Kana iwe wakambomuka nekushaya simba kana kumira kunobata ruoko rwako kana ruoko, iwe unogona kungoerekana wafunga kuti sei sei kana kuti nei zvakaitika Zvinoreveiko kune chikamu chemuviri "kurara"? Funga nezvemaitiro ehuni uye kuti kudzvinyirira kwehuroal, urnar, uye mitsipa dzomukati zvinogona sei kukonzera kufungira, kurira, uye kushaya simba kunokonzera kumucheto kumusoro.
Dzidza kuti kumira sei muhope kunogona kutungamirira kumagariro semugovera weMugovera usiku palsy, kufara kwemukomana, uye kunyange carpal tunnel syndrome. Pakupedzisira, tsvaga imwe yemishonga inogona kupa ruyamuro.
Rinorevei Kune Chikamu Cheku "Kura Nehope"?
Zvakajairika kutaura kuti chikamu chemuviri "chakarara" kana chichinzwa-chisingaoneki-nekushaikwa kwekunzwa-kana kuti ine pini-uye-nenyuchi kunzwa kana kutinhira (dzimwe nguva kunonzi paresthesia). Panogona kunge kune marwadzo kana kumwe kusagadzikana kunosangana nemanzwiro aya, kunyanya sekudzoka kunoitika. Chii chinokonzera zvinhu izvi?
Vanhu vazhinji vanofunga zvisiri izvo kuti zviratidzo izvi zvinoitika nekuda kwekurasikirwa kwenguva pfupi kweropa kunopera kumagumo, zvakadai segumbo kana ruoko. Kutaura zvazviri, chinokonzera chinogona kunge chikavapo nekuda kwekumanikidzwa kwemishonga inopa muviri chikamu. Kazhinji, ropa rinopa (kusanganisira zvose arteri uye mitsipa) rinosangana pamwe nembeu inokonzerwa nekutumira ruzivo rwemashoko uye kushandisa mishonga yemabasa.
Mune zvimwe zviitiko, kukanganisa kuwedzerwa ropa kweropa kunogona kukonzera kuora mwoyo, asi kazhinji kunomanikidzwa pamusana pachake une zvinogumbura.
Mitsipa inogona kunge iri pangozi yakakura yekukuvara mumamiriro ezvinhu chaiwo. Izvi zvinogona kuve zvakagadzirwa, zvichiita kuti kusagadzikana kwemasero akawanda.
Nzira kukanganisa kunonziwo neuropathy. Zvinokonzerwa neuropathy kusarudzwa kune dzimwe nharo shomanana, kana kunyange kune imwe musungo.
Iyo yakawanda inowanzokonzerwa nehutachiona hwehutano hwepfungwa inopararira neuropathy . Inowanzokonzera mitsetse yakareba kwazvo yemuviri, iyo inowedzera kusvika kune tsoka uye pasi pemakumbo. Inogona kukonzerwa nechirwere cheshuga, hypothyroidism, kushaya vitamini B12, chirwere chisingaperi chepfungwa, kana kusvibiswa kune zvigadzirwa zvakakura. Nokufamba kwenguva, zvinetso zvishoma nezvishoma zvingave zvishoma nezvishoma zvichange zvakuvara uye uku kukuvara kunowanzosakanganiswa. Nenyaya iyi, zvinowanzoitawo kuti kukuvadza kune imwe nharo inogona kuitika.
Iko kunewo chidimbu chinokonzera chirwere chinogona kutarisa kune zvinokonzera mungozi. Iyo inozivikanwa senhaka yeuropathy neyakagadzirirwa kune zvinokonzerwa nemagetsi (HNPP), inotungamirira kune zvikamu zvekushaya simba nekurasikirwa kwekunzwa kazhinji kunobatanidza nekudzvinyirira kwemitsipa imwe chete. Icho chinyorwa chinotyisa, zvichiita kuti mhuri ive nhoroondo yakawanda zvikuru. Vanhu vakagadzikana vanotaura kazhinji kuoma nehutano hwemhutu hunoguma kubva pamabasa ezuva nezuva, kusanganisira kumuka nezviratidzo kunze kwehope.
