Yini Ebangela Isigaxa Esincinene Engalweni Nokuthi Siphathwa Kanjani

-Delile

• Yini engadala imizwa ephinyiwe engalweni?
• Izimbangela ezivamile
• Ukucindezelwa kwemizwa yaseMedian
• Ukucindezelwa kwemizwa ye-Ulnar
• Ukucindezela kwe-Radial nerve
• I-Radial tunnel syndrome
• I-posterior interosseous syndrome
• Izimbangela ezingavamile kakhulu
• I-Pronator syndrome
• I-anterior interosseous nerve syndrome
• I-Ulnar tunnel syndrome
• Ukucindezelwa kwemizwa yezinzwa
• Ungayithola imizwa ekhonjiwe ekhwapheni?
• Ungawuthola umthambo ocingciwe engalweni yakho kusukela ekulaleni kuwo?
• Ziyini izimpawu nezimpawu zesibindi esincinzelwe engalweni?
• Izimpawu zezinzwa ezizwakalayo
• Izimpawu zezinzwa zemoto
• Izimpawu zesifo somhubhe weCarpal
• Izimpawu zesifo somhubhe weCubital
• Izimpawu ze-Radial tunnel syndrome
• Izimpawu zesifo se-posterior interosseous syndrome
• Kutholakala kanjani ukuthi i-nerve pinched?
• Yelashwa kanjani i-nerve pinch?
• Phumula
• Imithi yezinhlungu zasesitolo
• Ukushisa noma iqhwa
• Isigaxa
• Umjovo we-Corticosteroid
• Ukuhlinzwa
• Kuthatha isikhathi esingakanani ukuthi ululame emthanjeni ocingiwe engalweni?
• Ingabe kukhona ukuzivocavoca noma ukunweba ongakwenza ukusiza ukukhulula imizwa ephinyiwe engalweni?
• Yini ongayenza ukuvimbela imizwa ephinyiwe engalweni?
• Ukuthatha

Inzwa ebunjiwe ingumphumela wento ethile ngaphakathi noma ngaphandle komzimba wakho ocindezela inzwa. Inzwa ecindezelwe bese iyavuvukala, edala izimpawu.

Amagama ezokwelapha we-nerve pinched are compression nerve noma i-nerve entrapment.

I-nerve pinched ingenzeka cishe noma kuphi emzimbeni wakho. Enye yezindawo ezivame kakhulu ingalo yakho.

Qhubeka ufunda ukuze ufunde ngezimbangela ezivamile (futhi ezingavamile) zezinzwa ezicindezelwe engalweni yakho, nokuthi kutholakala kanjani nokuthi yelashwa kanjani. Sizokukhomba futhi kokunye ukuzivocavoca okungasiza ukukhulula imizwa yezimpintshi, kanye namathiphu okuvimbela.

Yini engadala imizwa ephinyiwe engalweni?

Izinzwa ezintathu eziyinhloko engalweni yakho nezindlela zazo ezilinganayo yilezi:

• imizwa yomzimba, eyehlela maphakathi nengalo yakho
• imizwa ye-radial, yehla ngohlangothi lwesithupha lengalo yakho
• imizwa yezinzwa, eyehlela ohlangothini oluncane lomunwe wengalo yakho

Lezi zinzwa noma amagatsha awo angabhanqwa ezindaweni eziningana njengoba zehla engalweni yakho. Imvamisa, lokhu kwenzeka eduze kwendololwane yakho noma esihlakaleni sakho, lapho amathambo nezinye izakhiwo zakha imigudu nezindlela ezincane izinzwa zakho okufanele zidlule kuzo.

Izimbangela ezivamile

Ukucindezelwa kwemizwa yaseMedian

I-Carpal tunnel syndrome (i-CTS) yisifo sokucindezelwa kwezinzwa esivame kakhulu. I-nerve median iyacindezelwa njengoba ihamba ngomhubhe we-carpal esihlakaleni sakho.

Ukunwebeka nokuguqula isihlakala sakho kungaholela ekucindezelweni ngokunciphisa usayizi womhubhe. I-CTS ivame ukubangelwa ukunyakaza okuphindaphindayo kwezihlakala zakho.

