Ngaba wakha waziva ngequbuliso ungenamthungo, ubuthathaka, okanye intlungu engalweni yakho? Ngamanye amaxesha ungaziva oku kungakhululeki ukusuka egxalabeni lakho ukuya kwiminwe yakho. Kuyoyikisa kakhulu xa kwenzeka into efana nale, akunjalo? Ngoko ke namhlanje siza kuthetha ngomnye unobangela wezi mpawu. Oko kukonakala kwenethiwekhi yemithambo-luvo ebizwa ngokuba yiBrachial Plexus.
Yintoni iBrachial Plexus?
Ngamafutshane, i-brachial plexus yingqokelela yemithambo-luvo ephuma entanyeni yakho idlule ekhwapheni ize yehle ingalo yakho. Ifana neqela leentambo ezincinci ezidityanisiweyo. Le mithambo-luvo ilawula intshukumo kunye nokuziva kwegxalaba lakho, ingalo, isandla, kunye neminwe. Umzekelo, ukuba ingalo yakho ixhuzulwa ngequbuliso, okanye intloko yakho nentamo yakho zixhuzulwa kwelinye icala kwaye igxalaba lakho lixhuzulwa kwelinye, olu nxibelelwano lwemithambo-luvo lunokonakala. Ukulimala okuncinci kunokuphiliswa ngaphandle konyango. Nangona kunjalo , ukuba umonakalo unzima ngakumbi, kunokufuneka utyando ukubuyisela ukusebenza kwengalo yakho . Le meko inokwenzeka nakwiintsana ezincinci, ingakumbi esibelekweni okanye ekuzalweni. Siyibiza ngokuba yi-`(Neonatal Brachial Plexus Palsy - NBPP)`.
Zeziphi iimithambo-luvo ezikwiBrachial Plexus?
Ngoku makhe sijonge indlela eyakhiwe ngayo iBrachial Plexus. Le nethiwekhi yenziwe ziimithambo-luvo ezintlanu eziphambili eziqala entanyeni yomqolo wakho zize ziphume apho. Kanye njengokuba umlambo uphuma, le mithambo-luvo ikwasasazeka ingalo yonke. Kwizonyango, `(Plexus)` ibhekisa kwingqokelela yemithambo-luvo, imithambo yegazi, okanye imithambo-luvo edityaniswe ngolu hlobo. Igama elithi `(Brachial)` lithetha 'ukuhambelana nengalo'. Ngoko ke i-brachial plexus liqela lemithambo-luvo ebaleka iye engalweni.
Imithambo-luvo nganye kwezi zintlanu inomsebenzi othile. Eminye ivuselela izihlunu, ngelixa eminye ithwala iimvakalelo ezifana nobushushu kunye nokuchukumisa ukuya engqondweni. Iimpawu ozifumanayo kunye nonyango olufunayo ziya kuxhomekeka ekubeni yeyiphi imithambo-luvo eyonakeleyo kunye nohlobo lomonakalo.
Kukho imithambo-luvo emihlanu ephambili ebandakanyekayo:
- I-Axillary nerve: Inceda ekushukumeni kwamagxa nasekuzinzeni.
- I-median nerve: Inceda ukugoba izihlunu zengalo nesandla, kunye nokugoba isandla neminwe. Ikwabalulekile nakwimvakalelo entendeni yesandla, kubhontsi, kumqolo, embindini, nakwiminwe yeringi.
- Imithambo-luvo yemisipha: Inceda ekusebenzeni kwemisipha yengalo engasentla (umz., ii-biceps) kunye nokugoba ingqiniba kunye nokujika ingalo.
- I-radial nerve: Inceda ukolula ingqiniba kunye nesandla ngokuvuselela izihlunu ezingasemva kwesandla kunye nengalo. Ikwanceda ukuva ubhontsi, umnwe wokukhomba, umnwe ophakathi, kunye nesiqingatha somnwe weringi ngasemva kwesandla.
- Umthambo we-Ulnar:Inceda kwiintshukumo ezincinci zesandla ngokuvuselela izihlunu zesandla kunye nengalo. Ikwabandakanyeka kwimvakalelo kwinxalenye yomnwe weringi kunye nomnwe omncinci.
