 |
 |
|
|
|
|
| |
| josedanilot |
| LOCATION: |
|
|
|
AGE: |
|
25 |
|
SEX: |
|
Male |
|
 |
0 Comments |
|
4 Views |
|
| Rating: |
|
 |
|
|
|
|
|
|
|
| |
|
| |
 |
|
| Posted |
| Hoi chung ong khuyu tay la gi? Nguyen nhan, trieu chung va cach dieu tri
Hoi chung ong khuyu tay la mot benh ly than kinh ngoai bien xay ra khi day than kinh tru bi chen ep hoac kich thich tai vung khuyu tay. Tinh trang nay thuong gay te bi ngon ut, ngon ap ut, dau mat trong khuyu tay, yeu ban tay va kho thuc hien cac dong tac cam nam. Neu khong duoc phat hien va dieu tri phu hop, benh co the tien trien thanh ton thuong than kinh keo dai, gay teo co ban tay va suy giam chuc nang van dong.
Trong giai doan dau, trieu chung hoi chung ong khuyu tay co the chi xuat hien khi nguoi benh gap khuyu tay lau, chong khuyu len ban hoac ngu trong tu the khuyu tay gap. Tuy nhien, khi day than kinh tru bi chen ep nghiem trong, cam giac te co the tro nen lien tuc, di kem yeu co va giam kha nang phoi hop cac ngon tay.
Hoi chung ong khuyu tay thuong bi nham lan voi hoi chung ong co tay, thoat vi dia dem cot song co hoac cac benh ly than kinh ngoai bien khac. Viec phan biet chinh xac co y nghia quan trong trong lua chon phuong phap dieu tri.
Vay hoi chung ong khuyu tay co nguy hiem khong, dau hieu nhan biet nhu the nao, co chua khoi duoc khong va khi nao can phau thuat? Bai viet duoi day cua Benh Vien Da Khoa Thien Hanh se cung cap nhung thong tin chi tiet ve nguyen nhan, trieu chung, chan doan, dieu tri va cach phong ngua benh.
Hoi chung ong khuyu tay la gi?
Hoi chung ong khuyu tay, tieng Anh la Cubital Tunnel Syndrome, la tinh trang day than kinh tru bi chen ep hoac kich thich khi di qua vung ong khuyu tay o mat trong khuyu.
Day than kinh tru (ulnar nerve) la mot trong nhung day than kinh lon cua chi tren, xuat phat tu dam roi than kinh canh tay va di doc xuong cang tay, ban tay.
Day than kinh nay co vai tro quan trong trong viec:
Dan truyen cam giac tai ngon ut va phan phia ngon ut cua ngon ap ut.
Dieu khien nhieu co nho trong ban tay.
Ho tro cac dong tac dang va khep ngon tay.
Tham gia vao hoat dong cam nam va van dong tinh.
Tai vung khuyu tay, day than kinh tru di qua mot duong ham giai phau tuong doi hep, nam gan mom tren loi cau trong cua xuong canh tay.
Day cung la vi tri ma nhieu nguoi cam thay te buot lan xuong ban tay khi vo tinh va dap vao mat trong khuyu tay.
Khi day than kinh tru bi chen ep keo dai, kha nang dan truyen tin hieu than kinh co the suy giam, gay roi loan cam giac va van dong.
Hoi chung ong khuyu tay con goi la gi?
Benh co the duoc goi bang mot so ten khac nhau:
Hoi chung ong khuyu tay.
Hoi chung duong ham khuyu tay.
Hoi chung chen ep day than kinh tru tai khuyu.
Benh ly than kinh tru tai khuyu tay.
Cubital Tunnel Syndrome.
Ulnar Neuropathy at the Elbow.
Nhung thuat ngu nay co lien quan chat che, mac du pham vi dinh nghia co the khac nhau tuy tinh huong lam sang.
Nguyen nhan gay hoi chung ong khuyu tay
Hoi chung ong khuyu tay co the xuat hien do nhieu nguyen nhan khac nhau, trong do pho bien la su chen ep hoac kich thich keo dai cua day than kinh tru.
1. Gap khuyu tay trong thoi gian dai
Gap khuyu tay lau co the lam tang ap luc va luc keo cang len day than kinh tru.
Nhung tinh huong thuong gap bao gom:
Ngu voi khuyu tay gap.
Cam dien thoai sat tai trong thoi gian dai.
Doc sach khi chong tay.
Giu khuyu tay gap lien tuc trong cong viec.
2. Chong khuyu tay len be mat cung
Thoi quen chong khuyu len ban lam viec hoac tay vin ghe co the tao ap luc truc tiep len day than kinh tru.
