Tšoaetso ea tunnel ke e 'ngoe ea maloetse a kajeno. Phoofolo ena ea tlhaho ea methapo ea kutlo. Mesebetsing ea bongaka mefuta e fetang 30 ea lefu lena e hlalositsoe. Ketsahalong e 'ngoe le e' ngoe e khethehileng, sebaka se seng sa 'mele se amehile, ka mohlala, letsoho, setsoe le joalo. Ho bohlokoa ho ithuta ka nako ho lemoha matšoao a lefu lena.
Tšoaetso ea Tunnel - ke eng?
Phoofolo ena e etsahala ha meriana e bohareng e kenngoa ka tumellano. Joalokaha u tseba, e teng tseleng e moqotetsane, e thehiloeng ke mesifa, mesifa le masapo. Ha likarolo tse haufi tsa methapo ea methapo ea metsi, e patisitsoe. Ka lebaka leo, tšoaetso ea tšusumetso e fokola. Qalong, lefu la methapo ea letsoho le tšoenyehile feela nako le nako. Leha ho le joalo, ha lefu lena le fetoha sebōpeho se tebileng, esita le liketso tsa motheo ka ho fetisisa li fanoa ka bothata. Ha ho motho ea shoang ke lefu lena, empa le thatafatsa bophelo haholo.
Carpal tunnel syndrome
Boloetse bona bo ama kotopo ea carpal. E hlaha ka lebaka la ho hatelloa ha methapo ea meriana e nang le li-carpal ligaments le ka makhetlo a mangata a kenyang-ho atolosoa ha matsoho. Hangata, lefu lena le fumanoa ho basali. Basali ba nyane haholo ho feta letsoho. Ho phaella moo, ka botsofali meleng ea bona, liphetoho tse khōlō tsa li-hormone li qala. Tsena tsohle li sebetsa hantle haholo bakeng sa ntshetsopele ea lefu la carpal tunnel syndrome.
Fapana le lihlopha tse 'maloa tsa litsebi, moo lefu lena le fumanoang hangata ho feta tloaelo. Matšoao a tunnel a sokela batho ba kopanelang mosebetsing ona:
- libini;
- litsebi;
- bahlophisi;
- bapalami le basebelisi ba PC ba mafolofolo;
- bafani ba chelete;
- Basebetsi ba etsang lihlahisoa ba etsa liphallelo tse itekanetseng ka matsoho.
Cubital Tunnel Syndrome
Ts'oaetso ea khatello ea kelello ea moriana oa ulnar. Ha e le hantle, sena ke ischemia ea "tshebetso". Methapo ena e phunyeletsoa, phepelo ea mali ea eona e khathatsehile, ka lebaka la ho senyeha ha setša sena ho hlaha le liphello tsohle tse tsoelang pele. Matšoao a ulnar syndrome a na le mokhoa o ts'oanang oa nts'etso-pele joaloka carpal, tarsal, kapa radial. Matšoao a joalo a masapo a fapana feela ha a e-na le libaka.
Tunnel Syndrome - Lebaka
Ho na le mabaka a 'maloa a bakang nts'etso-pele ea lefu lena. Matšoao a mangata a methapo ea carpal e hlaha ka mabaka a latelang:
- mosebetsi oa nako e telele k'homphieutha (tšebeliso ea keyboard le mouse e hlalosoa);
- Ramatiki le maloetse a mang a bakoang ke lefu la tšoaetso e bakoang ke tšenyo e kopaneng;
- matšoao, li-dislocations, fractures le likotsi tse ling;
- tendovaginitis le ho ruruha ho hong ha manonyeletso;
- pathology mosebetsing oa liphio, qoqotho ea qoqotho le maloetse a mang a bakang ho bokella metsi ka 'mele;
- lefu la tsoekere;
- botenya;
- ho sebelisa joala hampe;
- amyloidosis ;
- ho ima le mafu a mang a bakang liphetoho tsa hormone;
- supercooling;
- ho tsuba;
- liphatsa tsa lefutso.
