Ngaba uyalwazi olu luvo lubalulekileyo egxalabeni lakho? (I-Axillary Nerve) - Masithethe ngokweenkcukacha!

Ngaba wakha wacinga ngezinto ezibaluleke kakhulu emagxeni ethu? Ukuphakamisa iingalo zethu, ukujija imizimba yethu, ukuphakamisa iintsimbi, hayi bo, sidinga amahlombe ethu kwizinto eziliwaka, akunjalo? Ngoko ke namhlanje siza kuthetha ngemithambo-luvo ebaluleke kakhulu enceda igxalaba ukuba lisebenze ngokufanelekileyo. Loo mthambo-luvo we-axillary, okanye `(Axillary Nerve)`. Oku kufana nomgca omncinci wobomi egxalabeni lethu.

Yintoni i-Axillary Nerve? Masiyiqonde ngokulula!

Ngamafutshane, i-axillary nerve yenye yemithambo-luvo emihlanu emikhulu ehamba egxalabeni lakho. Ngamanye amaxesha ikwabizwa ngokuba yi-circumflex nerve. Le nerve iqala entanyeni yakho. Entanyeni yakho, kukho inethiwekhi yemithambo-luvo ebizwa ngokuba yi-brachial plexus, efana nenethiwekhi yeendlela ezininzi ezincinci zemithambo-luvo ezidibanayo. Kulapho i-axillary nerve iqala khona ize iye egxalabeni lakho. Le nethiwekhi yemithambo-luvo ibaluleke kakhulu kuba yi-brachial plexus esinceda sishukumise amalungu ethu angaphezulu, oko kukuthi, iingalo zethu, kwaye iwanike imvakalelo. Ngoko ke, i-axillary nerve yinxalenye ebalulekileyo yaloo nkqubo inkulu.

Ngaphandle kwe-axillary nerve, ngubani omnye okhoyo kule ndawo?

Ewe, le mithambo-luvo ye-axillary ``(Axillary Nerve)`` ayisebenzi yodwa kwindawo yegxalaba. Ineminye imithambo-luvo emininzi eyincedayo, oko kukuthi, leyo iqhagamshelwe egxalabeni nasengalo. Kufana nabahlobo abasebenza kwiqela elinye. Masibone ukuba bangoobani:

• I-median nerve: Le yi-nerve enkulu ebaleka iye ngaphambili kwengalo yakho, esandleni sakho, nakwiminwe yakho emininzi. Le nerve ibaluleke kakhulu xa ubamba into ngesandla sakho naxa ugoba iminwe yakho.
• Imithambo-luvo yemisipha: Oku kuya kwimisipha engaphambili kwengalo yakho engasentla nasekunene engqinibeni. Oku kuyanceda xa ugoba ingqiniba yakho.
• I-radial nerve: Le nerve iya kwimisipha engasemva kwengalo yakho (ekwabizwa ngokuba yi-triceps) kunye nesandla. Yile nto ikunceda ukolula ingalo yakho kwaye uphakamise isandla sakho.
• I-Ulnar nerve: Le yi-nerve ehamba ngengalo yakho iye esandleni sakho, ingakumbi umnwe omncinci.

Uyabona, zonke ezi mithambo-luvo zisebenza kunye ukusinceda senze nezona ntshukumo zithambileyo zezandla zethu.

Yintoni umsebenzi we-Axillary Nerve? Oko kukuthi, inceda ngantoni?

Kulungile, ngoku makhe sibone ukuba lo mthambo we-axillary wenza luphi uhlobo lomsebenzi emzimbeni wethu. Kukho imisebenzi emibini ephambili:

1. Ukushukuma kwemisipha: Le mithambo-luvo inoxanduva lokushukumisa, okanye ukwenza isebenze, eminye yemisipha ebalulekileyo egxalabeni lakho. Njengokuba isibane sikhanya xa kusetyenziswa umbane, le misipha iyasebenza xa kuthunyelwa isignali evela kule mithambo-luvo.

2. Ukunika imvakalelo: Umthambo we-axillary yiwo onika imvakalelo kulusu olujikeleze igxalaba. Zithini ezi mvakalelo?

• Intlungu:Ukuba senzakele ndaweni ithile, ukuba kukho into engahambi kakuhle, siva intlungu. Isinceda siyive.
• Indlela oma ngayo: Ungaziva apho isandla sakho sikhona (phezulu, ezantsi, ecaleni) ngaphandle kokujonga. Oku kuya kukunceda uzive nawe.
• Ubushushu: Xa uziva ubushushu okanye ukubanda egxalabeni lakho, buhamba buye ebuchotsheni ngale mithambo-luvo.
• Ukuchukumisa: Ukuba umntu uchukumisa igxalaba lakho okanye iimpahla zakho zikhuhlana emzimbeni wakho, uyayiva loo nto ngenxa yalo mthambo.

