Carpal Bwana

Zamkati

• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Momwe amadziwika
• Momwe amathandizidwira
• Chithandizo chosagwira ntchito
• Opaleshoni
• Maganizo ake ndi otani?

Kodi bwana wa carpal ndi chiyani?

Bwana wa carpal, yemwe ndi waufupi ndi bwana wa carpometacarpal, ndikukula kwa fupa komwe cholozera chanu kapena chala chapakati chimakumana ndi mafupa a carpal. Mafupa anu a carpal ndi mafupa ang'onoang'ono asanu ndi atatu omwe amapanga dzanja lanu. Vutoli nthawi zina limatchedwa carpal bossing.

Kukula kwakukulu kumeneku kumayambitsa chotupa cholimba kumbuyo kwa dzanja lanu chomwe sichimasuntha. Anthu ambiri omwe ali ndi bwana wa carpal alibe zisonyezo. Vutoli limangofunika chithandizo ngati zikhala zopweteka kapena kuyamba kuchepetsa kuyendetsa m'manja mwanu.

Werengani kuti mudziwe zambiri zamabuku a carpal, kuphatikiza zomwe zimayambitsa ndi chithandizo chopezeka.

Zizindikiro zake ndi ziti?

Chizindikiro chachikulu cha bwana wa carpal ndi chotupa cholimba kumbuyo kwa dzanja lanu. Mutha kukhala nayo pamanja limodzi kapena onse awiri.

Anthu ambiri alibe zizindikiro zina zilizonse. Komabe, nthawi zina bampu imakhala yofewa pakukhudza kapena kupweteka mukakweza dzanja lanu. Anthu ena amakumananso ndi zowawa zamtundu wapafupi akamadutsa pamthambo.

Ochita kafukufuku amakhulupirira kuti izi zitha kukhala chifukwa cha vuto lina, monga:

• bursiti
• nyamakazi
• kuwonongeka kwa tendon

Zimayambitsa chiyani?

Akatswiri sakudziwa zenizeni zomwe zimayambitsa carpal bossing. Kwa anthu ena, zimawoneka kuti ndizokhudzana ndi kuvulala koopsa kapena kutengeka kwa dzanja, monga omwe amachita masewera olimbitsa thupi kapena gofu. Kuphatikiza apo, zimakhudza dzanja lanu lamphamvu, ndikuwonetsanso kuti kubwereza mobwerezabwereza komanso kumwa mopitirira muyeso kumatha kutengapo gawo.

Kwa ena, atha kukhalanso obadwa nawo obwera chifukwa cha mafupa omwe amapanga musanabadwe.

Momwe amadziwika

Kuti mupeze bwana wa carpal, dokotala wanu ayamba kufunsa mafunso angapo kuti mudziwe:

• pomwe mudazindikira koyamba
• mwakhala mukukhala ndi zizindikiro nthawi yayitali bwanji
• kusuntha kotani, ngati kulipo, kumabweretsa kapena kukulitsa zizindikiro zanu
• momwe zizindikiritso zanu zimakhudzira zochita zanu za tsiku ndi tsiku

Kenako, amatha kuwona dzanja lanu ndikuyesera kusuntha manja anu mbali zosiyanasiyana kuti ayese mayendedwe anu. Amathanso kumva kupuma kuti aone ngati kuli kovuta kapena kofewa. Izi zimathandiza kusiyanitsa abwana a carpal ndi cyst ganglion. Ziphuphuzi zimawoneka ngati abwana a carpal, koma zimadzazidwa ndimadzimadzi osati olimba. Komabe, nthawi zina bwana wa carpal amatha kuyambitsa gulu la ganglion.

Ngati muli ndi zowawa zambiri, dokotala wanu amathanso kuyitanitsa X-ray kapena MRI scan kuti ayang'ane bwino mafupa ndi mitsempha m'manja mwanu.

Momwe amathandizidwira

Carpal bwana safuna chithandizo ngati sayambitsa zizindikiro zilizonse. Komabe, ngati mukumva kuwawa kapena kumva kukoma, kapena bampu ikulepheretsani zochita zanu za tsiku ndi tsiku, pali njira zingapo zamankhwala.

Chithandizo chosagwira ntchito

Ngati mukufuna chithandizo, dokotala wanu angakulimbikitseni kuyamba ndi chithandizo chamankhwala monga:

• kuvala ziboda kapena bandeji kuti muchepetse dzanja lanu
• kumwa mankhwala opweteka kwambiri, monga acetaminophen kapena ibuprofen
• kuyatsa dera lomwe lakhudzidwa
• jekeseni wa corticosteroid mu chotupa

Ngati simukuwona kusintha kwa zizindikilo zanu pasanathe miyezi iwiri, dokotala wanu atha kunena kuti mungachite opaleshoni.

Opaleshoni

Dokotala wanu akhoza kuchotsa opaleshoni. Iyi ndi njira yodziwikiratu yakuchipatala yomwe nthawi zambiri imatenga nthawi yochepera ola limodzi. Mudzalandira mankhwala oletsa ululu am'deralo, am'deralo, kapena ochititsa dzanzi dokotala wanu asanadule pang'ono kumbuyo kwa dzanja lanu. Kenako, aika zida zopangira opaleshoni kudzera mu izi kuti achotse bampu.

Pambuyo pa opaleshoni, mutha kuyamba kugwiritsa ntchito dzanja lanu pasanathe sabata, ndikubwerera kuzinthu zomwe mumachita mkati mwa milungu iwiri kapena isanu ndi umodzi.

Anthu ena amafunikira njira yachiwiri atachotsedwa bwana wa carpal. Njirayi imatchedwa carpometacarpal arthrodesis. Zimaphatikizaponso kuchotsa fupa ndi karoti kuti ziwongolere dzanja lanu. Kutengera ndi zizindikilo zanu, adotolo angavomereze izi pokhapokha atachotsa bwana wa carpal.

Maganizo ake ndi otani?

Pokhapokha ngati mukumva kuwawa, bwana wa carpal safuna chithandizo chilichonse. Ngati muli ndi nkhawa kapena mukukumana ndi matenda, lankhulani ndi dokotala wanu zomwe mungachite. Mutha kuyesa chithandizo chamankhwala, chomwe chiyenera kukupatsani chithandizo pakadutsa mwezi umodzi kapena iwiri. Apo ayi, dokotala wanu akhoza kuchotsa bwana wa carpal.