Ngati muli ndi matenda a carpal (CTS), mukhoza kumvetsetsa momwe zizindikirozo zingakhudzire ntchito zanu za tsiku ndi tsiku ndi zosangalatsa. Kupweteka, kukhumudwa, ndi kufooka mmanja mwanu kapena zala zingakulepheretseni kulemba pa kompyuta yanu, kulemba, kapena kugwiritsira zinthu. Ndipo chimodzi mwa zovuta kwambiri pa matenda a carpal mitsempha: kupeza chitsimikizo cholondola.
Kupeza bwino kupweteka kwa manja ndi kupsinjika kwa dzanja kungatsimikizire kuti mumalandira mankhwala oyenera. Nanga bwanji matenda a carpal tunnel akupezeka, ndipo mumadziwa bwanji kuti matenda omwe mumapeza ndi abwino?
Kuyesedwa / Kuyesedwa Kwapanyumba
Zisonyezero za CTS zimayambitsidwa ndi kupanikizika kwa mitsempha yanu yamkati pamene imadutsa kuchokera pamphuno yanu kupita ku dzanja lanu. Dera ili, lotchedwa ngalande ya carpal, liri ndi tendon zingapo ndi zomangamanga pamodzi ndi mitsempha yamkati. (Carpals ndi mafupa a manja, ndipo amapanga denga la msewu.)
Chimodzi mwa zosavuta kudziyesera nokha kwa CTS chimaphatikizapo kufufuza ndi kumvetsa zizindikiro zanu. Zizindikiro za matenda a carpal syndrome zikhoza kukhala:
- Ululu mu dzanja lanu ndi mfuti
- Ululu mu thupi lanu, chala chachindunji, ndi chala chapakati
- Kujambula mu chikhodzanja chanu, cholemba, ndi chala chapakati
- Kufooka m'dzanja lanu
Matenda a Carpal amachititsa kuti munthu azivutika maganizo kwambiri .
Izi zikutanthauza kuti zimayambitsidwa ndi kayendetsedwe kamene kamagwiritsidwa mobwerezabwereza. Pachifukwachi, zizindikiro zimayamba kubwera pang'onopang'ono komanso popanda kuvulazidwa. Zizindikiro zimakhala zovuta kwambiri chifukwa cha ntchito yambiri ya makompyuta yomwe imaphatikizapo kugwiritsa ntchito mbewa ndi kuyimba. Ntchito zina zobwerezabwereza monga kulemba zingayambitse CTS.
Kotero choyamba chanu choyamba chomwe mungakhale nacho CTS ndi chikhalidwe ndi khalidwe la zizindikiro zanu. Kupweteka, kugwedeza, ndi kufooka m'chapachipiko chanu ndi zala ziwiri zoyamba zomwe zimaipitsidwa ndi kubwereza dzanja ndizo chizindikiro chakuti CTS ikhoza kukhala yowononga. Ngati ndi choncho, pangakhale nthawi yoti mupite kwa dokotala wanu.
Mayesero Amakono
Ngati mukuganiza kuti muli ndi CTS, kuyang'ana ndi dokotala ndi lingaliro labwino. Mutamvetsera mbiri yanu ndikulemba zizindikiro zanu, iye akhoza kuchita mayeso enieni kuti adziwe (kapena kutuluka) matenda a carpal tunnel.
Kuyeza Kuyendera Kwambiri
Dokotala wanu akhoza kuyeza kayendetsedwe ka dzanja ndi mkono. Anthu ambiri omwe ali ndi chiwonetsero cha CTS adachepetseratu kuyenda. Izi zimachitika chifukwa cha kutupa kwa mitsempha ndi mitsempha yomwe imayenda kudzera mu msewu wa carpal. Kutupa uku kumapangitsa kuti kayendetsedwe kachilengedwe kasinthe, ndipo kutayika kwa chiuno ndi kuyendayenda kungakhalepo.
Chizindikiro cha Tinel
Chizindikiro cha Tinel chimaphatikizapo kugwiritsira modzichepetsa mitsempha yowonetsera zizindikiro. Chizindikiro cha Tinel kwa CTS chachitidwa pochita dokotala wanu ndikudutsa pamtunda wanu wamkati pafupi ndi dzanja lanu pamwamba pa dzanja lanu. Ngati kugwirana kumeneku kumapweteka kapena kukupiza pa thupi kapena zala zanu, matenda a carpal tunnel angakayikire.
Mayeso a Phalen
Mayeso a Phalen akuphatikizira kumbuyo kwa manja anu pamaso panu ndi amtundu wanu mu malo akuluakulu a kupindika. Phokoso limeneli limaphatikizapo ngalande ya carpal ndipo imayambitsa matenda anu.
Gwiritsani Mphamvu
Nthawi zina, CTS imayambitsa mphamvu ya mphamvu m'manja kapena zala. Dokotala wanu angagwiritse ntchito chida chapadera chotchedwa dynamripeter kuti muyese mphamvu yanu. Mphamvu zochepa mu dzanja lanu zikhoza kukhala chizindikiro cha CTS, makamaka ngati muli ndi zizindikiro zina monga kupweteka ndi kukwapula m'dzanja lanu.
EMG
Kuyeza kwa Electromyographical ( EMG ) kumaphatikizapo kuika zingano zing'onozing'ono m'dzanja lanu pamtunda wanu wamkati.
