Matenda a Carpal

Matenda a Carpal ndi vuto lomwe limapanikizika kwambiri pamitsempha yapakatikati. Uwu ndiye minyewa yomwe ili m'manja yomwe imalola kumverera ndikuyenda mbali zina za dzanja. Matenda a Carpal atha kubweretsa dzanzi, kumva kulira, kufooka, kapena kuwonongeka kwa minofu m'manja ndi zala.

Mitsempha yamkati imapereka kumverera ndi kusunthira kumbali yakumanja ya dzanja. Izi zikuphatikiza chikhatho, chala chachikulu, cholozera chala, chala chapakati, ndi mbali yayikulu ya chala chaching'ono.

Dera lomwe lili m'manja mwanu momwe mitsempha imalowera m'manja limatchedwa carpal tunnel. Ngalandeyi nthawi zambiri imakhala yopapatiza. Kutupa kulikonse kumatha kutsina mitsempha ndikupangitsa kupweteka, kufooka, kumva kulira kapena kufooka. Izi zimatchedwa carpal tunnel syndrome.

Anthu ena omwe amakhala ndi carpal tunnel syndrome adabadwa ndi mphanga yaying'ono ya carpal.

Matenda a Carpal amathanso kuyambitsidwa ndikupanga dzanja lomwelo ndikuyenda mobwerezabwereza. Kugwiritsa ntchito zida zamanja zomwe zimanjenjemera kungayambitsenso matenda a carpal tunnel.

Kafukufuku sanatsimikizire kuti carpal tunnel imayamba chifukwa cholemba pakompyuta, kugwiritsa ntchito mbewa, kapena kubwereza kuyenda mukamagwira ntchito, kusewera chida choimbira, kapena kusewera masewera. Koma, izi zitha kuyambitsa tendinitis kapena bursitis m'manja, zomwe zimatha kuchepa njira ya carpal ndikubweretsa zizindikilo.

Matenda a Carpal syndrome amapezeka nthawi zambiri mwa anthu azaka za 30 mpaka 60. Amakonda kwambiri amayi kuposa amuna.

Zina zomwe zingayambitse matenda a carpal tunnel ndi awa:

• Kumwa mowa
• Kuphulika kwa mafupa ndi nyamakazi ya dzanja
• Cyst kapena chotupa chomwe chimamera m'manja
• Matenda
• Kunenepa kwambiri
• Ngati thupi lanu limasunga zamadzimadzi owonjezera panthawi yapakati kapena kusamba
• Matenda a nyamakazi
• Matenda omwe amakhala ndi mapuloteni ambiri mthupi (amyloidosis)

Zizindikiro zimatha kuphatikizira izi:

• Kusowa dzanja mukamagwira zinthu
• Dzanzi kapena kumva kulasalasa thundu ndi zala ziwiri kapena zitatu zotsatira za dzanja limodzi kapena onse
• Dzanzi kapena kumva kulasalasa kwa chikhatho cha dzanja
• Ululu womwe umafikira mpaka m'zigongono
• Kupweteka m'manja kapena dzanja limodzi kapena manja onse
• Mavuto osuntha chala (kulumikizana) mu dzanja limodzi kapena onse
• Kutaya minofu pansi pa chala chachikulu (muzochitika zapamwamba kapena zazitali)
• Zofooka kapena zovuta kunyamula zikwama (chodandaula chofala)
• Kufooka kwa dzanja limodzi kapena onse

Pakati pa kuyezetsa thupi, wothandizira zaumoyo wanu angapeze:

• Dzanzi m'dzanja, chala chachikulu, cholozera chala, chala chapakati, ndi mbali ya chala cham'manja
• Kufooka kwa dzanja
• Kugwedeza mitsempha yapakatikati pa dzanja lanu kungayambitse kupweteka kuchokera m'manja mwanu kupita m'manja mwanu (ichi chimatchedwa chizindikiro cha Tinel)
• Kupinda dzanja lako kutsogolo kwa masekondi 60 nthawi zambiri kumabweretsa kufooka, kumva kulasalasa, kapena kufooka (uku kumatchedwa mayeso a Phalen)

Mayeso omwe atha kulamulidwa ndi awa:

• X-rays kuti athetse mavuto ena, monga nyamakazi m'manja mwanu
• Electromyography (EMG, mayeso owunika minofu ndi mitsempha yomwe imawalamulira)
• Kuthamanga kwamitsempha (mayeso kuti muwone kuthamanga kwamagetsi mwachangu)

Wopereka wanu atha kupereka malingaliro awa:

• Kuvala ziboda usiku kwa milungu ingapo. Ngati izi sizikuthandizani, mungafunenso kuvala ziboda masana.
• Pewani kugona m'manja mwanu.
• Kuyika ma compress ofunda ndi kuzizira m'deralo.

