Uyini Umhubhe WeCarpal, Futhi Ingabe Ukusebenza Kwakho Kusolwa?

-Delile

• Kuyini i-Carpal Tunnel Syndrome?
• Yini Ebangela Umhubhe WeCarpal?
• Ingabe Ukusebenza Kungabanga I-Carpal Tunnel?
• Indlela Yokuhlola I-Carpal Tunnel
• Ungayiphatha Kanjani I-Carpal Tunnel Syndrome
• Buyekeza kwe-

Ama-squats aphezulu kuwumsebenzi onzima kunayo yonke EVER. Njengomqeqeshi we-CrossFit nozivocavoca ngokuzimisela, leli yigquma engizimisele ukufela kulo. Ngelinye ilanga, ngemuva kokusetha okunzima kakhulu, ngisho nezihlakala zami zazibuhlungu. Lapho ngitshela lokhu kumqeqeshi wami, wathi izihlakala zami zamathenda zingakhombisa inkinga enkulu. Qaphela: Ukububula kuzwakale eduze kwebhokisi.

Vele, ngaya ekhaya ngokushesha futhi ngaqala ukugaya izimpawu zami (ngiyazi, iphutha le-rookie). Kaningi, uDkt Google wangitshela ukuthi ngine-carpal tunnel syndrome. Ngenkathi a okwangempela u-doc ungiqinisekisile ukuthi ngiungakwenzi ngine-carpal tunnel syndrome (nokuthi imisipha yami yangaphambili ibibuhlungu nje), ngazibuza: Ngabe ungazinika umhubhe we-carpal ngokuzivocavoca kwakho?

Kuyini i-Carpal Tunnel Syndrome?

Kalula nje, i-carpal tunnel syndrome ibangelwa yimithambo eboshiwe esihlakaleni — kodwa kungempela uqonde ukuthi uyini umhubhe we-carpal, udinga i-Anatomy 101 encane.

Vula intende yakho ibheke kuwe futhi wenze isibhakela ngesandla sakho. Uyabona zonke lezo zinto zinyakaza engalweni yakho? Leyo yimisipha. "Isandla sivalwa imisipha eyisishiyagalolunye eyehla esihlakaleni bese yenza 'umhubhe' (owaziwa ngokuthi 'umhubhe we-carpal')," kuchaza u-Alejandro Badia, MD, isandla esiqinisekiswe ibhodi, isihlakala, kanye nodokotela ohlinza amathambo ongaphezulu no-Badia. Isandla Nesikhungo Sehlombe ku-FL. "Kufakwe maphakathi nomhubhe inzwa emaphakathi, esuka esikhaleni sakho iye esithupheni sakho kanye neminwe yakho eminingi." Ezungeze ithenda kukhona ulwelwesi olubizwa ngokuthi i-tenosynovium. Lapho lokhu kuqina, ububanzi bomhubhe buyancipha, nakho okungacindezela inzwa ephakathi.

Futhi lapho leyo nzwa emaphakathi icindezelwa noma icindezelwe? Yebo, leso yi-carpal tunnel syndrome.

Kungakho izimpawu ze-carpal tunnel syndrome ngokuvamile zihlanganisa ukuntweza noma ukuba ndikindiki esandleni, noma ubuhlungu, ubuhlungu, ubuthakathaka nobuhlungu ezihlakaleni nasezandleni, kusho umelaphi womzimba uHolly Herman, D.P.T., nombhali wencwadi ethiUzikhulisa Kanjani Izingane Ngaphandle Kokuphuka Emhlane.

Kwesinye isikhathi uphawu lomhubhe we-carpal luwubuhlungu obungapheli obukhipha iminwe emithathu yokuqala yesandla, kodwa kwezinye izikhathi, "iziguli zizobika ukuthi kuzwakala sengathi kuzoqhuma iminwe yazo," kusho uDkt. Badia. Abantu abaningi abanomhubhe we-carpal baphinde babike ukuthi bavuswa phakathi nobusuku ngenxa yokuluma noma ukuba ndikindiki ezandleni zabo.

