保健 - 第97期 - page 82

82
專科診症室
ᚥ͗؇৫ɻܸ̈dषઋჀe௦೨
ගქ೯ЪeೌЄൂʿ༶ਗღᖟe
ष೻೵ί3 ࡈ ˜lzᏐආБڭ ς ط
ᐕdආБ ٲ௅ЄЂٙᒦ๪dν͂
ϻˣଢeͰͱଢeɪ ٮ᜗዁ഃi
؂ B ૄၪ͛९ʿආБੰూطᐕf
षઋࠠëତЄൂeᅂᚤ˓௅̌
ঐd຾ ڭ ς ط ᐕ 3 ࡈ ˜ೌࣖ٫Ꮠ
Ͻᅇ˓ஔ طᐕdܼ̍ʲৰ৶׌ʿ
ழଡ଼ᔌ॰੭d̀ ࠅ̙ࣛЪ̌ঐࠠ
ܔ ஔf
୕ ࠇ ༟ࣘᜑͪd঍࿊̈ɹၝΥस
ٙ˓ஔᎴԄଟމߒ70% 80% dᒱ
್ഒɽεᅰઃ٫ஔܝ ϞʔΝ೻ܓ
ٙसًҷഛdШߒ 40%ٙઃ٫ஔ
ܝ ᒔცࠅ ʔΝ೻ܓήਂɓԬႾп
ط ᐕdνଣᐕe҅௅܆ௐഃfஔ
ܝ ఻˷ӊࡈઃ٫ேͭуชՑઃٮ
ჀᕦബቇdЄɢᄣɽdชᙂᜳઽdШ 3 4 ˂ܝ सًɦ
ࠠอ̈ତdޟ Ї༰ஔމۃ ࠠdϾ3 4 մ ܝ सًɦ஼န
ऊ̰f˓ஔࣛዚᏐ፯኿ίઃ٫सً௰ މ ᘌࠠe௰ᗭ
˸ҜաٙࣛಂdϤࣛ˓ஔࣖ௰؈λf
自我保健預防發病
ཫԣ঍࿊̈ɹၝΥसdІҢ ڭ ਄݊༰ މ Ϟࣖٙ˙
ج f̻ࣛᏐቮϓԄλٙѬැdʔሞʈЪ ;אࢹdே
Ꮠ༈ء จ˓ձ˓ഡٙ۶ැd ࠅ းඎڭ ܵ˓ഡФٜd
The Killer of Computer Users: Thoracic Outlet Syndrome
Thoracic outlet syndrome is common among frequent computer users. As the thoracic outlet has the collarbone above and the
first rib below, when the nerves and vessels go out towards the upper limb, compression may occur here. As female subjects
may lack shoulder muscle exercises, the upper limb may droop down, causing the collarbone linked to the upper limb to
come closer to the first rib which does not droop together with the upper limb: the gap now narrows: compression occurs.
When the median nerve is compressed, the first 3 fingers are numb; when the ulnar nerve is compressed, the last 2 fingers are
numb; when all fingers are numb, both nerves are compressed. For mild cases, conservative means, e.g., physical exercises,
badminton, ping pong, etc., suffice. For those not improving after conservative treatment for 3 months, operation may be
considered. Ensure correct postures; avoid twisting of the wrist; adjust table & chair heights appropriately; sit upright; stand up
every 0.5-1 hour to exercise. Above all, have regular shoulder exercises, e.g., play badminton or ping pong for half an hour a
day!
ʔࠅ ᛃϜdШɰʔࠅཀ ܓФ࢝f
ʔԄ۶ැٙҷഛ̙ԴЃᕁගქᓒ
ɽʿᑑᓉग़຾ᕦύf
ᔖุɛ໊Ꮠးඎਗ਼ʈЪᐑྤพ੻
ബቇԬdԴɪٮᗫືʔࠅཀʱ͜
ɢiͿࣩʈЪɛࡰᏐҪಉɿሜ዆
Ց௰ബቇٙ৷ܓdѬɨࣛᕐ໔͍
λঐ̻׳ίήࠦf
ᚥ͗؇৫ɻ౤፴Ⴍd௰ᗫᒟٙ݊
ͣჯɾ׌Ꮠ ڭ ܵ ٲ ᗫືٙ ݺ ਗ
ඎdӊ˂͂̒ʃࣛٙϻˣଢאͰ
ͱଢഃ݊௰λٙཫԣણ݄fӊ˂
ɽ௅ʱࣛග˸ཥ໘މМٙᔖุɛ
໊dɓ֛ࠅછՓӊ˂Դཽ͜ᅺٙ
ࣛගdء จһ౬ʔΝٙ˓۶dᏐ
ᜫፃ࿇ஈ׵ൖᇞ˥̻א ೹Эd˖
΁Ꮠ׳ί˖΁Ѱɪd̀ࠅ̙ࣛ͜
˓ഡϖ ݖ f᎘௅ʔ ۃࠅහdɪԒٜ࣎dʔࠅ Э᎘f
ӊཞ 0.5 1 ʃࣛdᏐ༈१ৎԸ;ࢹɓɨd͝͝˓eܲ
ᅙձФ˓ܸdਂɓਂ౥ࣃձ׳ᕦਗЪdԴ˓௅ٙ΢
ᗫືேঐ੻Ց׳ᕦf
ɓ͇̈ତə˓௦e˓೨ഃ঍࿊̈ɹၝΥसٙϞᗫस
ًdɓ֛ ࠅ Ҭ˓̮߅ਖ਼߅ᔼ͛ൢط d˸е঄Ⴌष
ઋdிϓᘌࠠ؈ܝf