Georgoulas P, Shrier I, Salanti G, Scholten RJ: "Ukukhululwa kwe-endoscopic ye-carpal tunnel syndrome" I-Cochrane Database Syst Rev 2014; 1: CD008265. i-doi: 10.1002 / 14651858.CD008265.pub2.
> Sayegh ET, Strauch RJ: "Ukuvulelwa ngokukhatshwa kwe-carpal carpal release: I-meta-analysis of trials elawulwa ngokungahleliwe" Clin Clinic Relat Res 2015; 473 (3): 1120-1132. I-doi: 10.1007 / s11999-014-3835-z. Epub 2014 uAgasti 19.
> I-Trumble TE, i-Diao E, Abrams RA, iGilbert-Anderson MM: Ukukhululwa kwe-single-portal endoscopic carpal tunnel ukukhululwa ngokuqhathaniswa nokukhululwa okuvulekileyo: Uvavanyo olulandelelwano oluhle. J Bone Surgery Joint Ngo- 2002; 84-A (7): 1107-1115.