Ziziphi iintlobo zeengxaki zeBrachial Plexus?
Ezi ntlungu ze-brachial plexus zinokwenzeka ngeendlela ezahlukeneyo, kuxhomekeke ekubeni ingozi imbi kangakanani. Iimithambo-luvo ezininzi kule nethiwekhi zinokonakala ngokwamanqanaba ahlukeneyo kwisiganeko esinye.
- Ukolula / i-Neuropraxia: Oku kwenzeka xa umthambo utsalwa kancinci. Oku kungonakalisa isigqubuthelo sokukhusela esijikeleze umthambo. Oku kunokuphazamisa ukudluliselwa kwemiqondiso yemithambo-luvo, kodwa kwiimeko ezininzi, akukho monakalo mkhulu kumthambo ongaphantsi. Le meko inokuzilungisa ngokwayo , okanye inokunyangeka ngonyango olulula olufana nonyango lomzimba.
- Ukuqhekeka: Oku kwenzeka xa umthambo utsalwa nzima kakhulu uze ngequbuliso ukrazuke kancinci okanye ngokupheleleyo. Ezi zingozi zihlala zilungiswa ngotyando .
- Ukuvuvuka: Olu lolona hlobo lubi kakhulu . Kulapho ingcambu yemithambo-luvo yahlukana khona nomqolo. Ezi nzakala zihlala zifuna utyando ukuze kubuyiselwe ukusebenza komzimba.
Ingaba oku kwahlukile kwi-cervical radiculopathy?
Abanye abantu banokucinga ukuba oku kufana ne-"Cervical Radiculopathy / Pinched Nerve". Nangona iimpawu zifana kancinci, ezi meko zimbini zahlukile ngokwenene.
I-Cervical Radiculopathy yimeko eyenzeka xa ingcambu yemithambo-luvo evela kwi-vertebrae entanyeni icinezelwa okanye ivuvukala. Oku kunokubangela iimpawu ezinje ngentlungu yentamo kunye nokuqina kwemisipha yentamo.
Nangona kunjalo, ukwenzakala kwe-brachial plexus kudla ngokubangelwa kukuxinana okanye ukukrazuka kwemithambo-luvo. Oku kudla ngokubandakanya iingcambu zemithambo-luvo ezininzi kwaye akunakwenzeka ukuba kubangele iimpawu zentamo (iintlungu, ukuqina) njengakwi-cervical radiculopathy.
Ngubani ofumana le meko? Ixhaphake kangakanani?
Enyanisweni, esi sifo se-brachial plexus sinokwenzeka nakubani na wanoma yiphi na iminyaka, nokuba yindoda okanye ngumfazi. Iintsana ezisandul’ ukuzalwa nazo zisengozini yokuhlaselwa yile meko xa zizalwa.
Nangona kunjalo, ixhaphake kakhulu phakathi kwamadoda aselula aphakathi kweminyaka eli-15 nengama-25 ubudala .
Kunzima ukutsho ngokuthe ngqo ukuba bangaphi abantu abafumana le meko minyaka le, kodwa abaphandi bathi eli nani liyanda. Oku kusenokubangelwa zizinto ezifana nokwanda kokuthatha inxaxheba kwimidlalo enamandla aphezulu kunye nokwanda kwenani labantu abasinda kwiingozi zeemoto ezihamba ngesantya esiphezulu.
Khawucinge nje, ama-70% eengozi ze-brachial plexus ezibangelwa ziingozi zendlela ezinje zibangelwa ziingozi zendlela . Kwaye ama-70% ezo ngozi ziingozi zeebhayisekile okanye zeebhayisekile! Oko kuthetha ukuba siyaqonda ukuba kufuneka silumke kangakanani xa sisendleleni, akunjalo?
Ukuba sithetha ngesi sifo (i-Neonatal Brachial Plexus Palsy) kwiintsana ezisandul’ ukuzalwa, ngokomyinge, ngabantwana abayi-2-3 kuphela kwi-1000 abazalwayo abanokubona esi sifo.
Zithini iimpawu?
