Chithandizo cha matenda a carpal matumbo chimadalira mtundu ndi nthawi ya zizindikiro. Kawirikawiri imayamba ndi mankhwala ochiritsira pogwiritsa ntchito chikopa cha manja ndipo mukhoza kulandira jekeseni ya corticosteroid kuti muchepetse kutupa. Ngati izi sizikupatsani mpumulo kapena zizindikiro zanu zili zovuta, mukhoza kukhala opaleshoni yotulutsa carpal.
Over-the-Counter (OTC) Mankhwala
Kuvala ubweya kapena ubweya usiku ndi njira yoyamba ya mankhwala.
Mungapeze maonekedwe a manja pa sitolo yogulitsa mankhwala mumitundu yosiyanasiyana. Kuphwanyika kwakukulu komwe kumagwirizanitsa dzanja lako posaloŵerera bwino kuli bwino. Mutha kupeza zowonjezereka bwino zomwe zingakhale zoyenera kugwiritsira ntchito masana.
Mungagwiritse ntchito mankhwala osokoneza bongo omwe amachititsa kuti matendawa asapitirire (NSAIDS) monga ibuprofen ingathandize kuthetsa zizindikiro zowawa. Komabe, mankhwalawa sangapangitse vutoli.
Zothetsera Pakhomo ndi Moyo Wamoyo
Mungagwiritse ntchito mapuloteni anu pa dzanja lanu kuti muthe kuchepetsa kutupa. Ndibwino kupewa zinthu zomwe zimapangitsa kuti zizindikiro zanu zikhale zovuta. Muyenera kutaya nthawi zambiri kuti mupume manja anu pamene mukuchita chilichonse chomwe chimafuna kusintha miyoyo yanu. Pewani kugona mmanja mwanu, makamaka ndi manja anu atapindika.
Malemba
Dokotala wanu angapereke chidziwitso chodziwikiratu kuti chikhale chogwiritsidwa ntchito ndi wodwala wogwira ntchito amene angakuyenereni bwino. Mankhwala a coralosteroids angapangidwe kuti athe kuchepetsa kutupa ndi kutupa.
Komabe, zikutheka kuti jekeseni ya cortisone idzaperekedwa monga ndondomeko.
Opaleshoni ndi Ndondomeko
Mankhwala ena amadalira kukula kwa zizindikiro zanu ngati sakanavomera kuchipatala chodziletsa. Mutha kutumizidwa kwa katswiri wa zamagulu kapena opaleshoni ya mafupa.
Cortisone Injection
Mankhwala a Cortisone akhala akugwiritsidwa ntchito ngati chithandizo cha matenda a carpal tunnel. Jekeseni ikhoza kutsogoleredwa ndi endoscopy. Ngakhale kuti pali zotsatira zowononga , nthawi zambiri zimakhala zotetezeka kusiyana ndi opaleshoni. Zimakhala zogwira mtima kwambiri pamene vuto lalikulu la CTS ndi laling'ono ndipo lidzathetsa, monga pambuyo povulazidwa, osati ku CTS chifukwa cha matenda aakulu kapena chifukwa cha anatomic. Nthawi zina jekeseni ya cortisone imaperekedwa pofuna kuthandizira kutsimikizira kuti matendawa ndi a CTS, omwe ayenera kupulumutsidwa kwa kanthawi ndi jekeseni. Zizindikiro chifukwa chazifukwa zina sizikanatulutsidwa ndi jekeseni pa tsamba ili.
Thandizo Labwino
Dokotala wanu angakulozereni kwa wothandizira dzanja ngati mankhwala ochiritsira kapena pakuchira kuchokera ku opaleshoni. Wothandizira angakuphunzitseni mitsempha yothamanga ndi zojambula zamatoni. Katswiri wothandizira angagwiritsenso ntchito iontophoresis kuti apange steroid kupyolera pakhungu. Mankhwala achilendo amatha kugwiritsanso ntchito kuchepetsa ululu ndi kufooka.
Opaleshoni ya Carpal Yopereka Opaleshoni
Njira yotchedwa Carpal kumasula opaleshoni ndiyo njira yotsatira ngati zizindikirozo ndizoopsa kapena sanayankhepo mankhwala ochiritsira. Ndi opaleshoni yamasiku opita kuntchito yomwe imachitidwa m'magulu am'deralo. Mudzapita kunyumba tsiku lomwelo.
Komabe, mukhoza kukhala ndi sedation ndipo mumasowa wina kuti akuyendetseni kunyumba kwanu. Kawirikawiri muyenera kuchitidwa opaleshoni pa manja onse ndipo opaleshoniyo ikhoza kuchitidwa panthawi yomweyo.
Mu opaleshoni ya carpal, mitsempha yoyandikana ndi mkono imadulidwa kuti athetse vuto la mitsempha yamkati. Nthawi zambiri mumamva kuti mukutsitsimuka. Mitsempha imabwereranso palimodzi ndipo imapereka malo ochuluka mu msewu wa carpal kwa mitsempha. Opaleshoni ikhoza kuchitika m'njira ziwiri:
- Kutsegula opaleshoni yotulutsidwa kumapangidwa mwa kupanga chokopa ndi scalpel mu dzanja ndi kudula ligament.
