Iyini i-ulnar nerve, ikuphi nezinguquko ezingenzeka

-Delile

• Iphi inzwa
• Izinguquko ezingenzeka
• 1. Ukulimala
• 2. Ukucindezela
• 3. Ukukhubazeka

Imizwa ye-ulnar isuka ku-plexus ye-brachial, okuyiqoqo lezinzwa ehlombe, edlula emathanjeni endololwana futhi ifinyelela engxenyeni engaphakathi yesandla. Ingenye yezinzwa ezinkulu zengalo futhi umsebenzi wayo ukuthumela imiyalo yokuhamba kwengalo, isihlakala neminwe yokugcina yesandla, njengendandatho kanye nophinki.

Ngokungafani nezinzwa eziningi, inzwa ye-ulnar ayivikelwe yinoma imuphi umsipha noma ithambo esifundeni sendololwane, ngakho-ke lapho kwenzeka isiteleka kule ndawo kungenzeka ukuthi uzwe umuzwa wokushaqeka nokuncinza eminwe.

Ngalesi sizathu, ukulimala nokukhubazeka kungenzeka ezingeni le-ulnar ngenxa yokuhlukumezeka noma ngenxa yokuthi indololwane igobile kakhulu. Kunesimo esivame kakhulu, esibizwa nge-cubital tunnel syndrome, esenzeka ngenxa yokucindezelwa kwale nzwa futhi singaba sibi kakhulu kubantu abanezinye izifo, njengesifo samathambo. Thola kabanzi ukuthi siyini isifo samathambo nokuthi ziyini izimpawu zaso.

Iphi inzwa

Inzwa ye-ulnar igijima ingalo yonke, iqala esifundeni sehlombe esibizwa ngokuthi i-brachial plexus, idlule emhubheni we-cubital, oyingxenye engaphakathi yendololwane, futhi ifinyelela izeluleko zeminwe ebomvana neyendandatho.

Esifundeni sendololwane, inzwa ye-ulnar ayinakho ukuvikelwa emisipheni noma emathanjeni, ngakho-ke lapho kukhona ukungqongqoza kule ndawo kungenzeka ukuzwa umuzwa wokwethuka kulo lonke ubude bengalo.

Izinguquko ezingenzeka

Njenganoma iyiphi ingxenye yomzimba, i-ulnar nerve ingashintsha ngenxa yokuhlukumezeka noma izimo zezempilo, kubangele ubuhlungu nobunzima bokuhambisa ingalo nezandla. Ezinye zalezi zinguquko zingaba:

1. Ukulimala

Inzwa ye-ulnar ingalimala noma kuphi lapho inwetshwa khona, ngenxa yokuhlukumezeka endololwaneni noma esihlakaleni, futhi lokhu kulimala kungenzeka futhi ngenxa ye-fibrosis, okuyilapho inzwa iba lukhuni ngokwengeziwe. Izimpawu zokulimala kwezinzwa ze-ulnar ubuhlungu obukhulu, ubunzima bokuhambisa ingalo, ubuhlungu lapho uguquguqula indololwane noma isihlakala futhi "uzipho lwesandla", okuyilapho iminwe yokugcina igobile njalo.

Ukulimala komgogodla we-Ulnar wuhlobo lwezinyembezi olungenzeka lapho umuntu ewa futhi ephumula isithupha noma ewa ngenkathi ephethe into, njengabashushuluzi beqhwa abaphethe induku ngesandla.

Okufanele ngikwenze: lapho nje kuvela izimpawu kubalulekile ukuxhumana nodokotela wamathambo ukukhombisa ukwelashwa okufanele kakhulu okungasetshenziswa ekusetshenzisweni kwemithi elwa nokuvuvukala, i-corticosteroids futhi, ezimweni ezinzima kakhulu, ukuhlinzwa.

2. Ukucindezela

Ukucindezelwa kwemizwa ye-ulnar, evame ukwenzeka esifundeni sendololwane, kubizwa ngokuthi yi-cubital tunnel syndrome, engadalwa ukuqongelela koketshezi, ingcindezi yenzwa isikhathi eside, i-spurs, i-arthritis noma ama-cysts emathanjeni endololwane. Lesi sifo ikakhulu sidala izimpawu ezihlala zikhona, njengobuhlungu engalweni, ukuba ndikindiki nokushosheka ezandleni naseminwe.

Kwezinye izimo ezisezingeni eliphakeme, i-cubital tunnel syndrome ibangela ubuthakathaka engalweni nobunzima bokubamba izinto. Lapho kuvela izimpawu, kuyadingeka ukuthi ufune usizo kudokotela wamathambo, onga-oda ama-X-ray, ama-MRIs kanye nokuhlolwa kwegazi.

Okufanele ngikwenze: ngemuva kokuqinisekiswa kwesifo se-cubital tunnel syndrome, udokotela angancoma izidakamizwa ezilwa nokuvuvukala, njenge-ibuprofen, ukusiza ukunciphisa ukuvuvukala okuzungeze inzwa nokuqeda izinhlungu.

Ukusetshenziswa kwamathambo noma izigaxa nakho kungakhonjiswa ukusiza ekunyakazeni kwengalo, kanti kulokhu okulandelayo, udokotela ubhekisa ekuhlinzweni ukuze kuncishiswe ingcindezi kwi-ulnar nerve.

3. Ukukhubazeka

I-Ulnar neuropathy, ivela ngenxa yokukhubazeka nokulahleka kwemisipha kwezinzwa ze-ulnar futhi iholele umuntu ekutheni alahlekelwe ukuzwela namandla engalweni noma esihlakaleni. Lesi simo senzeka ngenxa yenqubo yokuvuvukala elimaza imizwa futhi idale ubunzima bokunyakaza noma i-atrophy endololwaneni, ingalo neminwe.

Ngaphezu kwalokho, i-ulnar neuropathy nayo ingenza kube nzima ukuthi abantu benze imisebenzi ejwayelekile ngezandla zabo, njengokuphatha imfoloko noma ipensela, futhi kungadala ukuhayiza. Bona okuningi ngezinye izimbangela zokushosheka ezandleni.

Kuyadingeka ukuthi uthintane nodokotela wamathambo ukuze kuhlolwe ukuzwela kwasendaweni kanye nokunye ukuhlolwa kwe-imaging njenge-X-ray, i-computed tomography kanye nokuhlolwa kwegazi ukuze kuhlolwe izimpawu ezithile zokuvuvukala emzimbeni.

Okufanele ngikwenze: udokotela angahle anikeze imishanguzo yokwehlisa ama-spasms abangelwa ukucindezelwa kwemizwa, njenge-gabapentin, i-carbamazepine noma i-phenytoin. Ama-Corticosteroids nama-anti-inflammatories nawo angakhonjiswa ukunciphisa ubuhlungu bezinzwa nokuvuvukala. Uma, noma ngabe ukwelashwa ngemithi, izimpawu zingathuthuki, udokotela angakhombisa ukuhlinzwa.

Ukwelashwa nge-physiotherapy kubalulekile ekululameni kokunyakaza kanye nokwenza ngcono izimpawu ezifana nokushoshozela, ukuvutha kanye nobuhlungu, kanti udokotela womzimba angancoma ukuzivocavoca okufanele kwenziwe ekhaya.