I-plexopathy ye-Brachial

I-brachial plexopathy iwuhlobo lwe-peripheral neuropathy. Kwenzeka lapho kukhona ukulimala kwe-plexus ye-brachial. Le yindawo ohlangothini ngalunye lwentamo lapho izimpande zezinzwa ezisuka entanjeni yomgogodla zihlukana zibe izinzwa zengalo ngayinye.

Ukulimala kwalezi zinzwa kubangela ubuhlungu, ukwehla kokunyakaza, noma ukuncipha kokuzwa engalweni nasehlombe.

Ukulimala kwe-plexus ye-brachial kuvame ukusuka ekulimaleni okuqondile kuya emthanjeni, ukulimala okulula (kufaka phakathi ukuhlukunyezwa kokuzalwa), ingcindezi evela kumathumba endaweni (ikakhulukazi kusuka kumathumba wamaphaphu), noma ukulimala okubangelwa ukwelashwa ngemisebe.

Ukungasebenzi kahle kwe-plexus ye-Brachial nakho kungahlotshaniswa ne:

• Ukukhubazeka kokuzalwa okufaka ingcindezi endaweni yentamo
• Ukuvezwa ubuthi, amakhemikhali, noma izidakamizwa
• I-anesthesia ejwayelekile, esetshenziswa ngesikhathi sokuhlinzwa
• Izimo zokuvuvukala, njengalezo ezibangelwa igciwane noma inkinga yesistimu yomzimba

Kwezinye izimo, asikho isizathu esingakhonjwa.

Izimpawu zingafaka:

• Ubuntununtunu behlombe, ingalo, noma isandla
• Ubuhlungu behlombe
• Ukulinganisa, ukushisa, ubuhlungu, noma ukuzwa okungavamile (indawo incike endaweni elimele)
• Ubuthakathaka behlombe, ingalo, isandla, noma isihlakala

Ukuhlolwa kwengalo, isandla kanye nesihlakala kungaveza inkinga ngemizwa ye-plexus ye-brachial. Izimpawu zingafaka:

• Ukukhubazeka kwengalo noma kwesandla
• Kunzima ukuhambisa ihlombe, ingalo, isandla, noma iminwe
• Ukuncipha kwengcindezi yengalo
• Ukuncipha kwemisipha
• Ubuthakathaka bokuguquguquka kwesandla

Umlando oningiliziwe ungasiza ekutholeni imbangela ye-brachial plexopathy. Ubudala nobulili kubalulekile, ngoba ezinye izinkinga ze-brachial plexus zivame kakhulu emaqenjini athile. Isibonelo, izinsizwa ezivame kakhulu ukuba nesifo sokuvuvukala noma se-post-viral brachial plexus isifo esibizwa ngeParsonage-Turner syndrome.

Ukuhlolwa okungenziwa ukuthola lesi simo kungafaka:

• Ukuhlolwa kwegazi
• I-x-ray yesifuba
• I-Electromyography (EMG) yokuhlola imisipha nezinzwa ezilawula imisipha
• I-MRI yekhanda, intamo nehlombe
• Ukuqhutshwa kwemithambo ukuze uhlole ukuthi amasiginali kagesi ashesha kangakanani ukudlula enizini
• I-biopsy yezinzwa ukuhlola ucezu lwenzwa ngaphansi kwesibonakhulu (akudingeki ukuthi kudingeke)
• I-Ultrasound

Ukwelashwa kuhlose ukulungisa imbangela eyisisekelo nokukuvumela ukuthi usebenzise isandla sakho nengalo ngangokunokwenzeka. Kwezinye izimo, akudingeki ukwelashwa futhi inkinga iba ngcono yodwa.

Izinketho zokwelashwa zifaka noma yikuphi okulandelayo:

• Imithi yokulawula izinhlungu
• Ukwelashwa ngokomzimba ukusiza ukugcina amandla emisipha.
• Ama-brace, ama-splints, noma amanye amadivayisi ukukusiza ukuthi usebenzise ingalo yakho
• I-block block, lapho umjovo ufakwa khona endaweni eseduze nezinzwa ukunciphisa izinhlungu
• Ukuhlinzwa ukulungisa izinzwa noma ukususa okuthile okucindezela izinzwa

Ukwelashwa emsebenzini noma ukwelulekwa ngokusikisela izinguquko emsebenzini kungadingeka.

Izimo zezokwelapha ezifana nesifo sikashukela nesifo sezinso zingalimaza izinzwa. Kulezi zimo, ukwelashwa kubhekiswa esimweni sezempilo esingaphansi.

Ungalulama kahle uma imbangela ikhonjisiwe futhi yelashwa kahle. Kwezinye izimo, kunokulahleka okuncane noma okuphelele kokunyakaza noma ukuzwa. Ubuhlungu bemizwa bungaba bukhulu futhi bungahlala isikhathi eside.

Izinkinga zingafaka:

• Ukukhubazeka kwesandla noma kwengalo, okuncane kuya kokubi, okungaholela ezinkontilekeni
• Ukukhubazeka okuyingxenye noma okuphelele kwengalo
• Ukulahlekelwa okuncane noma okuphelele kwengalo, ingalo, noma iminwe
• Ukulimala okuphindaphindayo noma okungabonwa esandleni noma engalweni ngenxa yokuncipha kokuzwa

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma uzwa ubuhlungu, ukuba ndikindiki, ukuncinza, noma ubuthakathaka ehlombe, engalweni, noma esandleni.

Neuropathy - i-plexus ye-brachial; Ukungasebenzi kahle kwe-plexus ye-brachial; I-Parsonage-Turner syndrome; I-Pancoast syndrome

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

UChad DA, iLungu lePhalamende laseBowley. Ukuphazamiseka kwezimpande zezinzwa nama-plexuses. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 106.

I-Waldman SD. I-Cervicothoracic bursitis engaphakathi. Ku: Waldman SD, ed. I-Atlas Yezimpawu Ezingavamile Zobuhlungu. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.