Maitiro Anatomy Anotungamirira Kumiratidzo Yakasiyana
Kubatana kubva muuropi kusvika kumitsipa shoma mumumuviri inodarika nzira yemigwagwa yakagadziriswa, seyendaneti yematairi anowedzera kubva kune rimwe sendimba kusvika kune magetsi.
Zvinosuruvarisa, kune mikana yezvinetso zvinogona kuvhiringidza kana kuparadza izvi. Kunze kweuropi-uye kunyange muromo wepervical cord mumutsipa kana brachial plexus yemitsipa mujasi-pasi pane nzvimbo dzakajairika iyo migero inogona kuwira pasi. Kunyanya, kupera, kusungira, uye kushaya simba kunobata ruoko kana ruoko uye kunogona kuita kuti itarame usiku hunoita hutatu hutsinye hukuru:
Radial Nerve: Mugovera Night Palsy kana Honeymoon Palsy
Kukuvadzwa kumusana wenhare kunogona kana kusakonzera kurasikirwa kwekunzwa kana kusungirirwa, zvichienderana nokuti kunokonzerwa kana kukanganiswa kunoitika. Panogona kuva nekushaya simba kwakasiyana.
Chikonzero chekukuvadzwa kunogona kusarudza kuti chii chinogona kutarisirwa.
Chimwe chekukuvara kwakakurumbira kunonzi Mugovera usiku palsy. Izvo zvinoitika kana pane kuwedzerwa kwehutano hwemhepo pahutambo hwe groove ye humerus (bone riri muruoko rwepamusoro pamusoro pekona). Inogona kukurudzirwa nekuda kwekumanikidzwa kwehutano hunopesana nefupa kana ruoko ruchinge ruchiwana nguva refu. Izvi zvinogona kuitika kana maoko akafukidzwa pamusoro pechigaro, zvakadai panguva yekudhakwa kwekudhakwa, saka zita racho rinosanganiswa neusiku wevhiki kana kunwa kudha kunogona kuitika. Ikoko kunogona kunge kuine utera hunokonzerwa nekuwedzerwa kweminwe uye wrist-uye kazhinji zvisizvo zvinowanikwa. Panogona kuva nekurasikirwa kwekunzwa mushure kwechigunwe uye zvigunwe zvishoma.
Izvo zvinogonawo zvakare kuti mutsara wehutachiona uwedzere kukura kumusoro. Muhupenyu hwomukomana, kuremera kwomusoro wemukomana anenge akarara kunogona kudzvinyirira musungo pedyo nefudzi. Saizvozvowo, kushandiswa kwemabhondi kunogona kutungamirira kukuvadza kune nharo paArmpit. Mumashure ekunyanyisa kwechirwere, kushaya simba kwakafanana kunowanikwa munwe uye kuwedzerwa kwemaoko, asi hapana kurasikirwa kwezvinhu.
Ulnar Nerve: Tennis kana Golfer's Elbow, Anyone?
Kuvhiringidzika kana kukuvadza kumusana wemaziso , kazhinji pahombodo, kunotungamirira kune zvinowanzoshandiswa zvekushandisa zvisina kufanira zvakadai sesimbi kana tennis yegolfer (yakagadziriswa uye epicondylitis yepakati, zvichienderana). Kushushikana pamusana wenzara panguva yekurara kunogonawo kuita kuti ruoko rwerara rara. Kunyanya, kugara kwenguva yakawanda kana kuti kuzorora kwenguva refu yejenderedzwa yakanyatsoshandiswa pane imwe nzvimbo yakaoma (yakadai padhesiki kana muchigaro chechigaro) inogona kudzvinyirira chirwere. Kusungirirwa kwemaoko etare panguva yokurara kunogonawo kuita kuti ulnar neuropathy.
Apo chirwere chendonda chinenge chakavharidzirwa kana kuti chiri pedyo nehokwe, kusava nesimba kwemuviri wemukati uri muruoko kungatungamirira kukuderedza simba rekubata. Mukuwedzera, kupera uye kutinhira pamusoro pechina nechechishanu (mhete uye pinky) minwe uye rutivi rwakafanana rworuoko (runonzi ihwo hukuru hwepamusoro) hunogona kuguma. Kushaya simba muhurefu hwemapuraneti eminwe iyi inogonawo kukura.
