I-plexopathy yeBrachial

I-Brachial plexopathy luhlobo lwe-peripheral neuropathy. Kwenzeka xa kukho umonakalo kwi-plexus ye-brachial. Le yindawo kwicala ngalinye lentamo apho iingcambu zemithambo-luvo ezisuka kwithambo lomqolo zahlulahlulwa zibe luvo lwengalo nganye.

Ukonakala kwezi ziphumo kubangela iintlungu, ukuncipha kokuhamba, okanye ukuncipha kovalo engalweni nasegxalabeni.

Umonakalo kwi-plexus ye-brachial ihlala isenzakala ngqo kwi-nerve, ukolula ukonzakala (kubandakanya ukwenzakala ngokuzalwa), uxinzelelo kwizidumbu kwindawo leyo (ngakumbi amathumba emiphunga), okanye umonakalo obangelwa lonyango lwemitha.

Ukungasebenzi kakuhle kwe-plexus ye-Brachial kunokudityaniswa ne:

• Iziphene zokuzalwa ezibeka uxinzelelo kwindawo yentamo
• Ukuboniswa kwetyhefu, imichiza, okanye iziyobisi
• I-anesthesia ngokubanzi, esetyenziswa ngexesha lotyando
• Iimeko zokudumba, ezinjengezo zibangelwa yintsholongwane okanye ingxaki yenkqubo yomzimba yokuzikhusela

Ngamanye amaxesha, akukho sizathu sinokuchongwa.

Iimpawu zingabandakanya:

• Ubungqina begxalaba, ingalo, okanye isandla
• Intlungu yamagxa
• Ukucofa, ukutshisa, iintlungu, okanye iimvakalelo ezingaqhelekanga (indawo ixhomekeke kwindawo eyenzakeleyo)
• Ubuthathaka begxalaba, ingalo, isandla, okanye isihlahla

Uvavanyo lwengalo, isandla kunye nesihlahla kunokubonisa ingxaki kwimithambo-luvo ye-plexus ye-brachial. Iimpawu zinokubandakanya:

• Ukukhubazeka kwengalo okanye kwesandla
• Kunzima ukuhambisa igxalaba, ingalo, isandla, okanye iminwe
• Ukuncipha kwengqondo yokucinga
• Ukulahla izihlunu
• Ubuthathaka bokuguquguquka kwesandla

Imbali eneenkcukacha inokunceda ukumisela unobangela we-brachial plexopathy. Ubudala kunye nokwabelana ngesondo kubalulekile, kuba ezinye iingxaki ze-brachial plexus zixhaphake kakhulu kumaqela athile. Umzekelo, abafana abancinci bahlala beba nesifo se-plexus esibizwa ngokuba yi-Parsonage-Turner's syndrome.

Uvavanyo olunokwenziwa ukufumanisa le meko lunokubandakanya:

• Uvavanyo lwegazi
• I-x-ray yesifuba
• I-Electromyography (EMG) yokujonga izihlunu kunye neethambo ezilawula izihlunu
• I-MRI yentloko, intamo kunye negxalaba
• Ukuqhutywa kwemithambo ukujonga ukuba ngaba ukhawuleza kangakanani na umqondiso wombane
• I-biopsy yamathambo ukuphonononga isiqwenga semithambo-luvo phantsi kwemicroscope (kunqabile ukuba ifuneka)
• I-Ultrasound

Unyango lujolise ekulungiseni oyena nobangela kunye nokuvumela ukuba usebenzise isandla nengalo kangangoko. Ngamanye amaxesha, akukho nyango lufunekayo kwaye ingxaki iba bhetele iyodwa.

Iinketho zonyango zibandakanya nayiphi na kwezi zilandelayo:

• Amayeza okulawula iintlungu
• Unyango lomzimba ukunceda ukugcina amandla emisipha.
• Iibreyisi, iziqwenga, okanye ezinye izixhobo zokukunceda usebenzise ingalo yakho
• Ibhloko yamathambo, apho kufakwa iyeza kwindawo ekufuphi nemithambo ukunciphisa iintlungu
• Utyando ukulungisa imithambo-luvo okanye ukususa into ecinezela imithambo-luvo

Unyango emsebenzini okanye iingcebiso zokucebisa utshintsho kwindawo yokusebenza kunokufuneka.

Iimeko zonyango ezinje ngesifo seswekile kunye nesifo sezintso zingonakalisa imithambo-luvo. Kule meko, unyango lujolise kwimeko yonyango engaphantsi.

Ukuchacha okuhle kunokwenzeka ukuba unobangela uchongiwe kwaye uphathwe ngokufanelekileyo. Kwezinye iimeko, kukho ukulahleka okupheleleyo okanye okupheleleyo kokuhamba okanye ukuziva. Intlungu yamathambo inokuba nzima kwaye inokuhlala ixesha elide.

Iingxaki zinokubandakanya:

• Ukukhubazeka kwesandla okanye kwengalo, ukuthamba ukuya kubukhali, kunokukhokelela kwizivumelwano
• Inxalenye okanye ingalo epheleleyo yokukhubazeka
• Ukuphulukana okungaphelelanga okanye okupheleleyo kovalo engalweni, esandleni, okanye kwiminwe
• Ukonzakala okwenzeka qho okanye okungabonakaliyo esandleni okanye engalweni ngenxa yokuncipha kwemvakalelo

Fowunela umboneleli wakho wezempilo ukuba uva iintlungu, ukuba ndindisholo, ukurhawuzelela, okanye ubuthathaka egxalabeni, engalweni, okanye esandleni.

Neuropathy - i-plexus ye-brachial; Ukungasebenzi kakuhle kweplexus plexus; Isifo seParsonage-Turner; Isifo sePancoast

• Inkqubo ye-nervous central kunye ne-peripheral system

UChad DA, iLungu lePalamente likaBowley. Ukuphazamiseka kwengcambu kunye neeplexuses. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 106.

Waldman SD. ICervicothoracic bursitis engaphakathi. Ku: Waldman SD, ed. IiAtlas zeSyndromes zeNtlungu eziQhelekileyo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.