Mabaka, Matšoao, Tlhahlobo le Phekolo
Bokhachane bo ka ba bo sa phutholoheng ka linako tse ling. U ka 'na ua sebetsana le ho kula ha hoseng , ho hema kapa ho ruruha . Empa ho thoe'ng ka bohloko, ho tsieleha, le ho lla ka matsoho le matsoho? Haeba u na le matšoao ana, e ka ba carpal tunnel syndrome (CTS).
CTS ke bothata bo tloaelehileng ba bokhachane boo hangata u sa bo utloeng. Mona ke seo u se hlokang ho tseba ka mabaka, matšoao le kalafo ea kotopo ea carpal nakong ea bokhachane.
Carpal Tunnel Syndrome ke Eng?
Carpal tunnel syndrome ke boemo bo amang methapo ea letsoho ka letsoho la hao le bitsoang mongobo o mohareng. Metsing e romela lipontšo ho tloha boko ba hao 'meleng oa hao' me 'mele oa hao o ea bokong ba hao. Ba na le boikarabelo ba ho sisinyeha ha 'mele le bokhoni ba ho ama le ho ikutloa ka maikutlo. Mokokotlo oa mokokotlo o theola letsoho la hao letsohong la hau. E fetela ka letsoho sebakeng se moqotetsane se bitsoang kotopo ea carpal. Kotopo ea carpal e entsoe ka ligament le sehlopha sa matsoho a manyenyane a bitsoang bonespa a carpal. Haeba ntho leha e le efe e qobella kapa e beha khatello ea methapo ea mokokotlo ha e feta sebakeng sena se thata, e ka baka matšoao a carpal tunnel syndrome.
Tsela ea Carpal nakong ea Bokhachane
Carpal tunnel syndrome e ka 'na ea e-ba e sithabetsang kapa e utloisang bohloko haholo, empa ha e nkoa e le boemo bo tebileng ba bongaka nakong ea bokhachane. Ho ka etsahala hore o bontše ho ea qetellong ea bokhachane ka lekhetlo la pele bo-'mè ba nang le lilemo tse ka holimo ho 30, 'me haeba u e-na le boimana bo le bong, ho na le menyetla e kholoanyane ea ho khutla hape nakong ea bokhachane bo latelang.
Ho fihlela ho karolo ea 60 lekholong ea basali ba na le matšoao a kotopo ea carpal nakong ea bokhachane. Boholo ba nako e bonolo mme e mamelloa. Leha ho le joalo, bakeng sa hoo e ka bang karolo ea 10 lekholong ea basali ba bakhachane, ho ka ba bohloko ebile ho sitisa boroko le bophelo ba letsatsi le letsatsi.
Lisosa
Nakong ea bokhachane, 'mele o pholletsa le liphetoho tse ngata tsa' mele le li-hormone tse ka lebisang ho ruruha 'meleng.
Ha metsi a mang a eketsehileng a baka ho ruruha ka letsoho, e beha khatello ea methapo ea mokokotlo mme e baka matšoao a kotopo ea carpal. Tse ling tsa mabaka a amanang le bokhachane ba CTS ke:
- Ho ba le boima bo feteletseng
- Ts'ebeliso ea metsi (edema)
- O na le bana ba fetang a le mong
- Gestational lefu la tsoekere
Tsela ea Carpal e ka boela ea ntlafala nakong ea bokhachane ho tloha litabeng tse sa amaneng le bokhachane. Tsena li kenyeletsa ramatiki ea ramatiki, kotsi ho letsoho, kapa mekhoa e pheta-pheta ea letsoho e kang ho thapa ka lebokose.
Matšoao
Matšoao a kotopo ea carpal e ka bonts'a nako leha e le efe empa e tloaelehile nakong ea bobeli kapa ea boraro ea boraro . U ka fumana CTS matsohong ka bobeli, empa letsoho la hao le ka sehloohong le ka bontša matšoao a mangata ho feta ha ue sebelisa haholoanyane. Matšoao a kotopo ea carpal ke:
- Lithaba le lisebelisoa monoaneng le matsoho
- Ho ikutloa eka letsoho la hao le robala
- Bonngoe karolong ea letsoho la hao haufi le leoto la hao
- Bonngoe ka letsoho la hao, letsoho le menoana ea bobeli
- Ho hlomoha ka matsoho a hao le ho theola lintho
- Bofokoli ha u leka ho tšoara lintho
- Bothata bo letsohong, letsoho le forearm
- Hape ho ka 'na ha e-ba le bohloko bootleng, letsoho, mahetla le molala
- Tšusumetso e tukang letsohong la hao le letsoho
- Boikutlo ba ho ruruha ka menoana le letsoho
Tsela ea Carpal bosiu
Tsela ea Carpal e ka baka bohloko ba letsoho bosiu 'me ea u tsosa.
