Wake wazizwa ubuhlungu ehlombe lakho, ubunzima bokuphakamisa ingalo yakho? Noma uzizwa sengathi ihlombe lakho liyathuthumela? Esinye sezizathu zalezi zinto kungaba ukulimala komthambo obaluleke kakhulu ehlombe lethu. Sikhuluma ngakho namuhla. Leyo yi-Axillary Nerve. Kubaluleke kakhulu ukuthi wazi kahle ngalokhu.
Iyini i-Axillary Nerve?
Kalula nje, i-axillary nerve ingenye yezinzwa ezinhlanu ezinkulu ezingaphandle ezidlula ehlombe lakho. Le nerve iqala entanyeni yakho. Izinzwa ezigijima kusukela entanyeni yakho ziye engalweni yakho ziyahlangana ukuze zakhe inethiwekhi yezinzwa ebizwa ngokuthi i-brachial plexus. Kufana nohlelo lokuxhumanisa endlini. Le nethiwekhi yezinzwa yiyo enikeza ukunyakaza nokuzwa engalweni yethu engenhla. Ngakho-ke, i-axillary nerve "iyintambo" ebaluleke kakhulu kule nethiwekhi.
Yimiphi eminye imizwa eseduze ne-axillary nerve?
Zonke lezi zinzwa zisebenza ndawonye ukulawula ukusebenza kwehlombe nengalo yethu. Ngaphezu kwe-axillary nerve, kunezinye izinzwa eziningana ezinkulu kule ndawo.
| Igama lenzwa | Umsebenzi wayo ulula. |
|---|---|
| Inzwa ephakathi | Ingxenye engaphambili yesandla inikeza umuzwa kanye nokunyakaza entendeni yesandla kanye neminwe eminingi. |
| Inzwa yesikhumba esithambile | Imisipha yangaphambili yengalo kanye nendawo ezungeze indololwane iyathinteka. |
| Inzwa yomsakazo | Ixhuma emisipheni engemuva kwengalo (i-triceps) kanye nesihlakala. |
| Inzwa ye-Ulnar | Kuhlobene nengxenye engezansi yesandla kanye nengalo engalweni. |
Yimiphi imisebenzi eyinhloko yalo mthambo?
I-axillary nerve inemisebenzi emibili eyinhloko.
1. Umsebenzi Wokunyakaza: Kusiza ukuhambisa imisipha ehlombe. Lokhu kubalulekile ezintweni ezifana nokuphakamisa nokuzungezisa ingalo.
2. Umsebenzi Wezinzwa: Uhlinzeka ngemizwa endaweni yamahlombe. Lokhu kuhlanganisa okulandelayo:
- Ubuhlungu
- Indawo (ukuzwa ukuthi isandla sikuphi)
- Izinga lokushisa (ukuzizwa kushisa, kubanda)
- Xhumana
Imisipha eqiniswa yi-axillary nerve
Lo mthambo ugcina imisipha emithathu ehlombe.
- Imisipha ye-deltoid: Lona imisipha eyinhloko ekusiza ukuthi uphakamise ingalo yakho iye ohlangothini naphezulu. Futhi imisipha enikeza ihlombe lakho ukuma okuhle okuyisiyingi.
- Imisipha emincane ye-Teres: Lo msipha usiza ukuthi uphendulele ingalo yakho ngaphandle. Cabanga ngakho njengokungathi uvula umnyango ngesihluthulelo.
- Imisipha ye-triceps: Le nerve iphinde ivikele ingxenye yemisipha ye-triceps, esiza ekuqondiseni indololwane.
Ingalonakaliswa kanjani i-axillary nerve?
Kunezizathu eziningana eziyinhloko zokuthi kungani lo mthambo ungalimala. Ngezinye izikhathi lezi kungaba yizinto esingazicabangi nhlobo.
Izingozi nokulimala
- Ihlombe eliphumile: Uma ihlombe liphumile esibayeni ngesikhathi sokuwa, njengasebhayisikilini noma esitebhisini, le nzwa ingadonswa noma ichotshozwe.
- Ukuphuka: Uma ithambo lengalo engenhla (i-humerus) liphuka, kunethuba elikhulu lokulimala kulo mthambo ogijima eduze.
- Izingozi: Engozini lapho ikhanda namahlombe kudonswa khona ngokuzumayo ngezindlela eziphambene, inethiwekhi yezinzwa entanyeni ingonakala.
- Ukusebenzisa izinduku zokusibekela: Uma izinduku zokusibekela zisetshenziswa ngendlela engafanele, umthambo we-axillary ongaphansi kwekhwapha ungacindezelwa.
- Izinkinga zokuhlinzwa: Okunye ukuhlinzwa kwamahlombe, njenge-shoulder arthroscopy, akuvamile ukubangela umonakalo kulo mthambo.