Khawucinge nje, ukuba le mithambo-luvo ayisebenzi kakuhle, kuya kuba nzima ukushukumisa igxalaba lakho, kwaye ungade ulahlekelwe nayimvakalelo kuloo ndawo.

Zeziphi izihlunu ezigcinwa yi-Axillary Nerve?

Ngoku makhe sibone ukuba zeziphi izihlunu ezisebenza okanye ezisetyenziswa yi-axillary nerve. Kukho izihlunu ezimbini eziphambili kunye nenxalenye yomnye:

• Imisipha ye-deltoid: Le yimisipha emikhulu efana nomphezulu wegxalaba lakho kwaye inika igxalaba lakho imilo entle engqukuva. Yimisipha ye-deltoid ekunceda kakhulu ukuphakamisa ingalo yakho ecaleni, phambili, nangasemva .
• Imisipha emincinci yeTeres: Le yimisipha emincinci efumaneka phantsi kwe-deltoid. Incinci kodwa yenza umsebenzi omhle kakhulu. Imisipha emincinci yeTeres ikunceda ujikeleze ingalo yakho ngaphandle (ukujikeleza kwangaphandle) .
• Inxalenye yemisipha ye-triceps: Imisipha ye-triceps, ekwicala elingasemva kwengalo yakho engasentla, ikunceda ukolula ingqiniba yakho. Intloko ende yale misipha ye-triceps iqhagamshelwe kumthambo we-axillary.

Kungenxa yokuba ezi zihlunu zisebenza kakuhle, sinokwenza yonke intshukumo esinokuyenza ngamagxa ethu, ukusuka ekuphoseni ibhola ukuya ekukama iinwele zethu.

Iyintoni indlela eyakhiwe ngayo i-nerve yegxalaba? Oko kukuthi, yenziwa njani?

Ngoku masingene nzulu kancinci size sibone ukuba le mithambo-luvo ye-axillary ifumaneka njani emzimbeni wethu, apho iqala khona kwaye iya phi. Kufana nokufumana indlela.

Le mithambo-luvo iqala phezulu komqolo wakho entanyeni yakho, apho iingcambu zemithambo-luvo ezivela kumqolo wesihlanu (C5) kunye nowesithandathu (C6) womqolo wesibeleko zidibana khona.

Emva koko le mithambo-luvo:

1. Ihamba phantsi kwethambo lakho lekhola.

2. Okulandelayo, idlula kwindawo enesikwere (esibizwa ngokuba yi-"Quadrangular space") phakathi kwezihlunu nezinye izicubu ezikwindawo yamagxa. Le yindawo exineneyo kancinci.

3. Ukusuka apho, ihamba ngasemva kwethambo lengalo yakho engasentla (`(iHumerus)`).

Emva koko, le mithambo-luvo ye-axillary yahlulahlulwa ibe ngamasebe amathathu amakhulu. Cinga ngayo njengesiqu somthi, ize yahlulwe ibe ngamasebe amancinci ukuze yenze umsebenzi obalulekileyo:

• Isebe elingaphambili:Oku kuya phambili kuze kunamathele ngaphambili kwemisipha ye-deltoid, kuncede ukuba ishukume. Kukwanika uvakalelo kulusu olungaphambili lwegxalaba.
• Isebe elingaphakathi: Eli candelo liya ngqo kwilungu le-glenohumeral. Linceda ekuthwaleni iimvakalelo ngaphakathi kwilungu. Ngamanye amaxesha likwanxibelelana nentloko ende ye-triceps.
• Isebe elingasemva: Eli sebe libuyela umva kwaye liqhagamshela kwinxalenye engasemva yemisipha ye-deltoid kunye nemisipha emincinci ye-teres, inceda ekushukumiseni ingalo. Ikwanika uvakalelo kulusu olungasemva kwegxalaba kunye nomqolo ongaphezulu wengalo.

Le yindlela i-axillary nerve esebenza ngayo.

Zeziphi iimeko ezichaphazela ukusebenza komthambo wegxalaba?