Zosintha zomwe mungapange kuntchito kwanu kuti muchepetse kupsinjika kwa dzanja lanu ndi monga:

• Pogwiritsa ntchito zida zapadera, monga ma kiyibodi, mitundu yosiyanasiyana yama mbewa zamakompyuta, ma pads omata, ndi ma kabokosi.
• Kukhala ndi wina wowunikiranso momwe mulili mukamagwira ntchito yanu. Mwachitsanzo, onetsetsani kuti kiyibodi ndiyotsika kwambiri kuti manja anu asakwere mmwamba mukamalemba. Wothandizira anu atha kupereka lingaliro lantchito yantchito.
• Kusintha ntchito yanu yakunyumba kapena zochitika zapakhomo ndi zamasewera. Ntchito zina zolumikizidwa ndi carpal tunnel syndrome zimaphatikizapo zomwe zimaphatikizapo zida zogwedeza.

MANKHWALA

Mankhwala omwe amagwiritsidwa ntchito pochizira matenda a carpal tunnel amaphatikizapo mankhwala osagwiritsa ntchito zotupa (NSAIDs), monga ibuprofen kapena naproxen. Majekeseni a Corticosteroid omwe amaperekedwa munthawi ya carpal amatha kuthana ndi vuto kwakanthawi.

KUGWIDWA

Kutulutsa kwa Carpal ndi njira yochitira opaleshoni yomwe imadula mu minyewa yomwe ikukakamira pamitsempha. Kuchita opaleshoni kumayenda bwino nthawi zambiri, koma zimadalira nthawi yayitali yomwe mwakhala mukukakamizidwa ndi mitsempha komanso kuuma kwake.

Zizindikiro nthawi zambiri zimawoneka bwino popanda opaleshoni. Koma oposa theka la milandu pamapeto pake amafunika kuchitidwa opaleshoni. Ngakhale opaleshoni ikuyenda bwino, kuchira kwathunthu kumatha kutenga miyezi.

Ngati vutoli likuchiritsidwa bwino, nthawi zambiri pamakhala zovuta. Minyewa ikapanda kuchiritsidwa, imatha kuwonongeka, ndikupangitsa kufooka kwamuyaya, dzanzi, ndi kumva kulira.

Itanani kuti mudzakumane ndi wokuthandizani ngati:

• Muli ndi zizindikiro za matenda a carpal tunnel
• Zizindikiro zanu sizikugwirizana ndi chithandizo chamankhwala chokhazikika, monga kupumula ndi mankhwala odana ndi zotupa, kapena ngati zikuwoneka kuti kutayika kwa minofu kuzungulira zala zanu
• Zala zanu zimasiya kumva zambiri

Gwiritsani ntchito zida ndi zida zomwe zakonzedwa bwino kuti muchepetse chiwopsezo chovulala m'manja.

Zothandizira Ergonomic, monga makibodi ogawanika, ma tray a kiyibodi, zolembera zolembera, ndi zolumikizira m'manja, zitha kugwiritsidwa ntchito kukonza mawonekedwe amanja mukamalemba. Tengani zopuma pafupipafupi mukamalemba ndipo nthawi zonse siyani ngati mukumva kulira kapena kupweteka.

Kulephera kwaminyewa kwamkati; Kutsekemera kwamkati kwamkati; Matenda apakatikati

• Kupanikizika kwa mitsempha yapakatikati
• Anatomy pamwamba - dzanja labwinobwino
• Ndondomeko ya opaleshoni ya Carpal
• Matenda a Carpal

Calandruccio JH. Matenda a Carpal, matenda a ulnar tunnel, ndi stenosing tenosynovitis. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 76.

Zhao M, Burke DT. Matenda apakatikati (carpal tunnel syndrome). Mu: Frontera WR, Silver JK, Rizzo TD Jr, olemba. Zofunikira za Thupi Lathupi ndi Kukonzanso: Matenda a Musculoskeletal, Ululu, ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 36.