Matenda a Carpal ndi vuto lomwe limakhalapo pamene imodzi mwa mitsempha yapamwamba yowonjezera imawombedwa. Mitsempha iyi, yomwe imatchedwa mitsempha yamkati, imapangitsa kuti thupi likhale ndi mphamvu komanso minofu imagwira ntchito ndi zala. Zizindikiro zowopsa za matenda a carpal mumayeso zimaphatikizapo kugwedezeka ndi kukwapula kwa zala, kupweteka ndi zala, ndi kufooka kwa minofu ya dzanja.
Pamene matenda a mitsempha ya carpal imasokoneza kwambiri, madokotala angapangire opaleshoni kuti athetse vuto la mitsempha yamkati.
Cholinga cha Opaleshoni
Cholinga cha opaleshoni ya carpal opaleshoni ndi yowongoka kwambiri: kuchepetsa mavuto pa mitsempha yamkati. Muzochitika zonse, izi zimachitika mwa kudula (kapena "kutulutsa") mzere wodutsa wamkati mu dzanja la manja. Nthawi zina, chinthu chachilendo chimayambitsa mavuto, monga kukula kwa msewu wa carpal. Komabe, anthu ambiri amapeza mpumulo mwa kungodzichepetseratu ligament.
Funso ndi momwe mungagwiritsire ntchito mitsempha yonseyi kuti muzitsitsimutsa bwino mitsempha yanu popanda kuvulaza malo oyandikana nawo omwe sayenera kudula. Mwachindunji, vuto limodzi lodziwika la opaleshoni ya carpal ndi opweteka kwa imodzi mwa mitsempha yazing'ono (kapena mwina mpaka mitsempha yakumwamba) mu dzanja.
Izi zingachititse mavuto omwe angakhale oipitsitsa kuposa zizindikiro zoyambirira.
Njira Zothandizira
Pali zazikulu zazikulu ziwiri pamene opaleshoni imaonedwa. Njira imodzi ndi opaleshoni yotseguka. Mwa njira iyi, kutengeka kwa khungu kumapangidwa m'dzanja la dzanja. Mitundu yofewa pakati pa khungu ndi phokoso la carpal ligament imagawidwa, ndipo ligilo limayang'anitsitsa mwachindunji.
Ndikofunika kuona mapeto awiri a ligament kuti dokotala wanu athe kuonetsetsa kuti mitsempha imamasulidwa, ndipo kuti mitsempha yoyandikana ikhoza kutetezedwa panthawiyi. Kutalika kwa kapangidwe ka khungu kungakhale kosiyana malingana ndi momwe dokotalayo amakukondera, kuthekera kuwona zomwe zikuyenera kuwonedwa, ndi kuthekera kokonzanso mokwanira matenda ozungulira.
Njira ina yopaleshoni imatchedwa kumasulidwa kwapopopopalini yamagalimoto yotchedwa endoscopic. Kuchita opaleshoniyi kumathandizidwanso kudzera mu incision, koma kutengeka kochepa kwambiri komwe kuli pamwamba pa dzanja m'malo mwa kanjedza. Kamera yaying'ono imalowetsedwa pansi pamtundu wa carpal ligament, ndipo ligament imawoneka kupyolera mu kamera kuchokera pansi pake. Katsamba kakang'ono kamadula kamera, ndipo ligament imadulidwa pamene dokotala akuyang'anitsitsa pa kamera, ndikuonetsetsanso kuti mitsempha yapafupi siilivulazidwa.
Zimene Zili Zabwino: Zimene Kafukufuku Amanena
Pakhala pali maphunziro ochuluka, kuphatikizapo kuchuluka kwa ma meta-analyzes, omwe adafufuzira ngati endoscopic kapena opaleshoni yotsegulira opaleshoni ya carpal yabwino. Detayi ikuwonekera pa zinthu zingapo.
- Anthu amabwerera kuntchito mwamsanga akamaliza kumasulidwa kwa mphuno yamatope poyerekeza ndi opaleshoni yotsegulira mitsempha ya carpal. Anthu omwe ali ndi changu chofulumira kubwerera kuntchito mwamsanga, makamaka ngati amadalira manja kuti athandizidwe kwambiri, nthawi zambiri zimakhala zabwino kwambiri pogwiritsira ntchito opaleshoni yapamwamba ya carpal.
