Uyalwazi yini lolu hlobo lomthambo olubalulekile ehlombe lakho? (I-Axillary Nerve) - Ake sixoxe ngokuningiliziwe!

Wake wacabanga ukuthi zingaki izinto amahlombe ethu abaluleke kakhulu kuzo? Ukuphakamisa izingalo zethu, ukujikisa imizimba yethu, ukuphakamisa izinsimbi, oh, sidinga amahlombe ethu ngezinto eziyinkulungwane, akunjalo? Ngakho-ke namuhla sizokhuluma ngemithambo ebaluleke kakhulu esiza ihlombe ukuthi lisebenze kahle. Leyo yimithambo ye-axillary, noma `(Axillary Nerve)`. Lokhu kufana nomugqa omncane wokuphila ehlombe lethu.

Iyini i-Axillary Nerve? Masiyiqonde kalula!

Kalula nje, i-axillary nerve ingenye yezinzwa ezinhlanu ezinkulu ezidlula ehlombe lakho. Ngezinye izikhathi ibizwa nangokuthi i-circumflex nerve. Le nerve iqala entanyeni yakho. Entanyeni yakho, kunenethiwekhi yezinzwa ebizwa ngokuthi i-brachial plexus, efana nenethiwekhi yezindlela eziningi ezincane zezinzwa ezihlangana ndawonye. Yilapho i-axillary nerve iqala khona futhi iye ehlombe lakho. Le nethiwekhi yezinzwa ibaluleke kakhulu ngoba yi-brachial plexus esisiza ukuthi sinyakazise izitho zethu ezingaphezulu, okungukuthi, izingalo zethu, futhi izinike umuzwa. Ngakho-ke, i-axillary nerve iyingxenye ebalulekile yalolo hlelo olukhulu.

Ngaphandle kwe-axillary nerve, ubani omunye okule ndawo?

Yebo, le nzwa ye-axillary ``(Axillary Nerve)`` ayisebenzi yodwa endaweni yehlombe. Ineminye imizwa eminingana eyisizayo, okungukuthi, leyo exhunywe ehlombe nasengalweni. Kufana nabangani abasebenza eqenjini elifanayo. Ake sibone ukuthi bangobani:

• I-median nerve: Lena i-nerve enkulu egijima ngaphambili kwengalo yakho, esandleni sakho, kanye neminwe yakho eminingi. Le nerve ibaluleke kakhulu uma ubamba okuthile ngesandla sakho nalapho ugoba iminwe yakho.
• I-musculocutaneous nerve: Lokhu kuya emisipheni engaphambili kwengalo yakho engenhla kanye kwesokudla endololwaneni. Lokhu kuyasiza uma ugoba indololwane yakho.
• I-radial nerve: Le nerve iya emisipheni engemuva kwengalo yakho (ebizwa nangokuthi i-triceps) kanye nesandla. Yilokhu okusiza ukuthi welule ingalo yakho futhi uphakamise isandla sakho.
• I-Ulnar nerve: Lena i-nerve edlula engalweni yakho iye esandleni sakho, ikakhulukazi umunwe omncane.

Uyabona, zonke lezi zinzwa zisebenza ndawonye ukuze zisisize senze ngisho nokunyakaza okubucayi kakhulu kwezandla zethu.

Uyini umsebenzi we-Axillary Nerve? Okusho ukuthi, yini esiza ngayo?

Kulungile, manje ake sibone ukuthi hlobo luni lwenkonzo olunikezwa yile nzwa ye-axillary emzimbeni wethu. Kunemisebenzi emibili eyinhloko:

1. Ukunyakaza kwemisipha: Lo mthambo unesibopho sokunyakaza, noma ukuvuselela, eminye yemisipha ebalulekile ehlombe lakho. Njengoba nje isibani sikhanya lapho kusetshenziswa ugesi, le misipha iyasebenza lapho kuthunyelwa isignali evela kulo mthambo.

