Ho se sebetse ha methapo ea methapo e bohareng

Ho se sebetse ha methapo ea methapo e fapaneng ke mofuta oa pherekano ea methapo e amang motsamao kapa kutlo matsohong.

Mofuta o tloaelehileng oa ho se sebetse ha methapo ea methapo ea methapo ke carpal tunnel syndrome.

Ho se sebetse ha sehlopha se le seng sa methapo, joalo ka methapo ea methapo ea methapo, ho thoe ke mononeuropathy. Mononeuropathy e bolela hore ho na le sesosa sa tšenyo ea methapo ea lehae. Maloetse a amang 'mele oohle (mathata a systemic) a ka baka tšenyo ea methapo e ka thoko.

Boemo bona bo etsahala ha methapo e ruruha, e qabeletsoe kapa e tsoa likotsi ke ts'itiso. Lebaka le tloaelehileng haholo ke ho cheha (ho kenella). Ho cheha ho beha khatello methapong moo e fetang sebakeng se moqotetsane. Ho robeha ha letsoho ho ka lematsa methapo e bohareng ka kotloloho. Kapa, ​​e ka eketsa menyetla ea ho tšoasa methapo hamorao.

Ho ruruha ha li-tendon (tendonitis) kapa manonyeletso (ramatiki) le hona ho ka hatella methapo. Mehato e meng e pheta-phetoang e eketsa menyetla ea ho ts'oaroa ke kotopo ea carpal. Basali ba amehile haholo ho feta banna.

Mathata a amang lisele tse haufi le methapo kapa a etsang hore li-depositi li be teng ka har'a lisele li ka thibela phallo ea mali mme ea baka khatello ea methapo. Maemo a joalo a kenyelletsa:

• Hormone e kholo haholo ea 'mele (acromegaly)
• Lefu la tsoekere
• Qoqotho e sa sebetseng (hypothyroidism)
• Lefu la liphio
• Kankere ea mali e bitsoang multiple myeloma
• Boimana
• Botenya

Maemong a mang, ha ho lebaka le ka fumanoang. Lefu la tsoekere le ka mpefatsa boemo bona.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Bohloko bo letsohong kapa letsohong bo ka ba boima mme bo u tsose bosiu, mme bo ka utluoa libakeng tse ling, joalo ka letsoho le holimo (hona ho bitsoa bohloko bo fetisitsoeng)
• Liphetoho tsa maikutlo monoaneng o motona, oa index, oa bohareng le oa karolo ea menoana ea lesale, joalo ka maikutlo a tukang, ho fokotsa kutlo, ho ba shohlo le ho hlohlona.
• Bofokoli ba letsoho le etsang hore o dihe dintho kapa o be le bothata ba ho ts'oara lintho kapa ho tlanya hempe konopo

Mofani oa hao oa tlhokomelo ea bophelo o tla hlahloba letsoho la hao mme a botse nalane ea hau ea bongaka. Liteko tse ka etsoang li kenyelletsa:

• Electromyogram (EMG) ho lekola tšebetso ea motlakase oa mesifa
• Liteko tsa ho tsamaisa methapo ho hlahloba hore na matšoao a motlakase a feta kapele hakae methapong
• Neuromuscular ultrasound ho bona mathata ka mesifa le methapo
• Bokooa ba methapo moo ho tlosoang lisele tsa methapo bakeng sa tlhahlobo (ha ho hlokahale hangata)
• Magnetic resonance neurography (litšoantšo tse qaqileng haholo tsa methapo ea kutlo)

Kalafo e reretsoe sesosa sa mantlha.

Haeba methapo ea methapo e angoa ke carpal tunnel syndrome, letsoho la letsoho le ka fokotsa kotsi e eketsehileng mothapong le ho thusa ho kokobetsa matšoao. Ho roala sekhahla bosiu ho phomotsa sebaka seo mme ho fokotsa ho ruruha. Ho entoa letsohong ho ka thusa ka matšoao, empa ho ke ke ha lokisa bothata bo ka sehloohong. Ho ka 'na ha hlokahala hore ho buuoe haeba mokelikeli kapa meriana e sa thuse.

Bakeng sa lisosa tse ling, kalafo e ka kenyelletsa eng kapa eng ea tse latelang:

• Meriana ea ho laola bohloko ba methapo (joalo ka gabapentin kapa pregabalin)
• Ho phekola bothata ba bongaka bo bakang tšenyo ea methapo, joalo ka lefu la tsoekere kapa lefu la liphio
• Phekolo ea 'mele ho thusa ho boloka matla a mesifa

Haeba sesosa sa ho se sebetse ha methapo ea kutlo se ka tsejoa le ho phekoloa, ho na le monyetla o motle oa ho fola ka botlalo. Maemong a mang, ho na le tahlehelo e itseng kapa e felletseng ea motsamao kapa maikutlo. Bohloko ba methapo bo ka ba boima 'me ba phehella nako e telele.

Mathata a ka kenyelletsa:

• Ho holofala ha letsoho (seoelo)
• Ho lahleheloa ke karoloana kapa ho felletseng ha motsamao oa matsoho
• Ho lahleheloa ke maikutlo a itseng kapa a felletseng menoaneng
• Kotsi e iphetang kapa e sa hlokomeloeng letsohong

Bitsa mofani oa hau haeba u e-na le matšoao a ho se sebetse ha methapo ea methapo ea methapo. Tlhahlobo ea pele le kalafo li eketsa menyetla ea ho folisa kapa ho laola matšoao.

Thibelo ea fapana, ho latela sesosa. Ho batho ba nang le lefu la tsoekere, ho laola tsoekere maling ho ka fokotsa menyetla ea ho ba le mathata a methapo.

Bakeng sa batho ba nang le mesebetsi e kenyelletsang ho sisinyeha ha letsoho, ho ka hlokahala phetoho tseleng eo mosebetsi o etsoang ka eona. Ho khaoha khafetsa mesebetsing ho ka thusa.

Neuropathy - methapo ea kutlo ea distal

• Sisteme ea methapo e bohareng le methapo ea methapo

Craig A, Richardson JK, Ayyangar R. Ntlafatso ea bakuli ba nang le lefu la methapo. Ka: Cifu DX, ed. Phekolo ea 'mele ea Braddom le Tlhabollo. La 5th. Philadelphia, PA: Elsevier; 2016: khaolo ea 41.

Katirji B. Mathata a methapo ea kutlo. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 107.

Toussaint CP, Ali ZS, Zager EL. Li-syndromes tse kenang hole tse hole: kotopo ea carpal, kotopo ea bana, peroneal le kotara ea tarsal. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 249.

Waldman SD. Lefu la Carpal tunnel. Ka: Waldman SD, e hlophisitsoeng. Atlas of Common Pain Syndromes. La 4 ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 50.