{"id":6935,"date":"2018-04-30T11:28:37","date_gmt":"2018-04-30T09:28:37","guid":{"rendered":"https:\/\/www.bonumsalutem.sk\/rehabilitacie\/?p=6935"},"modified":"2018-05-10T13:47:29","modified_gmt":"2018-05-10T11:47:29","slug":"syndrom-karpalneho-tunela","status":"publish","type":"post","link":"https:\/\/www.bonumsalutem.sk\/rehabilitacie\/syndrom-karpalneho-tunela\/","title":{"rendered":"Syndr\u00f3m karp\u00e1lneho tunela","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><span style=\"color: #99cc00;\"><strong>Hist\u00f3ria<\/strong><\/span><\/p>\n<p>Kompresiu n. medianus\u00a0v z\u00e1p\u00e4st\u00ed ako prv\u00fd pop\u00edsal v roku 1854 sir James Paget. V roku 1854 bola zaznamenan\u00e1 prv\u00e1 s\u00e9ria pacientov s boles\u0165ami a parest\u00e9ziami v distrib\u00faci\u00ed n. medianus Jamesom J. Putnamom. Pierre Marie a Charles Foix ako prv\u00fd hovoria o klinickej jednotke v roku 1933. Sir James Leamonth ako v prv\u00fd v roku 1933 urobil dekompresiu karp\u00e1lneho tunela. O prvom spont\u00e1nnom vzniku syndr\u00f3mu karp\u00e1lneho tunela hovor\u00ed Frederick Moersch v roku 1938. Americk\u00fd \u0161pecialista na chirurgiu ruky George S. Phalen sa tejto problematike za\u010dal venova\u0165 v druhej polovicy 20. storo\u010dia.<\/p>\n<p><span style=\"color: #99cc00;\"><strong>Etiol\u00f3gia<\/strong><\/span><\/p>\n<p style=\"text-align: left;\">Etiologick\u00fdch faktorov podmie\u0148uj\u00facich vznik syndr\u00f3mu karp\u00e1lneho tunela je mnoho. Jedn\u00fdm z\u00a0mo\u017en\u00fdch faktorov je na z\u00e1klade vlastn\u00fdch zmien (frakt\u00fary z\u00e1p\u00e4stn\u00fdch kost\u00ed s n\u00e1sledn\u00fdm vytvoren\u00edm kalcifik\u00e1tov, osteofyty, hypertrofick\u00fd karp\u00e1lny v\u00e4z a pod.). \u010eal\u0161ou pr\u00ed\u010dinou je zv\u00e4\u010d\u0161enie objemu tkan\u00edv, ktor\u00e9 n\u00edm prech\u00e1dzaj\u00fa (degenerativn\u00e9 zmeny synovie a v\u00e4ziva, otok m\u00e4kk\u00fdch tkan\u00edv ako d\u00f4sledok mechanick\u00e9ho pre\u0165a\u017eovania, abnorm\u00e1lne odstupy \u0161liach, hemat\u00f3m, obezita\u00a0a pod.) Medzi \u010fal\u0161ie faktory zara\u010fujeme procesy, kt. m\u00f4\u017eu zvy\u0161ova\u0165 vulnerabilitu nervu na tlak (neuropatia na podklade diabetes mellitus, alkoholizmus a in\u00e9.). Taktie\u017e medzi pr\u00ed\u010diny vzniku syndr\u00f3mu karp\u00e1lneho tunela zara\u010fujeme aj profesn\u00e9 faktory ako s\u00fa napr. : pr\u00e1ca s klie\u0161\u0165ami, \u0161robov\u00e1kom; pr\u00e1ca s vybra\u010dn\u00fdmi n\u00e1strojmi ako motorov\u00e1 p\u00edla; hranie na hudobn\u00e9 n\u00e1stroje a v neposlednej rade pr\u00e1ca s kl\u00e1vesnicou a my\u0161ou v nevhodnej polohe.