Ingabe ingalo yakho iyaba ndikindiki noma indikindiki? Kungaba ukulimala kwe-Brachial Plexus! Singaxoxa ngalokhu?

Wake wazizwa ungazizwa ungenamizwa, ubuthakathaka, noma ubuhlungu engalweni yakho ngokuzumayo? Ngezinye izikhathi ungakuzwa lokhu kungakhululeki kusukela ehlombe lakho kuze kufike eminweni yakho. Kuyesabeka ngempela uma kwenzeka into efana nale, akunjalo? Ngakho-ke namuhla sizokhuluma ngembangela eyodwa engaba khona yalezi zimpawu. Lokho kuwukulimala kwenethiwekhi yezinzwa ebizwa ngokuthi i-Brachial Plexus.

Iyini i-Brachial Plexus?

Kalula nje, i-brachial plexus iyiqoqo lezinzwa ezigijima entanyeni yakho zidlule emakhwapheni bese zehla engalweni yakho. Kufana nenqwaba yezintambo ezincane ezixhunywe ndawonye. Lezi zinzwa zilawula ukunyakaza kanye nomuzwa wehlombe lakho, ingalo, isandla, kanye neminwe. Isibonelo, uma ingalo yakho iqhuzuka ngokuzumayo, noma ikhanda lakho nentamo yakho kuqhuzuka kolunye uhlangothi futhi ihlombe lakho liqhuzuka kolunye, le nethiwekhi yezinzwa ingonakala. Ukulimala okuncane kungase kuphole ngaphandle kokwelashwa. Kodwa-ke , uma umonakalo umkhulu kakhulu, kungadingeka ukuhlinzwa ukuze kubuyiselwe ukusebenza kwengalo yakho . Lesi simo singase senzeke nasezinganeni ezincane, ikakhulukazi esibelethweni noma ekuzalweni. Sikubiza ngokuthi `(Neonatal Brachial Plexus Palsy - NBPP)`.

Yiziphi izinzwa eziku-Brachial Plexus?

Manje ake sibheke ukuthi i-Brachial Plexus yakheka kanjani. Le nethiwekhi yakhiwa yizinzwa ezinhlanu eziyinhloko eziqala entanyeni yomgogodla wakho bese ziphuma lapho. Njengoba nje umfula usuka, lezi zinzwa nazo ziyahlukana futhi zisakazeke kulo lonke ingalo. Kwezokwelapha, `(Plexus)` ibhekisela eqoqweni lezinzwa, imithambo yegazi, noma imithambo ye-lymph exhunywe ndawonye kanje. Igama elithi `(Brachial)` lisho ukuthi 'okuhlobene nengalo'. Ngakho-ke i-brachial plexus iyiqembu lezinzwa ezigijimela engalweni.

Imizwa ngayinye yalezi ezinhlanu inomsebenzi othize. Eminye ivuselela imisipha, kanti eminye ithwala imizwa efana nokushisa nokuthinta ebuchosheni. Izimpawu ozizwayo kanye nokwelashwa okudingayo kuzoncika ekutheni iyiphi imizwa eyonakele kanye nohlobo lomonakalo.

Kunezinzwa ezinhlanu eziyinhloko ezihilelekile:

• I-Axillary nerve: Isiza ngokunyakaza kwamahlombe kanye nokuzinza.
• Inzwa ephakathi: Isiza ekugobeni imisipha yengalo nesandla, futhi igobenise isihlakala neminwe. Kubalulekile futhi ekuzweleni entendeni yesandla, isithupha, umunwe wokukhomba, ophakathi, kanye neminwe yendandatho.
• I-musculocutaneous nerve: Isiza ekuvuseleleni imisipha yengalo engenhla (isb., i-biceps) futhi igobe indololwane bese iphendula ingalo.
• I-radial nerve: Isiza ukwelula indololwane nesihlakala ngokusebenzisa imisipha engemuva kwesandla nengalo. Isiza futhi ukuzwa isithupha, umunwe wokukhomba, umunwe ophakathi, kanye nengxenye yomunwe wendandatho ngemuva kwesandla.
• I-Ulnar nerve:Kuyasiza ngokunyakaza okuncane kwesandla ngokushukumisa imisipha yesandla nengalo. Kuphinde kuhileleke ekuzizweni engxenyeni yomunwe wendandatho nomunwe omncane.

