Carpal Ngalande Kumasulidwa

Zamkati

• Zifukwa zotulutsira ngalande ya carpal
• Kukonzekera kutulutsa kwa carpal tunnel
• Mitundu ya njira zotulutsira njira ya carpal
• Tsegulani kutseguka kwa carpal tunnel
• Kutulutsidwa kwa endoscopic carpal tunnel
• Zowopsa zotulutsidwa ndi carpal tunnel
• Ma posturgery amasamalira kutulutsa kwa carpal tunnel

Chidule

Matenda a Carpal ndi omwe amayamba chifukwa cha mitsempha yazitsulo m'manja. Zizindikiro za carpal mumphangayo zimaphatikizira kulira kosalekeza komanso kufooka komanso kutulutsa ululu m'manja ndi m'manja. Nthawi zina, mungakhalenso ndi kufooka kwa manja.

Vutoli limatha kuyamba pang'onopang'ono pang'onopang'ono. Kupanikizika kwa mitsempha yapakatikati, yomwe imachokera kutsogolo kupita m'manja, imayambitsa kupweteka kwa carpal. Kutulutsa kwa Carpal ndi opaleshoni yomwe imathandizira kuchepetsa kupsinjika kwa mitsempha iyi ndikuchiritsa zizindikilo za carpal.

Zifukwa zotulutsira ngalande ya carpal

Opaleshoni ya Carpal tunnel si ya aliyense. M'malo mwake, anthu ena amatha kuthana ndi matenda awo a carpal pogwiritsa ntchito njira zopanda chithandizo. Mutha kumwa mankhwala osagwiritsa ntchito zotupa, monga ibuprofen kapena aspirin, kapena mankhwala opweteka am'thupi. Madokotala amalangiza jekeseni wa steroid ndikubayira mankhwala m'manja mwanu kapena m'manja.

Njira zina zosagwirira ntchito ndi monga:

• kuzizira kapena ayezi compress
• zipsera kuti dzanja likhale lolunjika kuti pasamapanikizike pang'ono pamitsempha
• chithandizo chamankhwala

Zochita zobwerezabwereza, monga kutayipa, zitha kuyambitsa kapena kukulitsa matenda amtundu wa carpal. Kupuma mobwerezabwereza ndikupumitsa manja anu kumatha kuchepetsa zizindikilo ndikuchepetsa kufunikira kochitidwa opaleshoni.

Komabe, ngati kupweteka, kufooka, kapena kufooka kukupitilira kapena kukukulirakulira ngakhale mutayesa njira zopanda chithandizo, dokotala wanu angakulimbikitseni kuti mutuluke carpal tunnel. Musanakonzekere momwe mungachitire, dokotala wanu akhoza kuyesa mayeso a mitsempha ndi mayeso a electromyogram (EMG) kuti aone ngati pali zovuta zamagetsi zamagetsi, zomwe zimafala mu carpal tunnel syndrome.

Kukonzekera kutulutsa kwa carpal tunnel

Uzani dokotala wanu za mankhwala ndi zowonjezera zonse zomwe mukumwa pakali pano. Dokotala wanu akhoza kukuphunzitsani kuti musiye kumwa mankhwala anu (aspirin, ibuprofen, ndi opopera magazi) sabata imodzi musanachite opaleshoni yanu. Uzani dokotala wanu ngati mukukumana ndi matenda aliwonse, monga kuzizira, malungo, kapena ma virus musanachite opaleshoni. Uzani wina kuti akutengereni kuchipatala ndikukonzerani ulendo wobwerera kwanu. Musadye maola asanu ndi limodzi kapena khumi ndi awiri musanatuluke opareshoni ya carpal tunnel.

Mitundu ya njira zotulutsira njira ya carpal

Pali njira ziwiri zopangira kutsegulira kwa carpal: kutseguka kwa carpal tunnel ndi endoscopic carpal tunnel release.