Ha u ntse u robetse, maqeba a hao a ka khumama kapa a theohe 'me a hatelle mokokotlo. Haeba o sisinya matsoho ha o tsoha, hangata o ikutloa a le betere. Litšepe tsa likhahla li ka boela tsa thusa, ha li ntse li boloka lihlopha tsa hao li otlolohile ha u ntse u robetse 'me u imolla khatello ea methapo.
Tsejoa
Haeba u e-na le matšoao a kotopo ea carpal, u lokela ho bua le ngaka ea hau. Ngaka e tla mamela matšoao a hau 'me e hlahlobe matsoho le matsoho a hau ho hlahloba ho ruruha le bohloko. Ngaka e ka etsa liteko tse bonolo ho hlahloba hore na u ka ikutloa joang le hore na ho na le bofokoli leha e le bofe ka har'a matsoho a matsoho a hao kapa menoana ea hau.
Liteko tsena ke:
- Tlhaloso ea Durkan's Compression Test: Ngaka e tla hatella moriana o motlakase ka matsoho a hae a maoto a mabeli ho hlahloba bohloko kapa ho kokotseha.
- Teko ea Tinel: Ngaka e tla fokotsa methapo e le hore e bone hore na u ikutloa eka u na le menoana.
- Teko ea Phalen: Ngaka e tla u tšoara ka sekotlolo se kobehileng 'me u lumelle letsoho la hao hore le fetohe ka matla ka matla a khoheli, kapa u tla ba le lihlopha tse peli tse fokolang ka morao matsoho a hao a amang le ho hatellana ho bona haeba u ikutloa u tuka, u khathetse kapa u senyehile.
Lingaka li sebelisa liteko tse ling ho hlahloba CTS, empa ha ho joalo hore u ka ba le tsona ha u le moimana. Leha ho le joalo, haeba matšoao a hao a sa tlohe ka mor'a hore ngoana oa hao a tsoaloe, u ka 'na ua ba le tse latelang:
- Teko ea ho khanna methapo kapa electromyography (EMG)
- X-ray
- Ultrasound
- Magnetic Resonance Imaging (MRI)
Kalafo Nakong ea Bokhachane
Phekolo ea kotlolo ea carpal nakong ea bokhachane e tla itšetleha ka hore na CTS e ama bophelo ba hau ba letsatsi le letsatsi joang le hore na u ka e mamella hakae. Maemong a boima, ngaka ea hau e ka u fa boitsebiso le lisebelisoa tsa phekolo ho fokotsa matšoao a hau. Maemong a maholo ha a tloaelehe, empa ha a hlaha, ngaka ea hau e ka 'na ea u fetisetsa ho ngaka ea methapo e iketsetsang methapo ea meriana kapa ngaka ea masapo e khethehileng masapong le mesifa.
Ha u ntse u le moimana, u lokela ho etsa sohle seo u ka se khonang ho laola le ho mamella matšoao a CTS. Haeba u ka khona ho feta nakong eohle ea bokhachane ba hao, e lokela ho ntlafala haholo ka mor'a ho beleha ngoana oa hau. Ngaka ea hau e ka u khothaletsa hore u leke:
- Leqhoa
- Mofuthu o mong o chesang le o batang sebakeng seo
- Qoba ho tsamaisa matsoho ka hohle kamoo ho khonehang kaha liketso tse pheta-pheta li tlatsetsa bohloko
- Ho phomola letsoho la letsoho ho tšehetsa maqeba a hau ha u ntse u ngola kapa u sebetsa khomphuteng ea hau
- Ho nka likheo hangata haholo haeba u na le mosebetsi o hlokang hore u thaepe, u ngole, kapa u sebelise thepa e sisinyehang
- Ho phahamisa matsoho ho thusa mokelikeli hore o tsoe sebakeng seo
- Ho silafatsa sebaka seo
- Ho sebelisa monoana o bonolo le ho ikoetlisa ka letsoho
- Ho apara li-braces tse bitsoang li-splints tsa letsoho ho boloka maqeba a sa nke lehlakore haholo-holo bosiu
- Ho nka Tylenol (acetaminophen) kapa meriana ea liphallelo e bohloko ho e sebelisa nakong ea bokhachane
- Ho leka ho pata-pota kapa ho yoga
- Phekolo ea 'mele
Haeba matšoao a le matla, meriana ea steroid e kenngoa ka nale e tobileng ka ho toba sebakeng sa koloi e ka thusa ho fokotsa bohloko le ho ruruha.