Yiziphi izinhlobo zezinkinga ze-Brachial Plexus?

Lokhu kulimala kwe-brachial plexus kungenzeka ngezindlela ezahlukene, kuye ngokuthi ukulimala kukhulu kangakanani. Izinzwa eziningana kule nethiwekhi zingalimala ngamazinga ahlukahlukene esigamekweni esisodwa.

• Ukunwebeka/I-Neuropraxia: Lokhu kwenzeka lapho inzwa idonswa kancane. Lokhu kungalimaza isembozo sokuvikela esizungeze inzwa. Lokhu kungaphazamisa ukudluliselwa kwezimpawu zemizwa, kodwa ezimweni eziningi, akukho monakalo omkhulu emsipheni ongaphansi. Lesi simo singazixazulula sodwa , noma singelashwa ngokwelashwa okulula njengokwelashwa ngokomzimba.
• Ukuqhekeka: Lokhu kwenzeka lapho inzwa idonswa kanzima kakhulu futhi ngokuzumayo idabuka kancane noma ngokuphelele. Lokhu kulimala kuvame ukulungiswa ngokuhlinzwa .
• Ukuvuvukala: Lolu uhlobo olubi kakhulu . Lokhu kwenzeka lapho impande yemizwa ihlukana nomgogodla. Lokhu kulimala kuvame ukudinga ukuhlinzwa ukuze kubuyiselwe ukusebenza.

Ingabe lokhu kuhlukile ku-cervical radiculopathy?

Abanye abantu bangase bacabange ukuthi lokhu kufana nokuthi "i-Cervical Radiculopathy / i-Pinched Nerve". Nakuba izimpawu zifana kancane, lezi zimo ezimbili empeleni zihlukile.

I-Cervical Radiculopathy yisimo esenzeka lapho impande yemizwa evela kumathambo entanyeni icindezelwa noma ivuvukala. Lokhu kungabangela izimpawu ezifana nobuhlungu bentamo kanye nokuqina kwemisipha yentamo.

Kodwa-ke, ukulimala kwe-brachial plexus kuvame ukubangelwa ukucindezelwa noma ukudabuka kwemizwa. Lokhu kuvame ukuhilela izimpande eziningi zemizwa futhi cishe akubanga izimpawu zentamo (ubuhlungu, ukuqina) njengase-cervical radiculopathy.

Ubani othola lesi simo? Sivame kangakanani?

Eqinisweni, lesi sifo se-brachial plexus singavela kunoma ubani wanoma yimuphi ubudala, kungakhathaliseki ubulili. Izingane ezisanda kuzalwa nazo zisengozini yokuthola lesi simo lapho zizalwa.

Kodwa-ke, kuvame ukubonakala phakathi kwabesilisa abasebasha abaneminyaka ephakathi kwengu-15 nengu-25 .

Kunzima ukusho ukuthi bangaki abantu abathola lesi simo minyaka yonke, kodwa abacwaningi bathi inani liyakhula. Lokhu kungaba ngenxa yezici ezifana nokwanda kokuhlanganyela kwezemidlalo ezinamandla aphezulu kanye nokwanda kwenani labantu abasinda ezingozini zezimoto ezihamba ngesivinini esikhulu.

Cabanga nje, ama-70% okulimala kwe-brachial plexus ezingozini ezinjengalezi kubangelwa izingozi zomgwaqo . Futhi ama-70% alezo zingozi izingozi zesithuthuthu noma zamabhayisikili! Lokho kusho ukuthi siyaqonda ukuthi kudingeka siqaphele kangakanani uma sisemgwaqweni, akunjalo?

Uma sikhuluma ngalesi sifo (i-Neonatal Brachial Plexus Palsy) ezinganeni ezisanda kuzalwa, ngokwesilinganiso, izingane ezingu-2-3 kuphela kwezingu-1000 ezizalwayo ezingabona lesi simo.

