Ubuhlungu besihlakala

Ubuhlungu besihlakala yinoma yibuphi ubuhlungu noma ukungaphatheki kahle esihlakaleni.

I-Carpal tunnel syndrome: Isizathu esivamile sobuhlungu besihlakala yi-carpal tunnel syndrome. Ungazizwa uqaqamba, uvutha, uba ndikindiki, noma uluma entendeni yesandla sakho, esihlakaleni, esithupha, noma eminweni. Imisipha yesithupha ingaba buthakathaka, yenze kube nzima ukuqonda izinto. Ubuhlungu bungakhuphukela endololwaneni yakho.

I-Carpal tunnel syndrome yenzeka lapho izinzwa eziphakathi nendawo zicindezelwa esihlakaleni ngenxa yokuvuvukala. Le yinzwa esihlakaleni evumela ukuzwa nokunyakaza ezingxenyeni zesandla. Ukuvuvukala kungenzeka uma:

• Yenza ukunyakaza okuphindaphindekayo nesihlakala sakho, njengokuthayipha ikhibhodi yekhompyutha, usebenzisa igundane lekhompyutha, ukudlala i-racquetball noma i-handball, ukuthunga, ukudweba, ukubhala, noma ukusebenzisa ithuluzi lokudlidliza
• Ukhulelwe, uyekile ukuya esikhathini, noma ukhuluphele ngokweqile
• Unesifo sikashukela, i-premenstrual syndrome, i-thyroid engasebenzi, noma i-rheumatoid arthritis

Ukulimala: Ubuhlungu besihlakala ngokulimala nokuvuvukala kuvame ukuba uphawu lokulimala. Izimpawu zethambo eliphukile okungenzeka zifaka phakathi amalunga akhubazekile nokungakwazi ukunyakazisa isihlakala, isandla noma umunwe. Kungabakhona nokulimala koqwanga esihlakaleni. Okunye ukulimala okuvamile kufaka phakathi i-sprain, i-strain, i-tendinitis, ne-bursitis.

Isifo samathambo:I-arthritis ingenye imbangela evamile yobuhlungu besihlakala, ukuvuvukala nokuqina. Kunezinhlobo eziningi ze-arthritis:

• I-osteoarthritis yenzeka ngokukhula nokusetshenziswa ngokweqile.
• I-rheumatoid arthritis ngokuvamile ithinta zombili izihlakala.
• I-psoriatic arthritis ihambisana ne-psoriasis.
• Isifo samathambo esithathelwanayo siyisimo esiphuthumayo sezokwelapha. Izimpawu zokutheleleka zibandakanya ukubomvu nokufudumala kwesihlakala, umkhuhlane ongaphezu kuka-100 ° F (37.7 ° C), kanye nokugula kwamuva.

Ezinye Izimbangela

• I-Gout: Lokhu kwenzeka lapho umzimba wakho ukhiqiza i-uric acid eningi kakhulu, umkhiqizo odoti. I-uric acid yakha amakristalu emajoyintini, kunokuba akhishwe emchameni.
• I-Pseudogout: Lokhu kwenzeka lapho i-calcium ifaka emalungeni, ibangela ubuhlungu, ukubomvu, nokuvuvukala. Izihlakala namadolo kuvame ukuthinteka.

Nge-carpal tunnel syndrome, kungadingeka ukuthi wenze izinguquko emikhubeni yakho yokusebenza nasemvelweni:

• Qiniseka ukuthi ikhibhodi yakho iphansi ngokwanele ukuthi izihlakala zakho azigobi phezulu ngenkathi uthayipha.
• Thatha amakhefu amaningi emisebenzini ebhebhethekisa ubuhlungu. Lapho uthayipha, yima kaningi ukuphumuza izandla, uma kuphela umzuzwana. Phumula izandla zakho ezinhlangothini zabo, hhayi izihlakala.
• Uchwepheshe wezomsebenzi angakukhombisa izindlela zokudambisa izinhlungu nokuvuvukala futhi amise i-syndrome ukuthi ingabuyi.
• Imithi yezinhlungu ezithengiswayo, njenge-ibuprofen noma i-naproxen, ingabudambisa ubuhlungu nokuvuvukala.
• Ama-pads ahlukahlukene, ukuthayipha amakhibhodi, kanye nezihlakala zesihlakala (ama-brace) enzelwe ukuqeda ubuhlungu besihlakala. Lokhu kungasiza izimpawu. Zama izinhlobo ezimbalwa ezahlukahlukene ukuze ubone ukuthi ngabe lukhona yini usizo.
• Ungahle udinge ukugqoka isihlakala sesihlaka ebusuku lapho ulele. Lokhu kusiza ukunciphisa ukuvuvukala. Uma lokhu kungasizi, ungadinga ukugqoka i-splint nasemini.
• Faka ukucindezela okufudumele noma okubandayo izikhathi ezimbalwa phakathi nosuku.