Iimpawu zesi sifo ziyahluka ngokuxhomekeke kuhlobo lwemithambo-luvo eyonakeleyo kunye nohlobo lomonakalo. Ezi mpawu zinokuvela kunye nezinye iingozi.
Iimpawu eziphambili ezibonakala kubantu abadala nakubantwana:
- Isandla sibonakala ngathi sijinga singenabomi.
- Imeko efana nokungakwazi ukusebenza kakuhle kwengalo okanye isandla.
- Ubunzima bokulawula isandla, ingalo, okanye isihlahla.
- Ukuba ndindisholo okanye ukuphelelwa yimvakalelo esandleni okanye esihlahleni.
- Intlungu esandleni, entendeni yesandla, okanye esihlahleni.
Iimpawu ezibonakala kwiintsana ezisandul’ ukuzalwa:
- Ukulahlekelwa yintshukumo engalweni engasentla, engalweni esezantsi, okanye esandleni somntwana.
- Ukulahlekelwa yimpendulo yeMoro reflex/yokuthuka kwicala elichaphazelekayo (oko kukuthi, umntwana akasebenzisi isandla xa ethuka).
- Usana lubambe ingalo yalo emzimbeni walo, lululwe ngengqiniba.
- Ukubambelela kancinci kwicala elichaphazelekayo.
Zithini izizathu zeengxaki ze-brachial plexus?
Kukho izizathu ezininzi eziphambili zokuba le nethiwekhi yemithambo-luvo ye-brachial plexus ingonakaliswa.
1. Ukonzakala Okunamandla
Inxalenye ephezulu yale nethiwekhi yemithambo-luvo yonakala xa igxalaba lakho licinezelwe ezantsi, kwaye intamo nentloko yakho zitsalwa phezulu zibekwe ecaleni kwegxalaba lakho. Cinga ngayo njengengozi yebhayisekile .
Inxalenye esezantsi yenethiwekhi yemithambo-luvo inokuba yingozi ngakumbi ukuba ingalo yakho itsalwa ngamandla ngequbuliso ngaphezu kwentloko yakho.
Imizekelo yeengozi ezinjalo yile:
- Iingozi zezithuthi ezihamba ngesantya esiphezulu, ingakumbi iingozi zeebhayisekile .
- Ukuwa.
- Ukubethwa ngqo yinto engabukhali (umz. xa kusiliwa).
- Eminye imidlalo ibandakanya ukungqubana (uninzi lwale midlalo lubangela ukwenzakala okuncinci, okukwabizwa ngokuba yi-"burners" okanye "stingers").
- Ukwenzakala okubangelwa sisixhobo esibukhali (umz., inxeba lokuhlatywa) okanye amanxeba eembumbulu (ukwenzakala kwebhola).
2. Iithumba
Ngamanye amaxesha iithumba zinokukhula ngaphakathi okanye ecaleni kwe-brachial plexus, okanye zinokubangelwa ziithumba ezibeka uxinzelelo kuyo.
Umhlaza webele kunye nomhlaza wemiphunga zezona ntlobo ziphambili zomhlaza ezichaphazela i-brachial plexus.
Ukongeza, umhlaza ofana ne-lymphoma kunye ne-melanoma unokusasazeka uye kwiindawo ze-lymph ezisemakhwapheni kwaye uchaphazele olu nxibelelwano lwemithambo-luvo.
3. Ukudumba
Xa imizimba yethu ihlaselwa ziintsholongwane ezifana neentsholongwane okanye iibhaktheriya, okanye xa senzakele, amasosha omzimba ethu ayasebenza. Iiseli ezidumbayo ziyakhululwa. Nangona oku kuyimfuneko, ngamanye amaxesha le amasosha omzimba anokujika ahlasele izicubu eziphilileyo. Okanye, impendulo kwintsholongwane inokuba ninzi kakhulu kwaye yonakalise izicubu zomzimba.
Kwimeko engaqhelekanga ebizwa ngokuba yi-'Parsonage-Turner Syndrome' (ekwabizwa ngokuba yi-'(Brachial Neuritis)`), ukudumba kwe-brachial plexus kwenzeka ngaphandle kokwenzakala okubonakalayo kwegxalaba. Kuqala ngentlungu eqatha egxalabeni okanye engalweni, kulandele ubuthathaka kunye nokungaziva.
