Ngaba uziva ungenazimvakalelo kwaye uneentlungu ezingalweni zakho? Ngaba oku kusenokuba yiArterial Thoracic Outlet Syndrome?

Ngaba wakha waziva ungenamandla okanye intlungu engaqhelekanga engalweni yakho, okanye uziva ubanda esandleni sakho? Okanye ngaba uqaphele ukuba ingalo yakho itshintsha umbala okanye ithatha ixesha elide ukuphola emva kokusikwa? Musa ukucinga nje ukuba ezi zizinto eziqhelekileyo. Oku kungaba luphawu lwesifo esibizwa ngokuba yi-`(Arterial Thoracic Outlet Syndrome)`. Makhe sithethe ngale nto ngokweenkcukacha nangokulula namhlanje.

Yintoni le `(Arterial Thoracic Outlet Syndrome)`? Masiyiqonde ngokulula, akunjalo?

Ngamafutshane, `(Arterial Thoracic Outlet Syndrome)` kuxa omnye wemithambo yethu yegazi ephambili (imithambo yegazi) ucinezelwa kwindawo ephakathi kwentamo yethu kunye nethambo lentamo (siwubiza ngokuba yi`(Clavicle)`), oko kukuthi, kwindawo ebizwa ngokuba yi`(Thoracic Outlet)`. Uyazi, imithambo yegazi yimijelo ethwala igazi ukusuka entliziyweni yethu ukuya emzimbeni wonke. Ngoko ke, kumntu onemeko ye`(ATOS), umthambo wegazi ucinezelwa kule ndawo ebizwa ngokuba yi`(Thoracic Outlet).`

Cinga ngayo njengombhobho wamanzi ovalekileyo, nto leyo enciphisa ukuhamba kwamanzi. Xa umthambo uvalekile ngolu hlobo, unokuthintela ukuhamba kwegazi. Ukuba awunyangwa kakuhle, unokukhokelela kwiingxaki zempilo ezinzulu. Kwabanye abantu, oku kuvaleka kunokubangela ukuba udonga lomthambo lube buthathaka kwaye luvuthuze njengebhaluni. Sikubiza ngokuba yi-"Aneurysm". Ke ngoko, ukuba unezi mpawu, kubaluleke kakhulu ukubona ugqirha kwaye uhlolwe.

Ngubani onokuba nethuba elikhulu lokufumana i-"Arterial Thoracic Outlet Syndrome"?

Njengazo zonke iintlobo ze-Thoracic Outlet Syndrome, ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-20 ukuya kwengama-50. Ngokuqhelekileyo, olu hlobo loxinzelelo lwemithambo luvela kuba kukho ubambo olongezelelweyo (olubizwa ngokuba lubambo lomlomo wesibeleko) entanyeni, okanye kuba ubambo lukwindawo engafanelekanga. Olu ubambo olongezelelweyo luhlala lubekwe ngaphezulu kobambo lwethu lokuqala.

Zeziphi iingxaki ezinokubangela oku? Kutheni oku kuyingozi?

Enyanisweni, `(Arterial Thoracic Outlet Syndrome)` lolona hlobo luyingozi kakhulu lwe`(Thoracic Outlet Syndrome)`. Ukuba ayinyangwa kakuhle, le`(ATOS)` inokubangela ukuba kubekho amahlwili egazi ayingozi kwimithambo yakho yemithambo. La mahlwili egazi anokuthintela ukuhamba kwegazi kwiingalo zakho nasezandleni. Nangona kunqabile kakhulu, la mahlwili egazi anokuhamba aye engqondweni aze abangele iimeko ezifana ne`(Stroke)`.

Ngoko ke, ukuba ucinga ukuba uneempawu zeThoracic Outlet Syndrome, kubalulekile ukufuna unyango ngokukhawuleza.

Ixhaphake kangakanani `(Arterial Thoracic Outlet Syndrome)`?

Inyaniso kukuba, zonke iintlobo ze-Thoracic Outlet Syndrome azixhaphakanga. Akukho datha yokuba bangaphi abantu abanayo. Nangona kunjalo, uhlobo olubizwa ngokuba yi-Arterial TOS lolona luxhaphakileyo. Olu hlobo lubonwa ngaphantsi kwesinye kwizigulane ezili-100 ezine-Thoracic Outlet Syndrome.

Zithini izizathu ze-"Arterial Thoracic Outlet Syndrome"?

