Ukungaphatheki Kakuhle Kwezandla: Izizathu, Iimpawu kunye Neendlela Zokujongana Nazo

Ukungcangcazela okubonakala ezandleni, ngamanye amaxesha kungavakala kuphela esandleni esinye, ngamanye amaxesha kungavakala kuzo zombini izandla. Le meko iyahluka kumntu nomntu, ngamanye amaxesha ingaba rhoqo, ngamanye amaxesha ivele kuphela ngexesha leentshukumo ezithile okanye ngexesha lokuphumla. Umva wokungcangcazela unokuziva ngendlela eyahlukeneyo njengokuhlaba, ukutsha okanye umbane, kwaye ukuvela kwawo ngexesha leemisebenzi zemihla ngemihla kunokunciphisa kakhulu umgangatho wobomi bomntu. Xa isikhalazo sokungcangcazela sifikelela kwinqanaba elinzulu, kunokwenzeka ukuba umntu angakwazi ukwenza msebenzi.

Kuthetha Ntoni Ukungcangcazela Okuziva Esandleni?

Izikhalazo zokungcangcazela ezivelayo esandleni zixhaphake kakhulu. Ukungcangcazela ngamanye amaxesha kungavakala kuso sonke isandla, ngamanye amaxesha kuphela kwindawo ethile njengaphakathi kwesandla, phezulu kwesandla, imiphetho yeeminwe okanye kwimithambo ethile. Imvelaphi yokungcangcazela esandleni inokuba zizizathu ezininzi ezahlukeneyo; ezinye izikhalazo ezifana nokungabi naxa, ukutsha kunye nokurhawuzelela zinokuhamba kunye nalo meko. Esinye sezona zizathu zixhaphakileyo kukuxinana kwemithambo esandleni okanye edolweni. Ukongeza koko, ukuxinana kwemisipha, isifo se-disc esentanyeni, i-multipl skleroz, izifo zengqondo-nemithambo, ukuphazamiseka kwehomoni yetiroyidi, iitumor zemithambo, i-ulnar oluk syndrome, umonakalo wemithambo ngenxa yesifo seswekile, ukusilela kwevithamini B12, ukusetyenziswa kotywala, ukuphazamiseka kokujikeleza kwegazi, izifo zentliziyo kunye nezifo zemithambo zangaphandle nazo zinokubangela ukungcangcazela esandleni. Kodwa ke, kwimisebenzi yemihla ngemihla, esona sizathu sixhaphakileyo kukuxinana kwemithambo ye-median okubangela i-carpal tunnel syndrome.

Kutheni Kuvela Ukungcangcazela Ezandleni?

Ukuphindaphinda kweentshukumo zesandla kunye nesihlahla, ekuhambeni kwexesha, kunokubangela ukutyeba kwezicubu apho imithambo idlula khona kunye nokunyuka koxinzelelo kule ndawo. Izikhalazo zokungcangcazela zihlala ziqala ngokuhlaba okuncinci kwaye zomelele ngakumbi ekuhambeni kwexesha. Ingakumbi izikhalazo eziqala ebusuku, zinokufikelela kwinqanaba lokuvusa umntu ebuthongweni kwaye ukuba azinyangwanga zinokubangela umonakalo osisigxina kwimithambo.

Ukuxinana kwemithambo esandleni edolweni kuqhelekile kubantu abasebenza ixesha elide bexhasa ingqiniba etafileni. Ukungcangcazela kuqala kumnwe omncinci kunye nomnwe wesacholo kwaye kunokwanda. Ukuba akuthathwanga manyathelo ngexesha, kunokubakho buthathaka esandleni kunye nokuncipha kwemisipha.

Ezona zizathu ziphambili zokungcangcazela esandleni zezi:

• I-carpal tunnel syndrome ebangelwa kukuxinana kwemithambo ye-median esihlahleni ngenxa yeentshukumo eziphindaphindiweyo (umzekelo; ukuthunga, ukucoca, ukusetyenziswa rhoqo kwe-mouse kunye nekhibhodi)

• I-pronator teres syndrome (ukuxinana kwemithambo ye-median phantsi kwengqiniba)

• Ukuxinana kwemithambo ye-ulnar esihlahleni okanye edolweni (Guyon canal okanye cubital tunnel syndrome)

• Ukuxinana kwemithambo ye-radial (eyaziwa njenge-paralysis yaseMgqibelo ebusuku okanye isandla esiphantsi)

• Izifo zomqolo kunye nenkqubo yemithambo ephakathi ezifana nesifo se-disc esentanyeni

Ukungcangcazela Esandleni Sasekhohlo Kungabonisa Ntoni?

