Matenda a tunnel ndi imodzi mwa matenda amasiku ano. Matendawa a chikhalidwe cha ubongo. Mu ntchito zamankhwala ntchito zopitirira makumi atatu za matenda oterowo zimafotokozedwa. Pazochitika zinazake, dera lina la thupi limakhudzidwa, mwachitsanzo, dzanja, golidi ndi zina zotero. Ndikofunika kuphunzira nthawi kuti adziwe zizindikiro za matendawa.
Matenda a tunnel - ndi chiyani?
Matendawa amapezeka pamene mitsempha yam'kati imagwidwa. Monga mukudziwira, ili pamsewu wopapatiza, womwe umapangidwa ndi minofu, mapafu ndi mafupa. Pamene malo oyandikana ndi mitsempha imatha, amafinyidwa. Chotsatira chake, kutengeka kwa msampha kumakhala kovuta. Poyambirira, matenda a kanjini amatha kudandaula nthawi ndi nthawi. Komabe, pamene matendawa ayamba kukhala ofunika kwambiri, ngakhale zochitika zoyambirira zimaperekedwa movutikira. Palibe munthu amene amamwalira chifukwa cha matendawa, koma zimapangitsa moyo kukhala wovuta kwambiri.
Matenda a Carpal
Matendawa amakhudza ngalande ya carpal. Zimapezeka chifukwa cha kupanikizika kwa mitsempha yamkati yomwe ili ndi mitsempha ya carpal ndi kubwereza mobwerezabwereza-kutambasula kwa manja. Nthawi zambiri, matenda oterewa amapezeka mwa amayi. Amayiwa ndi owonda kwambiri kuposa wrist. Komanso, pokhala ndi thupi m'thupi lawo, kusintha kwakukulu kwa mahomoni kumayamba. Zonsezi zimathandiza kuti chitukuko cha carpal chitukuke.
Kusiyanitsa ndi magulu angapo a ntchito, kumene matendawa amapezeka kawirikawiri kuposa nthawi zonse. Matenda a tunnel amawopsya anthu omwe amachita nawo ntchitoyi:
- oimba;
- ojambula;
- mapulogalamu;
- osewera ndi ogwiritsa ntchito PC mwakhama;
- osungira;
- Antchito ogwira ntchito akupanga manja osasangalatsa ndi manja awo.
Syndrome ya Cubital Tunnel
Izi zokhudzana ndi matenda a ubongo wa mitsempha ya ulnar. Ndipotu, izi ndizoschemia za "ndondomeko". Mitsempha imakanikizidwa, magazi ake amasokonezeka, chifukwa cha kuwonongeka kwa tsamba ili ndi zotsatira zake zonse. Matenda a ulnar ali ndi njira imodzimodzimodzi monga carpal, tarsal, kapena radial. Matenda oterewa amasiyana kokha kumidzi.
Thunzi Syndrome - Zimayambitsa
Pali zifukwa zambiri zomwe zimayambitsa chitukuko cha matendawa. Matenda ambiri a mitsempha ya carpal amapezeka chifukwa cha izi:
- ntchito yanthaŵi yaitali pamakompyuta (kugwiritsa ntchito kibokosi ndi mbewa kumatanthauza);
- Matenda a nyamakazi ndi matenda ena oopsa omwe amachititsa kuti thupi liwonongeke;
- mikwingwirima, kuvulaza, kupasuka ndi kuvulala kwina;
- tendovaginitis ndi kutukumula kwina kwa ziwalo;
- matenda m'ntchito ya impso, chithokomiro ndi matenda ena omwe amachititsa kuti thupi likhale ndi madzi;
- shuga;
- kunenepa kwambiri;
- kumwa mowa mwauchidakwa;
- amyloidosis ;
- mimba ndi matenda ena omwe amachititsa kusintha kwa mahomoni;
- chithunzi;
- kusuta;
- chibadwa.
Thunzi Syndrome - Zizindikiro
Mulimonsemo, matenda enawa akhoza kuyenda mwachindunji. Kawirikawiri matenda a carpal angakhale ndi chithunzi chotere:
- kusowa kwa zala , zomwe zikuwoneka pambuyo pa loto kapena kusuntha mwadzidzidzi;
- paresthesia (palikumverera kokwawa, kukwiya, kuyaka, ndi zina zotero);
- kupweteka pa zala, kupereka pamphuno kapena pamphindi;
- Kusokoneza - zinthu zimagwera m'manja, n'zovuta kulemba kapena kusindikiza chinachake;
- kuchepa kwachangu m'deralo;
- kusintha kwa kutentha kwa mitengo ya kanjedza, kupsyinjika kwa misomali.
