I-tunnel syndrome ingenye yezifo zanamuhla. Lesi sifo sesimo sezinzwa. Emisebenzini yezokwelapha imisebenzi engaphezu kwengu-30 yesifo esinjalo ichazwa. Esimeni ngasinye esithile, indawo ethile yomzimba iyathinteka, isibonelo, isikhonkwane, i-elbow njalonjalo. Kubalulekile ukufunda ngesikhathi ukubona izimpawu zesifo.
I-Tunnel syndrome - iyini?
Lesi sifo senzeke lapho inzwa yomphakathi ikhonjisiwe. Njengoba uyazi, itholakala emgodini omncane, owakhiwa yimisipha, izicubu zamathambo nama-tendon. Lapho izindawo eziseduze zogeleza zezinzwa, zifakwe. Ngenxa yalokho, ukudluliselwa kwesisindo kuphelelwe amandla. Okokuqala, umhubhe we-tunnel syndrome ukhathazekile kuphela ngezikhathi ezithile. Kodwa-ke, uma lesi sifo sishintsha sibe ifomu elingathí sina, ngisho nezenzo ezisemqoka kakhulu zinikezwa ngobunzima. Akekho oshona kule nkinga yokukhubazeka, kodwa kuyinkimbinkimbi yokuphila.
I-Carpal tunnel syndrome
Lesi sifo sithinta umhubhe we-carpal. Kwenzeka ngenxa yokucindezela kwe-nerve median nge-carpal ligaments ngokuphindaphindiwe kwe-flexion-extension yezandla. Ngokuvamile, isifo esinjalo siyatholakala kubesifazane. Ladies aba mncane kakhulu kunesihenqo. Ngaphezu kwalokho, ngokuguga emzimbeni wabo, izinguquko ezinkulu ze-hormonal ziqala. Konke lokhu kuyisizathu esihle sokuthuthukiswa kwe-carpal tunnel syndrome.
Amaqembu ahlukene namakhono amaningi, lapho lesi sifo sithola khona kaningi kunokujwayelekile. I-tunnel syndrome isongela abantu abenza lolu hlobo lomsebenzi:
- abaculi;
- abaculi;
- abahleli;
- abadlali kanye nabasebenzisi bePC abanomdlandla;
- abashicileli;
- Izisebenzi zokukhiqiza zenza ukunyakaza okuzenzekelayo okuzithokozisa ngezandla zabo.
I-Cubital Tunnel Syndrome
Le-neuropathy ye-compression ye-nern ulnar. Empeleni, lokhu kuyi-ischemia ye "inqubo". I-nerve iyacindezelwa, igazi layo liyaphazanyiswa, ngenxa yalokho ukulimala kwaleli sayithi kuphakama nayo yonke imiphumela elandelayo. Umhubhe we-ulnar syndrome unendlela efanayo yokuthuthukiswa njenge-carpal, tarsal, noma radial. I-pathology enjalo yama-orthopedic ihlukile kuphela endaweni yangakini.
I-Tunnel Syndrome - Izimbangela
Kunezici eziningi ezivusa ukuthuthukiswa kwalesi sifo. Iningi le-carpal tunnel syndrome livela ngezizathu ezilandelayo:
- umsebenzi wesikhathi eside kwikhompyutha (ukusetshenziswa kwekhibhodi negundane kuchazwa);
- I-arthritis nezinye izifo ze-rheumatic ezibangela ukulimala okuhlangene;
- iziphazamiso, ukuxoshwa, ama-fracture nezinye ukulimala;
- i-tendovaginitis nezinye ukuvuvukala kwamalungu;
- ukukhubazeka emsebenzini wezinso, ugundane we-thyroid nezinye izifo ezibangelwa ukuqoqwa komzimba emzimbeni;
- isifo sikashukela mellitus;
- ukukhuluphala;
- ukuphathwa kabi kotshwala;
- amyloidosis ;
- ukukhulelwa nezinye izifo ezenza ushintsho lwe-hormonal;
- i-supercooling;
- ukubhema;
- izakhi zofuzo.
