Iwe uri kushanda padhesiki rako, uchiedza kusazvidza kubata kana kushaya simba kwawakave nako kwemwedzi uri muruoko rwako uye wrist. Nenguva isipi, kurwadziwa kwakapinza, kunorova kunopfurikidza nepfumo uye kusimudza ruoko rwako. Kungofanana nokudarika kunopfuura? Zvichida une carpal tunnel syndrome, chinorwadza chinoramba chiripo chinokonzerwa nekudzvinyirira kwehutu hunokosha muhono.
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Chii Chinonzi Carpal Tunnel Syndrome?Carpal tunnel syndrome inowanikwa apo mutsara wemukati, unomhanya kubva pachigoni kusvika muruoko, unomanikidzirwa kana kumanikidzwa pachiuno. Nhengo dzomukati dzinodzora manzwiro kune rumwe rutivi rwechigunwe chechigunwe neminwe (kunyange zvazvo kwete mucheche muduku), pamwe chete nemafungiro kune mamwe maduku mutsva muruoko runobvumira minwe uye chigunwe kufamba.
The Carpal Tunnel
Nzira yemapapiro ndiyo nzira yakamanikana, yakamanikana yemagetsi nemapfupa ari pasi pechanza chinoshandisa mitsipa yepakati nepakati. Dzimwe nguva, kuwedzerwa kubva kumatsamwa anotsamwisa kana kumwe kukwezva kunopinza nzira uye kunokonzera mutezo wepakati kuti unomanikidzwa. Chigumisiro chinogona kunge chiri kurwadziwa, kushaya simba, kana kushaya simba mukati uye ruoko, kuisa ruoko.
Kunyange zvazvo kunzwa kunorwadza kungaratidza mamwe mamiriro ezvinhu, carpal tunnel syndrome ndiyo inowanzozivikanwa uye inozivikanwa zvikuru yehutano hweuropathies umo muviri weropa hunosimbiswa kana kuora mwoyo.
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ZviratidzoZviratidzo zveCarpal tunnel syndrome zvinowanzotanga zvishoma nezvishoma, uye nguva dzose dzinopisa, kusungira, kana kutora kupera muchanza cheruoko uye neminwe, kunyanya chigunwe uye index uye midwe pakati. Mamwe mapurisa emakumbo anotaura kuti minwe yavo inonzwa isingabatsiri uye inoputika, kunyange zvazvo zvishoma kana pasina kuvhara kunooneka.
Zviratidzo zveCarpal tunnel syndrome kazhinji zvinotanga kuonekwa mune rimwe kana mavoko maviri muusiku, sezvo vanhu vakawanda vanovata nemapuranga akaoma.
Munhu ane carpal tunnel syndrome angasimuka achifunga kudiwa kwe "kubvisa" ruoko kana chiuno.
Apo Zviratidzo Zvichienda
Sezvo zviratidzo zveCarpal tunnel syndrome zvakanyanya kuipa, vanhu vanogona kunzwa vachidzungaira masikati. Kuderedza simba rekusunga zvingaita kuti zvive zvakaoma ku:
- ita fist
- kubata zviduku
- ita mamwe mabasa emabasa
Muzviitiko zvisina kukwana uye / kana zvisina kutongwa zve carpal tunnel syndrome, masumbu ari pasi pechigunwe angaparadzwa. Vamwe vanhu havakwanise kutaurira pakati pekupisa nekunaya nekubata.
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ZvinokonzeraCarpal tunnel syndrome inowanzokonzerwa nekubatanidzwa kwezvinhu zvinowedzera kushandiswa kune nhengo dzomukati nematononi mumugwagwa we carpal, panzvimbo pechinetso nehutano pachahwo. Zvingangove kuti chirwere chacho chinobva pamusana pekuzvarwa kwepakutanga-mugwagwa wa carpal uri muduku kuduku kune vamwe vanhu kupfuura mune vamwe.