Yini Ebangela Umhubhe WeCarpal?

Noma yini ebangela umzimba (ikakhulukazi, i-tendon kanye / noma i-tenosynovium) ukuba ivuvuke noma igcine amanzi-ngakho-ke, ibangela umhubhe we-carpal ube mncane-ungaxhunyaniswa ne-carpal tunnel syndrome.

Ngeshwa, ngokusho kukaDkt. Badia, into ebaluleke kakhulu engozini yomhubhe we-carpal ubulili bakho (ugh). "Ukuba ngowesifazane kungenye yezimbangela ezinkulu ze-carpal tunnel syndrome," kusho uDkt. Badia. Eqinisweni, abesifazane banamathuba aphindwe kathathu okuba nomhubhe we-carpal kunabesilisa, ngokusho kweNational Institute of Neurological Disorders and Stroke. (FYI: Abesifazane kungenzeka kakhulu ukuthi baklebhule ama-ACL abo.)

Yini enikezayo? Yebo, i-tenosynovium iyaqina ngokuphendula ukugcinwa koketshezi futhi, njengoba uDkt Badia echaza, "i-Estrogen ingadala ukuthi ugcine amanzi, okungadala ukuthi imisipha ne-tenosynovium ivuvukale futhi yenze umhubhe ube mncane kakhulu." Yingakho i-carpal tunnel syndrome ivame kakhulu phakathi nokukhulelwa nokuya esikhathini lapho amazinga e-estrogen enyuka ngokwemvelo. (Kuhlobene: Izigaba Zakho Zomjikelezo Wokuya esikhathini—Zichaziwe).

Amazinga e-Estrogen akuyena kuphela onecala; noma yisiphi isimo esidala ukuzuza kwesisindo, ukugcinwa koketshezi, noma ukuvuvukala kwandisa ingozi yomhubhe we-carpal. Yingakho "isifo sikashukela, i-hypothyroidism, ukuphazamiseka komzimba, kanye nomfutho wegazi ophakeme nakho kuhlobene nalesi sifo," kusho uDkt. Ngisho nokuba nokudla okune-sodium ephezulu (okubizwa nangokuthi ukugcina amanzi) kungandisa izimpawu.

Abantu abake babhekana nokulimala esihlakaleni noma kwesandla bangase babe sengozini enkulu, nabo. "Ukuhlukumezeka kwangaphambilini njengesihlakala esiqhekekile kungaguqula ukwakheka kwesihlakala futhi kungakuholela ekubeni ube nezimpawu zomhubhe we-carpal," kusho uDkt. Badia.

Ingabe Ukusebenza Kungabanga I-Carpal Tunnel?

Cha! Ukuvivinya umzimba kwakho akunakubangela i-carpal tunnel syndrome, kusho uDkt. Badia; Nokho (!) Uma usuvele une-carpal tunnel syndrome noma uhlotshaniswa ne-syndrome, ukugoba njalo noma ukugoba isihlakala sakho ngenkathi usebenza kungase kuphazamise i-nerve median futhi kwandise izimpawu, uthi. Ngakho-ke, ukuzivocavoca okufana namapulangwe, ama-push-ups, amahlwathi, abagibeli bezintaba, ama-burpees, futhi, yebo, ama-squats angaphezulu angazenza zibe zimbi izimpawu.

Uma unomhubhe we-carpal, udokotela wakho angakweluleka ukuthi unciphise izivivinyo ezibeka isihlakala sakho kuleyo ndawo noma uzenze okokuqala, kusho uDkt. Badia. Ithiphu yochwepheshe: uma lokho kulimaza umunwe wakho noma amaqupha, cabanga ukwengeza i-ab mat noma ithawula eligoqiwe ngaphansi kwesandla sakho ukuze uthole ukunethezeka. (Noma vele wenze amapulangwe engalo.)

