Kodi Carpal Tunnel Ndi Chiyani, Ndipo Zochita Zanu Ziyenera Kuyimbidwa?

Zamkati

• Kodi Carpal Tunnel Syndrome Ndi Chiyani?
• Kodi Carpal Tunnel Imachititsa Chiyani?
• Kodi Kugwira Ntchito Kuyambitsa Carpal Tunnel?
• Momwe Mungayesere Ngalande ya Carpal
• Momwe Mungachiritse Carpal Tunnel Syndrome
• Onaninso za

Magulu oyendetsa masewera olimbitsa thupi ndi ovuta kwambiri KULIMBITSA. Monga mphunzitsi wa CrossFit komanso wokonda kuchita masewera olimbitsa thupi, ichi ndi phiri lomwe ndikufunitsitsa kuferapo. Tsiku lina, nditachita masewera olemera kwambiri, ngakhale manja anga anali opweteka. Nditamuuza izi mphunzitsi wanga, adati manja anga achikondi atha kukhala vuto lalikulu. Chidziwitso: Kuusa moyo kunamveka mozungulira bokosi.

Zachidziwikire, nthawi yomweyo ndinapita kunyumba ndipo ndinayamba kufotokoza za zidziwitso zanga (Ndikudziwa, zolakwika). Mobwerezabwereza, Dr. Google anandiuza kuti ndinali ndi carpal tunnel syndrome. Pamene a zenizeni doc adanditsimikizira kuti inemusatero ndili ndi carpal tunnel syndrome (ndikuti minofu yanga yakumaso inali yowawa), ndimadzifunsa:

Kodi Carpal Tunnel Syndrome Ndi Chiyani?

Mwachidule, matenda a carpal tunnel amayamba chifukwa cha minyewa yopindika pamkono-komakwenikweni mumvetsetse kuti msewu wa carpal ndi chiyani, muyenera Anatomy 101 pang'ono.

Tembenuzira dzanja lako ndikukuponyera ndi dzanja lako. Mukuwona zinthu zonsezi zikuyenda m'manja mwanu? Izo ndi tendons. "Dzanja limatsekedwa ndi minyewa isanu ndi inayi yomwe imadutsa m'dzanja ndikupanga 'ngalande' (yotchedwa 'carpal tunnel')," akufotokoza motero Alejandro Badia, MD, dzanja lovomerezeka ndi bolodi, dzanja, ndi opaleshoni ya mafupa apamwamba omwe ali ndi Badia. Dzanja Kumapewa Center ku FL. "Pakatikati mwa ngalandeyo ndi mitsempha yapakatikati, yomwe imachokera pamkono wanu kupita ku chala chachikulu ndi zala zanu zambiri." Kuzungulira tendon ndi chingwe chotchedwa tenosynovium. Izi zikakulirakulira, kukula kwa ngalande kumachepa, komwe kumatha kupondereza mitsempha yapakatikati.

Ndipo mitsempha yapakatikatiyo ikapanikizika kapena kutsinidwa? Chabwino, ndiye carpal tunnel syndrome.

Ndicho chifukwa chake matenda a carpal tunnel syndrome nthawi zambiri amaphatikizapo kulira kapena dzanzi m'manja, kapena kupweteka, kupweteka, kufooka ndi kupweteka m'manja ndi manja, atero a Holly Herman, DPT, komanso wolembaMomwe Mungalerere Ana Popanda Kuthyola Msana Wanu.

Nthawi zina chikwangwani cha carpal chimakhala kupweteka kosalekeza komwe kumawonekera m'zala zitatu zoyambirira za dzanja, koma nthawi zina, "odwala anganene kuti akumva ngati zala zawo ziphulika," akutero Dr. Badia. Anthu ambiri omwe ali ndi ngalande ya carpal amanenanso kuti adadzutsidwa pakati pausiku chifukwa chakumva kulira kapena dzanzi m'manja.

Kodi Carpal Tunnel Imachititsa Chiyani?

