Nchiyani Chimayambitsa Carpal Tunnel Syndrome Pakati pa Mimba, ndipo How It Treated?

Zamkati

• Kodi zizindikiro za matenda a carpal mumimba ndi ziti?
• Kodi chimayambitsa matenda a carpal tunnel?
• Chithunzi chamitsempha yama Median
• Kodi amayi ena apakati ali pachiwopsezo chowonjezeka?
• Kukhala wonenepa kwambiri kapena wonenepa kwambiri musanakhale ndi pakati
• Kukhala ndi matenda okhudzana ndi matenda ashuga kapena matenda oopsa
• Mimba zam'mbuyomu
• Kodi CTS imapezeka bwanji ali ndi pakati?
• Momwe mungachiritse matenda a carpal mumimba
• Matenda a Carpal ndi kuyamwitsa
• Maganizo ake ndi otani?

Matenda a Carpal ndi mimba

Matenda a Carpal (CTS) amapezeka nthawi zambiri ali ndi pakati. CTS imachitika mwa 4 peresenti ya anthu wamba, koma imapezeka mwa amayi 31 mpaka 62 mwa amayi 100 apakati, akuti kafukufuku wa 2015.

Akatswiri sadziwa kwenikweni chomwe chimapangitsa CTS kukhala yofala kwambiri panthawi yapakati, koma amaganiza kuti kutupa kokhudzana ndi mahomoni kumatha kukhala komwe kumayambitsa. Monga momwe kusungunuka kwamadzimadzi pathupi kumatha kupangitsa kuti maondo anu ndi zala zanu zitupuke, zingayambitsenso kutupa komwe kumabweretsa CTS.

Werengani kuti mudziwe zambiri za CTS mukakhala ndi pakati.

Kodi zizindikiro za matenda a carpal mumimba ndi ziti?

Zizindikiro zodziwika za CTS ali ndi pakati ndi izi:

• dzanzi ndi kumva kulasalasa (pafupifupi ngati zikhomo ndi singano kumverera) mu zala, pamanja, ndi manja, zomwe zitha kukulirakulira usiku
• kutulutsa kwamphamvu m'manja, pamanja, ndi zala
• zala zotupa
• vuto logwira zinthu komanso zovuta kuchita bwino pamagalimoto, monga kumangirira mabatani malaya kapena kumenyera m'khosi mkanda

Dzanja limodzi kapena onse atha kukhudzidwa. Kafukufuku wa 2012 adapeza kuti pafupifupi onse omwe ali ndi pakati omwe ali ndi CTS anali nawo m'manja onse.

Zizindikiro zimatha kukula pamene mimba ikupita. Kafukufuku wina adapeza kuti 40% ya omwe akutenga nawo mbali adanenapo kuyambika kwa zizindikiritso za CTS pambuyo pamasabata 30 apakati. Apa ndipamene kunenepa kwambiri ndikusungira kwamadzi kumachitika.

Kodi chimayambitsa matenda a carpal tunnel?

CTS imachitika pamene mitsempha yapakatikati imapanikizika ikamadutsa mumsewu wa carpal m'manja. Minyewa yapakatikati imayambira pakhosi, kutsika mkono, mpaka padzanja. Minyewa imeneyi imalamulira kumva zala.

Ngalande ya carpal ndi njira yopapatiza yopangidwa ndi mafupa ang'onoang'ono a "carpal" ndi mitsempha. Ngalande ikachepetsedwa chifukwa cha kutupa, minyewa imapanikizika. Izi zimabweretsa kupweteka m'manja ndi dzanzi kapena kuwotcha zala.

Chithunzi chamitsempha yama Median

[Mapu A Thupi Aphatikizidwa: / mamapu amtundu wa anthu / mitsempha yapakatikati]

Kodi amayi ena apakati ali pachiwopsezo chowonjezeka?

