Matenda a Carpal ndi matenda omwe amachititsa ululu, kupweteka, ndi kukwapula pala zala kapena manja, makamaka thumbu, ndondomeko, pakati, kapena zala. Kutaya kwa kumva m'mintola ndi kufooka m'manja kungatheke.
Mitsempha yam'kati, yomwe imagwirizanitsidwa ndi dzanja, imapanikizika pamene imadutsa mumtsinje wa carpal, njira yopapatiza ya mafupa ndi mitsempha pansi pa mkono.
Pali zinthu zambiri zomwe zingayambitse matenda a carpal mumtunda monga kubwezeretsa manja ndi kugwiritsa ntchito manja, matenda osiyanasiyana (monga kunenepa kwambiri, mimba, hypothyroidism, nyamakazi, ndi matenda a shuga), komanso kuvulaza kapena kuvulaza dzanja.
Zothandizira Matenda a Carpal Tunnel
Pakadali pano, chithandizo cha sayansi cha chidziwitso chakuti mankhwala aliwonse angathe kuthandizira matenda a carpal mumtunda. Pano pali mawonekedwe asanu ndi atatu othandizira:
1) Kutsegula
Akatswiri opangira mankhwala amaika zingano zopyapyala m'zinthu zofunikira pa thupi. Chiphunzitso cha chikhalidwe chimagwiritsira ntchito njira zamagetsi zolimbitsa thupi, zomwe zimatchedwa meridians, zimayambitsa ululu. Kuchulukanso kumatulutsa zotsatirazi komanso kumapangitsa kuti madzi aziyenda bwino.
Zomwe asayansi amalemba ndizoti mavitamini amatha kutulutsa mankhwala ochepetsa ululu m'thupi, kulimbikitsa kufalikira m'thupi, ndi kusinthasintha kayendedwe ka mitsempha.
Kodi mankhwalawa ndi otani? Kwa matenda a carpal tunnel, zizindikiro za opaleshoni zimakhala pa mkono, mkono, thumba, manja, komanso mbali zina za thupi monga kumbuyo, khosi, ndi mwendo.
Chiwerengero cha masewera olimbitsa thupi chimadalira pazinthu zosiyanasiyana monga momwe mwakhala ndi zizindikiro za nthawi yaitali, chizindikiro chachikulu, kuchuluka kwa manja anu ndi manja anu, ndi thanzi lanu lonse.
Kujambula kwa laser, komwe kumagwiritsa ntchito laser yosungirako manja mmalo mopangira ma singano, imagwiritsidwanso ntchito pa matenda a carpal tunnel.
Kafukufuku wina adawoneka anthu 36 ndi kupweteka kwapakati pa miyezi 24. Zaka khumi ndi zinayi zinali ndi njira ziwiri zowonjezera opaleshoni popanda zotsatira. Pambuyo pa masewera atatu a ma laser pamlungu kwa masabata 4 mpaka asanu, anthu 33 sanamve ululu kapena kupweteka kwawo kunachepetsedwa ndi oposa 50 peresenti. Anthu onse omwe analephera kuchitidwa opaleshoni anali ndi kusintha kwakukulu. Kukonza thupi sikunali kofulumira-kukonzekera pambuyo pa zaka 1-2 kunawona kuti kupweteka kunabwereranso kwa anthu awiri okha mwa anthu 23, ndipo iwo anachiritsidwa bwino mkati mwa masabata angapo.
2) Acupressure
Acupressure imachokera ku mfundo zomwezo monga kuvomereza thupi. Mmalo mogwiritsa ntchito singano kuti zikhale ndi zizindikiro zokopa, kupanikizika kumagwiritsidwa ntchito, komwe kumalingaliridwa kuti kumayambitsa magazi kuthamanga kwa manja ndi manja ndi kuchepetsa kutaya ndi kutupa m'deralo.
Acupressure imapangitsa kuti matenda a carpal akugwiritsidwe ntchito nthawi zambiri pamagetsi, pamanja, ndi manja.
Pano pali chitsanzo cha momwe mungapangidwire mankhwala a carpal tunnel .
3) Alpha-Lipoic Acid
Komanso, ALA, alpha-lipoic acid ndi antioxidant yomwe imapangidwa mwachibadwa m'thupi ndipo imapezanso mawonekedwe owonjezera. Kafukufuku woyamba anafufuza kugwiritsa ntchito alpha-lipoic acid kuphatikizapo gamma-linolenic acid kwa matenda a carpal tunnel.
Ngakhale kuti pali zizindikiro zowonjezera, zofukufuku sizikhala ndi gulu lolamulira la placebo, zomwe zimapangitsa kuti zisamapezeke.
4) Vitamini B6
Pali zifukwa zosiyanasiyana zokhudzana ndi kugwiritsira ntchito vitamini B6 supplementation kwa matenda a carpal tunnel. Otsutsa ena amanena kuti kusowa kwa vitamini B6 kumayambitsa matenda a carpal, pamene ena amaganiza kuti vitamini B6 imalimbikitsa mpumulo chifukwa cha mankhwala omwe amachititsa kuchepetsa ululu. Zanenanso kuti vitamini B6 supplementation ikhoza kupereka mpumulo chifukwa imayang'ana matenda osokonezeka a m'mimba (vuto limene limayambitsa mitsempha ya m'mimba).
Pakalipano, kufufuza za mphamvu ya vitamini B6 supplementation kwasakanikirana. Kafukufuku awiri apeza kuti vitamini B6 sinasinthe kwambiri zizindikiro.
