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| Dau hieu hoi chung ong co tay: 12 trieu chung nhan biet som va cach dieu tri
Dau hieu hoi chung ong co tay thuong bat dau bang cam giac te bi, ngua ran hoac cham chich o ban tay, dac biet tai ngon cai, ngon tro, ngon giua va mot phan ngon ap ut. Nhung trieu chung nay thuong xuat hien ve dem, khi ngu hoac khi thuc hien cac hoat dong nhu cam dien thoai, lai xe va su dung ban phim trong thoi gian dai.
Hoi chung ong co tay la benh ly than kinh ngoai bien kha pho bien, xay ra khi day than kinh giua bi chen ep tai vung co tay. Neu khong duoc phat hien va dieu tri phu hop, tinh trang chen ep keo dai co the gay giam cam giac, yeu co ban tay, giam kha nang cam nam va trong truong hop nghiem trong co the dan den teo co vung mo cai.
Vay hoi chung ong co tay co dau hieu gi, lam sao nhan biet tu giai doan som, khi nao can di kham va co the dieu tri khoi khong? Bai viet duoi day cua Benh Vien Thien Hanh (https://thienhanhhospital.com) se giup ban hieu ro cac trieu chung, nguyen nhan, cach chan doan va nhung phuong phap dieu tri hien nay.
Hoi chung ong co tay la gi?
Hoi chung ong co tay (Carpal Tunnel Syndrome – CTS) la tinh trang day than kinh giua bi chen ep khi di qua ong co tay, mot khoang giai phau hep nam o mat long co tay.
Ong co tay duoc gioi han boi cac xuong co tay va day chang ngang co tay. Ben trong co day than kinh giua cung cac gan gap ngon tay.
Day than kinh giua co vai tro quan trong trong viec dan truyen cam giac o mot phan ban tay va dieu khien mot so co vung ngon cai.
Khi ap luc trong ong co tay tang len, day than kinh giua co the bi anh huong, gay ra cac trieu chung nhu:
Te bi ban tay.
Ngua ran cac ngon tay.
Dau co tay.
Dau lan len canh tay.
Giam cam giac o dau ngon tay.
Yeu luc cam nam.
Kho thuc hien cac dong tac tinh te.
Teo co vung goc ngon cai trong truong hop nang.
Hoi chung ong co tay co the xay ra o mot hoac ca hai ban tay.
12 dau hieu hoi chung ong co tay thuong gap
Trieu chung hoi chung ong co tay co the phat trien tu tu, ban dau xuat hien tung dot roi tro nen thuong xuyen hon.
1. Te bi ngon cai, ngon tro va ngon giua
Day la mot trong nhung dau hieu hoi chung ong co tay dien hinh nhat.
Nguoi benh co the cam thay te o:
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 vi cam giac o ngon nay chu yeu do day than kinh tru chi phoi.
Neu te chu yeu o ngon ut va nua ngon ap ut phia ngon ut, bac si co the can xem xet cac benh ly khac nhu chen ep day than kinh tru.
2. Te tay ve dem
Te tay khi ngu la bieu hien rat thuong gap.
Nguoi benh co the tinh giac giua dem vi cam giac te, cham chich hoac kho chiu o ban tay.
Trieu chung co the lien quan den tu the co tay gap trong luc ngu, lam tang ap luc len day than kinh giua.
Nhieu nguoi phai thay doi tu the hoac lac ban tay de giam cam giac te.
3. Cam giac kien bo hoac cham chich o dau ngon tay
Nguoi benh co the mo ta cam giac nhu:
Kien bo duoi da.
Kim cham.
Dien giat nhe.
Ngua ran.
Nong rat o cac ngon tay.
Day la nhung bieu hien roi loan cam giac co the xuat hien khi day than kinh giua bi chen ep.
4. Dau vung co tay
Dau co tay co the xuat hien cung voi te bi.
Con dau doi khi tang khi thuc hien nhung hoat dong khien co tay phai giu mot tu the lau hoac van dong lap lai.
Tuy nhien, dau co tay don thuan khong du de chan doan hoi chung ong co tay vi con nhieu nguyen nhan khac nhu viem gan, thoai hoa khop hoac chan thuong.
5. Dau lan tu ban tay len canh tay
Mot so nguoi benh cam thay dau hoac kho chiu lan tu co tay len canh tay.
Trong mot so truong hop, trieu chung co the lan xa hon.
Neu dau bat dau tu co, lan xuong vai va canh tay, kem yeu hoac te theo phan bo khac, can xem xet them benh ly re than kinh co.
