I-Carpal tunnel syndrome

I-Carpal tunnel syndrome yisimo lapho kunengcindezi eyeqile kwi-nerve median. Le yinzwa esihlakaleni evumela ukuzwa nokunyakaza ezingxenyeni zesandla. I-Carpal tunnel syndrome ingaholela ekubeni ndikindiki, ukuncinza, ubuthakathaka, noma ukulimala kwemisipha esandleni naseminwe.

I-nerve median inikeza umuzwa nokunyakaza ohlangothini lwesithupha sesandla. Lokhu kufaka phakathi isundu, isithupha, umunwe wenkomba, umunwe ophakathi nendawo nohlangothi lwesithupha lomunwe wendandatho.

Indawo esihlakaleni sakho lapho inzwa ingena khona esandleni ibizwa ngokuthi umhubhe we-carpal. Lo mhubhe uvame ukuba mncane. Noma yikuphi ukuvuvukala kunganciphisa imizwa futhi kubangele ubuhlungu, ukuba ndikindiki, ukuhayiza noma ubuthakathaka. Lokhu kubizwa ngokuthi yi-carpal tunnel syndrome.

Abanye abantu abahlakulela i-carpal tunnel syndrome bazalwa benomhubhe omncane we-carpal.

I-Carpal tunnel syndrome nayo ingabangelwa ngokwenza ukunyakaza kwesandla nesihlakala esifanayo kaninginingi. Ukusebenzisa amathuluzi esandla adlidlizayo nakho kungaholela ku-carpal tunnel syndrome.

Ucwaningo alukhombisanga ukuthi umhubhe we-carpal ubangelwa ukuthayipha kukhompyutha, ukusebenzisa igundane, noma ukuphinda ukunyakaza ngenkathi usebenza, ukudlala insimbi yomculo, noma ukudlala imidlalo. Kepha, le misebenzi ingadala i-tendinitis noma i-bursitis esandleni, enganciphisa umhubhe we-carpal futhi iholele ezimpawu.

I-Carpal tunnel syndrome yenzeka kakhulu kubantu abaneminyaka engama-30 kuya kwengama-60. Kuvame kakhulu kwabesifazane kunabesilisa.

Ezinye izinto ezingaholela ku-carpal tunnel syndrome zifaka:

• Ukusetshenziswa kotshwala
• Amathambo aqhekekile nesifo samathambo esihlakaleni
• I-cyst noma isimila esikhula esihlakaleni
• Izifo
• Ukukhuluphala ngokweqile
• Uma umzimba wakho ugcina uketshezi oluthe xaxa ngesikhathi sokukhulelwa noma ukuya esikhathini
• Isifo samathambo
• Izifo ezinamadiphozithi angajwayelekile emzimbeni (amyloidosis)

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubulukhuni besandla lapho ubamba izinto
• Ukuba ndikindiki noma ukuncinza isithupha neminwe emibili noma emithathu elandelayo yesandla esisodwa noma zombili
• Ukuba ndikindiki noma ukuncinza kwentende yesandla
• Ubuhlungu obufinyelela endololwaneni
• Ubuhlungu esihlakaleni noma esandleni kwesinye noma zombili izandla
• Izinkinga ngokuhamba kahle kweminwe (ukuxhumanisa) esandleni esisodwa noma zombili
• Ukuqothula imisipha ngaphansi kwesithupha (ezimeni eziphambili noma zesikhathi eside)
• Ukubamba buthakathaka noma ubunzima bokuphatha izikhwama (isikhalazo esivamile)
• Ubuthakathaka esandleni esisodwa noma zombili

Ngesikhathi sokuhlolwa komzimba, umhlinzeki wakho wezokunakekelwa kwempilo angathola:

• Ubuntofontofo entendeni yesandla, isithupha, umunwe wenkomba, umunwe ophakathi, nohlangothi lwesithupha lomunwe wakho wendandatho
• Ukubamba isandla okuntekenteke
• Ukuthinta imisipha yomphakathi esihlakaleni sakho kungadala ubuhlungu ukudubula busuke esihlakaleni buse esandleni sakho (lokhu kubizwa ngophawu lweTinel)
• Ukugoqa isihlakala sakho phambili yonke indlela amasekhondi angama-60 kuzovame ukuholela ekubeni ndikindiki, ukuncinza, noma ubuthakathaka (lokhu kubizwa ngokuthi yiPhalen test)

Izivivinyo ezinga-odwa zifaka:

• Ama-x-ray esihlakaleni ukukhipha ezinye izinkinga, njenge-arthritis engalweni yakho
• I-Electromyography (EMG, isivivinyo sokuhlola imisipha nezinzwa eziyilawulayo)
• I-Navigation conduction velocity (isivivinyo sokubona ukuthi amasiginali kagesi ashesha kangakanani ngokusebenzisa inzwa)

Umhlinzeki wakho angaphakamisa okulandelayo:

• Ukugqoka i-splint ebusuku amasonto ambalwa. Uma lokhu kungasizi, ungadinga ukugqoka i-splint nasemini.
• Gwema ukulala ezihlakaleni zakho.
• Ukubeka izingcindezi ezifudumele nezibandayo endaweni ethintekile.

