Tunnel syndromes tsim ib pab pawg sib cais ntawm cov hlab ntsha hauv qhov av, uas yog tag nrho txoj hauv kev ntawm trophic, kev hnov qab thiab lub cev muaj zog uas tshwm sim los ntawm compression nyob rau hauv cov hlab ntsha peripheral.
Tunnel syndromes thiab lawv cov laj thawj:
• congenital anomalies, qhia nyob rau hauv qhov nqaim ntawm kwj dej;
• trauma;
• nquag rov ua dua ntawm cov stereotyped txav; • comorbidities (rheumatoid mob caj dab, mob raum. tsis ua haujlwm, amyloidosis, ntshav qab zib mellitus, hypothyroidism thiab lwm yam)
Txawm tias muaj qhov tseeb tias cov kab mob hauv lub qhov tuaj yeem tshwm sim nyob rau ntau qhov chaw thiab ntau yam, muaj cov npe ntawm cov tsos mob ntawm cov kab mob no:
• Tua thiab pecking mob;
• loog;
• tingling sensation thaum tsiv;
• Txwv txav;
• tsis muaj zog ntawm qee cov leeg nqaij;
• malnutrition.
Tus kws kho mob tshuaj xyuas daim duab kho mob ntawm tus kab mob, ultrasound thiab electroneuromyography tau ua.
Tunnel syndromes thiab lawv hom
Xaiv obLub ntsiab hom ntawm qhov syndromes:
• Upper limb syndromes (radial thiab axillary neuropathies, carpal thiab cubital tunnel syndromes);
• qis qis qis syndromes (neuropathy ntawm femur, sab nraud cutaneous, piriformis syndrome).
Txhua yam ntawm cov kab mob no muaj nws tus kheej tshwj xeeb thiab tuaj yeem ua teeb meem ntau rau tus neeg.
Carpal tunnel syndrome (carpal tunnel syndrome)
Nyob rau hauv xyoo tas los no, ntau thiab ntau tus neeg tau ntsib nrog kev tshwm sim ntawm carpal tunnel syndrome. Qhov no yog vim qhov tseeb tias tib neeg, rau ib qho lossis lwm qhov, siv sijhawm ntau dhau los ua haujlwm nrog cov khoom siv hluav taws xob: khoos phis tawj, ntsiav tshuaj, xov tooj ntawm tes.
Qhov ua rau hom mob no yog compression ntawm cov hlab ntsha nruab nrab los ntawm carpal ligament. Feem ntau, tus kab mob no cuam tshuam rau cov kws ntaus suab paj nruag (pianists, violinists, cellists) thiab cov neeg uas nws ua hauj lwm cuam tshuam nrog kev ntxhov siab ntawm ob txhais tes thiab nquag rov ua dua ntawm flexion thiab ncua kev txav mus los (programmers, builders). qhov mob syndrome txuas ntxiv ntawm caj npab (txog rau lub luj tshib). Txo rhiab heev ntawm thawj peb tus ntiv tes kom kov thiab kub, cov leeg tsis muaj zog.
Tunnel Syndrome: kho
Nyob rau hauv kev kho mob ntawm carpal tunnel syndrome, ob qho tib si kev phais (hlab ntsha excision) thiab kev saib xyuas ntawm kev kho mob (physiotherapy, steroids, ce therapy, acupuncture, limb fixation, vitamin therapy) sib npaug zoo siv. Cov lus pom zoo ntawm tus kws kho mob feem ntau yuav nyob ntawm theem ntawm tus kab mob. Txawm li cas los xij, ua ntej pib kho tus kab mob, koj yuav tsum nrhiav qhov laj thawj vim li cas nws tshwm sim nws tus kheej. Thaum nws yog ib qho kab mob hauv zos lossis cov kab mob dav dav, nws yuav tsim nyog rau kev kuaj xyuas ntxiv thiab kho tus mob hauv qab. Nws yog qhov ua tau tias tom qab ntawd tus mob yuav dhau mus nrog tus kab mob uas ua rau nws.