Tsegulani kutseguka kwa carpal tunnel

Dokotala wanu amadula pang'ono pafupi ndi gawo lakumunsi la dzanja lanu pafupi ndi dzanja lanu. Dokotalayo amadula carpal ligament, yomwe imachepetsa kupanikizika kwa mitsempha yanu yapakatikati. Kutengera mlandu wanu, dokotalayo amathanso kuchotsa minofu kuzungulira mitsempha. Dokotalayo amamangirira timitengo kangapo kuti atseke chilondacho kenako ndikuphimba malowo ndi bandeji.

Kutulutsidwa kwa endoscopic carpal tunnel

Dokotalayo amadula pang'ono pafupi ndi gawo lakumunsi la dzanja lanu pafupi ndi dzanja lanu. Dokotalayo amalowetsa fayilo ya endoscope m'manja mwanu. Endoscope ndi chubu lalitali, losasunthika lokhala ndi kuwala ndi kamera. Kamera imatenga kanema mkati mwa dzanja lanu ndipo zithunzizi zimawonekera pa polojekiti mkati mwa chipinda chogwirira ntchito. Dokotala wanu adzaika zida zina kudzera potsegulira ndikudula carpal ligament kuti muchepetse kupanikizika kwanu. Dokotalayo amachotsa zida ndi endoscope kenako ndikutseka chekecho ndi ulusi.

Njira yothandizira odwala imatenga pafupifupi mphindi 15 mpaka 60. Mudzalandira opaleshoni musanachite izi. Anesthesia imakupangitsani kuti mugone ndikupewa kupweteka munthawi imeneyi. Mutha kukhala ndi ululu kapena kusasangalala pambuyo poti anesthesia ithe. Komabe, dokotala wanu akhoza kukupatsani mankhwala kuti achepetse ululu.

Zowopsa zotulutsidwa ndi carpal tunnel

Zowopsa zomwe zimachitika chifukwa cha opaleshoni imeneyi ndi monga:

• magazi
• matenda
• kuwonongeka kwa mitsempha
• thupi lawo siligwirizana ndi mankhwala ochititsa dzanzi kapena mankhwala opweteka

Dokotala wanu adzakonza msonkhano wotsatira pambuyo pa opaleshoni kuti achotse zolimba zanu ndikuwunika momwe mukuyendera. Komabe, muyenera kulumikizana ndi dokotala wanu kapena pitani kuchipatala mukakumana ndi izi:

• malungo ndi kuzizira (zizindikiro za matenda)
• kutupa kapena kufiira kosazolowereka
• kutuluka pamalo opareshoni
• kupweteka kwambiri komwe sikukuyankha mankhwala
• kupuma movutikira kapena kupweteka pachifuwa
• nseru kapena kusanza

Ma posturgery amasamalira kutulutsa kwa carpal tunnel

Dokotala wanu azimanga bandeji kapena bandeji kuti ateteze dzanja lanu ndi mkono mukatha opaleshoni.

Ngakhale kuti opaleshoniyi imachepetsa msanga ululu ndi dzanzi, zimatenga milungu inayi kuti achire. Nazi zinthu zingapo zomwe mungachite pambuyo pa opaleshoni kukuthandizani kuti mupeze:

• Tengani mankhwala anu opweteka monga mwauzidwa ndi dokotala wanu.
• Ikani ice compress m'manja mwanu ndi dzanja lanu kwa maola angapo kwa mphindi 20.
• Mverani malangizo a dokotala wanu okhudza malo osambira ndi mvula.
• Osakweza zinthu zolemera.
• Kwezani dzanja lanu masiku oyamba kuti muchepetse kutupa ndi kupweteka.

Sabata yoyamba itatha, muyenera kuvala ziboda zamtundu winawake. Muyenera kulandira chithandizo chamankhwala kapena kuchita masewera olimbitsa thupi milungu ingapo kutsatira njirayi. Nthawi yobwezeretsa itengera kuchuluka kwa kuwonongeka komwe kunapezeka pamitsempha yapakatikati. Ngakhale anthu ambiri amapindula kwambiri ndi opaleshoniyi, zizindikilo zina zimatha kukhalabe, kutengera momwe mulili musanachite opareshoni.