Uzizwa sengathi kukhona inzwa ebambeke endololwaneni noma esihlakaleni sakho? Ake sixoxe nge-Ulnar Nerve Entrapment!

Ingabe ngezinye izikhathi uzizwa ungenamizwa eminweni yakho, noma ubuhlungu obungavamile endololwaneni yakho, noma uzizwa ubuthakathaka uma uzama ukufinyelela okuthile? Noma ingabe umunwe wakho omncane nomunwe wendandatho kubonakala sengathi kugobile? Lezi akuzona nje izinto ezingahleliwe. Mhlawumbe kukhona ukucindezeleka okuthile emsipheni we-ulnar, umthambo obalulekile esandleni sakho. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi i-Ulnar Nerve Entrapment . Ungakhathazeki, uma ukwazi lokhu, ungathola izixazululo ngokushesha.

Kuyini Ukufakwa Kwezinzwa ze-Ulnar?

Kalula nje, ukucindezeleka kwemizwa ye-ulnar yilapho into ethile icindezela imizwa ye-ulnar, etholakala endololwaneni noma esihlakaleni sakho. Lokhu kwaziwa nangokuthi i-nerve compression syndrome . Njengoba nje ipayipi lamanzi liqina futhi amanzi engakwazi ukugeleza, lapho imizwa icindezelwa, izimpawu ezihamba ngayo ziyaphazamiseka.

Uma inzwa icindezelwa ngale ndlela, ingavuvukala, okuholela ebuhlungwini be-neuropathic kanye ne-neuropathy . Kwezinye izimo, lokhu kungathinta ngisho namandla akho okubamba , okwenza kube nzima ukwenza izinto ezifana nokuthatha nokubamba okuthile.

Ake siqale sibone, iyini le Ulnar Nerve?

I-ulnar nerve iyingxenye yesimiso sezinzwa somzimba wethu esiseceleni . Lolu hlelo yilona oluthwala ulwazi oluvela ebuchosheni bethu ludlule emgogodleni luye kwezinye izingxenye zomzimba, futhi luvela kulezo zingxenye, lubuyisela ulwazi ebuchosheni.

I-ulnar nerve ikusiza kakhulu ukuthi ugobe futhi welule umunwe wakho omncane (opinki) kanye nomunwe wendandatho . Okusho ukuthi, ukunyakaza kwale minwe emibili kubalulekile ekubambeni okuthile. Kuphinde kusize ekuthwaleni ulwazi lwezinzwa njengokuthinta, ubuhlungu, kanye nokushisa kuya ebuchosheni. Ungase ukhumbule, ngezinye izikhathi uma ushaya indololwane yakho ndawana thize, uthola ukuba ndikindiki okungajwayelekile, njengokuthi "ukushaqeka kukagesi," akunjalo? Lokho kubizwa ngokuthi "ithambo elihlekisayo." Ngaleso sikhathi, i-ulnar nerve empeleni icindezelwe. Sinezinzwa ze-ulnar ezinjengalezi ezandleni zethu zombili.

Yiziphi izinhlobo eziyinhloko zokuboshwa kwemizwa ye-ulnar?

Ukubhajwa kwemizwa ye-Ulnar kungenzeka ezindaweni ezimbili eziyinhloko: endololwaneni yakho noma esihlakaleni sakho. Ngakho-ke, kunezinhlobo ezimbili:

• I-Cubital Tunnel Syndrome: Lokhu kwenzeka lapho i-ulnar nerve icindezelwa noma yelulwa endololwaneni. Cabanga ukuthi i-ulnar nerve endololwaneni yethu ifana nomhubhe omncane. Yingakho ibizwa ngokuthi i-Cubital Tunnel. Lesi simo senzeka lapho i-nerve ivaleleka ngaphakathi kulo mhubhe.
• I-Guyon's Canal Syndrome:Lokhu kwenzeka lapho kufakwa ingcindezi emthanjeni we-ulnar esihlakaleni. Kukhona indlela ethile (umsele) lapho lo mthambo uhamba khona esihlakaleni. Lesi simo senzeka lapho ucindezelwa.

