Ukukhishwa KweCarpal Tunnel

-Delile

• Izizathu zokukhishwa komhubhe we-carpal
• Ilungiselela ukukhishwa komhubhe we-carpal
• Izinhlobo zezinqubo zokukhishwa komhubhe we-carpal
• Vula ukukhishwa komhubhe we-carpal
• Ukukhishwa komhubhe we-endoscopic carpal
• Izingozi zokukhishwa komhubhe we-carpal
• Ukunakekelwa kwePosturgery kokukhishwa komhubhe we-carpal

Ukubuka konke

I-Carpal tunnel syndrome yisimo esidalwa yimithambo eboshwe esihlakaleni. Izimpawu zomhubhe we-carpal zifaka phakathi ukucindezela okuqhubekayo kanye nokuba ndikindiki nokukhipha ubuhlungu ezandleni nasezandleni. Kwezinye izimo, ungahle ubhekane nobuthakathaka besandla.

Lesi simo singaqala kancane kancane kancane kancane. Ingcindezi kwi-nerve median, egijima isuka engalweni iye ezandleni, ibangela ubuhlungu be-carpal tunnel. Ukukhishwa komhubhe weCarpal wukuhlinzwa okusiza ukunciphisa ingcindezi kule nerve futhi kuphathe nezimpawu zomhubhe we-carpal.

Izizathu zokukhishwa komhubhe we-carpal

Ukuhlinzwa kokukhishwa komhubhe weCarpal akuwona wonke umuntu. Eqinisweni, abanye abantu bayakwazi ukuphatha izimpawu zomhubhe wabo we-carpal ngezindlela ezingezona ezokuhlinzwa. Ungathatha imishanguzo yokulwa nokuvuvukala, njenge-ibuprofen noma i-aspirin, noma imishanguzo yobuhlungu kadokotela. Odokotela bangancoma umjovo we-steroid bese bejova umuthi ngqo engalweni noma esandleni sakho.

Ezinye izinhlobo zezindlela zokuhlinza zifaka:

• amakhaza noma iqhwa
• izingcezu zokugcina isihlakala siqonde ukuze kube nokungezwani okuncane kunzwa
• ukwelashwa ngokomzimba

Imisebenzi ephindaphindwayo, njengokuthayipha, nayo ingadala noma yenze mandundu i-carpal tunnel syndrome. Ukuthatha amakhefu kaningi nokuphumula izandla zakho kunganciphisa izimpawu futhi kunciphise isidingo senqubo yokuhlinzwa.

Kodwa-ke, uma ubuhlungu, ukuba ndikindiki, noma ubuthakathaka buqhubeka noma buba bubi ngisho nangemva kokuzama izindlela ezingezona ezokuhlinzwa, udokotela wakho angancoma ukukhishwa komhubhe we-carpal. Ngaphambi kokuhlela inqubo yakho, udokotela wakho angenza isivivinyo se-nerve conduction kanye ne-electromyogram (EMG) ukuze ahlole imisebenzi kagesi yemisipha engajwayelekile, ejwayelekile ku-carpal tunnel syndrome.

Ilungiselela ukukhishwa komhubhe we-carpal

Tshela udokotela wakho ngayo yonke imithi nezithasiselo ozithathayo njengamanje. Udokotela wakho angakuyala ukuthi uyeke ukuthatha eminye yemithi yakho (i-aspirin, ibuprofen, ne-thinner yegazi) kusasele isonto ngaphambi kokuhlinzwa kwakho okuhleliwe. Tshela udokotela wakho uma uhlangabezana nanoma yikuphi ukugula, okufana nokubanda, imfiva, noma igciwane ngaphambi kokuhlinzwa. Yenza othile akushayele imoto bese uhlela ukugibela ubuyele ekhaya. Ungadli amahora ayisithupha kuya kwayi-12 ngaphambi kokuhlinzwa kokukhishwa komhubhe we-carpal.

Izinhlobo zezinqubo zokukhishwa komhubhe we-carpal

Kunezindlela ezimbili zokwenza ukukhishwa komhubhe we-carpal: ukukhishwa komhubhe we-carpal ovulekile kanye nokukhishwa komhubhe we-carpal endoscopic.

