Kurapa kwe carpal tunnel syndrome kunotsamira pamhando uye nguva yezviratidzo. Inowanzotanga nemishonga inogadziriswa uchishandisa bvudzi rakatsvuka uye iwe unogona kuwana injini ye corticosteroid kuderedza kupisa. Kana izvi zvisingabatsiri kana kuti zviratidzo zvako zvakaoma, iwe unogona kuva nekarpal tunnel kuvhiyiwa kusunungurwa.
Over-the-Counter (OTC) Kurapa
Kupfeka kupenya kana kusunga usiku kunowanzotanga kurapa.
Iwe unogona kuwana hupfeko hwemaoko pachitoro chechirwere mumhando dzakasiyana-siyana. Chinhu chisina kunaka chinopindira ruoko rwako mune zvematongerwe enyika chiri nani. Iwe unogonawo kuwana humwe humwe hutsika huripo hunoenderana nekushandiswa kwemasikati.
Iwe unogona kushandisa OTC nonsteroidal anti-inflammatory drugs (NSAIDS) yakadai sokuti ibuprofen inogona kubatsira kubvisa zviratidzo zvinorwadza. Zvisinei, mishonga iyi haisi kuzovandudza mamiriro acho pachayo.
Mishonga yeMusha uye Upenyu
Iwe unogona kushandisa inotonhorera mapepa pawiti yako kuti ubatsire kuderedza kuzvimba. Zvakanaka kudzivisa zvinhu zvinoita kuti zviratidzo zvako zviwedzere. Iwe unofanirwa kutora nguva dzakasiyana-siyana kuti ugare maoko ako kana pane chero basa iro rinoda kuchinja mafungiro. Dzivisa kurara pamaoko ako, zvikurukuru newaini yako yakanamatira.
Zvinyorwa
Chiremba wako anokwanisa kupa mutambo wakasiyana-siyana kuti ugovakwa nemumwe mushandi wepamberi achakufananidza iwe chaizvo. Oral corticosteroids inogona kurairwa kuti kuderedze kuvhiringidzika uye kuzvimba.
Zvisinei, zvinowanzoita kuti jekisi ye cortisone igoverwa senzira.
Kuvhiya uye Nzira
Kuwedzera kurapwa kunobva pane zvakasimba zvezviratidzo zvako kana vasina kupindura kurapa kwakachengetedza. Iwe unogona kutumirwa kune nyanzvi yezveuropi kana chirwere chechiremba.
Cortisone Injection
Majekiseni eCortisone ave achishandiswa sekurapa kwe carpal tunnel syndrome. Iyo jekisi inogona kutungamirirwa ne endoscopy. Kunyange zvazvo kune zvingava nemigumisiro , inowanzoonekwa yakachengeteka kupfuura kuvhiyiwa. Zvinonyanya kubudirira apo chinokonzera chikonzero cheCTS chiri kwenguva pfupi uye chichagadzirisa, sekushure kwekukuvadzwa, panzvimbo yeCTS nekuda kwechirwere chisingaperi kana chikonzero cheatomic. Dzimwe nguva chirwere chinonzi cortisone chinopiwa kuti chibatsire kusimbisa kuongororwa kweCTS, iyo inofanirwa kunge ichingodaro isunungurwa nejojo. Zviratidzo zvechikonzero chakasiyana hazvizogadziriswa nejojo panzvimbo ino.
Hand Therapy
Chiremba wako angakutsanangurira kune chiremba ruoko sechirongwa chokuchengetedza kana panguva yekudzikinura kubva pakuberekwa. Murapi anogona kukudzidzisa iwe nerve gliding uye tendon gliding maitiro. Ruoko rwechirapa runogonawo kushandisa iontophoresis kuronga steroid kuburikidza neganda. Kurapa ultrasound kunogona kushandiswawo kuderedza marwadzo uye kupera.
Carpal Tunnel Kuchengetedza Kuvhiya
Mutambo weCarp unobudiswa kuvhiyiwa ndiyo danho rinotevera kana zviratidzo zvacho zvakanyanya kana kuti havana kutora mishonga yekuchengetedza. Icho chiri chirwere chekuvhima kwemazuva masikati chinowanikwa pasi pekunharaunda. Iwe uchava kuenda kumusha musi iwoyo.
Zvisinei, iwe unogona kunge uchiita sedation uye iwe unoda mumwe munhu kuti akutakure kumba kwako. Kazhinji iwe unoda kuvhiyiwa pamaoko maviri uye kuvhiyiwa kunogona kuitwa panguva imwe chete.
Mune chirwere chepasipi, chirwere chakakomberedza chidziro chakagadziriswa kuti chisununguke mhirizhonga pamusana wepakati. Iwe kazhinji unonzwa uzonunurwa zviratidzo zvako pakarepo. Miti yacho inokura pamwe chete uye inopa nzvimbo yakawanda mumugwagwa weCarp for the nerve. Kuvhiyiwa kunogona kuitwa nenzira mbiri:
- Vhura kusunungurwa kwakasunungurwa kunoitwa nekuita kusungirirwa neecalpel muhomwe nekucheka chironga.