I-Tunnel Syndrome - Izimpawu
Kunoma yiliphi icala, lesi sifo singaqhubeka ngendlela ekhethekile. Ngokuvamile i-carpal syndrome ingaba nomtholampilo onjalo:
- ukungena kweminwe , ebonakala emva kwephupho noma ukunyakaza okungazelelwe;
- i-paresthesia (kunomzwelo wokukhwabanisa okumangalisa, ukukhipha okungajabulisayo, ukuvutha, njalonjalo);
- ubuhlungu eminwe, ukunikeza isikhonkwane noma ihlangothini lomgodi;
- ukuxuba - izinto ziwela ezandleni, kunzima ukubhala noma ukuphrinta okuthile;
- ukwehlisa ubumnene endaweni yendawo ethintekile;
- ushintsho ekushiseni kwezintende zezandla, ukuthunjwa kwezipikili.
Ngaphezu kwalokho, i-tunnel syndrome, kuye ngokuthi indawo yangakini, ingaba eyodwa noma ezimbili. Isifo esivela kakhulu yisigungu esivelele. Uma isiguli sinesandla esifanele, khona-ke isandla sokunene sihlupheka, futhi isokunxele sibhekene nesokunxele. Kodwa-ke, uma ukukhubazeka kwamathambo kwenzeka ngesikhathi sokubeletha ingane noma ngenxa yokuhluleka kwe-hormone emzimbeni, zombili izitho zingathinteka yilesi sifo.
Indlela yokuphatha umhubhe we-tunnel syndrome?
Ngaphambi kokubeka ukwelashwa, udokotela uzoqhuba ukuhlolwa okuphelele. Inqubo enjalo izovumela ukuxilongwa okungenakwenzeka. Uma udokotela esola umhubhe we-carpal tunnel syndrome, wayezofunda izimpawu zawo, futhi enze nezinye izindlela. Ukuze ukuxilongwa kwenziwa lokhu kuhlolwa okuvusa amadlingozi:
- Hlola i-Fahlen - udinga ukugoba ngokusheshisa ngangokunokwenzeka. Ngemuva kwesikhashana, ukuzwakalisa kuzovela. Ngokushesha lezi zimpawu ezingathandeki ziqala, kunzima isiteji sesifo.
- Ukuhlolwa kwe-Tinel - udinga ukuthepha kusayithi nge-nerve ethintekile. Uma isiguli sinemisipha ye-carpal syndrome, ukugubha, ukuphazamiseka nobuhlungu kuyokwenzeka.
- Ukuhlolwa kwe-Durkan - cindezela ibhulashi bese ulinda cishe isigamu somzuzu. Uma kukhona i-pathology yama-orthopedic, iminwe ibe yi-numb futhi inzwa yokuzwakala izwa.
Ukwelashwa kwe-tunnel syndrome kuhilela okuphelele, kodwa ngaphambi kokumisela isiguli kunconywa ukuba kwenziwe ngalezi zinqubo:
- i-electroneuromyography;
- i-radiography;
- I-MRI;
- I-Ultrasound.
Indlela yokuphatha i-carpal tunnel syndrome?
Ukwelashwa kwalesi sifo kuhloswe ukunciphisa inqubo yokuvuvukala nokuqeda ukukhukhumeza endaweni yesilonda. Ngaphezu kwalokho, ukwelashwa kufanele kunciphise ubuhlungu. Ekulweni nezilonda, izindlela zokwelapha, izidakamizwa nezindlela zokuhlinzwa zingasetshenziswa. Izindlela ezimbili zokuqala zisebenza kahle esigabeni sokuqala sesifo. Uma lesi sifo sithole ifomu eliphuthumayo, ukuhlinzwa ngeke kugwenywe.