Kupezeka zakudya zosiyanasiyana, mavitamini B6 olemera kwambiri ndi nsomba, nyama zanyama, mbatata masamba ena obiriwira, tirigu wolimba kwambiri, ng'ombe, nkhuku, ndi zipatso zina monga nthochi ndi mango.
Ngakhale kuti mabuku ena amanena kuti vitamini B6 supplementation pansi pa 200 mg / tsiku sichikhoza kuwononga zotsatira, nkofunika kukambirana ngati zowonjezerako zingakhale zoyenera kwa inu musanayese. Mankhwala apamwamba amachititsa kuwonongeka kwa mitsempha mwa anthu ena. Anthu omwe amatenga zakudya zowonjezera B6 kwa nthawi yaitali ayenera kuyang'aniridwa ndi omwe amapereka chithandizo chamankhwala.
5) Yoga
Maphunziro oyambirira afufuza ngati yoga ikhoza kuthandiza anthu okhala ndi matenda a carpal. Kafukufuku wofalitsidwa m'magazini ya Journal of the American Medical Association anawona mmene yoga imachitira anthu 42 omwe ali ndi matenda a carpal. Anthu omwe ali mu gulu la yoga anachita 11 ma yoga, omwe amawongolera kulimbikitsa, kutambasula, ndi kusinthanitsa mgwirizano uliwonse mu thupi lapamwamba, kawiri mlungu uliwonse kwa masabata asanu ndi atatu. Amene ali mu gulu lolamulira amavala maonekedwe a manja. Kumapeto kwa masabata asanu ndi atatu, anthu omwe ali mu gulu la yoga anali ndi mphamvu zowonjezera mphamvu ndi ululu, ndipo panali kusintha kwa chizindikiro cha Phalen.
6) Chiropractic
Kafukufuku wina anayerekezera chisamaliro cha chiropractic kuti chisamaliro chosamalidwa (ibuprofen ndi chithandizo cha nthawi ya usiku) mwa anthu 91 omwe ali ndi matenda a carpal. Kusamalira tizilombo kunaphatikizapo kugwiritsira ntchito zida zofewa ndi thupi la mikono ndi msana, ultrasound pamwamba pa ngalande ya carpal, ndi mawotchi a usiku. Ochita kafukufuku anapeza kuti chiropractic inali yothandiza kwambiri monga matenda ochiritsira a carpal tunnel syndrome.
Zilonda Zina
- Enzyme imaphatikizapo monga serrapeptase , bromelain ndi papain nthawi zina amatchulidwa ndi othandizira ena opanga mankhwala kuchepetsa kutupa kwa minofu yokhudzana ndi matenda a carpal.
Feldenkrais ndi mtundu wopitiliza maphunziro. Anthu amaphunzitsidwa payekha kapena pagulu momwe angasunthire matupi awo mofulumira kuti apititse patsogolo kugwirizanitsa kwawo, kuchepetsa kupanikizana ndi kupanikizika, komanso kusintha kusintha.
Hellerwork ndi mawonekedwe a thupi omwe ali ndi zigawo zikuluzikulu zitatu: 1) ntchito zakuya minofu - mankhwala amayamba nthawi zambiri pogwira ntchito pamatumba ofewa pamtunda ndi mkono; 2) maphunziro okhudzana ndi kuyendetsa bwino ndi kayendetsedwe ka kayendetsedwe kake, ergonomic kufufuza kwa ntchito (mwachitsanzo mpando wotsika kwambiri, kuwunika kwambiri); 3) kukambirana kuti athetse mavuto omwe mitsempha yachitsulo imakhala "yogwiritsira ntchito" ndipo imakhudza kupuma.
Kugwiritsa ntchito mankhwala achilengedwe
Zakudya zowonjezereka ndi mitundu ina ya mankhwala osagwiritsidwa ntchito mosiyana sizinayesedwe kuti zikhale zotetezeka ndipo zikumbukire kuti chitetezo cha amayi apakati, amayi oyamwitsa, ana, ndi omwe ali ndi matenda kapena omwe akumwa mankhwala sanakhazikitsidwe. Mukhoza kupeza njira zogwiritsira ntchito zowonjezeretsa apa , koma ngati mukuganiza za kugwiritsa ntchito njira zina zothandizira pakuthandizira vuto lililonse, lankhulani ndi wothandizira wanu woyamba. Kutaya kapena kupeĊµa chisamaliro choyenera kungakhale ndi zotsatira zoopsa.
> Zotsatira:
> Aufiero E, Stitik TP, Foye PM, Chen B. Pyridoxine hydrochloride chithandizo cha matenda a carpal syndrome: ndemanga. Nthenda Rev. 2004 Mar; 62 (3): 96-104.
> Bland JD. Ubale wa kunenepa kwambiri, msinkhu, ndi matenda a carpal matumbo: zovuta kwambiri kuposa zomwe zinaganiziridwa? Mitsempha Yopweteka. 2005. Oct; 32 (4): 527-32.
Blankfield RP, > Sulmann > C, Fradley LG, et al. Mankhwala amakhudza pochiza matenda a carpal tunnel. J Am Board Fam Pract 2001; 14: 335-42.
> Branco K, Naeser MA. Matenda a Carpal: zotsatira zachipatala atatha kutsegula makina osokoneza bongo, makina osokoneza magetsi opatsirana, komanso njira zina zothandizira. J Altern Complement Med. 1999 Feb; 5 (1): 5-26.
> Byers CM, DeLisa JA, Frankel DL, Kraft GH. Matenda a Pyridoxine m'matumbo a carpal ndi popanda phokoso la m'mimba. Arch Phys Med Rehabil 1984; 65: 712-6.