Dzina la Carpal ndi dzina limene limapangitsa kuti phokoso liwonongeke kumbuyo kwa dzanja. Bwana wa carpal ndi bump lomwe limapangidwa ndi malo ochepa a mafupa a osteoarthritis omwe amapezeka pambali ya mafupa aatali ndi mafupa aang'ono .
Bwana wa carpal nthawi zambiri amawoneka kuti ndi bump kumbuyo kwa dzanja pakati kapena kulumikiza mgwirizano wa carpometacarpal-kumene mafupa a dzanja amalumikizana ndi mafupa a manja.
Mau akuti bwana amachokera ku mawu achi French akuti bosse, omwe amatanthauza kupuma kapena kutupa.
Chombo cha Carpal chimachitika chifukwa cha mafupa m'munsi mwa mafupa a metacarpal a dzanja. Izi ziyenera kusiyanitsidwa ndi zina zowoneka bwino monga:
Bwana wa carpal si khansara kapena chotupa. Ngakhale kuti pali ziphuphu zochepa zomwe zimachitika mdzanja, dokotala wanu ayenera kudziwa kusiyana kwa bwana wa carpal kuzinthu zina.
Zizindikiro ndi Zizindikiro
Odwala ambiri amadandaula ndi bwana wa carpal atagunda kapena kugunda kumbuyo kwa dzanja. Mtundu woterewu ukhoza kuyambitsa chisokonezo pafupi ndi bwana wa carpal. Matendawa kumbuyo kwa dzanja angakhalenso okwiya chifukwa cha bospal bossing. Nthawi zina mumatha kukhala ndi tizilombo tomwe timagwedeza pamtunda. Potsirizira pake, odwala ena samangokonda mawonekedwe okongoletsera a dzanja lawo.
Dokotala wanu wathanzi angayambe kupitilira kuntchito kapena mungatumizidwe kwa katswiri wanja. Ngati muli ndi ululu ndi kutupa, dokotala wanu akufuna kutulutsa zifukwa zina monga ganglion cyst, tendonitis, fracture, ndi zovuta zomwe zimayambitsa mabomba pa dzanja.
Kuyezetsa thupi ndi kumvetsera mbiri yanu pamene bump inkaonekera ndipo zizindikiro zanu zimagwiritsidwa ntchito kuti mudziwe.
Mayesero omwe angapangidwe akuphatikizapo X-rays ndi EMGs, zomwe zimayesedwa zamagetsi zogwiritsira ntchito magetsi.
Chithandizo
Kawirikawiri, bospal bossing ndi vuto lomwe lingathe kuwonedwa-popanda chithandizo china. Mankhwala otchedwa anti-inflammatory analgesics monga ibuprofen angapangidwe ngati ali opweteka kapena otentha. Ngati ndi zopweteka, dokotala angapangire kupukutika kwa mkono kuti athe kuchepetsa kuyendetsa kapena jekeseni ya steroid ngati izo sizikupereka mpumulo.
Zikakhala kuti vutoli likuyambitsa zizindikiro zazikulu, njira yopaleshoni yakuchotsera mafupa owonjezera akhoza kuchitidwa. Kaŵirikaŵiri zimachitidwa m'magulu am'deralo. Ndi ntchito yochepa yomwe imachitidwa opaleshoni ya tsiku. Kuphatikizidwa kumapangidwa kumbuyo kwa dzanja ndipo chiphuphu ndi minofu iliyonse yotupa pozungulira iyo imachotsedwa. Mukhoza kugwiritsa ntchito dzanja lanu pa ntchito yachizolowezi patapita masiku angapo ndikubwerera kuntchito mu sabata kapena awiri.
Madokotala ena opaleshoni adzaphanso fupa pamphati pomwe pamakhala mphukira kuti zisawonongeke. Pali zovuta zotsutsana zokhudzana ndi momwe zingakhalire kuti kubwerera kumabwerera pambuyo pa kukakamiza, koma n'zotheka. Komabe, kusungulumwa kuli ndi ngozi zowonjezereka pamodzi komanso chiopsezo chodziwika cha matenda ndi ululu.
Zotsatira:
"Bwana wa chizindikiro cha carpal. Kodi ndizosavuta zokwanira?" J Kupanga Mankhwala, Br; 24 (5): 591-5.
Porrino J, Maloney E, Chew FS "Mfundo Zamakono za Carpal Boss: Maganizo a Zizindikiro, Zizindikiro, Kuchiza kapena Kuzindikira Kuzindikira, ndi Kulamulira." Curr Probl Diagn Radiol. 2015 Sep-Oct; 44 (5): 462-8. lembani: 10.1067 / j.cpradiol.2015.02.008. Epub 2015 Mar 7.
Park MJ, Namdari S, Weiss AP. "Bwana wa carpal: yesetsani kufufuza ndi mankhwala." J Kupanga Mankhwala Am. 2008 Mar; 33 (3): 446-9. lembani: 10.1016 / j.jhsa.2007.11.029.