{"id":4422,"date":"2017-06-12T00:00:00","date_gmt":"2017-06-11T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=163297079f2f62ff7d3b661328a3b586"},"modified":"2018-08-21T12:17:52","modified_gmt":"2018-08-21T04:17:52","slug":"%e6%89%8b%e6%a9%9f%e6%89%93%e6%a9%9f-%e5%bd%b1%e9%9f%bf%e8%85%95%e7%ae%a1%e5%97%8e%ef%bc%9f","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e6%89%8b%e6%a9%9f%e6%89%93%e6%a9%9f-%e5%bd%b1%e9%9f%bf%e8%85%95%e7%ae%a1%e5%97%8e%ef%bc%9f\/","title":{"rendered":"\u624b\u6a5f\u6253\u6a5f \u5f71\u97ff\u8155\u7ba1\u55ce\uff1f"},"content":{"rendered":"

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【明報專訊】鄭：鄭志文醫生 葉：葉永玉醫生 觀：Facebook Live 觀眾<\/p>\n

觀﹕經常用手機打機，會否導致腕管綜合症？<\/p>\n

葉﹕使用手機打機，視乎什麼動作。如果只是拇指活動較多，容易令拇指勞損。如果需要用到每隻手指，手指的屈肌腱也容易勞損。腕管內的屈肌腱一旦發炎腫脹，正中神經線就會受到卡壓，導致腕管綜合症。<\/p>\n

■平放雙手打字 每15分鐘休息<\/p>\n

觀﹕工作需要經常打字，會否導致腕管綜合症？<\/p>\n

葉﹕手指打字，屬於重複性動作，容易出現勞損。切勿採用手腕、手掌懸空的姿勢打字。打字時，前臂和手腕應該平放、處於自然舒服位置。打字時間不宜過長，每隔15至20分鐘，需要休息1至2分鐘。另外，配合簡單的上肢伸展運動，減低肌肉張力和關節壓力。<\/p>\n

鄭：因為上肢活動是整體性的，其實不單止打字姿勢，我們也要注意使用電腦的事項，包括：環境、光線、工作台的設計、座椅高度等。使用電腦，應當採用自然和放鬆姿勢。即使如此，長時間保持着同一姿勢，也可導致筋肌勞損。因此定時休息和伸展運動，十分重要。<\/p>\n

■肌腱轉移 恢復拇指功能<\/p>\n

觀﹕我的媽媽83歲，雙手確診腕管綜合症。做過物理治療，也戴了手托半年，但效果不太理想。她是否需要手術治療？<\/p>\n

葉﹕病人的麻痺得不到紓緩，十分困擾。除了感到不適，也會影響晚間睡眠。是否需要手術，先要探討病情。例如：活動功能有否受損？有否影響日常生活？<\/p>\n

病人83歲，如果生活上有家人照顧，可以選擇簡單的鬆解手術，改善麻痺。但如果她需要增進手部功能，則要進行肌腱轉移手術。簡單來說，醫生會從病人手部其他位置取出肌腱，取代原來失去功能的大魚際肌，令到拇指功能得以恢復。不過，因為病人年紀大，加上手術比較複雜，她先要經過專科醫生評估是否適合進行全身麻醉。<\/p>\n

■媽媽手、滑鼠手、彈弓指、網球肘點分?<\/p>\n

觀﹕媽媽手、滑鼠手、彈弓指和網球肘，有什麼分別？<\/p>\n

葉﹕它們都是手部因為勞損引致的病症。<\/p>\n

‧拇指腱鞘炎（俗稱媽媽手）：拇指經常需要用力，過度勞損，導致控制拇指的兩條肌腱與外圍的腱鞘發炎疼痛。<\/p>\n

‧扳機指（俗稱彈弓指）：手指腱鞘或滑液囊出現炎症，令到手指的活動不暢順。患者有時需要藉助外力才能把手指伸直，並感到「咔」響聲。<\/p>\n

‧腕管綜合症（俗稱滑鼠手）：腕管內的正中神經線受到擠壓，導致拇指、食指、中指和半邊無名指麻痺；嚴重更會令到拇指力量減弱。<\/p>\n

‧肱骨外上髁炎（俗稱網球肘）：肘部外側骨膜及肌腱因為勞損或受傷引致發炎。當手指、手腕或手臂用力，患者就會感到前臂肌肉疼痛。<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170612\/news\/_12ya105.jpg打機勞損——除了用手機打機，長時間使用電腦，手指在鍵盤上重複動作，容易導致手指屈肌腱勞損，令腕管內屈肌腱發炎。（資料圖片）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":4421,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[138,1163,785,395,13,1318],"class_list":["post-4422","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-138","tag-1163","tag-785","tag-395","tag-13","tag-1318"],"publishpress_future_action":{"enabled":false,"date":"2026-11-15 12:15:51","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/4422"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=4422"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/4422\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/4421"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=4422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=4422"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=4422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}