4. Ukwenzakala ngexesha lokuzalwa
Iintsana ezisandul’ ukuzalwa zinokonakaliswa yi-brachial plexus yazo, nokuba kukwenzakala xa zisesibelekweni sikanina okanye ngexesha lokuzala okunzima. Oku kubizwa ngokuba yi-"Neonatal Brachial Plexus Palsy (NBPP)``. Ezi meko zilandelayo zinokwenzeka:
- Xa intloko yosana iphuma kwaye amagxa ephuma, intloko nentamo zitsalwa ecaleni (oku kukwabizwa ngokuba yi-`(Shoulder Dystocia)`).
- Ngenxa yokuba amagxa omntwana atsalwa ngexesha lokubeleka entloko.
- Xa umntwana ebeleka ephethe ibreech, ucinezelo lubekwa kwiingalo eziphakanyisiweyo zomntwana.
Uyibona njani le nto? Zeziphi iimvavanyo ezenziwayo?
Ukuba unale mpawu, ugqirha uza kukuxilonga ngononophelo ukuze abone ukuba lo ngumonakalo we-brachial plexus okanye kukho ezinye iingozi. Oku kungenxa yokuba uninzi lwexesha, ezi zingozi zibangelwa ziingozi ezinkulu, kwaye kusenokubakho nezinye iingozi.
Ugqirha uza kuhlola iqela ngalinye lemithambo-luvo edibene ne-brachial plexus ukuze azame ukufumanisa ngqo apho umonakalo wenzeke khona kunye nokuba unzima kangakanani .
Ukuba usana olusandul’ ukuzalwa lubonakalisa ezi mpawu, ugqirha uya kujonga ukuba umntwana uyakwazi na ukuhambisa iingalo nemilenze yakhe kwaye ukuba unayo na iMoro reflex.
Ukuze axilonge ngokuchanekileyo le meko aze ajonge ezinye iingxaki, ugqirha unokwenza iimvavanyo ezininzi, ezifana nezi:
- Ii-X-reyi: Ezi zinokubona ngokucacileyo izinto eziqinileyo ezifana namathambo. Ii-X-reyi zithathwa entanyeni, esifubeni, emagxeni, nakwiingalo ukuze kuhlolwe ukuba aziphukanga na.
- I-CT Myelogram Scan: Oku kuquka ukufaka ulwelo olukhethekileyo olujikeleze imithambo-luvo yomqolo kunye nokusebenzisa ii-X-ray kunye nekhompyutha ukwenza imifanekiso ecacileyo yangaphakathi komzimba. Olu luvavanyo oluthathwa njengolona lubalaseleyo lokujonga ukuba ingcambu yemithambo-luvo iphumile na kwintambo yomqolo (`(Avulsion)`). Abanye oogqirha banokwenza i- MRI scan ukongeza koku, okanye endaweni yoku.
- Uvavanyo lwe-Electrodiagnostic: Olu vavanyo luquka uvavanyo olubizwa ngokuba yi-`(Electromyogram - EMG)` kunye ne-`(Izifundo zoQhubo lweNerve)`. Olu vavanyo lulinganisa indlela imiqondiso yemithambo-luvo ehamba ngayo kunye nemiqondiso kwimisipha. Olu vavanyo lunokuqinisekisa ukwenzakala kwe-brachial plexus, lufumane indawo yokwenzakala, luchonge ubukhali benxeba, kwaye luvavanye izinga lokuphiliswa kwemithambo-luvo. Uvavanyo lokuqala ludla ngokwenziwa emva kweeveki ezi-3-4 emva kokwenzakala. Emva koko, luphinda luphindwe kwiinyanga ezi-2-3 ukuze kubonwe ukuba imithambo-luvo iyaphola na.
