I-tunnel syndrome yenye yezifo zanamhlanje. Esi sifo sesimo segazi. Kwimisebenzi yezobugqirha ngaphezu kweentlobo ezingamashumi amathathu zesifo esinjalo kuchazwe. Kwimeko ethile ethile, indawo ethile yomzimba ichaphazelekayo, umzekelo, isikhonkwane, i-elbow njalonjalo. Kubalulekile ukufunda ngexesha ukuqonda iimpawu zesifo.
I-Tunnel syndrome - yintoni na?
Esi sifo senzeke xa i-nerve median ivumelwano. Njengoko uyazi, itholakala kwinqanaba elincinci, elenziwe yimisipha, amathambo kunye namathambo. Xa iindawo ezikufutshane zesantya se-nervous, zifakwe. Ngenxa yoko, ukuhanjiswa kwefuthe kuphazamiseka. Ekuqaleni, i-tunnel syndrome yesandla ixhalabile kuphela ngezikhathi ezithile. Nangona kunjalo, xa isifo sifana nesimo esingathí sina, kwanona isenzo esiphezulu sinikezelwa ngobunzima. Akukho mntu uyafa kweli meko, kodwa luyinkimbinkimbi yobomi.
I-Carpal tunnel syndrome
Esi sifo sichaphazela i-carpal tunnel. Iyenzeka ngenxa yenkcenkceshelo ye-nerve median nge-carpal ligaments ngokuphindaphinda ngokuphindaphinda kwezandla. Ngokuqhelekileyo, isifo esinjalo sifumaneka kubafazi. Amantombazana alula kakhulu kunesandla. Ukongezelela, kunye nobudala emzimbeni wabo, utshintsho olubi lwe-hormonal luqala. Konke oku kusebenza njengento efanelekileyo ekuphuhliseni i-carpal tunnel syndrome.
Iindidi kunye namaqela amaninzi emisebenzi, apho esi sifo sifumaneka ngokuphindaphindiweyo kunokuqhelekileyo. I-Tunnel syndrome isongela abantu ababandakanyekayo kuloluhlobo lomsebenzi:
- abaculi;
- abaculi;
- iprogram;
- abadlali bebhola kunye nabasebenzisi bePC abanomdla;
- abashibi;
- Abenzi bokuvelisa benza ukunyakaza okuzenzekelayo kunye nezandla zabo.
Cubital Tunnel Syndrome
Le ngxaki yokunciphisa i-nernitis ye-ulnar nererve. Enyanisweni, oku ku-ischemia ye "inkqubo". I-nerve iyaxinwa, igazi layo liphazamiseka, ngenxa yoko kuhlaselwa kwesi siza nayo yonke imiphumo elandelayo. Isifo se-ulnar syndrome sineendlela ezifanayo zokuphucula i-carpal, tarsal, okanye radial. I-pathology yamathambo ehlukeneyo ihluke kuphela kwindawo.
I-Tunnel Syndrome - Izizathu
Kukho inani lezinto ezikhupha ukuphuhliswa kwesi sifo. Uninzi lwe-carpal tunnel syndrome lwenzeka ngenxa yezi zizathu zilandelayo:
- Umsebenzi wexesha elide kwikompyutha (ukusetyenziswa kwebhodibhodi kunye ne mouse kuthethwa);
- I-arthritis kunye nezinye izifo zengxubusho ezenza umonakalo odibeneyo;
- izibhamu, ukuchithwa, ukuphuka kunye nezinye ukulimala;
- i-tendovaginitis kunye nezinye ukuvuvukala kwamalungu;
- ukukhubazeka emsebenzini wezintso, i-thyroid gland nezinye izifo ezibangele ukuqokelela komzimba emzimbeni;
- isifo sikashukela;
- ukunyanya;
- ukusetyenziswa kakubi kotywala;
- amyloidosis ;
- ukhulelwe kunye nezinye izifo ezibangela ukutshintsha kwe-hormonal;
- i-supercooling;
- ukutshaya;
- imfuza.
I-Tunnel Syndrome - Iimpawu
Kwimeko nayiphi na imeko, le ngxaki ethile ingaqhubeka ngendlela ekhethekileyo. Ngokuqhelekileyo i-carpal syndrome inokuba nomfanekiso wesithombeni:
- ukuphazamiseka kweminwe , ebonakala emva kwephupha okanye ukuhamba ngokukhawuleza;
- i-paresthesia (kukho uvakalelo oluthambileyo, ukuvutha okungahambi kakuhle, ukutshisa, njalonjalo);
- intlungu eminwe, inika kwi-forearm okanye ihlangane;
- ukuxhamla - izinto ziwela ezandleni, kunzima ukubhala okanye ukuprinta into ethile;
- ukunciphisa ububele kummandla ochaphazelekayo;
- utshintsho kwiqondo lokushisa leentendelezo, ukuthunjwa kwezipikili.
