Izimbangela, Izimpawu, Ukuxilongwa, Nokunakekelwa
Ukukhulelwa kungakhululekile ngezikhathi ezithile. Ungase ubhekane nokugula kwasekuseni , ukuguquka kwenhliziyo, noma izinyathelo zokuvuvukala . Kodwa, kuthiwani ngobuhlungu, ukunganaki, nokugubha ezandleni zakho nasezintwini? Uma unayo lezi zimpawu, kungaba i-carpal tunnel syndrome (CTS).
I-CTS iyinto engajwayelekile yokukhulelwa okungavamile ukuyizwa ngakho. Nakhu okudingeka ukwazi mayelana nezimbangela, izimpawu, kanye nokwelashwa komhubhe we-carpal ekukhulelwe.
Iyini i-Carpal Tunnel Syndrome?
I-Carpal tunnel syndrome yisimo esithinta isisindo esihlalweni sakho esibizwa ngokuthi i-nerve median. Amagundane athumela izibonakaliso ebuchosheni bakho emzimbeni wakho nasemzimbeni wakho ebuchosheni bakho. Bayibophezele ukunyakaza komzimba kanye nekhono lokuthinta nokuzwela. I-nerve median yehla ingalo yakho esandleni sakho. Idlula isikhonkwane endaweni encane ebizwa ngokuthi umhubhe we-carpal. Umhubhe we-carpal uqukethe i-ligament kanye neqembu lamathambo ezincane okuthiwa amathambo e-carpal. Uma ngabe kukhona okucindezelayo noma okubeka ingcindezi ku-nerve median njengoba idlula ngalesi sikhala esiqinile, ingabangela izimpawu ze-carpal tunnel syndrome.
I-Carpal Tunnel ekukhulelweni
I-Carpal tunnel syndrome ingase icasule noma ibuhlungu kancane, kodwa ingabhekwa njengesimo esibi sezokwelapha ngesikhathi sokukhulelwa. Kungenzeka ukuthi ubonise ukuphela kokukhulelwa ngesikhathi sokuqala omama abaneminyaka engaphezu kwengu-30 ubudala, futhi uma unayo ekukhulelwe okulodwa, kunethuba elikhulu lokubuyela futhi ekukhulelweni okulandelayo.
Amaphesenti angama-60 abesifazane abhekana nezimpawu zomhubhe we-carpal ngesikhathi sokukhulelwa. Esikhathini esiningi kunomusa futhi kubekezeleleka. Kodwa-ke, cishe amaphesenti angu-10 abesifazane abakhulelwe, kungaba buhlungu futhi kuphazamise impilo yokulala nokuphila kwansuku zonke.
Izimbangela
Ngesikhathi sokukhulelwa, umzimba uhamba nezinguquko eziningi ezingokwenyama nezingokwenyama ezingabangela ukuvuvukala emzimbeni.
Uma uketshezi oluthe xaxa kubangela ukuvuvukala esihlakaleni, kubeka ingcindezi emndenini ongaphakathi futhi kubangele izimpawu zomhubhe we-carpal. Ezinye zezimbangela ezihlobene nokukhulelwa kwe-CTS yizi:
- Ukunciphisa ngokweqile
- Ukugcinwa kwamanzi (i-edema)
- Ukukhulelwa kwengane engaphezu kweyodwa
- Isifo sikashukela sofuzo
Umhubhe weCarpal ungathuthuka ngesikhathi sokukhulelwa ezinkingeni ezingahlobene nokukhulelwa. Lezi zihlanganisa i-rheumatoid arthritis, ukulimala esihlakaleni, noma ukunyakaza kwesandla okuphindaphinda okufana nokuthayipha kwekhibhodi.
