Ukungasebenzi kakuhle kwemithambo-luvo

Ukungasebenzi kakuhle kwemithambo-luvo ngumonakalo wemithambo ekhokelela ekuphulukaneni nentshukumo okanye imvakalelo egxalabeni.

Ukungasebenzi kakuhle kwemithambo-luvo yindlela ye-peripheral neuropathy. Kwenzeka xa kukho umonakalo kwi-axillary nerve. Le yimithambo-luvo enceda ukulawula izihlunu ze-deltoid zamagxa kunye nolusu olujikelezileyo. Ingxaki yoluvo olunye, njenge-axillary nerve, ibizwa ngokuba yi-mononeuropathy.

Izizathu eziqhelekileyo zezi:

• Ukulimala ngqo
• Uxinzelelo lwexesha elide kwi-nerve
• Uxinzelelo kwi-nerve evela kwizakhiwo zomzimba ezikufutshane
• Ukulimala kwamagxa

Ukuvalelwa kudala uxinzelelo kwi-nerve apho idlula khona kwisakhiwo esincinci.

Umonakalo unokutshabalalisa i-myelin sheath egubungela i-nerve okanye inxalenye yeseli ye-nerve (i-axon). Ukonakala kwalo naluphi na uhlobo kunciphisa okanye kuthintele ukuhamba kwemiqondiso kwi-nerve.

Imiqathango enokubangela ukungasebenzi kakuhle kwemithambo-luvo ibandakanya:

• Ukuphazamiseka komzimba (ngokubanzi) okubangela ukudumba kwemithambo-luvo
• Usulelo olunzulu
• Ukophuka kwethambo lengalo ephezulu (ihumerus)
• Uxinzelelo olusuka kwi-cast okanye kwi-splints
• Ukusetyenziswa gwenxa kweentonga
• Ukuhlulwa kwamagxa

Ngamanye amaxesha, akukho sizathu sinokufunyanwa.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ubungqindilili ngaphezulu kwenxalenye yegxalaba elingaphandle
• Ubuthathaka begxalaba, ngakumbi xa uphakamisa ingalo kude nomzimba

Umboneleli wakho wezempilo uya kuvavanya intamo yakho, ingalo kunye negxalaba. Ubuthathaka begxalaba bunokubangela ubunzima ekuhambiseni ingalo yakho.

Imisipha ye-deltoid yegxalaba inokubonisa iimpawu ze-muscle atrophy (ukulahleka kwezihlunu zemisipha).

Uvavanyo olunokusetyenziselwa ukujonga ukungasebenzi kakuhle kwemithambo-luvo kubandakanya:

• I-EMG kunye novavanyo lokuqhutywa kwemithambo-luvo, iya kuba yinto elungileyo kanye emva kokonzakala kwaye kufuneka yenziwe kwiiveki ezininzi emva kokonzakala okanye iimpawu zokuqala
• I-MRI okanye i-x-ray yegxalaba

Kuxhomekeka kwisizathu sokuphazamiseka kwemithambo-luvo, abanye abantu abaludingi unyango. Ingxaki iba ngcono ngokwayo. Izinga lokuchacha linokwahluka kuye wonke umntu. Kungathatha iinyanga ezininzi ukubuyela kwimeko yesiqhelo.

Amayeza alwa nokudumba anokunikwa ukuba unayo kwezi zinto zilandelayo:

• Iimpawu ngesiquphe
• Utshintsho oluncinci kwimvakalelo okanye intshukumo
• Akukho mbali yokwenzakala kule ndawo
• Akukho zimpawu zomonakalo wemithambo-luvo

La mayeza anciphisa ukudumba kunye noxinzelelo kwimithambo-luvo. Banokujova ngqo kuloo ndawo okanye bathathwe ngomlomo.

Amanye amayeza aquka:

• Amayeza eentlungu angaphaya kwamayeza anokunceda kwintlungu ethambileyo (neuralgia).
• Amayeza okunceda ukunciphisa iintlungu zokuhlaba.
• Ukunciphisa iintlungu kungafuneka ukulawula iintlungu.

Ukuba iimpawu zakho ziyaqhubeka okanye ziba zibi, unokufuna utyando. Ukuba imithambo-luvo ebanjiweyo ibangela iimpawu zakho, utyando lokukhupha imithambo-luvo kunokukunceda uzive ungcono.

Unyango lomzimba lunokunceda ukugcina amandla emisipha. Utshintsho lomsebenzi, ukuphinda uqeqeshe izihlunu, okanye ezinye iindlela zonyango kunokucetyiswa.

Kunokubakho ukubuyisela kwimeko yesiqhelo ngokupheleleyo ukuba unobangela we-axillary nerve dysfunction unokuchongwa kwaye uphathwe ngempumelelo.

Iingxaki zinokubandakanya:

• Ukukhubazeka kwengalo, ikhontrakthi yamagxa, okanye igxalaba elinqabileyo
• Ukuphulukana nenxalenye yovakalelo engalweni (engaqhelekanga)
• Ukukhubazeka kwamagxa athile
• Ukuphindaphinda ukwenzakala engalweni

Tsalela umnxeba kwindibano kunye nomboneleli wakho ukuba uneempawu zokungasebenzi kakuhle kwemithambo-luvo. Ukuchongwa kwangoko kunye nonyango kunyusa ithuba lokulawula iimpawu.

Amanyathelo othintelo ayahluka, kuxhomekeka kwisizathu. Kulumkele ukubeka uxinzelelo kwindawo engaphantsi kwekhwapha ixesha elide. Qiniseka ukuba isamente, iziqwenga, kunye nezinye izixhobo zilunge ngokufanelekileyo. Xa usebenzisa iintonga, funda indlela yokuthintela ukubeka uxinzelelo ekhwapheni.

I-Neuropathy - i-axillary nerve

• I-axillary eyonakeleyo

I-Steinmann SP, i-Elhassan BT. Iingxaki zemithambo-luvo ezinxulumene namagxa. Ku: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, ii-eds. I-Rockwood kunye neMatsen Igxalaba. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 18.

UTaylor KF. Ukuvaleka kwamathambo. Ku: Miller MD, Thompson SR, ii-eds. UDeLee kunye noDrez's Amayeza oNyango lweMidlalo: Imigaqo kunye nokuziqhelanisa. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 58.