Uma uke wavuswa ngenduku noma ukugubungula okuthinta ingalo noma isandla sakho, ungase uzibuze ukuthi kwenzeke kanjani nokuthi kungani kwenzeke Kusho ukuthini ukuthi ingxenye yomzimba 'ilele'? Cabanga ngokuma kwengalo nokuthi ukucindezeleka kwama-radial, ulnar, kanye nezinzwa zomzimba kungase kubangele kanjani ukuphazamiseka, ukucubungula, nobuthakathaka obuthinta umkhawulo ophezulu.
Funda ukuthi ukulala kanjani kungabangela izimo zezokwelapha njengoMgqibelo ebusuku, ukukhubazeka komzimba, ngisho nemisipha ye-carpal syndrome. Okokugcina, hlola ezinye zezokwelapha ezingase zinikeze ukukhululeka.
Kusho ukuthini Ingxenye Yomzimba 'Yokulala'?
Kuyinto evamile ukusho ukuthi ingxenye yomzimba "ilele" lapho izwa inganqamuki-ngokuntuleka kokuzwela-noma izikhonkwane noma izinaliti ukuzwa noma ukukhipha (ngezinye izikhathi kuthiwa i-paresthesia). Kungase kube nobuhlungu noma ukungahambi kahle okuhlobene nalesi sizwa, ikakhulukazi njengoba kulandela ukutakula. Yini ebangela lezi zenzakalo?
Abantu abaningi bakholelwa ngephutha ukuthi lezi zimpawu zenzeka ngenxa yokulahlekelwa kwegazi okwesikhashana kuze kube semkhawulweni, njengokungathi unyawo noma isandla. Eqinisweni, imbangela ingase ibe ngenxa yokucindezela kwenzwa ehlinzeka ingxenye yomzimba. Ngokuvamile, ukunikezwa kwegazi (kufaka phakathi kokubili imishanguzo kanye nemivimbo) kugijima kanye nesibindi esinomthwalo wokudlulisa ulwazi lwezinzwa futhi kusebenze umsebenzi we-muscle.
Kwezinye izimo, ukulimala ekuhlinzekeni kwegazi kungabangela ukukhubazeka, kodwa kuvame ukucindezelwa kwi-nerve ngokwayo enemiphumela enenjongo.
Amagundane angase abe engozini enkulu yokulimala ezimweni ezithile. Lokhu kuphazamiseka kungahle kwenziwe jikelele, okuholela ekusebenziseni ukungasebenzi kwezinzwa eziningi.
Umonakalo wezinzwa kuthiwa yi-neuropathy. Kungenzeka ukuthi i-neuropathy ihlukaniswe nezimbungulu ezimbalwa, noma ngisho nasendlini eyodwa.
Umonakalo ojwayelekile kakhulu wezinzwa zomzimba yi- peripheral neuropathy . Ngokuvamile kuthinta izinzwa zomzimba omude kunabo bonke, lezo eziya ezinyaweni nasemilenzeni ephansi. Kungase kubangelwe yisifo sikashukela, i-hypothyroidism, ukuntuleka kwe-vitamin B12, isifo esingenasifo sezinso, noma ukuvezwa kwezinsimbi ezinzima. Ngokuhamba kwesikhathi, izinzwa zingase zenzeke kancane kancane futhi lokhu kulimala kuvame ukungaqondakali. Ngalo mlando, kungenzeka futhi ukuthi ukulimala kwesibindi esisodwa kungenzeka.
Kukhona nesifo esingajwayelekile esidalwa yi-genetic esingase senze ukulimala kwegazi. Eyaziwa ngokuthi i-neuropathy ye-inherited hereditary neuropathy (i-HNPP), iholela eziqhingini zobuthakathaka nokulahlekelwa kwesimo esivame ukuhambisana nokucindezeleka kwezinzwa ezilodwa. Kuyi-autosomal evelele, okwenza umlando womndeni uvame kakhulu. Abantu abathintekayo babika ubunzima obuningi ngomonakalo wenzalo ophumela emisebenzini yansuku zonke, kuhlanganise nokuvuka ngezimpawu ngaphandle kokulala.
