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wf;ys we;s jk ysrsjeàu. CARPLE TUNNEL SYNDROME. ldka;djka w;r nyq , frda.S ;; a;ajhls ksis m%; sldr , nd . ekSfuka frda . ;; a;ajh iïmQrKfhkau fyda yels;dla ÿrg u. yrjd .; yelsh
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wf;ys we;s jk ysrsjeàu CARPLE TUNNEL SYNDROME
ldka;djkaw;rnyq, frda.S ;;a;ajhls • ksis m%;sldr ,nd .ekSfukafrda. ;;a;ajhiïmQrKfhkaufydayels;dlaÿrg u. yrjd .; yelsh • fïi|ydksYaÑ; tla m%;sldrl%uhlafkdue;sw;r m%;sldrl%ulsmhlatljrlsÍu u.ska id¾:l m%;sM, w;alr .; yelsh
ueKslalgqjikaêfhawe;s l=vdwiaÓksYaÑ; jQmgliuQyhlaj,skatlsfklgiïnkaOùfukaj,hdldrjHQyhlaf,iCARPLE TUNNEL iE§ we; • fïyrydm%OdkjYfhkauymg.s,a, onr.s,a, ueo.s,a, g iakdhqiemhquisÿlrhs • tuiakdhqjMEDIAN NERVE f,iy÷kajhs • fuuiakdhqj l=ukfyda ;;a;ajhlaksid ;o ùulgfydaf;rmSulg ,la jqjfyd;afuufrda.S ;;a;ajhwe;sfõ
fuufrda. ;;a;ajhflfrysn,mdkfya;= • ia:Q,;djh ^High BMI& • .¾NKS;djh ^Pregnancy& • ukao;hdfrdhsv;djh ^Hypothyroidism& • wefl%dfu.,s ^Acromegaly& • ykaÈm%odyh ^Arthritis& • Èhjeähdj ^Diabetes&
fkdkj;ajdisÿlrkq ,nktluwdldrfhajevlghq;= ^h;=re ,shkhfrÈfia§ujeks& ksidfuumgl j, we;sjkwêl wd;;s ;;a;ajhfuhgfya;= fõ • iakdhqjwjgúúOwidudkHøjH ;ekam;aùu • Amyloidosis • Sarcoidosis • Multiple myeloma • Leukemia
frda. ,CIK • uymge.s,a, onr.s,a, ueo.s,a, widudkHf,iysrsjeàu • frda.hnrm;, jQúg rd;%S kskaogndOdwe;sfõ • frda.h ;j ÿrg;aW;aikakjQúgflKavdfmr,Suw;e.s,s j, l%ShdldÍ;ajh ÿ¾j, ùu yd iakdhqimhkudxYfmaYs ÿ¾j, ùuisÿfõ • fïksidw;ñgfud,jdisÿlrkq ,nklghq;= lsßub;dwmyiqfõ
frda. úksYaph • frda. b;sydihúuisSfukafukauw;e.s,s j, ysßjeàfïrgdj .ekúfYaIwjOdkhfhduqlÍu u.ska frda. úksYaphisÿlrkq ,nhs • Tinels Sign ikaêhu;g ;ÜgqlsÍfuka yd w;e.s,sysßjeàfïrgdjksÍCIKhlsÍufrda. úksYaphgmyiqfõ • Ógwu;rjueKslalgqjwiaÓhbÈßhgkeùfï§ ydß.;ahjeäfhka ±fka • ueKslalgqjikaêfhabÈóuwêlfõokdjWIaK;ajhjeäùu yd widudkHmsysàï .ekúfYaIwjOdkhlafhduq flf¾
Nerve conduction • X ray – wrist joint • Blood investigations (ESR,RF,TSH,FBC)
frda.S ;;a;ajh u. yrjd .ekSu • m%Odk m%;sldrl%ulsysmhlatljrlsÍu u.ska fuu ;;a;ajh u. yrjd .; yelshfuys§ frda.shdf.alemùu wksjd¾Hh fõ • Y,H l¾u ^surglical intervention& • Y,H l¾u fkdjk ^non surgical intervention&
fuys§ wm úfYaIfhkai,ldn,kafka Y,Hl¾u fkdjk m%;sldrl%u yd frda. ;;a;ajhkawe;sùugfya;= jQwfkl=;a frda.hkag m%;sldrlsÍuhs • Wod(- Èhjeähdjukao ;hsfrdhsäishdj
Y,H l¾u fkdjkl%u • fõokdkdYlNdú;h ^merisgfuda,a NSAIDS & • úfõlh yd fkdfid,ajd ;eîu ^rest and immobilization & • Tapping and brazing • Regular physiotherapy • Weight reduction • Activity modification • ksjerÈls%shdldrlïb.ekaùu
Y,H l¾u fkdjkl%u • Hydrotherapy • fuhob;d id¾:l l%uhls • fuysoSudrefjkaudrejgWKq yd we,ac,h ;=, Tnf.afõokdldrS w; nyd,uskaúkdä 3 la WKqc,fhaoúkdählawe,ac,fhaof,itlajdrhl§ ;=ka j;sjlaf,IÈklg ;=ka jrlalrkak
Y,H l¾u fkdjkl%u • Cortico steroid injection • Ultra sound treatment • Laser treatment