Amayi ena apakati amatha kukhala ndi CTS kuposa ena. Nazi zina mwaziwopsezo za CTS:

Kukhala wonenepa kwambiri kapena wonenepa kwambiri musanakhale ndi pakati

Sizikudziwika ngati kulemera kumayambitsa CTS, koma amayi apakati omwe ali onenepa kwambiri kapena onenepa kwambiri amalandira matendawa kuposa amayi apakati omwe alibe onenepa kapena onenepa kwambiri.

Kukhala ndi matenda okhudzana ndi matenda ashuga kapena matenda oopsa

Matenda a shuga komanso matenda oopsa kwambiri amatha kubweretsa kusungunuka kwamadzimadzi ndi kutupa. Izi, zitha kuwonjezera chiopsezo cha CTS.

Kuchuluka kwa shuga m'magazi kumathanso kuyambitsa kutupa, kuphatikizira mayendedwe a carpal. Izi zitha kuwonjezera chiopsezo cha CTS.

Mimba zam'mbuyomu

Kupumulanso kumawoneka kambiri pamitengo yotsatira. Hormone imeneyi imathandiza kuti mafupa a chiuno ndi khomo pachibelekeropo ziwonjezeke panthawi yapakati pokonzekera kubereka. Ikhozanso kuyambitsa kutupa mu carpal tunnel, kufinya mitsempha yapakatikati.

Kodi CTS imapezeka bwanji ali ndi pakati?

CTS imapezeka nthawi zambiri kutengera malingaliro anu azizindikiro kwa dokotala wanu. Dokotala wanu amathanso kukayezetsa.

Pakati pa kuyezetsa thupi, dokotala wanu amatha kugwiritsa ntchito mayeso amagetsi kuti atsimikizire matendawa, ngati angafunike. Mayeso a Electrodiagnostic amagwiritsa ntchito singano zoonda kapena ma elekitirodi (mawaya olumikizidwa pakhungu) kuti alembe ndikusanthula zomwe mitsempha yanu imatumiza ndikulandila. Kuwonongeka kwa mitsempha yapakatikati kumatha kuchepa kapena kulepheretsa magetsi awa.

Dokotala wanu amathanso kugwiritsa ntchito chikwangwani cha Tinel kuti azindikire kuwonongeka kwa mitsempha. Mayesowa atha kuchitika ngati gawo la kuyezetsa thupi. Mukamayesa, dokotala wanu amangodutsa malowa ndi mitsempha yomwe yakhudzidwa. Ngati mukumva kulira, izi zitha kuwonetsa kuwonongeka kwa mitsempha.

Chizindikiro cha Tinel ndi mayeso a electrodiagnostic ndiotetezeka kuti azigwiritsidwa ntchito panthawi yapakati.

Momwe mungachiritse matenda a carpal mumimba

Madokotala ambiri amalimbikitsa kuti azisamalira CTS mosamala ali ndi pakati. Izi ndichifukwa choti anthu ambiri amasangalala m'masabata ndi miyezi ingapo atabereka. Pakafukufuku wina, m'modzi mwa anthu 6 aliwonse omwe anali ndi CTS panthawi yapakati anali ndi zizindikilo miyezi 12 atabereka.

Muli ndi mwayi wopitilira kukhala ndi CTS mukabereka ngati zizindikiro zanu za CTS zidayamba kale pomwe muli ndi pakati kapena ngati matenda anu ali ovuta.

Mankhwalawa atha kugwiritsidwa ntchito bwino panthawi yapakati:

• Gwiritsani ntchito chopindika. Fufuzani chitsulo chomwe chimapangitsa dzanja lanu kukhala lopanda ndale (losakhazikika). Zizindikiro zikayamba kukulira, kuvala zolimba usiku kungakhale kopindulitsa kwambiri. Ngati ndizothandiza, mutha kuvalanso masana.
• Chepetsani zinthu zomwe zimapangitsa kuti dzanja lanu lipinde. Izi zikuphatikiza kulemba pa kiyibodi.
• Gwiritsani ntchito mankhwala ozizira. Ikani ayezi wokutidwa ndi chopukutira m'manja mwanu kwa mphindi 10, kangapo patsiku, kuti muchepetse kutupa. Muthanso kuyesa zomwe zimatchedwa "kusiyanitsa": Lembani dzanja lanu m'madzi ozizira kwa mphindi imodzi, kenako m'madzi ofunda kwa mphindi ina. Pitirizani kusinthana kwa mphindi zisanu kapena zisanu ndi chimodzi. Bwerezani pafupipafupi momwe zingathere.
• Pumulani. Nthawi iliyonse mukamva kupweteka kapena kutopa m'manja mwanu, pumulani pang'ono, kapena musinthe ntchito ina.
• Kwezani manja anu nthawi iliyonse yomwe mungathe. Mutha kugwiritsa ntchito mapilo kutero.
• Yesetsani yoga. Zotsatira zopezeka kuti kuchita yoga kumatha kuchepetsa ululu ndikuwonjezera mphamvu kwa anthu omwe ali ndi CTS. Kafufuzidwe kena kofunikira, komabe, makamaka kuti mumvetsetse zabwino za CTS yokhudzana ndi pakati.
• Pezani mankhwala. Mankhwala otulutsidwa ndi myofascial amatha kuchepetsa ululu wokhudzana ndi CTS ndikuwonjezera kugwira ntchito kwa manja. Ichi ndi mtundu wa kutikita minofu kuti muchepetse kulimba komanso kufupika kwa mitsempha ndi minofu.
• Tengani ululu. Kugwiritsa ntchito acetaminophen (Tylenol) nthawi iliyonse yomwe mayi ali ndi pakati nthawi zambiri kumawerengedwa kuti ndi kotetezeka, bola ngati musadutse 3,000 mg tsiku lililonse. Lankhulani ndi dokotala wanu ngati muli ndi nkhawa. Pewani ibuprofen (Advil) panthawi yapakati pokhapokha mutavomerezedwa kuti mugwiritse ntchito ndi dokotala wanu. Ibuprofen imalumikizidwa ndi otsika amniotic madzimadzi ndi zinthu zina zingapo.

Matenda a Carpal ndi kuyamwitsa

Kuyamwitsa kungakhale kopweteka ndi CTS chifukwa muyenera kugwiritsa ntchito dzanja lanu kuti mugwire mutu wa mwana wanu ndi bere lanu pamalo oyenera a unamwino. Yesani kuyesa malo osiyanasiyana. Gwiritsani ntchito mapilo ndi zofunda kuti muthandizire, kuthandizira, kapena kulimbitsa pakufunika.

Mutha kupeza kuti kuyamwitsa mutagona chammbali ndi mwana yemwe akukuyang'anani kumagwira ntchito bwino. "Masewera a mpira" amathanso kukhala osavuta padzanja. Ndi udindo uwu, mumakhala moongoka ndikuika mwana wanu pambali pa mkono wanu ndi mutu wa mwana wanu pafupi ndi chifuwa chanu.

Mutha kukonda unamwino wopanda manja, pomwe mwana wanu amadyetsa ali mgulaye pafupi ndi thupi lanu.

Ngati mukuvutika kuyamwitsa kapena kupeza malo abwino kwa inu ndi mwana wanu, ganizirani zolankhula ndi mlangizi wa lactation. Amatha kukuthandizani kuti muphunzire malo abwino komanso kukuthandizani kuzindikira zovuta zilizonse zomwe inu kapena mwana wanu mukukumana nazo ndi unamwino.

Maganizo ake ndi otani?

CTS imakonda kupezeka panthawi yapakati. Njira zosavuta monga kuthyola ndi kumwa acetaminophen ndi njira zochiritsira zodziwika bwino ndipo nthawi zambiri zimabweretsa mpumulo.

Anthu ambiri adzawona zizindikiro zawo zitatha miyezi 12 kuchokera pamene abereka. Komabe, zimatha kutenga zaka nthawi zina. Lankhulani ndi dokotala wanu za njira zothetsera matenda anu bwinobwino.