\u00a0 V\u010faka tomu sa syndr\u00f3m karp\u00e1lneho tunela rad\u00ed medzi choroby z povolania. Ochorenie \u010dastej\u0161ie postihuje \u017eeny a to v pomere 2-4:1. Priemern\u00fd vek, v ktorom sa ochorenie vyskytuje sa pohybuje v rozmedz\u00ed od 40 do 60 rokov. Po\u010detnos\u0165 jeho v\u00fdskytu v popul\u00e1ci\u00ed nie je pr\u00edli\u0161 zn\u00e1ma, pod\u013ea \u00fadajov z literat\u00fary sa pohybuje medzi 2,1% a\u017e po 14,4% a postihnutie v\u00e4\u010d\u0161inou b\u00fdva obojstrann\u00e9.<\/p>\n<p><span style=\"color: #99cc00;\"><strong>Klinick\u00fd obraz<\/strong><\/span><\/p>\n<p>Syndr\u00f3m karp\u00e1lneho tunela sa naj\u010dastej\u0161ie prejavuje typick\u00fdmi parest\u00e9ziami prv\u00e9ho a\u017e tretieho prstu na vol\u00e1rnej strane ruky a dorz\u00e1lne v okol\u00ed nechtov dan\u00fdch prstov. Taktie\u017e sa m\u00f4\u017ee prejavova\u0165 p\u00e1l\u010div\u00fdmi boles\u0165ami v danej oblasti. Patognomick\u00e9 pre syndr\u00f3m karp\u00e1lneho tunela b\u00fdvaj\u00fa no\u010dn\u00e9 akcelerovan\u00e9 maxima parest\u00e9zi\u00ed, ktor\u00e9 \u010dloveka prebudia a n\u00fatia ho zvesi\u0165 ruku a n\u00e1sledne ju &#8222;pretrep\u00e1va\u0165&#8220;. Probl\u00e9my m\u00f4\u017eu v\u00fdrazne akcentova\u0165 aj pri be\u017en\u00fdch denn\u00fdch \u010dinnostiach ako s\u00fa napr. : zap\u00ednanie gomb\u00edkov, dr\u017eanie mal\u00fdch predmetov po dlh\u0161iu dobu a podobne. M\u00f4\u017ee sa dostavi\u0165 oslabenie ruky najm\u00e4 stisk a \u00fachop. V pr\u00edpade pretrv\u00e1vaj\u00faceho \u00fatlaku postupne doch\u00e1dza k progresii postihnutia nervu v zmysle postupnej straty citlivosti. \u010ealej doch\u00e1dza k \u00fabytku svalovej sily a m\u00f4\u017ee sa dostavi\u0165 hypotrofia a\u017e atrofia thenaru. Priebeh ochorenia je v\u00e4\u010d\u0161inou chronick\u00e9ho charakteru, ale po traume m\u00f4\u017ee vznikn\u00fa\u0165 aj ak\u00fatne. V klinickej diagnostike sa vyu\u017e\u00edva nieko\u013eko provoka\u010dn\u00fdch testov ako napr. Phalenov z\u00e1p\u00e4stn\u00fd test. A\u017e u 60% pacientov sa vyskytuje Tinelov pr\u00edznak. Syndr\u00f3m karp\u00e1lneho tunelu m\u00f4\u017eeme na z\u00e1klade klinick\u00e9ho n\u00e1lezu rozdeli\u0165 do 3 stup\u0148ov: 1. \u013eahk\u00fd stupe\u0148\u00a0(intermitentn\u00e9 sympt\u00f3my, pr\u00edtomn\u00e1 len irit\u00e1cia n. medianus bez z\u00e1nikov\u00fdch pr\u00edznakov). 2. stredne \u0165a\u017ek\u00fd stupe\u0148 (pozit\u00edvne provoka\u010dn\u00e9 testy ,svalov\u00e9 oslabenie, mo\u017en\u00e1 hypertrofia svaloviny) 3. \u0165a\u017ek\u00fd stupe\u0148 (svalov\u00e1 atrofia, senzit\u00edvne sympt\u00f3my s\u00fa trval\u00e9, z\u00e1nikov\u00e9 pr\u00edznaky s\u00fa v\u00fdrazn\u00e9).