Zvimwe Zvinokonzera Zviitiko
- kushungurudzika kana kukuvadzwa kune wrist inokonzera kubvunda, zvakadai sekuputika kana kuputsika
- kunyanya kushandiswa kweganda repituitary
- hypothyroidism
- rheumatoid arthritis
- zvinetso zvemakaniki muhomwe yeganda
- kushungurudza basa
- kudzokorora kushandiswa kwekushandura zvombo zvombo
- kuchengetedza kwemvura panguva yekudzivirira kana kumisa mimba
- kuve kwekrisiti kana tumarara mumugwagwa
Mune zvimwe zviitiko, hapana chikonzero che carpal tunnel syndrome chinogona kuonekwa.
Kudzokorora Kudzokorora
Kune zvishoma zvinyorwa zvekuchirapa kuti zviratidze kana kudzoka uye kusimba kwekufamba kwesimba uye maoko panguva yebasa kana kuti zvekuchengetedza zvinogona kukonzera carpal tunnel syndrome. Kudzokorora kunoitwa mukati mebasa remuitiro kana mamwe mabasa ezuva nezuva kunogona kukonzera kuora mwoyo kudzokorora zvakadai se:
Cramp Munyori
Munyori wechirwere, mamiriro ekusava nemafambisirwo akanaka ekugadzirisa unyanzvi uye kugunun'una uye kukumanikidza muminwe, wrist, kana kuti forearm inounzwa nekudzokorora basa, haisi chiratidzo che carpal tunnel syndrome.
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Ndiani Ari pangoziVakadzi vanowanzoita katatu kupfuura varume kuti vaite carpal tunnel syndrome, zvichida nokuti mugwagwa we carpal pachawo unogona kuva muduku pane vakadzi kupfuura varume.
- Ruoko rukuru runowanzobatwa pakutanga uye runobereka kurwadziwa kukuru.
- Carpal tunnel syndrome inowanzoitika chete kune vanhu vakuru.
Vanhu vane chirwere cheshuga kana zvimwe zvinetso zvemagetsi zvinokonzera zvakananga mitezo yemuviri uye zvinoita kuti vanyanyogadziriswa zvinowanikwawo pangozi.
Job Risk
Ngozi yekugadzira carpal tunnel syndrome haisi yevanhu mune imwe bhizimusi kana basa asi inonyanya kuonekwa kune avo vanoita basa remutsara wegungano se:
- kugadzira
- kusona
- kugumisa
- kuchenesa
- nyama, huku, kana hove
Kutaura zvazviri, carpal tunnel syndrome inowanzoonekwa katatu pane yakaungana pakati pevanoungana kupfuura vari pakati pekuisa data. Chidzidzo cheMayo Clinic chakatora kushandiswa kwemakombiyuta akaoma (kusvika maawa manomwe pazuva) hazvina kuwedzera ngozi yemunhu yekuita carpal tunnel syndrome.
Other Facts
Inofungidzirwa kuti vatatu vevashandi 10 000 vanorasikirwa nenguva kubva kubasa nekuda kwecarpal tunnel syndrome. Hafu yevashandi ava yakashaya mazuva anopfuura gumi ekushanda. Ivhareji yemararamiro eupenyu hwe carpal tunnel syndrome, kusanganisira mabhizimisi ezvokurapa uye akarasikirwa nenguva kubva kubasa, inofungidzirwa kuva inopfuura $ 30,000 kune umwe neumwe akakuvadzwa.
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KuzivaKunyanya kuongororwa uye kurapwa zvakakosha kuti urege kuparadzwa zvachose kumusana wepakati. Kuongororwa kwemaoko nemaoko, maoko, mapepa, nemutsipa kunogona kubatsira kuziva kana kunyunyuta kwomurwere kuchienderana nemabasa ezuva nezuva kana kune chirwere chepfungwa, uye rinogona kutarisa mamwe mamiriro ezvinhu anorwadza anofananidzira carpal tunnel syndrome. Tsvimbo yacho inoongororwa:
- unyoro
- kuzvimba
- warmth
- discoloration
Munwe woga woga unofanira kuongororwa kunzwa, uye misungo iri pasi pechanza inofanira kuongororwa kuti isimbiswe uye zviratidzo zveatrophy. Routine laboratory tests uye X-rays zvinogona kuzarura:
- chirwere cheshuga
- arthritis
- fractures
Kuvapo kweCarpal tunnel syndrome kunoratidzwa kana chimwe kana zviratidzo, zvakadai sekukanda kana kuwedzera kuwedzera, zvinonzwika muminwe mukati meminiti imwe. Vanachiremba vanogonawo kukumbira varwere kuti vaedze kuita shanho inounza zviratidzo.