Abantu abaninzi abane-ATOS, njengoko bekutshiwo ngaphambili, bazalwa benembambo eyongezelelweyo (i-Cervical Rib) ngaphezulu kwe-collarbone (i-Clavicle). Umthambo ophakathi kwengalo yethu ne-collarbone, obizwa ngokuba yi-Subclavian Artery, uthwala igazi kwiingalo zethu, ezandleni, entanyeni, nasentloko. Ngenxa yembambo eyongezelelweyo ye-Cervical, le Mthambo we-Subclavian unokucinezelwa, uvale ukuhamba kwegazi, kwaye amahlwili egazi anokwenziwa. La mahlwili egazi ngamanye amaxesha anokuqhekeka aze ahambe engalweni, avale ukuhamba kwegazi.

Ezinye izizathu zinokuchaphazela oku:

• Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, uxinzelelo olongezelelweyo lubekwa kumalungu.
• Ukonzakala Emzimbeni: Ukwenzakala okufana noko kubangelwe yingozi yemoto.
• Ukuma kakubi: Izinto ezifana nokuhlala kwindawo enye ixesha elide, ukugoba phambili ngelixa usebenza, njl.
• Ukukhulelwa (`(Ukukhulelwa)`).
• Iintshukumo Eziphindaphindayo: Umzekelo, ukujija irakhethi yethenisi, ukuphosa isoftball okanye ibaseball, okanye ukuphakamisa iibhokisi ezinzima phezu kwentloko yakho.

Zithini iimpawu ze-`(Arterial Thoracic Outlet Syndrome)`? Ifunyaniswa njani?

Iimpawu zale meko zinokuchaphazela iminwe yakho, intende yesandla, okanye isandla sonke. Uphawu oluqhelekileyo kukurhawuzelela okanye ukuba ndindisholo esandleni esinye. Ezi mpawu zinokuba mandundu xa usenza into ngesandla sakho kwaye zinokuba ngcono xa uphumza isandla sakho. Abantu abane-ATOS abadli ngokuba neentlungu entanyeni okanye emagxeni.

Ngenxa yokuba i-ATOS inokunciphisa ukuhamba kwegazi lakho, unokubona izinto ezinje kwiminwe yakho, izandla, okanye iingalo:

• Ukubanda.
• Ukungaziva mnandi okanye ukurhawuzelelwa.
• Intlungu (`(Intlungu)`).
• Ukutshintsha kombala okuMhlophe.
• Amanxeba aphola kancinci.

Khawuthelekelele, uNilanthi Akka usebenza kwikhompyutha ukususela kusasa kude kube sebusuku. Uqalile ukuziva intlungu engaqhelekanga esandleni sakhe sasekunene enemvakalelo encinci yokurhawuzelela. Ngamanye amaxesha isandla sakhe sivakala sibanda. Wayecinga ukuba kungenxa yokudinwa. Kodwa ukuba ezi mpawu ziyanda kancinci kancinci, kusenokwenzeka ukuba `(ATOS)`.

Oogqirha bayixilonga njani le meko (iArterial Thoracic Outlet Syndrome)?

Ukuba uneempawu ze-"Arterial Thoracic Outlet Syndrome", ugqirha wakho uza kuqala ahlole intamo yakho kunye nendawo yamagxa akho. Baza kukucela ukuba wenze iintshukumo ezithile ukujonga "uLuhlu lokuHamba" kwamalungu akho.

Ugqirha uza kulinganisa uxinzelelo lwakho lwegazi aze akubuze ngeempawu zakho. Ukuba bayayirhanela i-ATOS, banokwenza olunye uvavanyo ukujonga i-Thoracic Outlet yakho.

Zeziphi iimvavanyo ezenziwayo koku?

Yile meko kanye nge-"Arterial Thoracic Outlet"Gqiba kwi `(IiMvavanyo zoMfanekiso)`, eziluvavanyo olujonga ngaphakathi emzimbeni wakho. Olu vavanyo lunokwenziwa ukujonga imithambo yakho yegazi, ukuhamba kwegazi, kunye nezakhiwo zangaphakathi:

• I-ultrasound scan: Oku kusebenzisa amaza esandi ukujonga ngaphakathi emzimbeni, ingakumbi ukubona indlela igazi elihamba ngayo. Olu luvavanyo lokuqala olusetyenziswa ukufumanisa esi sifo.
• I-Arteriogram: Ityhubhu encinci, ebhityileyo (i-catheter) kunye nolwelo olukhethekileyo (idayi engafaniyo) kufakwa kwimithambo yakho yegazi, kwaye kuthathwa i-X-ray.
• I-CT scan: Uthotho lwee-X-rays luthathwa kunye ukuze kwenziwe imifanekiso eneenkcukacha.
• I-MRI scan (`(MRI)`): Isebenzisa amaza erediyo kunye namasimi emagnethi ukuthatha imifanekiso eneenkcukacha.
• I-X-reyi (`(X-reyi)`): Imifanekiso ithathwa kusetyenziswa imitha yemitha.

