Lefu la Carpal tunnel

Carpal tunnel syndrome ke boemo bo nang le khatello e feteletseng mothapong o bohareng. Ena ke methapo ea letsoho e lumellang maikutlo le motsamao likarolong tsa letsoho. Carpal tunnel syndrome e ka lebisa ho shoeleng, ho hlohlona, ​​ho fokola kapa ho senyeha ha mesifa letsohong le menoaneng.

Metsing ea methapo e fana ka maikutlo le motsamao lehlakoreng la leoto la letsoho. Sena se kenyelletsa palema, monwana o motona, monwana wa index, monwana wa bohareng le lehlakore la monwana o motona wa lesale.

Sebaka se letsohong la hau moo methapo e kenang letsohong e bitsoa kotopo ea carpal. Kotopo ena hangata e tšesaane. Ho ruruha ho hong le ho hong ho ka penya methapo 'me ha baka bohloko, ho ba shohlo, ho hlohlona kapa ho fokola. Sena se bitsoa carpal tunnel syndrome.

Batho ba bang ba hlahisang lefu la carpal tunnel syndrome ba hlahile ba e-na le kotopo e nyane ea carpal.

Carpal tunnel syndrome le eona e ka bakoa ke ho etsa letsoho le letsoho le tšoanang khafetsa. Ho sebelisa lisebelisoa tsa letsoho tse thothomelang ho ka lebisa ho carpal tunnel syndrome.

Boithuto ha bo so paka hore carpal tunnel e bakoa ke ho tlanya khomphuteng, ho sebelisa toeba, kapa ho pheta-pheta motsamao ha o ntse o sebetsa, o bapala seletsa sa mmino, kapa o bapala lipapali. Empa, mesebetsi ena e ka baka tendinitis kapa bursitis letsohong, e ka fokotsang kotopo ea carpal mme ea lebisa ho matšoao.

Carpal tunnel syndrome e hlaha hangata ho batho ba lilemo li 30 ho isa ho 60. E atile haholo ho basali ho feta banna.

Lintho tse ling tse ka lebisang ho carpal tunnel syndrome li kenyelletsa:

• Tšebeliso ea joala
• Ho robeha ha masapo le ramatiki ea letsoho
• Cyst kapa hlahala e holang letsohong
• Tšoaetso
• Botenya
• Haeba 'mele oa hau o boloka maro a mangata nakong ea bokhachane kapa nako ea ho ilela khoeli
• Ramatiki ea ramatiki
• Maloetse a nang le liprotheine tse sa tloaelehang 'meleng (amyloidosis)

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Ho tsieleha ha letsoho ha u tšoara lintho
• Ho ba lerootho kapa ho hlohlona ka monoana o motona le ho latela menoana e 'meli kapa e meraro ea letsoho le le leng kapa a mabeli
• Ho ba lerootho kapa ho hlohlona ha seatla sa letsoho
• Bohloko bo atolohelang setsoeng
• Bohloko bo letsohong kapa letsoho letsohong le le leng kapa ka bobeli
• Mathata a tsamaiso e ntle ea menoana (khokahano) letsohong le le leng kapa ka bobeli
• Ho senya mesifa tlasa lesela le lelelele (maemong a tsoetseng pele kapa a nako e telele)
• Tšoaro e fokolang kapa bothata ba ho jara mekotla (tletlebo e tloaelehileng)
• Bofokoli letsohong le leng kapa ka bobeli

Nakong ea tlhahlobo ea 'mele, mofani oa hao oa tlhokomelo ea bophelo a ka fumana:

• Ho ba lerootho letsohong la letsoho, monoana o motona, monoana oa letsoho, monoana o bohareng, le lehlakoreng le le leng la monoana oa hao oa lesale
• Tšoaro e fokolang ea letsoho
• Ho tlanya methapo e bohareng letsohong la hao ho ka baka bohloko ho thunya letsohong la hao (hona ho bitsoa letšoao la Tinel)
• Ho koba letsoho la hao pele metsotsoana e 60 ho tla fella ka ho felloa ke matla, ho hlohlona kapa bofokoli (hona ho bitsoa tlhahlobo ea Phalen)

Liteko tse ka laeloang li kenyelletsa:

• Li-x-ray tsa letsoho ho tlosa mathata a mang, joalo ka ramatiki letsohong la hao
• Electromyography (EMG, teko ea ho hlahloba mesifa le methapo e li laolang)
• Matšoao a methapo ea methapo (teko ea ho bona hore na matšoao a motlakase a feta kapele hakae methapong)

Mofani oa hau a ka fana ka tlhahiso ea tse latelang:

• Ho roala sekhahla bosiu bosiu ka libeke tse 'maloa. Haeba sena se sa thuse, o kanna oa hloka ho roala sekhahla le motšehare.
• Qoba ho robala matsohong a hao.
• Ho beha khatello e mofuthu le e batang sebakeng se amehileng.