<\/p>\n<p><span style=\"color: #99cc00;\"><strong>Diagn\u00f3za<\/strong><\/span><\/p>\n<p>Diagn\u00f3zu stanovujeme na z\u00e1klade d\u00f4kladne odobratej anamn\u00e9zy a fyzik\u00e1lneho vy\u0161etrenia. V pr\u00edpade upresnenia a objektiviz\u00e1cie sa dopl\u0148uje EMG vy\u0161etrenie. Zobrazovacie met\u00f3dy ako\u00a0RTG, CT, MR zatia\u013e pri diagnostikovan\u00ed syndr\u00f3mu karp\u00e1lneho tunela nie s\u00fa moc vyu\u017e\u00edvan\u00e9 . Neurografia pri syndr\u00f3me karp\u00e1lneho tunela vykazuje zn\u00e1mky fok\u00e1lnej demyeliniz\u00e1cie n. medianus \u010do m\u00e1 za n\u00e1sledok spomalenie senzit\u00edvneho vedenia. Podobn\u00e9 pr\u00edznaky sa m\u00f4\u017eu objavova\u0165 aj pri rade in\u00fdch ochoren\u00ed a preto je ve\u013emi d\u00f4le\u017eit\u00e1 diferenci\u00e1lna diagnostika. Naj\u010dastej\u0161ie zva\u017eujeme cervik\u00e1lnu radikulopatiu hlavne v oblasti C6-C7, kedy uvo\u013enenie nast\u00e1va v k\u013eude a zhor\u0161enie sa prejav\u00ed pri pohyboch kr\u010dnej chrbtice. D\u00f4le\u017eit\u00e9 je zamera\u0165 sa aj na reumatick\u00e9 ochorenia. Ku komprim\u00e1cii nervu m\u00f4\u017ee d\u00f4js\u0165 aj v oblasti m. pronator teres, kedy vystupuje do popredia boles\u0165 v oblasti dlane.<\/p>\n<p><strong><span style=\"color: #99cc00;\">Konzervat\u00edvna terapia <\/span><\/strong><\/p>\n<p>Konzervat\u00edvna terapia sa indikuje pri kr\u00e1tkom trvan\u00ed dan\u00fdch pr\u00edznakov a vtedy, ke\u010f o\u010dak\u00e1vame odstr\u00e1nenie vplyvu syst\u00e9mov\u00e9ho faktoru.\u00a0Jej z\u00e1klad tvor\u00ed k\u013eudov\u00fd re\u017eim a taktie\u017e fix\u00e1cia z\u00e1p\u00e4stia. Fix\u00e1cia z\u00e1p\u00e4stia, \u010di u\u017e po\u010das d\u0148a alebo noci m\u00f4\u017ee zhor\u0161i\u0165 bolesti a sympt\u00f3my. Pod\u00e1vanie antireumat\u00edk je vhodn\u00e9 v pr\u00edpade, ak je syndr\u00f3m karp\u00e1lneho tunela sp\u00f4soben\u00fd reumatick\u00fdm ochoren\u00edm. Najv\u00e4\u010d\u0161ou \u010das\u0165ou konzervat\u00edvnej terapie je fyzik\u00e1lna terapia a rehabilit\u00e1cia. Na lie\u010dbu karp\u00e1lneho tunela vyu\u017e\u00edvame mobiliz\u00e1ciu z\u00e1p\u00e4stn\u00fdch kost\u00ed, uvo\u013e\u0148ovacie a posil\u0148ovacie techniky a mnoho \u010fal\u0161ieho. Z fyzik\u00e1lnej terapie sa vyu\u017e\u00edva ultrazvuk a laser.<\/p>\n<p><span style=\"color: #99cc00;\"><strong>Z\u00e1ver<\/strong><\/span><\/p>\n<p>Nelie\u010denie syndr\u00f3mu karp\u00e1lneho tunela m\u00f4\u017ee\u00a0viez\u0165\u00a0a\u017e k chirurgick\u00e9mu z\u00e1kroku. Vznik syndr\u00f3mu\u00a0karp\u00e1lneho tunela sa\u00a0\u010doraz \u010dastej\u0161ie vyskytuje u mlad\u0161\u00edch \u013eud\u00ed z d\u00f4vodu nadmern\u00e9ho pou\u017e\u00edvania mobiln\u00fdch telef\u00f3nov, tabletov a po\u010d\u00edta\u010dov. Je ve\u013emi d\u00f4le\u017eit\u00e9 v\u010das indikova\u0165 v\u00fdskyt tohto ochorenia a \u010do najsk\u00f4r sa zamera\u0165 na jeho odstr\u00e1nenie. V\u010dasn\u00e1 diagnostika