Ingabe uzwa ubuhlungu obungalweni? Ingabe lokhu kungaba yi-Arterial Thoracic Outlet Syndrome?

Wake wazizwa ungenamizwa noma ubuhlungu obungavamile engalweni yakho, noma umuzwa wokubanda esandleni sakho? Noma wake waphawula ukuthi ingalo yakho ishintsha umbala noma ithatha isikhathi eside ukuphola ngemva kokusikeka? Ungacabangi nje ukuthi lezi yizinto ezivamile. Lokhu kungaba uphawu lwesifo esibizwa ngokuthi `(Arterial Thoracic Outlet Syndrome)`. Ake sixoxe ngalokhu ngokuningiliziwe futhi namuhla.

Iyini le `(Arterial Thoracic Outlet Syndrome)`? Ake sikuqonde kalula, akunjalo?

Kalula nje, `(Arterial Thoracic Outlet Syndrome)` yilapho omunye wemithambo yethu yegazi eyinhloko (imithambo yegazi) ucindezelwa esikhaleni esiphakathi kwentamo yethu nethambo lentamo (sikubiza lokhu ngokuthi `(Clavicle)`), okungukuthi, endaweni ebizwa ngokuthi `(Thoracic Outlet)`. Uyazi, imithambo yegazi iyimigudu ethwala igazi lisuka enhliziyweni yethu liye emzimbeni wonke. Ngakho-ke, kumuntu onalesi simo `(ATOS)`, umthambo wegazi uyacindezelwa kule ndawo ebizwa ngokuthi `(Thoracic Outlet).`

Cabanga ngakho njengepayipi lamanzi elivalekile, okunciphisa ukugeleza kwamanzi. Uma umthambo uvalekile kanje, ungavimba ukugeleza kwegazi. Uma ungelashwa kahle, kungaholela ezinkingeni ezinkulu zempilo. Kwabanye abantu, lokhu kuvaleka kungabangela udonga lomthambo ukuba lube buthaka futhi luvuvuke njengebhaluni. Sikubiza ngokuthi "i-Aneurysm". Ngakho-ke, uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela bese uhlolwa.

Ubani onamathuba amaningi okuthola i-"Arterial Thoracic Outlet Syndrome"?

Njengazo zonke izinhlobo ze-Thoracic Outlet Syndrome, ivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-20 no-50. Ngokuvamile, lolu hlobo lokucindezela kwemithambo yegazi lwenzeka ngoba kukhona ubambo olwengeziwe (olubizwa ngokuthi ubambo lomlomo wesibeletho) entanyeni, noma ngoba ubambo lusendaweni engafanele. Lo ubambo olwengeziwe luvame ukuba ngaphezu kobambo lwethu lokuqala.

Yiziphi izinkinga ezingabangelwa yilokhu? Kungani lokhu kuyingozi?

Eqinisweni, `(Arterial Thoracic Outlet Syndrome)` uhlobo oluyingozi kakhulu lwe-`(Thoracic Outlet Syndrome)`. Uma ingelashwa kahle, le `(ATOS)` ingabangela ukwakheka kwamahlule egazi ayingozi emithanjeni yakho. Lawa mahlule egazi angavimba ukugeleza kwegazi ezingalweni nasezizandleni zakho. Nakuba kungavamile kakhulu, la mahlule egazi angahamba aye ebuchosheni futhi abangele izimo ezifana ne-`(Stroke)`.

Ngakho-ke, uma ucabanga ukuthi unezimpawu ze-Thoracic Outlet Syndrome, kubalulekile ukufuna ukwelashwa ngokushesha okukhulu.

Ivame kangakanani i-`(Arterial Thoracic Outlet Syndrome)`?

Uma ngikhuluma iqiniso, zonke izinhlobo ze-Thoracic Outlet Syndrome azivamile. Akukho datha yokuthi bangaki abantu abanayo. Kodwa-ke, uhlobo olubizwa ngokuthi i-Arterial TOS aluvamile kakhulu. Lolu hlobo lubonakala ngaphansi kwesisodwa kwesiguli esingu-100 esine-Thoracic Outlet Syndrome.

Yiziphi izimbangela ze-"Arterial Thoracic Outlet Syndrome"?