Ukwelapha okuqaphayo kuhilela ukuqokwa kwezidakamizwa ezinjalo:
- izidakamizwa ezingekho-steroidal anti-inflammatory (Movalis, Diclofenac);
- izidakamizwa ( Veroshpiron noma iFurosemide );
- amavithamini weqembu B;
- i-corticosteroids (Hydrocortisone, i-Prednisolone);
- i-vasodilators (i- Trental );
- imisipha yokuphumula (Midokalm).
Uma i-carpal tunnel syndrome iqinisekiswa ngenkathi ixilongwa, ukwelashwa ekhaya kungenziwa ngosizo lwemithi enqunywe udokotela. Ukuziphilisa akuvunyelwe! Udokotela kumele aqaphe isimo sesiguli kuzo zonke izigaba zokwelashwa. Kodwa-ke, kunezinqubo eziningi ezibonisa ukuthi ukwelapha okulondoloziwe kwesiguli ngeke kube ngempumelelo. Lezi zici zihlanganisa:
- uma ifakwe eminyakeni engaphezu kwengu-50;
- izikhalo ezibekezelayo zokugubha njalo kwezandla;
- izimpawu zesifo sibonakala cishe ngonyaka.
I-Elbow Tunnel Syndrome - Ukwelashwa
Ukwelapha kwalesi sifo kufana nalokhu okusetshenziselwa ukulwa nohlobo lwe-carpal yesifo. Ngaphezu kokunakekelwa kwezidakamizwa, izinqubo ze-physiotherapy nazo zingahle zenziwe. Uma umhubhe we-tunnel syndrome womjoqo wesigqoko utholakala, ngesikhathi esifanayo nemithi efana nalezi zinqubo zibekiwe:
- I-ultraphonophoresis - ngesikhathi senqubo, izitsha ziyakwandisa futhi ukugeleza kwegazi kuma-capillari kwanda. Kunconywa ukuba kudlule izikhathi ezingu-10-12.
- I-Shockwave therapy - ihlose ukunciphisa ubuhlungu nokuthuthukisa ukujikeleza kwegazi. Ukwengeza, emva kwenqubo enjalo, i-metabolism ibuyiselwa futhi amangqamuzana avuselelwa. Inkambo yokwelapha imelwe izinqubo eziyisi-5-7.
Ukuzivocavoca ku-tunnel syndrome
Basebenza njenge-agent evikelayo esebenzayo. Ngaphezu kwalokho, zingasetshenziswa njengendlela eyengeziwe yokulwa nesifo. Lapho kutholakala umhubhe we-tunnel syndrome, izivivinyo zingenziwa kanje:
- Uma iminwe ihlanganiswa, kuyadingeka ukwenza ukunyakaza okucindezelayo.
- Sidinga ukuphumula emabhulashini akhululekile emoyeni.
- Izandla eziphakanyisiwe kufanele zifakwe emabhokisini futhi zingahlanjululwa.
- Udinga ukucindezela izintambo zakho ezinhlangothini, ucindezela futhi ungene eminwe yakho.
Kinesiotherapy ku-tunnel syndrome
Lokhu kulungiswa kunamanani amaningi. Akubangeli imbangela yokukhathazeka noma isiguli. I-tunnel syndrome yebhayisikili ihlinzeka ukusetshenziswa kwamatafula ngekotini ngesisekelo. Sinomthelela ophezulu wokwelapha. Amathebhu avimbela ukukhuphuka komswakama nokuthuthukisa ezinye izinqubo zokwelapha ezifanayo. Lokhu kuhlanganisa ukusikhipha umzimba, umzimba we-physiotherapy, ukuphathwa kabi kwezokwelapha nokunye okunye.
I-Tunnel Syndrome - amafutha
Ukuqinisa umphumela wamaphilisi kuzokusiza ukuphathwa kwendawo. Umphumela omuhle ikakhulukazi ukusetshenziswa kwamafutha okugcoba. Lapho i-carpal tunnel syndrome itholakale, ukwelashwa kungenziwa ngosizo lwemithi enjalo ehloselwe ukusetshenziswa kwangaphandle:
- I-Voltaren;
- Diclofenac;
- Clodifen;
- Okusheshayo.