Kalafo ka mor'a ho Beleha
Hang ha lesea la hau le tsoaloa, matšoao a CTS a ka 'na a ntlafala butle-butle kaha litebelisoa tsa metsi le li-hormone li khutlela ho tloaelehileng. Nako hangata ke phekolo e ntle ka ho fetisisa bakeng sa matšoao a lefu la carpal tunnel syndrome. Tsoela pele ho buisana ka eona le ngaka ea hau ho khethoa ha hao. Haeba matšoao a hau a sa ntlafatse libeke le likhoeli ka mor'a ho beleha, ngaka ea hau e ka 'na ea khothaletsa:
- Meriana e khahlanong le ho ruruha ho fokotsa bohloko le ho ruruha. Ha u ntse u le moimana, ha ua lokela ho nka meriana ea bohloko e kang ea Motrin le Advil (Ibuprofen) ntle le haeba e laeloa ke ngaka ea hau. Empa, o ka buisana le ngaka ea hau ka ho e sebelisa ka mor'a ho pepa.
- Diuretics (lipilisi tsa metsi) ho thusa ho tlosa metsi a feteletseng ho tloha 'meleng ka ho tlohela metsi
- Ho tsoela pele kalafo ea 'mele kapa ea mosebetsi ho hlokahalang
- Liente tsa steroid
- Hangata ho hlokahala hore ho buuoa habonolo empa ho fumaneha ha ho hlokahala.
CTS le Breastfeeding
Matšoao a kotopo ea carpal e atisa ho tsamaea ka mor'a ho pepa, empa a ka 'na a tsoela pele ho anyesa . Basali ba bang ha ba tšoaroe ke li-CTS nakong ea bokhachane, feela hore matšoao a qale libeke tse 'maloa ka mor'a hore ba be le bana. Kalafo ea carpal nakong ea ho anyesa e akarelletsa ho hlokomela boemo ba letsoho ha u ntse u tšoara le ho anyesa lesea la hao , ho roala matsoho, ho phomola ka hohle kamoo ho ka khonehang , ho noa lipilisi tsa metsi ho lokolla metsi ho 'mele, le ho fumana liente tsa steroid ha ho hlokahala. Ho hlahisa malapa ho amana le kotlolo ea carpal hangata e rarolla ha lesea le noa .
> Mehloli:
> Ibrahim I, Khan WS, Goddard N, Smitham P. Tlhaloso ea 1: Carpal Tunnel Syndrome: Tlhahlobo ea Lingoliloeng tsa Haufinyane. Koranta e bulehileng ea masapo. 2012; 6: 69.
> Lawrence, Ruth A., MD, Lawrence, Robert M., MD. Ho Koetlisa Batsoali Tataiso ea Mosebetsi oa Bongaka Khatiso ea Bohlano. Elsevier Health Sciences. 2015.
> Moghtaderi AR, Moghtaderi N, Loghmani A. Ho hlahloba katleho ea ente ea methapo ea dexamethasone sebakeng sa basali ba bakhachane ba tšoeroeng ke lefu la carpal tunnel. Journal ea lipatlisiso litsebi tsa bongaka: koranta ea molao ea Isfahan University of Medical Sciences. 2011 Laebrari: 16 (5): 687.
> O'Donnell M, Elio R, Letsatsi la D. Carpal Tunnel Syndrome. Booki bakeng sa bophelo bo botle ba basali. 2010 Aug 1; 14 (4): 318-21.
> Osterman M, Ilyas AM, Matzon JL. Carpal tunnel syndrome nakong ea bokhachane. Li-Clinic tsa Orthopedic. 2012 Oct 1; 43 (4): 515-20.