2. Ukunikeza umuzwa: I-axillary nerve yiyo enikeza umuzwa esikhumbeni esizungeze ihlombe. Yiziphi lezi mizwa?

• Ubuhlungu:Uma silimala ndawana thize, uma kukhona okungahambi kahle, sizwa ubuhlungu. Kusisiza sibuzwe.
• Indlela oma ngayo: Ungazizwa ukuthi isandla sakho sikuphi (phezulu, phansi, eceleni) ngaphandle kokubheka. Lokhu kuzokusiza ukuthi uzizwe kanjalo.
• Izinga lokushisa: Uma uzwa ukushisa noma ukubanda ehlombe lakho, kuyahamba kuye ebuchosheni ngale nerve.
• Ukuthinta: Uma othile ekuthinta ehlombe lakho noma izingubo zakho zikhuhlana emzimbeni wakho, uzwa lokho kuthinta ngenxa yalo mthambo.

Cabanga nje, uma le nzwa ingasebenzi kahle, kungaba nzima ukuhambisa ihlombe lakho, futhi ungaze ulahlekelwe umuzwa kuleyo ndawo.

Yimiphi imisipha eqiniswa yi-Axillary Nerve?

Manje ake sibone ukuthi yimiphi imisipha esetshenziswa yi-axillary nerve "engena ngaphakathi" noma evuselelayo. Kunemisipha emibili eyinhloko kanye nengxenye yomunye:

• Imisipha ye-deltoid: Lona umsipha omkhulu ofana nesivalo sehlombe lakho futhi unikeza ihlombe lakho isimo esihle esiyindilinga. Umsipha we-deltoid okusiza kakhulu ukuthi uphakamise ingalo yakho eceleni, phambili, nangemuva .
• Imisipha emincane ye-Teres: Lona umsipha omncane otholakala ngaphansi kwe-deltoid. Mncane kodwa wenza umsebenzi omuhle kakhulu. Imisipha emincane ye-teres ikusiza ukuthi ujikelezise ingalo yakho ngaphandle (ukujikeleza kwangaphandle) .
• Ingxenye yemisipha ye-triceps: Imisipha ye-triceps, etholakala ngemuva kwengalo yakho engenhla, ikusiza ukuthi welule indololwane yakho. Ikhanda elide lale misipha ye-triceps lixhunywe kumthambo we-axillary.

Kungenxa yokuthi le misipha isebenza kahle ukuthi singenza kalula yonke intshukumo esingayenza ngamahlombe ethu, kusukela ekuphonseni ibhola kuya ekukama izinwele zethu.

Iyini isakhiwo somthambo wehlombe? Okusho ukuthi, wakhiwa kanjani?

Manje ake sijule kancane sibone ukuthi lo mthambo we-axillary utholakala kanjani emzimbeni wethu, ukuthi uqala kuphi nokuthi uya kuphi. Kufana nokuthola indlela.

Lo mthambo uqala phezulu komgogodla wakho entanyeni yakho, lapho izimpande zemizwa ezivela kumathambo omgogodla wesihlanu (C5) kanye nowesithupha (C6) womgogodla womlomo wesibeletho zihlangana khona.

Bese kuba lo mzwelo:

1. Ihamba ngaphansi kwethambo lakho lentamo.

2. Okulandelayo, idlula esikhaleni sesikwele (esibizwa ngokuthi "isikhala se-Quadrangular") phakathi kwemisipha nezinye izicubu endaweni yamahlombe. Lena indawo ecijile kancane.

3. Ukusuka lapho, ihamba ngemuva kwengxenye ephezulu yethambo lakho lengalo (`(i-humerus)`).

Bese, lo mthambo we-axillary uhlukana ube amagatsha amathathu amakhulu. Cabanga ngawo njengesiqu somuthi, bese uhlukana ube amagatsha amancane ukuze wenze umsebenzi obalulekile:

• Igatsha langaphambili:Lokhu kuya phambili futhi kunamathele ngaphambili kwemisipha ye-deltoid, kusize ukuthi inyakaze. Kuphinde kunikeze umuzwa esikhumbeni esingaphambili kwehlombe.
• Igatsha elihlangene: Lokhu kuya ngqo ejoyintini le-glenohumeral. Kusiza ekuthwaleni imizwa ngaphakathi kwejoyinti. Ngezinye izikhathi kuxhuma nekhanda elide le-triceps.
• Igatsha langemuva: Lokhu kugijima emuva futhi kuxhuma engxenyeni engemuva yomsipha we-deltoid kanye nomsipha omncane we-teres, okusiza ekunyakaziseni ingalo. Kuphinde kunikeze umuzwa esikhumbeni ngemuva kwehlombe kanye nangemuva eliphezulu lengalo.