Ziziphi iindlela zonyango ze-`(Arterial Thoracic Outlet Syndrome)`?

Le meko, ebizwa ngokuba yiArterial Thoracic Outlet Syndrome, inyangwa kakhulu ngotyando. Nangona kunjalo, ngaphambi kotyando, ugqirha wakho unokukunika amayeza okunciphisa igazi, afana neWarfarin (Coumadin®) okanye iHeparin (Hep-Lock™). Basenokuzama nokususa nawaphi na amahlwili akhoyo ngokufaka inaliti okanye ezinye iindlela.

Ngexesha lotyando, ugqirha angenza izinto ezifana nezi:

• Inxalenye yembambo yakho eyongezelelweyo (`(Imbambo yomlomo wesibeleko)`) iyasuswa, nto leyo enciphisa uxinzelelo.
• Inxalenye yomthambo ophilileyo othathwe kwenye inxalenye yomzimba wakho (iArterial Graft) isetyenziselwa ukuthatha indawo yomthambo owonakeleyo.
• Kufakwa ityhubhu yokwenziwa ukuze kuthathelwe indawo umthambo owonakeleyo, ukubuyisela ukuhamba kwegazi.

Yintoni esinokuyenza ukunciphisa lo mngcipheko we-`(ATOS)`?

Akukho ndlela yokuthintela ngokupheleleyo oku ukuba kungenzeki, kodwa ungenza utshintsho kwindlela ophila ngayo ukuze unciphise umngcipheko weengozi ezibangelwa kukuxinana kweemoto:

• Gcina ubunzima obusempilweni obuhambelana nohlobo lomzimba wakho, ubudala, kunye nesini.
• Kuphephe ukuthwala iingxowa ezinzima egxalabeni elinye.
• Nciphisa iintshukumo eziqhubekayo phezu kwentloko.
• Yomeleza amahlombe akho ngokwenza umthambo wokuphakamisa iintsimbi okanye wokuxhathisa.
• Yenza ukolula intamo, amahlombe, kunye nesifuba yonke imihla.

Iyintoni ikamva lemeko ye-`(ATOS)`? Ngaba kufuneka soyike?

Enyanisweni, ukuba ayinyangwa, i-Arterial Thoracic Outlet Syndrome (ATOS) inokukhokelela kwiingxaki ezinkulu ezifana nokuqhekeka kwegazi, ukwenzakala kwamalungu omzimba, kunye (kwiimeko ezigqithisileyo) nokulahlekelwa yiminwe. Nangona kunjalo, iindaba ezimnandi zezokuba okukhona ufuna unyango ngokukhawuleza, kokukhona amathuba akho okuphumelela aphezulu. Ngoko ke, ukuba uneempawu ezibonisa ukuba unokuba ne-ATOS, bona ugqirha ngoko nangoko.

Yintoni enye ofuna ukuyazi kugqirha?

Xa udibana nogqirha, ungabuza imibuzo efana nale:

• Yintoni enokubangela iimpawu zam?
• Zeziphi iimvavanyo ekufuneka ndizenze ukuze ndifumanise ukuba yintoni kanye kanye le nto?
• Ziziphi iindlela zonyango ezikhoyo?
• Ngaba unyango olungelulo utyando luza kuzinyanga iimpawu zam?
• Zeziphi iinguqu endinokuzitshintsha kwindlela endiphila ngayo ukuze ndinciphise iimpawu?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-Arterial Thoracic Outlet Syndrome (ATOS) yimeko echaphazela umthambo we-subclavian kwindawo yokuphuma kwesifuba. Kulapho umthambo ucinezelwa khona kwaye kuqale ukwakheka amahlwili egazi. La mahlwili anokuqhekeka aze ahambe engalweni, nto leyo ebangela iintlungu kunye nokungakhululeki. Unyango lwangoko lunokunciphisa umngcipheko weengxaki. Ukuba uneempawu ze-ATOS, nceda ubone ugqirha ngoko nangoko. Ungakhathazeki, le meko inokulawulwa ngeengcebiso zonyango ezifanelekileyo kunye nonyango.

isifo sokuphuma kwethoracic , isifo sokuphuma kwethoracic arterial, i-ATOS, iintlungu zengalo, ukungaziva kakuhle kwengalo, ukugabha kwegazi, ubambo lomlomo wesibeleko, umthambo we-subclavian