Chilichonse chomwe chimayambitsa thupi (makamaka, tendons ndi / kapena tenosynovium) kutupa kapena kusunga madzi-ndipo choncho, zimapangitsa kuti msewu wa carpal ukhale wochepa-ukhoza kugwirizanitsidwa ndi matenda a carpal tunnel.

Mwamwayi, malinga ndi Dr. Badia, chiwerengero cha chiopsezo cha carpal tunnel ndi kugonana kwanu (ugh). "Kukhala mkazi ndi chimodzi mwazomwe zimayambitsa matenda a carpal tunnel syndrome," akutero Dr. Badia. Ndipotu, amayi ali ndi mwayi wochuluka katatu kukhala ndi msewu wa carpal kusiyana ndi amuna, malinga ndi National Institute of Neurological Disorders and Stroke. (FYI: Azimayi amathanso kung'amba ma ACL awo.)

Nchiyani chimapereka? Chabwino, tenosynovium imakhuthala poyankha kusungidwa kwamadzimadzi ndipo, monga momwe Dr. Badia akufotokozera, "Estrogen itha kukupangitsani kuti musunge madzi, zomwe zimatha kupangitsa kuti tendon ndi tenosynovium zitupuke ndikupanga ngalandeyo kukhala yopapatiza." Ichi ndichifukwa chake matenda amtundu wa carpal amakhala ofala makamaka panthawi yapakati komanso msambo pamene milingo ya estrogen imakula. (Zogwirizana: Kusamba Kwanu Kumwezi - Kumafotokozedwa).

Miyezo ya Estrogen si yokhayo yomwe ili ndi vuto; vuto lililonse lomwe limapangitsa kunenepa, kusungunuka kwamadzimadzi, kapena kutupa kumawonjezera ngozi ya carpal tunnel. Ndicho chifukwa chake "matenda a shuga, hypothyroidism, matenda osokoneza bongo, komanso kuthamanga kwa magazi ndizogwirizananso ndi matendawa," akutero Dr. Bandia. Ngakhale kukhala ndi zakudya zokhala ndi sodium yambiri (zosunga madzi) kumatha kukulitsa zizindikiro.

Anthu omwe adakhalapo ndi dzanja kapena kuvulala m'manja atha kukhala pachiwopsezo chachikulu. Dr. Badia anati: "Kupwetekedwa m'mbuyomu ngati dzanja lomwe lathyoledwa kumatha kusintha mawonekedwe m'manja ndipo kumatha kukupangitsani kuyamba kukhala ndi matenda amtundu wa carpal."

Kodi Kugwira Ntchito Kuyambitsa Carpal Tunnel?

Ayi! Kulimbitsa thupi kwanu sikungayambitse carpal tunnel syndrome, atero Dr. Badia; Komabe (!) Ngati muli ndi carpal tunnel syndrome kapena muli ndi matendawa, kupindika kapena kusinthana m'manja nthawi zonse mukamachita masewera olimbitsa thupi kumatha kukhumudwitsa mitsempha yapakatikati ndikukulitsa zizindikilozo, akutero. Chifukwa chake, zolimbitsa thupi ngati matabwa, kukankha, kulanda, kukwera mapiri, ma burpees, ndipo, eya, zikopa zam'mutu zimatha kukulitsa zizindikilozo.

Ngati muli ndi msewu wa carpal, dokotala wanu angakulangizeni kuti muchepetse masewera olimbitsa thupi omwe amaika dzanja lanu pamalo omwewo kapena kuti muwachite poyamba, akutero Dr. Badia. Malangizo ovomereza: ngati izi zikupweteka chala chanu kapena zibowo, ganizirani kuwonjezera ma ab mat kapena thaulo lopindika pansi pa dzanja lanu kuti mutonthozedwe. (Kapena ingopangani matabwa am'manja m'malo mwake.)