UDkt. Badia uphawula ukuthi abagibeli bamabhayisikili abaningi beza ehhovisi lakhe bekhononda ngezihlakala: “Uma unomhubhe we-carpal futhi ungasigcini isihlakala sakho singathathi hlangothi lapho ugibele futhi esikhundleni salokho welula isihlakala sakho njalo, kuzokwandisa izimpawu. " Ngalokhu, uncoma ukugqoka i-brace ethambile (njengalena noma lena) ephoqelela isihlakala endaweni engathathi hlangothi ngenkathi ugibele. (Kuhlobene: Amaphutha Ama-5 Amakhulu Ongase Uwenze Ekilasini Le-Spin).

Indlela Yokuhlola I-Carpal Tunnel

Uma ucabanga ukuthi unomhubhe we-carpal, biza uchwepheshe. Kunezivivinyo ezimbalwa zomhubhe we-carpal abangazenza ukukuthola.

Ukuhlolwa kukaTinel kuhilela ukungena ngaphakathi esihlakaleni kwesokudla kwesithupha, kuchaza uDkt Herman. Uma ubuhlungu bokudubula buphumela esandleni, kuyinkomba yokuthi ungase ube nomhubhe we-carpal.

Isivivinyo sikaPalan kuhilela ukubeka imihlane yezandla zakho neminwe yakho ndawonye phambi kwakho ngeminwe ekhomba phansi amasekhondi angama-90, kusho uDkt Herman. Uma ukuzwa kweminwe noma kwesandla kuguquka, lokho kusho ukuthi ungahle ube ne-carpal tunnel syndrome.

Amanye amadokhumenti azoya enkambweni yesithathu: ukuhlolwa kwe-electromyography (noma i-EMG). "Yile ndlela ngempela ohlola ngayo umhubhe we-carpal," kusho uDkt. Bandia. "Sifaka ama-electrode ezingalweni naseminwe bese sikala ukuthi inzwa ephakathi iqhuba kanjani." Uma le nerve icindezelwe, ukugeleza kwemizwa kuyoncipha.

Ungayiphatha Kanjani I-Carpal Tunnel Syndrome

Kungazwakala kusobala, kepha uma udokotela wakho ecabanga ukuthi isimo esiyisisekelo njengesifo sikashukela noma ukungasebenzi kahle kwe-thyroid yimbangela, lezo kufanele zelashwe kuqala. Ngaphandle kwalokho, kunezinketho zokwelashwa ezihlinzekwayo nezingahlinzekwanga ze-carpal tunnel syndrome.

Imvamisa, umugqa wokuqala wesenzo ukugqoka i-brace ngesikhathi semisebenzi eletha izimpawu (njengokuhamba ngebhayisikili, i-yoga, ukulala, njll) kanye nokunciphisa ngaphandle kokuhlinzwa noma yikuphi ukuvuvukala ngezinto ezifana namaphakethe eqhwa kanye nemithi elwa nokuvuvukala ye-OTC, kusho uDkt. Herman. Ezigabeni zokuqala kakhulu. UDkt. Badia uthi izithasiselo zikavithamini B zingasiza ngisho.

Uma kungekho kulokhu kulungisa "okulula" okusebenzayo, udokotela wakho angase ancome umjovo we-cortisone noma ukuhlinzwa. Umjovo we-cortisone iyi-steroid elwa nokuvuvukala okuthi uma ijojowe ezungeze imizwa ephakathi ingasiza ekwehliseni ukuvuvukala kwendawo, ngakho-ke kunciphise ukucindezelwa kwezinzwa-ucwaningo lukhombisa ukuthi kungenye yezindlela zokwelapha eziphumelela kakhulu ezitholakalayo. Ezimweni ezithuthuke kancane, ingasiqeda ngokuphelele i-syndrome, kuyilapho ezimweni ezithuthuke kakhulu ingase ivele idambise izimpawu isikhathi esifushane. Ukuze uthole ikhambi lesikhathi eside, “kunenqubo yokuhlinza emfushane kakhulu ehilela ukunweba umsele ngokusika omunye wemigqa ecindezela inzwa,” kusho uDkt. Bandia.

Kungenjalo? Sidedele bese usinika ama-20—awunazo izaba zokungaplanki, ukusunduza phezulu, noma ukubhodla amabhulu manje.

Buyekeza kwe-