Carpal Qhov Tso Tawm

Zoo Siab

• Vim li cas rau carpal qhov tso tawm
• Npaj rau carpal qhov tso tawm
• Hom ntawm carpal qhov tso cov txheej txheem
• Qhib carpal qhov tso tawm
• Endoscopic carpal qhov tso tawm
• Kev phom sij ntawm carpal qhov tso tawm
• Postsurgery saib xyuas carpal qhov tso tawm

Txheej txheem cej luam

Carpal tunnel syndrome yog ib tug mob uas tshwm sim los ntawm txoj hlab ntshav hauv lub dab teg. Cov tsos mob ntawm carpal qhov muaj suav nrog kev sib txuas li zoo li loog thiab txhaws mob hauv caj npab thiab tes. Muaj qee kis, koj tseem yuav qaug tes.

Tus mob no tuaj yeem pib qeeb thiab qeeb zuj zus. Kev nyem rau ntawm cov hlab ntsha nruab nrab, uas khiav los ntawm caj npab mus rau ntawm txhais tes, ua rau mob carpal qhov mob. Carpal qhov tso tawm yog qhov kev phais mob uas pab txo qis lub zog ntawm cov hlab ntsha no thiab kho cov tsos mob hauv carpal.

Vim li cas rau carpal qhov tso tawm

Carpal qhov tso tawm phais tsis yog rau txhua tus neeg. Qhov tseeb, qee tus neeg muaj peev xwm kho lawv tus mob carpal qhov tsos mob nrog cov hau kev tsis tseem ceeb. Koj tuaj yeem noj cov tshuaj tiv thaiv uas muaj kev tiv thaiv, xws li ibuprofen lossis tshuaj aspirin, lossis tshuaj kho mob kom tsis txhob mob. Cov kws kho mob yuav pom zoo kom txhaj tshuaj thiab muab cov tshuaj ncaj qha rau hauv koj txhais caj npab lossis txhais tes.

Lwm hom kev tsis tseem ceeb suav nrog:

• txias lossis dej khov ua kom tiav
• splints kom cov dab teg ncaj thiaj li tsis muaj qhov nro ntawm cov hlab ntsha
• kev pab kho lub cev

Cov haujlwm rov ua dua, xws li ntaus ntawv tuaj yeem tuaj yeem ua lossis ua rau lub ntsej muag mob plab ntawm lub cev. Siv sijhawm so thiab so koj ob txhais tes tuaj yeem txo cov tsos mob thiab txo qis qhov kev xav tau ntawm kev phais mob.

Txawm li cas los xij, yog tias qhov mob, loog, lossis tsis muaj zog txuas ntxiv lossis ua tsis zoo txawm tias tom qab sim txoj kev tsis tseem ceeb, koj tus kws kho mob yuav pom zoo kom tso cov carpal qhov tawm. Ua ntej kev teem sijhawm rau koj cov txheej txheem, koj tus kws kho mob yuav ua qhov kev soj ntsuam cov leeg lub paj hlwb thiab electromyogram (EMG) kev kuaj mob txhawm rau kuaj mob txhawm rau cov leeg nqaij hluav taws xob tsis ua haujlwm, uas tshwm sim hauv cov leeg mob carpal.

Npaj rau carpal qhov tso tawm

Qhia rau koj tus kws kho mob txog txhua yam tshuaj thiab tshuaj uas koj siv tam sim no. Koj tus kws kho mob yuav qhia koj kom tsis txhob noj qee yam tshuaj koj noj (tshuaj aspirin, ibuprofen, thiab ua kom ntshav nyias) nyob rau ib asthiv ua ntej koj yuav mus phais. Qhia rau koj tus kws kho mob yog tias koj tau ntsib mob, xws li mob khaub thuas, ua npaws, lossis kab mob ua ntej kev phais mob. Hais kom leej twg thauj koj mus rau tom tsev kho mob thiab teem caij rov qab los tsev. Tsis txhob noj rau 6 rau 12 teev ua ntej carpal qhov tso tawm kev phais.

Hom ntawm carpal qhov tso cov txheej txheem

Muaj ob txoj hauv kev los ua carpal qhov tso tawm: qhib carpal qhov tso tawm thiab endoscopic carpal qhov tso tawm.