Neu dien ra thuong xuyen, tinh trang nay co the gop phan gay kich thich than kinh.
3. Chan thuong khuyu tay
Gay xuong, trat khop hoac ton thuong mo mem quanh khuyu co the lam thay doi cau truc giai phau va anh huong den day than kinh tru.
4. Thoai hoa khop khuyu tay
Nhung thay doi tai khop khuyu, bao gom gai xuong hoac bien dang khop, co the gop phan gay chen ep day than kinh.
5 dau hieu hoi chung ong khuyu tay thuong gap
Trieu chung hoi chung ong khuyu tay thuong lien quan den cam giac o ngon ut, ngon ap ut va chuc nang cua cac co nho trong ban tay.
1. Te bi ngon ut
Te ngon ut la mot trong nhung dau hieu dac trung nhat cua hoi chung ong khuyu tay.
Nguoi benh co the cam thay ngon ut bi te, cham chich hoac giam cam giac.
Trieu chung co the xuat hien tung dot hoac keo dai tuy muc do ton thuong.
2. Te nua ngon ap ut
Day than kinh tru chi phoi cam giac tai phan ngon ap ut nam ve phia ngon ut.
Vi vay, nguoi benh co the cam thay te dong thoi ngon ut va nua ngon ap ut.
Day la mot dac diem giup phan biet hoi chung ong khuyu tay voi hoi chung ong co tay.
3. Te tay khi gap khuyu lau
Trieu chung co the tang khi nguoi benh:
Cam dien thoai lau.
Ngu voi khuyu tay gap.
Doc sach.
Lai xe.
Giu khuyu o mot tu the co dinh.
4. Te tay ve dem
Nhieu nguoi mac hoi chung ong khuyu tay nhan thay trieu chung ro hon vao ban dem.
Nguyen nhan co the lien quan den tu the khuyu tay gap trong khi ngu.
5. Dau mat trong khuyu tay
Mot so nguoi benh co cam giac dau hoac kho chiu tai mat trong khuyu.
Tuy nhien, dau khuyu tay don thuan khong du de chan doan hoi chung ong khuyu tay.
Hoi chung ong khuyu tay thuong te nhung ngon nao?
Hoi chung ong khuyu tay thuong gay te:
Ngon ut.
Nua ngon ap ut phia ngon ut.
Trong mot so truong hop, nguoi benh co the cam thay te o phan bo tru ban tay.
Day la vung cam giac dien hinh cua day than kinh tru.
Nguoc lai, neu trieu chung chu yeu o ngon cai, ngon tro va ngon giua, bac si co the can xem xet hoi chung ong co tay hoac nhung benh ly khac.
Hoi chung ong khuyu tay co nguy hiem khong?
Hoi chung ong khuyu tay thuong khong truc tiep de doa tinh mang nhung co the gay ton thuong day than kinh tru keo dai va suy giam chuc nang ban tay.
Nhung bien chung co the bao gom:
Giam cam giac keo dai.
Yeu co ban tay.
Teo co gian cot.
Teo co mo ut.
Giam luc cam nam.
Giam kha nang van dong tinh.
Bien dang ban tay vuot tru.
Ton thuong than kinh khong hoi phuc hoan toan.
Neu benh duoc phat hien o giai doan som, kha nang kiem soat trieu chung thuong thuan loi hon so voi khi da co teo co va ton thuong soi truc keo dai.
Dieu tri hoi chung ong khuyu tay nhu the nao?
Phuong phap dieu tri phu thuoc vao muc do chen ep, thoi gian mac benh va tinh trang chuc nang than kinh.
1. Dieu chinh tu the khuyu tay
Doi voi nhung truong hop nhe, nguoi benh co the duoc huong dan han che gap khuyu trong thoi gian dai.
2. Tranh chong khuyu tay len be mat cung
Giam ap luc truc tiep len vung day than kinh tru co the giup han che kich thich than kinh.
3. Su dung nep khuyu tay ban dem
Nep hoac dung cu ho tro co the giup han che khuyu gap qua muc khi ngu.
4. Dieu chinh hoat dong
Thay doi cach lam viec va tu the sinh hoat nham han che nhung yeu to lam trieu chung tang.
5. Dieu tri benh ly lien quan
Neu co benh ly nen hoac bat thuong cau truc gop phan gay chen ep, bac si can danh gia va dieu tri phu hop.
6. Thuoc giam dau
Mot so thuoc co the duoc su dung de kiem soat dau trong nhung truong hop phu hop.
Tuy nhien, thuoc giam dau thong thuong khong giai quyet truc tiep nguyen nhan chen ep day than kinh.
