Carpal qhov tso tawm
Carpal qhov tso tawm yog kev phais mob los kho carpal qhov syndrome. Carpal tunnel syndrome yog qhov mob thiab tsis muaj zog ntawm tes uas tau tshwm sim los ntawm kev mob siab rau ntawm cov hlab ntsha hauv lub dab teg.
Kev nruab nrab ntawm cov hlab ntshiv thiab cov leeg uas zaws (los yog nkaws) koj cov ntiv tes hla ntawm kev tso cai hu ua carpal tunnel hauv koj lub dab teg. Lub qhov me me no yog qhov nqaim, yog li ib qho kev o tuaj yeem o lub paj hlwb thiab ua rau mob. Txoj phuam tuab (nqaij) hauv qab ntawm koj cov tawv nqaij (daim carpal ligament) ua rau saum qhov ntawm qhov. Thaum lub sijhawm ua haujlwm, tus kws phais mob txiav los ntawm carpal ligament kom ntau qhov chaw rau cov hlab ntsha thiab leeg.
Qhov phais yog txiav txim siab raws li hauv qab no:
- Ua ntej, koj tau txais tshuaj loog kom koj tsis txhob hnov mob thaum phais. Koj yuav tsaug zog tab sis koj tseem yuav tau txais tshuaj kom koj nyob ntsiag to.
- Kev txiav phais me me yog tsim hauv xib-teg ntawm koj ze ntawm koj lub dab teg.
- Tom ntej no, txoj xov uas tau npog npog lub pob zeb carpal raug txiav. Qhov no eases lub siab ntawm cov leeg nruab nrab. Qee zaum, cov ntaub so ntswg nyob ib ncig ntawm cov hlab ntsa yog tshem tawm zoo li.
- Cov tawv nqaij thiab cov nqaij hauv qab koj cov tawv nqaij raug kaw nrog sutures (plooj).
Qee lub sij hawm tus txheej txheem no tau ua tiav siv lub koob yees duab me me uas txuas rau lub ntsuas. Tus kws phais mob ntxiv lub koob yees duab rau hauv koj lub dab teg los ntawm kev phais mob me me thiab saib tus saib pom sab hauv koj lub dab teg. Qhov no hu ua kev phais plawv. Qhov ntsuas tau siv yog hu ua endoscope.
Cov neeg muaj mob tshwm sim ntawm lub qhov txhab carpal feem ntau sim cov kev kho mob tsis zoo ua ntej. Cov no suav nrog:
- Anti-inflammatory tshuaj kho mob
- Kev kho kom paub qoj ib ce thiab ncab
- Kev hloov chaw ua haujlwm los txhim kho koj lub rooj zaum thiab seb koj siv koj lub khoos phis tawj lossis lwm yam khoom siv
- Dab teg splints
- Kev txhaj tshuaj ntawm corticosteroid tshuaj rau hauv qhov carpal qhov
Yog tias tsis muaj ib qho ntawm cov kev kho no pab, qee cov kws phais neeg yuav ntsuas cov hluav taws xob ua haujlwm ntawm cov hlab ntsha nruab nrab nrog rau EMG (electromyogram). Yog tias qhov ntsuas pom tias qhov teeb meem yog carpal tunnel syndrome, carpal tunnel tso tawm kev phais yuav pom zoo.
Yog hais tias cov leeg hauv koj txhais tes thiab lub dab teg tau txais me dua vim tias cov hlab ntshav ua tau zoo, kev phais mob feem ntau yuav ua tiav sai sai.
Kev phom sij rau qhov kev phais mob no yog:
- Kev fab tshuaj rau cov tshuaj
- Ntshav
- Kab mob
- Kev raug mob rau cov hlab ntsha nruab nrab lossis cov leeg ntshav uas txiav nws
- Tsis muaj zog thiab loog ncig ntawm tes
- Muaj qee zaus, raug mob rau lwm txoj hlab ntshav lossis hlab ntsha (leeg ntshav hlab ntshav lossis leeg ntshav)
- Caws pliav rhiab
Ua ntej kev phais mob, koj yuav tsum:
- Qhia koj tus kws phais mob tias koj noj tshuaj dab tsi. Qhov no suav nrog cov tshuaj, tshuaj noj, lossis tshuaj ntsuab uas koj yuav yam tsis tas yuav tshuaj.
- Koj yuav raug hais kom tsum tsis txhob noj koj cov ntshav-ua tshuaj ntshav ib ntus. Cov no suav nrog cov tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), thiab lwm yam tshuaj.
- Nug koj tus kws kho mob seb koj yuav tsum noj cov tshuaj hnub twg uas koj phais.
- Yog koj haus luam yeeb, sim nres. Nug koj tus kws khomob kom pab. Kev haus luam yeeb tuaj yeem qeeb kho.
- Qhia koj tus kws kho mob paub txog mob khaub thuas, khaub thuas, kub taub hau, mob pob txuv, lossis lwm yam mob. Yog koj mob, koj yuav tsum raug phais.
Hnub ntawm kev phais mob:
- Ua raws li cov lus qhia hais txog seb koj puas xav tsum tsis noj lossis haus ua ntej kev phais mob.
- Siv ib yam tshuaj twg uas koj tau hais kom noj nrog ib khob dej me me.
- Ua raws li cov lus qhia txog thaum tuaj txog hauv tsev kho mob. Nco ntsoov tuaj kom ncav sijhawm.
Qhov kev phais mob no yog ua tiav qhov kev sab nrauv. Koj tsis tas yuav nyob hauv tsev kho mob.
Tom qab qhov kev phais mob, koj lub dab teg yuav nyob rau hauv ib txoj phuam lossis ib txoj phuam loj ntev li ib lim tiam. Khaws qhov no kom txog thaum koj thawj tus kws kho mob tuaj ntsib tom qab kev phais, thiab ua kom huv thiab qhuav. Tom qab muab cov hmoov seem los yog daim ntaub qhwv tawm, koj yuav pib ua kom tawm dag zog lossis tawm dag zog.
Carpal qhov tso tawm txo qis qhov mob, mob caj dab, thiab loog, thiab rov qab ua kom lub zog muaj zog. Feem coob ntawm cov neeg tau pab los ntawm qhov phais no.
Qhov ntev ntawm koj txoj kev zoo yuav rov zoo los yog nyob ntawm koj muaj mob tshwm sim ntev npaum li cas ua ntej kev phais mob thiab puas koj lub paj hlwb puas tsawg. Yog tias koj muaj tsos mob ntev, tej zaum koj yuav tsis mob kiag li tom qab koj rov zoo los.
Median hlab ntsha decompression; Carpal qhov decompression; Kev phais - carpal qhov
- Kev phais mob kho mob - qhib
- Tus mob carpal
- Ntub anatomy - xibtes ib txwm
- Nqaij anatomy - dab teg zoo
- Dab teg anatomy
- Carpal qhov kho - series
Calandruccio JH. Carpal mob syndrome, mob pob txha caj dab, thiab ua rau mob plab ua pa. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: tshooj 76.
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.
Zhao M, Burke DT. Median neuropathy (mob ntsws carpal syndrome). Hauv: Frontera WR, Nyiaj JK, Rizzo TD, eds. Qhov tseem ceeb ntawm Cov Tshuaj Txhim Kho Lub Cev thiab Kev Kho Mob: Cov mob ntawm lub cev tsis meej, mob, thiab kho kom rov zooCov. 3lawm ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 36.