Ukunyanzeliswa kwemizi yinto eqhelekileyo yesigxina
Ubungqina kunye nokubetha ziinkathazo eziqhelekileyo, kwaye ukunikezelwa kwenzwa kwisigodlo nesandla kunzima. Ukuba uziva unqabile kwisithupha okanye isandla sakho, ukunyanzeliswa kwesibindi kungenxa yeso sizathu. Nangona kungabalulekanga, kubalulekile ukwazi ukuba isizathu siyingozi. Isandla sokungapheliyo singabonakalisa iingxaki ezinzulu ezifana nesifo , nokuba sisifo senhliziyo okanye i- aortic dissection .
Nangona kunjalo, i-numbness idla ngokuhambisana nezinye iimpawu kulezi ziko. Ubungqina kufuneka buhlolwe ngokukhawuleza xa kunokwenzeka ukuba kufike ngokukhawuleza, kuhambisane nezinye iingxaki ezifana nobuthathaka , akunaso isizathu esicacileyo (njengokuba ulele ebuthongweni), okanye uhambelana nentlungu okanye isifuba.
Yintoni eyiyo ekuthethwa ngayo
Kukho imiba emibini edlalwayo: intsingiselo yegama eliyinkqantosi kunye neengxenye zesandla esinesisindo esingavamile. Ngama-numbness, ngaba uthetha "izikhonkwane kunye neenaliti", eyaziwa ngokuba yi- paresthesia , okanye uthetha ukungabi nento epheleleyo? Xa ucinga isithupha sakho, zonke iindawo zesigodlo zichaphazelekayo, okanye ngaba nje ngaphambili, kwicala, okanye ngasemva kwesithupha? Umbuzo wokugqibela unokubaluleka kakhulu ekuncedeni ukwahlula imbangela yexakeka.
Ukuqonda iMeran Nerve
Isandla sifumana ukunikezelwa kwayo kwentsholongwane emacaleni athungatha phakathi kwamathambo entanyeni.
La masebe ajika kwaye adibanise kwi-plexus eyinkimbinkimbi, ngoko abe nemisipha echazwe kakuhle ebizwa ngokuba ngumlambo ophakathi, obala kunye ne-ulnar. Nangona zonke iintsholongwane ezintathu zibandakanyeka ekuhambiseni isithupha, kuphela i-radial ne-median ner
I-nerve median inikeza inzwa kwinto ethi "palmar" inxalenye yesithupha-inxalenye yesikhombiso kunye nenxalenye efihliweyo xa wenza intonga.
Iimbongo zibonelela ubuso bomnatha wesalathisi kunye neminwe ephakathi.
I-nerve median isoloko iphoswa, iphumela ekubeni kunakho ukuphulukana nokukwazi ukunyusa iimpawu zombane ukusuka kwesikhumba ukuya kumgca wesipelini kunye nengqondo. Isiphumo sinzima. Ngamanye amaxesha, ubunobuthathaka bungabangela ukuba, ngokukodwa kwimisipha egoba isithupha kumnwe omncinci.
Indawo eqhelekileyo ye-nerve median ukuba ikhonkcekwe kwinqanaba le- carpal , inqwelwana elincinci kwisikhwama apho umlenze womlambo uhamba ngeetoni ezininzi kwiminwe. Ukuba i-tendon zivutha, ukuvuvukala kwinqanaba elincinci lingakhokelela ekubeni unentsimbi. Ngamanye amaxesha ubuhlungu bubuhlungu, kodwa akunjalo.
I-median nerve iyakuncatshiswa endaweni kwindawo ethile kwingalo, kodwa oku kubangela ukuba kunxweme okanye ubuthathaka kwingalo okanye ngesandla kunye nesandla nesithupha.
Ukuqonda i-Radial Nerve
Isebe elingenasisiseko se- radial nererve lijongene nokuhambisa isantya emva kwesandla, isithupha, kunye neminwe yokuqala yokuqala kwingqondo. Ukuba i-neral radial iphazamisekile, ukuphazamiseka kwesandla sangasemva kunokubangela.