7. Phuc hoi chuc nang
Mot so bai tap hoac bien phap ho tro co the duoc huong dan nham duy tri chuc nang van dong va giam nhung yeu to kich thich than kinh.
8. Phau thuat giai phong day than kinh tru
Phau thuat co the duoc can nhac khi:
Trieu chung keo dai.
Dieu tri bao ton khong dat hieu qua.
Giam cam giac lien tuc.
Yeu co tien trien.
Teo co ban tay.
Co bang chung ton thuong than kinh nghiem trong.
Bai tap ho tro hoi chung ong khuyu tay
Mot so bai tap co the duoc su dung trong chuong trinh phuc hoi chuc nang theo huong dan cua chuyen vien.
1. Van dong khuyu tay nhe nhang
Gap va duoi khuyu trong pham vi thoai mai, tranh giu khuyu gap toi da qua lau.
2. Van dong co tay
Thuc hien cac dong tac co tay nhe nhang nham duy tri kha nang van dong.
3. Mo va khep ban tay
Van dong cac ngon tay trong pham vi khong gay dau hoac tang te.
4. Bai tap truot day than kinh tru
Cac bai tap truot than kinh co the duoc huong dan cho mot so truong hop phu hop.
Tuy nhien, thuc hien qua muc co the lam tang trieu chung.
Nguoi benh khong nen tu keo cang manh day than kinh hoac co thuc hien bai tap gay te dau.
Cach phong ngua hoi chung ong khuyu tay
Khong phai tat ca truong hop hoi chung ong khuyu tay deu co the phong ngua.
Tuy nhien, mot so bien phap co the giup giam ap luc va kich thich day than kinh tru.
1. Tranh chong khuyu tay keo dai
Han che ti de mat trong khuyu len be mat cung.
2. Khong gap khuyu qua lau
Thuong xuyen thay doi tu the khi lam viec hoac su dung dien thoai.
3. Dieu chinh tu the ngu
Tranh duy tri tu the khuyu gap sau trong thoi gian dai.
4. Bo tri ban lam viec phu hop
Dieu chinh ban ghe va vi tri dat tay nham giam ap luc len vung khuyu.
5. Nghi giai lao hop ly
Thay doi hoat dong va tu the khi phai thuc hien cong viec lap lai.
6. Kiem soat benh ly nen
Theo doi va dieu tri nhung benh ly lien quan theo huong dan y te.
7. Kham som khi co trieu chung
Khong bo qua tinh trang te ngon ut va ngon ap ut keo dai.
Tham kham hoi chung ong khuyu tay tai Buon Ma Thuot
Doi voi nguoi dan tai Dak Lak va khu vuc Tay Nguyen, tinh trang te ngon ut, ngon ap ut, dau mat trong khuyu hoac yeu ban tay keo dai can duoc danh gia de xac dinh nguyen nhan.
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 tai ngon ut va ngon ap ut, kiem tra suc co ban tay va thuc hien cac nghiem phap lam sang phu hop.
Doi voi truong hop nghi ngo hoi chung ong khuyu tay, nguoi benh co the can duoc can nhac khao sat dan truyen than kinh, dien co hoac sieu am de danh gia vi tri va muc do ton thuong.
Phuong phap dieu tri co the bao gom dieu chinh tu the, su dung nep, phuc hoi chuc nang hoac danh gia chi dinh phau thuat giai phong day than kinh tru trong nhung truong hop phu hop.
Nguoi benh nen lien he truc tiep Khoa noi tong hop - Benh Vien Da Khoa Thien Hanh de xac nhan cac dich vu tham kham, xet nghiem dien sinh ly va dieu tri chuyen khoa hien co.
Neu can phau thuat hoac danh gia chuyen sau, nguoi benh co the duoc huong dan den co so chuyen khoa phu hop.
Ket luan
Hoi chung ong khuyu tay la benh ly chen ep day than kinh tru tai vung khuyu, thuong gay te ngon ut, nua ngon ap ut, dau mat trong khuyu va co the dan den yeu co ban tay.
O giai doan dau, trieu chung co the xuat hien tung dot, dac biet khi gap khuyu lau hoac ngu sai tu the. Tuy nhien, neu tinh trang chen ep keo dai, nguoi benh co nguy co giam cam giac, teo co va suy giam chuc nang ban tay.
Viec chan doan dua tren trieu chung, kham than kinh va nhung phuong phap ho tro nhu khao sat dan truyen than kinh, dien co hoac sieu am khi can thiet. Dieu tri co the bao gom thay doi tu the, su dung nep, phuc hoi chuc nang hoac phau thuat giai phong day than kinh tru trong nhung truong hop phu hop.
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. |
|
|
|
|
| |
|
|
|
| |
|
|