Liphetoho tseo u ka li etsang mosebetsing ho fokotsa khatello ea maikutlo letsohong la hau li kenyelletsa:

• U sebelisa lisebelisoa tse ikhethileng, joalo ka li-keyboards, mefuta e fapaneng ea toeba ea likhomphutha, liphahlo tsa litoeba tse khabisitsoeng le li-drawer tsa keyboard.
• Ho ba le motho ea hlahlobang boemo boo u leng ho bona ha a etsa mesebetsi ea hau ea mosebetsi. Mohlala, etsa bonnete ba hore khiboto e tlase ka ho lekana hore manonyeletso a hau a se ke a inama holimo ha u ntse u thaepa. Mofani oa hau a ka fana ka maikutlo a setsebi sa mosebetsi.
• Ho etsa liphetoho mesebetsing ea hau ea mosebetsi kapa mesebetsing ea lapeng le ea lipapali. E meng ea mesebetsi e amanang le carpal tunnel syndrome e kenyelletsa e kenyelletsang lisebelisoa tsa ho thothomela.

MERIANA

Meriana e sebelisetsoang ho phekola lefu la carpal tunnel e kenyelletsa lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID), joalo ka ibuprofen kapa naproxen. Liente tsa Corticosteroid tse fanoeng sebakeng sa kotopo ea carpal li ka kokobetsa matšoao a nakoana.

HO SEBETSA

Ho lokolloa ha kotopo ea Carpal ke ts'ebetso ea ho buoa e kenang mokokotlong o hatellang methapo. Ho buoa ho atleha boholo ba nako, empa ho latela hore na u bile le khatello ea methapo le nako e telele hakae.

Hangata matšoao a ntlafala ntle le ho buuoa. Empa linyeoe tse fetang halofo qetellong li hloka ho buuoa. Le ha opereishene e atlehile, pholiso e felletseng e ka nka likhoeli.

Haeba boemo bo phekoloa hantle, hangata ha ho na mathata. Haeba methapo ea kutlo e sa alafatsoe, e ka senyeha, ea baka bofokoli bo sa feleng, ho ba shohlo le ho hlohlona.

Bitsa kopano le mofani oa hau haeba:

• U na le matšoao a carpal tunnel syndrome
• Matšoao a hau ha a arabele kalafo e tloaelehileng, joalo ka phomolo le lithethefatsi tse khahlanong le ho ruruha, kapa haeba ho bonahala ho na le tahlehelo ea mesifa e mengata ho potoloha menoana ea hau.
• Menoana ea hau e lahleheloa ke maikutlo le ho feta

Sebelisa lisebelisoa le lisebelisoa tse etselitsoeng hantle ho fokotsa kotsi ea kotsi ea letsoho.

Lithuso tsa Ergonomic, joalo ka li-keyboards tse arohaneng, literei tsa keyboard, lipepa tsa ho thaepa, le lithupa tsa letsoho, li ka sebelisoa ho ntlafatsa boemo ba letsoho nakong ea ho thaepa. Nka khefu khafetsa ha u thaepa mme o emise kamehla ha o utloa ho hlohlona kapa bohloko.

Ho se sebetse ha methapo ea methapo; Ho tšoaroa ke methapo ea methapo; Phekolo ea methapo ea maikutlo

• Ho hatelloa ha methapo ea bohareng
• Anatomy ea bokaholimo - letsoho le tloaelehileng
• Ts'ebetso ea ho buoa ea kotopo ea Carpal
• Lefu la Carpal tunnel

Calandruccio JH. Carpal tunnel syndrome, ulnar tunnel syndrome, le stenosing tenosynovitis. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 76.

Zhao M, Burke DT. Matšoao a kelello a bohareng (carpal tunnel syndrome). Ka: Frontera WR, Silver JK, Rizzo TD Jr, bahlophisi. Bohlokoa ba Phekolo ea 'mele le Tlhabollo: Mathata a Musculoskeletal, Pain, le Rehabilitation. La 4 ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 36.