Ukungcangcazela esandleni sasekhohlo kuhlala kubangelwa kukuxinana kwemithambo, kodwa ukwenzakala kwamalungu nako kunokubangela izikhalazo ezifanayo. Ukongeza koko, ukungcangcazela esandleni sasekhohlo kunokuba luphawu lweengxaki ezinxulumene nentliziyo. Ukuba ukungcangcazela esandleni sasekhohlo kuhamba kunye neentlungu emqolo, le meko inokuba inxulumene ne-"angina pectoris" evela xa intliziyo ingafumani ioksijeni eyaneleyo. Le meko imbi kwaye ayifanele inganakwa. Nangona kunjalo, ukungcangcazela esandleni sasekhohlo akuhlali kuthetha isifo sentliziyo, zininzi ezinye izizathu ezinokubakho.

Ukungcangcazela Esandleni Sasekunene kunye Nezizathu Ezingenzeka

Ukungcangcazela esandleni sasekunene kuhlala kubangelwa yi-carpal tunnel syndrome. Ukongeza koko, iingxaki zemithambo enxulumene nomqolo okanye ingqondo, ukwaphuka okanye ukwenzakala ngesiquphe esandleni okanye emqolo nako kunokubangela ukungcangcazela. Kwakhona, umonakalo wemithambo ngenxa yesifo seswekile kunye nokusilela kweevithamini nazo zingabangelwa kukungcangcazela esandleni. Ezona zizathu zixhaphakileyo zokungcangcazela esandleni esinye okanye kuzo zombini izandla kukuxinana kwemithambo.

Carpal Tunnel Syndrome: Isizathu Esixhaphakileyo

Esinye sezona zizathu zixhaphakileyo zokungcangcazela esandleni naseziminweni yi-carpal tunnel syndrome. Imithambo evela emqolo idlula kwisihlahla kwisikhala esincinci esibizwa ngokuba yi-"carpal tunnel". Xa imithambo ye-median ikuxinzelelo ngenxa yezizathu ezahlukeneyo, i-carpal tunnel syndrome iyenzeka. Imithambo ye-median inoxanduva lokunika umva kumnwe omkhulu, umnwe wesalathiso, umnwe ophakathi kunye nomnwe wesacholo kwaye ilawula imisipha ethile kumnwe omkhulu.

Kwi-carpal tunnel syndrome, ekuqaleni uphawu alubonakali; kodwa kuvavanyo lokuhanjiswa kwemithambo kunokufunyanwa ukucotha. Kwiimeko eziphambili, ukungcangcazela ebusuku kunye nokungcangcazela okubonakala ngakumbi kumnwe omkhulu kunye neminye imithambo, intlungu kunye nomva wokutsha kuba mandundu. Ukuba akunyangwanga, umonakalo osisigxina kwimithambo kunye nokuncipha kwemisipha kunokwenzeka. Uvavanyo lwesifo lwenziwa ngugqirha we-neurology ngovavanyo lomzimba kunye novavanyo lwe-electrophysiology (EMG). Iindlela zonyango ziquka amayeza, unyango lomzimba okanye utyando ngokuxhomekeke kubunzima beephawu.

Yintoni i-Guyon Canal Syndrome?

IGuyon canal syndrome yenzeka xa imithambo ye-ulnar ixinana kwisikhala esincinci esecaleni lwesandla esecaleni lwangaphakathi. Le meko ibangela intlungu, ukungcangcazela kunye nokulahleka komva ngakumbi kumnwe wesacholo kunye nomnwe omncinci. Kwiimeko eziphambili, ukuncipha kwemisipha kunye nobuthathaka esandleni kunokwenzeka. Uvavanyo lomzimba kunye ne-EMG zisetyenziswa ekufumaneni isifo. Unyango, kwiimeko ezilula, luquka unyango lomzimba kunye notshintsho kwindlela yokuphila, kodwa kwiimeko ezinzima utyando lunokucetyiswa.

Kübitale Tunnel Syndrome Ivelaphi Njani?

IKübitale tunnel syndrome yenzeka ngenxa yokuxinana kwemithambo ye-ulnar kwinqanaba lengqiniba kwaye iyona sizathu sesibini sixhaphakileyo sokuxinana kwemithambo emva kwe-carpal tunnel syndrome. Ezona mpawu zibonakala kakhulu kukungcangcazela, intlungu kunye nokulahleka komva kumnwe wesacholo kunye nomnwe omncinci. Kwiimeko ezinzima, buthathaka bemisipha, ukuncipha kunye nokuguquka kwesandla kunokwenzeka. Uvavanyo lomzimba kunye ne-EMG zisetyenziswa ekufumaneni isifo. Unyango lunokubandakanya unyango lomzimba okanye utyando ngokuxhomekeke kwinqanaba lesifo.

Indlela Yokuphelisa Ukungcangcazela Ezandleni

Unyango lokungcangcazela ezandleni luxhomekeke ekufumaneni ngokuchanekileyo isizathu esingaphantsi. Emva kokuchongwa kwezinto ezifana nokuxinana kwemithambo, ukusilela kweevithamini, isifo seswekile okanye iingxaki zokujikeleza kwegazi, indlela efanelekileyo yonyango iyakhethwa. Kwiimeko zokuqala, unyango lwezonyango kunye notshintsho kwindlela yokuphila luyacetyiswa, kwiimeko ezinzima unyango lomzimba okanye utyando lunokukhethwa. Ukuhlolwa rhoqo ngugqirha kubalulekile ukuthintela ukuphinda kwale meko kunye nokuqhubeka kwayo.

