Ukukhishwa komhubhe weCarpal

Ukukhishwa komhubhe weCarpal ukuhlinzwa ukwelapha i-carpal tunnel syndrome. I-Carpal tunnel syndrome ubuhlungu nobuthakathaka esandleni obudalwa yingcindezi kwi-median nerve esihlakaleni.

I-median nerve kanye namathenda aguqula (noma agobe) iminwe yakho adlula ephaseji elibizwa ngokuthi umhubhe we-carpal esihlakaleni sakho. Lo mhubhe mncane, ngakho-ke noma yikuphi ukuvuvukala kungancipha imizwa futhi kubangele ubuhlungu. I-ligament (izicubu) ezijiyile ngaphansi kwesikhumba sakho (i-carpal ligament) yakha phezulu kwalo mhubhe. Ngesikhathi sokuhlinzwa, udokotela ohlinzayo usika umgogodla we-carpal ukuze enze isikhala esengeziwe sezinzwa nemisipha.

Ukuhlinzwa kwenziwa ngale ndlela elandelayo:

• Okokuqala, uthola umuthi wokundikindiki ukuze ungabuzwa ubuhlungu ngesikhathi sokuhlinzwa. Ungahle uvuke kodwa uzophinde uthole nemithi ezokwenza ukhululeke.
• Ukusika okuncane kwenziwa entendeni yesandla sakho eduze kwesihlakala sakho.
• Okulandelayo, i-ligament ehlanganisa umhubhe we-carpal iyanqunywa. Lokhu kunciphisa ingcindezi emthanjeni ophakathi. Kwesinye isikhathi, izicubu ezizungeze inzwa nazo ziyasuswa.
• Isikhumba nezicubu ngaphansi kwesikhumba sakho kuvaliwe ngama-sutures (imithungo).

Kwesinye isikhathi le nqubo yenziwa kusetshenziswa ikhamera encane enamathiselwe esweni. Udokotela ohlinzayo ufaka ikhamera esihlakaleni sakho ngokusika okuncane kakhulu futhi abuke umqaphi ukuze abone ngaphakathi kwesihlakala sakho. Lokhu kubizwa ngokuthi ukuhlinzwa endoscopic. Insimbi esetshenzisiwe ibizwa nge-endoscope.

Abantu abanezimpawu ze-carpal tunnel syndrome bavame ukuzama izindlela zokwelashwa kuqala. Lokhu kungafaka:

• Imithi elwa nokuvuvukala
• Ukwelashwa kokufunda ukuzivocavoca nokwelula
• Izinguquko emsebenzini zokwenza ngcono ukuhlala kwakho nokuthi uyisebenzisa kanjani ikhompyutha yakho noma enye imishini
• Izihlakala zesihlakala
• Ukudutshulwa komuthi we-corticosteroid emhubheni we-carpal

Uma kungekho okunye kwalokhu kusiza okusizayo, abanye odokotela abahlinzayo bazohlola umsebenzi kagesi we-nerve median nge-EMG (electromyogram). Uma ukuhlolwa kukhombisa ukuthi inkinga yi-carpal tunnel syndrome, kunganconywa ukuhlinzekwa kokukhishwa komhubhe we-carpal.

Uma imisipha esesandleni sakho nasesihlakaleni incipha ngoba inzwa iyancinwa, imvamisa ukuhlinzwa kuzokwenziwa ngokushesha.

Izingozi zalokhu kuhlinzwa yilezi:

• Ukungezwani komzimba nemithi
• Ukopha
• Ukutheleleka
• Ukulimala kwezinzwa eziphakathi noma izinzwa ezisuka kuzo
• Ubuthakathaka nokuba ndikindiki esandleni
• Ezimweni ezingavamile, ukulimala kwenye imizwa noma umthambo wegazi (umthambo noma umthambo)
• Isibazi sesisa

Ngaphambi kokuhlinzwa, kufanele:

• Tshela udokotela wakho ohlinzayo ukuthi iyiphi imithi oyisebenzisayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.
• Ungacelwa ukuthi uyeke okwesikhashana imishanguzo yakho yokuncipha igazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nezinye izidakamizwa.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukwelashwa.
• Vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma okunye ukugula. Uma ugula, ukuhlinzwa kwakho kungadinga ukuhlehliswa.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ngabe udinga ukuyeka ukudla noma ukuphuza ngaphambi kokuhlinzwa.
• Thatha noma imiphi imithi oceliwe ukuyiphuza ngesiphuzo esincane samanzi.
• Landela imiyalo yokuthi uzofika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Lokhu kuhlinza kwenziwa ngokuya esibhedlela. Awudingi ukuhlala esibhedlela.

Ngemuva kokuhlinzwa, isihlakala sakho cishe sizoba sebhandeshi noma ebhandeni elisindayo cishe isonto. Gcina lokhu kuze kufike udokotela wakho wokuqala ngemuva kokuhlinzwa, futhi kukugcine kuhlanzekile futhi komile. Ngemuva kokukhishwa kwesihlwathi noma ibhandeshi, uzoqala ukuvivinya umzimba noma uhlelo lokwelapha ngokomzimba.

Ukukhishwa komhubhe weCarpal kunciphisa ubuhlungu, ukudinwa kwemizwa, kanye nokuba ndikindiki, futhi kubuyise amandla emisipha. Iningi labantu lisizwa yilokhu kuhlinzwa.

Ubude bokululama kwakho buzoya ngokuthi ubenezimpawu ezingakanani ngaphambi kokuhlinzwa nokuthi ilimaze kangakanani imizwa yakho ephakathi. Uma ngabe unezimpawu zesikhathi eside, ungahle ungabi nazo ngokuphelele izimpawu ngemuva kokululama.

Ukuncipha kwemizwa yasemedian; Ukwehla komhubhe weCarpal; Ukuhlinzwa - umhubhe we-carpal

• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-Carpal tunnel syndrome
• I-Surface anatomy - isundu esivamile
• I-Surface anatomy - isihlakala esivamile
• I-anatomy yesihlakala
• Ukulungiswa komhubhe weCarpal - uchungechunge

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.

IMackinnon SE, iNovak CB. Ukucindezela ama-neuropathies. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 28.

UZhao M, uBurke DT. I-median neuropathy (i-carpal tunnel syndrome). Ku: Frontera WR, iSilver JK, uRizzo TD, ama-eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. 3rd ed. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 36.