Syprome ya Carpal Tunnel mwachidule

Mukugwira ntchito pa desiki yanu, ndikuyesa kunyalanyaza zovuta kapena zofooka zimene mwakhala nazo kwa miyezi yanu m'manja ndi mkono wanu. Mwadzidzidzi, kupweteka kwakukulu, kumapweteka kupyola mu mkono ndi dzanja lanu. Mphindi wokhawokha? N'kutheka kuti muli ndi matenda a carpal, vuto lopweteka lopweteka chifukwa cha kupanikizika kwa mitsempha yambiri mu dzanja.

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Kodi Carpal Tunnel Syndrome N'chiyani?

Matenda a Carpal amapezeka pamene mitsempha yam'kati, imene imachokera kumsana, imakakamizidwa kapena kupanikizidwa pa dzanja. Mitsempha yam'kati imayendetsa zizindikiro ku mbali ya kanjedza ndi zala (ngakhale kuti si chala chaching'ono), komanso zofuna zazing'ono pamanja zomwe zimalola kuti zala ndi thupi zisunthe.

Mtsinje wa Carpal

Mphepete mwa carpal ndi njira yopapatiza, yolimba ya mitsempha ndi mafupa m'munsi mwa dzanja lomwe limakhala ndi mitsempha yam'kati ndi yamatenda. Nthaŵi zina, kuphulika kuchokera kumatope okhumudwa kapena kutupa kwina kumapangitsa kuti mitsemphayi ikhale yopanikiza. Chotsatiracho chikhoza kukhala kupweteka, kufooka, kapena kupweteka mu dzanja ndi mkono, kutambasula dzanja.

Ngakhale kuti zowawa zimapangitsa kuti ziwonetsedwe zina, matenda a carpal syndrome ndi omwe amadziwika kwambiri komanso amadziwika bwino ndi matenda a m'mitsempha omwe amatha kupanikizika kapena kupwetekedwa mtima.

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Zizindikiro

Zizindikiro za matenda a carpal matumbo nthawi zambiri zimayamba pang'onopang'ono, nthawi zambiri zimayaka moto, zimagwedeza, kapena zimagwedeza mchikhatho cha dzanja ndi zala, makamaka chala chachikulu ndi cholembera ndi zala zapakati. Odwala ena amtundu wa carpal amanena kuti zala zawo zimamva ngati zopanda phindu komanso zotupa, ngakhale pang'ono kapena palibe kutupa.

Zizindikiro za matenda a carpal matumbo nthawi zambiri amayamba kuonekera m'modzi kapena manja onse usiku, popeza anthu ambiri amagona ndi zida zowonongeka.

Munthu amene ali ndi matenda a carpal angadzutse kufunika kokhala "dzanja" kapena "dzanja".

Pamene Zizindikiro Zikuyenda

Monga zizindikilo za matenda a carpal minofu ikuipiraipira, anthu amatha kumva kulira patsiku. Kuchepetsa mphamvu zolimbitsa zingakhale zovuta kuti:

• pangani chiwombankhanga
• kumvetsa zinthu zazing'ono
• Chitani ntchito zina zofunikira

Mu matenda osokoneza bongo a carpal kapena osatetezedwa, minofu yomwe ili pamunsi pa thupi imatha kuwonongeka. Anthu ena satha kudziwa pakati pa kutentha ndi kuzizira mwa kukhudza.

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Zimayambitsa

Matenda a Carpal nthawi zambiri amachokera ku zinthu zomwe zimapangitsa kupanikizika kwa mitsempha yam'kati ndi mitsempha mumphepete mwa carpal, osati vuto la mitsempha yokha. Mwinamwake matendawa amayamba chifukwa cha chiwonongeko chokwanira-chombo cha carpal chiri chochepa kwambiri mwa anthu ena kuposa ena.

Zinthu Zowonjezera Zina

• kukhumudwa kapena kuvulala kwa dzanja limene limayambitsa kutupa, monga kupuma kapena kupweteka
• kusagwira ntchito kwa chidziwitso cha pituitary
• hypothyroidism
• nyamakazi ya nyamakazi
• mavuto opangidwa ndi mawotchi mumphindi wowonjezera
• kuvutika maganizo
• kugwiritsa ntchito mobwerezabwereza zida zogwiritsira ntchito
• kusungunuka kwa madzi m'nthawi ya mimba kapena kusamba
• kukula kwa khungu kapena chotupa mumtsinje

Nthawi zina, palibe chifukwa cha matenda a carpal tunnel.

