Ukungasebenzi kakuhle kwemithambo-luvo

Ukungasebenzi kakuhle kwemithambo-luvo yingxaki yemithambo-luvo ye-radial. Le yimithambo-luvo ehamba ukusuka ekhwapheni ukuhla ngomva wengalo uye kwisandla. Inceda ukuhambisa ingalo, isihlahla, kunye nesandla.

Umonakalo kwiqela elinye le-nerve, njenge-nerial radial, 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-radial neuropathy yenzeka xa kukho umonakalo kwi-radial nerve, ehamba phantsi kwengalo kunye nolawulo:

• Ukuhamba kwemisipha ye-triceps ngasemva kwengalo ephezulu
• Amandla okugoba isihlahla neminwe ngasemva
• Ukuhamba kunye nokuziva kwesihlahla kunye nesandla

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

Ukonakaliswa kwimbilini ye-radial kunokubangelwa ngu:

• Ithambo lengalo elaphukileyo kunye nokunye ukwenzakala
• Seswekile
• Ukusetyenziswa gwenxa kweentonga
• Ityhefu yelothe
• Ixesha elide okanye ukuphindaphindeka kwesihlakala (umzekelo, ukunxiba umtya wokubukela oqinileyo)
• Uxinzelelo lwexesha elide kwi-nerve, ihlala ibangelwa kukudumba okanye ukwenzakala kwezakhiwo zomzimba ezikufuphi
• Uxinzelelo kwingalo ephezulu ukusuka kwindawo yengalo ngexesha lokulala okanye ikhoma

Ngamanye amaxesha, akukho sizathu sinokufunyanwa.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Iimvakalelo ezingaqhelekanga ngasemva kunye nasesithupheni sesandla, okanye kubhontsi, 2nd, kunye neminwe yesithathu
• Ubuthathaka, ukulahleka kokulungelelaniswa kweminwe
• Ingxaki yolula ingalo engqinibeni
• Ingxaki yokugoba isandla emva kwesihlahla, okanye ukubamba isandla
• Ubuhlungu, ukuba ndindisholo, ukuncipha kovalo, ukurhawuzelela, okanye ukutshisa kwimimandla elawulwa yimithambo-luvo

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 ukujonga imithambo-luvo kunye nolwakhiwo olukufuphi
• I-Electromyography (EMG) yokujonga impilo ye-radial nerve kunye nezihlunu ezilawulayo
• I-biopsy yamathambo ukuphonononga isiqwenga sezicubu zomzimba (kunqabile ukuba sifuneke)
• Uvavanyo lokuqhutywa kwemithambo ukukhangela ukuba ngaba iimpawu zemithambo-luvo zihamba ngokukhawuleza kangakanani na

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 eentlungu angaphaya kwekhawuntareni okanye amayeza
• 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 ye-radial nerve yenzakele 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 unyangwe ngempumelelo, kukho ithuba elihle lokuba uya kuphila ngokupheleleyo. Ngamanye amaxesha, kunokubakho ukulahleka okupheleleyo okanye okupheleleyo kwentshukumo okanye uvakalelo.

Iingxaki zinokubandakanya:

• Ubunzima bokukhubazeka kwesandla
• Ukuphulukana ngokungaphelelanga okanye ngokupheleleyo kwimvakalelo esandleni
• 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 ezantsi komva wengalo nakubhontsi kunye neminwe yakho yokuqala emi-2.

Gwema uxinzelelo olude kwingalo ephezulu.

Neuropathy - luvo ebusisazinge; Ukukhubazeka kwemithambo-luvo; Mononeuropathy

• Ukungasebenzi kakuhle kwemithambo-luvo

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Katirji B.Ukuphazamiseka kwemithambo yoluvo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 107.

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.