Abantu abaningi abane-ATOS, njengoba kushiwo ngaphambili, bazalwa benombambo owengeziwe (uMbambo Womlomo Wesibeletho) ngaphezu kwethambo le-collarbone (i-Clavicle). Umthambo ophakathi kwengalo yethu nethambo le-collarbone, obizwa ngokuthi i-Subclavian Artery, uthwala igazi ezingalweni zethu, ezandleni, entanyeni nasekhanda. Ngenxa yalowo Mbambo Wesibeletho owengeziwe, lo Mthambo Wesibeletho we-Subclavian ungacindezelwa, uvimbele ukugeleza kwegazi, futhi amahlule egazi akheke. Lawa mahlule egazi ngezinye izikhathi angaphuka futhi ahambe engalweni, avimbele ukugeleza kwegazi.

Ezinye izizathu zingathinta nalokhu:

• Ukukhuluphala ngokweqile: Njengoba isisindo somzimba sanda, kufakwa ingcindezi eyengeziwe emalungeni.
• Ukulimala Komzimba: Ukulimala okufana nalokho okubangelwe yingozi yemoto.
• Ukuma Okubi: Izinto ezifana nokuhlala endaweni efanayo isikhathi eside, ukugoba phambili ngenkathi usebenza, njll.
• Ukukhulelwa (`(Ukukhulelwa)`).
• Ukunyakaza Okuphindaphindayo: Isibonelo, ukushwiba irakhethi yethenisi, ukuphonsa ibhola elithambile noma i-baseball, noma ukuphakamisa amabhokisi asindayo phezu kwekhanda lakho.

Yiziphi izimpawu ze-`(Arterial Thoracic Outlet Syndrome)`? Itholakala kanjani?

Izimpawu zalesi simo zingathinta iminwe yakho, intende yesandla, noma isandla sonke. Uphawu oluvame kakhulu ukuba buhlungu noma ukuba ndikindiki esandleni esisodwa. Lezi zimpawu zingase zibe zimbi kakhulu uma wenza okuthile ngesandla sakho futhi zingase zithuthuke uma uphumuza isandla sakho. Abantu abane-ATOS ngokuvamile abazizwa ubuhlungu entanyeni noma emahlombe.

Ngenxa yokuthi i-ATOS inganciphisa ukugeleza kwegazi lakho, ungase ubone izinto ezinjengalezi eminweni yakho, ezandleni, noma ezingalweni:

• Ukubanda.
• Ukungazweli noma ukuzwa ukucasuka.
• Ubuhlungu (`(Ubuhlungu)`).
• Ukushintsha kombala okukhanyayo.
• Amanxeba aphola kancane.

Cabanga nje, uNilanthi Akka usebenza kukhompyutha kusukela ekuseni kuze kube sebusuku. Useqale ukuzwa ubuhlungu obungavamile esandleni sakhe sokunene nomuzwa omncane wokuqaqamba. Ngezinye izikhathi isandla sakhe sizizwa sibanda. Wayecabanga ukuthi kungenxa yokukhathala. Kodwa uma lezi zimpawu zanda kancane kancane, kungaba `(ATOS)`.

Odokotela baluthola kanjani lolu daba (i-Arterial Thoracic Outlet Syndrome)?

Uma unezimpawu ze-"Arterial Thoracic Outlet Syndrome", udokotela wakho uzoqala ahlole indawo yakho yentamo nehlombe. Bazokucela ukuthi wenze ukunyakaza okuthile ukuhlola "Ububanzi Bokunyakaza" kwamalunga akho.

Udokotela uzophinde akulinganisele umfutho wegazi lakho futhi akubuze ngezimpawu zakho. Uma besola i-ATOS, bangase benze ezinye izivivinyo ukuze bahlole i-Thoracic Outlet yakho.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Yilena kanye isimo nge-"Arterial Thoracic Outlet"Nquma ku-`(Izivivinyo Zokuthwebula Izithombe)`, okuyizivivinyo ezibukeka ngaphakathi emzimbeni wakho. Lezi zivivinyo zingenziwa ukuze kubhekwe imithambo yakho yegazi, ukugeleza kwegazi, kanye nezakhiwo zangaphakathi:

• Ukuskena nge-ultrasound: Lokhu kusebenzisa amaza omsindo ukubheka ngaphakathi emzimbeni, ikakhulukazi ukubona ukuthi igazi ligeleza kanjani. Lokhu kuvame ukuba ukuhlolwa kokuqala okusetshenziselwa ukuthola lesi simo.
• I-Arteriogram: Ipayipi elincane, elincane (i-catheter) kanye noketshezi olukhethekile (udayi ohlukile) kufakwa emithanjeni yakho, bese kuthathwa i-X-ray.
• I-CT scan: Uchungechunge lwe-X-ray luthathwa ndawonye ukuze kudalwe izithombe ezinemininingwane.
• I-MRI scan (`(MRI)`): Isebenzisa amaza omsakazo kanye namasimu kazibuthe ukuthatha izithombe ezinemininingwane.
• I-X-ray (`(X-ray)`): Izithombe zithathwa kusetshenziswa imithamo yemisebe.

