Ingabe unethambo elengeziwe entanyeni yakho? Ake sixoxe (nge-Cervical Rib)!

Wake wazizwa umuzwa ongajwayelekile entanyeni yakho, noma umuzwa wobuhlungu noma wokuqaqamba owela engalweni yakho? Mhlawumbe isandla sakho sizizwa sibuthakathaka kancane, noma ukuthola kunzima ukubamba ipeni. Ngemuva kwalezi zinto, kungase kube nesizathu okungekho noyedwa kithi osaziyo kakhulu, kodwa kufanelekile ukusazi. Yilokho esizokhuluma ngakho namuhla.

Luyini ubambo lomlomo wesibeletho? Kalula nje...

Empeleni, leli `(Umbambo Womlomo Wesibeletho)` liyithambo elengeziwe endaweni yentamo yakho esingenalo ngokuvamile, okungukuthi, ucezu lwethambo . Lokhu kuyinto esizalwa nayo. Kodwa lokhu akufani nezimbambo esifubeni sethu. Izimbambo esifubeni zivundlile, kodwa leli `(Umbambo Womlomo Wesibeletho)` ngezinye izikhathi lingaba phezulu kancane, noma lithambeke kancane. Leli thambo elengeziwe liqala emhlane wentamo yethu, okungukuthi, ithambo lokugcina entanyeni yomgogodla, futhi linganwebeka liye ombambeni wokuqala phezulu esifubeni sethu.

Cabanga ngakho, leli thambo elengeziwe alenzi lutho olukhethekile . Limane nje liyinto eyengeziwe.

Ingxenye engcono kakhulu ukuthi, iningi labantu abane-`(Umbambo Womlomo Wesibeletho)` kanje abadali izinkinga noma ubuhlungu . Kodwa-ke, kwabanye abantu, kungabangela ubuhlungu bentamo, ubuhlungu bengalo, noma ngisho nobuthakathaka esandleni okwenza kube nzima ukubamba into efana nepeni.

Ingabe kunezinhlobo ezahlukene zalesi sikhumba esengeziwe?

Yebo, odokotela bathole izinhlobo ezine eziyinhloko ze-`(Umbambo Womlomo Wesibeletho)`. Ake sibone ukuthi ziyini:

• Uhlobo 1: Lokhu kufana nombambo ophelele. Okusho ukuthi, kuqala entanyeni bese kudlulela ombambeni wokuqala esifubeni sethu.
• Uhlobo 2: Lona umgogodla ongaphelele. Okusho ukuthi, uhlangothi olulodwa lukhululekile, alunamathele kunoma yini.
• Uhlobo 3: Lokhu nakho akuphelele, kodwa ingxenye yakho ekhululekile inamathele ebhandeni eliyi-fibrous.
• Uhlobo 4: Lokhu kumane kuyi-bone protrusion encane kakhulu. Kubukeka njenge-bone spur encane ephuma kancane ku-vertebra ephansi kakhulu entanyeni.

Nakuba le ncazelo ingase izwakale sengathi yezokwelapha, lokhu kuhlukaniswa kubalulekile ukuthi udokotela wakho akuqaphele.

Sivame kangakanani isimo esibizwa ngokuthi umbambo wesibeletho?

Empeleni lesi yisimo esingavamile kakhulu . Ngaphansi kuka-1% wabantu bazalwa benombambo owodwa (ngezinye izikhathi ezimbili) wesibeletho. Ngaphezu kwalokho, lesi simo sivame kakhulu kwabesifazane kunakwabesilisa .

Elinye iqiniso elibalulekile ukuthi cishe abantu abangu-30% abahlushwa yisimo esibizwa ngokuthi `(Thoracic Outlet Syndrome)` batholakale benalesi `(uMbambo Womlomo Wesibeletho)`. Sizoxoxa ngalokho `(Thoracic Outlet Syndrome)` kamuva.

Yiziphi izimpawu esingazilindela kulesi simo?

Njengoba ngishilo ngaphambili,Abantu abaningi abanazo izimpawu . Kodwa-ke, uma kuvela izimpawu, zingase zihlanganise:

• Ubuhlungu bentamo noma ingalo: Lolu uphawu oluyinhloko. Kungase kube nobuhlungu obuvela ehlombe kuye phansi engalweni.
• Ukuzizwa sengathi kuneqhubu entanyeni: Uma ulithinta ngesandla sakho, kungase kuzwakale sengathi kuneqhubu elincane phansi entanyeni.
• Ukuba ndikindiki noma ukulahlekelwa umuzwa esandleni noma iminwe: Kuzwakala sengathi isandla "silele".
• Ubuthakathaka emisipheni yesandla nengalo: Kuba nzima ukuphakamisa izinto ezisindayo noma ukubamba into ngokuqinile.
• Ukuzishaya: Iminwe, ngaphandle kwesithupha nomunwe wokukhomba, ingase igobe kancane ngaphakathi, okwenza kubonakale sengathi izishaya.