Indlela i-Anatomy eholela ngayo Izimpawu Ezihlukile
Ukuxhumeka kobuchopho kuya emincintiswaneni encane emzimbeni kudlula umzila wendlela eqinisiwe, njengendlela yezintambo ezivela esiteshini samandla kuya esiteshini kagesi.
Ngeshwa, kunezinkinga ezingase ziphazamise noma zibhubhise lezi zixhumanisi. Ngaphesheya kobuchopho-futhi ngisho nentambo yomlomo wesibeletho entanyeni noma i-plexus ye-brachial yezinzwa ezingaphansi kwe-underarm-kunezindawo ezivamile lapho imigqa ingase ihle khona. Ngokuyinhloko, ukunganaki, ukugubha, nokubuthakathaka okuthinta isandla noma ingalo futhi kungabangela ukuba ulale ubusuku busithinte izinzwa ezintathu ezinkulu:
I-Radial Nerve: I-Saturday Night Palsy noma i-Honeymoon Palsy
Ukulimala emndenini we- radial kungenzeka noma kungabangeli ukulahlekelwa kwenzwa noma ukukhipha, kuye ngokuthi ukucindezeleka noma ukuphazanyiswa kwenzeka kuphi. Kungase kube khona ubuthakathaka obuhlukahluka.
Isizathu sokulimala singanquma ukuthi yiluphi uhlobo lomthelela ongalindelwa.
Enye yezinto ezivame ukulimala kuthiwa yi-Saturday night palsy. Kuyenzeka uma kunesisindo somswakama we-radial endaweni yokuvuthwa kwe-humerus (ithambo elisesandleni esingenhla ngaphezu kwesigqoko). Kungase kukhuthazwe ngenxa yokucindezelwa kwesibindi ngokumelene nethambo lapho ingalo ibhekana nokucindezelwa isikhathi eside. Lokhu kungase kwenzeke uma izingalo zidonswe phezu kwesihlalo, njengalapho ubuthongo obunxilisayo, ngakho igama layo lihlotshaniswa nobusuku beviki lapho ukuphuza ngokweqile kungase kwenzeke kakhulu. Kungase kube khona ubuthakathaka obuthakathaka ekunwetsheni kweminwe nangesandla-futhi okungajwayelekile ukuthi i-triceps ihilelekile. Kungase kube nokulahlekelwa kwesifo ngemuva kwesithupha kanye neminwe embalwa yokuqala.
Kungenzeka futhi ukuthi i-neral radial yalimala phezulu. Ngesikhathi sokukhubazeka komzimba, isisindo senhloko yomlingani olele singase sicindezele isisindo eduze kwehlombe. Ngokufanayo, ukusetshenziswa kwamathanga kungabangela ukulimala emantongeni. E-syndrome yangemva kwesimo esingaphansi kwe-interosseous, ubuqotho obunjalo buphawulwe ngomunwe nesandiso sesibindi, kodwa akukho ukulahlekelwa kwesisindo.
U-Ulnar Nerve: I-Tennis noma i-Elbow Golbow, Noma ubani?
Ukuvuvukala noma ukulimala emlonyeni we- ulnar , okuvame ukwenziwa ku-elbow, kuholela ezimweni ezivamile zokusetshenziswa ngokweqile ezifana ne-tennis noma i-golfer's elbow (i-epicondylitis elandelanayo futhi ephakathi) ngokulandelana). Ukucindezela emlonyeni we-ulnar ngesikhathi sokulala kungabangela nokuba nengalo ilele. Ngokuyinhloko, ukuphumula okwesikhashana noma okuvamile kwendwangu eguquguqukayo ebusweni obunzima (njengesidiski noma esihlalweni sobukhosi) kungacindezela inzwa. Ukugcizelela okwenziwe ngendwangu ngesikhathi ubuthongo kungabangela nokuba ne-neuropathy i-ulnar neuropathy.