- Kuchita opaleshoni kumagwiritsira ntchito kamodzi kakang'ono kapena kakang'ono kawiri kamene kali m'manja ndi pamanja kuti muike kamera yosakanikirana ndi chubu ndikudula ligament ndi kamba kakang'ono kamene kamayikidwa kudzera mu chubu.
Pambuyo pa opaleshoni ndiye kuti mutha kulangizidwa kuti muvale chikwangwani kapena mawonekedwe a masabata angapo. Muyenera kusintha ntchito zanu za ntchito pamene mukuchira ndikupeza thandizo ndi ntchito zapakhomo, koma mwamsanga muyenera kuyendetsa galimoto ndikukweza.
Kuchira mwamsanga pambuyo pa opaleshoni kungatenge miyezi ingapo, pamene iwe udzakhala ndi zina zochepetsera mphamvu. Izi nthawi zambiri zimabwerera mkati mwa miyezi iwiri kapena itatu, koma ikhoza kufika chaka chimodzi pamene vuto la mitsempha limakhala lovuta. Pafupifupi theka la iwo amene ali ndi opaleshoni yotuluka mumsewu wa carpal ali ndi kubwezeretsa kwabwino ntchito ndi kumva. N'chizoloŵezi kukhala ndifooka kapena kufooka pambuyo pochira. Nkhani yabwino ndi yakuti vuto lobwerezabwereza ndilosazolowereka. Mutha kutumizidwa kwa wothandizira dzanja kuti muthandize kuchira ngati mutakhala ndi ululu ndi zofooka pakatha miyezi iwiri.
Mankhwala Osakaniza Owonjezera (CAM)
Kupenda kafukufuku mu 2010 kunapereka umboni wochepa wosonyeza kuti njira zina zoperekera chithandizo zingakhale zothandiza kwa CTS. Nazi zotsatira za kafukufukuyu:
- Yoga ikhoza kuthandizira kulimbitsa thupi lanu lapamwamba ndikuthandizani kulimbitsa mphamvu zanu. Amati ndi othandiza ndi NIH National Institute of Neurological Disorders ndi Stroke. Komabe, palibe pulogalamu yowonongeka yogwiritsira ntchito yoga zaka 20 zapitazo.
- Kuchulukitsa mankhwala kunkagwiritsidwa ntchito monga njira yothandizira kapena njira ina mwachindunji cha NIH mogwirizana ndi 1997. Zofukufuku zosiyanasiyana sizinawonetsere umboni wogwira mtima umene uli wogwira mtima. Nkhono yothandizira munthu, kutsegula m'mimba, kapena kupopera mankhwala a laser kungapangidwe ndi opaleshoni ina. Mankhwala apamwamba a laser angapangidwenso pamsana wa mitsempha yamkati kusiyana ndi malo okhwima. Umboni wokhoza kwake umasakanikirana.
- Mankhwala opangira maginito amakhalanso ndi zochepa zofufuza, ndi zosakhalitsa zosonyeza kuti palibe zotsatira.
Ngakhale palibe maphunziro a momwe amagwiritsira ntchito, akatswiri ena amalimbikitsa njira izi zothandizira:
- Feldenkrais , yomwe ili mtundu wa kuyendetsa bwino maphunziro. Cholinga chake ndi kukonzanso mgwirizano, kuchepetsa nkhawa, komanso kusintha.
- Gahena ndi mawonekedwe a thupi lomwe limaphatikizapo minofu yozama yomwe imagwira ntchito pambali pa mkono ndi mkono, maphunziro okhudza kusuntha ndi kuyenda, ndi kukambirana za maganizo omwe angakhudze minofu ndi kupuma kwanu.
- Zowonjezera: Vitamini B6 ikuperekedwa monga choonjezera ndi iwo omwe amaganiza kuti akhoza kuthandizira kupumula kupweteka. Komabe, zowonongeka zimafunika chifukwa mlingo waukulu umatha kuwononga mitsempha. Alpha-lipoic acid (ALA) ndi antioxidant yomwe yakhala ikugwiritsidwa ntchito ndi ena opatsirana a CTS. Enzyme imaphatikizapo monga serrapeptase , bromelain ndi papain akuperekedwa ndi akatswiri ena omwe amakhulupirira kuti akhoza kuchepetsa kupweteka kwa minofu. Kambiranani ndi madokotala aliwonse opatsirana pogwiritsa ntchito mankhwala omwe sangakhale oyenera kwa amayi apakati, amayi oyamwitsa, ana, kapena omwe ali ndi matenda ena. Angathenso kuthandizana ndi mankhwala ena.
> Zotsatira:
> Carlson H, Colbert A, Frydl J, Arnall E, Elliot M, Carlson N. Zosankha zamakono za Nonsurgical Management ya Carpal Tunnel Syndrome. International Journal of Clinical Rheumatology . 2010; 5 (1): 129-142. lembani: 10.2217 / IJR.09.63.
> Carpal Tunnel Syndrome Mapepala. National Institute of Neurological Disorders ndi Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Carpal-Tunnel-Syndrome-Fact-Sheet.
> Jennings CD, Faust K. Carpal Tunnel Syndrome. American Academy of Orthopedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/carpal-tunnel-syndrome/.