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| Hoi chung ong co tay nang: Dau hieu, bien chung va cach dieu tri hieu qua
Hoi chung ong co tay nang la giai doan tien trien nghiem trong cua tinh trang chen ep day than kinh giua tai co tay, khien nguoi benh bi te bi keo dai, giam cam giac, yeu co ban tay va co the xuat hien teo co vung goc ngon cai. Khong chi gay dau nhuc, benh con anh huong truc tiep den kha nang cam nam, van dong tinh va thuc hien cac hoat dong sinh hoat hang ngay.
O giai doan dau, hoi chung ong co tay thuong bieu hien bang cam giac te hoac cham chich o ngon cai, ngon tro, ngon giua va mot phan ngon ap ut, dac biet vao ban dem. Tuy nhien, khi day than kinh giua bi chen ep nghiem trong trong thoi gian dai, trieu chung co the xuat hien lien tuc, di kem yeu co va suy giam chuc nang ban tay.
Dieu dang lo ngai la mot so truong hop hoi chung ong co tay nang co the gay ton thuong than kinh kho hoi phuc hoan toan, ngay ca khi da duoc dieu tri. Vi vay, viec phat hien som cac dau hieu tien trien va lua chon phuong phap dieu tri phu hop co vai tro quan trong.
Vay hoi chung ong co tay nang co nguy hiem khong, co chua khoi duoc khong, khi nao can phau thuat va thoi gian hoi phuc bao lau? Bai viet duoi day cua Benh Vien Da Khoa Thien Hanh se cung cap thong tin chi tiet ve nguyen nhan, trieu chung, muc do ton thuong, phuong phap chan doan, dieu tri va cach cham soc nguoi benh.
Hoi chung ong co tay nang la gi?
Hoi chung ong co tay nang (Severe Carpal Tunnel Syndrome) la tinh trang day than kinh giua bi chen ep nghiem trong tai ong co tay, gay suy giam chuc nang cam giac hoac van dong, doi khi kem bang chung ton thuong soi truc than kinh.
Ong co tay la mot khoang giai phau hep nam o mat long co tay, duoc gioi han boi cac xuong co tay va day chang ngang co tay.
Ben trong ong co tay co day than kinh giua cung cac gan gap ngon tay.
Day than kinh giua dam nhiem hai chuc nang quan trong:
Dan truyen cam giac tai ngon cai, ngon tro, ngon giua va phan phia ngon cai cua ngon ap ut.
Dieu khien mot so co vung mo cai, ho tro cac dong tac cua ngon cai.
Khi ap luc trong ong co tay tang keo dai, day than kinh giua co the bi anh huong den bao myelin va soi truc.
Trong nhung truong hop nghiem trong, ton thuong than kinh co the dan den:
Te bi lien tuc.
Giam hoac mat cam giac.
Yeu ngon cai.
Giam luc cam nam.
Kho thuc hien cac thao tac tinh te.
Teo co mo cai.
Suy giam chuc nang ban tay lau dai.
Hoi chung ong co tay nang khong don thuan la tinh trang dau co tay nhieu, ma chu yeu duoc danh gia dua tren muc do suy giam chuc nang than kinh.
Co che gay hoi chung ong co tay nang
Day than kinh giua di qua mot khong gian tuong doi hep tai co tay.
Khi ap luc trong khoang nay tang len, day than kinh co the bi chen ep va anh huong den chuc nang dan truyen.
Qua trinh ton thuong co the dien ra qua nhieu giai doan.
Tang ap luc trong ong co tay
Ap luc tang co the lien quan den sung mo mem, thay doi cau truc co tay hoac cac yeu to khac.
Roi loan tuan hoan vi mach cua day than kinh
Chen ep keo dai co the anh huong den luong mau nuoi duong day than kinh giua.
Ton thuong bao myelin
Bao myelin giup xung than kinh dan truyen hieu qua.
Khi bao myelin bi anh huong, toc do dan truyen than kinh co the giam.
Ton thuong soi truc
O giai doan nghiem trong hon, cac soi truc than kinh co the bi ton thuong.
Tinh trang nay co the gay giam cam giac, yeu co va anh huong kha nang hoi phuc.
Teo co do mat chi phoi than kinh
Khi cac co vung mo cai khong nhan duoc tin hieu than kinh day du trong thoi gian dai, chung co the yeu va teo nho.
Day la mot trong nhung dau hieu quan trong cua hoi chung ong co tay tien trien nang.
Nguyen nhan gay hoi chung ong co tay nang
Hoi chung ong co tay nang thuong la hau qua cua tinh trang chen ep day than kinh giua keo dai hoac tien trien nghiem trong.
Hoi chung ong co tay khong duoc dieu tri phu hop
Mot so truong hop co trieu chung keo dai nhung khong duoc danh gia va xu tri kip thoi.
Theo thoi gian, chuc nang than kinh co the suy giam.