Ziyini izimpawu?

Izimpawu zalesi sifo ziyahlukahluka kuye ngohlobo lwenzwa eyonakele kanye nohlobo lomonakalo. Lezi zimpawu zingase zenzeke kanye nezinye ukulimala.

Izimpawu eziyinhloko ezibonakala kubantu abadala nasezinganeni:

• Isandla sibonakala silenga singenampilo.
• Isimo esifana nokukhubazeka kwengalo noma isandla.
• Ubunzima bokulawula isandla, ingalo, noma isihlakala.
• Ukuba ndikindiki noma ukulahlekelwa umuzwa esandleni noma esihlakaleni.
• Ubuhlungu esandleni, entendeni yesandla, noma esihlakaleni.

Izimpawu ezibonakala ezinganeni ezisanda kuzalwa:

• Ukulahlekelwa yinoma yikuphi ukunyakaza engalweni engenhla, engalweni engezansi, noma esandleni somntwana.
• Ukulahlekelwa yimpendulo ye-Moro reflex/startle ohlangothini oluthintekile (okungukuthi, umntwana akasebenzisi isandla lapho ethukile).
• Ingane ibambe ingalo yayo emzimbeni wayo, yeluliwe endololwaneni.
• Ukuncipha kokubamba ohlangothini oluthintekile.

Yiziphi izimbangela zezinkinga ze-brachial plexus?

Kunezizathu eziningana eziyinhloko zokuthi kungani le nethiwekhi yezinzwa ye-brachial plexus ingonakala.

1. Ukulimala Okunamandla

Ngokuvamile, ingxenye engenhla yalolu xhumano lwezinzwa iyalimala lapho ihlombe lakho licindezelwa phansi, futhi intamo nekhanda lakho kudonswa phezulu futhi kubekwe eceleni kwehlombe lakho. Cabanga ngakho njengengozi yesithuthuthu .

Ingxenye engezansi yenethiwekhi yezinzwa inamathuba amaningi okulimala uma ingalo yakho idonswa ngamandla ngokuzumayo ngaphezu kwekhanda lakho.

Izibonelo zezingozi ezinjalo yilezi:

• Izingozi zezimoto ezihamba ngesivinini esikhulu, ikakhulukazi izingozi zezithuthuthu .
• Ukuwa.
• Ukushaywa okuqondile okuvela entweni engabukhali (isb. empini).
• Eminye imidlalo ihilela ukushayisana (okuningi kwalokhu kuholela ekulimaleni okuncane, okubizwa nangokuthi "izishisi" noma "izinti").
• Ukulimala okubangelwa yisikhali esibukhali (isb., inxeba lokugwazwa) noma amanxeba ezinhlamvu (ukuhlukumezeka kwebhola).

2. Amathumba

Ngezinye izikhathi izimila zingakhula ngaphakathi noma eduze kwe-brachial plexus, noma zingabangelwa izimila ezibeka ingcindezi kuyo.

Umdlavuza webele kanye nomdlavuza wamaphaphu yizinhlobo eziyinhloko zomdlavuza ezithinta i-brachial plexus.

Ngaphezu kwalokho, umdlavuza ofana ne-lymphoma kanye ne-melanoma ungasakazeka uye kuma-lymph node asekhwapheni futhi uthinte le nethiwekhi yezinzwa.

3. Ukuvuvukala

Uma imizimba yethu ihlaselwa amagciwane afana namagciwane noma amabhaktheriya, noma uma silimele, amasosha ethu omzimba ayasebenza. Amaseli okuvuvukala ayakhishwa. Nakuba lokhu kuyadingeka, ngezinye izikhathi la masosha omzimba angangena enkingeni futhi ahlasele izicubu ezinempilo. Noma, impendulo egciwaneni ingaba nkulu kakhulu futhi yonakalise izicubu zomzimba.

