Isifo seToracic outlet syndrome

I-Thoracic outlet syndrome yimeko enqabileyo ebandakanya:

• Ubuhlungu entanyeni nasemagxeni
• Ubudenge nokutswina kweminwe
• Ukubamba buthathaka
• Ukudumba kwelungu elichaphazelekayo
• Ukubanda kwelungu elichaphazelekayo

Indawo yokuphuma ye-thoracic yindawo ephakathi kwe-ribcage kunye ne-collarbone.

Imithambo evela kumqolo kunye nemithambo yegazi enkulu yomzimba idlula kwindawo emxinwa kufutshane negxalaba lakho kunye nethambo lekhola elisendleleni eya ezingalweni. Ngamanye amaxesha, akukho ndawo yaneleyo yokuba imithambo-luvo idlule kwikhola kunye neembambo ezingaphezulu.

Uxinzelelo (ucinezelo) kule mithambo yegazi okanye kwimithambo-luvo kunokubangela iimpawu ezingalweni okanye ezandleni.

Uxinzelelo lunokwenzeka ukuba une:

• Ubambo olongezelelekileyo ngaphezulu kweyokuqala.
• Ibhanti eqinileyo engaqhelekanga edibanisa umqolo kunye neembambo.

Abantu abanesi sifo bahlala belimele le ndawo ngaphambili okanye balisebenzisa gxalaba.

Abantu abaneentamo ezinde kunye namagxa axhomileyo banokubakho ngakumbi ekuphuhliseni le meko ngenxa yoxinzelelo olongezelelekileyo kwimithambo kunye nemithambo yegazi.

Iimpawu ze-thoracic outlet syndrome zingabandakanya:

• Intlungu, ukuba ndindisholo, kunye nokutswina kwiminwe epinki kunye neyomsesane, kunye nengalo yangaphakathi
• Ubuhlungu kunye nokugungqa entanyeni nasemagxeni (ukuphatha into enzima kunokwenza iintlungu zibe mandundu)
• Iimpawu zokuhamba gwenxa kwesandla okanye ngengalo (umbala oluhlaza okwesibhakabhaka, izandla ezibandayo, okanye ingalo edumbileyo)
• Ubuthathaka bemisipha esesandleni

Umboneleli wakho wezempilo uya kukuvavanya kwaye akubuze ngembali yakho yezonyango kunye neempawu.

Olu vavanyo lulandelayo lunokwenziwa ukuqinisekisa ukuxilongwa:

• Umbane we-Electromyography (EMG)
• I-angiogram ye-CT
• IMRI
• Isifundo sokuqhuba kwesantya
• X-reyi

Uvavanyo luyenziwa ukukhupha ezinye iingxaki, ezinje nge-carpal tunnel syndrome okanye i-nerve eyonakeleyo ngenxa yeengxaki ezisentanyeni.

Unyango lomzimba luhlala lusetyenziselwa ukunyanga isifo se-thoracic outlet syndrome. Kuyanceda:

• Yenza izihlunu zakho zamagxa zomelele
• Phucula uluhlu lwakho lokuhamba egxalabeni
• Khuthaza imeko engcono

Umboneleli wakho unokumisela amayeza entlungu.

Ukuba kukho uxinzelelo kwi-vein, umboneleli wakho unokukunika igazi elincinci ukukhusela i-clot yegazi.

Unokufuna utyando ukuba unyango lomzimba kunye notshintsho kwimisebenzi aluziphuculi iimpawu zakho. Ugqirha unokusika nokuba uphantsi kwekhwapha okanye ngaphezulu kwekhola yakho.

Ngexesha lokuhlinzwa, oku kulandelayo kunokwenziwa:

• Kususwa ubambo olongezelelekileyo kwaye kunqunyulwe izihlunu ezithile.
• Icandelo lobambo lokuqala liyasuswa ukukhupha uxinzelelo kuloo ndawo.
• Utyando lwe-Bypass lwenzelwa ukubuyisela igazi kufutshane noxinzelelo okanye kususe indawo ebangela iimpawu.

Ugqirha wakho unokucebisa nangezinye iindlela, kubandakanya i-angioplasty, ukuba umthambo uyancipha.

Utyando lokususa ubambo olongezelelekileyo kunye nokwahlulahlula iifayibha eziqinileyo kunokunciphisa iimpawu kwabanye abantu. Abanye abantu baneempawu ezibuyayo emva kotyando.

Iingxaki zinokwenzeka ngalo naluphi na utyando, kwaye luxhomekeke kuhlobo lwenkqubo kunye neanesthesia.

Iingozi ezinxulumene nolu tyando zibandakanya:

• Ukonakala kwimithambo-luvo okanye kwimithambo yegazi, ebangela ubuthathaka bemisipha
• Ukuwa kwemiphunga
• Ukusilela ukukhulula iimpawu

• I-anatomy ye-Thoracic outlet

I-Filler AG. I-Brachial plexus nerve entrapments kunye ne-thoracic outlet syndromes. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 250.

I-Osgood MJ, iLum YW. I-Thoracic outlet syndrome: i-pathophysiology kunye novavanyo lokuqonda isifo. Ku: Sidawy AN, Perler BA, ii-eds. Rutherford Uqhaqho lweMithambo kunye noNyango lwe-Endovascular. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 120.