Izimpawu
Izimpawu zomhubhe we-carpal zingabonisa noma kunini kodwa zivame kakhulu phakathi nenyanga yesibili noma yesithathu . Ungathola i-CTS ezandleni zombili, kodwa isandla sakho esiphezulu singabonisa izimpawu eziningi njengoba usisebenzisa ngaphezulu. Izimpawu zomhubhe we-carpal yizi:
- Izikhonkwane nezinaliti eminwe yakho nasesandleni sakho
- Ukuzwa sengathi isandla sakho silele
- Ubumbulu engxenyeni yesandla sakho eduze kwesithupha sakho
- Ubungako emlenzeni wakho, inkomba, neminwe ephakathi
- Ukuhlushwa ngezandla zakho nokuyeka izinto
- Ubuthakathaka uma uzama ukuthatha izinto
- Ubuhlungu esandleni, isibindi, nangaphambili
- Kungase kube khona ubuhlungu emgqeni, ingalo, ihlombe kanye nentamo
- Ukuzwa okuvuthayo esandleni sakho nangengalo
- Umzwelo wokuvuvukala eminwe nasekhanda
I-Carpal Tunnel ebusuku
Umhubhe weCarpal ungabangela ubuhlungu besibindi ebusuku bese uvuka.
Ngesikhathi ulele, ama-wrists akho angakwazi ukugoba noma phansi bese ucindezela. Uma unyakaza izandla uma uvuka, ngokuvamile uzizwa kangcono. Ama-splints ensimbi angasiza futhi, njengoba egcina kahle izintambo zakho ngenkathi ulele futhi unciphisa ingcindezi emlonyeni.
Ukuxilongwa
Uma ubona izimpawu zomhubhe we-carpal, kufanele ukhulume nodokotela wakho. Udokotela uzolalela izibonakaliso zakho futhi ahlole izandla zakho nezikhali ukuze uhlole ukuvuvukala nobuhlungu. Udokotela angenza izivivinyo ezithile ezilula ukuhlola ukuthi ungazizwa kanjani kahle futhi uma kukhona ubuthakathaka emisipha yesandla sakho noma iminwe yakho.
Lezi zivivinyo ziyi:
- Ukuhlolwa kwe-Durkan's Compression: Udokotela uzocindezela izinzwa zakhe ukuze ahlole ubuhlungu noma ukucubungula.
- Ukuhlolwa kwe-Tinel: Udokotela uzokuthinta kalula isibindi ukuze abone ukuthi uzizwa unyakaza eminwe yakho.
- Ukuhlolwa kukaPhalen: Udokotela uzokubamba iqhaza lakho nge-elbow egobile futhi uvumele isihenqo sakho ukuba sishintshe ngokwemvelo phansi ngogesi, noma uzoba nezimpande zombili ezishintsha phansi ngezandla zakho ngokuthinta nokucindezela ukuze ubone uma uzizwa uvutha, unyakaza, noma unzima.
Odokotela basebenzisa ezinye izivivinyo ukuze baxilonge i-CTS, kodwa cishe ngeke ube nabo ngenkathi ukhulelwe. Kodwa-ke, uma izimpawu zakho zingashiyi ngemuva kokuzalwa kwengane yakho, ungaba nalokhu okulandelayo:
- Isivivinyo sokuqhutshwa kwesibindi noma i-electromyography (EMG)
- X-ray
- I-Ultrasound
- Ukufaniswa kwe-Magnetic Resonance (MRI)
Ukwelashwa Phakathi Nokukhulelwa
Ukwelashwa komhubhe we-carpal ngesikhathi ukhulelwe kuzoxhomeka ekutheni i-CTS ithinta kanjani ukuphila kwakho kwansuku zonke nokuthi ungakubekezelela kangakanani. Ezimweni ezinzima, udokotela wakho angakunikeza ngolwazi nokwelashwa ukuze unciphise izimpawu zakho. Amacala ajwayelekile awavamile, kodwa uma evuka, udokotela wakho angakutjela kunomdlavuza wezinzwa ogxile emithanjeni noma udokotela wamazinyo ogxile emathanjeni nasemisipha.