Esimweni esingavamile esibizwa ngokuthi i-'Parsonage-Turner Syndrome' (ebizwa nangokuthi `(Brachial Neuritis)`), ukuvuvukala kwe-brachial plexus kwenzeka ngaphandle kokulimala okusobala kwehlombe. Kuqala ngobuhlungu obukhulu ehlombe noma engalweni, kulandelwe ubuthakathaka kanye nokungazweli.

4. Ukulimala ngesikhathi sokuzalwa

Izinsana ezisanda kuzalwa zingalimala i-brachial plexus yazo, kungaba ngenxa yokulimala ngesikhathi zisesibelethweni sikanina noma ngesikhathi sokubeletha okunzima. Lokhu kubizwa ngokuthi "I-Neonatal Brachial Plexus Palsy (NBPP)``. Izimo ezilandelayo zingavela:

• Uma ikhanda lomntwana liphuma futhi amahlombe ephuma, ikhanda nentamo kuyadonswa eceleni (lokhu kubizwa nangokuthi `(Shoulder Dystocia)`).
• Ngenxa yokuthi amahlombe engane ayadonswa ngesikhathi sokubeletha.
• Ekubelethweni komntwana ohamba ngesinqe, ingcindezi ibekwa ezingalweni eziphakanyisiwe zomntwana.

Ukubona kanjani lokhu? Yiziphi izivivinyo ezenziwayo?

Uma unalezi zimpawu, udokotela uzokuxilonga ngokucophelela ukuze abone ukuthi lokhu ukulimala kwe-brachial plexus noma kukhona okunye ukulimala. Lokhu kungenxa yokuthi isikhathi esiningi, lokhu kulimala kubangelwa izingozi ezinkulu, futhi kungase kube nokunye ukulimala.

Udokotela uzohlola iqembu ngalinye lezinzwa ezixhunywe ku-brachial plexus ukuze azame ukuthola ukuthi umonakalo wenzeke kuphi nokuthi unzima kangakanani .

Uma umntwana osanda kuzalwa ebonisa lezi zimpawu, udokotela uzohlola ukuthi umntwana angakwazi yini ukuhambisa izingalo nemilenze yakhe nokuthi unayo yini i-Moro reflex.

Ukuze ahlole lesi simo ngokunembile futhi ahlole ezinye izinkinga, udokotela angenza izivivinyo eziningana, ezifana nalezi:

• Ama-X-ray: Lawa angabona ngokucacile izinto eziqinile njengamathambo. Ama-X-ray athathwa entanyeni, esifubeni, emahlombe nasezingalweni ukuze kuhlolwe ukuthi awaphukanga yini.
• I-CT Myelogram Scan: Lokhu kuhilela ukufaka uketshezi olukhethekile oluzungeze imizwa yomgogodla nokusebenzisa i-X-ray kanye nekhompyutha ukudala izithombe ezicacile zangaphakathi komzimba. Lokhu kubhekwa njengokuhlolwa okungcono kakhulu kokubona ukuthi impande yemizwa iphumile yini emgogodleni womgogodla (`(Avulsion)`). Abanye odokotela bangenza ne -MRI scan ngaphezu kwalokhu, noma esikhundleni salokhu.
• Ukuhlolwa kwe-Electrodiagnostic: Lokhu kufaka phakathi ukuhlolwa okubizwa ngokuthi `(Electromyogram - EMG)` kanye `(Izifundo Zokuqhutshwa Kwezinzwa)`. Lokhu kulinganisa indlela izimpawu zemizwa ezihamba ngayo kanye nezimpawu emisipheni. Lokhu kuhlolwa kungaqinisekisa ukulimala kwe-brachial plexus, kuthole indawo yokulimala, kunqume ubukhulu bokulimala, futhi kuhlole izinga lokuphulukiswa kwemizwa. Ukuhlolwa kokuqala kuvame ukwenziwa emavikini angu-3-4 ngemva kokulimala. Bese, kuphindaphindwa ezinyangeni ezingu-2-3 ukuze kubonwe ukuthi imizwa iyaphulukiswa yini.

