Kusokonezeka kwapakati pakatikati

Kulephera kwa mitsempha yapakatikati ndi mawonekedwe am'mitsempha yam'mimba yomwe imakhudza kuyenda kapena kumva kwa manja.

Mtundu wamba wamavuto apakatikati amitsempha yamagazi ndimatenda a carpal.

Kulephera kwa gulu limodzi lamitsempha, monga mitsempha yapakatikati, kumatchedwa mononeuropathy. Mononeuropathy amatanthauza kuti pali zomwe zimapangitsa kuti mitsempha iwonongeke. Matenda omwe amakhudza thupi lonse (zovuta zamachitidwe) amathanso kuyambitsa mitsempha yokhayokha.

Vutoli limachitika pamene mitsempha yotupa, yotsekedwa, kapena yovulala chifukwa chovulala. Chifukwa chofala kwambiri ndikutchera (msampha). Kutchera kumapanikiza mitsempha pomwe imadutsa malo opapatiza. Kuphulika kwa dzanja kumatha kuvulaza mitsempha yapakatikati mwachindunji. Kapenanso, zitha kuwonjezera chiopsezo chotenga mitsempha pambuyo pake.

Kutupa kwa tendon (tendonitis) kapena mafupa (nyamakazi) amathanso kukakamiza mitsempha. Kusunthika kwina kobwerezabwereza kumawonjezera mwayi wopanga ma carpal tunnel mteap. Amayi amakhudzidwa kwambiri kuposa amuna.

Mavuto omwe amakhudza minofu yomwe ili pafupi ndi mitsempha kapena kupangitsa kuti madipozowo apange mu minofu amatha kuletsa kuyenda kwa magazi ndikuwonjezera kukakamira kwa mitsempha. Zinthu monga:

• Mahomoni ochulukirapo m'thupi (acromegaly)
• Matenda a shuga
• Chithokomiro chosagwira ntchito (hypothyroidism)
• Matenda a impso
• Khansa yamagazi yotchedwa multiple myeloma
• Mimba
• Kunenepa kwambiri

Nthawi zina, palibe chifukwa chomwe chingapezeke. Matenda ashuga amatha kukulitsa vutoli.

Zizindikiro zimatha kuphatikizira izi:

• Zowawa m'manja kapena m'manja zomwe zingakhale zolimba ndikukudzutsani usiku, ndipo zimamvekanso m'malo ena, monga mkono wakumtunda (uku kumatchedwa kupweteka komwe kumatchulidwa)
• Kutengeka kumasintha pa chala chachikulu, cholozera, chapakati, ndi gawo la zala, monga kumverera kotentha, kuchepa kwamphamvu, kufooka ndi kumva kulira
• Kufooka kwa dzanja komwe kumakupangitsani kugwetsa zinthu kapena kuvutika kugwira zinthu kapena kumangirira malaya

Wothandizira zaumoyo wanu adzawona dzanja lanu ndikufunsani za mbiri yanu yamankhwala. Mayeso omwe angachitike ndi awa:

• Electromyogram (EMG) kuti muwone momwe magetsi amagwirira ntchito
• Kuyesa kwamitsempha kwamitsempha kuti muwone momwe zizindikilo zamagetsi zimadutsira muminyewa
• Neuromuscular ultrasound kuti muwone mavuto ndi minofu ndi mitsempha
• Mitsempha yamitsempha yomwe minofu yamitsempha imachotsedwa kuti ikawunikidwe (sifunikira kwenikweni)
• Magnetic resonance neurography (kulingalira mwatsatanetsatane kwa mitsempha yotumphukira)

Chithandizochi chimalimbikitsidwa ndi chomwe chimayambitsa.

Ngati mitsempha yapakatikati imakhudzidwa ndi matenda a carpal tunnel, chopukutira m'manja chimatha kuchepetsa kuvulala kwamitsempha ndikuthandizira kuthetsa zizindikilo. Kuvala ziboda usiku kumakhala m'deralo ndikuchepetsa kutupa. Jekeseni m'manja ungathandize ndi zizindikilo, koma sizingathetse vutoli. Kuchita opaleshoni kungafunike ngati chopukutira kapena mankhwala sakuthandiza.

Pazifukwa zina, chithandizo chitha kuphatikizira izi:

• Mankhwala ochepetsa kupweteka kwa mitsempha (monga gabapentin kapena pregabalin)
• Kuchiza vuto lazachipatala lomwe limayambitsa kuwonongeka kwa mitsempha, monga matenda ashuga kapena matenda a impso
• Thandizo lakuthupi kuti likhalebe lolimba minyewa

Ngati chifukwa cha kulephera kwa mitsempha chikhoza kudziwika ndikuchiritsidwa, pali mwayi wabwino wochira. Nthawi zina, pamakhala kuyenda kapena kutayika kwathunthu kapena kuyenda. Kupweteka kwamitsempha kumatha kukhala koopsa ndikupitilira kwa nthawi yayitali.

Zovuta zingaphatikizepo:

• Kulephera kwa dzanja (kawirikawiri)
• Kutayika pang'ono kapena kwathunthu kwa kuyenda kwa manja
• Kutaya pang'ono kapena kumverera kwathunthu kuminwe
• Kuvulala mobwerezabwereza kapena kosazindikira m'manja

Itanani omwe akukuthandizani ngati muli ndi zizindikilo za kutha kwa mitsempha yapakatikati. Kuzindikira koyambirira ndi chithandizo kumawonjezera mwayi wochiritsa kapena kuwongolera zizindikilo.

Kupewa kumasiyana, kutengera chifukwa. Mwa anthu omwe ali ndi matenda ashuga, kuwongolera shuga wamagazi kumachepetsa chiopsezo chokhala ndi vuto la mitsempha.

Kwa anthu omwe ali ndi ntchito zomwe zimakhudza kuyenda mobwerezabwereza kwa dzanja, kusintha momwe ntchitoyi imagwirira ntchito kungafune. Kupuma pafupipafupi kungathandizenso.

Neuropathy - mitsempha yapakatikati yapakati

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Craig A, Richardson JK, Ayyangar R. Kukhazikitsa kwa odwala omwe ali ndi ma neuropathies. Mu: Cifu DX, mkonzi. Mankhwala a Braddom Physical and Rehabilitation. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 41.

Katirji B. Kusokonezeka kwamitsempha yotumphukira. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: mutu 107.

Toussaint CP, Ali ZS, Zager EL. Ma syndromes otsekera kutali: ngalande ya carpal, mumphangayo wa cubital, peroneal, ndi tarsal tunnel. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 249.

Waldman SD. Matenda a Carpal. Mu: Waldman SD, mkonzi. Atlas of Common Pain Syndromes. Wolemba 4. Philadelphia, PA: Elsevier; 2019: chap 50.