Sivame kangakanani lesi simo?

I-Cubital Tunnel Syndrome yisifo sesibili esivame kakhulu se-peripheral neuropathy esithinta imizwa yezitho zethu ezingaphezulu. (Esokuqala esivame kakhulu yi- Carpal Tunnel Syndrome , ehilela i-median nerve esihlakaleni.) Kodwa-ke , i-Guyon's Canal Syndrome iyisimo esingavamile.

Kungani lo mthambo we-ulnar ucindezelwa? Ziyini izimbangela?

Kunezizathu eziningana zokuthi kungani i-ulnar nerve ingacindezelwa.

Imbangela eyinhloko ye -cubital tunnel syndrome ukwelula okuqhubekayo noma ingcindezi kumthambo we-ulnar endololwaneni. Isibonelo, lesi simo singabangelwa noma sibe sibi kakhulu yimikhuba efana nokulala indololwane yakho igobile ebusuku . Cabanga nje, uma ubungahlala endaweni efanayo nendololwane yakho igobile amahora amaningi, ingabe indololwane izoba nokwelula nokucindezela okungakanani.

Ama-cyst e-ganglion ayizinhlayiya ezingewona umdlavuza, ezigcwele uketshezi ezivame ukuvela esihlakaleni. Ama-cyst e-ganglion kucatshangwa ukuthi ayimbangela yamacala angaba ngu-40% e-Guyon's Canal Syndrome . Ezimweni ezingaba ngu-45%, akukho mbangela ecacile etholakala (ebizwa ngokuthi idiopathic). Akuvamile ukuthi la ma-cyst asendololwaneni angabangela nokucindezeleka emthanjeni we-ulnar.

Ngaphezu kwalokhu, kunezinye izizathu eziningana zokuthi kungani i-ulnar nerve ingacindezelwa futhi yonakale:

• Izingozi kanye nokulimala: Ukuwa, ukushaywa kanzima endololwaneni noma esihlakaleni.
• I-Arthritis: Ukuvuvukala kwamalunga kubangela ukuvuvukala kanye nokwanda kwengcindezi ezungeze inzwa.
• Amathambo aphukile kanye nama-bone spurs: Izingcezu zamathambo aphukile noma ama-bone spurs amasha angacindezela inzwa.
• Izinkinga zokuhlinzwa okuthile: Isibonelo, ngemva kokuhlinzwa komhubhe we-carpal, noma ngemva kokuhlinzwa ngenxa yokuphuka kwehlombe.
• Isifo Sikashukela: Isifo sikashukela sandisa ingozi yokulimala kwemizwa.
• Ingqiniba ephukile.
• Ukucindezela okubangelwa ukufaka i-plaster of Paris (casts), ukusebenzisa izinduku zokusibekela, noma ukugqoka ama-splint.
• Ezinye izimila noma ama-cyst agcwele uketshezi.

Ubani osengozini enkulu yokuthola lesi simo?

Ukubhajwa kwemizwa ye-Ulnar kuvame kakhulu kwabesilisa kunabesifazane. Kuvame kakhulu nakubantu abanemisebenzi noma imisebenzi ecindezela njalo indololwane noma isihlakala, noma abavame ukudonswa emsipheni. Nazi izibonelo ezimbalwa:

• Abadlali abafana ne-baseball, igalofu, kanye ne-tennis: Izindololwane nezihlakala zisetshenziswa ngokweqile kule midlalo.
• Abagibeli bamabhayisikili: Ukubambelela ezibambo kungacindezela izihlakala.
• Izisebenzi embonini yokwakha: ngenxa yokuphakamisa okunzima nokusebenzisa imishini.
• Ababhemayo: Ukubhema kungaphazamisa ukujikeleza kwegazi futhi kulimaze imizwa.
• Abantu abasebenzisa ama-typists, ababhali, kanye nalabo abavame ukusebenzisa amakhibhodi ekhompyutha: ngenxa yokuma kabi nokusebenza endaweni efanayo isikhathi eside.
• Abaphakamisa izisindo: Kubekwa ingcindezi enkulu ezindololwaneni nasezihlakaleni.

