Ulnar hlab ntsha tawg tsis ua haujlwm

Ulnar hlab ntsha tawg tsis ua haujlwm yog qhov teeb meem nrog txoj hlab ntsha uas txav ntawm lub xub pwg mus rau tes, hu ua ulnar hlab ntsha. Nws pab koj txav koj sab caj npab, dab teg thiab tes.

Kev puas tsuaj rau ib qho ntawm pawg, xws li hlab ntsha ulnar, yog hu ua mononeuropathy. Mononeuropathy txhais tau hais tias muaj kev puas tsuaj rau ib qho hlab ntsha. Cov kab mob cuam tshuam rau tag nrho lub cev (lub cev tsis sib xws) tseem tuaj yeem ua rau cov hlab ntsha sib cais.

Cov ua rau mob mononeuropathy yog:

• Tus mob hauv tag nrho lub cev uas ua rau puas ib qho hlab ntshav
• Kev raug mob ncaj qha rau txoj hlab ntshav
• Lub sij hawm ntev siab ntawm cov hlab ntsha
• Siab rau ntawm cov hlab ntsha tshwm sim los ntawm o lossis raug mob ntawm lub cev ze

Ulnar neuropathy kuj tseem muaj rau cov neeg muaj ntshav qab zib.

Ulnar neuropathy tshwm sim thaum muaj kev puas tsuaj rau lub hlab hlwb ulnar. Txoj hlab ntsha no taug kev ncaj npab mus caj npab mus rau dab teg, tes, thiab ntiv tes thiab ntiv tes Nws kis tau ze ntawm lub luj tshib. Yog li, tsoo lub leeg muaj ua rau mob thiab qog ntawm "tsoo lub pob txha caj dab."

Thaum cov hlab ntsha nias ntawm lub luj tshib, ib qho teeb meem hu ua cubital tunnel syndrome tuaj yeem tshwm sim.

Thaum kev puas tsuaj rhuav tshem cov hlab npog (myelin sheath) lossis ib feem ntawm cov hlab ntsha nws tus kheej, cov paib tseem maj mam los tiv thaiv.

Kev puas tsuaj rau lub plab ulnar tuaj yeem tshwm sim los ntawm:

• Lub sij hawm ntev tso siab rau ntawm lub luj tshib lossis hauv paus ntawm xib teg
• Luj tshib pob txha lov lossis cuam tshuam
• Rov qab luj tshib khoov, xws li nrog cov luam yeeb haus luam yeeb

Hauv qee kis, tsis muaj lub hauv paus ntsiab lus.

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Kev tsis sib haum xeeb hauv cov ntiv tes me ntsis thiab ib feem ntawm lub nplhaib ntiv tes, feem ntau nyob ntawm xib teg
• Tsis muaj zog, poob ntawm kev sib koom tes ntawm cov ntiv tes
• Clawlike deformity ntawm tes thiab dab teg
• Kev hnov ​​mob, loog, tsis hnov ​​qhov hnov, qias neeg, lossis hlawv qhov hnov ​​ntawm thaj chaw tswj hwm lub hauv paus

Mob los yog loog yuav ua rau koj tsaug zog. Cov kev ua si xws li kev ntaus pob tesniv lossis ntaus golf yuav ua rau mob.

Tus kws kho mob yuav tshuaj xyuas koj thiab nug koj txog koj cov tsos mob thiab keeb kwm kev kho mob. Lawv yuav nug kom koj ua li cas ua ntej cov tsos mob pib.

