Ingabe ngezinye izikhathi uzizwa ubuhlungu noma ukungakhululeki okuqala entanyeni nasemahlombe akho bese kwehlela engalweni yakho? Mhlawumbe lobu buhlungu buba bubi nakakhulu uma uphakamisa ingalo yakho. Kungaba yinto ecasulayo kakhulu uma uphakamisa into esindayo noma wenza imisebenzi yansuku zonke. Nakuba abantu abaningi becabanga ukuthi lobu ubuhlungu obuvamile entanyeni noma ukuklwebheka, kungase kube ngenxa yesimo esingakhulumi ngaso kakhulu, kodwa esithinta abantu abaningi. Namuhla, ake sixoxe nge- thoracic outlet syndrome , noma i-TOS njengoba odokotela beyibiza kanjalo.
Kalula nje, iyini i-Thoracic Outlet Syndrome (TOS)?
Cabanga nje, kunesikhala esincane kakhulu phakathi kwentamo yethu nesifuba esingaphezulu, ikakhulukazi ngaphansi kwethambo lentamo nangaphezu kombambo wokuqala. Lesi sikhala yilokho esikubiza ngokuthi 'i-Thoracic Outlet'. Ngalesi sikhala esincane, imizwa eyinhloko kanye nemithambo yegazi (imithambo yegazi kanye nemithambo yegazi) eya ezingalweni zethu idlula. Kufana nezimoto eziningi ezihamba emgwaqweni omncane.
Ake ucabange nje, kwenzekani uma lesi sikhala esincane siba sincane noma siqine kakhulu ngesizathu esithile? Imizwa nemithambo yegazi egijima kuleyo ndlela iqala ukucindezelwa nokuvaleka. Inhlanganisela yezimpawu ezifana nobuhlungu, ukuvuvukala, kanye nokuba ndikindiki okubangelwa yilokho kucindezelwa yilokho esikubiza ngokuthi i-Thoracic Outlet Syndrome (TOS) .
Ingabe zikhona izinhlobo eziyinhloko ze-TOS?
Yebo, i-TOS ihlukaniswe ngezinhlobo ezintathu eziyinhloko kuye ngokuthi yini ebangela lobu buhlungu. Kubalulekile ukwazi lokhu, ngoba ukwelashwa kuyahlukahluka kuye ngohlobo.
| Uhlobo lwe-TOS | Incazelo |
|---|---|
| I-TOS ye-Neurogenic | Lolu uhlobo oluvame kakhulu. Abantu abangu-95% banalolu hlobo. Yilapho imizwa eya esandleni icindezelwa khona. |
| I-Venous TOS | Nansi imithambo yegazi ethwala igazi elingcolile lisuka engalweni liye enhliziyweni. Lokhu kuyinto engavamile. |
| I-TOS ye-Arterial | Lolu uhlobo olungavamile nolubi kakhulu. Luhilela ukuvaleka komthambo othwala igazi elihlanzekile lisuka enhliziyweni liye engalweni. |
Lesi simo sivame kakhulu kwabesifazane, futhi abasubathi kanye nalabo abenza imisebenzi ethile ehilela ukunyakaza kwezandla okuphindaphindiwe nabo basengozini enkulu.
Ziyini izimpawu ze-TOS?
Izimpawu zizwakala kakhulu ezandleni nasezingalweni zakho. Ezinye izimpawu zingase zihluke kancane kuye ngohlobo lwazo.
- Ubuhlungu entanyeni, ehlombe, noma engalweni : Lolu uphawu oluyinhloko. Ubuhlungu buyanda uma uphakamisa ingalo yakho.
- Ukuba ndikindiki nokuluma: Ungase uzwe lokhu kuluma, ikakhulukazi eminweni nasezintendeni zezandla zakho.
- Ubuthakathaka besandla: Ubunzima bokuphakamisa izinsimbi noma ukubamba into ngokuqinile.
- Ukuvuvukala kwesandla : Lokhu kungabonakala ikakhulukazi ohlotsheni lwemithambo yegazi.
- Ukushintsha kombala wesandla: Isandla singase sibe luhlaza okwesibhakabhaka, sibe bomvu, noma sibe mhlophe. Lokhu kubonisa ukuthi ukuhamba kwegazi kuyaphazamiseka.
- Izintende zezandla ezibandayo: Intende yesandla esithintekile ingase ibande kakhulu kunesinye isandla.
- Isigaxa esibuhlungu eduze kwethambo lentamo : Ungase ukwazi ukuzizwa lokhu wena ngokwakho.