Imibuzo Ebuzwa Rhoqo

1. Kutheni kuvela ukungcangcazela esandleni?

Ukungcangcazela esandleni kuhlala kubangelwa kukuxinana kwemithambo, iingxaki zomqolo kunye nomqolo, ukusilela kweevithamini, isifo seswekile, ukuphazamiseka kokujikeleza kwegazi okanye ukwenzakala kwemisipha kunye namalungu.

2. Ngaba ukungcangcazela esandleni kuyingozi?

Ezinye izizathu zilula kwaye zexeshana, kodwa ingakumbi ukuba ukungcangcazela kuqhubeka kunye nezinye izikhalazo, kunokuba kukho imeko enzulu engaphantsi. Ngenxa yoko, kwiimeko zokungcangcazela ezihlala ixesha elide okanye ezinzima kufuneka kufunyanwe uncedo lwezonyango.

3. Kuthetha ntoni ukuba ukungcangcazela kuvela kuphela esandleni sasekhohlo?

Ukungcangcazela esandleni sasekhohlo kuhlala kubangelwa kukuxinana kwemithambo. Kodwa ukuba kukho neempawu ezifana nentlungu esifubeni, intlungu esasazeka esandleni sasekhohlo okanye ukuphelelwa ngumoya, kufuneka kufunyanwe uncedo lwezonyango ngokukhawuleza; inokuba luphawu lweengxaki ezinzulu ezifana nesifo sentliziyo.

4. Yintoni i-carpal tunnel syndrome kwaye inyangwa njani?

ICarpal tunnel syndrome yimeko evela kukuxinana kwemithambo ye-median esihlahleni. Kwiimeko zokuqala, ukuphumla, ukusetyenziswa kwe-brace kunye nonyango lwamayeza; kwiimeko ezinzima, unyango lomzimba okanye utyando luyacetyiswa.

5. Yintoni ebangelwa yi-Guyon canal syndrome?

Le syndrome, ngenxa yokuxinana kwemithambo ye-ulnar esihlahleni, ibangela intlungu, ukungcangcazela, ukulahleka komva ngakumbi kumnwe omncinci kunye nomnwe wesacholo, kwaye kwiimeko ezinzima, ukuncipha kwemisipha kunokwenzeka.

6. Ukungcangcazela esandleni kuphila njani?

Unyango luhluka ngokuxhomekeke kwisizathu. Kukuxinana kwemithambo, ukuphumla, ukubekwa kwendawo efanelekileyo kunye nokuba kuyimfuneko unyango lotyando kunokwenziwa. Kwiimeko ezinxulumene ne-metabolism okanye ivithamini, ukusilela okufanelekileyo kufuneka kulungiswe.

7. Ngaba ukungcangcazela esandleni kunokuba luphawu lwezinye izifo?

Ewe, isifo seswekile, izifo zetiroidi, ukusilela kweevithamini, izifo zemithambo okanye izifo zentliziyo ezininzi zinokubonakala ngokungcangcazela esandleni.

8. Kwiimeko ezinjani kufuneka ndibize ugqirha?

Ukuba ukungcangcazela kunzima, kuvele ngesiquphe okanye kuhamba kunye nobuthathaka, ukuphazamiseka kokuthetha, isiyezi, okanye ukulahleka kombono, kufuneka kufunyanwe uncedo lwezonyango ngokukhawuleza.

9. Ngaba ukungcangcazela esandleni kuqhelekile kubantu abasebenza ixesha elide etafileni?

Ewe, ngenxa yokuphindaphinda kweentshukumo okanye ukuhlala ixesha elide kwindawo engalunganga, kungavela ukuxinana kwetshaneli ye-carpal okanye i-ulnar nerve.

10. Yintoni enokwenziwa ekhaya xa isandla singqongqoza?

Kwiimeko zokungqongqoza ezithambileyo nezexeshana, ukuphumla isandla kunye neqhina lesandla, ukutshintsha indawo kunye nokwenza imithambo yezandla kunokuba luncedo. Kodwa ukuba izikhalazo ziyaqhubeka, kufuneka kufunyanwe uncedo lwezonyango.

Imithombo

• World Health Organization (WHO) – Imiceli mngeni yezeMpilo kwiZifo zeNgqondo

• American Academy of Neurology – Izikhokelo zePeripheral Neuropathy kunye neEntrapment Syndromes

• American Academy of Orthopaedic Surgeons (AAOS) – Uhlaziyo lweCarpal Tunnel Syndrome

• National Institute of Neurological Disorders and Stroke (NINDS) – Iphepha leNgcaciso ngeCarpal Tunnel Syndrome

• American Diabetes Association – Uhlaziyo lweDiabetic Neuropathy