I-Tunnel syndrome - ivinjelwe
Lapho ukwelashwa, ama-injection asebenza kahle kakhulu. Ukwelashwa kwe-carpal carpal tubil syndrome kuhilela ukuvinjelwa nemithi enjalo:
- I-Neurobion;
- I-Milgamma;
- I-Neurorubin;
- Naklofen;
- By Midokalm;
- I-Trental.
Ukwelashwa kwe-tunnel syndrome ngamakhambi abantu
Uma ukwelapha lesi sifo ngesikhathi esifanayo nemithi, imikhiqizo engeyona imithi ingasetshenziswa. Lezi zihlanganisa "izidakamizwa":
- i-decoctions;
- i-infusions;
- izintambo nokunye okunye.
Indlela yokuphatha i-carpal tunnel syndrome ngamaqabunga e-cranberry?
Izithako:
- amanzi 250 ml;
- Izinto ezomile zokushisa - 1 ithisipuni.
Ukulungiselela, sebenzisa:
- Amaqabunga eCowberry athululelwa ngamanzi futhi agqoke esitofu.
- Letha ukubunjwa emathumba futhi, ukunciphisa umlilo kumncane, upheke ingxenye yesine yehora.
- Khipha umhluzi nobunzima.
- Thatha ngama-sips amancane izikhathi 4-5 ngosuku. Lesi sidakamizwa sisusa ngokuphelele ubuhlungu futhi sinciphisa ukukhukhumeza.
I-Carpal tunnel syndrome - ukwelashwa nge-compress oil-pepper
Izithako:
- oqoshiwe isilwane - 50 g;
- amafutha yemifino - 500 ml.
Ukulungiselela, sebenzisa:
- Izithako zihlangene futhi zithunyelwa esitofu.
- Pheka ukwakheka emlilweni ongaphansi kwamandla isigamu sehora, ugqugquzela ngezikhathi ezithile.
- Umkhiqizo oqediwe usuhlile.
- Ukwakhiwa kwezidakamizwa kugxiliwe endaweni ehlaselwe yisifo.
I-Tunnel Syndrome - Ukusebenza
Umgomo wokungenela ukuhlinzekwa ukunciphisa ingcindezi ku-nerve median. Lapho i-carpal tunnel syndrome isesiteji esithuthukisiwe, ukwelashwa ngezindlela ezizimele kulokhu akusizi ngalutho. Kunalokho, isiguli singanikezwa ukuhlinzwa. Ukungenelela kokuhlinzwa kwenziwa ngaphansi kwe-anesthesia yendawo. I-tunnel syndrome isebenza ngezindlela ezimbili:
- Indlela evulekile - yenza incision kusikristini. Ubude bayo buyi-5 cm. Phakathi nalokhu kusebenza, imigqa iyakunqunywa, okucindezela inzwa.
- Ukusebenzisa i-endoscope. Phakathi nalokhu kuqhutshwa, ukucubungula okuncane okuncane (1.5 cm ngamunye) kwenziwa ezindaweni ezithintekayo. Ekuqaleni ufake i-endoscope, futhi okwesibili - ithuluzi lokuhlinza, lapho i-ligaments ihlukaniswa khona.
Ngemuva kokungenelela kokuhlinzekwa, i-bandage ye-plaster isetshenziswa inyanga endaweni eqhutshwayo. Esikhathini sokuphumula, i-physiotherapy kanye nokuzivocavoca kwezokwelapha kunqunywe. Ngemuva kwezinyanga ezintathu, ukusebenza kwebhashishi kuqala ngo-80%, futhi ezinyangeni ezingu-6 - ngokuphelele. Isiguli singancoma izinyanga eziyisithupha noma ngonyaka ukushintsha imisebenzi. Kodwa-ke, emva kokuthola okugcwele, angabuyela emsebenzini ojwayelekile.