Qhib carpal qhov tso tawm

Koj tus kws phais mob txiav me me nyob ze ntawm ntu qis ntawm koj xib teg ze koj lub dab teg. Tus kws phais neeg txiav tawm carpal ligament, uas txo qhov siab ntawm koj cov leeg nruab nrab. Ua raws li koj kis, tus kws phais yuav tuaj yeem tshem cov ntaub so ntswg los ntawm ib ncig cov hlab ntshav. Tus kws phais yuav siv ob peb daim hlua khi kom kaw qhov txhab thiab tom qab ntawd npog thaj chaw nrog cov ntaub qhwv.

Endoscopic carpal qhov tso tawm

Tus kws phais mob txiav me me nyob ze ntawm ntu qis ntawm koj xib teg ze koj lub dab teg. Tus kws phais kho mob mam li ntxig ib endoscope mus rau hauv koj lub dab teg. Qhov endoscope yog lub raj ntev, yoog raws nrog cov duab txuas thiab yees. Lub koob yees duab yuav thaij video hauv sab hauv koj lub dab teg thiab cov duab no tshwm rau ntawm saib hauv chav ua haujlwm. Koj tus kws phais yuav ntxiv lwm yam cuab yeej los ntawm qhov qhib no thiab txiav lub carpal ligament kom txo siab ntawm koj lub paj hlwb. Tus kws phais tshem tawm cov cuab yeej thiab lub ntsej muag thiab tom qab ntawd kaw qhov phais nrog ib plooj.

Qhov txheej txheem sab nrauv no siv sijhawm li 15 mus rau 60 feeb. Koj yuav tau txais tshuaj loog ua ntej cov txheej txheem. Kev ua kom loog yuav ua rau koj tsaug zog thiab tiv thaiv qhov mob thaum ua cov txheej txheem. Tej zaum koj yuav muaj qee qhov mob lossis tsis xis nyob tom qab tshuaj loog. Txawm li cas los xij, koj tus kws kho mob tuaj yeem sau ntawv noj tshuaj kom qhov qaug zog mob.

Kev phom sij ntawm carpal qhov tso tawm

Kev phom sij uas cuam tshuam nrog kev phais mob no suav nrog:

• los ntshav
• kis tau tus mob
• leeg puas tsuaj
• kev fab tshuaj rau qhov tsis nco qab lossis noj tshuaj kho mob

Koj tus kws kho mob yuav teem caij rov qab tuaj tom qab phais mob kom tshem tawm koj cov stitches thiab saib xyuas koj qhov ua tau zoo. Txawm li cas los xij, koj yuav tsum hu rau koj tus kws kho mob lossis nrhiav kev kho mob sai sai yog tias koj pom muaj cov tsos mob hauv qab no:

• kub ib ce thiab ua daus no (tej cim qhia ua mob)
• txawv txav o lossis liab
• tawm los ntawm thaj chaw phais
• mob hnyav heev uas tsis teb rau kev siv tshuaj
• txog siav siav lossis mob hauv siab
• xeev ntuav lossis ntuav

Postsurgery saib xyuas carpal qhov tso tawm

Koj tus kws phais yuav siv ntaub qhwv los yog txhaws los tiv thaiv koj txhais tes thiab caj npab tom qab kev phais mob.

Thaum qhov kev phais sai sai cuam tshuam qhov mob thiab loog, nws yuav siv sij hawm li plaub lub lim tiam kom rov zoo. Nov yog qee qhov uas koj tuaj yeem ua tom qab kev phais mob los pab koj kom rov zoo:

• Noj koj cov tshuaj loog raws li koj tus kws kho mob tau qhia.
• Tso cov dej khov rau hauv koj txhais tes thiab dab teg txhua ob teev rau 20 feeb.
• Mloog koj tus kws kho mob cov lus qhia txog da dej.
• Tsis txhob nqa khoom hnyav.
• Txhawb koj txhais tes rau thawj ob peb hnub kom txo qhov o thiab mob.

Thawj lub lis piam tom qab ua tiav txheej txheem, koj yuav zoo li koj yuav tsum hnav cov xov paj lossis ntaub nplaum ntawm qee yam. Tej zaum koj yuav tsum tau mus ntsib kev kho mob rau lub cev lossis ua tes taw tshwj xeeb rau ob peb asthiv tom qab qhov txheej txheem. Lub sij hawm rov zoo dua yuav yog nyob ntawm cov khoom tsim teeb meem tau tsim muaj mus txog rau lub nruab nrab hlab ntsha. Txawm hais tias feem ntau cov neeg tau txais txiaj ntsig los ntawm qhov kev phais no, qee cov tsos mob kuj yuav nyob, nyob ntawm koj tus mob ua ntej kev phais mob.