Ngaba ngamanye amaxesha uziva iintlungu okanye ukungakhululeki okuqala entanyeni nasemagxeni akho kuze kwehle ingalo yakho? Mhlawumbi le ntlungu iba mandundu xa uphakamisa ingalo yakho. Inokuba yinto ecaphukisayo kakhulu xa uphakamisa into enzima okanye wenza imisebenzi yemihla ngemihla. Nangona abantu abaninzi becinga ukuba le yintlungu eqhelekileyo yentamo okanye ukukruquka, isenokuba ngenxa yemeko esingathethi kakhulu ngayo, kodwa ichaphazela abantu abaninzi. Namhlanje, masithethe nge -thoracic outlet syndrome , okanye i-TOS njengoko oogqirha beyibiza njalo.
Ngamafutshane, yintoni iThoracic Outlet Syndrome (TOS)?
Khawucinge nje, kukho indawo encinci kakhulu phakathi kwentamo yethu nesifuba esingaphezulu, ngakumbi ngaphantsi kwethambo lentamo nangaphezulu kombambo wokuqala. Le ndawo yileyo siyibiza ngokuba yi-'Thoracic Outlet'. Kule ndawo incinci, imithambo-luvo ephambili kunye nemithambo yegazi (imithambo yegazi kunye nemithambo-luvo) eya ezingalweni zethu idlula. Kufana neemoto ezininzi ezihamba ngendlela emxinwa.
Khawucinge nje, kuya kwenzeka ntoni ukuba le ndawo imxinwa iba mxinwa okanye iqine ngakumbi ngesizathu esithile? Imithambo-luvo kunye nemithambo yegazi ehamba kuloo ndlela iqala ukuxinana nokuvaleka. Ukudibana kweempawu ezifana nentlungu, ukudumba, kunye nokungaziva okubangelwa kukucindezela oko yinto esiyibiza ngokuba yiThoracic Outlet Syndrome (TOS) .
Ngaba kukho iintlobo eziphambili ze-TOS?
Ewe, i-TOS yahlulwe yaba ziintlobo ezintathu eziphambili ngokuxhomekeke kwinto ebangela le ntlungu. Kubalulekile ukwazi oku, kuba unyango luyahluka ngokuxhomekeke kuhlobo lwayo.
| Uhlobo lwe-TOS | Inkcazo |
|---|---|
| Ii-TOS zeNeurogenic | Olu lolona hlobo luxhaphakileyo. Ama-95% eemeko analolu hlobo. Kulapho imithambo-luvo eya esandleni icinezelwa khona. |
| I-Venous TOS | Nantsi imithambo yegazi ethwala igazi elingcolileyo ukusuka engalweni ukuya entliziyweni. Oku kunqabile kancinci. |
| I-Arterial TOS | Olu lolona hlobo lunqabileyo nolunzima kakhulu. Lubandakanya ukuvaleka komthambo othwala igazi elicocekileyo ukusuka entliziyweni ukuya engalweni. |
Le meko ixhaphake kakhulu kubafazi, kwaye abadlali bezemidlalo kunye nabo benza imisebenzi ethile equka ukunyakaza kwezandla okuphindaphindiweyo nabo basengozini enkulu.
Zithini iimpawu ze-TOS?
Iimpawu zivakala kakhulu ezandleni nasezihlahleni zakho. Ezinye iimpawu zinokwahluka kancinci ngokuxhomekeke kuhlobo lwazo.
- Intlungu yentamo, igxalaba, okanye ingalo : Olu luphawu oluphambili. Intlungu iyanda xa uphakamisa ingalo yakho.
- Ukungaziva buhlungu nokurhawuzelela: Usenokuziva ezi ntlungu, ingakumbi kwiminwe yakho nasezintendeni zezandla.
- Ubuthathaka besandla: Ubunzima bokuphakamisa iintsimbi okanye ukubamba into ngokuqinileyo.
- Ukudumba kwesandla : Oku kunokubonwa ngakumbi kuhlobo lwemithambo yegazi.
- Ukutshintsha kombala wesandla: Isandla sinokujika sibe luhlaza okwesibhakabhaka, sibe bomvu, okanye sibe mthubi. Oku kubonisa ukuba ukujikeleza kwegazi akulunganga.
- Iintende zesandla ezibandayo: Intende yesandla esichaphazelekileyo inokubanda ngaphezu kwesinye isandla.
- Iqhuma elibuhlungu kufutshane nethambo lentamo : Usenokukwazi ukuliva nawe.