Ukongeza, i-tunnel syndrome, ngokuxhomekeka kwendawo yokuhlala, ingaba enye okanye ezimbini. Isifo esiphezulu kakhulu sisigxina esipheleleyo. Ukuba isigulane sisilungile, ke isandla sokunene sibandezeleka, kwaye umgcini wesobunxele unesifo esisekhohlo. Nangona kunjalo, xa i-pathology yama-orthopedic yenzeka ngexesha lokuzala umntwana okanye ngenxa yokungaphumeleli kwe-hormone emzimbeni, zombini izitho zingathinteka sisifo.
Indlela yokuphatha i-tunnel syndrome?
Ngaphambi kokumisela unyango, ugqirha uya kuqhuba uviwo olupheleleyo. Inkqubo enjalo iya kuvumela ukuxilongwa okungaqinisekiyo. Ukuba ugqirha wayekrokrela isigulane sesigulane se-carpal tunnel syndrome, wayeza kufundisisa iimpawu zalo, aze enze ezinye iindlela. Ukuba ukuxilongwa kuqhutywe iimvavanyo ezinjalo ezivuthayo:
- Hlola iFahlen - kufuneka ugobe i-brush ngokubanzi. Ngomzuzu kamva, ukubetha kuya kubonakala. Ngokukhawuleza le miqondiso engathandekiyo iqala, kunzima kwisigaba sesifo.
- Uvavanyo lwe-Tinel - kufuneka uthayiphe kwisayithi kunye nenzwa echaphazelekayo. Ukuba isigulane sinesifo se-carpal syndrome, ukuxubha, ukuphazamiseka kunye nentlungu kuya kwenzeka.
- Uvavanyo lwe-Durkan - fakela ibhulashi uze ulinde malunga nesiqingatha somzuzu. Ukuba kukho i-pathology yama-orthopedic, iminwe ibe yinkqantosi kunye nokuvakala komsindo.
Unyango lwe-tunnel ye-syndrome luquka olubanzi, kodwa ngaphambi kokumisela isigulane kunconywa ukuba kwenziwe ezi nkqubo:
- electroneuromyography;
- i radiography;
- MRI;
- Ultrasound.
Indlela yokuphatha i-carpal tunnel syndrome?
Unyango lwalolu gulane lujoliswe ekunciphiseni inkqubo yokuvuvukala nokuphelisa ubuqhophololo kwindawo yesilonda. Ukongezelela, unyango lufanele lunciphise intlungu. Ekulweni nokulwa nezilonda, izilwanyana, iziyobisi kunye neendlela zokucoca zingasetyenziswa. Iindlela ezimbini zokuqala ziphumelela kwisigaba sokuqala sesi sifo. Ukuba eso sifo siye sathola ifom ephumayo, utyando alukwazi ukuphetshwa.
Ulwaphulo lwe-Conservative luquka ukuqeshwa kwezi ziyobisi:
- iziyobisi ezingekho-steroidal ezichasayo (Movalis, Diclofenac);
- i-diuretics ( iVeroshpiron okanye iFurosemide);
- iivithamini zeqela B;
- i-corticosteroids (Hydrocortisone, Prednisolone);
- ii-vasodilators ( Trental );
- imisipha yokuphumla (Midokalm).
Ukuba i-carpal tunnel syndrome iyaqinisekiswa ngexesha lokuxilongwa, unyango ekhaya lungaqhutywa ngoncedo lwamachiza anikwe ngugqirha. Ukuziphilisa akuvumelekanga! Ugqirha kufuneka alandele imeko yesigulane kuzo zonke izigaba zonyango. Nangona kunjalo, kukho inqobo yeendlela ezibonisa ukuba unyango olulondolozo lwegulane luya kuba luncedo. Ezi zinto ziquka:
- ukuba ifakwe kwiminyaka engaphezu kwama-50;
- izikhalazo zesigulana sokutshiza rhoqo kwezandla;
- iimpawu zesifo sibonakala malunga nonyaka.
I-Elbow Tunnel Syndrome - unyango
Unyango lwalesi sifo lufana nelo lusetyenziswe ekulwa nomhlobo we-carpal yesifo. Ukongeza kwonyango lweziyobisi, iinkqubo zephilotherapy nazo zinokumiselwa. Ukuba i-tunnel syndrome yomxube we-elbow ifunyaniswa, ngexesha elifanayo kunye nemichiza enjalo imiselweyo:
- I-Ultraphonophoresis - ngexesha leenkqubo, iinqanawa zandisa kwaye ukuhamba kwegazi kwi-capillaries kwanda. Kucetyiswa ukuba kudlule iiseshoni ze-10-12.
- I-Shockwave therapy - ijoliswe ekunciphiseni ubuhlungu nokuphucula ukujikelezwa kwegazi. Ukongeza, emva kwenkqubo enjalo, i-metabolism ibuyiselwa kwaye iiseli zivuselelwa. Inkqubo yokwelapha imelwe yimigaqo ye-5-7.
Ukuzilolonga kwi-tunnel syndrome
Bakhonza njenge-agent ekhuselekileyo yokukhusela. Ukongeza, zinokusetyenziswa njengendlela eyongezelelweyo yokulwa nesifo. Xa i-tunnel syndrome yesicatshulwa ifunyanwe, i-exercises ingenziwa ngokolu hlobo lulandelayo:
- Xa iminwe idibene, kuyimfuneko yokwenza ukunyanzelisa.