Yiziphi izimpawu zokuboshwa kwemizwa ye-ulnar kanye nokulimala kwayo?

Lezi zimpawu aziveli ngokuzumayo. Zikhula kancane kancane , futhi ngezinye izikhathi ziyafika zidlule. Izimpawu zingase zibe zimbi kakhulu ebusuku nangesikhathi semisebenzi ebeka ingcindezi noma ukucindezeleka endololwaneni noma esihlakaleni.

Nazi ezinye zezimpawu eziyinhloko:

• Ukugoba komunwe omncane kanye nomunwe wendandatho (ukugoba): Iminwe emibili igoba ngaphakathi, njengezipho.
• Ubuhlungu endololwaneni (uma kuyi-cubital tunnel syndrome) noma ubuhlungu esihlakaleni (uma kuyi-Guyon's canal syndrome).
• Ukuba ndikindiki nokuthuthumela emunweni omncane kanye nomunwe wendandatho.
• Ubuthakathaka besandla: Lokhu kwenza kube nzima ukubamba noma ukuphakamisa izinto, kanye nokwenza imisebenzi ebucayi njengokubhala noma ukunamathisela izinkinobho zehembe.
• Ukulahlekelwa yimisipha emunweni wendandatho noma umunwe omncane: Lokhu kuyimpawu engavamile, kodwa uma kwenzeka, kubonisa ukuthi kukhona umonakalo omkhulu wemizwa.

Yiziphi izivivinyo zomzimba ezisetshenziswa ukuxilonga lesi simo?

Uma uya kudokotela, uzokwenza izivivinyo ezimbalwa zomzimba ukuhlola izimpawu zakho. Nakuba lezi zivivinyo zingase zibonakale zilula, zingasiza udokotela aqonde ukuthi iminwe nezandla zakho ziqine kangakanani.

• Ukuhlolwa kukaFroment: Kulolu vivinyo, udokotela wakho uzokucela ukuthi ubambe iphepha phakathi kwesithupha sakho nomunwe wokukhomba. Uma i-interphalangeal joint esesiqongweni sozwane lwakho olukhulu igoba lapho ulubamba, lokhu kungabonisa inkinga yemizwa.
• Ukuhlolwa kukaTinel:Kulesi sivivinyo, udokotela uzothinta kancane "ithambo elihlekisayo" endololwaneni yakho (lapho i-ulnar nerve isebenza khona). Uma ukuthinta kuzwakala njengokushaqeka okukhulu kukagesi kumunwe wakho omncane noma umunwe wendandatho, kungabonisa inkinga yemizwa.
• Uphawu lukaWartenberg: Kulolu vivinyo, udokotela uzobeka isandla sakho endaweni eyisicaba, asakaze iminwe yakho, bese ekucela ukuthi uyihlanganise. Uma ungakwazi ukuhlanganisa umunwe wakho omncane neminye iminwe uma wenza lokhu, okusho ukuthi umunwe wakho omncane ubonakala sengathi uyasuka kweminye iminwe, lokhu kungaba yinkinga yezinzwa.

Yiziphi ezinye izivivinyo zokuxilonga ezenziwayo ngalokhu?

Ngaphezu kokuhlolwa ngokomzimba, kungase kwenziwe ezinye izivivinyo eziningana ukuqinisekisa ukuthi kukhona yini ukucindezelwa kwemizwa ye-ulnar, noma ukubona ukuthi kukhona yini ezinye izinkinga.

• Izifundo ze -Electromyography (EMG) kanye nokuqhuba imizwa: Lezi zivivinyo zibheka ukuthi izimpawu zihamba kahle kangakanani ezinzwa nokuthi zivuselela kahle kangakanani imisipha. Uma imizwa icindezelwe, ijubane lokuhamba kwezimpawu lingase lincishiswe.
• I-MRI (magnetic resonance imaging), i-neuromuscular ultrasound, noma i-X-ray: Lokhu kuhlolwa kungahlola ukucindezelwa kwemizwa futhi kusize ekususeni ezinye izinkinga, njenge-arthritis, ukulimala kwemisipha, noma ukwaphuka.