Into ebalulekile ukuthi, uma unalezi zimpawu, akudingeki ukuthi kube `(Umbambo Womlomo Wesibeletho)`. Yingakho kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

Ngisho nakubantu abavame ukungabi nazimpawu, izimpawu zingaba khona uma benomzimba ongemuhle (isibonelo, ukuhlala phambi kwekhompyutha isikhathi eside, noma umuntu osebenza emshinini wokuthunga egoba intamo yakhe njalo) noma uma beba nengozi noma beshayeke kakhulu emzimbeni ongaphezulu .

Kungani kuvela ithambo elengeziwe entanyeni yethu kanje?

Abacwaningi basazama ukuthola ukuthi yini ngempela ebangela lokhu. Kodwa-ke, okwamanje kukholakala ukuthi kungenxa yokuguquka kwezakhi zofuzo ezibizwa ngokuthi izakhi zofuzo ze-HOX, ezibangela ukukhula kwamathambo ethu. Kalula nje, lapho umbungu ukhula esibelethweni, amanye amangqamuzana akhula abe amathambo endaweni engafanele, okuholela ekwakhekeni kwalolu bhambo lomlomo wesibeletho.

Yiziphi izinkinga ezingaba khona ngenxa yombambo wesibeletho?

Leli thambo elingeziwe ngezinye izikhathi lingacindezela imithambo yegazi noma umthambo wegazi oseduze (ikakhulukazi umthambo omkhulu obizwa ngokuthi umthambo we-subclavian) . Lokhu kucindezela yikho okubangela iningi lezinkinga.

Inkinga enkulu kakhulu yisimo esibizwa ngokuthi "i-Thoracic Outlet Syndrome." Lokhu kwenzeka lapho imizwa nemithambo yegazi edlula esikhaleni esiphakathi kwentamo nehlombe (indawo yokukhipha isifuba) icindezelwa. Lokhu kungaba yingozi uma kungelashwa kahle.

Odokotela bakuthola kanjani lokhu?

Uma unezimpawu, into yokuqala udokotela azokwenza ukukuhlola ngokucophelela. Lokhu kungafaka phakathi ukuhlolwa okukhethekile okufana nokuhlolwa kwe-"Adson." Kuhlolo lwe-"Adson," ingalo yakho iyanwetshwa futhi ikhanda lakho liphendukele ohlangothini olulodwa, bese udokotela ehlola izinguquko ekushayweni kwenhliziyo engalweni yakho. Uma "umthambo we-subclavian" ucindezelwe, ukushaya kwenhliziyo kungase kube buthaka.

Kodwa esikhathini esiningi, le `(Umbambo Womlomo Wesibeletho)` itholakala ngengozi ngesikhathi sokuhlolwa okwenziwe ngesinye isizathu . Isibonelo, ingabonakala lapho kuthathwa `(i-X-ray)` yesifuba noma `(i-X-ray)` yentamo.

Ukuze baqiniseke kakhudlwana, odokotela basebenzisa nokuhlolwa okufana nalokhu:

• Ukuhlolwa kwe-MRI (Magnetic Resonance Imaging): Lokhu kungaveza izithombe ezicacile zezicubu ezithambile njengamathambo, imisipha, kanye nemizwa.
• Ukuskena kwe-CT (Computed Tomography): Lokhu kukuvumela nokuthi uthathe izithombe zomzimba ezihlukaniswe ngezigaba futhi ubone isakhiwo samathambo kangcono.
• Izifundo zokuqhuba imizwa: Lokhu kuhlola ukuthi imizwa yakho isebenza kahle kangakanani nokuthi imizwa yemizwa ihamba ngokushesha kangakanani.
• I-Electromyography (EMG): Lokhu kuhlola ukuthi imisipha yakho kanye nezinzwa ezilawulayo zisebenza kahle kangakanani.
• Ukuhlolwa okungenzeka okuvuselelwe: Lokhu kuhlola ukuthi izimpawu zemizwa zidluliselwa kahle kangakanani ebuchosheni.

Akuwona wonke umuntu okuzodingeka enze zonke lezi zivivinyo. Udokotela wakho uzonquma ukuthi yiziphi izivivinyo ezifanele ngokusekelwe ezimpawini kanye nesimo sakho.

Yiziphi izindlela zokwelapha lokhu? Ake sibone...

Okokuqala, uma ungenazo izimpawu, akukho ukwelashwa okudingekayo . Ukuba nethambo elengeziwe akuyona inkinga.