Miedzo
Kazhinji zvinodiwa kuti utsigire kuongororwa kuburikidza nekushandiswa kwemasvomhu ekugadzirisa magetsi.
- Muchizivo chekunyatsodzidza , magetsi anoshandiswa paruoko nepamusoro. Kudengenyeka kwemagetsi kunoshandiswa uye inokurumidza iyo nerve inotumira pfungwa inoyera.
- Mune electromyography , chidimbu chakanaka chinowanikwa mumusumbu, basa re magetsi rinoonekwa pahwindo rinogona kusarudza kuoma kwekukuvadza kune mutezo wepakati.
- Ultrasound imaging inogona kuratidzira kufamba kusina simba kweropa remuviri.
- Magnetic resonance imaging inogona kuratidza kutenderera kwekristani asi kusvika panguva isati yave yakakosha pakuongorora carpal tunnel syndrome.
Vanachiremba vangashandisawo zviedzo zvakakwana kuedza kubudisa zviratidzo zve carpal tunnel syndrome.
- Chidzidzo cheTinel: Muedzo weTinel, chiremba anombomira kana kuti anosungirira mutsara wepakati mumutsara wemurwere. Chiyero chakanaka kana kurira muminwe kana kushungurudza-kufanana kunokonzera kunoitika.
- Muedzo wePhalen: MuPhalen, kana kutenderera kwemaoko, kuedzwa kunosanganisira kuva nemurwere achibata zvigaro zvake zvakarurama nokutanidza minwe pasi uye kumanikidzira kumashure kwemaoko pamwechete.
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KurapaKurapa kwe carpal tunnel syndrome inofanira kutanga sezvichibvira, pasi pekutungamirirwa kwachiremba. Zvinokonzera zvikonzero zve carpal tunnel syndrome inofanira kurapwa zvakadai sa:
- chirwere cheshuga
- arthritis
Initial Treatment
Kushandiswa kwekutanga kwecarpal tunnel syndrome kunowanzobatanidza kuzora ruoko rwakagadziriswa netambo kwevhiki dzinenge 2, kudzivisa zvinhu zvinogona kukuvadza zviratidzo, nekudzikisa simba mukati mekunaka kuti urege kuwedzera kukuvadza kubva pakugunun'una kana kupfugama. Kana pane kuvhuvhuta, kushandiswa kunononoka mapapiro kunogona kubatsira kuderedza kuzvimba.
Alternative Therapies
Kugadziriswa uye chiropractic kuchengetedza kwakabatsira vamwe varwere asi kubudirira kunoramba kusina kuvharidzirwa. Chimwe chete ndeye yoga iyo yakaratidzwa kuderedza marwadzo nekuvandudza simba rekubata.
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Mishonga uye Kwete-Surgical TreatmentMune zvimwe zviitiko, mishonga yakasiyana-siyana inogona kuderedza marwadzo uye kupfugama kunobatanidza ne carpal tunnel syndrome.
Zviratidzo zvave zviripo kwechinguva chiduku kana zvakakonzerwa nebasa rakaoma zvingaderedzwa nemishonga isingashandisi-kupisa zvinodhaka, zvakadai se:
Oral diuretics ("mapiritsi emvura") anogonawo kuderedza kuzvimba.
Corticosteroids yakadai se prednisone, injowa zvakananga muhangu kana kuti inotorwa nemuromo, inogona kukonzera kudzvinyirira pamirwere yepakati uye kupa nokukurumidza, zororo kwenguva pfupi kune vanhu vane zviratidzo zvishoma kana zvishoma. ( Kuchengetedza: vanhu vane chirwere cheshuga uye avo vakagadzirirwa chirwere cheshuga vanofanira kuziva kuti kushandiswa kwenguva refu kwegricticosteroids kunogona kuita kuti zvive nyore kutonga insulin, haafaniri kutorwa pasina chiremba chiremba.)