- Ukuwohloka Kwemisipha: Uma ingcindezi iqhubeka isikhathi eside, eminye yemisipha esandleni, ikakhulukazi imisipha engaphansi kozwane olukhulu, ingase inciphe futhi ibonakale sengathi inciphile. Lokhu kubizwa nangokuthi "isandla sikaGilliatt-Sumner".
- Ukushaya kwenhliziyo okubuthakathaka engalweni: Ohlotsheni lwemithambo yegazi, ukushaya kwenhliziyo engalweni ethintekile kungase kube buthaka noma kungabikho lapho kushaywa.
Yiziphi izimbangela kanye nezici eziyingozi zokuthuthukisa i-TOS?
Kungase kube nezizathu eziningana zalokhu.
- Ukulimala: Ukulimala entanyeni njenge-whiplash ngenxa yengozi yemoto, noma ukulimala okufana nokuphuka kwe-collarbone kungabangela izicubu zesilonda nokuvuvukala ukuthi kunciphise isikhala.
- Ukuma kabi: Lesi yimbangela ebaluleke kakhulu. Uma ugobile njalo futhi amahlombe akho egobile phambili (ikakhulukazi uma uphambi kwekhompyutha noma ubheka ifoni yakho), ithambo lakho lentamo lingawa kancane, linciphe imizwa nemithambo yegazi. Imisipha yamahlombe ebuthakathaka nayo iyimbangela yalokhu.
- Ukunyakaza okuphindaphindiwe (Ukucindezeleka okuphindaphindiwe):Le ngozi iphakeme kubantu abenza ukunyakaza okubandakanya ukuphakamisa izingalo zabo njalo. Isibonelo, ababhukudi, labo abadlala imidlalo efana ne-baseball, abapendi, kanye nalabo abasebenza emafektri.
- Ukukhubazeka kokuzalwa: Abanye abantu bazalwa benombambo owengeziwe (umbambo wesibeletho) entanyeni yabo. Lokhu kunganciphisa isikhala.
- Ukukhuluphala ngokweqile: Njengoba isisindo somzimba sikhula, ingcindezi emathanjeni nasemisipheni ezungezile iyanda. Lokhu futhi kuyimbangela yokukhonkotha.
- Ukukhulelwa: Ngesikhathi sokukhulelwa, amalunga omzimba ayakhululeka. Ngale ndlela yokuxega, ithambo lentamo linganyakaza futhi libangele ukuklwebheka.
- Ezinye izimbangela: Izimila esifubeni noma emakhwapheni angaphezulu, ukucindezeleka ngokweqile, kanye nokucindezeleka nakho kungaba yimbangela ngezinye izikhathi.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzoqala ngokukubuza umbuzo onemininingwane mayelana nezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba.
Uhlobo lwe-neurogenic ngezinye izikhathi kunzima ukuluxilonga ngoba izimpawu zalo zingadidaniswa nezinye izimo ezibangela ukungazweli nobuhlungu esandleni, njenge-carpal tunnel syndrome, i-arthritis entanyeni nasemhlane, kanye nokunye ukucindezelwa kwemizwa. Ngakho-ke, udokotela kufanele acabangele zonke lezi zici ukuze athole imbangela eqondile.
Kodwa-ke, izimpawu zezinhlobo zemithambo yegazi kanye nemithambo yegazi (ukuvuvukala, ukushintsha kombala) zicacile futhi zingabonakala ngokushesha.
Ukuhlolwa okulandelayo kungasetshenziswa ukuqinisekisa ukuxilongwa:
- Ukuhlolwa kokuma: Udokotela uzohambisa izingalo zakho nekhanda lakho ezindaweni ezahlukene ukuze abone ukuthi izimpawu zakho ziya ziba zimbi noma cha.
- I-Scalene muscle block: Umjovo wokubulala izinzwa emsipheni osentanyeni. Lokhu kwenziwa ukuze kubonakale ukuthi ubuhlungu buyaphela yini. Uma ubuhlungu buphela, kungenzeka ukuthi inkinga ikhona.
- Ukuhlolwa kwezithombe: I-X-ray, i-CT scan, noma i-MRI ingahlola ukukhubazeka kokuzalwa, njengombambo owengeziwe. I-ultrasound ingahlola ukuvaleka kwemithambo yegazi.
- Ukuhlolwa kwemizwa: Lokhu kusiza ekuvimbeleni ezinye izimo zemizwa.
- Ukuhlolwa kokujikeleza kwegazi: Ukuhlolwa kwe-X-ray okusebenzisa udayi okhethekile, njenge-arteriogram noma i-venogram, kungabona ngokunembile amahlule egazi noma umonakalo emithanjeni yegazi.