Ukuba usana olusandul’ ukuzalwa lunezi mpawu, kunokwenziwa i-X-ray ukuze kubonwe ukuba i-collarbone yalo yaphukile na. Oku kungenxa yokuba kukho imeko ebizwa ngokuba yi-"Pseudoparalysis", apho usana lungakwazi ukushukumisa ingalo yalo ngenxa yethambo elaphukileyo kunye nentlungu, kungekhona umonakalo wemithambo-luvo.
Zithini iindlela zonyango?
Ngenxa yokuba olu hlobo lokulimala kwi-brachial plexus ludla ngokuvela emva kwengozi enkulu, abantu abaninzi banokwenzakala nakwezinye izinto ezimbi . Umzekelo, umonakalo wemithambo yegazi, ukwaphuka kwegxalaba, ingalo, umqolo okanye iimbambo, ukuwohloka komphunga, umonakalo womqolo, okanye ukwenzakala kwengqondo. Ke ngoko, iqela lezonyango liza kuqala linyange ezi nzakala zisongela ubomi ngaphambi kokuba liqale unyango lokulimala kwi-brachial plexus.
Xa kunyangwa oku, iingcali zemithambo-luvo, oogqirha bemithambo-luvo, oogqirha bezandla, oogqirha bezomzimba, oogqirha bezonyango, kunye nogqirha wosapho lwakho (uMboneleli wezeMpilo oyiNtloko) basebenza kunye njengeqela.
Kukho iindlela ezimbini eziphambili zonyango: unyango olungenalo utyando kunye nonyango lotyando.
Unyango olungelulo utyando
Uninzi lweengozi ze-brachial plexus, ingakumbi ezo zincinci, ziyaphola ngaphandle kotyando kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa . Iingozi zemithambo-luvo eziphola zodwa zihlala zineziphumo ezilungileyo ngokubhekiselele ekusebenzeni kwemisipha kunye nemithambo-luvo.
Ukuba ugqirha wakho ucinga ukuba kukho ithuba elihle lokuba uza kuphila ngaphandle kotyando, unokulinda de inxeba liphole ngaphambi kokuba acinge ngotyando.
Ugqirha wakho unokucebisa unyango lomzimba ukuze amalungu akho nezihlunu zingabi lukhuni ngelixa ukwenzakala kwakho kuphola. Kuya kufuneka uphumze ingalo negxalaba lakho kwaye uphephe imisebenzi enzima.
Unyango lotyando
Ukuba umthambo awuziphili ngokwawo, okanye ukuba awuphili kakuhle ngokwaneleyo ukuze ubuyisele umsebenzi ofunekayo wesandla nesandla, oogqirha bacebisa utyando.
Eyona nto ibalulekileyo kukwazi ukuba, ngokuxhomekeke kubukhulu bengozi, nokuba emva kotyando, usenokungabi namsebenzi ufanayo esandleni sakho okanye esihlahleni njengoko wawunjalo ngaphambi kokwenzakala, okanye usenokungabi nawo umsebenzi opheleleyo .
Iingcali zotyando lwemithambo-luvo zisebenzisa iindlela ezahlukeneyo ukunyanga ukwenzakala kwemithambo-luvo, kuxhomekeke kuhlobo lokwenzakala, ubukhali bako, kunye nokuba sele kudlule ixesha elingakanani.
- Ukulungiswa kwemithambo-luvo: Kule nkqubo, ugqirha wotyando uphinda abambe imiphetho ekrazukileyo yemithambo-luvo ephukileyo. Oku kwenziwa ngokukhawuleza xa kusikiwe iintsimbi ezibukhali, njengokusikwa kwemela.
- Ukufakelwa kwemithambo-luvo:Kule nkqubo, ugqirha otyandayo uthatha umthambo ophilileyo kwenye indawo yomzimba wakho aze awuthunge phakathi kweziphelo ezimbini zomthambo oqhekekileyo. Lo mthambo ophilileyo odityanisiweyo usebenza njengesikhafu, unceda iziphelo zemithambo-luvo ezibini ezonakeleyo zikhule kunye.