Uma i-nervous ulnar iphoqelekile noma iseduze ne-elbow, ubuthakathaka bemisipha yangaphakathi esandleni kungaholela ekunciphiseni amandla okubamba. Ukwengeza, ukuphazamiseka nokugubha phezu kweminwe yesine neyesihlanu (iminwe kanye ne-pinky) neminwe ehlangene yesandla (ebizwa ngokuthi ukuphakama kwemvelo) kungaholela. Ukwehluleka kwemisipha emide yemifino yalezi zingane kungase futhi kuthuthuke.
Kungenzeka futhi ukuthi i-nern ulnar iphoqelelwe esihlakaleni. Kulesi simo, ubuthakathaka bubekwe eceleni emisipha yesandla kanye neminye imisipha ayithintekile. Kungenzeka kube nobuhlungu obufanayo noma ukunganaki kwesici se-ulnar sandla.
I-Median Nerve: I-Carpal Tunnel Syndrome
I-Carpal tunnel syndrome yi-neuropathy ejwayelekile kakhulu ethinta inzwa eyodwa. Kuhilela ukulimala emndenini ophakathi nendawo ovezwe ukucindezela njengoba udlula ngaphansi kwe-flexor retinaculum, noma i-carpal ligament eguquguqukayo, umgogodla ongapheli ohlangothini lwesihenqo. Ngaphakathi kwalezi zithandane zamapayipi ezithintekayo ezithinta iminwe, imithwalo yegazi kanye nesisindo somphakathi. Ukuvuvukala noma ukuvuvukala ngaphakathi kwalendlela kungabangela izimpawu ezithinta isandla ebusuku.
Ubuhlungu bobusuku, ukuzwa okuvuthayo, ukucubungula, noma ukuphazamiseka kungase kufinyelele esihlokweni sesigcawu sesithupha, inkomba, neminwe ephakathi. Lokhu kungabonakala ngokuvuswa kokulala. Ubuhlungu bungase bubonakale bukhanya ngaphakathi. Izimpawu zivame ukukhungatheka ngokusetshenziswa ngokweqile kwesandla noma isibindi. Nakuba kungathinta kokubili izandla, ngokuvamile kuvamile esandleni esiphezulu. Ezimweni eziphambili, ubuthakathaka noma ukuchithwa kwe-abductor pollicis brevis muscle okudonsa isithupha ngakwesokunene kungase kuthuthuke.
Ngaphandle kwezinto ezibeka phambili eziphathelene neuropathy ye-peripheral echazwe ngenhla, inzwa yomphakathi ingase ibe nemiphumela engaphezu kokulimala ekukhulelwe, ukukhuluphala, isifo samathambo, i-gout, nezinye izimo. Cishe amaphesenti angu-3.5 omphakathi jikelele we-carpal tunnel syndrome.
Ingabe Kuphephile Ukuzivikela?
Kungakhathaliseki ukuthi i-nerve ihilelekile, ungase uzibuze: Ingabe kuphephile ukuthi ingalo ilale? Ngenhlanhla, uma ingalo yakho ilala ebusuku, izimpawu zizoxazulula ngaphambi kokuba uvule ngokugcwele usuku. Eqinisweni, ukucindezeleka okuphakathi kwezikhathi zomzimba kuvela kaningi ngesikhathi sokulala. Lezi zingase zikhiqize izimpawu zesisindo ezincane noma ngisho nobubuthakathaka esandleni noma ingalo. Iziqephu eziningi zingase zingabonakali njengoba ubuthongo buyaqala. Ukubuyiswa kwenzeka ngokushesha, futhi kungavamile ukuxilongwa kwezokwelapha okudingekayo.
Ukuxilongwa Nokunakekelwa Kokulimala Kwemigodi Eqhubekayo
Uma izimpawu zingapheli emahoreni ekuseni, cabangela izinketho zokuhlola nokwelashwa okwengeziwe. Kungase kudingeke ukuba kubonwe yi-neurologist eyothatha umlando ophelele futhi ahlole ngokuningiliziwe ngokomzimba. Ukucatshangwa kwe-anatomy yentamo, i-plexus ye-brachial, noma amasayithi okuncintisana-okubandakanya ukuhlola kwe- computer (CT) noma i- imagery magnetic resonance (MRI) -ngabonakala kudingekile. Ucwaningo lwegesi lwezinzwa zomzimba lungalungiswa ngokusebenzisa isazi se-neuromuscular, kuhlanganise nezifundo ze-nerve conduction (NCS) kanye ne-electromyograms (EMG) .