Izvo zvinokwanisikawo kuti mutsara wemagetsi uomanikidzike pachiuno. Muchiitiko ichi, kushaya simba kunongororwa mukati mezvisikwa zvemaoko uye mamwe mitsipa haabatsiri. Ikoko kunogona kuva nekurwadziwa kwakadaro kana kupera mukati mekupedzisira kwechikafu.
Nhengo yeMedhi: Carpal Tunnel Syndrome
Carpal tunnel syndrome ndiyo inonyanyozivikanwa neuropathy inobata nharo imwe chete. Inosanganisira kukuvadza kune nhengo dzomukati dzakanzwisiswa nekumanikidzika sezvo inopfuura pasi peflexor retinaculum, kana kutenderera carpal ligament, isingaiti yefiber sheath pachigadziko. Munharaunda iyi inoyerera inotenderera inoshandura minwe, mitsipa yeropa, uye nhengo dzomukati. Kuvhiringidzika kana kuvhara mukati memugwagwa uyu kunogona kutungamirira kune zviratidzo zvinobata ruoko usiku.
Urombo hweusiku, kutsva kwekunzwa, kutinhira, kana kupera kunogona kuwedzera kune rumwe rutivi rwemichindwe rwechigunwe, chinyorwa, uye neminwe yapakati. Izvi zvinogona kuonekwa nekumuka kubva kurara. Marwadzo angaitawo seasingaoneki muchengeti. Zviratidzo zvinowanzowedzera kukuvadza nekushandisa zvakanyanya ruoko kana chiuno. Kunyangwe zvingakanganisa mavoko maviri, kazhinji kazhinji mune ruoko rukuru. Muzviitiko zvakanyanya, kushaya simba kana kuparara kweabductor pollicis brevis muscle iyo inobata chigunwe kuruoko ingatanga.
Kunze kwezvakagadziriswa zvinokonzerwa neuropathy neuropathy inotsanangurwa pamusoro apa, mutezo wepakati unogona kunge wakakuvadzwa mukudzivirira, kuneta, rheumatoid arthritis, gout, nezvimwe zvinhu. Inenge 3.5 muzana yevanhu vakawanda vanoona carpal tunnel syndrome.
Inochengeteka Kuti Chirwere Chisiye Kurara?
Hazvina mhosva kuti nharo ipi inobatanidzwa, ungashamisika kuti: Zvakachengeteka here kuti ruoko rwerara? Nenzira yakanaka, kana ruoko rwako rukavata usiku, zviratidzo zvingagadziriswa usati wasvinudza zvachose zuva racho. Ichokwadi, kudzvinyirira kwepakati pehutachiona kunowanzoitika kakawanda panguva yehope. Izvozvo zvinogona kubudisa zviratidzo zvisinganzwisisiki zvepfungwa kana kushaya simba mune ruoko kana ruoko. Zviitiko zvakawanda zvinogona kuitika zvisingaoneki apo kurara kunotangazve. Kudzoka kunoitika nokukurumidza, uye kazhinji hako kuongororwa kwehutano kunoda.
Kuongororwa uye Kurapa Kwemhirizhonga Inoramba Ichida
Kana zviratidzo zvisingafari mangwanani ekutanga, funga zvimwe zvekuongorora uye nzira dzokurapa. Zvinogona kuonekwa kuti zvionekwe neweurologist uyo achatora nhoroondo yepamusoro uye aite ruzivo rwakakwana rwekuongorora. Kufungidzira kwemaitiro emutsipa, brachial plexus, kana nzvimbo dzekugona kushandiswa-kusanganisira kombiyuta inonzi tomography (CT) kuongorora kana maginist resonance imaging (MRI) -inofanira kudikanwa. Zvidzidzo zvegetsi zvehutachiona hunogona kurongeka kuburikidza nenyanzvi yeurunususus, kusanganisira zvidzidzo zvekuita nerve conduction (NCS) uye electromyograms (EMG) .
