Zvinokonzera, Zviratidzo, Kuziva, uye Kurapa
Kuberekwa kunogona kusanetsa pane dzimwe nguva. Iwe unogona kunge uchitarisana nehutano hwemangwanani , kuora mwoyo, kana kuti maziso emakumbo . Asi, zvakadini nekutambudzika, kupera, uye kumira mumaoko ako uye maziso? Kana uine zviratidzo izvi, inogona kuva carpal tunnel syndrome (CTS).
CTS inonyanya kunetseka pakuberekwa uko iwe usingawanzokunzwa pamusoro. Hezvino izvo zvaunoda kuziva pamusoro pezvinokonzera, zviratidzo, uye kurapwa kwekodpal tunnel pakuzvitakura.
Chii Chinonzi Carpal Tunnel Syndrome?
Carpal tunnel syndrome chirwere chinokanganisa mutsara mukati mako chinonzi mutezo wepakati. Mitsipa inotumira zviratidzo kubva pauropi hwako kuenda mumuviri wako uye muviri wako kuuropi yako. Izvo zvinokonzera kufamba kwemuviri uye kukwanisa kubata uye kunzwa kunzwa. Mutsara wemuviri unodonha pasi ruoko rwako kuruoko rwako. Icho chinopfuura chikamu kuburikidza nenzvimbo shoma inonzi carpal tunnel. Nzira yemapapiro inoumbwa nemirairo uye boka remaoko mashoma mapfupa anonzi carpal mafupa. Kana chero chinhu chipi zvacho chinopesana kana kuisa kumanikidziro mutsara wemukati sezvo ichipfuura nomunharaunda iyi yakaoma, inogona kukonzera zviratidzo zve carpal tunnel syndrome.
Carpal Tunnel muKubata
Carpal tunnel syndrome inogona kuvhiringidza kana kunyangwe inorwadza, asi haifaniri kuonekwa sechirwere chetachiona panguva yekuzvitakura. Zvinonyanya kuratidzira kusvika kumagumo ekuzvitakura panguva yokutanga moms avo vanopfuura makore makumi matatu, uye kana iwe uine imwe pamuviri mumwe, kune mikana yakawanda iyo ichadzoka zvakare mumimba inotevera.
Kusvikira makumi matanhatu kubva muzana yevakadzi vanoona zviratidzo zvepasipi yepamusoro panguva yekuzvitakura. Kazhinji yenguva iyo ine unyoro uye inonzwisisika. Zvisinei, kune anenge 10 muzana yevakadzi vane pamuviri, zvinogona kuva zvinorwadza uye zvinopesana nehope uye zuva nezuva hupenyu.
Zvinokonzera
Pamuviri pamuviri, muviri unofamba nehuwandu hwemamiriro ehutachiona uye humhondi hunogona kutungamirira pakuputika mumuviri.
Kana huwandu huwedzere hunokonzera kuvhara mukati mehuto, hunomanikidzira mutsara wepakati uye hunoita zviratidzo zve carpal tunnel. Zvimwe zvezvikonzero zvinokonzera pamuviri zveCTS ndezvekuti:
- Kuwedzerwa kuderedza kuwanda
- Kuchengetwa kwemvura (edema)
- Ane pamuviri neanopfuura rimwe mwana
- Gestational chirwere cheshuga
Mutambo weCarp unogonawo kukura panguva yekuzvitakura kubva kune dzimwe nyaya dzisingabatanidzwi nekuzvitakura. Izvi zvinosanganisira rheumatoid arthritis, kukuvadzwa kwekristani, kana kudzokorora maoko kufanana nekunyora kwebhodi.