Ukucindezelwa kwemizwa ye-Ulnar

Isifo sesibili esivame kakhulu sokucindezelwa kwemizwa yi-cubital tunnel syndrome.

Inzwa ye-ulnar ingacindezelwa njengoba ihamba ngomhubhe we-cubital noma enye indawo eqinile ezungeze indololwane yakho. Imvamisa kwenzeka lapho ugcine ingalo yakho igobile isikhathi eside, njengalapho ulalisa ingalo yakho onqenqemeni lwewindi lemoto yakho ngenkathi ushayela noma uncika endololwaneni yakho etafuleni.

Ukucindezela kwe-Radial nerve

Eduzane nendololwana yakho, amagatsha emisipha yomsakazo angena ezinzwa ezingemuva ezingemuva nezingaphezulu. Womabili la magatsha angacindezelwa ngokuvama ukuphindaphinda ingalo yakho.

I-Radial tunnel syndrome

Igatsha elingaphezulu nje le-radial nerve lihamba ngomhubhe osabalalayo nakwezinye izindawo eziningana eziqinile ezungeze indololwane yakho, lapho ingacindezelwa khona.

I-posterior interosseous syndrome

Inzwa engemuva yangaphakathi nayo idlula ezindaweni eziningana eziqinile engalweni yakho eduze kwendololwane yakho, kufaka phakathi nomhubhe osabalalayo. Ingacindezelwa njengoba ihamba kunoma iyiphi yalezi zindawo.

Izimbangela ezingavamile kakhulu

I-Pronator syndrome

I-nerve median ingacindezelwa yimisipha engalweni yakho engezansi kwendololwane yakho.

Izimpawu ziyefana ne-CTS, ngaphandle kokuthi ukuphazamiseka kungadlulela entendeni yesandla sakho, futhi ungezwa ubuhlungu engalweni nasendololwaneni. Ngokungafani ne-CPS, imvamisa ayibangeli zimpawu ebusuku.

I-anterior interosseous nerve syndrome

Le motor nerve igatsha lezinzwa eziphakathi. Ukucindezela kwenzeka endaweni eyodwa noma ngaphezulu engalweni yakho. Kubangela ubuthakathaka esithupheni sakho nakumunwe wenkomba, okwenza kube nzima ukubamba ipensela noma wenze uphawu oluthi "KULUNGILE".

Ezinye izimpawu ubuthakathaka lapho usonta ingalo yakho nobuhlungu bengalo obungacacile.

I-Ulnar tunnel syndrome

Lesi simo esingajwayelekile senzeka lapho i-ulnar nerve icindezelwa emhubheni ohlangothini lwe-pinkie esihlakaleni sakho. Imvamisa, i-ulnar tunnel syndrome ibangelwa yi-ganglion cyst noma ukuhlukumezeka okungapheli okuphindaphindayo kwesihlakala okufana nomgibeli webhayisikili obamba isibambo.

Izimpawu kumunwe wakho wendandatho ne-pinkie kungaba yimoto, izinzwa, noma zombili ngokuya ngesiza sokucindezelwa. Ngokungafani ne-cubital tunnel syndrome, ngemuva kwesandla sakho akuthinteki.

Ukucindezelwa kwemizwa yezinzwa

Imizwa ye-radial iba phezulu ngaphandle esihlakaleni sakho. Izimpawu ukuba ndikindiki nokushosheka phezulu kohlangothi lwesithupha lesandla sakho, kwesinye isikhathi kube nobuhlungu bengalo kanye nesihlakala.

Noma yini elingana kahle esihlakaleni sakho efana nozankosi noma iwashi ingayicindezela. Ukuncika engalweni yakho isikhathi eside kungenye imbangela.

Ungayithola imizwa ekhonjiwe ekhwapheni?

Yebo, ungancinza umuzwa ekhwapheni lakho.