Kodwa-ke, uma unezimpawu, nansi eminye yemithi yokwelapha:

• Ukwelashwa ngokomzimba: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuqinisa imisipha entanyeni nasemahlombe akho, ukulungisa ukuma kwakho, nokunciphisa ukucindezelwa kwemizwa. Uma kwenziwa kahle, lokhu kunganciphisa kakhulu ubuhlungu kanye nokungazweli.
• Imithi: Udokotela wakho angakunika imithi yokuphumula imisipha noma imithi yokunciphisa ubuhlungu okwesikhashana.
• Ukuhlinzwa Kokususa Izimbambo Zesibeletho: Uma unesifo esibizwa ngokuthi i-Thoracic Outlet Syndrome, lapho kucindezelwa khona imizwa noma imithambo yegazi, futhi ezinye izindlela zokwelapha zingasizi, udokotela wakho angase anqume ukususa leli thambo elengeziwe ngokuhlinzwa. Ngezinye izikhathi, ubambo lokuqala lungasuswa ngesikhathi esifanayo nobambo lwesibeletho ukuvimbela izimpawu ukuthi zingaphinde zivele.

Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile, njengokuphuma kwegazi kanye nokutheleleka. Ngokuvamile kuthatha cishe amasonto ayisishiyagalolunye ukululama ngokuphelele ngemva kokuhlinzwa.

Kwenzekani kimi uma nginombambo wesibeletho?

Uma unezimpawu, zingaba zimbi kakhulu uma zingelashwa . Kukhona futhi nengozi yokuthi kwakheke amahlule egazi emthanjeni we-subclavian, angaya ebuchosheni. Ngakho-ke ungazinaki izimpawu.

Kodwa-ke, labo abake basuswa ngokuhlinzwa lo `(Umbambo Womlomo Wesibeletho)` bathola imiphumela emihle kakhulu . Ukusebenza kwesandla sabo kubuyela esimweni esijwayelekile, futhi izimpawu azivamile ukubuya.

Singakwazi yini ukuvimbela lesi simo ukuthi singenzeki?

Ngeshwa, lokhu akunakuvinjelwa ngoba kuyinto eyenzeka esibelethweni, ngaphambi kokuba sizalwe.

Ngakho-ke ngizinakekela kanjani?

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo . Uma ukwelashwa okungekona ukuhlinzwa njengokwelashwa ngokomzimba kanye nemithi kungasizi, khuluma nodokotela wakho mayelana nokuthi ukuhlinzwa kukulungele yini. Ungesabi, udokotela wakho uzokutshela ukuthi yini engcono kakhulu ngesimo sakho.

Kufanele ngimbone nini udokotela?

Uma uqala ukuzwa izimpawu ocabanga ukuthi zibangelwa `(Umbambo Womlomo Wesibeletho)`, qiniseka ukuthi ubona udokotela .

Futhi, uma uke wahlinzwa, qiniseka ukuthi uya kudokotela wakho ozokulandela. Bazohlola ukuthi umzimba wakho ululama kanjani nokuthi ngabe kukhona yini ezinye izinkinga. Kungase kudingeke futhi wenze ukwelashwa ngokomzimba amasonto ambalwa ngemva kokuhlinzwa.

Yimiphi imibuzo okufanele ngiyibuze udokotela noma umhlengikazi wami?

Uma uya kudokotela, bhala phansi imibuzo onayo. Nazi ezinye izibonelo:

• "Uhlobo luni lwe-`(Umbambo Womlomo Wesibeletho)` enginalo?"
• "Ingabe ngidinga ukwelashwa?"
• "Yikuphi ukwelashwa okungcono kakhulu kimi?"
• "Kungenzeka yini lokhu ezinganeni zami zesikhathi esizayo?"

Uma kukhona ongakuqondi, ungesabi ukubuza. Uma unolwazi oluningi ngesimo sakho, kulapho kuzoba lula khona ukuthi ubhekane naso.

Izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho namuhla (Umyalezo Wokuya Ekhaya)

Cabanga nje, ubungazi ukuthi unethambo elengeziwe entanyeni yakho kuze kube manje. Kodwa manje uzwa ubuhlungu kanye nokungazweli engalweni yakho. Lobuhlungu abuvamile, futhi akudingeki uhlupheke nabo.

Kalula nje:

• I-`(Umbambo Womlomo Wesibeletho)` iyithambo elingeziwe, elingasebenzi kahle entanyeni.
• Iningi labantu alinazo izimpawu, kodwa abanye bangase babe nobuhlungu, ukungabi namandla, kanye nobuthakathaka.
• Uma ubona izimpawu, ungazinaki. Funa iseluleko sezokwelapha ngokushesha.
• Kungelashwa ngokwelashwa ngokomzimba, imithi, futhi, uma kudingeka, ukuhlinzwa.
• Khuluma nodokotela wakho ngokukhululekile ngesimo sakho kanye nokwelashwa kwakho, bese ubuza imibuzo.

Awuwedwa, kunodokotela abangasiza labo ababhekene nalezi zimo. Ngakho-ke ungesabi, thola ulwazi olufanele kanye nokwelashwa.

Ubambo Lwesibeletho, Ubambo Lwesibeletho, Ithambo Elingaphezulu Entanyeni, Ubuhlungu Bentamo, Ubuhlungu Bengalo, Ukungazweli Kwengalo, Isifo Sokuphuma Kwesifuba