Ingalo, Intloko kunye nentlungu
I-TB ye-Thoracic outlet (i-TOS) yimeko eyenza iimpawu ezingaphezulu kweentlungu, ukuphazamiseka, kunye nokubetha (kungekho rhoqo kunye, kungekhona impawu ezifanayo kuwo wonke umntu). I-TOS ingaba nzima ukuyixilonga, ayiqhelekanga, ngoko ke ingathabatha ixesha elide ukuyifumana yimbangela yeempawu zakho. Izigulane ezininzi zeTOS zi tyelela inani loogqirha bezizodwa ezahlukahlukeneyo kwaye zinemivavanyo emininzi ngaphambi kokuba ifumane i-TOS ngokuqinisekileyo.
Izizathu zeTOS
I-syracrome ye-Thoracic outlet ibhekisela kwiqela leemeko ezibangelwa ukunyanzeliswa kweentsimbi okanye imithwalo yegazi kwindawo ejikeleze i-collarbone. Uhlobo oluqhelekileyo lwe-TOS lwenzeka xa iimbilini (inxalenye ethile ye-plexus ye-brachial) iphosiweyo phakathi kwe-collarbone kunye nombhobho wokuqala. Olu hlobo lweTOS lubizwa ngokuba yi-neurogenic TOS. Kukho noxinzelelo lweemitha ezinkulu zegazi (i-subclavian vein okanye i-artery), engaqhelekanga. Oku kubizwa ngokuba yi-TOS ye-vascular.
I-TOS ilindeleke ukuba ivele emva kokulimala koluhlungu (nangona iimpawu zingenakuqala de iveki emva kokulimala) okanye ukuxinezeleka kokuphindaphinda. Iimbilini okanye isitya segazi sinokubanjelwa ngethambo okanye iifotshane eziphakathi kwe-clavicle kunye nombhobho wokuqala.
Iimpawu zeTOS
Iimpawu eziqhelekileyo ze-TOS zenzeka kwizigulane eziselula, ezisebenzayo, kwaye ziphilile. Nangona ezinye zeemeko ezidibeneyo nale meko zivela kwizigulane ezingaphantsi kwezempilo, i-TOS ibonakala ikhupha ngaphandle kwendawo yabanye abantu abanezempilo.
Iimpawu eziqhelekileyo zeTOS ziquka:
- Ukulinganisa ingalo
- Intambo, igalelo kunye nentlungu yesandla
- 'Ubunzima' beengalo
- Intloko
Uhlobo lwe-TOS olungaqhelekanga lungabangela ukuvuvukala kwengalo (i-TOS ene-venous) okanye ukunyamezelana kokubanda komngcipheko (i-TOS). Uninzi lweemvavanyo luyakwenziwa, nangona iziphumo zovavanyo ezingavumelekanga zingabonakali.
Inyathelo ebalulekileyo ekuxilongeni yimbali echanekileyo kunye nokuhlolwa ngokomzimba ngudokotela oqhelene nale meko. Izilingo ezivame ukuzenza ziquka i-ray-ray, i- MRIs , izifundo zokuqhutyelwa kwentsholongwane , kunye nezifundo ze-vascular. Enye yezona zixhobo ezifanelekileyo kakhulu zi-injection ezikhethiweyo ukuchonga indawo yokunyanzeliswa kwentsholongwane.
Ukuxilongwa okunzima
Inomngeni onzima kunayo yonke ye-thoracic outlet syndrome kukuba imeko enzima ukuyixilonga. Uninzi lwezigulane ezine-TOS ziye zafunyaniswa ukuba zinezinye, ukuba zingekho ezinye ezininzi, iimeko ngokuhamba. Ngokuqhelekileyo iimvavanyo ezininzi zenziwe kwaye unyango luye lwazama ngaphandle kwempumelelo.
Ezinye zeengxaki eziqhelekileyo ezinokuveza iimpawu ezifana ne-TOS ziquka:
- I-Carpal Tunnel Syndrome okanye iCubital Tunnel Syndrome
- Ingxoxo yeCervical Herniated
- Iingxaki zeRotator Cuff
Ezinye izigulane ziye zaxelelwa ukuba zizifo zesifo sengqondo okanye i- fibromyalgia . Ezinye izigulane, ezingayifumani imiphumo kwiimpawu zeengalo okanye iintlungu zentlungu, ziyakwazi ukufumana ukuxilongwa kodwa kungenayo imeko. Ingcebiso yam engcono kukufumana ugqirha oyaziyo le meko kwaye uzimisele ukusebenzisana nabo ngokungabonakali ukulawula kwe-TOS ngokukhawuleza kwaye kulula.
Iingcebiso Zonyango
Uninzi lwezigulane lunokufumana ukhululo ngononophelo olungagqirha.
Amanyathelo aqhelekileyo afaka ukuphumla (ingakumbi emva kwe-TOS-induced-induced TOS), ukuphepha izinto ezithile zomzimba ezibangelwa iimpawu, kunye neyeza elonyango. Izigulane kwiimisipha ezijikeleze i-clavicle ziyakunciphisa iimpawu ukuba i-muscle yimbangela ye-TOS.
Ngokugqithisileyo ukugcinwa kwalabo abaneempawu eziqhubekayo, okanye kwiimeko ze-TOS zesisombululo ezinokuba ziimeko ezingxamisekileyo. Ngethamsanqa, ezininzi izigulane zifumana ukufumana uncedo ngaphandle kokuthatha loo nyathelo!
Imithombo:
Kuhn JE, et al. "I-Thoracic Outlet Syndrome" J Am Acad Orthop Surg u-Apreli 2015 vol. 23 akukho. 4 222-232. www.jaaos.org/content/23/4/222.abstract