Vula ukukhishwa komhubhe we-carpal

Udokotela wakho ohlinzayo usika kancane eduze kwengxenye engezansi yesandla sakho eduze kwesihlaka sakho. Udokotela ohlinzayo ube esesika i-carpal ligament, eyehlisa ingcindezi kwi-nerve median yakho. Ngokuya ngecala lakho, udokotela ohlinzayo angasusa nezicubu ezizungeze inzwa. Udokotela ohlinzayo uhlanganisa imithungo embalwa ukuvala isilonda abese emboza indawo ngebhandishi.

Ukukhishwa komhubhe we-endoscopic carpal

Udokotela ohlinzayo usika kancane eduze kwengxenye engezansi yesandla sakho eduze kwesihlaka sakho. Udokotela ohlinzayo ube esefaka i i-endoscope esihlakaleni sakho. I-endoscope iyishubhu ende, eguquguqukayo enokukhanya nekhamera okunamathiselwe. Ikhamera ithatha ividiyo ngaphakathi kwesihlakala sakho futhi lezi zithombe zivela kumonitha ngaphakathi kwegumbi lokusebenza. Udokotela wakho ohlinzayo uzofaka amanye amathuluzi ngalokhu kuvulwa bese esika umgogodla we-carpal ukunciphisa ingcindezi ku-nerve yakho. Udokotela ohlinzayo ususa amathuluzi ne-endoscope bese evala imbobo ngentambo.

Le nqubo yokugula ithatha imizuzu eyi-15 kuye kwengu-60. Uzothola i-anesthesia ngaphambi kwenqubo. I-Anesthesia izokubangela ukuthi ulale futhi uvimbele ubuhlungu ngesikhathi senqubo. Ungase uzwe ubuhlungu noma ukungakhululeki ngemuva kokuphela kwe-anesthesia. Kodwa-ke, udokotela wakho angakunikeza imithi yokuqeda izinhlungu.

Izingozi zokukhishwa komhubhe we-carpal

Izingozi ezihambisana nalolu hlobo lokuhlinzwa zifaka:

• ukopha
• ukutheleleka
• ukulimala kwemizwa
• ukusabela okweqile ku-anesthesia noma imithi yezinhlungu

Udokotela wakho uzohlela ukuqokwa kokulandela ngemuva kokuhlinzwa ukuze ususe iziqu zakho futhi ubheke intuthuko yakho. Kodwa-ke, kufanele uxhumane nodokotela wakho noma ufune usizo lwezokwelapha ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo:

• umkhuhlane nokugodola (izimpawu zokutheleleka)
• ukuvuvukala okungajwayelekile noma ubomvu
• ukuphuma endaweni yokuhlinzwa
• ubuhlungu obukhulu obungaphenduli emithini
• ukuphefumula noma izinhlungu zesifuba
• isicanucanu noma ukuhlanza

Ukunakekelwa kwePosturgery kokukhishwa komhubhe we-carpal

Udokotela wakho ohlinzayo uzofaka ibhandishi noma isihlwathi ukuze avikele isandla sakho nengalo ngemuva kokuhlinzwa.

Ngenkathi ukuhlinzwa kuqeda izinhlungu ngokushesha nokuba ndikindiki, kuthatha okungenani amasonto amane ukwelulama. Nazi izinto ezimbalwa ongazenza ngemuva kokuhlinzwa ukusiza ukutakula kwakho:

• Thatha imithi yakho yezinhlungu njengoba uqondiswe udokotela wakho.
• Faka i-ice compress esandleni sakho nasesihlakaleni njalo emahoreni ambalwa imizuzu engama-20.
• Lalela imiyalo kadokotela wakho maqondana namabhati namashawa.
• Musa ukuphakamisa izinto ezisindayo.
• Phakamisa isandla sakho ezinsukwini ezimbalwa zokuqala ukunciphisa ukuvuvukala nobuhlungu.

Isonto lokuqala ngemuva kwenqubo, kuzodingeka ukuthi ugqoke i-splint noma i-bandage yohlobo oluthile. Kungase kudingeke ukuthi welashwe ngokomzimba noma wenze izivivinyo ezikhethekile zengalo emasontweni alandela inqubo. Isikhathi sokutakula sizoncika enanini lomonakalo onqwabelene owawukhona ezinzwa eziphakathi. Yize iningi labantu lizuza kakhulu kulokhu kuhlinzwa, izimpawu ezithile zingahlala, kuya ngesimo sakho ngaphambi kokuhlinzwa.