Yini Ebangela I-Carpal Tunnel Syndrome Ngesikhathi Sokukhulelwa, futhi Iphathwa Kanjani?

-Delile

• Ziyini izimpawu ze-carpal tunnel syndrome ekukhulelweni?
• Yini ebangela i-carpal tunnel syndrome?
• Umdwebo wezinzwa zomphakathi
• Ingabe abanye besifazane abakhulelwe basengozini enkulu?
• Ukhuluphele ngokweqile noma ukhuluphele ngaphambi kokukhulelwa
• Ukuba nesifo sikashukela noma umfutho wegazi ophathelene nokukhulelwa
• Ukukhulelwa okwedlule
• I-CTS itholakala kanjani lapho ukhulelwe?
• Ungayelapha kanjani i-carpal tunnel syndrome lapho ukhulelwe
• I-Carpal tunnel syndrome nokuncelisa ibele
• Uyini umbono?

I-Carpal tunnel syndrome nokukhulelwa

I-Carpal tunnel syndrome (i-CTS) ivame ukubonwa ekukhulelweni. I-CTS yenzeka kumaphesenti ama-4 eningi labantu, kepha ivela kumaphesenti angama-31 kuye kwangama-62 wabesifazane abakhulelwe, ilinganisela ucwaningo lwango-2015.

Ochwepheshe abaqiniseki kahle ukuthi yini eyenza i-CTS ivame kakhulu ngesikhathi sokukhulelwa, kodwa bacabanga ukuthi ukuvuvukala okuhlobene ne-hormone kungaba yimbangela. Njengoba nje ukugcina uketshezi lapho ukhulelwe kungadala ukuqhuma kwamaqakala neminwe yakho, kungadala nokuvuvukala okuholela ku-CTS.

Funda ukuze ufunde kabanzi nge-CTS lapho ukhulelwe.

Ziyini izimpawu ze-carpal tunnel syndrome ekukhulelweni?

Izimpawu ezivamile ze-CTS ekukhulelweni zifaka:

• ukuba ndikindiki nokushoshozela (cishe njengokuzwa izikhonkwane nezinaliti) eminweni, ezihlakaleni, nasezandleni, okungase kube kubi ebusuku
• umuzwa wokushaya ngesandla, izihlakala, neminwe
• iminwe evuvukele
• Inkinga yokubamba izinto nezinkinga zokwenza amakhono emoto amahle, njengokucindezela ihembe noma ukusebenzisa i-clasp entanyeni

Isandla esisodwa noma zombili zingathinteka. Ucwaningo luka-2012 lwathola ukuthi cishe ababambiqhaza abakhulelwe abane-CTS babenazo ezandleni zombili.

Izimpawu zingase zibe nzima njengoba ukukhulelwa kuqhubeka. Ucwaningo oluthile lwathola amaphesenti angama-40 ababambiqhaza babika ukuqala kwezimpawu ze-CTS ngemuva kwamasonto angama-30 ekhulelwe. Yilapho ukuzuza kwesisindo nokugcina uketshezi kwenzeka.

Yini ebangela i-carpal tunnel syndrome?

I-CTS yenzeka lapho i-nerve median icindezelwa njengoba idlula emhubheni we-carpal esihlakaleni. Imizwa yomphakathi igijima isuka entanyeni, yehle engalweni, iye esihlakaleni. Le nzwa ilawula imizwa eminwe.

Umhubhe we-carpal wumzila omncane owakhiwe ngamathambo nemisipha emincane ye “carpal”. Lapho umhubhe uncishiswa ukuvuvukala, inzwa iyacindezelwa. Lokhu kuholela ebuhlungwini besandla kanye nokuba ndikindiki noma ukushiswa eminweni.

Umdwebo wezinzwa zomphakathi

[IBHODI LOMZIMBA lifakiwe: / amabalazwe womzimba womuntu / isisindo somphakathi]

Ingabe abanye besifazane abakhulelwe basengozini enkulu?