Kuonjezerapo, matendawa amatha kukhala amodzi kapena awiri. Matenda owopsa kwambiri ndi nthambi yomwe ilipo kwambiri. Ngati wodwalayo ali ndi dzanja lamanja, ndiye kuti dzanja lake lamanja likuvutika, ndipo dzanja lamanzere limachokera kumanzere. Komabe, ngati matenda a mitsempha amatha panthawi yomwe akubereka mwana kapena chifukwa cha kuchepa kwa mahomoni m'thupi, ziwalo zonse zikhoza kuthandizidwa ndi matendawa.
Kodi mungatani kuti muchepetse matenda a tunnel?
Asanayambe kupereka chithandizo, adokotala azifufuza bwinobwino. Njira yotereyi idzapangitsa kuti munthu adziwe bwinobwino. Ngati dokotala akuganiza kuti matenda a carpal mumayendedwe a wodwalayo, amakhoza kuphunzira zizindikiro zake, komanso amachita zina. Kuti matendawa athandizidwe:
- Test fahlen - muyenera kugwedeza burashi momwe mungathere. Kamphindi kamodzi, kuyimba kudzawonekera. Posakhalitsa zizindikiro zosasangalatsa izi zimayambira, zovuta kwambiri pa siteji ya matenda.
- Mayeso a tinel - muyenera kuyika pa tsamba ndi mitsempha yokhudzidwa. Ngati wodwalayo ali ndi matenda a carpal syndrome, kung'ung'udza, kupweteka ndi ululu zidzachitika.
- Mayeso a Durkan - finyani burashi ndikudikirira pafupi theka la miniti. Ngati pali matenda a mitsempha, zala zimakhala zofiira komanso kumva kumveka.
Chithandizo cha matenda a tunnel chimaphatikizapo zambiri, koma asanayambe kulemba wodwalayo akulimbikitsidwa kuti achite izi:
- chotsutsana;
- mafilimu;
- MRI;
- Ultrasound.
Kodi mungatani kuti muchepetse matenda a carpal?
Thandizo la matendawa ndi cholinga chochepetseratu kutupa ndi kuthetsa chiwombankhanga m'matumbowa. Komanso, mankhwala ayenera kuchepetsa ululu. Polimbana ndi zilonda, mankhwala, mankhwala osagwiritsidwa ntchito ndi opaleshoni angagwiritsidwe ntchito. Njira ziwiri zoyambirira zimagwira ntchito yoyamba ya matendawa. Ngati matendawa atenga mawonekedwe otha msinkhu, opaleshoni sangapewe.
Thandizo lodziletsa limaphatikizapo kuika mankhwalawa:
- mankhwala osakanikirana ndi othandizira otentha (Movalis, Diclofenac);
- diuretics ( Veroshpiron kapena Furosemide);
- mavitamini a gulu B;
- corticosteroids (Hydrocortisone, Prednisolone);
- vasodilators ( Trental );
- minofu yopumula (Midokalm).
Ngati matenda a carpal mumtenda amatsimikiziridwa pa nthawi ya matendawa, mankhwala apakhomo amatha kuchitidwa mothandizidwa ndi mankhwala omwe adokotala adanena. Kudzichiritsa sikungaloledwe! Dokotala ayenera kuyang'anitsitsa chikhalidwe cha wodwalayo pazigawo zonse za mankhwala. Komabe, pali ziwerengero zambiri zomwe zimasonyeza kuti mankhwala othandizira odwala sadzakhala othandiza. Zinthu izi zikuphatikizapo:
- ngati agwiritsidwa ntchito kwa zaka zoposa 50;
- odzudandaulira opirira za kugwedeza kwa manja nthawi zonse;
- Zizindikiro za matendawa zimasonyeza kwa chaka chimodzi.
Sybow Tunnel Syndrome - Chithandizo
Mankhwala a matendawa ali ofanana ndi omwe amagwiritsidwa ntchito polimbana ndi mtundu wa carpal wa matendawa. Kuphatikiza pa mankhwala osokoneza bongo, njira zothandizira thupi zimatha kukhazikitsidwa. Ngati mgwirizano wamtundu wa gululi umapezeka, panthawi imodzimodziyo ndi mankhwala omwe akutsatiridwa:
- Ultraphonophoresis - panthawiyi, ziwiya zimakula ndipo magazi amatha kuwonjezeka. Tikulimbikitsidwa kuti tipite 10-12 magawo.
- Mankhwalawa amachititsa kuti achepetse ululu komanso kusintha magazi. Kuwonjezera apo, mutatha njira yotereyi, mphamvu ya metabolism imabwezeretsedwa ndipo maselo amasinthidwa. Njira yothandizira imayimilidwa ndi njira 5-7.
Kuchita masewera olimbitsa thupi m'thupi
Iwo amatumikira ngati wothandizira wothandizira. Kuphatikiza apo, akhoza kugwiritsidwa ntchito ngati njira yowonjezera yothetsera matendawa. Pamene matendawa amapezeka, zotsatirazi zikhoza kuchitika motere:
- Pamene zala zikuphatikizana, nkofunikira kupanga kayendedwe ka makina.
- Tiyenera kumasuka mumsana womasuka.
