Vanhu vazhinji vangave vachizivikanwa ne carpal tunnel syndrome apo kuiswa kwechiuno (carpal tunnel) kunokonzera marwadzo, kusungira, uye kuputika zvikurukuru muchigunwe, zviviri zviri pedo neminwe, uye chikamu chemuchindwe.
Chimwe chiitiko chinogona kuitika kune rumwe rutivi rwekristani uko kuiswa kwemasero emunondo kunokonzera marwadzo anokonzera kana kushaya simba mumunwe we pinky, mhete yeminwe, uye nechepamucheto woruoko.
Izvi zvinonzi ulnar neuropathy inogona kukonzerwa nemamiriro maviri akasiyana-siyana anozivikanwa semubereki tunnel syndrome uye ulnar tunnel syndrome .
Nzira dzeMuoko neWrist
Kuti anzwisise kuti sei izvi syndromes zvichiitika zvinoda kunzwisisa kwemashoko ekusimudza maoko. Ruoko rwunoumbwa nehutano hwakaoma hwemitsipa inowanikwa nemitatu mikuru mikuru: radial, median, uye ulnar nerves. Chimwe chezviputi izvi zvine basa rakasiyana muruoko:
- Mutsara unonzi radial unofanirwa kuve nekunzwa kune dzakawanda kumashure kwechanza, pamwe nekururamisa kweminwe.
- Mutsara wepakati unopa hurombo kune dzakawanda zvechigunwe uye zvigunwe zviviri zvekutanga, pamwe nekupa ruvara kune zvigunwe zviviri zvekutanga nezvigunwe.
- Huru yerinara inokonzera kushungurudzika kumunwe we pinky uye chikamu chein'i yemunwe. Iyo inoshandurawo minwe iyo uye inokubvumira kuti ukumbise minwe yako zvakasiyana.
Izwi rechiremba rokuti "ulnar neuropathy" rinongoreva kuti chimwe chinhu chakashata nemaronda emunondo.
Kana izvi zvikaitika, kazhinji zvinokonzerwa nechimwe chinhu chinomanikidza mutsara (sekuti kana imwe nzira inokwidza murara wako uye iwe unonzwa kuti kurwadza kunokonzera ruoko rwako).
Sezvo nharo dzinofamba kubva pamutsipa pasi pasi paruoko rwune ruoko, dzimwe nguva dzinopfuura nharaunda dzakasimba uko dzinowanzoshungurudzwa kukuvadza nekunyanya.
Nzvimbo mbiri dzakanyanya kufanana nehutarar nerve compression ndiyo bhokwe uye wrist.
Cubital Tunnel Syndrome
Hemararha (kureva, iyo "tsvina yakaoma" yenzara) inotangira kubva mumutsara uye inomhanya pasi pakureba kworuoko rwako. Cubital tunnel syndrome inonyanya kuitika apo mutsara wemagetsi unomanikidzwa pabheji.
Nguva ipi neipi nharo yakamanikidzwa pane iyi, marwadzo chero ipi zvayo muminwe uye ruoko inogona kuwedzera kuwedzererwa nekudzokororazve kwekombe (sekutaura pafoni). Zviratidzo izvi dzimwe nguva zvingava zvakakosha sekukumutsa iwe usiku. Hazvisi zvisingazivikanwi, chaizvoizvo, kuti vanhu vararame nemakumbo avo vachigadziriswa kuti varege kurwadziwa.
Cubital tunnel syndrome inogonawo kukonzera marwadzo anokonzera muhuturo uye kushaya simba mumasumbu ezvanza. Muzviitiko zvakakomba, musero inrophy uye kujekesa kwesimba kunogona kuitika.
Ulnar Tunnel Syndrome
Ulnar mamiriro ekurwara anokonzerwa nekudzvinyirira kwehutano panzvimbo yekristani asi kune imwe nzvimbo pane carpal tunnel syndrome, kunyanya, nzvimbo yakamanikana inonzi Guyon's Canal. Ulnar tunnel syndrome inogona kukonzerwa nekudzokorora kudzokorora kufamba, zvakadai sokunyunyutira, kana kuramba kuchimanikidzira pachigadziko, zvakadai seinoitika apo vafambisi vechibharo vanovimba nemabatiro avo kwenguva refu.
Mune zvikamu zvekupedzisira, ulnar tunnel syndrome inogona kukonzera kushaya simba nekuda kwekuti atrophy kana shrinkage yemafungiro uye mishonga inopesana (misumbu iri mukati mezasi). Mumatambudziko akaoma, atrophy inogona kutungamirira kujekesa kwechikafu.
Kuongorora nekurapa
Kuongororwa kwepanyama kazhinji kune zvose zvinodiwa kuti kusimbise kuongororwa kweurnar neuropathy. Kana zviratidzo izvi zvakakomba uye zvinoda kurapwa kwakanyanya, chiremba wako anogona kuraira sarudzo ye electromyogram kana kuti nerve conduction .
Kurapa kwekubata kwechirwere chetachiona uye chirwere chekugadzirisa zvirwere zvakafanana. Chinangwa chekutanga ndechokubvisa kusuruvara kupi zvingangodzvinyirira mutsara.
Izvi zvinosanganisira kusanganiswa kwekuzorora, kwakakodzera magetsi, uye kutsigira kubwinya. Kuchema kunononoka sezvinoita ibuprofen kunogonawo kuiswa.
Nezvo zvichitaurirwa, kune zvakawanda zvakasiyana mukurapa kunoitwa.
- Nekubatana kwemukati syndrome, kubatsirana kwakakoshesa kunosanganisira kuchengetedza rutivi rwekona pa 45 degrees. Iyo yakapenya inogona kunge ichipfekedzwa nguva dzose kana usiku chete zvichienderana nekuoma kwezviratidzo. Kana chirwere chinorambidza chichikundikana, chirwere chinogona kushandiswa kudonhedzera mutsara pachikwata chehokwe
- Uine ulnar tunnel syndrome, Kubatsira kuparadzanisa kwaizove kwakafanana neyomu carpal tunnel syndrome, uchishandisa kushandiswa kwebhanhire kuti uchengetedze chibvumirano chekudzivirira. Kana chirwere chinorasikirwa chinokundikana, kuvhiyiwa kunogona kushandiswa kuderedza mutsara kumativi eGuyon's canal. Inogonawo kusanganisira kusunungurwa kwepasipi yemapapiro emvura, iyo inoumba denga remberi yemapapiro uye chikamu chemuganhu wekupedzisira.
Kana kuvhiyiwa kuchiitwa, nzira yakarongeka yekurapa kwepanyama ingatevera kuti iwedzere simba uye kurutivi rweheta kana wrist. Kudzorera kunogona kutora kusvika masvondo gumi nemaviri.
Shoko Rinobva
Kana iwe uchifungira kukuvadza kwenzara muchikanda chako kana ruoko, tapota ita musangano nechiremba wako, uyo anogona kukutumira kune imwe nyanzvi. Mamiriro ezvinhu akaita sekubata mamiriro ehurwere uye chirwere chinonzi syndrome chinoda kuongororwa kwakaitwa uye kurapwa.
> Sources:
> Bednar, M ;; Chiedza, T .; uye Bindra, R. "Chitsauko 9. Kuvhiya Hand". Kurapa Kwemazuva Ano uye Kurapa muOrpapedics (5th edition). Mu: Skinner, H. naMcMahon, P. eds. New York, NY: McGraw-Hill; 2014.