Lena yindlela i-axillary nerve esebenza ngayo.

Yiziphi izimo ezithinta ukusebenza komthambo wehlombe?

Ngeshwa, kunezizathu ezahlukahlukene zokuthi kungani lo mthambo we-axillary obaluleke kakhulu ungalimala. Uma lokhu kwenzeka, ukusebenza kwehlombe kungaphazamiseka. Ake sibheke ukuthi yiziphi lezo zizathu:

Ukulimala:

• Izingozi: Izingozi ezibangela ikhanda ukuba liphendukele ohlangothini olulodwa kanye nehlombe kwelinye (isibonelo, engozini yemoto). Ezimweni ezinjalo, i-"Brachial Plexus" entanyeni kanye ne-"Axillary Nerve" ingalimala.
• Izinduku zokusibekela noma ezinye izisekelo: Abanye abantu basebenzisa izinduku zokusibekela ngenkathi bezibamba ziqine emakhwapheni abo. Lokhu kungabangela ukucindezelwa kanye nomonakalo emthanjeni we-axillary.
• Ihlombe eliphumile: Lokhu kuyinto abantu abaningi abayizwayo. Uma ihlombe liphumile ngesikhathi semidlalo, liwa esitebhisini, noma liwa ebhayisikilini, i-axillary nerve ingadonswa futhi yonakale. Lena yimbangela evame kakhulu yokulimala kwe-axillary nerve.
• Ukuphuka: Uma ithambo lengalo engenhla (i-humerus) liphuka eduze kwehlombe, izingcezu zamathambo eziphukile zingalimaza inzwa.
• Izinkinga zokuhlinzwa: Ezinye izinhlinzeko zamahlombe, njenge-shoulder arthroscopy, zingabangela ukulimala kwemizwa, nakuba zingavamile.

Izinkinga ezenzeka ngesikhathi sokuzalwa kwezingane:

Uma umntwana ezalwa, ngezinye izikhathi umntwana kufanele adonswe ngehlombe noma ngesandla. Noma ihlombe lomntwana lingabhajwa ethangeni likamama. Ezimweni ezinjalo, i-axillary nerve yosana ingonakalisa ngenxa yokudonsa noma ukucindezelwa.

Ezinye izimo zezokwelapha:

• I-radiculopathy yomlomo wesibeletho:Lokhu ukucindezelwa kwempande yemizwa ephuma emathanjeni entanyeni. Lokhu kungabangela ubuhlungu kanye nokungazweli ehlombe, futhi ngezinye izikhathi kuthinte ngokungaqondile ukusebenza kwe-axillary nerve.
• I-Erb-Duchenne kanye ne-Dejerine-Klumpke Palsy: Lezi yizimo ezibangela ukukhubazeka okuyingxenye noma okuphelele kwengalo ngenxa yomonakalo we-Brachial Plexus, inethiwekhi yezinzwa entanyeni. I-Axillary Nerve nayo iyingxenye yale nethiwekhi, ngakho-ke nayo iyathinteka kulezi zimo.
• I-Parsonage-Turner syndrome: Lesi yisimo esingavamile kakhulu sezinzwa. Sivela lapho amasosha ethu omzimba ehlasela ngephutha izicubu zezinzwa ezinempilo (lokhu kubizwa ngokuthi ukuvuvukala okuzenzakalelayo). Lokhu kungabangela ubuhlungu obungazelelwe, obukhulu kanye nobuthakathaka ehlombe nasengalweni.
• I-Herpes zoster: Isifo sonke esisazi ngokuthi ama-shingles. Leli gciwane lihamba ngemithambo. Uma livela endaweni ezungeze i-axillary nerve, lingalimaza imithambo futhi libangele ubuhlungu nobuthakathaka kamuva.
• I-quadrilateral space syndrome: I-axillary nerve, njengoba kushiwo ngaphambili, ingacindezelwa esikhaleni se-quadrangular, kungaba ngenxa yokuvuvukala kwemisipha ekuyo noma ngenxa yesinye isizathu, kanti i-axillary nerve egijima ngaphakathi ingacindezelwa. Lokhu kungabangela nobuhlungu behlombe kanye nobuthakathaka.

Ingabe kufanele ngikhathazeke kakhulu uma ngine-axillary nerve damage?