Tunnel Syndrome - Matšoao
Ketsahalong leha e le efe e itseng, lefu lena le ka 'na la tsoela pele ka tsela e khethehileng. Hangata lefu la carpal le ka ba le setšoantšo sa kliniki joalo:
- ho tsieleha ha menoana , e hlahang ka mor'a toro kapa mehato e potlakileng;
- paresthesia (ho na le boikutlo ba ho thothomela, ho tsuba, ho chesa, joalo-joalo);
- bohloko ho menoana, ho fana ka sekontiri se setle kapa setlolo sa setonanahali;
- ho senyeha - lintho li oela matsohong, ho thata ho ngola kapa ho hatisa ntho e itseng;
- ho fokotsa kutloisiso sebakeng sa sebaka se amehileng;
- ho fetoha ha mocheso oa liatla, ho fifala ha lipekere.
Ho phaella moo, lefu la tunnel, ho itšetlehile ka sebaka sa sebaka seo, se ka ba se le seng kapa tse peli. Lefu le atileng ka ho fetisisa ke leoto le maholo. Haeba mokuli a e-na le letsoho le letona, joale letsoho le letona lea utloa bohloko, 'me letsoho le letšehali le na le letsoho le letšehali. Leha ho le joalo, ha boloetse ba mafu a meriana bo etsahala nakong ea ho beleha ngoana kapa ka lebaka la ho hlōleha ha li-hormone 'meleng, maoto a mabeli a ka ama tšoaetso.
Tsela ea ho phekola lefu la tunnel?
Pele a fana ka phekolo, ngaka e tla etsa tlhahlobo e feletseng. Mokhoa o joalo o tla lumella hore motho a hlahlojoe ka ho hlakileng. Haeba ngaka e ne e belaela kotopo ea carpal tunnel syndrome, o ne a tla ithuta matšoao a eona, a be a etse lisebelisoa tse ling. Bakeng sa ho fumana lefu lena ho etsoa liteko tse tsosang takatso:
- Fahlen ea teko - o lokela ho kopa brush ka hohle kamoo ho ka khonehang. Metsotso e seng mekae hamorao, ho letsetsa ho tla hlaha. Kapelenyana matšoao ana a sa thabiseng a qala, ho thata ho feta sethaleng sa lefu lena.
- Tlhahlobo ea Tinel - o lokela ho tlanya sethaleng le methapo e ammeng. Haeba mokuli a e-na le methapo ea carpal syndrome, ho sithabela, ho senyeha le bohloko bo tla etsahala.
- Tlhahlobo ea Durkan - senya leqeba ebe o ema hoo e ka bang halofo ea motsotso. Haeba ho na le maloetse a masapo, menoana e fetoha boferefere 'me ho utloahala ho utloahala ho utloahala.
Tlhokomelo ea lefu la tunnel e kenyelletsa e felletseng, empa pele ho rera mokuli o khothalletsoa ho etsa mekhoa e joalo:
- electroneuromyography;
- radiography;
- MRI;
- Ultrasound.
Tsela ea ho tšoara lefu la carpal tunnel syndrome?
Phekolo ea lefu lena e ikemiselitse ho fokotsa mokhoa oa ho ruruha le ho felisa boikhohomoso sebakeng sa leqeba. Ho phaella moo, kalafo e lokela ho imolla bohloko. Ha ntoa e loantšana le liso, metsoako ea meriana, e seng ea meriana le ea ho buoa e ka sebelisoa. Mekhoa e 'meli ea pele e sebetsa hantle qalong ea lefu lena. Haeba lefu lena le fumane mokhoa o tsoelang pele, opereishene e ke ke ea qojoa.