Kana yakasiyiwa isingateereri, chirwere chepfungwa chinogona kutungamirira kune nguva yakareba kukuvadzwa nekuramba ichivhara, kurira, nekurasikirwa kwemaviri masimba kana basa.
Zvakakosha kuti kumucheto kumusoro kunonyatsotsigirwa panguva yokurara. Ikosi nehokwe hazvifanirwi kuchinjwa kana kuwedzerwa kwenguva yakareba panguva yokurara. Kana zvingakonzera kusagadzikana apo painomuka, inzvimbo iyo inofanira kunge ichidzivirirwa kwenguva yakareba panguva yehope. Kazhinji yenguva, munhu achamuka ndokururamisa, asi kunwa doro zvakanyanya kana kurara mapiritsi kunogona kutungamirira kukusaremara kusingabatsiri.
Kunze kwekukosha kwekusatenderera kwemauto, ruoko, ruoko uye ruoko panguva yokurara, kumwe kupindira kunogona kudikanwa. Izvi zvinosanganisira:
- Radial Neuropathy: Kukuvadzwa kwakanyanya kunokonzerwa nekumanikidzwa kunowanzovandudzika mumasvondo matanhatu kusvika ku8. Zvinokanganisa kuputika kunokonzera mahara, zvikuru avo avo vasingazivikanwe vakaitwa panguva yekudhakwa, kunofanira kuiswa kunze kwekuti kufungidzira kungave kuri varombo.
- Ulnar Neuropathy: Kuzorora nekudzivirirwa kwezvinhu zvinokonzera (zvakadai sehuta refu refu) zvinogona kubatsira. Kuvhiya nechinokonzerwa nekudengenyeka panzvimbo panzvimbo yekumiswa kungave yekupedzisira.
- Median Neuropathy: Huru dzekristani kana zvigadziri, kwete-steroidal anti-inflammatory drugs (ibuprofen, naproxen, nezvimwe) uye yero injini ye corticosteroid inogona kubatsira. Apo zviratidzo zvinorema zvakanyanya zvichiitika, nekurasikirwa kwekunzwa kana atrophy yemasumbu, marapal carp inosunungurwa kuburikidza nekuvhiyiwa inogona kupa rubatsiro ruduku. Izvi zvingada kubvunzurudza neurosurgeon kana chirwere chechiremba.
Shoko Rinobva
Nenguva isipi, kumuka noruoko kana ruoko rwakarara usiku inowanzova isina chakaipa. Kufuridzira pamusoro pemasana, radi, ulnar, kana kuti mukati-kati kunogona kuitika nekuda kwekurara. Zviratidzo zvinogona kugadzirisa nokukurumidza pakumutswa uye hazvive nemigumisiro yenguva refu. Kana zviratidzo zvinowanzoitika kana kuti zvikavhiringidza kurara, zvingava nguva yekutaura nachiremba. Kupindira kwakajeka kwakadai sechiuno chesimbi kunogona kupa ruzivo. Mune zvimwe zviitiko, kuvhiyiwa kunogona kuva kurapwa kwesarudzo kuve nekugadzirisa nekugadzirisa basa rino rehutano hunokosha.
> Sources:
> Harati, Y uye Bosch EP. "Kushungurudzika Kwemapfupa Emitsipa," muNeurology mu Clinical Practice . Eds. Bradley WG, et al . Butterworth, Heinemann, uye Elsevier. 2008. 5 th edition. pp. 2262-2266.
> Misulis, KE. "Hemiplegia uye Monoplegia," muNeurology muKliniki Practice . Eds. Bradley WG, et al . Butterworth, Heinemann, uye Elsevier. 2008. 5 th edition. pp. 346-347.
> Moore, KL naDalley, AF. "Clinic Orientedened Anatomy." Lippincott Williams & Wilkins , 4th edition, 1999, pp. 665-830.
> Papanicolaou, GD et al . "Kuwandisa uye maitiro ehutano hwemagetsi zviratidzo muhuwandu hwevanhu." J Hand Surg , 2001, vol 26, mapeji 460-466.
> Spinner, RJ et al . "Kubva 'Mugovera usiku palsy'?" Neurosurgery , 2002, vol 51, mapeji 737-741.