Kuvamile ukuzizwa wesaba kancane uma uzwa ngenkinga yezinzwa efana nale. Kodwa ingxenye engcono kakhulu ukuthi, esikhathini esiningi, lezi zinkinga zezinzwa ziyaphola zodwa ngokuhamba kwesikhathi, kungaba ngokwazo noma ngokwelashwa ngokomzimba. Izinzwa ziwuhlobo lwezicubu eziphola ngokushesha okukhulu. Ngakho-ke kufanele ubekezele.

"Kuthatha isikhathi ukuthi imizwa ilulame, kodwa ungalilahli ithemba. Ngokwelashwa okufanele, abantu abaningi bayalulama."

Kodwa-ke, kwezinye izimo zokulimala okukhulu, njengokulimala kwemizwa okuphelele, kungase kudingeke ukuhlinzwa. Ezimweni ezinjalo, kusetshenziswa i-nerve graft, ehilela ukuthatha ingxenye encane yemizwa kwenye ingxenye yomzimba bese uyitshala. Ngemva kokulimala okunjalo, kungathatha izinyanga, noma ngisho nonyaka, ukuba ihlombe liphinde lizizwe futhi lilawule imisipha. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Odokotela basithola kanjani isimo esinjengalesi? (Ukuxilongwa)

Uma uya kudokotela onesihlungu samahlombe, ukungazweli, nobunzima bokuphakamisa ingalo yakho, ubona kanjani ukuthi kuyinkinga nge-axillary nerve? Kunezivivinyo eziningana zalokho:

1. Umlando ophelele wezokwelapha kanye nokuhlolwa kwezinzwa:Okokuqala, udokotela uzokubuza umbuzo oningiliziwe mayelana nokuthi kwaqala kanjani nokuthi yiziphi izimpawu onazo. Ngemuva kwalokho, bazohlola ihlombe lakho nengalo yakho ukuze bahlole amandla emisipha yakho, imizwa, kanye nokusabela komzimba.

2. Ukuhlolwa kwe-NCS/EMG: Lokhu kusho ukuthi isifundo sokuqhuba imizwa/i-Electromyography. Lokhu ukuhlolwa okukhethekile. Kulinganisa ukuthi izimpawu zikagesi zihamba ngokushesha kangakanani ezinzwa nokuthi imisipha isabela kanjani kulezo zimpawu. Lokhu kunganikeza umbono omuhle wokuthi ngabe i-axillary nerve yonakele, futhi uma kunjalo, ngezinga elingakanani.

3. Ama-X-ray: Kwenziwa i-X-ray ukuhlola noma yikuphi ukwaphuka noma ukuqhekeka emathanjeni esihlanganisi sehlombe.

4. I-MRI (Magnetic Resonance Imaging) Scan: I-MRI ingabona ngokucacile izicubu ezithambile ngaphakathi kwehlombe, njengemisipha, imisipha, imisipha, kanye nemizwa. I-MRI ingaba usizo kakhulu ekunqumeni ukuthi i-axillary nerve icindezelwe, ivuvukele, noma inenkinga ngezicubu ezizungezile.

5. I-ultrasound yemisipha ye-neuromuscular: Lena futhi indlela esetshenziswa emazweni amaningi athuthukile. Njenge-ultrasound esetshenziswa ukuhlola umntwana osesibelethweni, lokhu kungabheka isimo sezinzwa nemisipha. Lokhu kuyasiza futhi ngoba kungenziwa ngokushesha futhi kulula kune-MRI.

Kungokwenza okukodwa noma ngaphezulu kwalokhu kuhlolwa lapho udokotela ezothola khona imbangela eqondile yenkinga yakho.

Yini esingayenza ukuvimbela lolu hlobo lwesifo sezinzwa ze-axillary?

Kukhona isisho esithi "ukuvimbela kungcono kunokwelapha." Ngakho-ke, kunezinto eziningana esingazenza ukuvimbela umonakalo emsipheni we-axillary:

• Uma udinga ukuhlinzwa ehlombe: Uma udinga ukuhlinzwa ehlombe lakho, khetha njalo udokotela ohlinza amathambo onolwazi nochwepheshe. Kuhle kakhulu uma unomuntu ochwepheshe ekuhlinzeni izitho zangaphezulu (ngezinye izikhathi obizwa ngokuthi udokotela ohlinzayo wezandla). Lokhu kuzonciphisa ingozi yokulimala kwemizwa ngesikhathi sokuhlinzwa.
• Qaphela lapho ukhwela izitebhisi: Uma uwa esitebhisini, ungakhubeka ihlombe lakho futhi uphule amathambo akho. Ngakho-ke qaphela kakhulu lapho ukhwela isitebhisi. Uma kungenzeka, tshela othile ukuthi abambe isitebhisi, noma ucele othile akusize uthwale izinto. Ungenzi umsebenzi oyingozi wedwa.
• Sebenzisa izinyathelo zokuphepha: Gqoka ibhande lesihlalo njalo uma ugibele imoto. Gqoka izingubo zokuzivikela kanye nesigqoko sokuzivikela uma ugibele ibhayisikili noma udlala imidlalo ethile. Lokhu kunganciphisa kakhulu umonakalo odalwe ingozi.
• Sebenzisa izinduku zokusibekela ngendlela efanele: Uma kwenzeka kudingeka usebenzise izinduku zokusibekela,Funda kudokotela noma kudokotela ukuthi ungawasebenzisa kanjani ngendlela efanele futhi ngaphandle kokucindezela imizwa. Uma iqiniswe ngendlela engafanele ekhwapheni, imizwa ye-axillary ingacindezelwa.

Uma unakekela lezi zinto ezincane, ungagwema kakhulu lezi zinhlobo zezinkinga zemizwa.

Kufanele ubonane nini nodokotela mayelana nenkinga yemizwa ehlombe lakho?

Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo zamahlombe, kungcono ukubona udokotela kunokukubheka njengokugula nje komzimba:

• Uma unenkinga yokuhambisa ihlombe noma ingalo yakho, ikakhulukazi uma ungakwazi ukuphakamisa ingalo yakho eceleni.
• Uma uzwa umuzwa wokucasuka ehlombe lakho noma ngemuva kwengalo yakho.
• Uma uzwa ubuhlungu obukhulu, ikakhulukazi uma uphakamisa ingalo yakho noma usebenzisa ihlombe lakho.
• Uma unomuzwa wokucasuka, noma uhlobo oluthile lokuzwa okungajwayelekile endaweni yakho yamahlombe.
• Uma uzizwa sengathi imisipha yakho yamahlombe ibuthakathaka futhi ibuhlungu .

Izimpawu ezinjengalezi zisho ukuthi kungase kube nenkinga ethile yangaphakathi. Ngakho-ke, uma ufuna iseluleko sezokwelapha ngokushesha, uma kunenkinga, ingatholakala ngokushesha futhi ukwelashwa kungaqala. Bese kuba nethuba elikhulu lokululama ngokushesha.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Nokho, sikhulume kakhulu nge-Axillary Nerve namuhla, akunjalo? Ngicabanga ukuthi kungaba usizo ngawe ukukhumbula la maphuzu:

• I-axillary nerve iyi-nerve ebaluleke kakhulu ebalulekile ekunyakazeni nasekuzweleni ehlombe lakho. Ivikela imisipha ye-deltoid futhi ikhulule imisipha emincane.
• Lo mthambo ungonakaliswa yizingozi ezahlukahlukene, ukukhumuka kwamahlombe, kanye nezimo ezithile zezokwelapha.
• Ngisho noma kukhona umonakalo, uvame ukuphulukiswa ngokwelashwa okufanele kanye nokwelashwa ngokomzimba. Kodwa kuthatha isikhathi esithile.
• Izinto ezilula njengokuqaphela lapho ukhwela izitebhisi futhi usebenzisa imishini yokuphepha zingasiza kakhulu ekuvimbeleni lezi zinhlobo zokulimala.
• Uma uzwa izimpawu ezifana nobuhlungu behlombe, ukungakhululeki, noma ubunzima bokuphakamisa ingalo yakho, ungakuzibi futhi ubone udokotela ngokushesha.

Ihlombe lakho lingenye yezimpahla zakho ezibaluleke kakhulu ezikusiza ngemisebenzi yakho eminingi yansuku zonke. Ngakho-ke, kungumthwalo wakho wemfanelo ukulinakekela. Ngiyethemba ukuthi lolu lwazi luzokusiza ngalokho!

I- Axillary nerve, i-shoulder nerve, ubuhlungu behlombe, izinkinga zemizwa, i-brachial plexus, imisipha ye-deltoid, ukuhlukana kwehlombe