- Dzanja lokweza liyenera kupanikizidwa ndi zida ndi unclamped.
- Muyenera kukanikiza kumbali zanu, kupanikizira ndi kuchepetsa zala zanu.
Kinesiotherapy mu matenda opatsirana
Kukonzekera uku kuli ndi zinthu zambiri. Sizimapangitsa kuti wodwalayo asade nkhawa kapena kuti asamvetse bwino. Matenda a tunnel a brush amapereka ntchito ya tepi pa thonje. Iwo ali ndi zotsatira zochiritsira kwambiri. Mapepala amaletsa kutuluka kwa chinyezi komanso kumapanga njira zina zothandizira. Izi zimaphatikizapo minofu, physiotherapy, kuponderezedwa kwachipatala ndi zina zotero.
Tunnel Syndrome - mafuta onunkhira
Kulimbikitsa mapiritsi kumathandiza kuthandizira kwanuko. Chotsatira chabwino kwambiri ndicho kugwiritsa ntchito mafuta odzola. Pamene matenda a mitsempha ya carpal amapezeka, mankhwala amatha kuchitidwa mothandizidwa ndi mankhwala oterowo omwe amagwiritsidwa ntchito pokhapokha:
- Voltaren;
- Diclofenac;
- Clodifen;
- Rapent.
Matenda a tunnel - kutsekedwa
Pochiza matenda, jekeseni ndi othandiza kwambiri. Mankhwala a Carpal carpal syndrome akuphatikizapo mankhwala osokoneza bongo:
- Neurobion;
- Milgamma;
- Neurorubin;
- Naklofen;
- Ndi Midokalm;
- Trental.
Kuchiza kwa matenda a tunnel ndi mankhwala amtundu
Pochiza matendawa panthawi imodzimodzi ndi mankhwala, mankhwala osagwiritsidwa ntchito akhoza kugwiritsidwa ntchito. Izi zikuphatikizapo "mankhwala":
- chosokoneza;
- chithandizo;
- zojambulajambula ndi zina zotero.
Kodi mungatani kuti muzitha kuchiza matenda a carpal ndi masamba a kiranberi?
Zosakaniza:
- madzi 250 ml;
- Zouma zakuda - supuni 1.
Kukonzekera, gwiritsani ntchito:
- Masamba a Cowberry amatsanulira ndi madzi ndi kuvala chophika.
- Bweretsani zokometsera ku chithupsa, ndi kuchepetsa moto kwa wamng'ono, kuphika kotala la ola limodzi.
- Sungani msuzi ndi mavuto.
- Tengani ndi sips yaing'ono 4-5 pa tsiku. Mankhwalawa amachotsa ululu komanso amachepetsa kupweteka.
Matenda a Carpal - mankhwala ndi pepper mafuta
Zosakaniza:
- chopped chili - 50 g;
- mafuta a masamba - 500 ml.
Kukonzekera, gwiritsani ntchito:
- Zosakaniza zimagwirizanitsidwa ndikutumizidwa ku chitofu.
- Kuphika zomwe zikuchitika pa otsika-mphamvu moto kwa theka la ora, kuyambitsa nthawi zina.
- Zomalizidwazo zasungunuka.
- Mankhwalawa amachotsedwa m'dera lomwe lakhudzidwa ndi matendawa.
Tunnel Syndrome - Ntchito
Cholinga cha opaleshoni ndi kuchepetsa kupanikizika kwa mitsempha yamkati. Pamene matumbo a carpal ali pachimake, chithandizo ndi njira zowonongeka pankhaniyi sizingatheke. Mmalo mwake, wodwalayo akhoza kuperekedwa opaleshoni. Njira yothandizira opaleshoni imachitidwa ndi anesthesia wamba. Matenda a tunnel amagwiritsidwa ntchito m'njira ziwiri:
- Njira yotseguka - yikani kutsogolo pa dzanja. Kutalika kwake ndi masentimita 5 5. Pa opaleshoniyi, mitsempha imadulidwa, yomwe imapangitsa kuti mitsempha ikhale yambiri.
- Kugwiritsa ntchito endoscope. Pa opaleshoniyi, majekiti awiri (1.5 cm) amachitika pa malo okhudzidwa. Poyamba kulowa mu endoscope, ndipo chachiwiri - chida chogwiritsira ntchito, chomwe chimagwiritsidwa ntchito.
Pambuyo pochita opaleshoni, pulojekiti yamagetsi imagwiritsidwa ntchito kwa mwezi umodzi kumalo opangidwira. Pa nthawi yochira, physiotherapy ndi masewero olimbitsa thupi amauzidwa. Pambuyo pa miyezi itatu, ntchito ya burashi imayambiranso ndi 80%, ndipo mu miyezi 6 - kwathunthu. Wodwala akhoza kulangiza miyezi isanu ndi umodzi kapena chaka kuti asinthe ntchito. Komabe, atachira kwathunthu, akhoza kubwerera ku ntchito yachizolowezi.