Ukulimala kwentsholongwane ye-radial ayiqhelekanga kuncinci. Ixinzelelo luyabonakala ngakumbi, ngokunjalo.
Esikhundleni sokukhukhumeza okuqhaqhazelayo ukubethelela imbilini, imbangela ingaba ithambo lokuphuka kwisandla, umzekelo.
Ukongezelela, ngaphandle kokuba umonakalo uphelele kwisebe elingenasiphelo, kuya kuba nobunzima obuthathaka. Kwizithupha, oku kuphawulekayo kwi-muscle ekhupha isithupha kude nomnwe wokuqala, njengokungathi ukulinganisa isando somthi.
Ukuqonda i-Ulnar Nerve
Ukulimala kwiimbilini ze-ulnar njengoko ihamba ukusuka entanyeni yakho ukuya eminwe yakho inokubangela ukuphazamiseka nokugubha ecaleni kwesandla sakho, ingakumbi umlenze wakho nomunwe omncinci. Omnye umzekelo xa ubeka "ithambo lakho elihle" kwaye uzive ungaphuthumi ukudubula phantsi kweminwe yakho.
Njengentsimbi yomlambo, iimbilini ze-ulnar ziyakuncatshiswa, ngokukodwa njengoko idlula ngaphantsi kwe-elbow. Xa oku kwenzekayo, umntu uhlalisa isifo somzimba wesifo somzimba, esingabangela ukuphazamiseka nokugubungela kwindandatho kunye nomnwe omncinci, kunye nobuthakathaka besisu esandleni.
Ukuqonda i-Spinal Cord, i-Nerve Roots, ne-Brachial Plexus
Iimbilini zigijima zisuka kwisandla ukuya kwingalo, ize ifike kwintambo yomgogodla. Njengazo iindlela ezifikelela kwisixeko esikhulu, izithuthi ezithe gqolo (kule ngxaki inombane yamanzi) ziyaxhomekeka ngokusondeleyo kwiziko lezenzo-ingqondo. Amagxa ayekade ehluke ngokupheleleyo aqala ukuhamba ecaleni, ekugqibeleni aguquke kwi-brainstem, indawo engekho enkulu ngaphezu kwesithupha sakho, apho kuhamba khona yonke inkcazelo phakathi komzimba kunye nengqondo.
Ngenxa yeso sizathu, sisondele ngakumbi kwingxaki kwingqondo, mhlawumbi kunokuba ukugqithisa olunye ulwazi luya kuphazanyiswa, njengemoto eqhutyelwa ngaphandle.
Ngaphambi kokungena kwindlela yokuhamba yomgogodla, ulwaziso lombane luhamba ngokugqithiseleyo kwi-ramp eyaziwa njenge-brachial plexus. Ngoxa kunokwenzeka ukuba i-lesion encinci apha inokuvelisa i-numbness yesigxathu esisodwa nje, akunakwenzeka, kwaye ngokuqhelekileyo iya kuba yinto encinci xa ilwazi lingena kumgca wesipelini. Akunakwenzeka kuphela ukuba ezinye iinxalenye zomzimba zibe yingqungquthela, kodwa ubunobuthathaka buya kwenzeka.
Kufanelekile ukukhankanya ambalwa ambalwa kumgaqo. Ulwazi olusisiseko kunye nolwazi lweemoto luhlukaniswe kumgca womgudu, ukuqala apho iingcambu zentliziyo zingena khona. Ulwazi lweenqwelo-mali luya kwi-front and information sensory kwi-back of the spinal cord. Ngenxa yalesi sizathu, kunokwenzeka ukuba unobungozi kuphela obangelwa yintambo yesondon. Sekunjalo, loo nto yayinokuchaphazela ipesenti ephezulu yomzimba.
Uvavanyo lokuhlola ubungqina kunye nokulinganisa
Iimvavanyo eziyalelwe zihlala zijoliswe ekufumaneni isizathu esona sonyango kunye nokubetha, ngenjongo yokuqulunqa isicwangciso sonyango esihle. Akufanele ulindele ukuba nazo zonke ezi mvavanyo, kodwa kuphela ezimbalwa ezikhethiweyo ezinokuba luncedo kwiimeko zakho.