Dr. Badia akunena kuti okwera njinga ambiri amabwera muofesi yake ndi madandaulo a dzanja: "Ngati muli ndi ngalande ya carpal ndipo simusunga dzanja lanu osatenga mbali mukamakwera ndipo m'malo mwake mukutambasula dzanja lanu nthawi zonse, zikukulitsa zizindikilozo. " Pachifukwa ichi, amalimbikitsa kuvala chovala chofewa (monga ichi kapena ichi) chomwe chimakakamiza dzanja lanu kuti lisalowerere mukamakwera. (Zokhudzana: 5 Zolakwa Zazikulu Zomwe Mungakhale Mukuzipanga mu Spin Class).

Momwe Mungayesere Ngalande ya Carpal

Ngati mukuganiza kuti muli ndi njira ya carpal, itanani katswiri. Pali mayeso angapo a carpal tunnel omwe angachite kuti akudziweni.

Mayeso a Tinel zimaphatikizapo kugogoda mkatikati mwa dzanja kumunsi kwa chala chachikulu, akufotokoza Dr. Herman. Ngati ululu wowombera umalowa m'manja, ndi chizindikiro chakuti mungakhale ndi msewu wa carpal.

Mayeso a Phalan Zimaphatikizapo kuyika msana wa manja ndi zala zanu patsogolo panu ndi zala kuloza pansi kwa masekondi 90, akutero Dr. Herman. Ngati kutengeka kwa zala kapena dzanja kumasintha, zikutanthauza kuti mutha kukhala ndi matenda a carpal tunnel.

Madotolo ena apita ku njira yachitatu: mayeso a electromyography (kapena EMG). "Umu ndi momwe mumazindikirira ngalande ya carpal," akutero Dr. Bandia. "Timayika ma electrode pamphumi ndi zala ndikuyesa momwe mitsempha yapakati ikuyendetsera." Ngati mitsempha yapanikizidwa, kutulutsa kwa mitsempha kumachepetsedwa.

Momwe Mungachiritse Carpal Tunnel Syndrome

Zingamveke zomveka, koma ngati dokotala wanu akuganiza kuti vuto lalikulu monga matenda a shuga kapena vuto la chithokomiro ndilo chifukwa chake, iwo ayenera kulandira chithandizo choyamba. Kupitilira apo, pali njira zopangira opaleshoni komanso zopanda opaleshoni za matenda a carpal tunnel.

Nthawi zambiri, njira yoyamba ndikuvala zingwe pazochitika zomwe zimabweretsa zizindikiro (monga kukwera njinga, yoga, kugona, ndi zina) komanso osachita opaleshoni kuchepetsa kutupa kulikonse ndi zinthu monga ice packs ndi OTC anti-inflammatory meds, akutero Dr. Herman. M'zaka zoyambirira kwambiri. Dr. Badia akuti zowonjezera za vitamini B zingathandize.

Ngati palibe "chosavuta" chokonzekera ichi, dokotala wanu angakulimbikitseni jekeseni wa cortisone kapena opaleshoni. Jakisoni wa cortisone ndi anti-inflammatory steroid yomwe ikajambulidwa mozungulira mitsempha yapakatikati imatha kuchepetsa kuchepa kwa dera, chifukwa chake imachepetsa kupsinjika kwa mitsempha-kafukufuku akuwonetsa kuti ndi imodzi mwazithandizo zothandiza kwambiri. Kwa odwala omwe ali ndi matenda ocheperako, amatha kuthetseratu matendawa, pomwe akamakula kwambiri amatha kuchepetsa zizindikiro kwakanthawi kochepa. Pofuna kupeza yankho lalitali, "pali njira zochepa kwambiri zopangira opaleshoni zomwe zimaphatikizapo kukulitsa ngalandeyo podula imodzi mwa mitsempha yomwe ikuphwanya mitsempha," akutero Dr. Bandia.

Apo ayi? Tigwetseni ndipo tipatseni 20 - mulibe chowiringula kuti musapange thabwa, kukwera mmwamba, kapena kubala.

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