Uyezve, zvimwe zvidzidzo zvinoratidza kuti vitamini B6 (pyridoxine) inowedzera inogona kudzivirira zviratidzo zvecarpal tunnel syndrome.
Dzidzira
Kudzidzira kwakasimba uye kwakasimba (kufanana nemaitiro aya tendon gliding exercises ) kunogona kubatsira kune vanhu vane zviratidzo zvisingachaiti. Izvi zvinogona kutarisirwa nechiremba wepanyama, uyo akadzidziswa kushandisa maitiro ekurapa kukanganisika kwepanyama, kana mushandi wezvemishandiro, uyo akadzidziswa kuongorora vanhu vane hutachiona hwepanyama uye kuvabatsira kuvakira unyanzvi kuti vavandudze hutano hwavo uye hupenyu.
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Zvokuvhiya- Mutambo weCarp wakasunungurwa ndiyo inowanzovhiya chirongwa. Kazhinji inorudzirwa kana zviratidzo zvinotora mwedzi mitanhatu, kuvhiyiwa kunosanganisira kuparadzanisa boka remaviri ari pedyo nepfumo kuti kuderedzwa kunetseka kune nhengo dzomukati. Kuvhima kunoitwa pasi peanesthesia yepamunharaunda uye hakudi kuti chipatara chigare usiku. Varwere vazhinji vanoda kuvhiyiwa pamaoko maviri.
- Vhura kusunungurwa kwakasununguka , iyo tsika yemasipirini yekugadziriswa kwepasipirini, inosanganisira kugadzira kusungira kusvika 2 masentimita muhomwe uye nekucheka carpal ligament kuti ikudze marpalp tunnel. Kuvhiyiwa kunowanzoitwa kunze kwepasi pasi peanesthesia yemunharaunda.
- Kuvhiyiwa kwenguva yakareba kunogona kubvumira kukurumidza kushanda nekudzoka uye kuderera kwemashure kwepas op kupfuura chirongwa chinosununguka chekuvhima. Mumwe chiremba anogadzira zvinhu zviviri muchigadziko nemichindwe, anoisa kamera yakanamatira pikiti, inocherechedza mavara pachigadziko, uye inoderedza carpal ligament. Iyi chirwere chechipiri-portal endoscopic, chinowanzoitwa pasi peanesthesia yemo, inoshanda uye inoderedza kusuruvara uye kuora kwekuneta. Imwe-portal endoscopic chirurgic inowanikwawo.
Kudzorera
Kunyange zvazvo zviratidzo zvingasunungurwa pakarepo mushure mekuvhiyiwa, kuzora zvakakwana kungatora mwedzi. Vamwe varwere vangave:
- utachiona
- nerve kukanganisa
- kushungurudzika / kurwadziwa pakurehwa
Dzimwe nguva simba rinorasikirwa nesimba nokuti carpal ligament inodzwa. Varwere vanofanira kurapwa mumuviri kuti vagadzirise simba resimbi. Vamwe vangave vachida kugadzirisa mabasa kana kuchinja mabasa mushure mokunge vapora.
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KudziviriraKumabasa, vashandi vanogona:
- ita pa-ye-basa chimiro
- ita kutenderera maitiro
- tora nguva dzose zororo
- kupfeka zvipfeko kuti ugare wakananga
- shandisa maitiro akajeka uye nzvimbo yepamusoro
Ergonomics
Kupfeka magirafu asina maoko kunogona kubatsira kuchengetedza maoko uye ushamwari uye kuchinja. Zvivako zvekushanda, zvishandiso uye zvigadzirwa zvinoshandiswa, uye mabasa anogona kugadziridzwa kuitira kuti mushandi wechigadziri ave nechinzvimbo chepanyama panguva yebasa. Mabasa anogona kuenderedzwa pakati pevashandi.
Vashandi vanogona kuvaka mapurogiramu e ergonomics, nzira yekugadzirisa mamiriro ezvinhu emabasa uye basa ravanowana kumabasa evashandi. Zvisinei, tsvakurudzo haina kunyatsoratidza kuti izvi zvinoshandiswa kumabasa zvinodzivirira kuitika kwe carpal tunnel syndrome.
Kunobva:
NIH Publication No 03-4898 (yakarongwa)