Uma kushiywe kungalashwa, i-neuropathy ingabangela umonakalo wesikhathi eside nge-numbness ephikisayo, ukuxubha, nokulahleka kwemisipha noma umsebenzi.
Kubalulekile ukuthi umkhawulo ophezulu uxhaswa kahle ngenkathi ubuthongo. Isigqoko nesigqoko akumele kube nokuguquguquka noma kwandiswe isikhathi eside isikhathi sokulala. Uma kungabangela ukungakhululeki ngenkathi kuphapheme, kuyisimo okufanele sigwenywe cishe ngezikhathi ezinde ngesikhathi sokulala. Esikhathini esiningi, umuntu uzovusa futhi alungise, kodwa utshwala ngokweqile noma amaphilisi okulala angabangela ukukhubazeka okungenakuqhathaniswa.
Ngaphandle kokubaluleka kokuma hlangothi kwesandla, isibindi, nengalo ngenkathi ubuthongo, ukungenelela okwengeziwe kungahle kudingeke. Lezi zindlela zihlanganisa:
- I-Radial Neuropathy: Iningi lokulimala okubangelwa ukucindezela ngokuvamile kuvame ukuqhubeka emavikini ayisithupha kuya kwangu-8. Izinkinga ezikhona ezingathinta i-humerus, ikakhulukazi lezo ezingaziwa ngesikhathi sokudakwa, kufanele zifakwe ngaphandle njengoba ukubikezela kungase kube mpofu.
- I-Ulnar Neuropathy: Ukuphumula nokugwema okubangelwa (okufana ne-elbow flexion ende) kungasiza kakhulu. Ukwelashwa nge-decompression esakhiweni sokumiswa kungaba yinto yokugcina.
- I-Median Neuropathy: Ama- braces noma ama-braints, ama-non-steroidal anti-inflammatory drugs (ibuprofen, naproxen, njll) nomjovo we-corticosteroid wendawo ungasiza. Uma izimpawu ezimbi kakhulu zenzeka, ukulahlekelwa kwesifo noma ukushiswa kwemisipha, umhubhe we-carpal ukukhululwa ngokusebenzisa ukuhlinzwa kunganikeza usizo ngokushesha. Lokhu kungadinga ukubonisana ne-neurosurgeon noma udokotela ohlinzayo wamazinyo.
Izwi elivela
Ngenhlanhla, ukuvuka ngesandla noma ingalo elele ebusuku akusizi ngalutho. Ukucindezela emiphakathini ye-radial, ulnar, noma emaphakathi kungenzeka ngenxa yokuma. Izimpawu zingase zixazululwe masinyane lapho zivusa futhi zingenayo impikiswano ehlala njalo. Uma izimpawu zenzeka njalo noma ziphazamise ukulala, kungase kube yisikhathi sokukhuluma nodokotela. Ukungenelela okulula njenge-brace brace kunganikeza usizo. Kwesinye isikhathi, ukuhlinzwa kungase kube ukwelashwa okukhethayo ukuqinisekisa ukuxazulula nokusebenza okuhle kwale mizwa ebalulekile.
> Imithombo:
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> Misulis, KE. "I-Hemiplegia ne-Monoplegia," kuyi- Neurology ku-Practice Practice . U-Ed. UBradley WG, et al . Butterworth, Heinemann, no-Elsevier. 2008. edition 5. k. 346-347.
> Moore, KL noDalley, AF. "I-Anatomy Eqondiswa Umtholampilo." ULippincott Williams & Wilkins , umagazini we-4, 1999, iphe. 665-830.
> Papanicolaou, GD et al . "Ukusabalalisa kanye nezici zezimpawu zokucindezela izinzwa emphakathini jikelele." J Hand Surg , 2001, vol 26, iphe. 460-466.
> Spinner, RJ et al . "Imvelaphi ka 'ngoMgqibelo ebusuku ukuphazamiseka komzimba'?" I- Neurosurgery , 2002, vol vol 51, iphe. 737-741.