Ukungasebenzi kahle kwemisipha

Ukungasebenzi kahle kwe-radial nerve kuyinkinga nge-radial nerve. Lona umuzwa ohamba usuka ekhwapheni wehle ngemuva kwengalo uye esandleni. Kukusiza ukuhambisa ingalo, isihlakala, nesandla.

Ukulimala kweqembu elilodwa lezinzwa, njenge-radial 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-radial neuropathy yenzeka lapho kunomonakalo kwi-radial nerve, eyehla engalweni nasekulawuleni:

• Ukuhamba kwemisipha ye-triceps ngemuva kwengalo ephezulu
• Amandla okugoba isihlakala neminwe emuva
• Ukunyakaza nokuthinta isihlakala nesandla

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

Ukulimala kwethambo le-radial kungadalwa yi:

• Ithambo lesandla eliphukile nokunye ukulimala
• Isifo sikashukela
• Ukusetshenziswa ngokungafanele ngezinduku
• Ubuthi bomthofu
• Ukuminyaniswa kwesikhathi eside noma okuphindaphindwayo kwesihlakala (isibonelo, kusuka ekugqokeni ibhande lewashi eliqinile)
• Ukucindezelwa kwesikhathi eside kunzwa, imvamisa okubangelwa ukuvuvukala noma ukulimala kwezakhiwo zomzimba eziseduze
• Ingcindezi eya engalweni engenhla usuka ezikhundleni zengalo ngesikhathi sokulala noma sekhoma

Kwezinye izimo, asikho isizathu esingatholwa.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Imizwa engajwayelekile ngemuva nasesithupheni sesandla, noma isithupha, iminwe yesibili neyesithathu
• Ubuthakathaka, ukulahleka kokuxhumana kweminwe
• Inkinga yokuqondisa ingalo endololwaneni
• Inkinga yokugoba isandla emuva esihlakaleni, noma ukubamba isandla
• Ubuhlungu, ukuba ndikindiki, ukuncipha kokuzwa, ukushoshozela, noma ukushisa okuvuthayo ezindaweni ezilawulwa yinzwa

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

Ukuhlolwa okungadingeka kungafaka:

• Ukuhlolwa kwegazi
• Ukulingisa ukuhlola ukubuka izinzwa nezakhiwo eziseduze
• I-Electromyography (EMG) yokuhlola impilo ye-radial nerve kanye nemisipha eyilawulayo
• I-biopsy yezinzwa ukuhlola ucezu lwezicubu zemizwa (okungadingeki ukuba kudingeke)
• Ukuhlolwa kwemithambo yemizwa ukuhlola ukuthi amasiginali wezinzwa ahamba ngokushesha kangakanani

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 yezinhlungu ezithengiswa ekhawunteni noma kadokotela
• 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.
• Iphoyinti lendololondo le-radial nerve lilimala 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 yokungasebenzi kahle kwemizwa ingatholakala futhi yelashwe ngempumelelo, kunethuba elihle lokuthi uzolulama ngokuphelele. Kwezinye izimo, kungahle kube nokulahleka okuncane noma okuphelele kokunyakaza noma ukuzwa.

Izinkinga zingafaka:

• Ukukhubazeka okubucayi kwesandla
• Ukulahlekelwa okuncane noma okuphelele komuzwa esandleni
• Ukulahleka okuyingxenye noma okuphelele kwesihlakala noma ukunyakaza kwesandla
• Ukulimala okuphindaphindiwe noma okungaziwa esandleni

Shayela umhlinzeki wakho uma ulimele engalweni futhi uba nobuthakathaka, ukushosholoza, ubuhlungu, noma ubuthakathaka phansi kwengalo nesithupha kanye neminwe yakho emibili yokuqala.

Gwema ukucindezela isikhathi eside engalweni engenhla.

I-Neuropathy - imizwa ye-radial; Ukukhubazeka kwemizwa ye-radial; I-Mononeuropathy

• Ukungasebenzi kahle kwemisipha

UCraig A, uRichardson JK, u-Ayyangar R. Ukuvuselelwa kweziguli ezine-neuropathies. Ku: Cifu DX, ed. I-Braddom's Physical Medicine kanye nokuvuselelwa. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2016: isahluko 41.

I-Katirji B. Ukuphazamiseka kwemizwa yangaphakathi. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 107.

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.