Ngelishwa, kukho izizathu ezahlukeneyo zokuba le mithambo-luvo ibalulekileyo ye-axillary inokonakala. Ukuba oku kuyenzeka, umsebenzi wegxalaba unokuphazamiseka. Makhe sijonge ukuba zeziphi ezo zizathu:

Ukulimala:

• Iingozi: Iingozi ezibangela ukuba intloko ijike ngequbuliso iye kwelinye icala negxalaba liye kwelinye (umzekelo, kwingozi yemoto). Kwiimeko ezinjalo, i-``Brachial Plexus`` entanyeni kunye ne-``Axillary Nerve`` zingonakala.
• Iinduku okanye ezinye izixhaso: Abanye abantu basebenzisa iinduku ngelixa bezibambe ngokuqinileyo emakhwapheni abo. Oku kunokubangela ucinezelo kunye nomonakalo kwi-axillary nerve.
• Igxalaba eliphumileyo: Le yinto abantu abaninzi abayivayo. Ukuba igxalaba liphumile ngexesha lemidlalo, liwa kwileli, okanye liwa kwibhayisekile, umthambo we-axillary unokutsalwa kwaye wonakaliswe. Le yeyona nto ixhaphakileyo yomonakalo we-axillary nerve.
• Ukuqhekeka: Ukuba ithambo lengalo ephezulu (ihumerus) liyaphuka kufutshane negxalaba, iziqwenga zamathambo eziphukileyo zingonakalisa umthambo.
• Iingxaki zotyando: Ezinye iintlobo zotyando lwamagxa, ezifana ne-shoulder arthroscopy, zinokubangela umonakalo kwimithambo-luvo nangona zingaqhelekanga.

Iingxaki ezenzeka ngexesha lokuzalwa kweentsana:

Xa umntwana ezalwa, ngamanye amaxesha umntwana kufuneka atsalwe ngegxalaba okanye ngesandla. Okanye igxalaba lomntwana linokunamathela kwi-pelvis kamama. Kwiimeko ezinjalo, umthambo we-axillary wosana ungonakaliswa ngenxa yokutsalwa okanye ukucinezelwa.

Ezinye iimeko zonyango:

• I-radiculopathy yomlomo wesibeleko:Oku kukucinezelwa kwengcambu yemithambo-luvo ephuma kwithambo lomqolo entanyeni. Oku kunokubangela iintlungu kunye nokungaziva mnandi egxalabeni, kwaye ngamanye amaxesha kuchaphazela ngokungathanga ngqo ukusebenza kwemithambo-luvo ye-axillary.
• I-Erb-Duchenne kunye ne-Dejerine-Klumpke Palsy: Ezi ziimeko ezibangela ukukhubazeka okuncinci okanye okupheleleyo kwengalo ngenxa yomonakalo kwi-Brachial Plexus, inethiwekhi yemithambo-luvo entanyeni. I-Axillary Nerve nayo iyinxalenye yale nethiwekhi, ngoko ke ichaphazeleka nakwezi meko.
• I-Parsonage-Turner syndrome: Le yimeko engaqhelekanga kakhulu ye-neurological. Yenzeka xa inkqubo yethu yokuzikhusela komzimba ihlasela ngempazamo izicubu zemithambo-luvo ezisempilweni (oku kubizwa ngokuba yi-autoimmune inflammation). Oku kunokubangela intlungu ekhawulezileyo, enzima kunye nobuthathaka egxalabeni nasengalweni.
• I-Herpes zoster: Isifo esisaziwa sonke njenge-shingles. Le ntsholongwane ihamba ngemithambo-luvo. Ukuba iyenzeka kwindawo ejikeleze i-axillary nerve, ingonakalisa imithambo-luvo kwaye ibangele iintlungu kunye nobuthathaka kamva.
• Isifo sendawo ye-quadrilateral: Umthambo we-axillary, njengoko bekutshiwo ngaphambili, unokucinezelwa kwindawo ye-quadrangular, nokuba kungenxa yokudumba kwemisipha ekuwo okanye ngenxa yesinye isizathu, kwaye umthambo we-axillary osebenza ngaphakathi unokucinezelwa. Oku kunokubangela iintlungu zamagxa kunye nobuthathaka.

Ngaba kufuneka ndikhathazeke kakhulu ukuba ndinomonakalo kwimithambo-luvo yam ye-axillary?