- Ukuwohloka kwemisipha: Ukuba uxinzelelo luqhubeka ixesha elide, ezinye zezihlunu esandleni, ingakumbi izihlunu ezisezantsi kobhontsi omkhulu, zinokuncipha kwaye zibonakale ngathi zinciphile. Oku kukwabizwa ngokuba yi-"Gilliatt-Sumner hand".
- Ukubetha kwentliziyo okubuthathaka engalweni: Kuhlobo lwemithambo yegazi, ukubetha kwentliziyo engalweni echaphazelekayo kunokuba buthathaka okanye kungabikho xa kuchukunyiswa.
Ziziphi izizathu kunye nezinto ezibangela umngcipheko wokuphuhlisa i-TOS?
Kusenokuba nezizathu ezahlukeneyo zoku.
- Ukulimala: Ukulimala entanyeni okufana ne-whiplash evela kwingozi yemoto, okanye ukwenzakala okufana nokuphuka kwe-collarbone kunokubangela ukuba izicubu ezibomvu kunye nokudumba kunciphise indawo.
- Ukuma kakubi: Le yimbangela ebaluleke kakhulu. Xa uhlala ugobile kwaye amahlombe akho egobile phambili (ingakumbi xa uphambi kwekhompyutha okanye ujonge ifowuni yakho), ithambo lakho lentamo linokuhla kancinci, licinezele imithambo-luvo kunye nemithambo yegazi. Imisipha yamagxa ebuthathaka nayo yimbangela yoku.
- Iintshukumo eziphindaphindwayo (Uxinzelelo oluphindaphindwayo):Lo mngcipheko uphezulu kubantu abenza iintshukumo ezihlala zifuna ukuphakamisa iingalo zabo. Umzekelo, ababhukudi, abo badlala imidlalo efana nebaseball, abapeyinti, kunye nabo basebenza kwimizi-mveliso.
- Iingxaki zokuzalwa: Abanye abantu bazalwa benembambo eyongezelelweyo (imbambo yomlomo wesibeleko) entanyeni. Oku kunokwenza indawo ibe ncinci.
- Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, uxinzelelo kwi-collarbone nakwimisipha ejikelezileyo luyanda. Oku kukwangunobangela wokurhona.
- Ukukhulelwa: Ngexesha lokukhulelwa, amalungu omzimba ayakhululeka. Ngenxa yokuyekelela, ithambo lentamo lisenokushukuma lize libangele ukukruneka.
- Ezinye izizathu: Iithumba ezikwisifuba esingaphezulu okanye ekhwapheni, uxinzelelo olugqithisileyo, kunye nokudakumba nazo ngamanye amaxesha zinokuba yimbangela.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuqala akubuze umbuzo oneenkcukacha ngeempawu zakho aze emva koko akuhlole ngokwasemzimbeni.
Uhlobo lwe-neurogenic maxa wambi kunzima ukuluxilonga kuba iimpawu zalo zinokubhidaniswa nezinye iimeko ezibangela ukungakhululeki kunye nentlungu esandleni, ezifana ne-carpal tunnel syndrome, i-arthritis entanyeni nasemqolo, kunye nezinye iingcinezelo zemithambo-luvo. Ngoko ke, ugqirha kufuneka aqwalasele zonke ezi zinto ukuze afumane unobangela ochanekileyo.
Nangona kunjalo, iimpawu zeentlobo zemithambo yegazi kunye nemithambo yegazi (ukudumba, ukutshintsha kombala) zicacile kwaye zinokubonwa ngokukhawuleza.
Ezi mvavanyo zilandelayo zingasetyenziselwa ukuqinisekisa ukuxilongwa:
- Uvavanyo lokubeka indawo: Ugqirha uza kushukumisa iingalo zakho kunye nentloko yakho kwiindawo ezahlukeneyo ukuze abone ukuba iimpawu zakho ziya zisiba mandundu okanye zimbi.
- I-Scalene muscle block: Inaliti ye-anesthetic kwisihlunu esisentanyeni. Oku kwenziwa ukuze kubonwe ukuba intlungu iyaphela na. Ukuba intlungu iyaphela, kusenokwenzeka ukuba ingxaki ikhona.
- Uvavanyo lwemifanekiso: I-X-ray, i-CT scan, okanye i-MRI inokujonga iziphene zokuzalwa, ezifana nembambo eyongezelelweyo. I-ultrasound inokujonga ukuvaleka kwemithambo yegazi.
- Uvavanyo lwemithambo-luvo: Olu vavanyo lunceda ekuthinteleni ezinye iingxaki zemithambo-luvo.