Masingano awa akhoza kuthamanga kuchokera pa khosi lanu ndi mkono wapamwamba ndi m'manja mwanu. Mukakhala ndi singano, kusokonezeka kwa magetsi kumatsitsa dzanja lanu ndi dzanja lanu. Zida zamtunduwu zimayesa kuthamanga kwa magetsi. Ngati pali kupanikizika kwa mitsempha yanu yam'kati, magetsi amatha kuchepetsedwa pamene akudutsa dzanja lanu, kutanthauza matenda a carpal tunnel.
Kupeza Zomwe Mukudziwa
Nthawi zina kuchita masewerowa ndikwanira kuti zitsimikizire kuti matenda a carpal ndi matenda. Dokotala wanu amatha kupereka mankhwala kuti athe kuchepetsa zizindikiro zanu ndi kusintha ntchito yanu yonse. Izi zingaphatikizepo kutumizira ku mankhwala opatsirana kapena kuchipatala .
Ngati zizindikiro zanu zili zovuta kapena ngati apitiliza ngakhale atachita nawo chithandizo chamakono, chithunzi chopita patsogolo chikhoza kuchitidwa.
Kujambula
Matenda a Carpal amapezeka makamaka poyesa dzanja lanu ndi dzanja lanu ndi kufotokozera zizindikiro zanu zachipatala. Nthawi zina, kujambula kwapamwamba kwambiri kumagwiritsidwa ntchito kuti muzindikire bwinobwino chikhalidwe chanu. Zithunzi izi zingaphatikizepo:
X Ray
X-ray ikhoza kusonyeza dokotala wanu mafupa omwe ali pachifuwa chako, mkono, ndi dzanja, ndipo kupasuka kumeneku kungayambitse zizindikiro zina. (Pitirizani kukumbukira kupasuka kwa manja makamaka chifukwa cha chochitika chokhumudwitsa, ndipo CTS nthawi zambiri imadza pang'onopang'ono.)
MRI
Kujambula kwa maginito (MRI) kumalola dokotala wanu kuganiza mozama za zida zofewa za dzanja lanu ndi dzanja. Izi zimaphatikizapo chithunzi chokwanira cha mitsempha yanu yamkati, nsomba mu dzanja lanu, ndi mitsempha yomwe imathandizira dzanja lanu ndi dzanja.
CT Scan
Dongosolo la computed tomography (CT) ndi chithunzi chachitatu cha mafupa a dzanja lanu ndi dzanja ndipo akhoza kuchipeza ndi dokotala kuti asatuluke nyamakazi kapena kupasuka.
Zotsatira za mafano anu, kuphatikizapo mbiri yanu ndi kafukufuku wamakono, zingathandize dokotala kuti azindikire kuti muli ndi matenda a carpal.
Kusiyanitsa kusiyana
Palinso zina zomwe zingakhale ndi zizindikiro zofanana ndi CTS. Izi ziphatikizapo:
Chiberekero cha Radiculopathy
Kachilombo ka radiverpathy kamakhalapo pamene mitsempha ya m'khosi mwanu imapanikizika ndi vuto la herniated, nyamakazi, kapena zina. Matendawa angayambitse kupweteka kuchoka m'khosi mwako ndi m'manja ndi dzanja, kutsanzira zizindikiro za matenda a carpal tunnel.
Ulnar Nerve Compression
Mitsempha yanu ya ulnar imayenda pansi pansi ndi mkono wanu pambali ya pinky. (Ngati mwataya chidutswa chanu pa fupa lanu lophwanyidwa, izi ndizo mitsempha yanu yeniyeni.) Mitsempha yanu imatha kupanikizidwa mu chigoba chanu ndipo imayambitsa kupweteka ndi kupweteka m'manja mwanu ndi kumalira ndi zala za pinky. Ngakhale kuti zizindikirozi ndi zosiyana kwambiri ndi kupanikizika kwa mitsempha yamkati, iwo akhoza kusokonezeka ndi CTS.
Thupi Lamatenda
Matenda a nyamakazi angakhudze thupi lanu la carpometacarpal (CMC). Izi zingachititse kufooka ndi kupweteka m'kamwa mwako ndi dzanja, kukutsogolerani kuti mukhulupirire kuti muli ndi CTS.
Chifuwa cha nyamakazi
Matenda a nyamakazi angayambitsenso kupweteka kwa dzanja, thuku, ndi chala, zomwe zingasokonezedwe ndi CTS.
Ngati mukuganiza kuti muli ndi matenda a carpal, ndi bwino kuti muwone dokotala wanu. Akhoza kuchita kafukufuku wodalirika ndikukonzekera mayeso oyenerera kuti apeze matenda oyenera. Mwa kupeza chidziwitso cholondola, mukhoza kuyamba pa chithandizo chabwino kwambiri cha chikhalidwe chanu.
> Chitsime:
> Hultman, CS (2014). Matenda a carpal-tunnel. Zaka khumi ndi zisanu ndi ziwiri 'zodziwa zowunikira ndi chithandizo cha manja mazana asanu ndi limodzi mphambu makumi asanu ndi anayi. Mu Maphunziro 50 Dokotala aliyense wa opaleshoni ayenera kudziwa (pp. 59-65). CRC Press.