Tang ap luc keo dai trong ong co tay
Sung mo quanh gan hoac nhung thay doi tai cau truc ong co tay co the gop phan lam tang ap luc len day than kinh giua.
Dai thao duong
Nguoi mac dai thao duong co the co nguy co mac hoi chung ong co tay va dong thoi gap nhung benh ly than kinh ngoai bien khac.
Viem khop dang thap
Tinh trang viem tai cac mo quanh co tay co the gop phan lam giam khong gian trong ong co tay.
Suy giap
Suy giap la mot trong nhung benh ly co lien quan den hoi chung ong co tay.
Chan thuong co tay
Gay xuong hoac bien dang cau truc sau chan thuong co the anh huong den khong gian cua ong co tay.
Beo phi
Thua can va beo phi la nhung yeu to co lien quan den nguy co mac hoi chung ong co tay.
Nhung hoat dong su dung luc ban tay lon
Cac cong viec can luc nam manh, van dong lap lai hoac tiep xuc voi rung dong co the gop phan lam tang nguy co trong mot so truong hop.
Tuy nhien, khong the khang dinh rang tat ca truong hop hoi chung ong co tay nang deu do lam viec may tinh hoac su dung dien thoai.
10 dau hieu hoi chung ong co tay nang can chu y
Te bi ban tay lien tuc
O giai doan nhe, nguoi benh thuong chi bi te tung dot, dac biet vao ban dem.
Khi benh tien trien nang, cam giac te co the xuat hien lien tuc ca ngay.
Nguoi benh co the khong con cam thay de chiu hoan toan sau khi thay doi tu the hoac lac tay.
Giam cam giac o dau ngon tay
Day la mot trong nhung dau hieu dang chu y cua ton thuong than kinh keo dai.
Nguoi benh co the giam kha nang cam nhan khi cham vao do vat, dac biet tai:
Ngon cai.
Ngon tro.
Ngon giua.
Nua ngon ap ut phia ngon cai.
Ngon ut thuong khong bi anh huong truc tiep boi hoi chung ong co tay don thuan.
Mat cam giac o mot so vung ngon tay
Trong truong hop nghiem trong, nguoi benh co the giam cam giac ro ret hoac gan nhu khong cam nhan duoc kich thich tai nhung vung do day than kinh giua chi phoi.
Tinh trang nay co the anh huong den kha nang nhan biet vat nong, sac hoac nhung tac dong co nguy co gay thuong tich.
Yeu ngon cai
Day than kinh giua chi phoi mot so co giup ngon cai thuc hien dong tac doi chieu va van dong tinh.
Khi day than kinh bi ton thuong nghiem trong, nguoi benh co the kho dua ngon cai cham vao cac ngon khac.
Teo co mo cai
Teo co mo cai la dau hieu dac biet quan trong cua hoi chung ong co tay nang.
Mo cai la vung co noi o goc ngon cai phia long ban tay.
Khi nhung co nay bi mat chi phoi than kinh keo dai, chung co the nho dan.
Nguoi benh co the nhan thay vung goc ngon cai ben bi benh lom hoac kem day dan hon so voi truoc.
Hoi chung ong co tay nang co nguy hiem khong?
Hoi chung ong co tay nang co the gay ton thuong day than kinh giua keo dai va lam suy giam chuc nang ban tay.
Benh thuong khong truc tiep de doa tinh mang, nhung co the gay ra nhung hau qua dang ke:
Giam cam giac lau dai.
Yeu co vung ngon cai.
Teo co mo cai.
Giam luc cam nam.
Mat kha nang thuc hien mot so thao tac tinh te.
Anh huong cong viec.
Giam chat luong cuoc song.
Ton thuong than kinh khong hoi phuc hoan toan.
Dac biet, neu nguoi benh da co teo co hoac mat cam giac keo dai, kha nang hoi phuc sau dieu tri co the bi han che.
Hoi chung ong co tay nang co gay teo co khong?
Co.
Teo co mo cai la mot trong nhung bieu hien quan trong cua ton thuong than kinh van dong keo dai.
Nguoi benh co the nhan thay:
Vung goc ngon cai nho di.
Kho dua ngon cai doi dien voi cac ngon con lai.
Giam kha nang kep va giu vat nho.
Yeu cac thao tac can ngon cai.
Khi teo co da xuat hien, nguoi benh nen duoc danh gia chuyen khoa som.
Chan doan hoi chung ong co tay nang nhu the nao?
Khai thac trieu chung
Bac si tim hieu thoi gian mac benh, vi tri te, muc do giam cam giac, tinh trang yeu co va nhung anh huong den sinh hoat.
Kham cam giac
Danh gia cam giac tai cac ngon tay do day than kinh giua chi phoi.
Kham suc co vung mo cai
Bac si kiem tra kha nang van dong ngon cai va nhung dau hieu yeu co.
Quan sat teo co
Vung mo cai duoc kiem tra de phat hien tinh trang teo co hoac bat doi xung.