- Uvavanyo lokujikeleza kwegazi: Uvavanyo lwe-X-ray olusebenzisa idayi ekhethekileyo, efana ne-arteriogram okanye i-venogram, lunokufumanisa ngokuchanekileyo amahlwili egazi okanye umonakalo kwimithambo yegazi.
Ziziphi iindlela zonyango ze-TOS?
Iindlela zonyango zixhomekeke kuhlobo lwe-TOS onayo.
Kwi-Neurogenic TOS:
Olu hlobo luxhaphakileyo aludingi utyando.
- Unyango lomzimba: Olu lolona nyango lubalulekileyo.Apha, uza kufundiswa imithambo eqinisa kwaye yolule izihlunu zentamo namagxa. Iya kukunceda ulungise ukuma kwakho. Abantu abaninzi bafumanisa oku kuluncedo kakhulu.
- Amayeza: Iipilisi zokunciphisa iintlungu ezifana ne-'Ibuprofen' okanye i-'Naproxen' (oogqirha babiza ezi ngokuba yi-'NSAIDS') kunye neziphumzi zemisipha zinokunikwa ukunciphisa iintlungu nokudumba.
- Iinaliti zeBotox: Ukujova inaliti yeBotox kwisihlunu esisezantsi kwentamo kunokukhulula loo ndawo kwaye kunciphise iintlungu. Iziphumo zihlala malunga neenyanga ezi-3.
Kwi-Vons kunye ne-Arterial TOS:
Ezi ntlobo zimbini zihlala zifuna utyando.
- Okokuqala, ukuba kukho ihlwili legazi, liyanyangwa.
- Emva koko, kwenziwa inkqubo yotyando ebizwa ngokuba yi-thoracic outlet decompression. Kule nkqubo, ugqirha uvula indawo apho kukho ucinezelo. Oku kunokubandakanya ukususa iimbambo ezingaphezulu, ezinye izicwili, okanye inxalenye yemisipha ebangela ucinezelo. Zinokulungisa nemithambo yegazi eyonakeleyo.
Izinto onokuzenza ekhaya
Ukwenza ezi zinto kunye nonyango kuya kukunika isiqabu esingakumbi.
- Gcina ubunzima bakho busempilweni.
- Lumka ngendlela ome ngayo. Ziqhelise ukugcina umqolo wakho uthe nkqo emsebenzini nasekhaya.
- Kuphephe ukuthwala iingxowa ezinzima emagxeni akho.
- Xa usebenza, soloko uphumla kancinci, vuka, uze wolule umzimba.
- Faka i-heating pad kwiimisipha ezibuhlungu. Fumana i-massage.
- Yenza umthambo wokuphumla ukuze unciphise uxinzelelo.
Kuza kwenzeka ntoni ukuba i-TOS ayinyangwa?
Kubaluleke kakhulu ukunyanga i-TOS ngokukhawuleza. Ngaphandle koko, iingxaki ezinkulu zinokwenzeka, ezinje:
- Intlungu engapheliyo kunye nokudumba esandleni
- Umonakalo wemithambo-luvo ongapheliyo
- Iimeko ezifana nezilonda ze-ischemic okanye i-gangrene kwiminwe ngenxa yokungahambi kakuhle kokuhamba kwegazi
- Amahlwili egazi. Ukuba ihlwili legazi liyaqhekeka lize livale umthambo wegazi emiphungeni, libizwa ngokuba yi-"pulmonary embolism ." Le yimeko engxamisekileyo enzulu kakhulu nesongela ubomi.
Umyalezo Wokuya Ekhaya
- Isifo seThoracic Outlet Syndrome (TOS) asiyontlungu yentamo eqhelekileyo nje kuphela, yimeko ethile yezonyango.
- Ukuba unentlungu, ubuthathaka entanyeni, emagxeni, okanye engalweni yakho, musa ukuyityeshela loo nto.
- Ukuma kakubi kunye neentshukumo eziphindaphindayo zinokuba zezona zizathu ziphambili zoku. Ngoko ke lumka ngendlela oma ngayo.
- Unyango lomzimba lunyango olusebenzayo kakhulu kwi-TOS ye-neurogenic.
- Ukuba ufumana ukudumba ngequbuliso, ukutshintsha kombala, iintlungu eziqatha, okanye ukuphelelwa yintliziyo esandleni sakho, isenokuba yingxamiseko. Bona ugqirha okanye uye kwiSebe leNgxamiseko (ETU) ngoko nangoko.
- Nangaliphi na ixesha, ukuba uneempawu ezinje, musa ukucinga, kodwa bonana nogqirha wakho ukuze akuxilonge kakuhle aze akunyange.
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