6. Te tay khi cam dien thoai
Nguoi benh co the xuat hien te hoac ngua ran khi cam dien thoai trong thoi gian dai.
Tu the co tay va thoi gian giu tay co dinh co the gop phan lam trieu chung ro hon.
7. Te tay khi lai xe
Cam giac te co the xuat hien khi giu vo lang trong thoi gian dai.
Nguoi benh doi khi phai doi tu the tay de giam kho chiu.
8. Giam cam giac o dau ngon tay
Khi chen ep than kinh keo dai, nguoi benh co the giam kha nang cam nhan khi cham vao do vat.
Mot so bieu hien bao gom:
Kho phan biet cac be mat.
Giam cam giac o dau ngon tay.
Kho nhan biet vat nho bang xuc giac.
Cam giac ngon tay kem linh hoat.
Giam cam giac lien tuc co the goi y tinh trang chen ep than kinh dang ke.
9. Yeu luc cam nam
Nguoi benh co the cam thay ban tay yeu hon khi:
Cam coc nuoc.
Mo nap chai.
Xach do.
Cam dung cu.
Giu nhung vat nho.
Tinh trang nay co the lien quan den giam cam giac hoac suy yeu cac co do day than kinh giua chi phoi.
Nguyen nhan gay hoi chung ong co tay
Nguyen nhan truc tiep la su chen ep day than kinh giua khi di qua ong co tay.
Tinh trang nay co the lien quan den nhieu yeu to.
1. Tang ap luc trong ong co tay
Khi ap luc ben trong ong co tay tang, day than kinh giua co the bi chen ep va giam kha nang dan truyen tin hieu.
2. Viem hoac sung mo quanh gan
Nhung thay doi tai cac mo quanh gan gap co the lam giam khong gian ben trong ong co tay.
3. Thay doi noi tiet va giu nuoc
Mang thai hoac mot so tinh trang lam thay doi can bang dich trong co the co the gop phan lam xuat hien trieu chung.
4. Benh ly chuyen hoa
Dai thao duong va mot so benh ly khac co the lien quan den nguy co mac hoi chung ong co tay.
5. Benh ly viem khop
Viem khop dang thap va nhung tinh trang viem quanh co tay co the gop phan gay chen ep.
6. Chan thuong co tay
Gay xuong hoac nhung thay doi cau truc sau chan thuong co the anh huong den khong gian trong ong co tay.
Ai co nguy co mac hoi chung ong co tay?
Mot so nhom co nguy co cao hon bao gom:
Phu nu.
Nguoi trung nien va lon tuoi.
Nguoi mac dai thao duong.
Nguoi bi viem khop dang thap.
Nguoi co suy giap.
Nguoi thua can hoac beo phi.
Phu nu mang thai.
Nguoi tung bi chan thuong co tay.
Nguoi lam viec thuong xuyen voi dung cu rung hoac can luc nam lon.
Tuy nhien, hoi chung ong co tay van co the xuat hien o nguoi khong co yeu to nguy co ro rang.
Chan doan hoi chung ong co tay nhu the nao?
1. Khai thac trieu chung
Bac si tim hieu vi tri te, thoi diem xuat hien, muc do dau, hoat dong lam tang trieu chung va nhung anh huong den sinh hoat.
2. Kham cam giac
Danh gia cam giac tai cac ngon tay do day than kinh giua chi phoi.
3. Kham suc co
Bac si kiem tra suc co vung ngon cai va kha nang thuc hien nhung dong tac dac trung.
4. Nghiem phap Phalen
Nguoi benh duoc huong dan giu co tay o tu the gap trong thoi gian ngan.
Neu xuat hien trieu chung te hoac cham chich dien hinh, nghiem phap co the ho tro chan doan.
Tuy nhien, ket qua duong tinh khong du de khang dinh benh.
5. Nghiem phap Tinel
Bac si go nhe tai vung duong di cua day than kinh giua o co tay.
Cam giac cham chich lan den cac ngon tay co the goi y kich thich than kinh.
6. Nghiem phap chen ep co tay
Bac si tao ap luc co kiem soat len vung day than kinh giua de danh gia su xuat hien cua trieu chung.
Dieu tri hoi chung ong co tay nhu the nao?
Phuong phap dieu tri phu thuoc vao muc do trieu chung, tinh trang chuc nang than kinh va cac benh ly lien quan.
1. Dieu chinh hoat dong
Nguoi benh co the duoc huong dan thay doi nhung hoat dong lam trieu chung tang len.
Vi du:
Tranh giu co tay gap hoac duoi qua muc trong thoi gian dai.
Nghi giai lao khi thuc hien thao tac lap lai.