Izinguquko ongazenza emsebenzini wakho ukunciphisa ukucindezeleka esihlakaleni sakho zifaka:

• Kusetshenziswa amadivayisi akhethekile, njengamakhibhodi, izinhlobo ezahlukahlukene zegundane lekhompyutha, amaphedi amagundane ahlanganisiwe, kanye namadilowa ekhibhodi.
• Ukuba nomuntu obukeza isikhundla okuso lapho wenza imisebenzi yakho yomsebenzi. Isibonelo, qiniseka ukuthi ikhibhodi iphansi ngokwanele ukuze izihlakala zakho zingagobi phezulu ngenkathi uthayipha. Umhlinzeki wakho angaphakamisa owelapha umsebenzi.
• Ukwenza ushintsho emisebenzini yakho yomsebenzi noma imisebenzi yasekhaya neyemidlalo. Eminye yemisebenzi exhunyaniswe ne-carpal tunnel syndrome ifaka leyo efaka amathuluzi okudlidliza.

IMITHI

Imithi esetshenziselwa ukwelapha i-carpal tunnel syndrome ifaka phakathi izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-ibuprofen noma i-naproxen. Imijovo ye-Corticosteroid enikezwe endaweni yomhubhe we-carpal inganciphisa izimpawu zesikhathi esithile.

UKUHLINZA

Ukukhishwa komhubhe weCarpal kuyindlela yokuhlinza esika emgudwini ocindezela inzwa. Ukuhlinzwa kuyaphumelela esikhathini esiningi, kepha kuya ngokuthi unesikhathi esingakanani unesifo sokucindezelwa imizwa nobulukhuni baso.

Izimpawu zivame ukuthuthuka ngaphandle kokuhlinzwa. Kepha amacala angaphezu kwengxenye eyodwa ekugcineni adinga ukuhlinzwa. Noma ukuhlinzwa kuphumelela, ukwelashwa okugcwele kungathatha izinyanga.

Uma lesi simo siphathwa kahle, ngokuvamile azikho izinkinga. Uma ingalashwa, inzwa ingalimala, idale ubuthakathaka baphakade, ukuba ndikindiki nokushosheka.

Shayela i-aphoyintimenti nomhlinzeki wakho uma:

• Unezimpawu ze-carpal tunnel syndrome
• Izimpawu zakho aziphenduli ekwelashweni okuvamile, njengokuphumula nezidakamizwa ezilwa nokuvuvukala, noma uma kubonakala sengathi kukhona ukulahleka kwenqwaba yemisipha ezungeze iminwe yakho
• Iminwe yakho ilahlekelwa umuzwa owengeziwe

Sebenzisa amathuluzi nemishini eklanywe kahle ukunciphisa ubungozi bokulimala esihlakaleni.

Izinsiza ze-Ergonomic, njengamakhibhodi ahlukanisiwe, amathreyi ekhibhodi, amapayipi wokuthayipha, nezinsimbi zasesandleni, zingasetshenziselwa ukuthuthukisa ukuma kwesihlaka ngesikhathi uthayipha. Thatha amakhefu kaningi lapho uthayipha futhi ume njalo uma uzwa ukuqaqamba noma ubuhlungu.

Ukungasebenzi kahle kwemizwa yezinzwa; Ukuboshwa kwezinzwa eziphakathi; I-median neuropathy

• Ukucindezela kwe-nerve median
• I-Surface anatomy - isihlakala esivamile
• Inqubo yokuhlinzwa yomhubhe weCarpal
• I-Carpal tunnel syndrome

ICalandruccio JH. I-Carpal tunnel syndrome, i-ulnar tunnel syndrome, ne-stenosing tenosynovitis. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 76.

UZhao M, uBurke DT. I-median neuropathy (i-carpal tunnel syndrome). Ku: Frontera WR, iSilver JK, uRizzo TD Jr, ama-eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 36.