Uma umntwana osanda kuzalwa enalezi zimpawu, kungenziwa i-X-ray ukuze kubonakale ukuthi i-collarbone yakhe iphukile yini. Lokhu kungenxa yokuthi kukhona isimo esibizwa ngokuthi "i-Pseudoparalysis", lapho umntwana engakwazi ukuhambisa ingalo yakhe ngenxa yethambo eliphukile nobuhlungu, hhayi ukulimala kwemizwa.

Yiziphi izindlela zokwelapha?

Ngenxa yokuthi lolu hlobo lokulimala kwe-brachial plexus luvame ukwenzeka ngemva kwengozi enkulu, abantu abaningi baphinde babe nezinye izinkinga ezinkulu . Isibonelo, ukulimala kwemithambo yegazi, ukwaphuka kwehlombe, ingalo, umhlane noma izimbambo, ukuwohloka kwamaphaphu, ukulimala komgogodla, noma ukulimala kobuchopho. Ngakho-ke, ithimba lezokwelapha lizoqala ngokwelapha lezi zingozi ezisongela ukuphila ngaphambi kokuqala ukwelashwa kokulimala kwe-brachial plexus.

Lapho belapha lokhu, odokotela bezinzwa, odokotela abahlinzayo bezifo zengqondo, odokotela abahlinzayo bezandla, abelaphi bomzimba, abelaphi bomsebenzi, kanye nodokotela womndeni wakho (uMhlinzeki Wezempilo Oyinhloko) basebenza ndawonye njengeqembu.

Kunezindlela ezimbili eziyinhloko zokwelapha: ukwelashwa okungadingi ukuhlinzwa kanye nokwelashwa ngokuhlinzwa.

Ukwelashwa ngaphandle kokuhlinzwa

Iningi lokulimala kwe-brachial plexus, ikakhulukazi okuncane, kuyaphola ngaphandle kokuhlinzwa phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa . Ukulimala kwemizwa okuphola ngokwakho kuvame ukuba nemiphumela emihle maqondana nokusebenza kwemisipha kanye nemizwa.

Uma udokotela wakho ecabanga ukuthi kunethuba elihle lokuthi uzolulama ngaphandle kokuhlinzwa, angase alinde kuze kube yilapho inxeba liphola ngaphambi kokucabangela ukuhlinzwa.

Udokotela wakho angase akuncome ukwelashwa ngokomzimba ukuze amalunga akho nemisipha yakho ingaqini ngesikhathi ukulimala kwakho kuphola. Kuzodingeka futhi uphumule ingalo nehlombe lakho futhi ugweme imisebenzi enzima.

Ukwelashwa ngokuhlinzwa

Uma inzwa ingazipholi ngokwayo, noma uma ingapholi kahle ngokwanele ukuze ibuyisele umsebenzi odingekayo wesandla nesihlakala, odokotela batusa ukuhlinzwa.

Into ebaluleke kakhulu ukwazi ukuthi, kuye ngokuthi ukulimala kungakanani, ngisho nangemva kokuhlinzwa, ungase ungabi nomsebenzi ofanayo esandleni sakho noma esihlakaleni sakho njengoba wawunjalo ngaphambi kokulimala, noma ungase ungabi nawo umsebenzi ophelele .

Odokotela abahlinza izinzwa basebenzisa izindlela ezahlukene zokwelapha ukulimala kwemizwa, kuye ngohlobo lokulimala, ubukhali balo, nokuthi sekunesikhathi esingakanani kukhona.

• Ukulungiswa kwemizwa: Kule nqubo, udokotela ohlinzayo unamathisela kabusha imiphetho edabukile yemizwa ephukile. Lokhu kwenziwa ngokushesha uma kusikwe okubukhali, njengokusikwa ngommese.
• Ukufakelwa kwemizwa:Kule nqubo, udokotela ohlinzayo uthatha inzwa ephilile kwenye ingxenye yomzimba wakho ayithunge phakathi kwezinhlangothi ezimbili zenzwa enqanyuliwe. Le nzwa enempilo ehlanganisiwe isebenza njengesikafula, isiza izinhlangothi ezimbili zemizwa ezilimele zikhule ndawonye.
• Ukudluliselwa kwemizwa: Lokhu kuhlinzwa kwenziwa uma kungekho zicubu zemizwa ezisebenzayo ezanele entanyeni ezingatshalwa. Kule nqubo, udokotela ohlinzayo usika inzwa enempilo enikelayo bese eyixhumanisa nenzwa elimele. Lokhu kuvumela inzwa ukuthi ithumele izimpawu emisipheni ekhubazekile.