a rehabilit\u00e1cia dok\u00e1\u017eu \u0165a\u017ekosti v\u00fdrazne minimalizova\u0165 alebo odstr\u00e1ni\u0165. Fyzioterapeut V\u00e1m uk\u00e1\u017ee spr\u00e1vne cviky na posilnenie a uvo\u013enenie oblasti z\u00e1p\u00e4stia. Taktie\u017e V\u00e1s edukuje o mo\u017enostiach vykon\u00e1va\u0165 be\u017en\u00e9 denn\u00e9 \u010dinnosti tak, aby sa z\u00e1p\u00e4stie nepre\u0165a\u017eovalo. Laserterapia a ultrazvuk\u00a0je \u010fal\u0161\u00edm ve\u013ek\u00fdm pr\u00ednosom pre lie\u010dbu. V\u00fdhodou zariadenia Bonum Salutem je komplexnos\u0165 v poskytovanej lie\u010dbe. V\u010dasn\u00fa diagnostiku a rehabilit\u00e1ciu\u00a0V\u00e1m zabezpe\u010d\u00edme t\u00edmom odborn\u00edkov. V oblasti elektrolie\u010dby disponujeme vysokov\u00fdkonn\u00fdm laserom \u0161tvrtej gener\u00e1cie s v\u00fdkonom a\u017e 15 W (be\u017en\u00fd laser 1W) s mo\u017enos\u0165ou aplik\u00e1cie a\u017e piatimi hlavicami na cel\u00fa oblas\u0165 z\u00e1p\u00e4stia (be\u017en\u00e9 lasery sa m\u00f4\u017eu aplikova\u0165 len bodovo). Taktie\u017e disponujeme ultrazvukom, termoterapiou a v neposlednom rade kineziotapingom. Pri syndr\u00f3me karp\u00e1lneho tunela je rehabilit\u00e1cia d\u00f4le\u017eit\u00e1 v prevenci\u00ed, terapi\u00ed, ako aj v poopera\u010dnej lie\u010dbe.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>Hist\u00f3ria Kompresiu n. medianus\u00a0v z\u00e1p\u00e4st\u00ed ako prv\u00fd pop\u00edsal v roku 1854 sir James Paget. V roku 1854 bola zaznamenan\u00e1 prv\u00e1 s\u00e9ria pacientov s boles\u0165ami a parest\u00e9ziami v distrib\u00faci\u00ed n. medianus Jamesom J. Putnamom. Pierre Marie a Charles Foix ako prv\u00fd hovoria o klinickej jednotke v roku 1933. Sir James Leamonth ako v prv\u00fd v roku&#8230;<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":6,"featured_media":6940,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-6935","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fyzioterapia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Syndr\u00f3m karp\u00e1lneho tunela - BonumSalutem - rehabilit\u00e1cie<\/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.bonumsalutem.sk\/rehabilitacie\/syndrom-karpalneho-tunela\/\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Syndr\u00f3m karp\u00e1lneho tunela - BonumSalutem - rehabilit\u00e1cie\" \/>\n<meta property=\"og:description\" content=\"Hist\u00f3ria Kompresiu n. medianus\u00a0v z\u00e1p\u00e4st\u00ed ako prv\u00fd pop\u00edsal v roku 1854 sir James Paget. V roku 1854 bola zaznamenan\u00e1 prv\u00e1 s\u00e9ria pacientov s boles\u0165ami a parest\u00e9ziami v distrib\u00faci\u00ed n. medianus Jamesom J. Putnamom. Pierre Marie a Charles Foix ako prv\u00fd hovoria o klinickej jednotke v roku 1933. 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