Ezinye izimo zezokwelapha
Ezinye izimo zezokwelapha zingathinta nokusebenza kwale nerve.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-radiculopathy yomlomo wesibeletho | Ukucindezelwa kwempande yemizwa evela emathanjeni entanyeni. Lokhu kungabangela ubuhlungu ehlombe. |
| Izifo ezibangelwa ukukhubazeka kwe-Erb-Duchenne kanye ne-Dejerine-Klumpke | Isimo sokukhubazeka kwengalo, okuvame ukubangelwa ukulimala kwenethiwekhi yezinzwa ze-brachial plexus ngesikhathi sokubeletha. |
| I-Parsonage-Turner syndrome | Isimo esingavamile lapho amasosha ethu omzimba ehlasela khona imizwa, okubangela ubuhlungu obukhulu obungazelelwe kanye nobuthakathaka ehlombe nasengalweni. |
| I-quadrilateral space syndrome | Inzwa ithintwa yingcindezi esikhaleni esincane phakathi kwemisipha yamahlombe lapho le nzwa idlula khona. |
Udokotela usithola kanjani lesi simo?
Uma uya kudokotela onesifo sobuhlungu ehlombe, uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, bangase bakucele ukuthi uhlolwe kaningana ukuze kutholakale imbangela eqondile.
- Ucwaningo Lokuqhutshwa Kwezinzwa/I-Electromyography (NCS/EMG): Lokhu kuhlola izimpawu zikagesi ezihamba ngemizwa nemisipha. Lokhu kubaluleke kakhulu ukuthola ukuthi kukhona yini umonakalo wezinzwa nokuthi umonakalo uphi.
- Ama-X-ray: Lokhu kusiza ukubona ukuthi kukhona yini ukwaphuka noma ukuhlukana kwehlombe.
- I-MRI (I-Magnetic Resonance Imaging): Lokhu kungathatha isithombe esicacile sezicubu ezithambile ngaphakathi kwehlombe, njengemisipha, imisipha, kanye nemizwa.
- I-ultrasound yemisipha ye-neuromuscular: Lena futhi indlela yesimanje esetshenziswa ukuhlola isimo sezinzwa.
Lolu hlobo lokuphazamiseka lungavinjelwa kanjani?
Nakuba singenakukwazi ukuvimbela ezinye izingozi, kunezinto eziningana esingazenza ukuze sinciphise ingozi.
- Qaphela ngokuphepha:Qaphela kakhulu lapho ukhwela izitebhisi futhi uhamba ezindaweni ezishelelayo. Kungcono uma ungaba nothile ozokubamba isitebhisi.
- Gqoka imishini yokuphepha: Gqoka ibhande lakho lesihlalo ngendlela efanele uma ugibela imoto. Uma udlala ezemidlalo, sebenzisa imishini yokuphepha efanele.
- Sebenzisa izinduku zokusibekela ngendlela efanele: Uma kufanele usebenzise izinduku zokusibekela, funda ukuthi ungazisebenzisela kanjani ngendlela efanele kudokotela wezokwelapha ngokomzimba. Ukuzisebenzisa ngendlela engafanele kungacindezela imizwa.
- Funa izinsizakalo zodokotela abanolwazi: Uma udinga ukuhlinzwa ehlombe, khetha udokotela onolwazi futhi onekhono kule ndaba.
Ngingayibona nini udokotela?
Uma uzwa noma yikuphi ukungakhululeki ehlombe lakho, ungakushayi indiva. Qiniseka ukuthi ubona udokotela, ikakhulukazi uma unezinye zezimpawu ezilandelayo:
- Uma uzizwa unzima ukuhambisa ihlombe noma ingalo yakho.
- Uma kukhona ukungazweli noma ukulahlekelwa umuzwa endaweni yamahlombe.
- Ikakhulukazi uma kubuhlungu uma uphakamisa ingalo yakho.
- Uma uzwa umuzwa wokucasuka, njengokushaqeka ngogesi.
Uma unezinye zalezi zimpawu, sicela ungazinaki futhi ubone udokotela ngokushesha okukhulu. Uma uqala ukwelashwa ngokushesha, amathuba akho okululama ngokugcwele ayanda.
Ukulimala kwemizwa kungathatha isikhathi ukuphola. Kodwa isikhathi esiningi, kungelashwa ngokwelashwa ngokomzimba noma ngezinye izikhathi ngokwakho. Umonakalo omkhulu ungadinga ukuhlinzwa, njengokufakelwa kwemizwa. Ngakho-ke, kubaluleke kakhulu ukubona udokotela ukuze uthole ukuxilongwa nokwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Axillary Nerve iyi-nerve ebalulekile ekunyakazeni nasekuzweleni ehlombe lakho.
- Lo mthambo ungalimala ngenxa yezingozi ezifana nokuqhekeka kwamahlombe kanye nokuqhekeka kwawo.
- Uma unezimpawu ezifana nobuhlungu behlombe, ukungakhululeki, noma ubunzima bokuphakamisa ingalo yakho, ungakuzibi bese ubona udokotela.
- Izinkinga eziningi zezinzwa ziyaphola ngokuhamba kwesikhathi kanye nokwelashwa ngokomzimba, kodwa ukuxilongwa okunembile kubalulekile.
- Ukuzivikela ekuweni nokusebenzisa amasu okuphepha kunganciphisa ingozi yalezi zinhlobo zokulimala.
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