Zviratidzo
Zviratidzo zvepasipi yepamusoro inogona kuratidza chero nguva asi yakawanda kupfuura yechipiri kana chetatu chetatu . Iwe unogona kuwana CTS mumaoko maviri, asi ruoko rwako rukuru runogona kuratidza zviratidzo zvakawanda sezvo iwe uchishandisa. Zviratidzo zvepasipu yepamusoro ndeyi:
- Mipiro uye nenyuchi muminwe yako uye noruoko
- Kunzwa sokuti ruoko rwako rukavata
- Unhu huri munharaunda yechanza chako pedyo nechingwa chako
- Unhu huri mumuviri wako, chinyorwa, uye pakati pezvigunwe
- Kushungurudza nemaoko ako nekuderedza zvinhu
- Kushaya simba paunoedza kubata zvinhu
- Marwadzo ari muruoko, chiuno, uye shanduko
- Ikoko kunogonawo kuva nemarwadzo muhokwe, ruoko, fudzi, uye mutsipa
- Inzwi rinopisa muruoko rwako uye noruoko
- Manzwiro ekudururira muminwe uye wrist
Carpal Tunnel pausiku
Mutambo weCarp unogona kukonzera kurwadziwa kwemausiku usiku uye kukumutsa.
Paunenge uchirara, mazamu ako anogona kukotama kana kuti pasi ndokufambisa mutsara. Kana iwe ukazunungusa maoko ako paunomuka, kazhinji unonzwa zviri nani. Zvigadziriswe zvemaoko zvinogona kubatsirawo, sezvavanochengetedza mazamu ako zvakananga paunenge uchirara uye unoderedza chisimba pamusana.
Kuziva
Kana iwe uri kutaridzirwa zviratidzo zvehutambo weCarpal, unofanira kutaura nechiremba wako. Chiremba anoteerera zviratidzo zvako uye aongorore maoko ako nemaoko kuti uongorore kuzvimba uye kurwadziwa. Chiremba anogona kuita mimwe miedzo iri nyore kuti uongorore kuti iwe unogona kunzwa sei uye kana pane utera humwe mumatende echanza chako kana minwe.
Aya maedzo ndeokuti:
- Durkan's Compression Test: Chiremba acharamba achingoisa mutsara wepakati nemamunwe ake kuti aongorore marwadzo kana kurira.
- Testel ya Tinel: Chiremba achanyatsoomesa mutsara kuti aone kana iwe unonzwa uchidzungaira muminwe yako.
- Muedzo wePhalen: Chiremba achaita kuti iwe usunge nheyo yako nebhokisi rakakotama uye urebise ruoko rwako kuti ruchinje zvisizvo pasi nekudzika kwemhepo, kana iwe uchava nemapfumo ako maviri anotsvedzana nemashure emaoko ako achibata uye achimanikidzana kuti aone kana iwe uchinzwa uchipfuta, kurira, kana kupera.
Vanachiremba vanoshandisa imwe mimwe miedzo kuti vaongorore CTS, asi iwe haugone kuva navo paunenge uri nepamuviri. Zvisinei, kana zviratidzo zvako zvisingaendi mushure mokuzvarwa kwemwana wako, unogona kunge uine zvinotevera:
- Mutsara wokudzidzira kuongorora kana electromyography (EMG)
- X-rays
- Ultrasound
- Magnetic Resonance Imaging (MRI)
Mushonga Panguva Yechirwere
Kurapa kwekodpal tunnel panguva yekuzvitakura kuchabva pane kuti CTS inobata sei hupenyu hwako hwezuva nezuva uye kuti iwe unogona sei kuzvitsungirira. Muzviitiko zvinyoro, chiremba wako angakupa ruzivo uye nzira dzokurapa kuti udzivise zviratidzo zvako. Mhosva dzakanyanya haziwanzo, asi pavanomuka, chiremba wenyu angakutaurira kune nyanzvi yezvehuputi iyo inonyanya kugadziriswa nemitsipa kana chiremba wemasopa anonyanya kugadzikana mumapfupa nemisungo.