- Gwiritsani mphamvu mwamsanga pakangotha opaleshoni kwa odwala omwe athandizidwa kumasulidwa kwa mphuno ya carpal endoscopic. Ngakhale madokotala ena opaleshoni akhala akutsutsa kuti kusiyana kumeneku sikofunikira (kutanthauza kuti odwala sangathe kuzindikira kusiyana), izi zikhoza kufotokoza chifukwa chake anthu amakonda kubwerera kuntchito mwamsanga. Pambuyo pa miyezi ingapo, kusiyana uku kumachoka.
Pakhala pali nkhawa zina zomwe zimatulutsidwa ndi njira yotchedwa endoscopic carpal tunnel . Chimodzi mwa zinthu zowonjezereka ndi mwayi wapamwamba wa kuvulala kwa mitsempha kuphatikizapo njirayi. Kafukufuku waposachedwapa akuwoneka kuti akusonyeza kuti nkhawayi ikutha ndi nthawi monga opaleshoni akudziŵa zambiri ndipo zipangizo zamakono zatha.
Palinso kudera nkhaŵa za mtengo wa zipangizo zotchedwa endoscopic. Opaleshoni yamakono yotseguka ya carpal imagwiritsa ntchito zipangizo zamakono ndipo kuchita opaleshoni sikuphatikizapo ndalama zambiri. Opaleshoni ya opaleshoni ya carpal imapanga tekinoloje yamtengo wapatali imene ingafunike anthu ena.
Kodi Kusintha N'kosavuta? Kodi Ndikusowa Chiyani?
Malingana ndi deta, zikuwoneka kuti nthawi yayitali ndi opaleshoni yabwino. Anthu ali ndi mphamvu zothandizira ndipo akhoza kubwerera kuti azigwira ntchito mofulumira. Komabe, sizinali zophweka. Kusinthasintha kovuta komwe kuli kovuta kufufuza mu maphunziro ndikuti opaleshoni yotsegulidwa yasinthidwa pazaka, ndipo madokotala ena opaleshoni tsopano akutha opaleshoni yotseguka kupyolera mu kapangidwe kazing'ono koti khungu limakhala losiyana ndi kukula kwake chosakanikirana. Kusinthasintha kotereku, kutchedwa kutsegulidwa kwa mini, kumaganiziridwa ndi madokotala ena opaleshoni kuti akhale opambana kuposa opaleshoni yopitirira. Pakapita nthawi, ma opaleshoni opangira ma carpal omwe angatsegulidwe angathe kuyerekezedwa ndi opaleshoni yowonongeka kuti awone kusiyana kotani (ngati kuli) kuwonetsa pakati pa odwala.
Mfundo Yofunika Kwambiri: Ndi Yabwino Kwambiri?
Kutsegula njira yotseguka ya carpal imakhala ndi zovuta zomveka. Komabe, msewu wa carpal wotsirizira wotulutsidwa ndi kumasulidwa kwa mitsempha yaing'ono yotseguka sizingakhale zosiyana malinga ndi zotsatira. Chimodzi mwa zovuta kwambiri pa njira zonsezi ndizochitikira opaleshoni. Ochita opaleshoni omwe amachita izi nthawi zambiri amakhala ndi mavuto ochepa komanso zotsatira zabwino. Choncho, ndi bwino kulankhula ndi dokotala wanu opaleshoni zomwe mukufuna kuchita ndikumvetsetsa zomwe akuchita. Ngati mukumva kuti chinthu chimodzi mwazimene mungachite ndibwino, funsani lingaliro lachiwiri kuchokera kwa dokotala wa opaleshoni amene amachita njira ina.
> Zotsatira:
> Vasiliadis HS, Georgoulas P, Shrier I, Salanti G, Scholten RJ: "Kutulutsidwa kosatha kwa carpal syndrome" Cochrane Database Revst 2014; 1: CD008265. lembani: 10.1002 / 14651858.CD008265.pub2.
> Sayegh ET, Strauch RJ: "Kutsegulidwa kotseguka kwapoposcopic carpal tunnel: Meta-analysis of trial randomized control" Clin Orthop Relat Res 2015; 473 (3): 1120-1132. onetsani: 10.1007 / s11999-014-3835-z. Epub 2014 Aug 19.
> Trumble TE, Diao E, Abrams RA, Gilbert-Anderson MM: Kutsegulira kamodzi kogwiritsira ntchito njira yamakono yotsekemera poyerekeza ndi kumasulidwa kutseguka J Bone Surgery Joint Am 2002; 84-A (7): 1107-1115.