Uninzi lwabantu mhlawumbi luyazi kakuhle i- carpal tunnel syndrome apho ukufakwa kwesandla (i-carpal tunnel) kubangela intlungu, ukubetha, kunye nokugubha ngokukodwa kwisigwondlo, iminwe emibili, kunye nenxalenye yesundu.
Imeko efana nayo inokuthi yenzeke ngaphesheya kwesikhonkwane apho ukufakwa kwesibindi se-ulnar kubangela intlungu ephazamisayo okanye umqubuzelo kumunwe we-pinky, umlenze womunwe kunye nomda wesandla.
Oku kubizwa ngokuba yi-ulnar neuropathy engabangelwa yimimiselo emibini eyahlukileyo ebizwa ngokuba yi- cubital syndrome ne- tunnar syndrome .
Iimisongo zesandla neNsimbi
Ukuqonda ukuba kutheni izi syndromes ezenzekayo zifuna ukuqonda okuyisiseko sendlela yesandla. Isandla senziwe yinkonzo edibeneyo yeentsimbi ezineentlobo ezintathu eziphambili: i-radial, median, ne-ulnar neerves. Ngalinye le mivolo inomsebenzi ohlukileyo esandleni:
- I- neral nererve ijongene nokuvakalelwa kwesininzi sesemva kwesandla, kunye nokulungiswa kweminwe.
- I-nerve median yenza inzwa kwisininzi sezithupha kunye neminwe yokuqala yokuqala, kunye nokubonelela ngeminwe yokuqala iminwe kunye nesithupha.
- I- nerve ye-ulnar ijongene nokuvakalelwa kumunwe we-pinky kunye nenxalenye yomunwe. Kwakhona iguqulela loo minwe kwaye ikuvumela ukuba uqhube iminwe yakho.
Igama lezonyango "ulnar neuropathy" lithetha ukuba into ephosakeleyo ngentsholongwane ye-ulnar.
Xa oko kwenzeka, ngokuqhelekileyo kuba ngumphumo wento exinzezela kwi-nervous (njengokuba ngandlela-thile ibetha i-elbow yakho kwaye uvakalelwa kukuba intlungu yakho iyayiphantsi kwengalo yakho).
Njengoko iinambuzane zihamba ukusuka emgodleni phantsi ingalo esandleni, ngamanye amaxesha zidlulela kwiindawo eziqinileyo apho zisengozini yokulimala kunye nokunyanzeliswa.
Iindawo ezimbini eziqhelekileyo zokunyanzeliswa kwesigulane se-ulnar yi-elbow kunye nesandla.
Cubital Tunnel Syndrome
I-nerve ye-ulnar (oko kukuthi, "ithambo elihle" lentsholongwane) livela emlanjeni kwaye ligijime ubude bengalo yakho. I-tunnel syndrome ye-Cubital ivela ngokukodwa xa i-nerve ye-ulnar icinezelwe kwi-elbow.
Naliphi na i-nerve ixinyiwe kule nqanaba, nayiphi intlungu eminwe nasesandleni sinokugqithiswa ngokugqithwa ngokuphindaphindiweyo komgca (njengokuthetha kwifowuni). Ngamanye amaxesha iimpawu ziba lunzulu gqitha ukuvusa ebusuku. Akuqhelekanga, enyanisweni, ukuba abantu balale kunye neengqungquthela zabo eziguquguqukayo ukuze bagweme intlungu.
Isifo se-tunnel syndrome sinokubangela ukuba ubuhlungu bube buhlungu kwi-forearm kunye nobuthathaka kwimisipha yesandla. Kwiimeko ezinzima, i-atrophy ye-muscle kunye nokuhluma kwesandla kunokwenzeka.
Ulnar Tunnel Syndrome
Ulnar isifo se-tunnel kubangelwa ukunyanzeliswa kwentsholongwane kwisikhongo kodwa kwindawo eyahlukileyo kune-carpal tunnel syndrome, ngokukodwa, indawo esincinci ebizwa ngokuba yi-Canon's Canal. Ulnar isifo se-tunnel singabangelwa ukunyakaza okuphindaphindiweyo, njengokwenza i-hammering, okanye uxinzelelo oluqhubekayo kwisikristeni, njengokuba kwenzeka xa abahamba ngeebhayisikili bencike kwiibhodi zabo zokubamba ixesha elide.
Kwimigangatho yesibini, isifo se-ulnar syndrome sinokubangela ubuthakathaka besandla ngenxa ye-atrophy okanye i-shrinkage ye-hypothenar kunye neengxube zengxubevange (izihlunu ezisezantsi). Kwiimeko ezinzima kakhulu, i-atrophy ingakhokelela ekuhlanjuleni isandla.
Ukuxilongwa kunye noTyango
Uvavanyo loqobo luqhelekileyo konke okufunekayo ukuqinisekisa ukuxilongwa kwe-ulnar neuropathy. Ukuba iimpawu zinzima kwaye zifuna unyango olungakumbi, ugqirha wakho unokuyalela i- electromyogram okanye izifundo zokuqhuba i-nerve .
Unyango lwe-tunnel syndrome kunye neyeza ze-ulnar zonyango ziyafana. Injongo yokuqala kukunciphisa naluphi na ukuvuvukala okunokubangela ukunyanzelisa iimbilini.
Oku kuquka ukuhlanganiswa kokuphumla, umatshini ochanekileyo kunye nokuxhaswa okuxhasayo. Intlungu yokubuyisela i-ibuprofen inokumiselwa.
Xa kuthethwa oko, kukho ukungafani koluhlu kwindlela unyango olwenziwa ngayo.
- Ngesifo sobundlobongela, ukuxhamla ukuxhaswa kwakuza kubandakanya ukugcina i-colbow kwi-degrees ezingama-45. Ubuqhekeza buya kuqhubeka buqhutywe okanye ebusuku kuphela ngokuxhomekeka kobunzima beempawu. Ukuba unyango olulondolozayo luyaphela, utyando lunokusetyenziswa ukucima i-nerve kwinqanaba leelbow
- Nge-tunnar syndrome, ukuxhamla okuxhasayo kuya kufana neyo-carpal tunnel syndrome, isebenzisa ukusetyenziswa kobuqaqawuli ukuze kugcinwe isihenqo. Ukuba unyango olungapheliyo luyaphela, utyando lungasetyenziselwa ukudibanisa i-nerve emngceleni waseGuyyon. Kwakhona kunokuquka ukukhutshwa komgudu we-carpal tunnel, owenza uphahla lwee-carpal tunnel kunye nenxalenye yesikhokelo se-ulnar.
Ukuba utyando lwenziwa, ikhondo elihlelwe yonyango lonyango liza kulandelwa ukuze kuphinde liphinde libe namandla kunye nekhenkco yelbow okanye isandla. Ukubuyisela kungathatha iiveki ezili-12.
ILizwi
Ukuba uyakrokraza inzakalo yomlenze kwisandla okanye isandla sakho, nceda wenze isigqibo kunye nodokotela wakho, onokukuthumela kwi-ingcali. Imiqathango efana ne-tunnel syndrome kunye ne-ulnar syndrome ifuna iimvavanyo ezikhethekileyo kunye nokonyango.
> Imithombo:
> Bednar, M .; Ukukhanya, T .; kunye no-Bindra, R. "Isahluko 9. UkuPiliswa kwezandla". Ukuxilongwa kwangoku kunye noNyango kwi-Orthopedics (i-5th edition). Ku: I-Skinner, H. kunye noMcMahon, i-P. eds. New York, NY: McGraw-Hill; 2014.