Ingaba isandla somntwana wakho sibonakala singenamsebenzi? Isenokuba yi-Erb's Palsy. Masithethe!

Ngaba wakha waphawula ukuba enye yeengalo zosana lwakho olusandul’ ukuzalwa ayishukumi kakuhle njengenye? Mhlawumbi ayinabomi, ijinga ecaleni, akunjalo? Ndiyaqonda indlela umama okanye utata anokoyika kwaye akhathazeke ngayo xa ebona oko. Kodwa ungakhathazeki. Kwiimeko ezininzi, le meko inokubangelwa yi-Erb's Palsy, esiza kuthetha ngayo. Masithethe ngayo yonke into ngendlela elula onokuyiqonda.

Ngamafutshane, yintoni i-Erb's Palsy?

I-Erb's Palsy yimeko echaphazela imithambo-luvo esemagxeni nasezingalweni zethu. Oku kubangela ukuba imisipha engalweni ibe buthathaka okanye ilahlekelwe ngumsebenzi wayo.

Ngoku masibone ukuba oku kwenzeka njani. Kukho ingqokelela yemithambo-luvo emihlanu ephambili, efana nentambo encinci, ehamba ukusuka emqolo wethu idlule emagxeni ethu iye kwiingalo zethu nezandla zethu. Ngokwezonyango sibiza olu nxibelelwano lwemithambo-luvo ngokuba yiBrachial Plexus . Olu luhlu lwemithambo-luvo luzisa imvakalelo emagxeni ethu, ezingalweni, nasezandleni, kwaye luthumela imiyalezo yokuzishukumisa. Cinga ngalo njengeseti yeengcingo ezithwala imiyalezo yombane esuka engqondweni iye ezandleni.

Ukuba ngesizathu esithile, ingakumbi ngexesha lokubeleka, olu nxibelelwano lwemithambo-luvo (iBrachial Plexus) luyatsalwa okanye lukrazulwe, loo miyalezo ayidluli kakuhle. Emva koko umsebenzi wesandla uyaphazamiseka. Oku sikubiza ngokuba yiBrachial Plexus Palsy. I-Erb's Palsy lolona hlobo luqhelekileyo lweBrachial Plexus Palsy. Apha, imithambo-luvo ephezulu yolo nxibelelwano lwemithambo-luvo yonakele.

Igama elithi "Palsy" lithetha ukulahleka ngokupheleleyo okanye kancinci kokusebenza kwezihlunu. Yimeko efana nokukhubazeka.

Luhlobo luni lomonakalo olunokwenziwa kwezi mithambo-luvo?

Umonakalo kwimithambo-luvo yeBrachial Plexus awufani. Unokwahlulwa ube ziintlobo ezine ngokuxhomekeke kubukhali bayo. Kubalulekile ukuyiqonda ngokucacileyo le nto.

Ngubani onokuthi abe ne-Erb's Palsy?

Kwabantwana abasandul' ukuzalwa

Sihlala siyibona le meko phakathi kweentsana ezisandul’ ukuzalwa. Le ngozi iphezulu kakhulu ukuba ukuzalwa kunzima kancinci. Khawuthelekelele, ngamanye amaxesha emva kokuba intloko yomntwana iphumile, igxalaba linamathela kwisinqe sikamama. Oku sikubiza ngokuba yi-Shoulder Dystocia . Emva koko oogqirha kufuneka bamkhuphe umntwana ngononophelo ngokumtyekisa intloko yomntwana kancinci ecaleni. Ngelo xesha, imithambo-luvo esuka entanyeni iye engalweni (Brachial Plexus) inokutsalwa. Ngamanye amaxesha, kwanangexesha lotyando, kukho ithuba elincinci kakhulu lokuba le meko yenzeke.

Kwabantu abadala

Le meko inokwenzeka nakubantu abadala, kodwa idla ngokuba ngumphumo wengozi enkulu.

• Iingozi zeebhayisekile
• Ukuwa okukhulu
• Iingozi xa kudlalwa imidlalo (umz. iragbi)
• Ukulimala okukhulu, njengokuhlatywa okanye amanxeba okudutyulwa

Kwiingozi ezinje, imithambo-luvo ye-brachial plexus nayo inokonakala.

Zithini iimpawu zale meko?

Ukuba umntwana wakho une-Erb's Palsy, unokubona ezi mpawu:

• Ingalo ixhonywe ithambekile: Ingalo echaphazelekayo isenokuxhonywa ithambekile ihambelana nomzimba.
• Ubunzima bokushukuma: Usana lusenokungakwazi ukuphakamisa ingalo yalo egxalabeni okanye ukugoba ingalo yalo engqinibeni.
• Ukulahlekelwa zimvakalelo: Ngamanye amaxesha kunokubakho ukurhawuzelela okanye ukuba ndindisholo esandleni okanye engalweni.
• Isenzo esithi 'Icebiso Lomlindi':Olu luphawu olukhethekileyo kakhulu. Indawo yesandla ifana nomlungiseleli ehotele olindele ingcebiso kumthengi, ebambe isandla sakhe ngasemva, engasijiki isandla phezulu, kodwa esijika ngasemva. Isandla sijike ngasemva, kwaye iminwe igobile kancinci ngaphakathi.

Ugqirha uyixilonga njani le nto?

Xa usisa umntwana wakho kugqirha, into yokuqala abayenzayo kukwenza uvavanyo olupheleleyo lomzimba . Ugqirha uza kujonga ngononophelo iintshukumo zengalo yomntwana, amandla emisipha, kunye nendlela aziva ngayo.