Maulendo Obwerezabwereza

Pali deta yaing'ono yachipatala kuti zitsimikizire ngati kusuntha ndi dzanja lamphamvu pamanja kapena panthawi ya ntchito kapena zosangalatsa kungayambitse matenda a carpal tunnel. Zomwe zimagwiritsidwa ntchito mobwerezabwereza kapena ntchito zina za tsiku ndi tsiku zingabweretse mavuto obwerezabwereza monga:

• bursitis
• tendinitis

Cramp ya Wolemba

Mphungu wa wolemba, vuto losachita bwino kugwiritsira ntchito magalimoto komanso kupweteka ndi zala zala, chifuwa, kapena chitukuko chimabweretsedwanso ndi ntchito zobwerezabwereza, si chizindikiro cha matenda a carpal tunnel.

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Amene Ali Pangozi

Azimayi amakhala oposa katatu kusiyana ndi amuna kuti akonze matenda a carpal, mwina chifukwa chombo cha carpal chokha chingakhale chachichepere mwa akazi kuposa amuna.

• Dzanja lamphamvu nthawi zambiri limakhudza poyamba ndipo limapweteka kwambiri.
• Matenda a Carpal nthawi zambiri amapezeka mwa akulu okha.

Anthu omwe ali ndi matenda a shuga kapena matenda ena a shuga omwe amakhudza kwambiri mitsempha ya thupi ndikuwapangitsa kuti aziwoneka ngati ali ndi chiopsezo chachikulu.

Kuopsa kwa Ntchito

Kuopsa kokhala ndi matenda a carpal sikumangokhala ndi anthu ogulitsa limodzi kapena ntchito koma makamaka mwa omwe amagwira ntchito pamsonkhano monga:

• kupanga
• kusamba
• kumaliza
• kuyeretsa
• nyama, nkhuku, kapena nsomba

Ndipotu, matenda a carpal mumayendedwe kaŵirikaŵiri pamsonkhano kusiyana ndi anthu olowa deta. Kafukufuku wa chipatala cha Mayo anapeza kugwiritsa ntchito kompyuta kwakukulu (mpaka maola 7 patsiku) sanawonjeze chiopsezo cha munthu chokhala ndi matenda a carpal tunnel.

Zoona Zina

Akuti anthu atatu mwa anthu 10,000 alionse amataya nthawi chifukwa cha matenda a carpal tunnel syndrome. Gawo la ogwira ntchitoyi linaphonya masiku opitirira khumi ogwira ntchito. Kawirikawiri mtengo wa moyo wa carpal tunnel, kuphatikizapo ngongole zamankhwala ndi kutaya nthawi kuchokera kuntchito, akuyenera kukhala oposa $ 30,000 kwa wogwira ntchito aliyense wovulazidwa.

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Kudziwa

Kuyezetsa magazi koyambirira ndi kofunikira kuti mutha kupewa kuwonongeka kwamuyaya kwa mitsempha yamkati. Kusanthula manja, mikono, mapewa, ndi khosi kungathandizire kudziwa ngati zodandaula za wodwalayo zikugwirizana ndi zochitika za tsiku ndi tsiku kapena matenda osokoneza bongo, ndipo zingathetse mavuto ena omwe amatsanzira matenda a carpal. Dzanja likuyesedwa kuti:

• chifundo
• kutupa
• kutentha
• kusinthika

Chala chilichonse chiyenera kuyesedwa kuti chiziwoneka, ndipo minofu yomwe ili pansi pa dzanja iyenera kuyesedwa kuti ikhale ndi mphamvu komanso zizindikiro za atrophy. Mayendedwe a ma laboratory nthawi zonse ndi X-ray akhoza kuwulula:

• matenda a shuga
• nyamakazi
• fractures

Kukhalapo kwa matenda a carpal mitsempha kumatanthawuza ngati chimodzi kapena zizindikiro zambiri, monga kupweteka kapena kuwonjezereka, zimamveka ndi zala mu miniti imodzi. Madokotala angapemphenso odwala kuti ayese kupanga kayendedwe kamene kamabweretsa zizindikiro.

