Ukungasebenzi kwemizwa ye-Axillary

Ukungasebenzi kwemizwa ye-Axillary ukulimala kwezinzwa okuholela ekulahlekelweni kokuhamba noma ukuzwa ehlombe.

Ukungasebenzi kahle kwemizwa ye-Axillary kuyindlela yokwelashwa kwemizwa okuphathelene nomzimba. Kwenzeka lapho kukhona ukulimala kwe-axillary nerve. Le yinzwa esiza ukulawula imisipha ye-deltoid yehlombe nesikhumba esizungezile. Inkinga ngenzwa eyodwa nje, njenge-axillary nerve, ibizwa nge-mononeuropathy.

Izimbangela ezijwayelekile yilezi:

• Ukulimala okuqondile
• Ukucindezela kwesikhathi eside emsipheni
• Ingcindezi kwi-nerve evela ezakhiweni zomzimba eziseduze
• Ukulimala kwamahlombe

Ukuvalelwa kudala ingcindezi kunzwa lapho idlula ngesakhiwo esincanyana.

Umonakalo ungabhubhisa i-myelin sheath emboza inzwa noma ingxenye yeseli yezinzwa (i-axon). Ukulimala kwanoma yiluphi uhlobo kunciphisa noma kuvimbela ukuhamba kwamasignali ngenzwa.

Izimo ezingaholela ekungasebenzi kahle kwemizwa ye-axillary zifaka:

• Ukuphazamiseka komzimba wonke (systemic) okubangela ukuvuvukala kwemizwa
• Ukutheleleka okujulile
• Ukwephuka kwethambo lengalo ephezulu (ihumerus)
• Ingcindezi evela ekubunjweni noma emaceleni
• Ukusetshenziswa ngokungafanele ngezinduku
• Ukuhlukaniswa kwamahlombe

Kwezinye izimo, asikho isizathu esingatholwa.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuntofontofo phezu kwengxenye yehlombe langaphandle
• Ubuthakathaka bamahlombe, ikakhulukazi lapho uphakamisa ingalo phezulu futhi kude nomzimba

Umhlinzeki wakho wokunakekelwa kwezempilo uzohlola intamo yakho, ingalo nehlombe lakho. Ubuthakathaka behlombe bungadala ubunzima bokuhambisa ingalo yakho.

Imisipha ye-deltoid yehlombe ingakhombisa izimpawu ze-muscle atrophy (ukulahleka kwezicubu zemisipha).

Ukuhlolwa okungasetshenziswa ukuhlola ukungasebenzi kahle kwemizwa ye-axillary kufaka:

• Ukuhlolwa kwe-EMG kanye nokwenziwa kwemizwa, kuzoba okujwayelekile ngemuva kokulimala futhi kufanele kwenziwe emasontweni ambalwa ngemuva kokulimala noma izimpawu
• I-MRI noma ama-x-ray ehlombe

Ngokuya ngesizathu sokuphazamiseka kwemizwa, abanye abantu abadingi ukwelashwa. Inkinga iba ngcono yodwa. Izinga lokululama lingahluka kuwo wonke umuntu. Kungathatha izinyanga eziningi ukwelulama.

Imithi elwa nokuvuvukala inganikezwa uma unokunye kwalokhu okulandelayo:

• Izimpawu ezingazelelwe
• Izinguquko ezincane ekuzizweni nasekunyakazeni
• Awukho umlando wokulimala endaweni
• Azikho izimpawu zokulimala kwemizwa

Le mithi inciphisa ukuvuvukala nengcindezi kunzipho. Bangase bajojowe ngqo endaweni noma bathathwe ngomlomo.

Eminye imithi ifaka phakathi:

• Imithi yezinhlungu ezithengiswa ekhawunteni ingasiza ezinhlungwini ezincane (i-neuralgia).
• Imithi yokusiza ukunciphisa ubuhlungu bokugwazwa.
• Ukudambisa izinhlungu kwe-opiate kungadingeka ukulawula ubuhlungu obukhulu.

Uma izimpawu zakho ziqhubeka noma ziba zimbi kakhulu, ungadinga ukuhlinzwa. Uma i-nerve ebhajwe ibangela izimpawu zakho, ukuhlinzwa ukukhipha inzwa kungakusiza uzizwe ungcono.

Ukwelashwa ngokomzimba kungasiza ukugcina amandla emisipha. Kunganconywa ukushintshwa kukaJobe, ukuqeqeshwa kabusha kwemisipha, noma ezinye izindlela zokwelashwa.

Kungenzeka ukwelashwa ngokugcwele uma imbangela yokungasebenzi kwemizwa ye-axillary ingakhonjwa futhi yelashwe ngempumelelo.

Izinkinga zingafaka:

• Ukukhubazeka kwengalo, isivumelwano sehlombe, noma ihlombe eliqandisiwe
• Ukulahlekelwa okuncane kokuzwa engalweni (akuvamile)
• Ukukhubazeka okuncane kwehlombe
• Ukulimala okuphindaphindiwe engalweni

Shayela i-aphoyintimenti nomhlinzeki wakho uma unezimpawu zokungasebenzi kahle kwemizwa ye-axillary. Ukuxilongwa nokwelashwa kusenesikhathi kwandisa amathuba okulawula izimpawu.

Izindlela zokuvimbela ziyahlukahluka, kuya ngesizathu. Gwema ukufaka ingcindezi endaweni engaphansi isikhathi eside. Qiniseka ukuthi isamente, izigaxa nezinye izinto zokusebenza zilingana kahle. Uma usebenzisa izinduku, funda ukuthi ungakugwema kanjani ukufaka ingcindezi ekhwapheni.

I-Neuropathy - imizwa ye-axillary

• I-axillary nerve eyonakele

USteinmann SP, u-Elhassan BT. Izinkinga zemizwa ezihlobene nehlombe. Ku: Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, Fehringer EV, Sperling JW, ama-eds. I-Rockwood neMatsen’s The Shoulder. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2017: isahluko 18.

UTaylor KF. Ukubanjwa kwezinzwa. Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 58.