Ukongeza, ezi mvavanyo zilandelayo zinokwenziwa ukuqinisekisa ukuxilongwa nokufumanisa ubungakanani bomonakalo:

• I-EMG (i-Electromyography): Le isetyenziselwa ukubona ukuba izihlunu kunye nemithambo-luvo zisebenza kakuhle kangakanani. Ngokulinganisa imiqondiso yombane ehamba ngemithambo-luvo, ingasetyenziselwa ukufumanisa apho umonakalo ukhoyo kwaye unzima kangakanani.
• I-MRI okanye i-CT scan: Olu vavanyo lwemifanekiso lungathatha imifanekiso ecacileyo yangaphakathi lomzimba kwaye lubonise ukuba loluphi na umonakalo owenzekileyo kwimithambo-luvo.
• Uvavanyo lwe-X-ray: Ngamanye amaxesha, ukuba kukho ukurhaneleka kokuba ithambo egxalabeni liphuke ngexesha lokubeleka, i-X-ray inokuthathwa ukuqinisekisa oko.

Zithini iindlela zonyango? Ngaba umntwana uza kuba bhetele?

Ndiyazi ukuba lo mbuzo unzima engqondweni yakho. Iindaba ezimnandi zezokuba uninzi lweentsana ezine-Erb's Palsy ziyaphila ngokupheleleyo.

Iindlela zonyango zixhomekeke kubukhulu bomonakalo wemithambo-luvo.

1. Unyango lweFiziyoloji

Olu lolona nyango lubalulekileyo nolusisiseko. Xa umntwana wakho eneminyaka emalunga neeveki ezi-3 ubudala, ugqirha wakho uza kukuthumela kwingcali ye-physiotherapist . Apho, baza kukufundisa ukolula okukhethekileyo kunye nokuzilolonga ngeendlela ezahlukeneyo zokunyakaza ukunceda ukugcina amalungu omntwana wakho ezandleni zakhe, ezingalweni nasezihlahleni zingaqini kwaye kuqinise izihlunu.

Indima yakho njengomzali ibaluleke kakhulu apha. Imithambo efundiswa yingcali yezonyango kufuneka yenziwe kumntwana wakho izihlandlo ezininzi ngemini, ngothando olukhulu nenkathalo. Oku kunokunceda ukuthintela ukuqhoqhobala kwamalungu okuhlala ixesha elide.

2. Unyango ngamanzi

Oku kubhekisa kwimithambo eyenziwa emanzini. Ngenxa yokuba amanzi athambile, izandla zomntwana aziziva zinzima. Ngenxa yoko, ziyakwazi ukuzilolonga ngokulula nangaphandle kwentlungu.

3. Iinaliti zeBotulinum toxin (Botox®)

Kwezinye iimeko, ugqirha wakho unokucebisa olu nyango. Oku kuquka ukufaka inaliti encinci kwizihlunu ezingonakaliyo nezisebenza kakuhle ezizicima okwethutyana. Oku kunika izihlunu ezibuthathaka ithuba lokusebenza nokuqina.

4. Utyando

Uninzi lweentsana aludingi kutyando. Nangona kunjalo, ukuba umntwana wakho akakayenzi inkqubela eyanelisayo ekusebenzeni kwesandla xa eneenyanga ezi-6 ubudala, ugqirha wakho unokuqwalasela utyando.

• Ukulungiswa kwemithambo-luvo: Oku kuquka ukuthatha umthambo ophilileyo kwenye indawo yomzimba (umz., umlenze) uze uwufake kwimithambo-luvo eyonakeleyo ( i-nerve graft ) okanye ukudibanisa umthambo ophilileyo kwimisipha ebuthathaka ( i-nerve transfer ).
• Ukulungiswa kwemisipha: Ngamanye amaxesha isihlunu okanye inxalenye yaso ithathwa kwenye inxalenye yomzimba ize ityalwe ukuze kubuyiselwe ukusebenza kwengalo eyonakeleyo.

Ingaba le meko ingathintelwa? Zithini izinto ezibangela umngcipheko?

I-Erb's Palsy ayisoloko ithintelwa, njengoko ukuzala umntwana kuyinkqubo enzima eneziganeko ezingalindelekanga. Nangona kunjalo, kukho izinto ezithile ezinokubangela umngcipheko.

• Ubunzima bomntwana obunyukileyo ekuzalweni (ngaphezu kwe-4 kg).
• Umama unesifo seswekile ngexesha lokukhulelwa.
• Ukunyuka/ukutyeba kakhulu koomama.
• Ukuba nembali ye-shoulder dystocia ekubelekeni kwangaphambili.
• Ukuzalwa komntwana okhulelweyo.
• Ukusebenzisa iziyobisi ezifana ne -Oxytocin okanye ukufumana i-epidural anesthesia ngexesha lokubeleka.

Ukuba nezi zinto zomngcipheko akuthethi ukuba umntwana uza kuba ne-Erb's Palsy. Nangona kunjalo, kubalulekile ukuqaphela iingozi.

Ndifanele ndimbone nini ugqirha?

Eyona ndlela ilungileyo yokufumana iziphumo ezilungileyo kwisifo semithambo-luvo esifana nesi kukuqala unyango ngokukhawuleza . Ke ngoko:

• Ukuba ubona naluphi na utshintsho okanye ubuthathaka ekushukumeni kwengalo yomntwana wakho, mse kugqirha ngokukhawuleza.
• Qiniseka ukuba uya ekliniki ngomhla owunikwe ngugqirha. Kubaluleke kakhulu ukujonga inkqubela yomntwana.
• Ukuba uneengxaki xa usenza umthambo ekhaya, okanye ukuba uziva ngathi imeko yomntwana wakho iya isiba mandundu, tsalela umnxeba uxelele ugqirha. Musa ukugcina nantoni na kuwe.