Ukulimala kwakamuva:

• Phumuza isihlakala sakho. Yigcine iphakeme ngaphezu kwezinga lenhliziyo.
• Faka i-ice pack endaweni yethenda nevuvukile. Songa iqhwa ngendwangu. Ungabeki iqhwa ngqo esikhunjeni. Faka isicelo seqhwa imizuzu eyi-10 kuye kwengu-15 njalo ngehora ngosuku lokuqala nakuwo wonke amahora amathathu kuya kwayi-4 ngemuva kwalokho.
• Thatha imithi yezinhlungu ezithengiswa ekhawunteni, njenge-ibuprofen noma i-acetaminophen. Landela imiyalo yephakeji yokuthi uzothatha malini. UNGAThathi okungaphezu kwenani elinconyiwe.
• Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi kulungile yini ukugqoka i-splint izinsuku ezimbalwa. Izihlakala zesihlakala zingathengwa ezitolo eziningi zemithi nasezitolo ezihlinzeka ngezokwelashwa.

Nge-arthritis engathathelani:

• Yenza izivivinyo zokuguquguquka nokuqinisa nsuku zonke. Sebenza nodokotela womzimba ukuze ufunde izivivinyo ezihamba phambili neziphephe kakhulu esihlakaleni sakho.
• Zama ukuzivocavoca umzimba ngemuva kokugeza okushisayo noma ishawa ukuze isihlakala sakho sifudumale futhi siqine.
• UNGENZI ukuzivocavoca lapho isihlakala sakho sivuvukele.
• Qiniseka ukuthi ubuye uphumule ilunga. Kokubili ukuphumula nokuzivocavoca kubalulekile uma une-arthritis.

Thola ukunakekelwa okuphuthumayo uma:

• Awukwazi ukuhambisa isihlakala sakho, isandla noma umunwe.
• Isihlakala sakho, isandla, noma iminwe yakho ayifakwanga kahle.
• Wopha kakhulu.

Shayela umhlinzeki wakho wezempilo ngokushesha uma unanoma ikuphi kokulandelayo:

• Imfiva engaphezu kuka-100 ° F (37.7 ° C)
• I-Rash
• Ukuvuvukala nokubomvu kwesandla sakho futhi ube nokugula kwakamuva (njengegciwane noma okunye ukutheleleka)

Shayela umhlinzeki wakho isikhathi sokuqokwa uma unokunye kwalokhu okulandelayo:

• Ukuvuvukala, ukubomvu noma ukuqina esihlakaleni esisodwa noma zombili
• Ukuba ndikindiki, ukudikiza, noma ubuthakathaka esihlakaleni, esandleni, noma eminweni ngobuhlungu
• Kulahlekelwe noma yisiphi isisindo semisipha esihlakaleni, esandleni, noma eminweni
• Usenobuhlungu ngisho nangemva kokulandela izindlela zokuzinakekela amasonto ama-2

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba. Uzobuzwa ngezimpawu zakho. Imibuzo ingafaka ukuthi buqala nini ubuhlungu besihlakala, yini okungenzeka ibangele ubuhlungu, noma ngabe unezinhlungu kwenye indawo, nokuthi ngabe uke walimala noma wagula muva nje. Ungabuzwa futhi ngohlobo lomsebenzi onawo nemisebenzi oyenzayo.

Ama-X-ray angathathwa. Uma umhlinzeki wakho ecabanga ukuthi unesifo, i-gout, noma i-pseudogout, uketshezi lungasuswa ejoyinini ukuze kuhlolwe ngaphansi kwesibonakhulu.

Imithi elwa nokuvuvukala ingabekwa. Ukujova ngomuthi we-steroid kungenziwa. Ukuhlinzwa kungadingeka ukwelapha ezinye izimo.

Ubuhlungu - isihlakala; Ubuhlungu - umhubhe we-carpal; Ukulimala - isihlakala; I-arthritis - isihlakala; Gout - isihlakala; I-pseudogout - isihlakala

• I-Carpal tunnel syndrome
• Isihlakala sesihlakala

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USwigart CR, uFishman FG. Ubuhlungu besandla nesihlakala. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, abahleli. Incwadi kaKelly noFirestein yeRheumatology. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2017: isahluko 50.

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.