I-Thoracic Outlet Syndrome: Izimpawu kanye nokwelashwa

-Delile

• Izimpawu ze-Thoracic Outlet Syndrome
• Ukwelashwa kwe-Thoracic Outlet Syndrome
• Ukuzivocavoca kweThoracic Outlet Syndrome

I-Thoracic Outlet Syndrome yenzeka lapho izinzwa noma imithambo yegazi ephakathi kwe-clavicle nobambo lokuqala icindezelwa, kubangela ubuhlungu ehlombe noma ukuncinza ezingalweni nasezandleni, isibonelo.

Imvamisa, le syndrome ivame kakhulu kwabesifazane, ikakhulukazi labo abathole ingozi yemoto noma ukulimala okuphindaphindayo esifubeni, kepha futhi ingakhula nakwabesifazane abakhulelwe, inciphise noma inyamalale ngemuva kokubeletha.

I-Thoracic outlet syndrome iyelapheka ngokuhlinzwa, kodwa-ke, kunezinye izindlela zokwelapha ezisiza ukulawula izimpawu, njengokwelapha ngokomzimba namasu okunciphisa ukucindezelwa kwesiza.

Izimpawu ze-Thoracic Outlet Syndrome

Izimpawu zalesi sifo zingaba:

• Ubuhlungu engalweni, ehlombe nasentanyeni;
• Ukulingisa noma ukushisa engalweni, esandleni naseminwe;
• Kunzima ukuhambisa izingalo zakho, ngenxa yobuthakathaka nokulahleka kwemisipha;
• Ngenxa yokungahambi kahle kwegazi, kungavela izimpawu ezinjengezandla ezibubende noma eziphaphathekile neminwe, ukukhathala, ukushintsha kobuzwe, ukwehla kwezinga lokushisa endaweni;
• Ubuhlungu ohlangothini lwekhanda nentamo, isifunda semisipha ye-rhomboid ne-suprascapular, uhlangothi lwengalo nangaphezulu kwesandla, phakathi kwenkomba nesithupha, lapho kukhona ukuminyaniswa kwe-C5, C6 no-C7;
• Ubuhlungu esifundeni se-suprascapular, intamo, ingxenye yangaphakathi yengalo, phakathi kwendandatho neminwe ye-pinky, lapho kukhona ukucindezelwa kwe-C8 ne-T1;
• Uma kunembambo yomlomo wesibeletho, kungahle kube nobuhlungu esifundeni se-supraclavicular esiba sibi lapho uvula ingalo noma uphethe izinto ezisindayo;
• Lapho kunokucindezelwa kwemithambo, izimpawu ezinjengokusinda, ubuhlungu, ukushisa kwesikhumba okwandayo, ububomvu nokuvuvukala kungavela, ikakhulukazi ehlombe.
  isivikelo sesifuba

Lapho wethula lezi zimpawu, kubalulekile ukuxhumana nodokotela wamathambo noma we-physiotherapist ukuze enze ukuxilongwa okulungile ngokuhlolwa okucasulayo kwezimpawu.Izikhundla ezi-2 zomgogodla womlomo wesibeletho, isifuba kanye nesiqu, zingasiza ukubheka ukuncipha kwesifunda.

Ukuhlolwa kokucasulwa kwezimpawu kungaba:

• Ukuhlolwa kuka-Adson:Umuntu kufanele adonse umoya, abuyisele intamo emuva bese ephendulela ubuso ohlangothini oluhloliwe. Uma ishayela lincipha noma linyamalale, isignali iyakhanya.
• Ukuhlolwa kwemizuzu emi-3: vula izingalo ngokushintshana kwangaphandle ngokujika okungu-90 degree kwezindololwane. Isiguli kufanele sivule futhi sivale izandla imizuzu emithathu. Ukukhiqizwa kabusha kwezimpawu, ukuba ndikindiki, iparaesthesia kanye nokungakwazi ukuqhubeka nokuhlolwa kuyizimpendulo ezinhle. Abantu abajwayelekile bangathola ukukhathala kwezitho, kepha kuyaqabukela i-paresthesia noma ubuhlungu.

Ezinye izivivinyo ezinga-odolwa udokotela zifaka i-computed tomography, imaging resonance imaging, i-myelography, i-magnetic resonance imaging ne-Doppler ultrasound enga-odwa lapho kusolwa ezinye izifo.

Ukwelashwa kwe-Thoracic Outlet Syndrome

Ukwelashwa kufanele kuqondiswe yi-orthopedist futhi imvamisa kuqala ngokuthatha ama-anti-inflammatories, njenge-Ibuprofen ne-Diclofenac, noma izinhlungu zokunciphisa izinhlungu, njengeParacetamol, ukuqeda izimpawu ngezikhathi zobunzima. Ngaphezu kwalokho, kunconywa ukwenza ukwelashwa ngokomzimba ukuqinisa imisipha nokuthuthukisa ukuma, ukuvimbela ukuqala kwalezi zimpawu.

Ukusetshenziswa kokucindezelwa okufudumele nokuphumula kungasiza ekunciphiseni ukungakhululeki, kepha ngaphezu kwalokho, uma ukhuluphele kufanele wehlise isisindo, gwema ukuphakamisa izingalo zakho ngaphezu kolayini wehlombe, uphethe izinto ezisindayo nezikhwama emahlombe akho. Ukugqugquzela i-Neural kanye ne-pompage ngamasu wezandla angenziwa yi-physiotherapist, futhi ukuvivinya umzimba kuyakhonjiswa.

Ukuzivocavoca kweThoracic Outlet Syndrome

Ukuzivocavoca umzimba kusiza ekunciphiseni izinzwa nemithambo yegazi eduze kwentamo, kuthuthukise ukugeleza kwegazi nokunciphisa izimpawu. Kunconywa ukuthi uthintane ne-physiotherapist ngaphambi kokwenza izivivinyo, uzivumelanise nesimo ngasinye.

Ukuzivocavoca 1

Tshekisa intamo yakho eceleni ngangokunokwenzeka futhi uhlale kule ndawo imizuzwana engama-30. Bese wenza ukuzivocavoca okufanayo kolunye uhlangothi bese uphinda ama-3 amahlandla.

Ukuzivocavoca 2

Sukuma, ukhiphe isifuba sakho bese udonsa izindololwane zakho emuva ngangokunokwenzeka. Hlala kule ndawo imizuzwana engama-30 bese uphinda ukuzivocavoca amahlandla ama-3.

Ezimweni ezinzima kakhulu, lapho izimpawu zinganyamalali ngokusetshenziswa kwezidakamizwa noma ukwelashwa ngokomzimba, udokotela angaluleka ukwelashwa kwe-vascular ukunciphisa imithambo nezinzwa ezithintekile. Ekuhlinzeni, ungasika umsipha we-scalene, ususe ubambo lomlomo wesibeletho, ususe izakhiwo ezingahle zicindezele inzwa noma umthambo wegazi, futhi obhekene nezimpawu.