- Ukudluliselwa kwemithambo-luvo: Olu tyando lwenziwa xa kungekho zicubu zemithambo-luvo ezaneleyo entanyeni ezinokuthi zifakwe kwenye indawo. Kule nkqubo, ugqirha otyandayo usika imithambo-luvo ephilileyo aze ayidibanise nemithambo-luvo eyonzakeleyo. Oku kuvumela imithambo-luvo ukuba ithumele imiqondiso kwimisipha ekhubazekileyo.
Unyango lweentsana ezisandul' ukuzalwa
Ukuba usana olusandul’ ukuzalwa lunenxeba elincinci kwi-brachial plexus, ugqirha unokucebisa ukuba umntwana aphululwe ingalo yakhe aze enze umthambo wokuhambahamba.
Ukuba umonakalo mkhulu, okanye ukuba awupholi kwiiveki ezimbalwa zokuqala, umntwana unokufuna ukuthunyelwa kugqirha wezifo zengqondo zabantwana. Ukuba amandla omntwana akaphucuki kwiinyanga ezi-3-9, banokucinga ngotyando.
Ngaba kukho naziphi na iingxaki xa kutyandwa?
Njengakwezinye iindlela zotyando, ezi ndlela zotyando zinokuba neengozi ezithile. Umzekelo:
- Iingxaki ezinxulumene ne-anesthesia.
- Usulelo.
- Ukopha kakhulu.
Ukongeza, ukuba unezinye izifo esele zikhona (umz. isifo seswekile, uxinzelelo lwegazi oluphezulu), umngcipheko wakho wokuba neengxaki ezilandelayo unokwanda:
- Intlungu engapheliyo (`(Intlungu engapheliyo)`).
- Amahlwili egazi.
- Ukuhlaselwa yintliziyo.
- Istroke.
Kuthatha ixesha elingakanani ukuphiliswa?
Imithambo-luvo iphola kancinci kakhulu . Ke ngoko, kuthatha ixesha ukuphola emva kokwenzakala kwe-brachial plexus. Usenokungaboni tshintsho kangangeenyanga eziliqela.
Eyona nto ibalulekileyo kukuba nesimo sengqondo esihle kwaye uzibophelele kwisicwangciso sakho sonyango.
Ingcali yezonyango inokukunceda ufunde ukwenza imisebenzi yemihla ngemihla (njengokutya nokuzihlamba) ngesandla sakho esingachaphazelekanga.
Kuya kufuneka uqhubeke nonyango lomzimba ukuze amahlombe akho, iingqiniba, iingalo, kunye neminwe yakho ingaqini kwaye uthintele ukuwohloka kwemisipha.
Ukuba umsebenzi wesandla sakho kunye/okanye isandla sakho awukabuyi ngokupheleleyo kwindlela owawuyiyo ngaphambi kokwenzakala, kubaluleke kakhulu ukuba namandla engqondo afanelekileyo kunye nokuziqhelanisa nokwenza utshintsho olufunekayo ebomini bakho (umsebenzi, imisebenzi yemihla ngemihla).
Ziziphi izinto ezibangela umngcipheko woku?
Kukho izinto ezininzi ezonyusa umngcipheko wokufumana esi sifo se-brachial plexus:
- Ukudlala imidlalo ethile, ingakumbi imidlalo yokudibanisa (umz. ibhola ekhatywayo, iragbi, i-wrestling).
- Ukuqhuba ngokungenankathalo kunye nesantya esiphezulu.
Hlala ulumkile malunga nokhuseleko xa udlala imidlalo nokuqhuba kwaye uzame ukunqanda iingozi ezinje.
Izinto ezonyusa umngcipheko wokuba iintsana ezisandul’ ukuzalwa zibe nale meko (i-Neonatal Brachial Plexus Palsy - NBPP):
- Ukuhanjiswa kweBreech.
- Ukutyeba kakhulu komama.
- Ukuba ngumntwana omkhulu kunoqhelekileyo.
- Ubunzima bokususa amahlombe omntwana emva kokuba intloko yomntwana iphumile (i-Shoulder Dystocia).
Kuza kwenzeka ntoni kwixesha elizayo? (Ingxelo yokuxela kwangaphambili)
I-prognosis yakho (okanye i-prognosis) emva kokwenzakala ixhomekeke kwizinto ezininzi:
- Uhlobo kunye nobunzima bomonakalo wemithambo-luvo (`(Avulsion)`, ukukrazula, ukutsala).
