Izimpawu ziyahlukahluka endaweni yokulimala komzimba
Ubuhlungu be-nerve bomsulwa bungachazwa njengohlobo olwenzeka lapho isundu sakho sigxiliwe ngokumelene nento futhi isandla sakho sibuyele emuva.Ubuhlungu obubukhali, obuvuthayo noma obuvuthayo buvame ukuzwa ngemuva kwesandla, eduze kwesithupha, naphakathi kanye neminwe yenkomba. Ngokuvamile, ubuhlungu buhambisana nokuhluleka ukuqondisa ngokugcwele isandla sakho noma iminwe yakho.
Umswakama we-radial uqobo uhamba kusukela ngemuva kwentamo, phansi phansi ingalo, nasezintweni zomuntu. Endleleni, ixhumana nemisipha nesikhumba ukuqala ukunyakaza nokuthumela imilayezo yezinzwa emuva ebuchosheni. Kuye lapho umonakalo wezinzwa kwenzeka khona, izimpawu zingashintsha kokubili ngokuzwa kanye nokuvinjelwa kokunyakaza.
Ukulimala e-Axilla
Ngokushesha ngemva kokushiya i-plexus ye-brachial (inethiwekhi yezinzwa ezisempandeni yentamo), inzwa yomswakama iyohamba ngaphansi kwesandla esiseduze ne-armpit (axilla). Ukusetshenziswa okungalungile kwamaconsi kuyimbangela evamile yokucindezeleka kwamagciwane okwamanje.
I-radial nerve ibhekene nokulawula imisipha ekhona ngemuva kwengalo. Ngenxa yalokhu, noma yikuphi ukulimala kwesibindi ku-axilla kuyobangela ubuthakathaka bengalo , ikakhulukazi uma uphonsa okuthile. Kungenzeka futhi ukuthi akunakwenzeka ukuguqula isici, okuholela ekutheni "i-wrist drop". Ama-extensors ama-finger angase abe buthakathaka, okwenza kube nzima ukuvula ngokugcwele isandla.
Ngaphandle kokubuthakathaka, abantu abanokulimala kwamagundane emisipha e-axilla bangase bazwe ukugubha nokugwedla kusukela ngemuva kwengalo kuya esandleni, ikakhulukazi eceleni nohlangothi lwesithupha.
Ukulimala ku-Spiral Groove
Ngemva kokushiya i-axilla, inzwa yomswakama ihamba phansi ingalo iphinde igubungele i-humerus (ithambo elikhulu phakathi kwehlombe nesigqoko) esiteshini esibizwa ngokuthi i-spiral groove.
I-nerve ingakwazi ukucindezelwa ngaphakathi kwalesi sifo futhi iphazamise ikhono lomuntu lokuguqula umkhonto futhi uqondise iminwe. Ukulimala okweqile kwalolu hlobo kungase kwenzeke ngenxa yokuphuka kwe-humerus noma isimo esaziwa ngokuthi "ngoMgqibelo ubusuku obunzima" lapho umuntu elele ngombono ekhishwe ngemuva kwesitulo.
Ngesikhathi ukulimala kungabangela ukwehlisa ubuhlungu be-brachioradialis ye-forearm, ukuhlukunyezwa komzimba ngeke kuthinteke. Ngaphezu kwalokho, ubuthakathaka buyobonakala nakakhulu uma isisindo sinyanyiswa kunokuba sithinteke .
Ukulimala emgodleni we-Posterior Interosseous
Ngaphambi nje kokungena emgqeni, isigaba somswakama we-radial sizogxila emgodleni we-posterior interosseous obhekene nokuqondisa noma yini ngaphansi kwesigqoko. Ngokungafani namanye amagatsha omgudu wamagagasi, i-posterior-interosseous nererve ayinayo imitholampilo yezinzwa futhi ilawulwa yi-muscle movement. Ngenxa yalokho, ukulimala kwakuzobonakala kunobuthakathaka obunamahloni kunoma yikuphi ukuzwa okungavamile. Ukungakwazi ukunweba iminwe yakho ngokuvamile kuyisiginali sokutshela.
Okuwukuphela kwezinto eziyinkimbinkimbi yesibindi esilawulwa kakhulu yiqoqo elithile lezinzwa.
Uma isibindi sithinteka, sizobonakala kuphela esesandleni. Uma kunjalo, isandla singadonselwa kakhudlwana kolunye uhlangothi kunesinye uma isibindi sinyanyiswa. I-brachioradialis ne-tricep muscle kuzosindiswa kokubili.
Naphezu kokungazizwa okungavamile, ukulimala emndenini we-posterior interosseous kungaba buhlungu kakhulu, ikakhulukazi uma iminwe inwetshiwe.
I-Radial Neuropathy Yomshoshaphansi
Njengoba inzwa yomswakama idlula i-elbow, izoqhubeka phansi ngemuva kwesandla lapho isebenza khona kuphela umsebenzi wokuzwa. Ngaleso sikhathi, le nerve iyakwazi ukulimala esikhwameni, njengalapho izibopho ziboshiwe noma izinsimbi zigqamile kakhulu.
Isibonelo se-numbness ngokuvamile sibi kakhulu kusukela esihlakalweni kuya emuva kwesithupha. Kungase futhi kuhambisane "nezikhonkwane nezinaliti" inzwa noma ubuhlungu bokudubula phezulu noma phansi kwesandla.
Ukubikezela nokuPhatha
Uma kutholakala ukulimala kwamagciwane emzimbeni, ukwelashwa ngokuvamile kuhilela ukuvinjelwa kokunyakaza ukuze le nerve inesikhathi sokuphulukisa. Lokhu kungabandakanya ubukhazikhazi bekhanda elihambisana nokusetshenziswa kwezidakamizwa ezingezona ukuvuvukala (NSAIDs) ukusiza ukulawula ubuhlungu. Ezimweni ezimbi kakhulu, kungase kunconywe ibhodlela lezinzwa .
Isikhathi sokubuyisela singaqala kusukela emasontweni ambalwa kuya ezinyangeni eziyisithupha. Kulabo ababuhlungu nokukhubazeka okungahambisani nakho, ukuphenywa okuqhubekayo kungadingeka ngendlela yezifundo zokuqhutshwa kwezinzwa noma i- electromyography (EMG) . Ngokusekelwe ekutholeni, ukuhlinzwa kungase kwaziswe.
> Imithombo:
> Arnold, W .; Krishna, V .; Freimer, M. et al. "Ukuchazwa kwesifo se-radiological neuropathy esicindezelayo." I-Muscle Nerve. 2012; 45: 893. I-DOI: 10.1002 / mus.23305.
> Ljungquist, K .; UMartineau, uP .; no-Allan, C. "Ukulimala Kwama-Radial Nerve." J Ukuhlinza Ngesandla. 2015; 40 (1); 166-72. I-DOI: 10.1016 / j.jhsa.2014.05.010.