Ukuhlinzwa komhubhe weCarpal: kwenziwa kanjani futhi kutholakale kanjani

-Delile

• Kwenziwa kanjani ukuhlinzwa
• Izingozi ezingaba khona
• Ukubuyiselwa ekuhlinzeni umhubhe we-carpal

Ukuhlinzwa kwe-carpal tunnel syndrome kwenziwa ukukhulula imizwa ecindezelwe endaweni yesihlakala, kususwe izimpawu zakudala ezinjengokushosholoza noma ukuzwa ukubhoboza esandleni naseminwe. Lokhu kuhlinzwa kukhonjiswa lapho ukwelashwa ngemithi, ama-immobilizers (orthoses) kanye ne-physiotherapy, kungakhuthazi ukwenziwa ngcono kwezimpawu noma lapho kukhona ukucindezelwa okukhulu kunzwa.

Ukuhlinzwa kufanele kwenziwe ngudokotela wamathambo, kulula, kungenziwa ngaphansi kwe-anesthesia yendawo noma ejwayelekile futhi kukhuthaza ukwelashwa okuphelele futhi okungapheli, kubalulekile ukuthi umuntu aqhubeke engenamandla futhi aqhubeke ephakamise isandla cishe amahora angama-48 ukuze ukululama kwenzeka kalula.

Kwenziwa kanjani ukuhlinzwa

Ukuhlinzwa kwe-carpal tunnel syndrome kufanele kwenziwe ngudokotela wamathambo futhi kuqukethe ukuvula okuncane phakathi kwesandla sesandla kanye nesihlakala ukusika phakathi i-aponeurosis yesandla esiphakathi, okuwulwelwesi oluhlanganisa izicubu ezithambile namathambo akhona isandla, esimpintsha inzwa, sidambisa ingcindezi kuso. Ukuhlinzwa kungenziwa ngamasu amabili ahlukene:

• Inqubo yendabuko: udokotela ohlinzayo usika kakhulu entendeni yesandla phezu komhubhe we-carpal futhi usike ulwelwesi lwesandla, i-aponeurosis yesundu esiphakathi, ecindezela imizwa;
• Inqubo ye-Endoscopy: udokotela ohlinzayo usebenzisa umshini onekhamera encane enamathiselwe ukubona ingaphakathi lomhubhe we-carpal futhi wenza ukusikeka phakathi kwe-aponeurosis yesundu esiphakathi, ecindezela imizwa.

Ukuhlinzwa kufanele kwenziwe ngaphansi kwe-anesthesia, engenziwa endaweni kuphela esandleni, eduze nehlombe noma udokotela ohlinzayo angakhetha i-anesthesia ejwayelekile. Kodwa-ke, noma ngabe iyiphi i-anesthesia, umuntu akabuzwa ubuhlungu ngesikhathi sokuhlinzwa.

Izingozi ezingaba khona

Yize kungukuhlinzwa okulula nokuphephile, ukuhlinzekwa nge-carpal tunnel nakho kungabeka izingozi ezithile, njengokutheleleka, ukopha, ukulimala kwezinzwa nobuhlungu obuqhubekayo esihlakaleni noma engalweni.

Ngaphezu kwalokho, kokunye kungenzeka ukuthi, ngemuva kokuhlinzwa, izimpawu ezifana nokushoshozela nokuzwa kwezinaliti esandleni kungenzeka zinganyamalali ngokuphelele, futhi zingabuya. Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela ngezingozi zangempela zokuhlinzwa, ngaphambi kokwenza inqubo.

Ukubuyiselwa ekuhlinzeni umhubhe we-carpal

Isikhathi sokululama siyahlukahluka ngokuya ngohlobo lwenqubo esetshenzisiwe, kepha ngokuvamile isikhathi sokululama sokuhlinzwa kwendabuko side kancane kunesikhathi sokutakula sokuhlinzwa kwe-endoscopic. Ngokuvamile, abantu abasebenza emahhovisi futhi okufanele baqhubeke nokuthayipha badinga ukuba kude nomsebenzi kuze kube yizinsuku ezingama-21.

Kodwa-ke, ngaphandle kwendlela esetshenzisiwe, esikhathini sokuhlinzwa kokuhlinzwa komhubhe we-carpal kubalulekile ukuthatha izinyathelo ezithile ezifana nalezi:

• Phumula uthathe imishanguzo ekhonjiswe ngudokotela, njengeParacetamol noma i-Ibuprofen yezinhlungu nokungakhululeki;
• Sebenzisa isihlwathi ukukhubaza isihlakala ukugwema umonakalo odalwe ukunyakaza ngokuhlanganyela izinsuku eziyi-8 kuya kwezingu-10;
• Gcina isandla esihlinzekiwe siphakanyisiwe amahora angama-48 ukusiza ukunciphisa noma yikuphi ukuvuvukala nokuqina kweminwe;
• Ngemuva kokukhipha i-splint, kungabekwa iphakethe leqhwa kuleyo ndawo ukuqeda izinhlungu nokunciphisa ukuvuvukala.

Kujwayelekile ukuthi ezinsukwini zokuqala ngemuva kokuhlinzwa uzwe ubuhlungu noma ubuthakathaka okungathatha amasonto ambalwa noma izinyanga ukudlula, kodwa-ke, lowo muntu, ngokuholwa udokotela, aqhubeke nokusebenzisa isandla ukwenza ukukhanya imisebenzi engabangeli ubuhlungu noma ukungaphatheki kahle.

Ngemuva kokuhlinzwa kuvamise kudingekile ukwenza amaseshini ambalwa we-physiotherapy womhubhe we-carpal kanye nokuzivocavoca ukuvimbela izibazi ezivela ekuhlinzweni ekunamatheleni nasekuvikeleni ukuhamba kwamahhala kwenzwa ethintekile. Bona ezinye izibonelo zokuzivocavoca ongakwenza ekhaya.

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