Yiziphi izindlela zokwelapha ezingezona ezokuhlinzwa ezitholakalayo?

Ezimweni eziningi, lesi simo singaqedwa ngaphandle kokuhlinzwa. Izindlela zokwelapha eziyinhloko ezisetshenziswa kulokhu yilezi:

• Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Le mithi inganciphisa ubuhlungu be-neuropathic kanye nokuvuvukala, kodwa kufanele ithathwe kuphela ngaphansi kokuqashwa ngudokotela.
• Ukwelashwa ngokomzimba kanye nokwelashwa ngokomsebenzi: Laba belaphi bangakufundisa ukuzivocavoca ukuze bandise ukuguquguquka kwesandla sakho. Bangakufundisa nezindlela ezintsha zokwenza imisebenzi yansuku zonke engacindezeli i-ulnar nerve. Izinto ezifana nokuzivocavoca kwe-nerve-gliding zingasiza i-ulnar nerve ukuthi ihambe kahle, ngaphandle kokubambeka emhubheni we-cubital.
• Ukugqoka ama-splint noma ama-braces: Ukuwafaka esihlakaleni sakho noma endololwaneni kungasiza ekunciphiseni ingcindezi emthanjeni futhi kuvikele ekudonsweni. Lokhu kungasiza ekugcineni indololwane yakho iqondile, ikakhulukazi ebusuku.

Kunini lapho kudingeka khona ukwelashwa ngokuhlinzwa?

Uma ukwelashwa okungadingi ukuhlinzwa kungasizi, udokotela wakho angase akuncome ukuhlinzwa. Kuye ngembangela yenzwa ecindezelwe, kunezinto eziningana ezingenziwa ngokuhlinzwa:

• "Ukukhulula" i-ulnar nerve ekubambeni kwayoOkusho ukuthi, izicubu ezicindezela inzwa ziyasikwa futhi zisuswe, okudala isikhala sokuba inzwa ikwazi ukuhamba ngokukhululeka.
• Uma kukhona izimila noma ama-cyst agcwele uketshezi, zisuse.
• Ngezinye izikhathi, i-ulnar nerve ishukunyiswa iye phambili kwejoyinti le-elbow elinamathambo. Lokhu kunciphisa inani lokucindezeleka kanye nokucindezeleka emsipheni lapho i-elbow yeluliwe.

Ungayivimbela kanjani le nzwa ye-ulnar ukuthi ingacindezelwa?

Kunezinto eziningana ongazenza ukuze unciphise ingozi yakho yokuthola lesi simo, noma ukulawula izimpawu uma unazo:

• Uma umsebenzi wakho noma umsebenzi wakho udinga ukuthi ugobe izindololwane zakho isikhathi eside , welula izingalo zakho ngezikhathi ezithile phakathi nosuku.
• Uma usebenza kukhompyutha noma ubhala, ungazibeki izindololwane zakho edeskini noma ezihlalweni zesihlalo sakho. Uma kungenzeka, sebenzisa into efana nephedi elithambile.
• Ungalali ugobile indololwane yakho ebusuku. Ukuze usize, ungagcina ingalo yakho iqondile bese uyisonga ngethawula. Noma ungagqoka i-brace yendololwane, uyijike ukuze ibe ngemuva kwe-elbow joint.

Yiziphi izinkinga ezingaba khona ngenxa yokubhajwa kwe-ulnar nerve?

Uma ukucindezeleka kwe-ulnar nerve endololwaneni noma esihlakaleni kuba nzima, kungaholela ekulahlekelweni kwemisipha esandleni sakho . Kwezinye izimo, lo monakalo ungaba unomphela . Yingakho kubalulekile ukubona udokotela ngokushesha nje lapho uqala ukuzwa izimpawu. Uma uqala ukwelashwa ngokushesha, kulapho amathuba okuba uvimbele umonakalo unomphela khona.

