Ukungasebenzi kwemizwa ye-Ulnar

Ukungasebenzi kahle kwemizwa ye-Ulnar kuyinkinga nge-nerve ehamba ukusuka ehlombe iye esandleni, ebizwa nge-ulnar nerve. Kukusiza ukuhambisa ingalo, isihlakala, nesandla.

Ukulimala kweqembu elilodwa lezinzwa, njenge-ulnar nerve, kubizwa ngokuthi yi-mononeuropathy. I-Mononeuropathy isho ukuthi kukhona ukulimala kwenzwa eyodwa. Izifo ezithinta umzimba wonke (iziyaluyalu zesistimu) nazo zingadala ukulimala kwezinzwa okukodwa.

Izimbangela ze-mononeuropathy zifaka:

• Ukugula emzimbeni wonke okulimaza inzwa eyodwa
• Ukulimala okuqondile kwenzwa
• Ukucindezela kwesikhathi eside emsipheni
• Ingcindezi kunzwa ebangelwa ukuvuvukala noma ukulimala kwezakhiwo zomzimba eziseduze

I-Ulnar neuropathy nayo ivamile kulabo abanesifo sikashukela.

I-Ulnar neuropathy yenzeka lapho kukhona ukulimala kwenzwa ye-ulnar. Le nzwa yehlela engalweni iye esihlakaleni, esandleni, naseringini naseminweni emincane. Idlula eduze kobuso bendololwane. Ngakho-ke, ukushaya imizwa lapho kubangela ubuhlungu nokushoshozela "kokushaya ithambo elihlekisayo."

Lapho inzwa icindezelwa endololwaneni, kungavela inkinga ebizwa ngokuthi yi-cubital tunnel syndrome.

Lapho umonakalo ubulala ukumbozwa kwezinzwa (i-myelin sheath) noma ingxenye yenzwa uqobo, ukusayinda kwemizwa kuyancipha noma kuvinjelwe.

Ukulimala kwezinzwa ze-ulnar kungadalwa yi:

• Ukucindezelwa kwesikhathi eside endololwaneni noma phansi kwesundu
• Ukuphuka kwendololwane noma ukuhlukaniswa
• Ukugoba okuphindaphindiwe kwendololwane, njengokubhema ugwayi

Kwezinye izimo, asikho isizathu esingatholwa.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Imizwa engavamile emunweni omncane kanye nengxenye yomunwe wendandatho, imvamisa ohlangothini lwesundu
• Ubuthakathaka, ukulahleka kokuxhumana kweminwe
• Ukukhubazeka okunjengezipho kwesandla nesihlaka
• Ubuhlungu, ukuba ndikindiki, ukuncipha kokuzwa, ukushoshozela, noma ukushisa okuvuthayo ezindaweni ezilawulwa yinzwa

Ubuhlungu noma ukuba ndikindiki kungakuvusa ebuthongweni. Imisebenzi efana nethenisi noma igalofu ingenza isimo sibe sibi kakhulu.

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho nomlando wezokwelapha. Ungabuzwa ukuthi ubenzani ngaphambi kokuba kuqale izimpawu.

Ukuhlolwa okungadingeka kungafaka:

• Ukuhlolwa kwegazi
• Ukufanekisa izivivinyo, njenge-MRI ukubuka izinzwa nezakhiwo eziseduze
• Ukuhlolwa kwemithambo yemizwa ukuhlola ukuthi amasiginali wezinzwa ahamba ngokushesha kangakanani
• I-Electromyography (EMG) yokuhlola impilo ye-ulnar nerve nemisipha elawulayo
• I-biopsy yezinzwa ukuhlola ucezu lwezicubu zemizwa (okungadingeki ukuba kudingeke)

Inhloso yokwelashwa ukuvumela ukuthi usebenzise isandla nengalo ngangokunokwenzeka. Umhlinzeki wakho uzothola futhi aphathe imbangela, uma kungenzeka. Kwesinye isikhathi, aludingi ukwelashwa futhi uzolulama wedwa.

Uma kudingeka imithi, ingafaka:

• Imithi engaphezulu kwekhawunta noma kadokotela (njenge-gabapentin ne-pregabalin)
• Imijovo ye-Corticosteroid ezungeze imizwa ukunciphisa ukuvuvukala nengcindezi

Umhlinzeki wakho kungenzeka aphakamise izinyathelo zokuzinakekela. Lokhu kungafaka:

• Isigaxa esisekelayo esihlakaleni noma endololwaneni ukusiza ukuvimbela ukulimala okuqhubekayo nokukhulula izimpawu. Ungadinga ukuyigqoka ubusuku nemini, noma ebusuku kuphela.
• Iphedi yendololwane uma kulimala imizwa ye-ulnar endololwaneni. Futhi, gwema ukuqhuma noma ukuncika endololwaneni.
• Ukuvivinya umzimba ngokwelashwa ukusiza ukugcina amandla emisipha engalweni.

Ukwelashwa emsebenzini noma ukwelulekwa ngokusikisela izinguquko emsebenzini kungadingeka.

Ukuhlinzwa ukukhipha ingcindezi emsipheni kungasiza uma izimpawu ziba zimbi kakhulu, noma uma kukhona ubufakazi bokuthi ingxenye ethile yenzwa iyawohloka.

Uma imbangela yokukhubazeka kwemizwa ingatholakala futhi yelashwe ngempumelelo, kunethuba elihle lokululama ngokugcwele. Kwezinye izimo, kungahle kube nokulahleka okuncane noma okuphelele kokunyakaza noma ukuzwa.

Izinkinga zingafaka:

• Ukukhubazeka kwesandla
• Ukulahlekelwa okuyingxenye noma okuphelele kwesandla noma iminwe
• Ukulahleka okuyingxenye noma okuphelele kwesihlakala noma ukunyakaza kwesandla
• Ukulimala okuphindaphindiwe noma okungaziwa esandleni

Shayela umhlinzeki wakho uma ulimele engalweni futhi uba ndikindiki, ukudlikizela, ubuhlungu, noma ubuthakathaka phansi kwengalo yakho nendandatho neminwe encane.

Gwema ukucindezela isikhathi eside endololwaneni noma entendeni yesandla. Gwema ukugoba indololwane isikhathi eside noma okuphindaphindiwe. Ama-casts, splints, nezinye izinto zokusebenza kufanele zihlolwe njalo ukuthi zilungile yini.

I-Neuropathy - i-ulnar nerve; Ukukhubazeka kwemizwa ye-Ulnar; I-Mononeuropathy; Umhubhe Cubital syndrome

• Ukulimala kwemizwa ye-Ulnar

UCraig A. Neuropathies. Ku: Cifu DX, ed. I-Braddom's Physical Medicine kanye nokuvuselelwa. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2021: isahluko 41.

UJobe MT, uMartinez SF. Ukulimala kwemizwa yangaphakathi. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 62.

IMackinnon SE, iNovak CB. Ukucindezela ama-neuropathies. Ku: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Ukuhlinzwa Kwesandla SikaGreen. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 28.