{"id":61989,"date":"2020-05-22T07:45:30","date_gmt":"2020-05-22T07:45:30","guid":{"rendered":"https:\/\/www.humanitas.net\/?post_type=disease&p=61989"},"modified":"2020-11-04T15:01:14","modified_gmt":"2020-11-04T15:01:14","slug":"sindrom-karpalnega-kanala","status":"publish","type":"disease","link":"https:\/\/www.humanitas.net\/sl\/diseases\/sindrom-karpalnega-kanala\/","title":{"rendered":"Sindrom karpalnega kanala"},"content":{"rendered":"

Sindrom karpalnega kanala, ki ga povzro\u010da stisnjen \u017eivec v zapestju, je stanje rok in rok, ki povzro\u010da otrplost, mravljin\u010denje in druge simptome. Zapestje obdaja pas z vlaknastim tkivom, ki obi\u010dajno deluje kot podpora sklepu. Tesen prostor med pasom in zapestno kostjo se imenuje karpalni tunel, ki je ozek prehod, ki se nahaja na dlani strani zapestja in \u0161\u010diti glavni \u017eivec roke in devet tetiv, ki upogibajo prste.\u00a0 \u00a0\u00a0\u00a0 Srednji \u017eivec prehaja skozi tunel, da sprejme ob\u010dutke od palca, kazalca in srednjih prstov.<\/p>\n

 <\/p>\n

Simptomi<\/h2>\n

 <\/p>\n

Trije glavni simptomi so mravljin\u010denje, otrplost in bole\u010dina. Pojavijo se v palcu, kazalcu, srednjem prstu in v eni polovici obro\u010da. Vendar pa se lahko mravljin\u010denje, otrplost in bole\u010dine v\u010dasih raz\u0161irijo tudi zunaj tega obmo\u010dja. Ti simptomi so lahko prisotni v eni ali obeh rokah, \u010deprav ve\u010dina primerov s\u010dasoma prizadene obe roki.<\/p>\n

Drugi mo\u017eni simptomi CTS vklju\u010dujejo:<\/p>\n

Nelagodje v roki, podlakti ali nadlakti;<\/p>\n

Peko\u010d, srbe\u010d ob\u010dutek v roki;<\/p>\n

Slabost v roki in nagnjenost k spu\u0161\u010danju predmetov;<\/p>\n

Suha ko\u017ea, oteklina ali spremembe barve ko\u017ee roke;<\/p>\n

Hipoestezija;<\/p>\n

Atrofija mi\u0161ic na konici palca.<\/p>\n

 <\/p>\n

Vzroki<\/h2>\n

Za ve\u010dino bolnikov natan\u010den vzrok njihovega CTS ni znan. Vsako stanje, ki pritiska na srednji \u017eivec na zapestju, lahko povzro\u010di CTS. Pogosta stanja, ki lahko privedejo do CTS, vklju\u010dujejo: vnetje tetiv, ki je posledica ponavljajo\u010dega se dela, debelost, nose\u010dnost, dru\u017einska anamneza CTS, hipotiroidizem, artritis, diabetes in travma. Nekatere redke bolezni lahko povzro\u010dijo odlaganje nenormalnih snovi v in okoli karpalnega tunela, kar vodi v dra\u017eenje \u017eivcev. Te bolezni vklju\u010dujejo amiloidozo, sarkoidozo, multipli mielom in levkemijo.<\/p>\n

 <\/p>\n

Zapleti<\/h2>\n

Zapleti so redki, lahko pa vklju\u010dujejo atrofijo in \u0161ibkost mi\u0161ic na dnu palca na dlani. To je lahko trajen zaplet, \u010de ga ne odpravimo dovolj zgodaj, kar posledi\u010dno lahko privede do pomanjkanja spretnosti prizadetih prstov.<\/p>\n

 <\/p>\n

 <\/p>\n

Dejavniki tveganja<\/h2>\n

S CTS so bili povezani \u0161tevilni dejavniki, ki vklju\u010dujejo:<\/p>\n

Anatomski dejavniki, kot so: zlom zapestja ali dislokacija, ki spremeni prostor znotraj karpalnega kanala;<\/p>\n

CTS je na splo\u0161no pogostej\u0161i pri \u017eenskah;<\/p>\n

Pogoji, ki \u0161kodujejo \u017eivcu;<\/p>\n

Vnetna stanja;<\/p>\n

Spremembe v ravnovesju telesnih teko\u010din;<\/p>\n

Medicinska stanja, kot so menopavza, debelost, motnje \u0161\u010ditnice in odpoved ledvic;<\/p>\n

Dejavniki na delovnem mestu.<\/p>\n

 <\/p>\n

Prepre\u010devanje<\/h2>\n

Ni dokazanih strategij za prepre\u010devanje CTS, vendar pacient lahko zmanj\u0161a stres na rokah in zapestjih, tako da upo\u0161teva naslednje varnostne ukrepe:<\/p>\n

Zmanj\u0161ajte silo in sprostite oprijem;<\/p>\n

Vzemite pogoste odmore;<\/p>\n

Pazite na dr\u017eo<\/p>\n

Izbolj\u0161ajte dr\u017eo<\/p>\n

Imejte roke na toplem.<\/p>\n","protected":false},"author":11,"featured_media":0,"template":"","yoast_head":"\nSindrom karpalnega kanala - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanitas.net\/sl\/diseases\/sindrom-karpalnega-kanala\/\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sindrom karpalnega kanala - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Sindrom karpalnega kanala, ki ga povzro\u010da stisnjen \u017eivec v zapestju, je stanje rok in rok, ki povzro\u010da otrplost, mravljin\u010denje in druge simptome. Zapestje obdaja pas z vlaknastim tkivom, ki obi\u010dajno deluje kot podpora sklepu. 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