Ukungasebenzi kakuhle kwemithambo-luvo

Ukungasebenzi kakuhle kwemithambo-luvo yingxaki yemithambo-luvo ehamba egxalabeni isiya kwisandla, esibizwa ngokuba yi-ulnar nerve. Inceda ukuhambisa ingalo, isihlahla, kunye nesandla.

Umonakalo kwiqela elinye le-nerve, njenge-nerve ye-ulnar, ibizwa ngokuba yi-mononeuropathy. Mononeuropathy kuthetha ukuba kukho umonakalo kwimbilini enye. Izifo ezichaphazela umzimba uphela (ukuphazamiseka kwenkqubo) nazo zinokubangela ukonakala kwentliziyo.

Izizathu ze-mononeuropathy zibandakanya:

• Ukugula emzimbeni wonke okonakalisa inwebu enye
• Ukulimala ngokuthe ngqo kwi-nerve
• Uxinzelelo lwexesha elide kwi-nerve
• Uxinzelelo kwi-nerve ebangelwa kukudumba okanye ukwenzakala kwezakhiwo zomzimba ezikufutshane

I-Ulnar neuropathy ixhaphake kakhulu kwabo banesifo seswekile.

I-ulnar neuropathy yenzeka xa kukho umonakalo kwi-ulnar nerve. Le luvo luhamba luye ngaphantsi kwengalo luye esihlahleni, esandleni, nakumsesane nakuminwe emincinci. Idlula kufutshane nomphezulu wengqiniba. Ke, ukubetha luvo apho kubangela iintlungu kunye nokutswina "kokubetha ithambo elihlekisayo."

Xa i-nerve icinezelwe engqinibeni, ingxaki ebizwa ngokuba yi-cubital tunnel syndrome inokubangela.

Xa umonakalo utshabalalisa isigqubuthelo semithambo-luvo (i-myelin sheath) okanye inxenye yoluvo, umqondiso we-nerve uyacothiswa okanye uthintelwe.

Ukonakala kwimbilini ye-ulnar kunokubangelwa ngu:

• Uxinzelelo lwexesha elide engqinibeni okanye kwisiseko sesundu
• Ukuqhekeka kwengqiniba okanye ukwahlukana
• Ukuphinda kugobe ingqiniba, njengokutshaya umdiza

Ngamanye amaxesha, akukho sizathu sinokufunyanwa.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Iimvakalelo ezingaqhelekanga kumnwe omncinci kunye nenxalenye yomnwe wendandatho, zihlala zikwicala lesundu
• Ubuthathaka, ukulahleka kokulungelelaniswa kweminwe
• Isiphene esifana neenzipho sesandla kunye nesihlahla
• Ubuhlungu, ukuba ndindisholo, ukuncipha kovalo, ukurhawuzelela, okanye ukutshisa kwimimandla elawulwa yimithambo-luvo

Intlungu okanye ukuphazamiseka kunokukuvusa ebuthongweni. Imisebenzi enjengentenetya okanye igalufa inokwenza imeko ibe mandundu.

Umboneleli wezempilo uya kukuvavanya kwaye akubuze malunga neempawu zakho kunye nembali yezonyango. Unokubuzwa ukuba ubusenza ntoni ngaphambi kokuba kuqale iimpawu.

Iimvavanyo ezinokufuneka zibandakanya:

• Uvavanyo lwegazi
• Ukujonga iimvavanyo, ezinje nge-MRI ukujonga imithambo-luvo kunye nolwakhiwo olukufutshane
• Uvavanyo lokuqhutywa kwemithambo ukukhangela ukuba ngaba iimpawu zemithambo-luvo zihamba ngokukhawuleza kangakanani na
• I-Electromyography (EMG) yokujonga impilo ye-ulnar nerve kunye nezihlunu ezilawulayo
• I-biopsy yamathambo ukuphonononga isiqwenga sezicubu zomzimba (kunqabile ukuba sifuneke)

Injongo yonyango kukuvumela ukuba usebenzise isandla nengalo kangangoko. Umboneleli wakho uya kuyifumana kwaye ayinyange unobangela, ukuba kunokwenzeka. Ngamanye amaxesha, akukho nonyango lufunekayo kwaye uya kuba ngcono ngokwakho.

Ukuba amayeza ayafuneka, anokubandakanya:

• Amayeza angaphaya kwekhawuntareni okanye amiselweyo (njenge-gabapentin kunye ne-pregabalin)
• Inaliti yeCorticosteroid ejikeleze imithambo-luvo ukunciphisa ukudumba kunye noxinzelelo

Umboneleli wakho uya kuphakamisa amanyathelo okuzinyamekela. Oku kunokubandakanya:

• Ukuqhekeka okuxhasayo esihlahleni okanye engqinibeni ukunceda ukuthintela ukwenzakala ngakumbi kunye nokunciphisa iimpawu. Kuya kufuneka uyinxibe imini nobusuku, okanye ebusuku kuphela.
• Iphedi yengqiniba ukuba ulusu lwe-ulnar lulimele engqinibeni. Kwakhona kuphephe ukungqubana okanye ukuncika engqinibeni.
• Ukunyanga ngokwasemzimbeni ukunceda ukugcina amandla emisipha engalweni.

Unyango emsebenzini okanye iingcebiso zokucebisa utshintsho kwindawo yokusebenza kunokufuneka.

Utyando lokukhupha uxinzelelo kwimithambo-luvo lunokunceda ukuba iimpawu ziba mandundu, okanye ukuba kukho ubungqina bokuba inxenye yoluvo iyaphela.

Ukuba unobangela wokungasebenzi kakuhle kwemithambo-luvo unokufunyanwa kwaye uphathwe ngempumelelo, kukho ithuba elihle lokufumana kwakhona ngokupheleleyo. Ngamanye amaxesha, kunokubakho ukulahleka okupheleleyo okanye okupheleleyo kwentshukumo okanye uvakalelo.

Iingxaki zinokubandakanya:

• Ukuqhwalela kwesandla
• Ukuphulukana okungaphelelanga okanye okupheleleyo kovakalelo kwisandla okanye kwiminwe
• Ukuphulukana okungaphelelanga okanye okupheleleyo kwesihlahla okanye intshukumo yezandla
• Ukulimala okuphindaphindiweyo okanye okungabonakaliyo esandleni

Fowunela umnikezeli wakho ukuba wenzakele engalweni kwaye ukhula ube ndindisholo, ukubetha, iintlungu, okanye ubuthathaka phantsi kwengalo yakho kunye nering kunye neminwe emincinci.

Gwema uxinzelelo olude engqinibeni okanye entendeni yesandla. Gwema ukugoba ingqiniba ixesha elide. Isamente, iziqwenga, kunye nezinye izixhobo kufuneka zihlale zivavanywa ukuba zilungile na.

Neuropathy - ulnar luvo; Ukukhubazeka kwemithambo-luvo; Mononeuropathy; ICubital tunnel syndrome

• Umonakalo womzimba we-Ulnar

UCraig A. Neuropathies. Ku: Cifu DX, ed. IBraddom's Physical Medicine kunye noQeqesho. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2021: isahluko 41.

UJobe MT, uMartinez SF. Ukulimala kwemithambo-luvo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 62.

IMackinnon SE, iNovak CB. Uxinzelelo lweeuropathies. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, ii-eds. Utyando lwesandla esisebenzayo sikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 28.