Inzwa yakho ye-axillary iqala entanyeni yakho futhi igijime ekhwapheni lakho ngaphambi kokuwela ithambo lesandla sakho esingenhla (i-humerus). Ifaka emsipheni wemisipha emisipheni yakho yehlombe (i-deltoid ne-teres encane) kanye nemizwa yezinzwa ehlombe lakho.

I-axillary nerve yakho ingancinwa ngo:

• ihlombe elihlukanisiwe
• i-humerus fracture
• ingcindezi yasemakhwapheni eqhubekayo, njengokusebenzisa induku
• ukunyakaza okuphindaphindwe phezulu, njengokufaka i-baseball noma ukushaya i-volleyball
• ukulimala kwenzwa ngesikhathi sokuhlinzwa kwekhafu ye-rotator

Izimpawu ezingaba khona zifaka:

• Ubuhlungu behlombe
• ukukhathala kwemisipha yengalo ngenkathi wenza ukunyakaza okuphezulu
• ubunzima bokuphakamisa noma ukujikeleza ingalo yakho
• ukuba ndikindiki nokushosheka ohlangothini nangemuva kwengalo yakho engenhla

Ungawuthola umthambo ocingciwe engalweni yakho kusukela ekulaleni kuwo?

Yebo ungakwenza! Ukulala nekhanda lakho esihlakaleni noma endaweni ebeka ingcindezi njalo endololwaneni yakho kungadala inzwa encinzelwe. I-nerve median engalweni yakho kanye ne-ulnar nerve endololwaneni yakho isengozini enkulu ngoba isondele ebusweni kulezi zindawo.

Ziyini izimpawu nezimpawu zesibindi esincinzelwe engalweni?

Inzwa iyavutha lapho icindezelwe, okudala izimpawu ezahlukahlukene kuye ngohlobo lwenzwa ethintekayo.

Izinzwa zemizwa zithumela imininingwane ngezinto umzimba wakho ozizwayo ebuchosheni bakho. Lapho kuthintwa imizwa yezinzwa, izimpawu zingafaka:

Izimpawu zezinzwa ezizwakalayo

• umuzwa wokuthinta "izikhonkwane nezinaliti"
• evuthayo
• ukulahlekelwa umuzwa
• ukuba ndikindiki
• ubuhlungu

Izimpawu zezinzwa zemoto

Izinzwa zezimoto zithumela amasiginali avela ebuchosheni bakho ziye emzimbeni wakho, ikakhulukazi imisipha yakho, iwutshela ukuthi kufanele usabele kanjani kulwazi. Izimpawu ze-pinched motor nerve zifaka:

• ubuthakathaka bemisipha
• ukulahlekelwa ukunyakaza

Ezinye izinzwa zinemisebenzi yezinzwa neyezimoto. Lapho lokhu kuncinyiwe, izimpawu zazo zombili izinhlobo zingenzeka.

Izimpawu zesifo somhubhe weCarpal

I-nerve medial iyinzwa yezinzwa yesithupha sakho, inkomba neminwe yakho ephakathi, nengxenye yomunwe wakho wendandatho.

I-CTS ibangela ukuba ndikindiki, ukuhayiza, nobuhlungu kulezo zindawo. Izimpawu zingakhuphukela engalweni nasemahlombe akho. Izimpawu ziba zimbi kakhulu ebusuku.

I-nerve medial nayo iyinzwa yemoto kusithupha sakho, ngakho-ke i-CTS ingadala nobuthakathaka besithupha nokuxakaniseka nakho. Lokhu kungenza kube nzima ukubamba izinto. Njengoba i-CTS iba nzima kakhulu, ungahle ubone ukuphahlazeka kwemisipha ngaphansi kwesithupha sakho (ukuphakama ngaleso sikhathi).

Izimpawu zesifo somhubhe weCubital

Inzwa ye-ulnar inikeza ukuzwa nemoto kumunwe wakho omncane nengxenye yomunwe wakho wendandatho.

Ukuminyanisa kubangela ukuba ndikindiki nokushikiza (kodwa hhayi ubuhlungu) kuleyo minwe nobuthakathaka emisipheni emincane esesandleni sakho. Ekugcineni, ukulahleka kwemisipha kungenzeka, kugudluze iminwe yakho ezikhundleni ezingejwayelekile.