Iyini i-prognosis kubantu abanalesi simo? (Isibikezelo)

Izindaba ezinhle ukuthi cishe ingxenye yabantu abane-ulnar nerve entrapment bangathola impumuzo ezimpawini zabo ngokwelashwa okungadingi ukuhlinzwa .

Uma kudingeka, ukuhlinzwa kunganciphisa ubuhlungu bezinzwa nezinye izimpawu. Kodwa-ke, cishe umuntu oyedwa kwabayisishiyagalombili abane-cubital tunnel syndrome uzoba nezimpawu ezibuyayo ngemva kokuhlinzwa. Lokhu kungenzeka ngoba imbangela eyisisekelo ayizange ilashwe ngokugcwele. Kukhona futhi ingozi encane yokulimala kwe-median nerve, i-ulnar artery, noma i-ligaments ethanjeni lendololwane/le-carpal ngesikhathi sokuhlinzwa.

Kufanele ngimbone nini udokotela?

Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko:

• Uma kukhona okunzima ukubamba noma ukuphakamisa.
• Uma uzwa ubuhlungu endololwaneni noma esihlakaleni sakho.
• Uma uzizwa ungenamizwa noma uzwa ukuqaqamba ezandleni noma eminweni yakho.
• Uma unenkinga yokwenza imisebenzi yansuku zonke, njengokubopha izinkinobho zehembe noma ukubamba ipeni.

Ungakhohlwa, ukunganaki lezi zimpawu kuzokwenza isimo sibe sibi kakhulu. Uma ufuna iseluleko sezokwelapha ngokushesha, unethuba elingcono lokululama ngokwelashwa okulula.

Ukubhajwa kwemizwa ye-Ulnar yilapho into ethile icindezela noma icasula imizwa ye-ulnar, egijima ingalo yakho. I-Cubital tunnel syndrome ithinta imizwa ye-ulnar endololwaneni futhi uhlobo oluvame kakhulu lokubhajwa kwemizwa ye-ulnar. I-Guyon's canal syndrome, ethinta imizwa esihlakaleni sakho, iyisifo esingavamile se-peripheral neuropathy. Uma uzwa ukungakhululeki, ubuhlungu, noma ukuqaqamba ezandleni noma eminweni yakho, khuluma nodokotela wakho. Kunezinyathelo ongazithatha ukuvimbela ukulimala kwemizwa.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake sifingqe ezinye zezinto okudingeka uzikhumbule kulokho esikhulume ngakho:

• Ukubhajwa kwemizwa ye-Ulnar kuyingcindezi emsipheni we-ulnar endololwaneni noma esihlakaleni.
• Ukuba ndikindiki, ubuhlungu, kanye nobuthakathaka emunweni omncane kanye nomunwe wendandatho kungaba yizimpawu eziyinhloko.
• Ukugcina indololwane yakho igobile isikhathi eside nokwenza umsebenzi ocindezela indololwane/isihlakala sakho kwandisa ingozi.
• Uma unezimpawu, funa iseluleko sezokwelapha ngokushesha. Ukulibazisa ukwelashwa kungaholela ekulimaleni kwemizwa unomphela.
• Ezimweni eziningi, ukululama kungatholakala ngokwelashwa okungadingi ukuhlinzwa (ukuzivocavoca umzimba, izinti, imithi) .
• Lesi simo singalawulwa futhi sivinjelwe ngokugcina ukuma okufanele, ukuphumula izandla, nokulandela iseluleko sezokwelapha .

Nakekela umzimba wakho. Ungawunaki ngisho nophawu oluncane. Hlala uphilile!

Ukubhajwa kwemizwa ye - ulnar, ubuhlungu bendololwane, ubuhlungu besandla, ukungazweli kwesandla, ukucindezelwa kwemizwa, isifo somhubhe we-cubital, ubuthakathaka besandla