Yintoni i-luvo ye-ulnar, apho ikhoyo kunye notshintsho olunokwenzeka

Umxholo

• Iphi imithambo-luvo
• Utshintsho olunokwenzeka
• 1. Ukwenzakala
• 2. Ukucinezelwa
• 3. Ukukhubazeka

I-nerve ye-ulnar isuka kwi-plexus ye-brachial, iseti yeemithambo egxalabeni, idlula emathanjeni engqiniba kwaye ifikelela kwinxalenye engaphakathi yesundu. Inye yemithambo-luvo yengalo kunye nomsebenzi wayo kukuthumela imiyalelo yokuhamba kwengalo, isihlahla kunye neminwe yokugqibela yesandla, enje ngeringi kunye nepinki.

Ngokungafaniyo ne-nerves eninzi, i-ulnar nerve ayikhuselwanga siso nasiphi na isihlunu okanye ithambo kwingingqi yengqiniba, ke xa isitrayikhi senzeka kulo mmandla kunokwenzeka ukuba uve ukuziva kothukile kunye nokugungqa eminwe.

Ngesi sizathu, ukwenzakala kunye nokukhubazeka kunokubakho kwi-ulnar nerve ngenxa yomothuko okanye ngenxa yokuba ingqiniba igobile kakhulu. Kukho imeko eqhelekileyo, ebizwa ngokuba yi-cubital tunnel syndrome, eyenzeka ngenxa yoxinzelelo kule nerve kwaye inokuba mandundu kubantu abanezinye izifo, ezinjengesifo samathambo. Fumana ngakumbi ukuba yintoni isifo samathambo kwaye zithini iimpawu.

Iphi imithambo-luvo

I-ulnar nerve ibaleka kuyo yonke ingalo, iqala kummandla wamagxa obizwa ngokuba yi-brachial plexus, edlula kwitonela le-cubital, eyinxalenye engaphakathi yengqiniba, kwaye ifikelela kwiingcebiso zomnwe opinki kunye nemisesane.

Kwingingqi yengqiniba, i-ulnar nerve ayinakukhuseleka kwiimisipha okanye emathanjeni, ke xa kunkqonkqozwa kule ndawo kunokwenzeka ukuba uve ukothuka kulo lonke ubude bengalo.

Utshintsho olunokwenzeka

Njengalo naliphi na ilungu lomzimba, i-ulnar nerve inokutshintsha ngenxa yomothuko okanye iimeko zempilo, ezibangela iintlungu kunye nobunzima ekuhambiseni ingalo nezandla. Olunye lolu tshintsho lunokuba:

1. Ukwenzakala

I-ulnar nerve inokwenzakala naphina ekunwenweni kwayo, ngenxa yomothuko engqinibeni okanye esihlahleni, kwaye oku kwenzakala kunokubakho ngenxa ye-fibrosis, kulapho luvo luqina ngakumbi. Iimpawu zokulimala kwi-ulnar nerve ziintlungu eziqatha, ubunzima bokuhambisa ingalo, iintlungu xa uguqula ingqiniba okanye isihlahla kunye "nozipho lwesandla", kulapho iminwe yokugqibela ihlala igobile.

Ukulimala kwe-lignal collament ligament luhlobo lwenyembezi olunokuthi lwenzeke xa umntu esiwa kwaye ephumle kubhontsi okanye ewile xa ephethe into, njengabakhenkethi abawela ngentonga esandleni sabo.

Kwenziwe ntoni: kamsinya nje zakuvela iimpawu kubalulekile ukuba ubonane nogqirha wamathambo ukubonisa olona nyango lufanelekileyo olunokusekwa ekusebenziseni iziyobisi ezichasayo, iicorticosteroids kwaye, kwiimeko ezinzima kakhulu, utyando.

2. Ukucinezelwa

Ukuxinana kwemithambo-luvo, edla ngokwenzeka kwingqiniba yengqiniba, ibizwa ngokuba yi-cubital tunnel syndrome, enokubangelwa kukuqokelelwa kolwelo, uxinzelelo lwe-luvo ixesha elide, i-spurs, i-arthritis okanye i-cysts emathanjeni engqiniba. Esi sifo ikakhulu sibangela iimpawu ezihlala zihleli, ezinjengengqaqambo engalweni, ukuba ndindisholo kunye nokutswina ezandleni nasemnweni.

Kwezinye iimeko ezihambele phambili, i-cubital tunnel syndrome ibangela ubuthathaka engalweni kunye nobunzima bokubamba izinto. Xa kuvela iimpawu, kufuneka ufune uncedo kugqirha wamazinyo, onokuyalela ii-X-reyi, ii-MRIs kunye novavanyo lwegazi.

Kwenziwe ntoni: emva kokuba kufunyenwe isifo se-tunital syndrome, ugqirha unokucebisa iziyobisi ezichasayo, ezinje nge-ibuprofen, ukunceda ukunciphisa ukudumba okujikeleze imithambo-luvo kunye nokuphelisa iintlungu.

Ukusetyenziswa kwamathambo okanye iziqwenga kungabonakaliswa ukunceda ekuhambeni kwengalo, kwaye kwimeko yokugqibela, ugqirha ubhekisa kuqhaqho ukunciphisa uxinzelelo kwi-ulnar nerve.

3. Ukukhubazeka

I-Ulnar neuropathy, yenzeka ngenxa yokukhubazeka kunye nokulahleka kwemisipha ye-ulnar nerve kwaye ikhokele umntu ukuba aphulukane nobuntununtunu kunye namandla engalweni okanye esihlahleni. Le meko yenzeka ngenxa yenkqubo yokuvuvukala eyonakalisa imithambo-luvo kwaye ibangele ubunzima ekuhambeni okanye i-atrophy engqinibeni, ingalo neminwe.

Ukongeza, i-ulnar neuropathy inokwenza kube nzima ukuba abantu benze imisebenzi yesiqhelo ngezandla zabo, ezinje ngokubamba ifolokhwe okanye ipensile, kwaye kunokubangela ukurhawuzelela. Bona ngakumbi malunga nezinye izinto ezibangela ukurhawuzelela ezandleni.

Kuyimfuneko ukuba udibane nogqirha wamazinyo ukuze kuvavanywe ubuntununtunu kunye nolunye uvavanyo lwe-imaging njenge-X-ray, ikhompyuter ye-tomography kunye novavanyo lwegazi olwenziwa ukuhlalutya amanqaku athile okudumba emzimbeni.

Kwenziwe ntoni: ugqirha unokuyalela amayeza ukunciphisa i-spasms ebangelwa luxinzelelo lwe-nerve, njenge-gabapentin, i-carbamazepine okanye i-phenytoin. I-Corticosteroids kunye ne-anti-inflammatories nazo zingabonakaliswa ukunciphisa intlungu yesifo kunye nokuvuvukala. Ukuba, kunyango lonyango, iimpawu aziphucuki, ugqirha angabonisa utyando.

Unyango nge-physiotherapy lubalulekile ekuvuseleleni iintshukumo kunye nokuphuculwa kweempawu ezinje ngokutswina, ukutshisa kunye nentlungu, kwaye ugqirha we-physiotherapist unokucebisa ukuba kwenziwe imithambo ekhaya.