Ukungasebenzi kahle kwemizwa yangaphakathi

Ukukhubazeka kwemizwa yangaphakathi okuhlukanisiwe kuyindlela ye-peripheral neuropathy ethinta ukuhamba noma ukuzwa ezandleni.

Uhlobo oluvamile lwe-distal nerve median dysfunction yi-carpal tunnel syndrome.

Ukungasebenzi kweqembu elilodwa lezinzwa, njenge-distal median nerve, kubizwa ngokuthi yi-mononeuropathy. I-Mononeuropathy isho ukuthi kunembangela yendawo yomonakalo wezinzwa. Izifo ezithinta umzimba wonke (iziyaluyalu zesistimu) nazo zingadala ukulimala kwezinzwa okukodwa.

Lesi simo senzeka lapho izinzwa zivutha, zibhajwe, noma zalimala ngokuhlukumezeka. Isizathu esivame kakhulu ukubamba (ukubanjwa). Ukubanjwa kubeka ingcindezi emsipheni lapho kudlula khona endaweni encane. Ukwephuka kwesihlakala kungalimaza i-nerve median ngqo. Noma, kungakhuphula ubungozi bokubamba inzwa kamuva.

Ukuvuvukala kwamathenda (i-tendonitis) noma amalunga (i-arthritis) nakho kungabeka ingcindezi kunzwa. Ukunyakaza okuthile okuphindaphindwayo kwandisa ithuba lokuqhamuka kokufakwa komhubhe we-carpal. Abesifazane bathinteka kakhulu kunabesilisa.

Izinkinga ezithinta izicubu eziseduze ne-nerve noma zibangele ukuthi kufakwe imali ezicutshini kungavimba ukugeleza kwegazi futhi kuholele ekucindezelekeni kwethambo. Izimo ezinjalo zifaka:

• I-hormone yokukhula eningi kakhulu emzimbeni (acromegaly)
• Isifo sikashukela
• I-thyroid engasebenzi (i-hypothyroidism)
• Isifo sezinso
• Umdlavuza wegazi obizwa nge-multiple myeloma
• Ukukhulelwa
• Ukukhuluphala ngokweqile

Kwezinye izimo, asikho isizathu esingatholwa. Isifo sikashukela singenza lesi simo sibe sibi kakhulu.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu esihlakaleni noma esandleni obungaba bukhulu futhi bukuvuse ebusuku, futhi lokho kungazwakala kwezinye izindawo, njengengalo ephezulu (lokhu kubizwa ngobuhlungu obubhekisiwe)
• Izinguquko zenzwa kusithupha, inkomba, maphakathi, kanye nengxenye yeminwe yendandatho, efana nomuzwa ovuthayo, ukuncipha komuzwa, ukuba ndikindiki nokushosheka
• Ubuthakathaka besandla obudala ukuthi ulahle izinto noma ube nobunzima bokubamba izinto noma ukhiye ihembe

Umhlinzeki wakho wokunakekelwa kwezempilo uzohlola isihlakala sakho abuze ngomlando wakho wezokwelapha. Ukuhlolwa okungenziwa kufaka phakathi:

• I-Electromyogram (EMG) ukuhlola ukusebenza kukagesi kwemisipha
• Ukuhlolwa kwemithambo yemithambo ukuhlola ukuthi amasiginali kagesi ashesha kangakanani ukudlula enzwini
• I-ultrasound ye-Neuromuscular ukubuka izinkinga ngemisipha nezinzwa
• I-nerve biopsy lapho izicubu zemizwa zisuswa khona ukuze zihlolwe (kuyaqabukela kudingekile)
• I-Magnetic resonance neurography (imaging enemininingwane eminingi yezinzwa zomngcele)

Ukwelashwa kuhloselwe imbangela eyimbangela.

Uma i-nerve median ithinteka yi-carpal tunnel syndrome, i-splint yesihlakala inganciphisa ukulimala okuqhubekayo kunzwa futhi isize ukukhulula izimpawu. Ukugqoka i-splint ebusuku kubeka indawo futhi kunciphise ukuvuvukala. Ukujova esihlakaleni kungasiza ngezimpawu, kepha ngeke kulungise inkinga engaphansi. Ukuhlinzwa kungadingeka uma i-splint noma imithi ingasizi.

Kwezinye izimbangela, ukwelashwa kungafaka noma yikuphi okulandelayo:

• Imithi yokulawula ubuhlungu bezinzwa (njenge-gabapentin noma i-pregabalin)
• Ukwelapha inkinga yezokwelapha ebangela ukulimala kwemizwa, njengesifo sikashukela noma isifo sezinso
• Ukwelashwa ngokomzimba ukusiza ukugcina amandla emisipha

Uma imbangela yokukhubazeka kwemizwa ingabonakala futhi yelashwe, kunethuba elihle lokululama ngokugcwele. Kwezinye izimo, kunokunye noma ukulahleka okuphelele kokunyakaza noma ukuzwa. Ubuhlungu bemizwa bungaba bukhulu futhi buqhubeke isikhathi eside.

Izinkinga zingafaka:

• Ukukhubazeka kwesandla (kuyaqabukela)
• Ukulahleka okuyingxenye noma okuphelele kokunyakaza kwesandla
• Ukulahlekelwa okuncane noma okuphelele kwemizwa eminweni
• Ukulimala okuphindaphindiwe noma okungaziwa esandleni

Shayela umhlinzeki wakho uma unezimpawu zokungasebenzi kahle kwemizwa yangaphakathi. Ukuxilongwa nokwelashwa kusenesikhathi kwandisa amathuba okuphulukisa noma okulawula izimpawu.

Ukuvimbela kuyahlukahluka, kuya ngesizathu. Kubantu abanesifo sikashukela, ukulawula ushukela wegazi kunganciphisa ubungozi bokuthola ukuphazamiseka kwemizwa.

Kubantu abanemisebenzi ebandakanya ukunyakaza kwesihlakala okuphindayo, kungadingeka ushintsho endleleni okwenziwa ngayo umsebenzi. Ukuhlaba ikhefu njalo emsebenzini nakho kungasiza.

I-Neuropathy - isisindo esiphakathi se-distal

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

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I-Katirji B. Ukuphazamiseka kwemizwa yangaphakathi. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 107.

IToussaint CP, Ali ZS, Zager EL. Ama-syndromes wokufaka okude: umhubhe we-carpal, umhubhe we-cubital, umhubhe we-peroneal, ne-tarsal. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 249.

I-Waldman SD. I-Carpal tunnel syndrome. Ku: Waldman SD, ed. I-Atlas yama-Syndromes obuhlungu obujwayelekile. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 50.