I-Arm, ihlombe ne-Paeck Pain
I-Thoracic outlet syndrome (i-TOS) yisimiso esibangela izimpawu eziphezulu ezingezansi zobuhlungu, ukuphazamiseka, nokukhwaza (hhayi njalo ndawonye, hhayi izimpawu ezifanayo kuwo wonke umuntu). I-TOS ingaba nzima ukuyihlolisisa, ingavamile, ngakho-ke kungathatha isikhathi eside ukuthola ukuthi yimbangela yezibonakaliso zakho. Iziguli eziningi ezine-TOS zivakashela odokotela abaningi bezobuchwepheshe ezihlukahlukene futhi zinezivivinyo eziningi ngaphambi kokuthi zihlolwe ngokucacile ukuthi zine-TOS.
Izimbangela ze-TOS
I-thoracic outlet syndrome ibhekisela eqenjini lezimo ezibangelwa ukucindezelwa kwemizwa noma imithwalo yegazi endaweni ejikeleze ikoloni. Uhlobo oluvame kakhulu lwe-TOS lwenzeka lapho izinzwa (ikakhulukazi ingxenye ye-plexus ye-brachial) zikhonjiwe phakathi kwe-collarbone nombambo wokuqala. Lolu hlobo lwe-TOS lubizwa nge-neurogenic TOS. Kukhona futhi ukucindezelwa kwemithambo yegazi emikhulu (i-subclavia vein noma i-artery), engavamile kakhulu. Lokhu kubizwa ngokuthi i-TOS ye-vascular.
I-TOS ijwayele ukuvela emva kokulimala okubuhlungu (nakuba izimpawu zingase zingabalwa kuze kube amasonto emva kokulimala) noma ukucindezeleka okuphindaphindiwe. Isikhumba noma isitsha segazi singase siphonswe noma ithambo noma izicubu ezithambile phakathi kwe-clavicle nombambo wokuqala.
Izimpawu ze-TOS
Izimpawu ezijwayelekile ze-TOS zenzeka ezigulini ezisencane, ezisebenzayo, futhi enempilo enye. Nakuba ezinye zezimiso ezididekile nalesi simo zenzeka ezigulini ezincane ezinempilo, ngokuvamile i-TOS ibonakala ingabikho ndawo kwabanye abantu abanempilo.
Izimpawu ezivame kakhulu ze-TOS zihlanganisa:
- Ukulinganisa ingalo
- Ubuhlungu bezintambo, ihlombe neyengalo
- 'Inhlanhla' yengalo
- Izinwele
Uhlobo olungavamile lwezinthambo ze-TOS lungabangela ukuvuvukala kwengalo (i-TOS ene-venous) noma i-paleness nokubekezelelana okubandayo komkhawulo (i-TOS enegazi). Ukuhlolwa okuningi kungenziwa, kodwa imiphumela engavamile yokuhlolwa ingase ingabonakali.
Isinyathelo esibaluleke kakhulu ekuxilongweni ngumlando oqaphile kanye nokuhlolwa ngokomzimba ngudokotela ojwayele lesi simo. Izivivinyo zivame ukufaka phakathi ama-x-ray, i- MRIs , izifundo zokuqhutshwa kwezinzwa , kanye nezifundo zezinthambo. Esinye sezivivinyo eziwusizo kakhulu yizijovo ezikhethiwe ukucacisa indawo yokucindezeleka kwesibindi.
Ukuxilongwa okunzima
Isici esinzima kunayo yonke ye-thoracic outlet syndrome ukuthi kuyinkinga enzima ukuyihlolisisa. Iningi leziguli ezine-TOS ziye zatholakala ukuthi zinezinye izimo, uma zingenjalo, izimo endleleni. Ngokuvamile izivivinyo eziningi zenziwe futhi ukwelashwa kuye kwazama ngaphandle kwempumelelo.
Ezinye zezinkinga ezivame ukuveza izimpawu ezifana ne-TOS zifaka:
- I-Carpal Tunnel Syndrome noma iCubital Tunnel Syndrome
- I-Disni Cervical Disc
- Izinkinga ze-Rotator Cuff
Ezinye iziguli ziye zatshelwa ukuthi zinezifo zengqondo noma i- fibromyalgia . Ezinye iziguli, ezingazange zithole impumuzo ezibuhlungu zengalo noma zehlombe, zingathola lokhu kuxilongwa kodwa kungenaso isimo. Iseluleko sami esingcono ukuthola udokotela oqonda lesi simo futhi uzimisele ukusebenza nabo njengoba kungavamile ukuthi ukuphathwa kwe-TOS kuyashesha futhi kulula.
Izincomo Zezokwelapha
Iziguli eziningi zingathola usizo ngokuphathwa okungelashwa.
Izinyathelo ezivamile zibandakanya ukuphumula (ikakhulukazi emva kwe-TOS eyenziwe ngengozi), ukugwema imisebenzi ethize ebonakalayo ebangela izimpawu, kanye nokwelapha ngokomzimba. Ama-injection emisipha ejikeleze i-clavicle inganciphisa izimpawu uma imisipha iyimbangela ye-TOS.
Ngokuvamile ukwelashwa kuvunyelwe labo abanezimpawu eziphikisanayo, noma ezimweni ze-TOS ezinesisindo okungaba ngaphezulu kwesimo esiphuthumayo. Ngenhlanhla, iziguli eziningi zingathola usizo ngaphandle kokuthatha leso sinyathelo!
Imithombo:
Kuhn JE, et al. "Thoracic Outlet Syndrome" J Am Acad Orthop Surg April 2015 vol. 23 cha. 4 222-232. www.jaaos.org/content/23/4/222.abstract