Kuqhelekile ukuba noloyiko xa usiva ngengxaki yemithambo-luvo efana nale. Kodwa eyona nto ilungileyo kukuba, uninzi lwexesha, ezi ngxaki zemithambo-luvo ziyaphola ngokwazo ngokuhamba kwexesha, nokuba zizodwa okanye ngonyango lomzimba. Imithambo-luvo luhlobo lwezicubu eziphola ngokukhawuleza. Ngoko ke kufuneka ube nomonde.

"Kuthatha ixesha ukuba imithambo-luvo iphole, kodwa ungalilahli ithemba. Ngonyango olufanelekileyo, uninzi lwabantu luyaphila."

Nangona kunjalo, kwezinye iingozi ezinzima, njengokwenzakala kwemithambo-luvo ngokupheleleyo, utyando lunokufuneka. Kwiimeko ezinjalo, kusetyenziswa i-nerve graft, equka ukuthatha iqhekeza elincinci le-nerve kwenye indawo yomzimba kwaye lifakwe kwenye indawo. Emva kokwenzakala okunjalo, kungathatha iinyanga, okanye unyaka, ukuba igxalaba liphinde lizive kwaye lilawule imisipha. Ke ngoko, kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza.

Oogqirha bayixilonga njani imeko efana nale? (Ukuxilongwa)

Xa usiya kugqirha uneentlungu zamagxa, ukungabi nanto, kwaye kunzima ukuphakamisa ingalo yakho, ufumanisa njani ukuba yingxaki yomthambo we-axillary? Kukho iimvavanyo ezahlukeneyo zaloo nto:

1. Imbali epheleleyo yezonyango kunye novavanyo lwemithambo-luvo:Okokuqala, ugqirha uza kukubuza umbuzo oneenkcukacha malunga nokuba kwaqala njani kwaye zeziphi iimpawu onazo. Emva koko, baza kuhlola igxalaba lakho kunye nengalo yakho ukuze bajonge amandla emisipha yakho, imvakalelo, kunye nokuguquguquka kwayo.

2. Uvavanyo lwe-NCS/EMG: Olu luvavanyo olumela isifundo sokuqhuba imithambo-luvo/i-Electromyography. Olu luvavanyo olukhethekileyo. Lulinganisa indlela imiqondiso yombane ehamba ngokukhawuleza ngayo kwimithambo-luvo kunye nendlela imisipha esabela ngayo kwezo miqondiso. Oku kunokunika umbono olungileyo wokuba ingaba umthambo we-axillary wonakele na, kwaye ukuba kunjalo, ukuya kuthi ga kwinqanaba elingakanani.

3. Ii-X-reyi: I-X-reyi yenziwa ukujonga ukuba amathambo egxalabeni aqhekekile okanye aphumile na.

4. I-MRI (Magnetic Resonance Imaging) Scan: I-MRI ingabona ngokucacileyo izicubu ezithambileyo ngaphakathi egxalabeni, ezifana nemisipha, imisipha, ii-ligaments, kunye nemithambo-luvo. I-MRI inokunceda kakhulu ekuqinisekiseni ukuba i-axillary nerve ixinene, idumbile, okanye inengxaki nezicubu ezingqongileyo.

5. I-Neuromuscular ultrasound: Le yindlela esetyenziswa kumazwe amaninzi aphuhlileyo. Njenge-ultrasound esetyenziswa ukuhlola usana olusesibelekweni, oku kunokujonga imeko yemithambo-luvo kunye nemisipha. Oku kukwaluncedo kuba kungenziwa ngokukhawuleza nangokulula kune-MRI.

Kungokwenza olunye okanye ngaphezulu kwezi vavanyo apho ugqirha aya kufumana khona unobangela wengxaki yakho.

Yintoni esinokuyenza ukuthintela olu hlobo lwesifo semithambo-luvo ye-axillary?