Mayesero

Kawirikawiri ndikofunika kutsimikizira kuti akugwiritsidwa ntchito pogwiritsa ntchito mayesero a electrodiagnostic.

• Phunziro la machitidwe a kuperekera mitsempha , ma electrodes amaikidwa pa dzanja ndi mkono. Kusokonezeka kwakutchire kwa magetsi kumagwiritsidwa ntchito ndipo liwiro limene mitsempha imatulutsa zofuna zimayesedwa.
• Mu electromyography , singano yabwino imalowa mu minofu, ntchito zamagetsi zomwe zimawonedwa pawindo zimatha kudziwa kuwonongeka kwa mitsempha yamkati.
• Kujambula kwa ultrasound kungasonyeze kusayendayenda kwa mitsempha yamkati.
• Kujambula kwa maginito kumapangitsa kuti thupi liziyenda bwino koma mpaka lero sikunathandize kwenikweni kupeza matenda a carpal.

Madokotala angagwiritsenso ntchito mayesero enieni pofuna kuyesa zizindikiro za matenda a carpal tunnel.

• Mayendedwe a Tinel: Mu test test ya Tinel, dokotala amamangiriza kapena kumangirira pamphepete wamkati mwa wodwalayo. Chiyeso ndi chokhazikika pamene mukukwera pala zala kapena zowawa zoterezi zimachitika.
• Mayeso a Phalen: Phalen, kapena kupindika kwa dzanja lamanja, kuyesa kumafuna kuti wodwalayo agwiritse ntchito zizindikiro zake poyera polozera zala zake pansi ndikukankhira kumbuyo kwa manja pamodzi.

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Chithandizo

Chithandizo cha matenda a carpal syndrome chiyenera kuyamba mwamsanga, pansi pa malangizo a dokotala. Zomwe zimayambitsa matenda a carpal tunnel ayenera kuperekedwa poyamba monga:

• matenda a shuga
• nyamakazi

Choyamba Chithandizo

Matenda oyambirira a matenda a carpal mumayendedwe kawirikawiri amatanthauza kupumula dzanja ndi mkono wathanzi kwa milungu iwiri, kupewa zinthu zomwe zingawonongeke zizindikiro, komanso kusokoneza dzanja kuti lipewe kuwonongeka kapena kupindika. Ngati pali kutupa, kugwiritsa ntchito mapuloteni ozizira kungathandize kuchepetsa kutupa.

Njira Zochiritsira Zina

Kusamalira thupi ndi chiropractic kwapindulitsa odwala ena koma zothandiza sizikhala zotsutsika. Chosiyana ndi yoga chimene chawonetsedwa kuti chichepetse kupweteka ndikupangitsanso mphamvu.

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Mankhwala ndi Matenda Osapereka Opaleshoni

Nthaŵi zina, mankhwala osiyanasiyana amachepetsa ululu ndi kutupa kwa matenda a carpal.

Zizindikiro zomwe zakhalapo kwa kanthaŵi kochepa kapena zachitidwa ndi ntchito zovuta zikhoza kuchepetsedwa ndi mankhwala osagwiritsa ntchito mankhwala oletsedwa, monga:

• aspirin
• ibuprofen
• zowawa zina zomwe sizinapangidwe

Oral diuretics ("mapiritsi a madzi") akhoza kuchepetsanso kutupa.

Corticosteroids monga prednisone, jekeseni mwachindunji mu dzanja kapena pakamwa, ikhoza kuthetsa mavuto pa mitsempha yamkati ndikupereka mpumulo wachangu kwa anthu omwe ali ndi zizindikiro zofatsa kapena zamkati. ( Chenjezo: anthu omwe ali ndi shuga ndi omwe amadwala matenda a shuga ayenera kuzindikira kuti kugwiritsa ntchito mankhwala a corticosteroids kwa nthawi yaitali kungapangitse kuti zikhale zovuta kulamulira ma insulini, siziyenera kutengedwa popanda chilolezo cha dokotala.)

