Ho lokolloa ha kotopo ea Carpal

Ho tsoa ha Carpal tunnel ke ho buuoa ho phekola lefu la carpal tunnel. Carpal tunnel syndrome ke bohloko le bofokoli letsohong le bakoang ke khatello ea methapo e bohareng ea letsoho.

Metsing ea methapo le mesifa e fetolang menoana ea hao (kapa e menahana) e feta temaneng e bitsoang kotopo ea carpal letsohong la hao. Kotopo ena e moqotetsane, kahoo ho ruruha leha e le hofe ho ka penya methapo 'me ha baka bohloko. Ligament e teteaneng ka tlasa letlalo la hao (the carpal ligament) ke eona e kaholimo ho kotopo ena. Nakong ea ts'ebetso, ngaka e buoang e phunya lehare la carpal ho etsa sebaka se eketsehileng bakeng sa methapo le mesifa.

Ho buuoa ho etsoa ka tsela e latelang:

• Taba ea mantlha, o fumana meriana e fokolisang e le hore o se ke oa utloa bohloko nakong ea ts'ebetso. U kanna oa tsoha empa hape o tla fumana meriana ho u phutholla.
• Khaola e nyane ea ho buoa e etsoa ka seatleng sa letsoho la hao haufi le letsoho la hao.
• Ka mor'a moo, mokokotlo o koahelang kotopo ea carpal oa khaoloa. Sena se bebofatsa khatello ea methapo ea kutlo. Ka linako tse ling, lisele tse potileng methapo le tsona lia tlosoa.
• Letlalo le lisele tse ka tlasa letlalo la hau li koetsoe ka masela (lithupa).

Ka linako tse ling ts'ebetso ena e etsoa ka kh'amera e nyane e hokelletsoeng mochineng. Ngaka e buoang e kenya khamera ka letsohong la hao ka lehare le lenyenyane haholo la ho buoa ebe e sheba leihlo ho bona kahare ho letsoho la hao. Sena se bitsoa opereishene ea endoscopic. Sesebelisoa se sebelisitsoeng se bitsoa endoscope.

Batho ba nang le matšoao a carpal tunnel syndrome hangata ba leka mekhoa ea kalafo e sa buuoeng pele. Tsena li ka kenyelletsa:

• Meriana e thibelang ho ruruha
• Phekolo ea ho ithuta ho ikoetlisa le ho ikotlolla
• Liphetoho sebakeng sa mosebetsi ho ntlafatsa litulo tsa hau le kamoo u sebelisang komporo ea hau kapa lisebelisoa tse ling
• Lithako tsa letsoho
• Ho thunya meriana ea corticosteroid ka kotopo ea carpal

Haeba ha ho le e 'ngoe ea litlhare tsena e thusang, lingaka tse ling tse buoang li tla leka ts'ebetso ea motlakase ea methapo e bohareng le EMG (electromyogram). Haeba tlhahlobo e bontša hore bothata ke carpal tunnel syndrome, ho ka buelloa ho buuoa ka kotopo ea carpal.

Haeba mesifa e letsohong la hao le letsohong li ntse li fokotseha hobane methapo ea kutlo e ntse e pikitloa, hangata ho buuoa ho tla etsoa haufinyane.

Likotsi tsa ts'ebetso ena ke:

• Matšoao a alejiki meriana
• Ho tsoa mali
• Tšoaetso
• Ho lematsa methapo ea methapo kapa methapo e tsoang ho eona
• Bofokoli le ho shoeloa ke letsoho ho pota letsoho
• Maemong a sa tloaelehang, ho lematsoa ke methapo e meng kapa methapo ea mali (mothapo kapa mothapo)
• Bonolo ba bonolo

Pele o buuoa, o lokela ho:

• Bolella ngaka ea hao e buoang hore na u noa meriana efe. Sena se kenyelletsa meriana, litlatsetso, kapa litlama tseo u li rekileng ntle le lengolo la ngaka.
• U ka kopuoa ho emisa nakoana lithethefatsi tsa hau tsa ho fokotsa mali. Tsena li kenyelletsa aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), le lithethefatsi tse ling.
• Botsa mofani oa hau hore na ke meriana efe eo u lokelang ho e nka ka letsatsi la ts'ebetso ea hau.
• Haeba u tsuba, leka ho emisa. Botsa mofani oa hau thuso. Ho tsuba ho ka lieha ho fola.
• E-re mofani oa hau a tsebe ka serame, feberu, feberu, ho tsoa ha herpes kapa bokuli bo bong. Haeba u kula, ho ka hlokahala hore opereishene ea hao e chechisoe.

Letsatsing la ho buuoa:

• Latela litaelo tsa hore na u hloka ho khaotsa ho ja kapa ho noa pele u buuoa.
• Noa lithethefatsi leha e le life tseo u kopiloeng hore u li noe ka ho noa metsi hanyane.
• Latela litaelo tsa hore na u fihle sepetlele neng. Etsa bonnete ba hore o fihla ka nako.

Ts'ebetso ena e etsoa ka ntle ho mokuli. Ha ho hlokahale hore u lule sepetlele.

Kamora 'opereishene, letsoho la hau le kanna la ba ka tlamo e tlamiloeng kapa e tlamiloeng ka boima bakeng sa nako e ka etsang beke. Boloka sena ho fihlela ngaka ea hau ea pele e etela kamora ho buuoa, 'me u e boloke e hloekile ebile e omme. Kamora ho tlosoa ha sekhahla kapa tlamo, o tla qala ho ikoetlisa kapa lenaneo la kalafo ea 'mele.

Ho lokolloa ha kotopo ea Carpal ho fokotsa bohloko, ho sisinyeha ha methapo le ho ba shohlo, 'me ho khutlisa matla a mesifa. Batho ba bangata ba thusoa ke opereishene ena.

Bolelele ba ho fola ha hau bo tla itšetleha ka hore na u bile le matšoao a nako e kae pele u etsoa opereishene le hore na methapo ea hau ea methapo e senyehile hakae. Haeba u ne u e-na le matšoao nako e telele, u kanna ua se ke ua ba le matšoao a felletseng kamora hore u fole.

Ho sithabela ha methapo ea bohareng; Ho nyahama ha Carpal tunnel; Ho buoa - kotopo ea carpal

• Tlhokomelo ea leqeba la ho buoa - e bulehile

• Lefu la Carpal tunnel
• Anatomy ea bokaholimo - palema e tloaelehileng
• Anatomy ea bokaholimo - letsoho le tloaelehileng
• Anatomy ea letsoho
• Carpal tunnel repair - letoto la lihlooho tse

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.

Mackinnon SE, Novak CB. Ho hatella li-neuropathies. Ka: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, bahlophisi. Opereishene ea Letsoho ea Green. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 28.

Zhao M, Burke DT. Matšoao a kelello a bohareng (carpal tunnel syndrome). Ka: Frontera WR, Silver JK, Rizzo TD, bahlophisi. Bohlokoa ba Phekolo ea 'mele le Tlhabollo: Mathata a Musculoskeletal, Pain, le Rehabilitation. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 36.