- Uthetha ukuthini xa usithi imithambo-luvo yonakele?
- Ngaba kukho ezinye izinto ozenzakeleyo kuzo?
- Indlela owakhawuleza ngayo ukufumana unyango emva kokwenzakala.
- Indlela ozimisele ngayo kunyango lomzimba kunye nezinye iindlela zonyango lokuchacha.
Kwimeko yokuvuvuka nokuqhekeka, ngokuqhelekileyo akukho ndlela yokubuyisela ukusebenza kwezihlunu kunye nokusebenza kwazo ngaphandle kokuba umthambo uhlanganiswe kwakhona ngexesha elifanelekileyo ngotyando .
Uninzi lwabantu abenzakeleyo ngenxa yokwaluphala kwemithambo-luvo (neuropraxia) baphinda bafumane i-90% - 100% yomsebenzi wabo wemithambo-luvo ngaphandle kotyando .
Uninzi lweentsana ezizalwa nale meko ziphila ngokupheleleyo kwiinyanga ezi-3-4 . Ithemba leentsana ezingaphiliyo ngeli xesha alikho lihle kangako. Kwimeko ezinjalo, kusenokwenzeka ukuba zifumene ingxaki yokudumba kwemithambo-luvo.
Ndifanele ndimbone nini ugqirha?
Ukuba ukhe wenzakala kwi-brachial plexus, kuya kufuneka udibane neqela lakho lezonyango rhoqo ukuze ujonge ukuphiliswa kunye nokusebenza kwemithambo-luvo yakho ngexesha lokuchacha kwakho.
Kwakhona, ukuba unesicwangciso sokulungisa imeko yakho, kufuneka udibane nogqirha wakho wezonyango rhoqo. Kubaluleke kakhulu ukuba uthathe inxaxheba kwezi ndlela zonyango ngokuzinikela ukuze ufumane iziphumo ezilungileyo.
Imithambo-luvo ithatha ixesha ukuphola. Emva kokwenzakala kwi-brachial plexus, ingakumbi emva kotyando, ixesha lokuchacha lidla ngokuba lide. Inkqubo yokubuyisela amandla omzimba ifuna ukuzinikela okukhulu. Nangona oku kunokuba nzima kancinci, kubalulekile ukugcina isimo sengqondo esihle . Cela uncedo kubahlobo bakho nakusapho. Oogqirha bakho nabo bakulungele ukukunceda kwaye bakunike isicwangciso sonyango esingcono.
Okokugqibela, khumbula oku.
Ngoko ke, isifo se-brachial plexus esithethe ngaso namhlanje sisifo esibi kakhulu esinokuchaphazela ukusebenza kweengalo nezandla zethu.
- Oku kubangelwa ikakhulu ziingozi, iithumba, iimeko zokudumba, kunye neziphene zokuzalwa .
- Ukuba ufumana iimpawu ezinje ngokuba ndindisholo, ubuthathaka, iintlungu, okanye ukungakwazi ukulawula isandla sakho , ngokuqinisekileyo kuya kufuneka ubone ugqirha .
- Kukho unyango, kodwa ukuchacha kuthatha ixesha kunye nokuzinikela okukhulu . I-Physiotherapy ngumhlobo wakho osenyongweni kolu hambo.
- Ezinye izizathu (ingakumbi iingozi) zinokuthintelwa. Hlala ukhumbula ukhuseleko.
- Ukuba iingalo zosana olusandul’ ukuzalwa azishukumi, xelela ugqirha ngoko nangoko.
Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba ukhe waba namava afanayo, ungakhathazeki. Ngeengcebiso zonyango ezifanelekileyo kunye nonyango, nawe ungayoyisa le meko.
I- Brachial Plexus, Ukulimala kwe-Brachial Plexus, Ukuphazamiseka kwemithambo-luvo, Ukuba ndindisholo esandleni, Ukulahlekelwa sisandla, Ukulimala kwemithambo-luvo, i-NBPP











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