Tlhokomelo ea tlhokomelo e akarelletsa ho behoa ha lithethefatsi tse joalo:
- li-anti-inflammatory tse se nang steroidal (Movalis, Diclofenac);
- diuretics ( Veroshpiron kapa Furosemide);
- divithamini ea sehlopha B;
- corticosteroids (Hydrocortisone, Prednisolone);
- li-vasodilators ( Trental );
- mesifa ea phomolo (Midokalm).
Haeba lefu la carpal tunnel syndrome le tiisoa nakong ea lefu lena, phekolo ea lapeng e ka etsoa ka thuso ea meriana e laetsoeng ke ngaka. Ho itlhoekisa ha hoa lumelloa! Ngaka e tlameha ho hlahloba boemo ba mokuli likarolong tsohle tsa phekolo. Leha ho le joalo, ho na le litekanyetso tse ngata tse bontšang hore meriana e bolokehileng ea mokuli e ke ke ea atleha. Lintlha tsena li kenyelletsa:
- haeba e sebelisoa lilemong tse fetang 50;
- ho tletleba ka mamello ea ts'ebetso ea kamehla ea matsoho;
- matšoao a lefu lena a bonahala ka selemo.
Elbow Tunnel Syndrome - Kalafo
Phekolo ea lefu lena e tšoana le e sebelisitsoeng ho loantša mofuta oa lefu la carpal. Ntle le ts'oaetso ea lithethefatsi, lisebelisoa tsa physiotherapy li ka boela tsa behoa. Haeba mothapo oa tunnel oa motsoako oa sefahleho o fumanoa, ka nako e le 'ngoe le meriana e joalo e behiloe:
- Ultraphonophoresis - nakong ea ts'ebetso, lijana li atoloha 'me tšollo ea mali li-capillari e eketseha. Ho kgothaletswa ho feta di-10-12 di-sessions.
- Therapy Shockwave - e ikemiselitse ho fokotsa bohloko le ho ntlafatsa phekolo ea mali. Ho phaella moo, ka mor'a ts'ebetso e joalo, metabolism e tsosolosoa 'me lisele li tsosolosoa. Tsela ea phekolo e emeloa ke mekhoa ea 5-7.
Ho ikoetlisetsa matšoao a tunnel
Li sebeletsa e le moemeli ea thibelang e atlehang. Ho phaella moo, li ka sebelisoa e le mokhoa o eketsehileng oa ho loantša lefu lena. Ha sesepa sa tunnel ea letsoho se fumanoa, ho ikoetlisa ho ka etsoa ka tsela e latelang:
- Ha menoana e kopane, ho hlokahala hore u etse mehato e tsitsitseng.
- Re hloka ho phutholoha ka lipolisi tse phutholohileng.
- Matsoho a phahamisitsoeng a lokela ho kenngoa ka marang-rang ebe ha a hlokomeloe.
- U lokela ho hatella likhapha tsa hao mahlakoreng, u hatelle le ho thiba menoana ea hau.
Kinesiotherapy ka syndrome ea tunnel
Tlhophiso ena e na le likarolo tse ngata. Ha e etse hore mokuli a be le matšoenyeho kapa a nyahame. Matšoao a tunnel ea brush e fana ka tšebeliso ea li-teips ka k'hothone. Li na le phello e phahameng ea phekolo. Li-tapes li thibela ho tsoa mouoane oa mongobo le ho ntlafatsa mekhoa e meng ea phekolo ea nakoana. Tsena li kenyeletsa ho silila, physiotherapy, bolokolohi ba bongaka joalo-joalo.
Tunnel Syndrome - mafura
Ho matlafatsa phello ea lipilisi ho tla thusa ho sebetsana le lits'ebeletso tsa sebakeng seo. Sephetho se setle haholo ke tšebeliso ea mafura. Ha lefu la carpal tunnel syndrome le fumanoa, kalafo e ka etsoa ka thuso ea lithethefatsi tse joalo tse reretsoeng ho sebelisoa ka ntle:
- Voltaren;
- Diclofenac;
- Clodifen;
- E potlakileng.