Ukwelashwa kwezinsana ezisanda kuzalwa

Uma umntwana osanda kuzalwa enokulimala okuncane kwe-brachial plexus, udokotela angase atuse ukuhlikihla ingalo yomntwana nokwenza izivivinyo zokunyakaza okuhlukahlukene.

Uma umonakalo umkhulu, noma uma ungapholi phakathi namasonto ambalwa okuqala, ingane ingadinga ukudluliselwa kudokotela wezinzwa wezingane. Uma amandla engane engathuthuki phakathi nezinyanga ezingu-3-9, ingacabangela ukuhlinzwa.

Ingabe zikhona izinkinga ekuhlinzweni?

Njenganoma yikuphi ukuhlinzwa, lokhu kuhlinzwa kungaba nezingozi ezithile. Isibonelo:

• Izinkinga ezihlobene nokubulala izinzwa.
• Ukutheleleka.
• Ukopha ngokweqile.

Ngaphezu kwalokho, uma unezinye izimo zezokwelapha ezikhona kakade (isib. isifo sikashukela, umfutho wegazi ophakeme), ingozi yakho yokuthola izinkinga ezilandelayo inganda:

• Ubuhlungu obungapheli (`(Ubuhlungu obungapheli)`).
• Amahlule egazi.
• Isifo senhliziyo.
• Isifo sohlangothi.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Imizwa iphola kancane kakhulu . Ngakho-ke, kuthatha isikhathi ukululama ekulimaleni kwe-brachial plexus. Ungase ungaboni ukuthuthuka izinyanga eziningana.

Into ebaluleke kakhulu ukuba nesimo sengqondo esihle nokuzibophezela ohlelweni lwakho lokwelashwa.

Udokotela wezifo zengqondo angakusiza ukuthi ufunde ukwenza imisebenzi yansuku zonke (njengokudla nokuzigeza) ngesandla sakho esingathintekile.

Kuzodingeka futhi uqhubeke nokwelashwa ngokomzimba ukuze amahlombe akho, izindololwane, izihlakala kanye neminwe yakho ingaqini futhi uvimbele ukuwohloka kwemisipha.

Uma umsebenzi wesandla sakho kanye/noma isihlakala ungakabuyeli ngokuphelele endleleni owawuyiyo ngaphambi kokulimala, kubaluleke kakhulu nokuba namandla engqondo amahle kanye nokuzivumelanisa nezimo ukuze wenze izinguquko ezidingekayo empilweni yakho (umsebenzi, imisebenzi yansuku zonke).

Yiziphi izinto ezandisa ingozi yalokhu?

Kunezici eziningana ezandisa ingozi yokuthola lesi sifo se-brachial plexus:

• Ukudlala imidlalo ethile, ikakhulukazi imidlalo yokuxhumana (isib. ibhola, i-rugby, i-wrestling).
• Ukushayela ngokunganaki kanye nokusheshisa.

Hlala uqaphela ukuphepha lapho udlala imidlalo nokushayela futhi uzame ukugwema izingozi ezinjengalezi.

Izici ezandisa ingozi yokuthi izingane ezisanda kuzalwa zibe nalesi simo (i-Neonatal Brachial Plexus Palsy - NBPP):

• Ukulethwa kwe-Breech.
• Ukukhuluphala kukamama.
• Ukuba yingane enkulu kunejwayelekile.
• Ubunzima bokususa amahlombe engane ngemva kokuba ikhanda lengane liphumile (i-Shoulder Dystocia).