Nghiem phap Phalen
Bac si huong dan nguoi benh giu co tay o tu the gap de danh gia su xuat hien cua trieu chung.
Nghiem phap Tinel
Bac si go nhe tai vung duong di cua day than kinh giua o co tay de danh gia cam giac cham chich.
Nghiem phap chen ep co tay
Tao ap luc co kiem soat len vung day than kinh giua nham ho tro danh gia trieu chung.
Dieu tri hoi chung ong co tay nang
Muc tieu dieu tri la giam chen ep day than kinh giua, han che ton thuong tiep dien va cai thien chuc nang ban tay.
Danh gia chuyen khoa som
Nguoi benh co giam cam giac lien tuc, yeu co hoac teo co mo cai can duoc danh gia chuyen khoa de xac dinh muc do ton thuong va lua chon phuong phap dieu tri.
Dieu chinh hoat dong
Co the han che nhung hoat dong lam trieu chung tang len, chang han giu co tay gap lau hoac su dung luc nam lon lien tuc.
Tuy nhien, dieu chinh hoat dong don thuan thuong khong du de xu tri nhung truong hop da co ton thuong than kinh nghiem trong.
Su dung nep co tay
Nep giu co tay o tu the trung tinh co the giup giam trieu chung o mot so nguoi.
Tuy nhien, nep khong thay the viec danh gia phau thuat khi nguoi benh da co yeu co, teo co hoac ton thuong than kinh nang.
Dieu tri benh ly nen
Kiem soat cac benh ly lien quan nhu dai thao duong, suy giap hoac viem khop dang thap co the la mot phan cua ke hoach dieu tri tong the.
Tiem corticosteroid
Tiem corticosteroid vao vung ong co tay co the giup giam trieu chung trong mot so truong hop.
Tuy nhien, hieu qua thuong mang tinh tam thoi va phuong phap nay khong phai lua chon thay the tuong duong cho giai phong chen ep o benh nhan co ton thuong than kinh nang can phau thuat.
Hoi chung ong co tay nang co tu khoi khong?
Nhung truong hop da co giam cam giac lien tuc, yeu co hoac teo co thuong khong nen cho tu khoi.
Neu tinh trang chen ep tiep tuc keo dai, ton thuong than kinh co the tien trien.
Nguoi benh can duoc danh gia chuyen khoa de lua chon phuong phap dieu tri phu hop.
Tham kham hoi chung ong co tay nang tai Buon Ma Thuot
Doi voi nguoi dan tai Dak Lak va khu vuc Tay Nguyen, tinh trang te bi ban tay keo dai, giam cam giac, yeu ngon cai hoac teo co mo cai can duoc danh gia de xac dinh muc do ton thuong than kinh.
Benh vien Da khoa Thien Hanh tai Buon Ma Thuot la mot co so y te ma nguoi dan co the lien he de tim hieu ve cac dich vu tham kham benh ly than kinh ngoai bien va co xuong khop hien co.
Trong qua trinh tham kham, bac si co the khai thac trieu chung, danh gia cam giac, suc co vung mo cai va nhung dau hieu lien quan den chen ep day than kinh giua.
Doi voi truong hop nghi ngo hoi chung ong co tay nang, nguoi benh co the can duoc danh gia bang khao sat dan truyen than kinh, dien co hoac nhung phuong phap chan doan khac khi co chi dinh.
Viec dieu tri phu thuoc vao muc do ton thuong. Nhung truong hop co yeu co, teo co hoac ton thuong than kinh nghiem trong co the can duoc danh gia chi dinh phau thuat giai phong ong co tay.
Nguoi benh nen lien he truc tiep Khoa noi tong hop - Benh Vien Da Khoa Thien Hanh de xac nhan kha nang tham kham, xet nghiem dien sinh ly than kinh va dieu tri chuyen khoa hien co.
Neu can can thiep phau thuat hoac danh gia chuyen sau vuot qua kha nang cua co so tiep nhan, bac si co the huong dan chuyen den co so phu hop.
Ket luan
Hoi chung ong co tay nang la tinh trang chen ep day than kinh giua nghiem trong tai co tay, co the gay te bi lien tuc, giam cam giac, yeu ngon cai, teo co mo cai va suy giam chuc nang ban tay.
Khac voi giai doan nhe, hoi chung ong co tay nang co the lien quan den ton thuong soi truc than kinh va nguy co hoi phuc khong hoan toan neu chen ep keo dai.
Viec chan doan can ket hop trieu chung, kham than kinh va cac phuong phap nhu khao sat dan truyen than kinh, dien co hoac sieu am khi phu hop. Trong nhung truong hop co yeu co, teo co hoac ton thuong than kinh nghiem trong, phau thuat giai phong ong co tay thuong la phuong an quan trong can duoc danh gia som.
Doi voi nguoi dan tai Buon Ma Thuot va khu vuc Tay Nguyen, co the lien he BVDK Thien Hanh de tim hieu ve cac dich vu tham kham va danh gia benh ly than kinh ngoai bien hien co. |
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