Matšoao a Tunnel - thibelo
Ha ho phekoloa maloetse, liente li na le katleho e kholo. Tlhaloso ea lefu la Carpal carpal ea methapo ea mafu e akarelletsa ho thibeloa ke lithethefatsi tse joalo:
- Neurobion;
- Milgamma;
- Neurorubin;
- Naklofen;
- Ka Midokalm;
- Trental.
Phekolo ea lefu la tunnel ke litlhare tsa setso
Ha u phekola lefu lena ka nako e le 'ngoe le meriana, lihlahisoa tse se nang meriana li ka sebelisoa. Tsena li kenyelletsa "lithethefatsi":
- li-decoctions;
- infusions;
- litlolo tse entsoeng ka letsoho joalo-joalo.
Tsela ea ho tšoara lefu la carpal tunnel le makhasi a cranberry?
Lijo:
- metsi a 250ml;
- lihlahisoa tse omeletseng - tse 1 teaspoon.
Ho itokisa, sebelisa:
- Makhasi a Cowberry a tšeloa ka metsi mme a apara setofo.
- Tlisetsa sebopeho ho pheha le ho fokotsa mollo ho e nyenyane, pheha kotara ea hora.
- Phetsa moro le khatello.
- E noe ka li-sips tse nyenyane ka makhetlo a 4-5 ka letsatsi. Meriana ena e tlosa bohloko ka ho phethahetseng mme e fokotsa boikhohomoso.
Carpal tunnel syndrome - phekolo ka oli-pepere compress
Lijo:
- chopped chili - 50 g;
- oli ea meroho - 500 ml.
Ho itokisa, sebelisa:
- Lisebelisoa li kopantsoe 'me li romeloa setofo.
- Pheha sebopeho sa mollo o tlaase halofo ea hora, e susumetsang ka linako tse ling.
- Sehlahisoa se felile se pholile.
- Tlhahlobo ea meriana e kenngoa sebakeng se amehileng ke lefu lena.
Tunnel Syndrome - Tshebetso
Sepheo sa ho buoa ke ho buoa ke ho fokotsa khatello ea meriana e bohareng. Ha lefu la carpal tunnel syndrome le se boemong bo tsoetseng pele, phekolo ea mekhoa e ikemetseng tabeng ena ha e sebetse. Ho e-na le hoo, mokuli a ka fuoa opereishene. Ts'ebetso ea ho buoa e etsoa tlas'a anesthesia ea moo. Tšoaetso ea tunnel e sebetsoa ka litsela tse peli:
- Mokhoa o bulehileng - etsa hore ho kenngoe ka letsoho holim'a letsoho. Bolelele ba eona e ka ba cm 5. Nakong ea ts'ebetso ena, li-ligaments lia khaola, e leng ho hatellang methapo.
- Ho sebelisa endoscope. Nakong ea ts'ebetso ena, ho na le lintho tse peli tse fokolang (tse ling le tse 1,5 cm) tse etsoang libakeng tse amehileng. Ha o qala ho kena endoscope, 'me ka lekhetlo la bobeli - sesebelisoa sa ho buoa, seo li-ligaments li senyehileng ka tsona.
Ka mor'a ho kenngoa phekolo, ho sebelisoa bandage ea khoeli bakeng sa khoeli sebakeng se sebetsitsoeng. Nakong ea ho hlaphoheloa, physiotherapy le li-gymnastics tsa bongaka li laeloa. Ka mor'a likhoeli tse tharo, tšebeliso ea brush e qala ka 80%, 'me ka likhoeli tse 6 - ka ho feletseng. Mokuli a ka khothaletsa likhoeli tse tšeletseng kapa selemo ho fetola mesebetsi. Leha ho le joalo, ka mor'a ho phomola ka botlalo, a ka khutlela mosebetsing o tloaelehileng.