- I-Electromyography (EMG) okanye isifundo se-nerv conduction (NCV) : Ezi mvavanyo zivavanya umsebenzo weentsholongwane ezandleni zakho nasemilenzeni. I-EMG luvavanyo olubandakanya ukusebenzisa izilingo kwimisipha echaphazelekayo, ngelixa i-NCV ibandakanyeka ukusebenzisa i-electrodes kwesikhumba kunye nokusebenzisa umonakalo omncinci. Ezi zombini ezi mvavanyo ziyancipha ngokukhawuleza imizuzwana embalwa, kodwa abaninzi abantu banokukwazi ukunyamezela iimvavanyo ngaphandle kobunzima, kwaye akufuneki kubekho intlungu okanye ukungaphumeleli esele emva kokuba iimvavanyo zigqityiwe.
- Ungadinga ukuba ube nengqondo yengqondo yeC CT okanye i-MRI yengqondo ukuba kunokwenzeka ukuba ukugqithisa okanye ukubetha kubangelwa ukubetha, i-multiple sclerosis, i-traumatic head, i-tumor ye-brain, okanye enye imeko yezokwelapha ezibandakanya ingqondo.
- Ukugqithwa kwe-lumbar kuya kufuneka kwiimeko ezinqabileyo, ezifana nokuba ugqirha wakho uxhalabele ngesifo esibi ngokukhawuleza esibizwa ngokuba nguGuillain-Barre Syndrome (GBS). I-GBS ibonakaliswe bubuthakathaka obunzima bemilenze, ilandelwa bubuthakathaka besandla kunye nobuthathaka bemisipha yomzimba, kuquka imisipha elawula ukuphefumla. I-GBS ihlala iqala ngokugqithisa okanye ukubetha kweenyawo okanye izandla.
Ekubeni i-toxins, ukusilela kwondlo, kunye nezinye izifo zingonakalisa iimbilini zomhlaba, ugqirha wakho unokuyalela ukuhlolwa kwegazi. Nangona kunjalo, le miqathango ithatha ukuchaphazela umzimba wonke ngexesha elilodwa, ngoko kuya kuba yinto engavumelekanga kwicala elinye lomzimba ukuba lichaphazeleke ngakumbi kunomnye.
Imizekelo ibandakanya ukungcola kunye ne-vitamin B12. Isifo sikashukela kunye nesifo se-thyroid sinokubangela ukuba i-neuropathy ye-peripheral neuropathy.
ILizwi
Ubuninzi bexesha, i-thumb numbness nje iziphumo zengcinezelo yentsholongwane yomhlaba. Ngelixa lusizi, akuyona ingozi, akubonekanga ngezinye iimpawu zokulumkisa ezikhoyo. Ngokude nje ukuba i-numbness yinkxalabo kuphela, akukho unyango olubi kakhulu olubizwa ngokubanzi. Nangona ngenxa yokubetha, oogqirha abanako ukunika unyango ngaphandle kokuba kukho iimpawu ezingakumbi. Igazi eliqinileyo elincinci linganikwa unxephezelo, kodwa oku kwandisa umngcipheko wokuphaphaza engqondweni, ngoko kusetyenziswa ngokucokisekileyo.
Ukuba ukugqithisa kwesinye isohlwayo okanye iminwe yakho iqhubeka, kuyilungileyo ukutyelela ugqirha wakho ukuvavanya, kodwa ngaphandle kokuba ezinye iimpawu zobuthathaka okanye ukuza ngokukhawuleza zikhona, akunakwenzeka ukuba kube yimeko engxamisekileyo.
> Imithombo:
> Azhary H, Farooq MU, iBhanushali M, Majid A, Kassab MAM. I-Peripheral Neuropathy: I-Diagnosis and Management Management. WaseMerika ugqirha . 2010 Apr 1; 81 (7): 887-92.
> Blumenfeld H. Neuroanatomy NgeziKliniki zeeKliniki (yesi-2nd ed.). Sinauer Associates, Inc .; 2011.