Kukho intetho ethi "ukuthintela kungcono kunokunyanga." Ngoko ke, kukho izinto ezininzi esinokuzenza ukuthintela umonakalo kwi-axillary nerve:

• Ukuba udinga utyando lwegxalaba: Ukuba udinga naluphi na utyando egxalabeni lakho, khetha rhoqo ugqirha wamathambo onamava nochwephesha. Ilungile ngakumbi ukuba unomntu ochwephesha kutyando lwamalungu angasentla (ngamanye amaxesha obizwa ngokuba ngugqirha wezandla). Oku kuya kunciphisa umngcipheko wokonakala kwemithambo-luvo ngexesha lotyando.
• Lumka xa ukhwela ileli: Ukuba uwa kwileli, ungatyhafa igxalaba lakho uze wophuke amathambo akho. Ngoko ke lumka kakhulu xa ukhwela ileli. Ukuba kunokwenzeka, xelela umntu ukuba abambe ileli, okanye ucele umntu akuncede uthwale izinto. Musa ukwenza umsebenzi onobungozi wedwa.
• Sebenzisa amanyathelo okhuseleko: Nxiba ibhanti yokhuseleko rhoqo xa ukhwela imoto. Nxiba impahla yokuzikhusela kunye nesigcina-ntloko xa ukhwela ibhayisekile okanye udlala imidlalo ethile. Ezi zinto zinokunciphisa kakhulu umonakalo obangelwe yingozi.
• Sebenzisa iintonga ngokufanelekileyo: Ukuba kuya kufuneka usebenzise iintonga,Funda kugqirha okanye kugqirha indlela yokuzisebenzisa ngokufanelekileyo ngaphandle kokubeka uxinzelelo kwimithambo-luvo. Ukuba ziqiniswe ngendlela engafanelekanga ekhwapheni, imithambo-luvo ye-axillary inokucinezelwa.

Ukuba uyazinyamekela ezi zinto zincinci, unokuziphepha kakhulu ezi ngxaki zemithambo-luvo.

Ufanele uye nini kugqirha xa unengxaki yemithambo-luvo egxalabeni lakho?

Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo zamagxa, kungcono ukubona ugqirha endaweni yokuyithatha njengento nje yokugula komzimba:

• Ukuba unengxaki yokushukumisa igxalaba okanye ingalo yakho, ingakumbi ukuba awukwazi ukuphakamisa ingalo yakho ecaleni.
• Ukuba uziva urhawuzelelwa egxalabeni lakho okanye ngasemva kwengalo yakho.
• Ukuba ufumana iintlungu ezibukhali, ingakumbi xa uphakamisa ingalo yakho okanye usebenzisa igxalaba lakho.
• Ukuba unemvakalelo yokurhawuzelela, okanye uhlobo oluthile lwemvakalelo engaqhelekanga kwindawo yakho yamagxa.
• Ukuba uziva ngathi izihlunu zakho zamagxa zibuthathaka kwaye ziyaqaqamba .

Iimpawu ezinje ngezi zithetha ukuba kunokubakho ingxaki ethile yangaphakathi. Ke ngoko, ukuba ufuna ingcebiso kagqirha ngokukhawuleza, ukuba kukho ingxaki, inokuxilongwa ngokukhawuleza kwaye unyango lunokuqala. Emva koko kukho ithuba elikhulu lokuchacha ngokukhawuleza.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kaloku, sithethe kakhulu nge-Axillary Nerve namhlanje, akunjalo? Ndicinga ukuba kuya kuba luncedo kuwe ukukhumbula la manqaku:

• I-axillary nerve yi-nerve ebaluleke kakhulu ebalulekileyo ekushukumeni nasekuveni egxalabeni lakho. Ikhusela i-deltoid kunye nemisipha emincinci.
• Le mithambo-luvo ingonakalisa ngenxa yeengozi ezahlukeneyo, ukukhubeka kwamagxa, kunye neemeko ezithile zempilo.
• Nokuba kukho umonakalo, unokuphiliswa ngonyango olufanelekileyo kunye nonyango lomzimba. Kodwa kuthatha ixesha elithile.
• Izinto ezilula ezifana nokulumka xa ukhwela iileli nokusebenzisa izixhobo zokhuseleko zinokunceda kakhulu ekuthinteleni olu hlobo lokulimala.
• Ukuba ufumana iimpawu ezifana neentlungu zamagxa, ukungaziva mnandi, okanye ubunzima bokuphakamisa ingalo yakho, musa ukuyityeshela loo nto kwaye ubone ugqirha ngoko nangoko.

Igxalaba lakho lelinye lawona mandla akho axabisekileyo akuncedayo kwimisebenzi yakho emininzi yemihla ngemihla. Ngoko ke, luxanduva lwakho ukulinyamekela. Ndiyathemba ukuba olu lwazi luza kukunceda ngaloo nto!

Umthambo we- Axillary, umthambo wegxalaba, iintlungu zegxalaba, iingxaki zemithambo-luvo, i-brachial plexus, imisipha ye-deltoid, ukukhubeka kwegxalaba