Tunnel syndrome imwe yezvirwere zvemazuva ano. Ichi chirwere chepfungwa yehutano. Mumabasa ekurapa mabasa anopfuura makumi matatu emarudzi ehurwere akadaro anotsanangurwa. Munyaya imwe neimwe yakatarwa, imwe nzvimbo yemuviri inoshandiswa, somuenzaniso, chiuno, zvigaro nezvakadaro. Zvakakosha kudzidza munguva yekuziva zviratidzo zvechirwere.
Tunnel syndrome - chii ichocho?
Ichi chirwere chinowanikwa apo mutsara wemukati unobvumirana. Sezvaunoziva, inowanikwa mumugwagwa wakamanikana, unoumbwa nemasumbu, mapfupa emapfupa uye tete. Apo nzvimbo dzakapoteredza dzeropa dzinoyerera, zvinoshamiswa. Somugumisiro, kutapurika kwekutsvaga kusina simba. Pakutanga, tunnel syndrome yewende inonetseka chete nguva nenguva. Zvisinei, apo chirwere chacho chinodonha kuva chimiro chakakomba, kunyange zviito zvepakutanga zvinopiwa zvakaoma. Hapana munhu anofa kubva pane chirwere ichi, asi chinomesa upenyu huzhinji.
Carpal tunnel syndrome
Ichi chirwere chinokanganisa mugwagwa we carpal. Izvo zvinoitika semugumisiro wehutano hwemukati ne carpal ligaments nekudzokorora kakawanda kuruka-kuwedzerwa kwemaoko. Kazhinji, chirwere chakadaro chinowanikwa mune vakadzi. Vakadzi vacho vakaonda kudarika simba. Mukuwedzera, nekukwegura mumitumbi yavo, kushandiswa kwemahomoni zvakakomba kunotanga. Zvose izvi zvinoshanda sechinhu chakanaka chekugadzirwa kwe carpal tunnel syndrome.
Yakasiyana uye mapoka emapoka emabasa, umo chirwere ichi chinowanikwa kakawanda kupfuura nguva. Tunnel syndrome inopisidzira vanhu vanoita basa iri:
- vaimbi;
- artists;
- programmers;
- gamers uye chido PC vashandi;
- cashiers;
- Vashandi vekugadzira vanoita kufamba kwechigunun'una kunotyisa nemaoko avo.
Cubital Tunnel Syndrome
Izvi zvinodzvinyirira neuropathy yehutachiona. Ichokwadi, ichi ischemia ye "nzira". Iyo nharo inofanirwa, ropa rayo rinodedera, nekuda kwekuti kusvibiswa kwenzvimbo ino kunomuka nemigumisiro yese inotevera. Izvozvo zvinokonzerwa nehutar syndrome zvinokonzerwa nekugadzirwa kwakafanana nekarpal, tarsal, kana radial. Utano hwakadaro hwemapfupa hunopesana chete munzvimbo.
Tunnel Syndrome - Zvinokonzera
Pane zviitiko zvakawanda zvinokonzera kukura kwechirwere ichi. Yakawanda yemarapal tunnel syndrome inoitika nekuda kwezvikonzero zvinotevera:
- basa rekugara kwenguva refu pamakombiyuta (kushandiswa kwebhodibhokisi uye mouse zvinoreva);
- Arthritis nezvimwe zvirwere zverheumatic zvinokonzera kukanganisa pamwe chete;
- marwadzo, kuparadzaniswa, fractures nezvimwe kukuvadzwa;
- tendovaginitis nekumwe kuputika kwemajoini;
- chirwere mubasa retsvo, chirwere chetachiona uye zvimwe zvirwere zvinokonzera kuunganidzwa kwemvura mumutumbi;
- chirwere cheshuga mellitus;
- kuneta;
- kunwisa doro;
- amyloidosis ;
- pamuviri uye nezvimwe zvirwere zvinokonzera kuchinja kwehomoni;
- supercooling;
- kusvuta;
- genetic predisposition.
Tunnel Syndrome - Zviratidzo
Mune zvimwe zviitiko, chirwere ichi chinogona kufamba nenzira inokosha. Kazhinji kacho carpal syndrome inogona kuva nekiriniki yakadaro:
- kupera kweminwe , iyo inoratidzika mushure mekurota kana kufamba kamwe kamwe;
- paresthesia (kune manzwiro evanhu vanokambaira, vanosemesa, kupisa, nezvakadaro);
- kurwadziwa muminwe, kupa muchikwata chepamberi kana mubatanidzwa wehokwe;
- kukanganiswa - zvinhu zvinowira kunze kwemaoko, zvakaoma kunyora kana kudhinda chimwe chinhu;
- kuderera kunzwisisika munzvimbo yecharaunda;
- shanduko mukati mekushisa kwemichindwe, kusviba kwezvipikiri.