Kuzokwenzekani esikhathini esizayo? (Isibikezelo)

Ukubikezela kwakho (noma ukubikezela) ngemva kwalokhu kulimala kuncike ezintweni eziningana:

• Uhlobo kanye nobunzima bomonakalo wemizwa (`(Avulsion)`, ukudabuka, ukudonswa).
• Usho ukuthini uma ukhuluma ngemizwa eyonakele?
• Ingabe kukhona okunye ukulimala okukhona?
• Ukuthi uthole ukwelashwa ngokushesha kangakanani ngemva kokulimala.
• Indlela ozibophezele ngayo ekwelashweni ngokomzimba nakwezinye izindlela zokwelapha zokululama.

Ezimweni zokuvuvuka nokuqhekeka, ngokuvamile awekho amathuba okuphinda usebenze kahle kwemisipha ngaphandle kokuthi inzwa ixhunywe kabusha ngesikhathi ngokuhlinzwa .

Iningi labantu abanokulimala kwe-nerve stretch (neuropraxia) baphinde bathole umsebenzi we-nerve ongu-90% - 100% ngaphandle kokuhlinzwa .

Iningi lezingane ezizalwa nalesi simo lilulama ngokuphelele zingakapheli izinyanga ezingu-3-4 . Ithemba lezingane ezingalulami phakathi nalesi sikhathi alilihle neze. Ezimweni ezinjalo, kungenzeka ukuthi zihlushwe yimizwa.

Kufanele ngimbone nini udokotela?

Uma uke waba nokulimala kwe-brachial plexus, kuzodingeka uhlangane nethimba lakho lezokwelapha njalo ukuze uqaphe ukuphulukiswa nokusebenza kwezinzwa zakho phakathi nokululama kwakho.

Futhi, uma unohlelo lokuvuselela umzimba, kufanele uhlangane nodokotela wakho wezokwelapha ngokomzimba njalo. Kubaluleke kakhulu ukuhlanganyela kulezi zindlela zokwelapha ngokuzinikela ukuze uthole imiphumela emihle kakhulu.

Imizwa ithatha isikhathi ukuphola. Ngemva kokulimala kwe-brachial plexus, ikakhulukazi ngemva kokuhlinzwa, isikhathi sokululama sivame ukuba side. Uhlelo lokuvuselela ukuze ubuyisele amakhono omzimba ludinga ukuzinikela okukhulu. Nakuba lokhu kungaba yinselele kancane, kubalulekile ukugcina isimo sengqondo esihle . Cela usizo kubangani bakho nomndeni wakho. Odokotela bakho nabo bakulungele ukukusiza futhi bakunikeze uhlelo lokwelapha olungcono kakhulu.

Ekugcineni, khumbula lokhu.

Ngakho-ke, isifo se-brachial plexus esikhulume ngaso namuhla siyisimo esibi esingathinta ukusebenza kwezingalo nezandla zethu.

• Lokhu kubangelwa kakhulu izingozi, izimila, izimo zokuvuvukala, kanye nokukhubazeka kokuzalwa .
• Uma uzwa izimpawu ezifana nokungazweli, ubuthakathaka, ubuhlungu, noma ukulahlekelwa ukulawula isandla sakho , kufanele nakanjani ubone udokotela .
• Kukhona ukwelashwa, kodwa ukululama kuthatha isikhathi nokuzinikela okukhulu . Ukwelashwa nge-physiotherapy kungumngane wakho omkhulu kulolu hambo.
• Ezinye izimbangela (ikakhulukazi izingozi) zingavinjelwa. Hlala uqaphela ukuphepha.
• Uma izingalo zomntwana osanda kuzalwa zinganyakazi, tshela udokotela ngokushesha.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uke waba nokuhlangenwe nakho okufanayo, ungakhathazeki. Ngeseluleko sezokwelapha esifanele kanye nokwelashwa, nawe ungasinqoba lesi simo.

I- Brachial Plexus, Ukulimala kwe-Brachial Plexus, Ukuphazamiseka Kwezinzwa, Ukuba ndikindiki Esandleni, Ukulahlekelwa Yisandla, Ukulimala Kwezinzwa, I-NBPP