Carpal mumphangayo kumasulidwa

Kutulutsa kwa Carpal ndimankhwala opangira carpal tunnel syndrome. Matenda a Carpal ndi kupweteka komanso kufooka m'manja komwe kumayambitsidwa ndi mitsempha yapakatikati ya dzanja.

Minyewa yapakatikati ndi minyewa yomwe imasinthasintha (kapena kupindika) zala zanu imadutsa gawo lotchedwa carpal tunnel m'manja mwanu. Ngalandeyi ndi yopapatiza, choncho kutupa kulikonse kumatha kutsina mitsempha ndikupweteka. Minyewa yolimba yomwe ili pansi pa khungu lanu (carpal ligament) imapanga pamwamba pamphangayo. Pochita opaleshoni, dokotalayo amadula mitsempha ya carpal kuti apange mpata wochuluka wa mitsempha ndi mitsempha.

Kuchita opaleshoni kumachitika motere:

• Choyamba, mumalandira mankhwala amanjenje kuti musamve kuwawa popanga opareshoni. Mutha kukhala ogalamuka koma mulandiranso mankhwala oti akupumulitseni.
• Kudulidwa kocheperako kumapangidwa m'manja mwanu pafupi ndi dzanja lanu.
• Kenako, minyewa yomwe imaphimba ngalande ya carpal imadulidwa. Izi zimachepetsa kupanikizika kwa mitsempha yapakatikati. Nthawi zina, minofu yozungulira mitsempha imachotsedwanso.
• Khungu ndi minofu pansi pa khungu lanu yatsekedwa ndi sutures (ulusi).

Nthawi zina njirayi imagwiritsidwa ntchito pogwiritsa ntchito kamera yaying'ono yolumikizidwa ndi chowunika. Dokotalayo amalowetsa kamera m'manja mwanu kudzera pakhosi lochepa kwambiri ndipo amayang'ana polojekitiyo kuti iwoneke mkati mwa dzanja lanu. Izi zimatchedwa opaleshoni ya endoscopic. Chida chomwe chimagwiritsidwa ntchito chimatchedwa endoscope.

Anthu omwe ali ndi zizindikilo za carpal tunnel syndrome nthawi zambiri amayesa chithandizo chamankhwala choyamba. Izi zingaphatikizepo:

• Mankhwala oletsa kutupa
• Therapy yophunzirira zolimbitsa thupi ndikutambasula
• Kusintha kwakunyumba kuti musinthe mipando yanu ndi momwe mumagwiritsira ntchito kompyuta yanu kapena zida zina
• Zidutswa zamanja
• Kuwombera kwa mankhwala a corticosteroid mumsewu wa carpal

Ngati palibe mankhwalawa amathandiza, madokotala ena amayesa zamagetsi zamagetsi apakati ndi EMG (electromyogram). Ngati mayeso awonetsa kuti vuto ndi carpal tunnel syndrome, opareshoni yotulutsa carpal ingalimbikitsidwe.

Ngati minofu mdzanja lanu ndi dzanja lanu ikuchepa chifukwa mitsempha ikutsinidwa, opareshoni imachitika posachedwa.

Zowopsa za opaleshoniyi ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Magazi
• Matenda
• Kuvulaza mitsempha yapakatikati kapena misempha yomwe imachokera pamenepo
• Kufooka ndi dzanzi kuzungulira dzanja
• Nthawi zambiri, kuvulala kwa mitsempha ina kapena chotengera magazi (mtsempha kapena mtsempha)
• Kukoma mtima

Asanachite opaleshoni, muyenera:

• Uzani dokotala wanu mankhwala omwe mukumwa. Izi zimaphatikizapo mankhwala, zowonjezera, kapena zitsamba zomwe mudagula popanda mankhwala.
• Mutha kupemphedwa kuti musiye kumwa mankhwala ochepetsa magazi. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), ndi mankhwala ena.
• Funsani omwe akukupatsirani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Funsani omwe akukuthandizani kuti akuthandizeni. Kusuta kumatha kuchepetsa kuchira.
• Lolani wothandizira wanu adziwe za chimfine, chimfine, malungo, kuphulika kwa herpes, kapena matenda ena. Mukadwala, opareshoni yanu imafunika kuimitsidwa kaye.

Patsiku la opareshoni:

• Tsatirani malangizo onena ngati muyenera kusiya kudya kapena kumwa musanachite opaleshoni.
• Tengani mankhwala aliwonse amene mwafunsidwa kumwa pang'ono pokha madzi.
• Tsatirani malangizo pa nthawi yobwera kuchipatala. Onetsetsani kuti mwafika nthawi.

Kuchita opaleshoniyi kumachitika mwachipatala. Simusowa kukhala mchipatala.

Pambuyo pa opaleshoniyi, dzanja lanu litha kukhala lopindika kapena bandeji lolemera kwa pafupifupi sabata. Pitirizani izi mpaka dokotala wanu woyamba akakuchitirani opaleshoni, ndipo muzisunga zoyera ndi zowuma. Kamodzi kapena bandeji ikachotsedwa, mudzayamba kuchita masewera olimbitsa thupi kapena pulogalamu yothandizira.

Kutulutsa kwa Carpal kumachepetsa kupweteka, kumva kulira kwamitsempha, ndi kufooka, ndikubwezeretsanso mphamvu zaminyewa. Anthu ambiri amathandizidwa ndi opaleshoniyi.

Kutalika kwa kuchira kwanu kutengera kutalika kwa nthawi yomwe mudakhala ndi zizindikilo musanachite opareshoni komanso momwe mitsempha yanu yapakatikati yawonongeka. Ngati mutakhala ndi zizindikiro kwa nthawi yayitali, mwina simungakhale ndi zizindikiritso mukachira.

Kukhumudwa kwamankhwala apakatikati; Kusokonezeka kwa carpal; Opaleshoni - carpal mumphangayo

• Chisamaliro cha bala la opaleshoni - chotseguka

• Matenda a Carpal
• Anatomy pamwamba - kanjedza kabwinobwino
• Anatomy pamwamba - dzanja labwinobwino
• Kutengera kwa dzanja
• Kukonza msewu wa Carpal - mndandanda

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.

Mackinnon SE, Novak CB. Kupanikizika kwa ma neuropathies. Mu: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, olemba. Opaleshoni ya Dzanja la Green. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 28.

Zhao M, Burke DT. Matenda apakatikati (carpal tunnel syndrome). Mu: Frontera WR, Silver JK, Rizzo TD, olemba. Zofunikira za Thupi Lathupi ndi Kukonzanso: Matenda a Musculoskeletal, Ululu, ndi Kukonzanso. Wachitatu ed. Philadelphia, PA: Elsevier Saunders; 2015: mutu 36.