Ngesikhathi ukhulelwe, kufanele wenze konke ongakwenza ukuphatha nokubekezelela izimpawu ze-CTS. Uma ungadlula konke okukhulelwe kwakho, kufanele uthole kangcono emva kokubeletha kwengane yakho. Udokotela wakho angancoma ukuthi uzame:
- Ice
- Okunye okushisayo nokubandayo endaweni
- Gwema ukunyakaza kwesandla ngokuphindaphindiwe ngangokunokwenzeka ngoba izenzo eziphindaphindiwe zenza kube buhlungu
- Ukuphumula kwesandla sekhibhodi ukusekela ama-wrists akho uma uthayipha noma usebenza kukhompyutha yakho
- Ukuthatha ama-breaks ngokuvamile ikakhulukazi uma unomsebenzi odinga ukuba uthayiphe, ubhale, noma usebenzise imishini edlidliza
- Ukuphakamisa izingalo zakho ukusiza ukuphuma kwamanzi okuphuma endaweni
- Ukuthungatha indawo
- Ukusebenzisa umunwe omnene nokuzivocavoca izandla
- Ukugqoka ama-braces okuthiwa ubucwebe be-wrist ukuze kugcinwe ama-wrists endaweni engathathi hlangothi ikakhulukazi ebusuku
- Ukuthatha i-Tylenol (i-acetaminophen) noma imithi yokusiza ubuhlungu ephephile ukuyisebenzisa ngesikhathi sokukhulelwa
- Ukuzama ukuhlinzwa noma i-yoga
- Ukwelapha ngokomzimba
Uma izimpawu zinzima kakhulu, imithi ye-steroid ejojowe ngenaliti ngqo endaweni yomgwaqo ye-carpal ingasiza ekunciphiseni ubuhlungu nokuvuvukala.
Ukwelashwa Ngemva kokubeletha
Lapho ingane yakho izalwa, izimpawu ze-CTS zingase zibe ngcono kangcono zodwa njengamazinga e-fluid kanye nama-hormone abuyele evamile. Isikhathi kaningi ukuphathwa kahle kwezimpawu zokukhulelwa kwe-carpal tunnel syndrome. Qhubeka ukukhuluma ngakho nodokotela wakho kuma-aphoyintimenti wakho wokulandela. Uma izimpawu zakho zingaphuthuki emasontweni nasezinyangeni ngemuva kokubeletha, udokotela wakho angancoma:
- Imithi ephikisayo yokunciphisa ubuhlungu nokuvuvukala. Ngesikhathi ukhulelwe, akufanele uthathe imithi yokuhlunguphaza efana no-Motrin no-Advil (i-Ibuprofen) ngaphandle kokuthi inqunywe udokotela wakho. Kodwa, ungakhuluma nodokotela wakho mayelana nokuwasebenzisa emva kokubeletha.
- I-Diuretics (amaphilisi amanzi) ukusiza ukukhipha uketshezi okwedlulele emzimbeni ngokusebenzisa ukuchama
- Ukuqhubeka nokwelapha ngokomzimba noma emsebenzini njengoba kudingeka
- I-steroid injection
- Ukuhlinzwa akudingeki kakhulu kodwa kuyatholakala uma kunesidingo.
I-CTS ne-Breastfeeding
Izimpawu zomhubhe we-carpal zivame ukuhamba ngemva kokubeletha, kodwa zingase ziqhubeke nokuncelisa . Abanye besifazane abahlukunyezwa yi-CTS ngesikhathi sokukhulelwa, kuphela ukuba nezimpawu ziqale amasonto ambalwa ngemva kokubeletha ngenkathi zibeletha. Ukwelashwa komhubhe we-carpal ngenkathi kuncelisa ukubeletha kuhilela ukuqaphela isimo sakho sandla njengoba ubamba futhi uncelisa ingane yakho , ukugqokisa izandla, ukuphumula ngangokunokwenzeka , ukuthatha amaphilisi amanzi ukukhulula uketshezi emzimbeni, nokuthola injeni ye-steroid uma kudingekile. Umhubhe we-carpal ohlobene nokubeletha uvame ukuxazulula lapho ingane isanda .
> Imithombo:
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> Lawrence, uRuth A., MD, Lawrence, uRobert M., MD. Ukuncelisa Ukubeletha Umhlahlandlela Wezokwelapha Umsebenzi We-Eighth Edition. I-Elsevier Health Sciences. 2015.
> Moghtaderi AR, Moghtaderi N, Loghmani A. Ukuhlola ukusebenza komjovo we-dexamethasone wendawo kubesifazane abakhulelwe abane-carpal tunnel syndrome. Journal of ucwaningo ezenzweni zezokwelapha: iphephandaba elisemthethweni lika-Isfahan University of Medical Sciences. 2011 Meyi; 16 (5): 687.
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