Abanye besifazane abakhulelwe bathambekele ekuthuthukiseni i-CTS kunabanye. Nazi ezinye zezinto eziyingozi ze-CTS:

Ukhuluphele ngokweqile noma ukhuluphele ngaphambi kokukhulelwa

Akucaci ukuthi ngabe isisindo sidala i-CTS, kepha abesifazane abakhulelwe abakhuluphele noma abakhuluphele bathola ukuxilongwa okunalesi simo kunabesifazane abakhulelwe abangakhuluphali noma abakhuluphele ngokweqile.

Ukuba nesifo sikashukela noma umfutho wegazi ophathelene nokukhulelwa

Isifo sikashukela sokukhulelwa komzimba kanye nomfutho wegazi ophakeme wokukhulelwa kungaholela ekugcineni uketshezi nokuvuvukala okulandelayo. Lokhu nakho kungakhuphula ubungozi be-CTS.

Amazinga aphezulu kashukela egazi nawo angadala ukuvuvukala, kufaka phakathi umhubhe we-carpal. Lokhu kungandisa ingozi ye-CTS.

Ukukhulelwa okwedlule

I-Relaxin ingabonakala ngamanani aphezulu ekukhulelweni okulandelayo. Le hormone isiza i-pelvis nomlomo wesibeletho ukwanda ngesikhathi sokukhulelwa ukulungiselela ukubeletha. Kungadala nokuvuvukala emhubheni we-carpal, ucindezele imizwa ephakathi.

I-CTS itholakala kanjani lapho ukhulelwe?

I-CTS ivame ukutholakala isuselwa encazelweni yakho yezimpawu kudokotela wakho. Udokotela wakho futhi angaqhuba ukuhlolwa komzimba.

Ngesikhathi sokuhlolwa komzimba, udokotela wakho angasebenzisa izivivinyo ze-electrodiagnostic ukuqinisekisa ukuxilongwa, uma kudingeka. Ukuhlolwa kwe-Electrodiagnostic kusebenzisa izinaliti ezincane noma ama-electrode (izintambo ezifakwe esikhunjeni) ukuqopha nokuhlaziya amasiginali ozithumela futhi uzamukele. Ukulimala kwe-nerve median kunganciphisa noma kuvimbe lezi zimpawu zikagesi.

Udokotela wakho futhi angasebenzisa uphawu lukaTinel ukukhomba ukulimala kwezinzwa. Lokhu kuhlolwa kungenziwa njengengxenye yokuhlolwa komzimba, futhi. Ngesikhathi sokuhlolwa, udokotela wakho uzothatha indawo kancane ngenzwa ethintekile. Uma uzwa umuzwa wokushosholozela, lokhu kungakhombisa ukulimala kwezinzwa.

Uphawu lukaTinel kanye nokuhlolwa kwe-electrodiagnostic kuphephile ukusetshenziswa ngesikhathi sokukhulelwa.

Ungayelapha kanjani i-carpal tunnel syndrome lapho ukhulelwe

Odokotela abaningi bancoma ukuthi kwelashwe i-CTS ngendlela efanele lapho ukhulelwe. Lokhu kungenxa yokuthi abantu abaningi bazothola ukukhululeka emasontweni nasezinyangeni emva kokubeletha. Kokunye ukuhlola, abahlanganyeli aba-1 kuphela kwabayisithupha ababene-CTS ngesikhathi sokukhulelwa babesenezimpawu ezinyangeni eziyi-12 ngemuva kokubeletha.

Kungenzeka ukuthi uqhubeke nokuzwa i-CTS ngemuva kokubeletha uma izimpawu zakho ze-CTS ziqale ekuqaleni kokukhulelwa kwakho noma uma izimpawu zakho zinzima.

Izindlela zokwelapha ezilandelayo zingasetshenziswa ngokuphepha ngesikhathi sokukhulelwa:

• Sebenzisa i-splint. Bheka isibopho esigcina isihlakala sakho endaweni yokungathathi hlangothi (hhayi egobile). Lapho izimpawu zivame ukuba zimbi kakhulu, ukugqoka izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezinsimbi ebusuku kungasiza kakhulu. Uma kuyenzeka, ungayigqoka nasemini.
• Nciphisa imisebenzi ebangela ukuthi isihlakala sakho sigobeke. Lokhu kufaka ukuthayipha kukhibhodi.
• Sebenzisa ukwelashwa okubandayo. Faka iqhwa eliboshwe ngethawula esihlakaleni sakho cishe imizuzu eyi-10, izikhathi eziningana ngosuku, ukusiza ukwehlisa ukuvuvukala. Ungazama futhi lokho okubizwa ngokuthi "ukugeza okuhlukile": Faka isandla sakho emanzini abandayo cishe umzuzu owodwa, bese ufaka emanzini afudumele ngomunye umzuzu. Qhubeka ushintshe imizuzu emihlanu kuya kweyisithupha. Phinda kaningi ngangokunokwenzeka.
• Phumula. Noma kunini lapho uzwa khona ubuhlungu noma ukukhathala esihlakaleni sakho, kuphumule kancane, noma ushintshele kokuhlukile.
• Phakamisa izihlakala zakho noma nini lapho ungakwazi. Ungasebenzisa imicamelo ukwenza kanjalo.
• Prakthiza i-yoga. Imiphumela etholakele ukuthi ukuzijwayeza i-yoga kunganciphisa ubuhlungu futhi kwandise amandla okubamba kubantu abane-CTS. Ucwaningo oluningi luyadingeka, noma kunjalo, ikakhulukazi ukuqonda izinzuzo ze-CTS ehlobene nokukhulelwa.
• Thola ukwelashwa ngokomzimba. Ukwelashwa kokukhishwa kwe-Myofascial kunganciphisa ubuhlungu obuhlobene ne-CTS futhi kwandise ukusebenza kwesandla. Lolu uhlobo lokuhlikihla ukunciphisa ukuqina nokushoda emigqeni nasemisipha.
• Thatha ukudambisa izinhlungu. Ukusebenzisa i-acetaminophen (iTylenol) nganoma yisiphi isikhathi ekukhulelweni ngokuvamile kubhekwa njengokuphephile, inqobo nje uma ungeqi ku-3,000 mg nsuku zonke. Khuluma nodokotela wakho uma unezinkinga. Gwema ibuprofen (Advil) ngesikhathi sokukhulelwa ngaphandle kokuthi kuvunyelwe ngokukhethekile ukusetshenziswa ngudokotela wakho. I-Ibuprofen ixhunyaniswe ne-amniotic fluid ephansi kanye nezinye izimo.

I-Carpal tunnel syndrome nokuncelisa ibele

Ukuncelisa ingane ibele kungaba buhlungu nge-CTS ngoba kuzodingeka usebenzise isihlakala sakho ukubamba ikhanda lengane yakho nesifuba sakho endaweni efanele yokuba ngumhlengikazi. Zama ukuzama izikhundla ezahlukahlukene. Sebenzisa imicamelo nezingubo zokulala ukuxhasa, ukusekela, noma ukubopha uma kudingeka.

Ungathola ukuthi ukuncelisa ngenkathi ulele ngohlangothi lwakho nengane ebheke kuwe kusebenza kahle. “Ukubanjwa kwebhola” nakho kungaba lula esihlakaleni. Ngalesi sikhundla, uhlala uqonde bese ubeka ingane yakho eceleni kwengalo yakho nekhanda lomntanakho eduze kwesifuba sakho.

Ungancamela ubuhlengikazi obungenazandla, lapho ingane yakho izondla khona ngenkathi indwayimane igqoke eduze komzimba wakho.

Uma unenkinga yokuncelisa noma ukuthola isikhundla esikahle kuwe nasenganeni yakho, cabanga ukukhuluma nomxhumanisi we-lactation. Bangakusiza ukuthi ufunde izikhundla ezikahle futhi bangasiza ekuboneni noma yiziphi izinkinga wena noma ingane yakho eninazo ngomhlengikazi.

Uyini umbono?

I-CTS ivamile ngesikhathi sokukhulelwa. Izinyathelo ezilula njengokuhlukaniswa nokuthatha i-acetaminophen yizindlela zokwelapha ezijwayelekile futhi imvamisa ziletha ukukhululeka.

Iningi labantu lizobona izimpawu zabo zixazululwa ezinyangeni eziyi-12 ngemuva kokubeletha. Noma kunjalo, kungathatha iminyaka kwezinye izimo. Khuluma nodokotela wakho ngezindlela zokuphatha ngokuphepha izimpawu zakho.