- Sidinga ukuphumla emoyeni ngokukhululekile.
- Izandla eziphakanyisiweyo kufuneka zifakwe kwiibhokhwe kwaye zingagqithwanga.
- Udinga ukucinezela izibonda zakho emacaleni, cindezela uze ungagcini iminwe yakho.
I-Kinesiotherapy kwi-tunnel syndrome
Olu lungiso lunamanani amanqaku. Akubangela ukuba isigulane sibe nexhala okanye singakhathazeki. I-tunnel syndrome ye-brush inikezela ukusetyenziswa kweetyips kwi-cotton basis. Zineempembelelo eziphezulu zonyango. Iifom zikhusela ukukhuphuka kwamanzi kunye nokuphucula ezinye iinkqubo zokwelapha ezifanayo. Ezi zibandakanya ukusikwa, ukuguqulwa kwe-physiotherapy, ukulungiswa kwezonyango njalonjalo.
I-Tunnel Syndrome - ioli
Ukuqinisa isiphumo seepilisi kuya kunceda ukuphathwa kwendawo. Umphumo omhle kakhulu ukusetyenziswa kwamathambo. Xa i-carpal tunnel syndrome ifunyaniswa, unyango lunokuthi lwenziwa ngoncedo lwaloo mveliso enokusetyenziswa kwangaphandle:
- Voltaren;
- Diclofenac;
- Clodifen;
- Ngokukhawuleza.
I-Tunnel syndrome - ikhutshwe
Xa unyango lwezifo, iilenki zisebenza kakuhle. Ukwelashwa kweCarpal carpal tunnel syndrome kubandakanya ukukhutshwa kwezi ziyobisi:
- Neurobion;
- Milgamma;
- Neurorubin;
- Naklofen;
- By Midokalm;
- Trental.
Unyango lwe-tunnel syndrome ngamanyathelo omntu
Xa uphathisa lesi sifo ngexesha elifanayo namayeza, iimveliso ezingekho mveliso zingasetyenziswa. Ezi ziquka "iziyobisi":
- zikhetho;
- ukuxhamla;
- i-tinctures njalonjalo.
Indlela yokuphatha i-carpal tunnel syndrome kunye namaqabunga e-cranberry?
Izithako:
- amanzi 250 ml;
- ezomileyo izinto eziluhlaza - 1 ithispoon.
Ukulungiselela, sebenzisa:
- Amacembe eCowberry athululelwa ngamanzi aze afake isitofu.
- Faka umnqweno kumathumba kunye nokunciphisa umlilo kumncinci, upheke ikota ngeyure.
- Khuphela umhluzi kunye noxinzelelo.
- Thatha kwiincinci ezincinane ezine-4-5 ngosuku. Eli liyeza lususa ngokupheleleyo intlungu kwaye linciphisa ubuqhophololo.
I-Carpal tunnel syndrome - unyango nge-oil-pepper compress
Izithako:
- i-chili g - 50 g;
- ioli yemifuno - 500 ml.
Ukulungiselela, sebenzisa:
- Izithako zidibaniswe kwaye zithunyelwa kwisitofu.
- Ukupheka ukubunjwa kumlilo ongaphantsi kwesigxina seyure, ukuphazamisa ngamanye amaxesha.
- Umveliso ogqityiweyo ucolile.
- Ulwakhiwo lwezokwelapha luxutywa kwindawo echaphazelekayo sisifo.
I-Tunnel Syndrome - Umsebenzi
Injongo yokungenelela ngophulo-mthetho kukunciphisa uxinzelelo kwi-nerve median. Xa i-carpal tunnel syndrome isesigxina esiphambili, unyango oluneendlela ezilondolozayo kulolu hlobo alusebenzi. Kunoko, isigulane sinokunikezelwa ngophengululo. Ingenelelo yokuphanda iyenziwa phantsi kwe-anesthesia yendawo. I-tunnel syndrome isebenza ngeendlela ezimbini:
- Indlela evulekileyo - yenza ukukhangela kwisandla. Ubude balo bu-5 cm. Ngethuba lo msebenzi, iigamente zinqunywe, ezixinzezela iimbilini.
- Ukusebenzisa i-endoscope. Ngethuba lo msebenzi, ezimbini izinto ezincinane (1.5 cm nganye) zenziwa kwindawo echaphazelekayo. Ngokuqala faka i-endoscope, kwaye okwesibini - ithuluzi lokucoca, apho iigamentshi zichithwa khona.
Emva kokungenelela okutyathwayo, i-bandage bandage isetyenziswe inyanga kwindawo eqhutywayo. Kwixesha lokubuyisela, i-physiotherapy kunye ne-gymnastics yezokwelapha imiselwe. Emva kweenyanga ezi-3, ukusebenza kwebhayisiki iyaqala ngo-80%, kwaye kwiinyanga ezili-6-ngokupheleleyo. Isigulane sinokuncoma iinyanga ezintandathu okanye unyaka ukutshintsha imisebenzi. Nangona kunjalo, emva kokubuyisela ngokupheleleyo, unokubuyela kwimisebenzi eqhelekileyo.