Kev ntsuam xyuas uas yuav xav tau muaj xws li:

• Kuaj ntshav
• Kev ntsuam xyuas cov duab, xws li MRI txhawm rau saib cov hlab ntsha thiab cov qauv ze
• Kev ntsuam xyuas lub paj hlwb txhawm rau tshuaj xyuas kom sai npaum li cas cov cim xa xov mus ncig
• Electromyography (EMG) txhawm rau tshuaj xyuas kev noj qab haus huv ntawm ulnar hlab ntsha thiab cov leeg nws tswj hwm
• Siv tshuaj ntsaws hauv ib ce txhawm rau kuaj ib daig ntawm cov leeg (tsis xav tau)

Lub hom phiaj ntawm kev kho mob yog cia koj siv tes thiab caj npab kom ntau li ntau tau. Koj tus kws kho mob yuav pom thiab kho qhov ua rau, yog tias ua tau. Qee zaum, tsis muaj kev kho mob dab tsi thiab koj yuav tau txais kev kho mob zoo rau koj tus kheej.

Yog tias xav tau tshuaj, lawv yuav suav nrog:

• Cov tshuaj yuav tom kiab khw lossis tshuaj kws kho mob (xws li gabapentin thiab pregabalin)
• Corticosteroid kev txhaj tshuaj ib ncig ntawm cov hlab ntaws kom txo qhov o thiab siab

Koj tus kws khomob yuav qhia cov kev saib xyuas tus kheej. Cov no suav nrog:

• Qhov kev pab txhawb nqa zoo ntawm lub dab teg lossis lub luj tshib los pab tiv thaiv kom tsis txhob raug mob ntxiv thiab txo cov tsos mob. Koj yuav tsum hnav nws txhua hnub thiab hmo ntuj, lossis tsuas yog thaum tsaus ntuj.
• Looj luj tshib yog tias qhov nqaij ntaws plab ulnar raug mob ntawm lub luj tshib. Tsis tas li, tsis txhob tsoo lossis khoov ntawm lub lauj tshib.
• Kev tawm dag zog lub cev ua kom pab lub cev muaj zog hauv caj npab.

Tej kev kho mob los yog kev sab laj tswv yim los qhia cov kev hloov hauv chaw ua haujlwm tej zaum yuav xav tau.

Cov kev phais txhawm rau daws lub siab ntawm cov leeg yuav pab yog tias cov tsos mob hnyav ntxiv, lossis yog muaj ntawv pov thawj tias ib feem ntawm cov hlab ntsha tau ploj mus.

Yog hais tias qhov ua rau ntawm cov hlab ntsha tuaj yeem pom thiab kho tau zoo, muaj lub sijhawm zoo ntawm tag nrho kev rov qab los. Muaj qee kis, qee zaum muaj qee qhov lossis tag nrho ntawm qhov txav lossis qhov hnov ​​zoo.

Teeb meem yuav suav nrog:

• Kev puas tsuaj ntawm tes
• Ib nrab lossis ua tiav qhov tsis hnov ​​ntawm tes lossis cov ntiv tes
• Ib feem lossis ua tiav poob ntawm lub dab teg lossis txhais tes txav
• Kev raug mob rov qab los sis tsis muaj qhov cim rau tes

Hu rau koj tus kws kho mob yog tias koj mob caj npab thiab hnov ​​mob, txhawm, mob, lossis qaug zog ntawm koj txhais caj npab thiab ntiv nplhaib thiab ntiv tes.

Zam lub siab ntev ntawm lub luj tshib lossis xib teg. Zam kev ntev lossis thawb lub luj tshib khoov. Casts, splints, thiab lwm yam khoom siv yuav tsum tau kuaj xyuas kom haum zoo.

Neuropathy - mob hlab hlwb; Ulnar hlab ntsha tawg; Mononeuropathy; Cawv caj ces mob txoj sia

• Ulnar paj hlwb kev puas tsuaj

Craig A. Neuropathies. Hauv: Cifu DX, ed. Braddom Tshuaj Lub Cev thiab Lub Cev Kho Kom Zoo. 6 tus ed. Philadelphia, PA: Elsevier; 2021: chap 41.

Kev Ua Haujlwm MT, Martinez SF. Kev raug mob ntawm Peripheral hlab ntsha. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: cha 62.

Mackinnon SE, Novak CB. Hlaws neuropathies. Hauv: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ntsuab Hlais Tes Ua HaujlwmCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 28.