Izimpawu ze-Radial tunnel syndrome

Igatsha elingaphandle liyisinzwa sezinzwa. Akujulile kakhulu, ngakho-ke icindezelwa kalula yinoma yini ebeka ingcindezi engalweni yakho. Uma ucindezelwe, kubangela ubuhlungu obubuhlungu engalweni yakho obungaphumela endololwaneni yakho.

Izimpawu zifana kakhulu ne-tennis elbow (i-lateral epicondylitis).

Izimpawu zesifo se-posterior interosseous syndrome

Le yinzwa yemoto ekhonza imisipha emincane eminweni yakho, isithupha, nasesihlakaleni. Ukucindezela kwenza kube nzima ukunweba iminwe yakho nesithupha ngqo. Kubuye kuthinte nekhono lakho lokuguqula uhlangothi lwesithupha sesandla sakho usibhekise engalweni yakho.

Kutholakala kanjani ukuthi i-nerve pinched?

Udokotela angakwazi ukuxilonga inzwa evamile yokuncinza, njenge-CTS, ngokusekelwe kuphela ezimpawu zakho nasekuhloleni.

Uma kudingeka, udokotela angasebenzisa futhi ukuhlolwa okukodwa noma okuningi ukwenza noma ukuqinisekisa ukuxilongwa.

• Ama-X-ray. Azisizi kangako kepha zingaveza okunye ukuxilongwa, njengokuqhekeka.
• I-MRI. Lokhu kwesinye isikhathi kusetshenziselwa ukucacisa ukuxilongwa noma ukuphinde kuhlolwe inzwa ebanjiwe engabi ngcono.
• I-Electromyography. Lokhu kuhlolwa kubonisa umsebenzi kagesi emisipheni.
• Isifundo sokuqhuba imizwa. Lokhu kuhlolwa kukhombisa ukushesha kwamasignali wezinzwa.
• I-Ultrasound. Lokhu kwesinye isikhathi kusetshenziselwa ukuhlola inzwa.

Yelashwa kanjani i-nerve pinch?

Ukwelashwa okulondolozayo kwe-nerve pinched kuhlala kuzanywa kuqala ngenhloso yokwehlisa ubuhlungu nokwenza ngcono ukusebenza.

Phumula

Kubalulekile ukuphumuza ingalo yakho ngangokunokwenzeka ukuyivumela ukuba yelapheke.

Imithi yezinhlungu zasesitolo

Imithi elwa nokuvuvukala efana ne-ibuprofen (Advil) noma i-naproxen (i-Aleve) inganciphisa ukuvuvukala kwezinzwa, kuqede izimpawu.

Ukushisa noma iqhwa

Ukushisa noma iqhwa elisetshenziswe ngaphezu kwesibindi esicindezelwe ngezikhathi zemizuzu engama-20 kungasiza ekunciphiseni izimpawu zakho. Qaphela ukuthi ungashisi noma uqabule isikhumba sakho uma umuzwa wakho wehlile.

Isigaxa

Isigaxa singasetshenziselwa ukukhubaza isihlakala sakho, indololwane, noma ingalo, noma ukusiza imisipha ebuthakathaka.

Umjovo we-Corticosteroid

I-CTS ingelashwa ngomjovo wesikhathi esisodwa se-corticosteroid ukunciphisa ukuvuvukala futhi unciphise ingcindezi enzwa yakho. Imvamisa isebenza kuphela cishe inyanga.

Ukuhlinzwa

Ukuhlinzwa ukukhipha ingcindezi ku-nerve kusetshenziswa njalo kuma-syndromes amaningi wokucindezelwa kwezinzwa. Ungaba ngumuntu olungele ukuhlinzwa uma:

• izimpawu azithuthuki ngemuva kwezinyanga ezintathu kuya kweziyisithupha zokwelashwa okulondolozayo
• izimpawu zinzima
• ukuncipha kwemisipha kwenzeka

Kuthatha isikhathi esingakanani ukuthi ululame emthanjeni ocingiwe engalweni?