- Kuvhiya kwekupedzisira kunoshandisa imwe kana maviri zvigadziriswa zviduku muhuni uye muchindwe kuti uise kamera yakanamatira pikiti uye ucheke gorosi nekacheche kakakonzerwa mukati mehutu.
Mushure mekuvhiyiwa zviri pachena kuti iwe ucharayirwa kuti ufukidze hupfeko kana kuvhara kwemavhiki mashoma. Iwe unogona kuchinja basa rako rebasa paunenge uchidzoka uye uwane rubatsiro nemabasa epamba, asi iwe unofanira kunge uchangobva kukwanisa kutyaira uye kusimudzira chiedza.
Kunyatsorodzwa mushure mekuvhiyiwa kunogona kutora mwedzi mishomanana, panguva iyo iwe uchange uine humwe huri kuderedzwa simba. Izvi zvinowanzodzoka mukati pemwedzi miviri kusvika mitatu, asi zvinogona kutora kusvika gore mumamiriro ezvinhu apo kuvharwa kwemasero kwakanyanya. Kunenge hafu yevaya vane carpal tunnel kusunungurwa kunobviswa zvakakwana kushandiswa kwemazuva ose uye kushungurudzika. Zvakajairika kuva nechimwe chinetso kana kushaya simba shure kwekudzikinura. Nhau dzakanaka ndechokuti kudzokorora kwedambudziko hakusi nyore. Iwe unogona kutumirwa kuruoko rwechiremba kuti ubatsire kupora kana iwe uchiri kurwadziwa uye utera shure kwemwedzi miviri.
Mishonga Inobatsira Inobatsira (CAM)
Kuongororwa kwezvidzidzo muna 2010 zvakashuma pamusoro pehuwandu hunoratidza kuti dzimwe nzira dzokurapa dzinogona kubatsira kune CTS. Heano zviwanikwa zvekuongorora ikoko:
- Yoga inogona kubatsira kusimbisa muviri wako wepamusoro nekuvandudza kwako simba. Inonzi inobatsira neNIH National Institute of Neurological Disorders uye Stroke. Zvisinei, hapachina kuve nekudzidziswa kwakadzidziswa kutsigira kushandisa yoga mumakore makumi maviri adarika.
- Kugadziriswa kwakatsigirwa sechirongwa chekugadzirisa chirwere kana kushandiswa nesangano reNIH rekubvumirana muna 1997. Zvidzidzo zvakasiyana-siyana hazvina kuratidza uchapupu hunogutsa hunoshanda. Nyore acupuncture, acupressure, kana laser acupuncture inogona kuitwa nemaitiro ekurapa maitiro. Low-level laser therapy inogonawo kuitika pamwe chete nembeu yepakati pemapurisa panzvimbo yekugadzirisa nzvimbo. Uchapupu hwekubudirira kwayo hwakafanana.
- Magnetic field therapy yave iinewo zvidzidzo zvishomanana, uye ichangobva kuonekwa isingaratidzi maitiro.
Kunyange zvazvo pasina huongorori hwekushandisa kwavo, vamwe vashandi vanorumbidza idzi nzira dzokurapa dzakasiyana:
- Feldenkrais , iyo ndiyo mafambiro ekudzokororazve dzidzo. Chinangwa chekuvandudza kubatana, kuderedza kushamwaridzana kunetseka, uye kugadziriswa kushanduka.
- Heroerwork inoratidziro yemuviri inosanganisira basa rakadzika mishonga chakakomberedza forearm uye wrist, dzidzo pamusoro pokusimudza uye kufamba, uye hurukuro pamusoro pemanzwiro anokwanisa kukukanganisa maronda ako nekufema.
- Zvigadzirwa: Vitamin B6 inoratidzirwa sekuwedzera kune avo vanofunga kuti inogona kubatsira nekunzwa kurwadziwa. Zvisinei, matanho anodikanwa nekuti inodhaka yakawanda inogona kukonzera kukanganisa kwehutano. Alpha-lipoic acid (ALA) inonzi antioxidant yakave yakarongedzerwa nevamwe vashandi vanoita zveCTS. Enzyme inowedzera zvakadai sa serrapeptase , bromelain uye papain inorongedzerwa nevamwe vashandi vanogona kuita nharo kuti vanogona kuderedza mishonga yekudzimba. Kurukura chero zvipi nezvipi nemuongorori wako sezvo zvingave zvisina kukodzera kuvakadzi vane pamuviri, vana vanoyamwisa, vana, kana avo vane mamwe marapirwo. Vanogonawo kuva nekutaurirana nemimwe mishonga.
> Sources:
> Carlson H, Colbert A, Frydl J, Arnall E, Elliot M, Carlson N. Zvakasarudzwa zvino zveNationalurgical Management of Carpal Tunnel Syndrome. International Journal of Clinical Rheumatology . 2010; 5 (1): 129-142. doi: 10.2217 / IJR.09.63.
> Carpal Tunnel Syndrome Fact Sheet. National Institute of Neurological Disorders uye Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Carpal-Tunnel-Syndrome-Fact-Sheet.
> Jennings CD, Faust K. Carpal Tunnel Syndrome. American Academy of Orthopedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/carpal-tunnel-syndrome/.