Paunenge uri nepamuviri, iwe unofanirwa kuita zvese unogona kugadzirisa nekushivirira zviratidzo zveCTS. Kana uchikwanisa kupedza kuburikidza nehuwandu hwehutano hwako, hunofanira kunge huri nani kana uchinge wabereka mwana wako. Chiremba wako anogona kukurudzira kuti uedze:
- Ice
- Zvimwe zvinopisa zvinopisa uye zvinotonhora munzvimbo
- Kudzivisa kudzokorora maoko zvese sezvinobvira sezvo zviito zvinodzokorora zvinobatsira kurwadziwa
- Ikobhobho yekuzorora kuruoko yekutsigira mazamu ako paunenge uchinyora kana kushanda pakombiyuta yako
- Kutora mapuropa kazhinji kunyanya kana une basa raunoda iwe kuti unyore, kunyora, kana kushandisa zvishandiso zvinodedera
- Kusimudza maoko ako kuti ubatsire kunyura kwemvura kubva munzvimbo yacho
- Kuchengetedza nzvimbo yacho
- Achishandisa munwe munyoro uye maitiro ekusimbisa maoko
- Kupfekedza mabhesi anonzi wrist splints kuti uchengetedze maitiro asingatarisiri mauto kunyanya usiku
- Kutora Tylenol (acetaminophen) kana mishonga yokurapa inorwadza iyo yakachengeteka kushandisa panguva yekuzvitakura
- Kuedza kugadziriswa kana yoga
- Physical therapy
Kana zviratidzo izvi zvakanyanya, mishonga inonzi steroid inokonzerwa nenyuchi zvakananga mumugwagwa weCarpal inogona kubatsira kubvisa marwadzo uye kuzvimba.
Kuchivirira Pashure Kokubereka
Kana kamwe mwana wako akaberekwa, zviratidzo zveCTS zvingagadziriswa zvishoma nezvishoma pachavo sekuti mvura yakasviba nehomoni inodzokera kune yakajairika. Nguva inowanzova yakanakisisa kurapwa kwezviratidzo zvepamuviri-yakabatana necarpal tunnel syndrome. Ramba uchitaura pamusoro pazvo nachiremba wako pane yako yekutevera mazita. Kana zviratidzo zvako zvisingavandudzi mumavhiki nemwedzi mushure mekusununguka, chiremba wako anogona kukurudzira:
- Anti-inflammatory mishonga yekuderedza marwadzo nekuputika. Paunenge uri nepamuviri, iwe haufaniri kutora mishonga yemarwadzo akadai seMotrin uye Advil (Ibuprofen) kunze kwekunge ataurwa nachiremba wako. Asi, iwe unogona kutaura nachiremba wako nezvekuvashandisa mushure mekusununguka.
- Diuretics (mapiritsi emvura) kubatsira kubvisa kudarika kwechirwere kubva mumuviri kuburikidza nekudhonza
- Kuenderera mberi kunorapwa kwepanyama kana kushanda sezvinodiwa
- Steroid injections
- Kuvhiya hakuwanzodiwi asi kunowanikwa kana zvichidiwa.
CTS uye Breastfeeding
Zviratidzo zvepasipu yemapapiro zvinowanzoenda shure mushure mokuberekwa, asi dzinogona kuramba dzichiyamwisa . Vamwe vakadzi havatambudziki neCTS panguva yekuzvitakura, chete kuti zviratidzo zvitange mavhiki mashomanana mushure mokuberekwa pavanenge vachiyamwisa. Kurapa kwekodpal tunnel munguva yekuyamwisa kunosanganisira kuziva ruoko rwako nzvimbo apo iwe unobata uye unwisa mwana wako , uchipfeka maoko, uchizorora zvakanyanyisa , kutora mapiritsi emvura kuti ubudise utachiona kubva mumuviri, uye kuwana injini ye steroid kana zvichidikanwa. Kuberekwa kunobatanidza marpalp tunnel inogadzirisa kana mwana achisvina .
> Sources:
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> Lawrence, Ruth A., MD, Lawrence, Robert M., MD. Kuberekwa Kutungamirirwa Kwechiremba Chiremba Eightth Edition. Elsevier Health Sciences. 2015.
> Moghtaderi AR, Moghtaderi N, Loghmani A. Kuongorora kubudirira kwesero rekudexamethasone mukati mevakadzi vane pamuviri vane carpal tunnel syndrome. Nyaya yekutsvakurudza munyanzvi dzezvokurapa: iyo nyanzvi yepamusoro yeIsfahan University ye Medical Medical. 2011 May; 16 (5): 687.
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