Dieu chinh tu the lam viec.
Han che luc nam qua manh khi khong can thiet.
2. Su dung nep co tay
Nep co tay giu o tu the trung tinh, dac biet khi ngu, co the giup giam trieu chung o mot so truong hop nhe hoac trung binh.
3. Dieu tri benh ly lien quan
Neu nguoi benh co dai thao duong, suy giap hoac benh ly viem khop, viec kiem soat benh nen co the la mot phan cua ke hoach dieu tri tong the.
4. Thuoc giam dau
Mot so loai 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 tinh trang chen ep day than kinh giua.
5. Tiem corticosteroid tai ong co tay
Tiem corticosteroid co the giup giam trieu chung trong mot so truong hop.
Hieu qua thuong co gioi han ve thoi gian va khong phai phuong phap dieu tri dut diem cho tat ca benh nhan.
Viec tiem can duoc thuc hien boi nhan vien y te co chuyen mon.
6. Phuc hoi chuc nang
Mot so nguoi benh co the duoc huong dan cac bai tap hoac bien phap ho tro phu hop.
Cach giam te tay do hoi chung ong co tay tai nha
Doi voi nhung truong hop da duoc danh gia va xac dinh phu hop voi dieu tri bao ton, nguoi benh co the ap dung mot so bien phap:
Giu co tay o tu the trung tinh khi ngu.
Su dung nep theo huong dan.
Tranh hoat dong lam trieu chung tang ro.
Nghi giai lao khi lam viec lap lai.
Dieu chinh vi tri ban phim, chuot va dung cu lam viec.
Tranh giu co tay gap lau.
Theo doi nhung thay doi ve cam giac va suc co.
Neu trieu chung tiep tuc tien trien, can tai kham thay vi chi dieu tri tai nha.
Hoi chung ong co tay co nen xoa bop khong?
Xoa bop nhe co the giup mot so nguoi cam thay de chiu tam thoi.
Tuy nhien, xoa bop khong phai phuong phap duoc chung minh co the giai quyet tinh trang chen ep day than kinh giua.
Khong nen xoa bop manh hoac tac dong luc lon len vung co tay dang dau, te.
Tham kham dau hieu hoi chung ong co tay tai Buon Ma Thuot
Doi voi nguoi dan tai Dak Lak va khu vuc Tay Nguyen, tinh trang te bi ngon tay, dau co tay hoac giam luc cam nam 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 nhung trieu chung lien quan den than kinh ngoai bien, co xuong khop va chuc nang ban tay hien co.
Trong qua trinh tham kham, bac si co the khai thac trieu chung, danh gia phan bo cam giac, kiem tra suc co va thuc hien nhung nghiem phap lam sang phu hop.
Neu nghi ngo hoi chung ong co tay, nguoi benh co the can duoc danh gia chuyen khoa va can nhac cac phuong phap nhu do dan truyen than kinh, dien co hoac sieu am khi co chi dinh.
Viec dieu tri co the bao gom dieu chinh hoat dong, su dung nep co tay, dieu tri bao ton hoac can nhac phau thuat giai phong ong co tay 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 than kinh va dieu tri chuyen khoa hien co.
Doi voi nhung truong hop co teo co mo cai, yeu ngon cai tien trien hoac giam cam giac keo dai, viec danh gia chuyen khoa som co y nghia quan trong trong lua chon phuong phap dieu tri.
Ket luan
Dau hieu hoi chung ong co tay dac trung nhat la te bi, ngua ran hoac cham chich o ngon cai, ngon tro, ngon giua va mot phan ngon ap ut, dac biet khi ngu hoac khi giu co tay o mot tu the trong thoi gian dai.
O giai doan dau, trieu chung co the xuat hien tung dot va giam khi thay doi tu the. Tuy nhien, neu tinh trang chen ep day than kinh giua keo dai, nguoi benh co the bi giam cam giac, yeu luc cam nam, kho thuc hien nhung dong tac tinh te va teo co vung mo cai.
Viec chan doan dua tren trieu chung, kham than kinh va cac phuong phap ho tro nhu do dan truyen than kinh, dien co hoac sieu am khi can thiet. Dieu tri co the bao gom dieu chinh hoat dong, su dung nep, tiem corticosteroid hoac phau thuat giai phong ong co tay trong nhung truong hop co chi dinh.
Doi voi nguoi dan tai Buon Ma Thuot va khu vuc Tay Nguyen, co the lien he Benh Vien Thien Hanh Dak Lak de tim hieu ve cac dich vu tham kham trieu chung te tay, dau co tay va danh gia benh ly than kinh ngoai bien hien co. |
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