I-Thoracic Outlet Syndrome: Iimpawu kunye nonyango

Umxholo

• Iimpawu zeTracic Outlet Syndrome
• Unyango lwe-Thoracic Outlet Syndrome
• Ukuzivocavoca ngeToracic Outlet Syndrome

I-Thoracic Outlet Syndrome yenzeka xa imithambo-luvo okanye imithambo yegazi ephakathi kwe-clavicle kunye nembambo yokuqala icinezelwe, ibangela iintlungu egxalabeni okanye ukubetha ezingalweni nasezandleni, umzekelo.

Ngokwesiqhelo, le syndrome ixhaphake kakhulu kwabasetyhini, ngakumbi abo bathe bafumana ingozi yemoto okanye ukwenzakala okuphindaphindayo esifubeni, kodwa inokubakhula nakwabasetyhini abakhulelweyo, ukunciphisa okanye ukunyamalala emva kokubeleka.

I-Thoracic outlet syndrome iyanyangeka ngotyando, nangona kunjalo, lukhona olunye unyango olunceda ukulawula iimpawu, ezinje ngonyango lomzimba kunye neendlela zokunciphisa uxinzelelo lwesiza.

Iimpawu zeTracic Outlet Syndrome

Iimpawu zesi sifo kunokuba:

• Ubuhlungu engalweni, egxalabeni nasentanyeni;
• Ukulinganisa okanye ukutshisa ingalo, isandla kunye neminwe;
• Kunzima ukuhambisa iingalo, ngenxa yobuthathaka kunye nelahleko yobunzima bemisipha;
• Ngenxa yokuhamba gwenxa kwegazi, iimpawu ezinje ngezandla ezimfusa okanye ezimfusa kunye neminwe zinokubonakala, ukudinwa, ukutshintsha ubuntununtunu, ukwehla kweqondo lobushushu kuloo ndawo;
• Ubuhlungu kwicala lentloko nentamo, ummandla we-rhomboid kunye ne-suprascapular muscle, i-lateral yengalo nangaphezulu kwesandla, phakathi kwe-index kunye nesithupha, xa kukho ukunyanzeliswa kwe-C5, C6 kunye ne-C7;
• Ubuhlungu kwingingqi engabonakaliyo, intamo, inxalenye yengalo, phakathi kwendandatho kunye neminwe epinki, xa kukho ukunyanzeliswa kweC8 kunye ne-T1;
• Xa kukho ubambo lomlomo wesibeleko, kusenokubakho iintlungu kwingingqi ye-supraclavicular eye ibenzima xa uvula ingalo okanye ubambe izinto ezinzima;
• Xa kukho uxinzelelo lwemithambo, iimpawu ezinje ngobunzima, iintlungu, ukwanda kobushushu besikhumba, ukuba bomvu kunye nokudumba kunokubonakala, ngakumbi egxalabeni.
  isigcina-sifuba

Xa unikezela ezi mpawu, kubalulekile ukuba uqhagamshelane nogqirha wamathambo okanye ugqirha wezamayeza ukwenza uxilongo oluchanekileyo kunye novavanyo lokuxhokonxwa kweempawu.Izikhundla ezi-2 zomqolo womlomo wesibeleko, isifuba kunye nesiqu, kunokuba luncedo ukujonga ukubambeka kommandla.

Uvavanyo lokuxhokonxwa kweempawu kunokuba:

• Uvavanyo luka-Adson:Umntu kufuneka athathe umoya ophefumlayo, ajike umva wentamo ajike ubuso kwicala elihlolweyo. Ukuba ukubetha kwentliziyo kuyehla okanye kuyanyamalala, umqondiso ulungile.
• Uvavanyo lwemizuzu emi-3: vula iingalo ujikelezo lwangaphandle nge-90 degree flexion yengqiniba. Isigulana kufuneka sivule kwaye sivale izandla imizuzu emithathu. Ukuzaliswa kwakhona kweempawu, ukuba ndindisholo, iparaesthesia kunye nokungakwazi ukuqhubeka novavanyo ziimpendulo ezilungileyo. Abantu abaqhelekileyo banokufumana ukudinwa kwamalungu, kodwa kunqabile ukuba kubekho i-paresthesia okanye iintlungu.

Olunye uvavanyo olunokuthi lu-odolwe ngugqirha lubandakanya ikhompyuter ye-tomography, imaging resonance imaging, i-myelography, imaging resonance imaging kunye ne-Doppler ultrasound enokuyalelwa xa kukrokrelwa ezinye izifo.

Unyango lwe-Thoracic Outlet Syndrome

Unyango kufuneka lukhokelwe ngugqirha wamathambo kwaye luhlala luqala ngokuthatha i-anti-inflammatories, ezinje nge-Ibuprofen kunye ne-Diclofenac, okanye iintlungu, njengeParacetamol, ukunciphisa iimpawu ngamaxesha obunzima. Ukongeza, kuyacetyiswa ukuba wenze unyango lomzimba ukomeleza izihlunu kunye nokunyusa ukuma, kuthintela ukuqala kwezi mpawu.

Ukusetyenziswa koxinizelelo olufudumeleyo kunye nokuphumla kunokuba luncedo ekunciphiseni ukungonwabi, kodwa ukongeza, ukuba utyebile kakhulu kufuneka unciphise umzimba, kuthintele ukuphakamisa iingalo zakho ngaphezulu komgca wamagxa, uphethe izinto ezinzima kunye neengxowa emagxeni akho. Ukuhlanganiswa kwe-Neural kunye ne-pompage ziindlela zobuchule ezinokwenziwa ngumzimba we-physiotherapist, kunye nokuzolula ukuzilolonga kubonisiwe.

Ukuzivocavoca ngeToracic Outlet Syndrome

Ukuzilolonga kunceda ekunciphiseni imithambo yegazi kunye nemithambo yegazi kufutshane nentamo, ukuphucula ukuhamba kwegazi kunye nokunciphisa iimpawu. Kuyacetyiswa ukuba ubonane ne-physiotherapist ngaphambi kokwenza umthambo, uzilungelelanise kwimeko nganye.

Ukuzivocavoca 1

Yijike intamo yakho kwicala kangangoko kunokwenzeka kwaye uhlale kwesi sikhundla imizuzwana engama-30. Emva koko yenza umthambo ofanayo kwelinye icala kwaye uphinde amaxesha ama-3.

Ukuzivocavoca 2

Sukuma, beka isifuba sakho emva koko tsala iingqiniba zakho umva kangangoko kunokwenzeka. Hlala kule ndawo imizuzwana engama-30 uphinde uphinde usebenzise imithambo amaxesha ama-3.

Kwiimeko ezinzima kakhulu, apho iimpawu zingapheli kunye nokusetyenziswa kweziyobisi okanye unyango lomzimba, ugqirha unokucebisa utyando lwe-vascular ukudibanisa iinqanawa ezichaphazelekayo kunye neentsholongwane. Xa utyando, ungawasika umsipha we-scalene, ususe ubambo lomlomo wesibeleko, ususe izakhiwo ezinokuthi zixinzelele kwimithambo-luvo okanye umthambo wegazi, nonoxanduva lweempawu.