Mukuwedzera, chirwere chemugwagwa, zvichienderana nekunzvimbo, inogona kuva imwechete kana maviri. Chirwere chinopararira zvikuru chikamu chinowanikwa. Kana murwere ane ruoko rwakarurama, ipapo ruoko rworudyi runotambura, uye ruoko rworuboshwe runotambura kuruboshwe. Zvisinei, apo chirwere chemapfupa chinowanikwa munguva yekubereka mwana kana nekuda kwekukundikana kwehomoni mumuviri, zvose zvikamu zvinogona kuchinjwa nechirwere.
Nzira yekurapa tunnel syndrome?
Asati asarudza chirwere, chiremba achaitisa kuongorora kwakakwana. Nzira iyo inobvumira kusinganzwisisiki kuongororwa. Kana chiremba aifungidzira murwere wemurwere carpal tunnel syndrome, aizodzidza zviratidzo zvayo, uyewo aite zvimwe zvinoshandiswa. Nokuti kuongororwa kunoitwa miedzo yakadaro inokurudzira:
- Edzai Fahlen - iwe unofanirwa kupeta brashe zvakanyanya. Maminiti gare gare, kurira kunotaridzika. Nokukurumidza zviratidzo izvi zvisingafadzi zvinotanga, zvakaoma danho rerwere.
- Kuongorora kweTinel - unofanirwa kuisa panzvimbo yacho nehutano hwakakanganiswa. Kana murwere ane chirwere chemarapal, chirwere, kupera uye kurwadziwa kuchaitika.
- Durkan kuedza - svina bhashira uye kumirira anenge hafu yeminiti. Kana pane hutano hwemapfupa, zvigunwe zvinoputika uye manzwiro ekurira anonzwa.
Utano hwehutano hwehutano hunosanganisira yakazara, asi zvisati zvarayirwa murwere zvinorumbidzwa kuti zviite saizvozvo:
- electroneuromyography;
- radiography;
- MRI;
- Ultrasound.
Nzira yekurapa sei carpal tunnel syndrome?
Kurapa kwechirwere ichi chinangwa chekutapudza chirwere chekuvhiringidza uye kubvisa kuzvikudza munzvimbo yechiremera. Mukuwedzera, kurapa kunofanira kubvisa marwadzo. Mukurwisana nezvipembenene, mishonga, zvisiri-mishonga uye nzira dzokuvhiya zvinogona kushandiswa. Nzira mbiri dzokutanga dzinoshanda pakutanga kwechirwere chacho. Kana chirwere ichi chave chichimbwa kwenguva refu, chirwere hachigoni kudziviswa.
Chirongwa chekuchengetedza chirwere chinosanganisira kugadzwa kwemishonga yakadaro:
- kwete-steroidal anti-inflammatory drugs (Movalis, Diclofenac);
- diuretics ( Veroshpiron kana Furosemide);
- mavitamini eboka B;
- corticosteroids (Hydrocortisone, Prednisolone);
- vasodilators ( Trental );
- muscle relaxants (Midokalm).
Kana carpal tunnel syndrome inosimbiswa panguva yekuongororwa, kurapwa kumba kunogona kuitwa nekubatsirwa kwemishonga inorayirwa nachiremba. Kuzvipodza hakubvumirwi! Chiremba anofanira kutarisa mamiriro ekurapa pamatanho ose ekurapa. Zvisinei, pane zviverengero zvehutano zvinoratidza kuti chirongwa chekuchengetedza chirwere chemurwere chichave chisingabatsiri. Izvi zvinosanganisira:
- kana yakashandiswa kumakore anopfuura makumi mashanu;
- murwere anongoramba achinyunyuta nezvekugara kwemaoko;
- zviratidzo zvechirwere zvinoratidzika kwegore.
Elbow Tunnel Syndrome - Kurapa
Kurapa kwechirwere ichi kwakafanana neicho chakashandiswa mukurwisana nemhando yekarpal yechirwere. Mukuwedzera kumushonga wemishonga, physiotherapy nzira inogonawo kuiswa. Kana chironga chemagetsi ejoka rehokwe ichionekwa, panguva imwe chete nemishonga yakadaro inogadziriswa:
- Ultraphonophoresis - panguva iyo nzira, midziyo inowedzera uye kubuda kweropa mumapillari inowedzera. Inokurudzirwa kudarika 10-12 mazamu.
- Shockwave therapy - inotarisirwa kuderedza kurwadziwa nekuvandudza kupararira kweropa. Mukuwedzera, mushure mekuita kwakadaro, metabolism inodzorerwa uye masero anovandudzwa. Nzira yekurapa inomiririrwa nemitemo 5-7.
Anodzidzira mu tunnel syndrome
Vanoshumira senhengo inopedza kudzivirira. Mukuwedzera, inogona kushandiswa senzira yekuwedzera yekurwisa chirwere chacho. Apo chirwere chendaneti chinowanikwa, chiitiko chacho chinogona kuitwa nenzira inotevera:
- Apo minwe inopindirana, zvakakosha kuita zvinyorwa zvinokonzera.
