Ingabe isandla somntwana wakho sibonakala sibuthakathaka? Kungaba yi-Erb's Palsy. Ake sixoxe!

Wake waphawula ukuthi enye yezingalo zosana lwakho ayinyakazi kahle njengenye? Mhlawumbe ayinampilo, ilenga kancane eceleni, akunjalo? Ngiyaqonda ukuthi umama noma ubaba angaba novalo futhi akhathazeke kangakanani uma bebona lokho. Kodwa ungakhathazeki. Ezimweni eziningi, lesi simo singabangelwa yi-Erb's Palsy, esizokhuluma ngayo. Ake sixoxe ngakho konke ngendlela elula ongayiqonda.

Kalula nje, iyini i-Erb's Palsy?

I-Erb's Palsy yisimo esithinta imizwa emahlombe nasezingalweni zethu. Lokhu kubangela ukuthi imisipha engalweni ibe buthakathaka noma ilahlekelwe ukusebenza kwayo.

Manje ake sibone ukuthi lokhu kwenzeka kanjani. Kukhona iqoqo lezinzwa ezinhlanu eziyinhloko, njengentambo encane, eziqala emhlane wethu zidlule emahlombe ethu ziye ezingalweni nasezandleni zethu. Ngokwezokwelapha sibiza leli nethiwekhi lezinzwa ngokuthi i-Brachial Plexus . Leli qoqo lezinzwa yilokho okuletha umuzwa emahlombe ethu, ezingalweni nasezandleni, futhi lithumela imiyalezo yokuzihambisa. Cabanga ngakho njengesethi yezintambo ezithwala imiyalezo kagesi esuka ebuchosheni iye ezandleni.

Uma ngesizathu esithile, ikakhulukazi ngesikhathi sokubeletha, le nethiwekhi yezinzwa (i-Brachial Plexus) idonswa noma idatshulwe, leyo miyalezo ayidluli kahle. Khona-ke ukusebenza kwesandla kuyaphazamiseka. Lokhu yilokho esikubiza ngokuthi i-Brachial Plexus Palsy. I-Erb's Palsy uhlobo oluvame kakhulu lwe-Brachial Plexus Palsy. Lapha, imizwa ephezulu yaleyo nethiwekhi yezinzwa yonakele.

Igama elithi "Palsy" lisho ukulahlekelwa ngokuphelele noma ingxenye yokusebenza kwemisipha. Kuyisimo esifana nokukhubazeka.

Hlobo luni lomonakalo olungenziwa kulezi zinzwa?

Umonakalo wemizwa ye-Brachial Plexus awufani. Ungahlukaniswa ngezinhlobo ezine kuye ngokuthi ubukhali kangakanani. Kubalulekile ukuqonda lokhu ngokucacile.

Ubani okungenzeka kakhulu ukuthi athole i-Erb's Palsy?

Kwabasanda kuzalwa

Sivame ukubona lesi simo phakathi kwezingane ezisanda kuzalwa. Le ngozi iphezulu kakhulu uma ukuzalwa kunzima kancane. Cabanga, ngezinye izikhathi ngemva kokuba ikhanda lomntwana liphumile, ihlombe libhajwa esinqeni sikamama. Lokhu sikubiza ngokuthi i-Shoulder Dystocia . Ngemuva kwalokho odokotela kufanele bakhiphe umntwana ngokucophelela ngokutshekisa ikhanda lomntwana kancane eceleni. Ngaleso sikhathi, imizwa esuka entanyeni iye engalweni (i-Brachial Plexus) ingadonswa. Ngezinye izikhathi, ngisho nangesikhathi sokuhlinzwa, kunethuba elincane kakhulu lokuthi lesi simo senzeke.

Kwabantu abadala

Lesi simo singase senzeke nakubantu abadala, kodwa ngokuvamile sibangelwa ingozi enkulu.

• Izingozi zezithuthuthu
• Ukuwa okukhulu
• Izingozi ngesikhathi kudlalwa imidlalo (isb. i-rugby)
• Ukulimala okukhulu, njengokugwazwa noma ukudutshulwa

Ezingozini ezinjengalezi, imizwa ye-brachial plexus nayo ingonakalisa.

Ziyini izimpawu zalesi simo?

Uma ingane yakho ine-Erb's Palsy, ungase uqaphele lezi zimpawu:

• Ingalo ilenga kancane kancane: Ingalo ethintekile ingase ilenga kancane kancane ihambisana nomzimba.
• Ubunzima bokunyakaza: Ingane ingase ingakwazi ukuphakamisa ingalo yayo ehlombe noma ukugoba ingalo yayo endololwaneni.
• Ukulahlekelwa umuzwa: Ngezinye izikhathi kungase kube nokuthuthumela noma ukungazweli esandleni noma engalweni.
• Isenzo esithi 'Icebiso Lomlindi':Lesi yisici esikhethekile kakhulu. Indawo yesandla ibukeka njengoweta ehhotela olindele ithiphu kumthengi, ebambe isandla sakhe ngemuva kwakhe, engaphenduli intende, kodwa esiphendulela emuva. Intende iphendulelwe emuva, futhi iminwe igobile kancane ngaphakathi.

Udokotela uhlonza kanjani lokhu?

Uma uyisa ingane yakho kudokotela, into yokuqala abayenzayo ukuhlola umzimba ngokuphelele . Udokotela uzohlola ngokucophelela ukunyakaza kwezingalo zengane, amandla emisipha, kanye nendlela ezizwa ngayo.

Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuqinisekisa ukuxilongwa nokunquma izinga eliqondile lomonakalo:

• I-EMG (i-Electromyography): Lokhu kusetshenziselwa ukubona ukuthi imisipha nemizwa zisebenza kahle kangakanani. Ngokulinganisa izimpawu zikagesi ezihamba ngemizwa, kungasetshenziswa ukuthola ukuthi umonakalo uphi nokuthi unzima kangakanani.
• I-MRI noma i-CT scan: Lezi zivivinyo zezithombe zingathatha izithombe ezicacile zangaphakathi lomzimba futhi zibonise kahle ukuthi yimuphi umonakalo owenzekile ezinzwa.
• Ukuhlolwa kwe-X-ray: Ngezinye izikhathi, uma kukhona ukusola ukuthi ithambo ehlombe liphukile ngesikhathi sokubeletha, i-X-ray ingathathwa ukuqinisekisa lokho.

Yiziphi izindlela zokwelapha? Ingabe ingane izolulama?

Ngiyazi ukuthi lo mbuzo ukucindezela kakhulu. Izindaba ezinhle ukuthi iningi lezingane ezine-Erb's Palsy ziyalulama ngokuphelele.

Izindlela zokwelapha zincike ebunzimeni bomonakalo wemizwa.

1. Ukwelashwa ngokomzimba

Lokhu ukwelashwa okubaluleke kakhulu nokuyisisekelo. Uma ingane yakho isinezinyanga ezintathu ubudala, udokotela wakho uzokudlulisela kudokotela we-physiotherapist . Lapho, bazokufundisa ukwelula okukhethekile kanye nokuzivocavoca okuhlukahlukene ukuze kusize ukuvikela amalunga engane yakho ezandleni zayo, ezingalweni nasezihlakaleni zayo ukuba angaqini futhi kuqinise imisipha.

Indima yakho njengomzali ibaluleke kakhulu lapha. Ukuzivocavoca okufundiswa yi-physiotherapist kufanele kwenziwe enganeni yakho izikhathi eziningana ngosuku, ngothando olukhulu nokunakekela. Lokhu kungasiza ekuvimbeleni ukugoqana kwamalunga okuhlala njalo.

2. Ukwelashwa ngamanzi

Lokhu kubhekisela ekuzivocavoceni okwenziwa emanzini. Ngenxa yokuntanta kwamanzi, izandla zomntwana azizizwa zinzima. Ngakho-ke, zingazivocavoca kalula futhi ngaphandle kobuhlungu.

3. Imijovo ye-Botulinum toxin (Botox®)

Kwezinye izimo, udokotela wakho angase akuncome lokhu kwelashwa. Lokhu kuhilela ukujova kancane emisipheni engonakele, esebenza kahle, okuyenza ingasebenzi okwesikhashana. Lokhu kunikeza imisipha ebuthakathaka ithuba lokusebenza nokuqina.

4. Ukuhlinzwa

Iningi lezinsana alidingi ukuhlinzwa. Kodwa-ke, uma ingane yakho ingakathuthuki ngokwanele ekusebenzeni kwesandla ngesikhathi inezinyanga eziyisithupha ubudala, udokotela wakho angase acabangele ukuhlinzwa.

• Ukulungiswa kwemizwa: Lokhu kuhilela ukuthatha imizwa enempilo kwenye ingxenye yomzimba (isib. umlenze) bese uyifakela emsipheni owonakele ( i-nerve graft ) noma ukuxhuma imizwa enempilo emsipheni obuthakathaka ( ukudluliselwa kwemizwa ).
• Ukulungiswa kwemisipha: Ngezinye izikhathi imisipha noma ingxenye yayo ithathwa kwenye ingxenye yomzimba bese itshalwa ukuze kubuyiselwe ukusebenza kwengalo eyonakele.

Ingabe lesi simo singavinjelwa? Yiziphi izinto ezibangela ingozi?

I-Erb's Palsy ayivimbeki ngaso sonke isikhathi, njengoba ukubeletha kuyinqubo eyinkimbinkimbi enezehlakalo ezingalindelekile. Kodwa-ke, kunezici ezithile eziyingozi ezingayithinta.

• Isisindo somntwana esikhulayo (ngaphezu kuka-4 kg).
• Umama unesifo sikashukela ngesikhathi sokukhulelwa.
• Ukukhuluphala/ukukhuluphala kukamama.
• Ukuba nomlando we-shoulder dystocia ekubelethweni kwangaphambilini.
• Ukuzalwa kwesisu.
• Ukusebenzisa izidakamizwa ezifana ne -Oxytocin noma ukuthola i-epidural anesthesia ngesikhathi sokubeletha.

Ukuba nalezi zici eziyingozi akusho ukuthi ingane izoba ne-Erb's Palsy. Kodwa-ke, kubalulekile ukuqaphela izingozi.

Kufanele ngimbone nini udokotela?

Indlela engcono kakhulu yokuthola imiphumela emihle kakhulu enkingeni yezinzwa efana nalena ukuqala ukwelashwa ngokushesha okukhulu . Ngakho-ke:

• Uma ubona noma yiluphi ushintsho noma ubuthakathaka ekunyakazeni kwengalo yengane yakho, myise kudokotela ngokushesha.
• Qiniseka ukuthi uya emtholampilo ngosuku udokotela akunikeza lona. Kubaluleke kakhulu ukuqapha intuthuko yengane.
• Uma unezinkinga ngesikhathi uzivocavoca ekhaya, noma uma uzizwa sengathi isimo sengane yakho siya siba sibi kakhulu, shayela ucingo utshele udokotela. Ungagcini lutho kuwe.