Yiziphi izindlela zokwelapha `(Arterial Thoracic Outlet Syndrome)`?

Lesi simo, esibizwa ngokuthi i-Arterial Thoracic Outlet Syndrome, cishe selashwa ngokuhlinzwa. Kodwa-ke, ngaphambi kokuhlinzwa, udokotela wakho angase akunike imithi yokunciphisa igazi, njenge-Warfarin (Coumadin®) noma i-Heparin (Hep-Lock™). Bangase bazame nokususa noma yimaphi amahlule akhona ngomjovo noma ngezinye izindlela.

Ngesikhathi sokuhlinzwa, udokotela angenza izinto ezifana nalezi:

• Ingxenye yombambo wakho owengeziwe (`(Umbambo Womlomo Wesibeletho)`) iyasuswa, okunciphisa ingcindezi.
• Ingxenye yomthambo ophilile ethathwe kwenye ingxenye yomzimba wakho iyatshalwa (`(Arterial Graft)`) ukuze ithathe indawo yomthambo owonakele.
• Kufakwa ipayipi lokwenziwa ukuze lithathe indawo yomthambo owonakele, kubuyiselwe ukugeleza kwegazi.

Yini esingayenza ukuze sinciphise le ngozi `(ATOS)`?

Ayikho indlela yokuvimbela lokhu ngokuphelele ukuthi kungenzeki, kodwa ungenza izinguquko ezithile endleleni yokuphila ukuze unciphise ingozi yezingozi ezibangelwa ukuminyana kwezimoto:

• Gcina isisindo esinempilo esifanele uhlobo lomzimba wakho, iminyaka, kanye nobulili.
• Gwema ukuthwala izikhwama ezisindayo ehlombe elilodwa.
• Nciphisa ukunyakaza okuvamile okuhamba ngaphezulu.
• Qinisa amahlombe akho ngokwenza izivivinyo zokuphakamisa izinsimbi noma zokumelana nobunzima.
• Yenza ukwelula intamo yakho, amahlombe, kanye nesifuba nsuku zonke.

Iyini ikusasa lesimo se-`(ATOS)`? Ingabe kufanele sesabe?

Eqinisweni, uma ingelashwa, i-Arterial Thoracic Outlet Syndrome (ATOS) ingaholela ezinkingeni ezinkulu ezifana nokuqhekeka kwegazi, ukulimala kwezitho, kanye (ezimweni ezimbi kakhulu) nokulahlekelwa yiminwe. Kodwa-ke, izindaba ezinhle ukuthi uma ufuna ukwelashwa ngokushesha, amathuba akho okuphumelela ayanda. Ngakho-ke, uma unezimpawu ezibonisa ukuthi ungase ube ne-ATOS, bona udokotela ngokushesha.

Yini enye ofuna ukuyazi kudokotela?

Uma uhlangana nodokotela, ungabuza imibuzo efana nale:

• Yini okungenzeka kakhulu ukuthi iyimbangela yezimpawu zami?
• Yiziphi izivivinyo okufanele ngizenze ukuze ngithole ukuthi lokhu kuyini ngempela?
• Yiziphi izindlela zokwelapha ezikhona?
• Ingabe ukwelashwa okungadingi ukuhlinzwa kuzoqeda izimpawu zami?
• Yiziphi izinguquko engingazishintsha endleleni yami yokuphila ukuze nginciphise izimpawu?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-Arterial Thoracic Outlet Syndrome (ATOS) yisimo esithinta umthambo we-subclavian emthonjeni wesifuba. Yilapho umthambo ucindezelwa khona bese kuqala ukwakheka amahlule egazi. Lawa mahlule angaphuka futhi ahambe engalweni, okubangela ubuhlungu nokungazweli. Ukwelashwa kusenesikhathi kunganciphisa ingozi yezinkinga. Uma unezimpawu ze-ATOS, sicela ubone udokotela ngokushesha. Ungakhathazeki, lesi simo singaphathwa ngeseluleko sezokwelapha esifanele kanye nokwelashwa.

I- thoracic outlet syndrome, i-arterial thoracic outlet syndrome, i-ATOS, ubuhlungu bengalo, ukungazweli kwengalo, ukugoba kwegazi, ubambo lomlomo wesibeletho, umthambo we-subclavian