- Tinofanira kusununguka mumhepo yakasununguka mabhurusi.
- Kusimudza maoko kunofanirwa kuvharidzirwa mumatanda uye unclamped.
- Iwe unofanirwa kudzvinyirira zvikwiriso zvako kumativi ose, compress uye usimbise minwe yako.
Kinesiotherapy mu tunnel syndrome
Iyi kururamisa ine zvinhu zvakawanda. Izvo hazviiti kuti murwere azvidye mwoyo kana kuti akasuruvara. Tunnel syndrome yebrashi inobatsira kushandiswa kwetipi pamba yekotoni. Vane chirwere chepamusoro. Makapu anodzivirira kubuda kwemhepo uye kunowedzera dzimwe nzira dzemazuva ose ekurapa. Izvi zvinosanganisira kushambadza muviri, physiotherapy, kushandiswa kwehutano nezvimwewo zvakadaro.
Tunnel Syndrome - mafuta
Simbisai mhinduro yemapiritsi ichabatsira munharaunda. Chimwe chikonzero chakanaka chakanaka kushandiswa kwemafuta. Apo carpal tunnel syndrome inowanikwa, kurapwa kunogona kuitwa nekubatsirwa kwemishonga yakadaro inotarisirwa kushandiswa kwekunze:
- Voltaren;
- Diclofenac;
- Clodifen;
- Rapent.
Tunnel syndrome - kubvisa
Mukurapa kwezvirwere, majekiseni anobudirira zvikuru. Carpal carpal tunnel syndrome kurapwa kunosanganisira kudzivirira nemishonga yakadaro:
- Neurobion;
- Milgamma;
- Neurorubin;
- Naklofen;
- By Midokalm;
- Trental.
Kurapa kwe tunnel syndrome nemishonga yevanhu
Kana kurapa chirwere panguva imwechete semishonga, kwete mishonga yemishonga inogona kushandiswa. Izvi zvinosanganisira "zvinodhaka":
- decoctions;
- infusions;
- tinctures nezvimwe zvakadaro.
Nzira yekurapa sei carpal tunnel syndrome ne cranberry mashizha?
Zvisungo:
- mvura 250 ml;
- Yakasvibirira michina - 1 teaspoon.
Kugadzirira, shandisa:
- Mashizha eCowberry anodururwa nemvura uye akaisa pachitofu.
- Uyai nehuwandu hwemota uye, kuderedza moto kune muduku, kubika kwechina cheawa.
- Kushisa muto uye kuoma.
- Tora iyo mudiki sips 4-5 pazuva. Izvi zvinodhaka zvakanyatsobvisa marwadzo uye zvinoderedza kupenga.
Carpal tunnel syndrome - kurapwa nemafuta-pepper compress
Zvisungo:
- chopped chili - 50 g;
- mafuta emiriwo - 500 ml.
Kugadzirira, shandisa:
- Zvisungo zvinosanganiswa uye zvinotumirwa kuchitofu.
- Pfekai hutano hwepasi-simba moto kwehafu yeawa, zvichiita kuti pave nenguva.
- Chigadzirwa chakapedzwa chavanzwa.
- Mushonga wemishonga unobvongodzwa munzvimbo inobatwa nechirwere ichi.
Tunnel Syndrome - Operation
Chinangwa chekupindira kunopedzisira kusvitsa mhirizhonga pamutsipa wepakati. Apo carpal tunnel syndrome iri mumatanho akakwirira, kurapwa nemaitiro anochengetedza munyaya iyi hakubatsiri. Pane kudaro, murwere anogona kupiwa kuvhiyiwa. Kupindira kwokuvhiya kunoitwa pasi peanesthesia yemo. Tunnel syndrome inoshandiswa nenzira mbiri:
- Vhura nzira - ita kuiswa pamusana. Iyo yakareba masendimita mashanu (5 cm) Pakati pekushanda uku, ligaments inotemwa, iyo inodzvinyirira mutsara.
- Kushandisa endoscope. Munguva yekushanda iyi, maitiro maviri madiki (1.5 cm rimwe nerimwe) anoitwa panzvimbo yakakanganiswa. Pakutanga kupinda mu endoscope, uye mune yechipiri - chigadzirwa chokugadzira, iyo iyo midzi inoparadzirwa.
Mushure mekuvhiyiwa, chirongwa chinosungirirwa chinoshandiswa kwemwedzi pane nzvimbo inoshandiswa. Mukupora nguva, physiotherapy uye gymnastics yezvechiremba inorayirwa. Mushure memwedzi mitatu, kushanda kwebrashi kunotanga ne 80%, uye mumwedzi 6 - zvakakwana. Murwere anokwanisa kukurudzira kwemwedzi mitanhatu kana gore kuti achinje mabasa. Zvisinei, mushure mokuzorora zvakakwana, anogona kudzokera kumabasa anowanzoitwa.