Kuwonjezera apo, kafukufuku wina amasonyeza kuti vitamini B6 (pyridoxine) yowonjezera imatha kuchepetsa zizindikiro za matenda a carpal.

Kuchita masewera olimbitsa thupi

Zochita zolimbitsa ndi zolimbikitsana (monga zojambula zamatenda ) zingakhale zothandiza kwa anthu omwe zizindikiro zawo zatha. Zochita zimenezi zikhoza kuyang'aniridwa ndi wodwalayo, yemwe waphunzitsidwa kugwiritsa ntchito machitidwe ochizira matenda, kapena wothandizira, yemwe amaphunzitsidwa kuyesa anthu omwe ali ndi vuto laumphawi ndi kuwathandiza kumanga luso kuti athandize thanzi lawo ndi moyo wawo.

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Njira Zothandizira

• Njira ya Carpal ikamasulidwa ndi njira yodziŵira opaleshoni. Kawirikawiri amalimbikitsidwa ngati zizindikiro zimatha kwa miyezi isanu ndi umodzi, opaleshoni imaphatikizapo kutambasula gulu la minofu kuzungulira dzanja pofuna kuchepetsa kupanikizika kwa mitsempha yamkati. Kuchita opaleshoni kumachitika mwachipatala chapafupi ndipo sikukusowa chipatala cha usiku wonse. Odwala ambiri amafuna opaleshoni pa manja onse awiri.
• Kutsegula opaleshoni yotulutsidwa, opaleshoni yokonzanso njira ya carpal, ikuphatikizapo kupanga makilogalamu awiri mu mkono ndiyeno kudula mitsempha ya carpal kuti yowonjezera ngalande ya carpal. Kuchita opaleshoni kaŵirikaŵiri kumachitidwa mwachisawawa pansi pa anesthesia wamba.
• Kuchita opaleshoni kosatha kumathandiza kuti munthu asamavutike mwamsanga komanso asamagwiritsidwe ntchito movutikira kusiyana ndi opaleshoni yotseguka. Dokotala wochita opaleshoni amapanga zida ziwiri mu dzanja ndi kanjedza, amaika kamera kamakonzedwa ndi chubu, amawona minofu pachiwombankhanga, ndipo amadula chimbudzi cha carpal. Kuchita opaleshoni yotereyi, yomwe imachitika kawirikawiri, imakhala yogwira ntchito komanso imachepetsanso zochepa kwambiri. Kuchita opaleshoni imodzi yosakanikirana kumapezeka.

Kubwezeretsa

Ngakhale kuti zizindikiro zikhoza kumasulidwa mwamsanga pambuyo pa opaleshoni, kuchira kwathunthu kungatenge miyezi. Odwala ena angakhale:

• matenda
• kuwonongeka kwa mitsempha
• kuuma / ululu pachilonda

Nthawi zina dzanja limataya mphamvu chifukwa mitsempha ya carpal imadulidwa. Odwala ayenera kupatsidwa mankhwala kuti athetse mphamvu ya wrist. Ena angafunikire kusintha ntchito kapena kusintha ntchito pambuyo pochira.

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Kupewa

Kumalo antchito, antchito angathe:

• chitani chikhalidwe pa-ntchito
• Chitani zochita zolimbitsa thupi
• pita kawirikawiri zopuma
• valani mipiringidzo kuti zikhale zoongoka
• gwiritsani ntchito malo oyenera ndi malo a mkono

Ergonomics

Kuvala magolovesi opanda mapewa kungathandize kuti manja ndi otentha komanso osasintha. Malo ogwira ntchito, zipangizo ndi zipangizo zimagwiritsidwa ntchito, ndipo ntchito zitha kukhazikitsidwa kuti ntchito ya wothandizira ikhale yosasintha pa ntchito. Ntchito ingasinthidwe pakati pa antchito.

Olemba ntchito angathe kukhazikitsa mapulogalamu a ergonomics, ndondomeko yothetsera machitidwe a malo ogwira ntchito ndi ntchito zofuna kuntchito kwa ogwira ntchito. Komabe, kafufuzidwe sikunasonyeze bwinobwino kuti kusintha kumeneku kuntchito sikulepheretsa kuchitika kwa matenda a carpal tunnel.

_Chitsime:

_{NIH Publication No 03-4898 (yokonzedwa)}