Yiziphi izindlela zokwelapha i-TOS?
Izinketho zokwelapha zincike ohlotsheni lwe-TOS onayo.
Nge-TOS ye-Neurogenic:
Lolu hlobo oluvame kakhulu aludingi ukuhlinzwa.
- Ukwelashwa ngokomzimba: Lokhu ukwelashwa okubaluleke kakhulu.Lapha, uzofundiswa izivivinyo eziqinisa futhi zelule imisipha yentamo namahlombe. Zizokusiza futhi ukulungisa ukuma kwakho. Abantu abaningi bathola lokhu kuwusizo kakhulu.
- Imithi: Ama-painkiller afana ne-'Ibuprofen' noma i-'Naproxen' (odokotela babiza futhi ngokuthi 'ama-NSAIDS') kanye nama-muscle relaxants anganikezwa ukunciphisa ubuhlungu nokuvuvukala.
- Imijovo yeBotox: Ukujova umjovo weBotox emsipheni osezansi kwentamo kungaphumuza indawo futhi kunciphise ubuhlungu. Imiphumela ihlala cishe izinyanga ezintathu.
Nge-TOS ye-Venous ne-Arterial:
Lezi zinhlobo ezimbili zivame ukudinga ukuhlinzwa.
- Okokuqala, uma kukhona ihlule legazi, liyaphathwa.
- Ngemuva kwalokho, kwenziwa inqubo yokuhlinzwa ebizwa ngokuthi i-thoracic outlet decompression. Kule nqubo, udokotela ohlinzayo uvula isikhala lapho kukhona khona ukucindezelwa. Lokhu kungase kuhilele ukususa izimbambo ezengeziwe, ezinye izicubu, noma ingxenye yemisipha ebangela ukucindezelwa. Kungase futhi kulungiswe imithambo yegazi eyonakele.
Izinto ongazenza ekhaya
Ukwenza lezi zinto kanye nokwelashwa kuzokunikeza impumuzo eyengeziwe.
- Gcina isisindo esinempilo.
- Qaphela ukuma kwakho. Zijwayeze ukugcina umhlane wakho uqondile emsebenzini nasekhaya.
- Gwema ukuthwala izikhwama ezisindayo emahlombe akho.
- Ngesikhathi usebenza, hlala uphumule isikhashana, uvuke, futhi welule umzimba.
- Faka i-heating pad emisipheni ebuhlungu. Thola i-massage.
- Yenza izivivinyo zokuphumula ukuze unciphise ukucindezeleka.
Kwenzekani uma i-TOS ingelashwa?
Kubaluleke kakhulu ukwelapha i-TOS ngokushesha okukhulu. Ngaphandle kwalokho, kungase kube nezinkinga ezinkulu, njenge:
- Ubuhlungu obuqhubekayo nokuvuvukala esandleni
- Ukulimala kwemizwa okungapheli
- Izimo ezifana nezilonda ze-ischemic noma i-gangrene eminweni ngenxa yokuphazamiseka kokugeleza kwegazi
- Amahlule egazi. Uma ihlule legazi liphuma futhi livimba umthambo wegazi emaphashini, libizwa ngokuthi "i-pulmonary embolism ." Lesi yisimo esiphuthumayo esingathi sína kakhulu, esisongela ukuphila.
Umlayezo Wokuya Nawe Ekhaya
- I-Thoracic Outlet Syndrome (TOS) akuyona nje ubuhlungu obuvamile entanyeni, kodwa yisimo esithile sezokwelapha.
- Uma unobuhlungu, ukungabi namandla, noma ubuthakathaka entanyeni yakho, ehlombe, noma engalweni, ungakushayi indiva lokho.
- Ukuma kabi kanye nokunyakaza okuphindaphindiwe kungaba yizizathu eziyinhloko zalokhu. Ngakho-ke qaphela ukuma kwakho.
- Ukwelashwa ngokomzimba kuyindlela yokwelapha ephumelela kakhulu ye-TOS ebangela ukungasebenzi kahle kwemizwa.
- Uma uzwa ukuvuvukala okungazelelwe, ukushintsha kombala, ubuhlungu obukhulu, noma ukulahlekelwa ukushaya kwenhliziyo esandleni sakho, kungaba yisimo esiphuthumayo. Bona udokotela noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha.
- Noma nini, uma unezimpawu ezinjengalezi, ungacabangi, kodwa bona udokotela wakho ukuze uthole ukuxilongwa okufanele kanye nokwelashwa.
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