Isikhathi sokutakula siyahluka ngokuya ngezici eziningi, kufaka phakathi:

• inzwa ethintekayo
• ubukhulu bokulimala
• ukuthi ukulimala kuphendula kanjani ekwelashweni okulondolozayo
• isidingo sokuhlinzwa
• umsebenzi noma imisebenzi ozobuyela kuyo

Izinzwa ezicijile ngenxa yengcindezi yesikhashana emsipheni ongaphezulu kokuvamile zivame ukuzixazulula zodwa kungakapheli amahora. Lokho okubangelwa i-cyst ganglion ngeke kuthuthuke kuze kukhishwe i-cyst.

Ingabe kukhona ukuzivocavoca noma ukunweba ongakwenza ukusiza ukukhulula imizwa ephinyiwe engalweni?

Ukwelula ukugcina ukuguquguquka kwemvelo noma ukugcina noma ukwakha amandla emisipha kungasiza kakhulu ekunciphiseni izimpawu zesifo sezinzwa, ukuphulukisa nokuvimbela.

Izindatshana ezilandelayo zichaza ukunweba nokuzivocavoca izingalo nezihlakala zakho:

• welula izihlakala nezandla
• izivivinyo zokwelapha umhubhe we-carpal
• 5 i-yoga enhle yelulela izingalo zakho
• ukuvivinya umzimba komhubhe we-cubital ukuqeda izinhlungu

Ngaphambi kokuqala uhlelo lokuzivocavoca, khuluma nodokotela ukuze uqiniseke ukuthi kuphephile futhi ngeke kubangele ukulimala okuqhubekayo. Udokotela wakho futhi angakudlulisela kumelaphi womzimba ongaklama inqubo eqondene ngqo nawe.

Misa ukuzivocavoca ngokushesha uma kubangela ukungakhululeki okukhulu noma ubuhlungu.

Yini ongayenza ukuvimbela imizwa ephinyiwe engalweni?

Nazi ezinye izinto ongazenza ukuvimbela i-pinched nerve ukuthi ingaphindi:

• Nciphisa noma ugweme ukunyakaza okuphindaphindwayo nemisebenzi eyibangelayo.
• Uma ukulimala kwakho kwakuhlobene nomsebenzi, kungadingeka ukuthi ushintshe indlela ozisebenzisa ngayo izandla nezingalo ukwenza umsebenzi wakho.
• Uma ungakwazi ukwenza umsebenzi wakho ngaphandle kokunyakaza okuphindaphindwayo, ungahle udinge ukucabanga ngokushintsha imisebenzi.
• Shintsha indawo yakho yesandla nengalo kaningi ngenkathi wenza umsebenzi.
• Thatha amakhefu kaningi ukuze uphumule noma welule izihlakala nezingalo zakho.
• Gwema noma yimiphi imisebenzi nezikhundla ezifaka ingcindezi ezinhliziyweni ezingaphezulu.
• Qiniseka ukuthi awufaki ingcindezi ezinhliziyweni ezingaphezulu ngesikhathi ulele.
• Phumula izingalo zakho ngangokunokwenzeka usuku lonke.

Ukuthatha

Noma iyiphi imizwa engalweni yakho ingacindezelwa uma icindezelwa izakhiwo ezizungezile. Kungenzeka kakhulu ukuthi kwenzeke lapho inzwa ihamba ngomhubhe noma enye indawo encane.

Izimpawu zincike ohlotsheni lwezinzwa futhi zingabandakanya ukuphazamiseka nobuhlungu, ubuthakathaka bemisipha, noma kokubili. Ukwelashwa kokuqala kunokwelashwa okulondolozayo, kepha ukuhlinzeka kaningi kuyadingeka ukususa ingcindezi evela ku-nerve.

Indlela engcono kakhulu yokuvimbela ukuphindaphinda kwenzwa encinzelweyo ukugwema lo msebenzi noma ukunyakaza okuphindaphindayo okwakukudalele lokho ekuqaleni.