Iimpawu ziyahluka ngendawo yomonakalo wenzwa
Intlungu yesifo somnxeba ingachazwa njengoluhlobo olwenzekayo xa intendelezo yakho igxininiswe into ethile kunye nesandla sakho sibuyele emuva.Ubuhlungu obubukhali, obukrakra okanye obuvuthayo buvakala ngokuphindaphindiweyo kwesandla, ngeenxa yesithupha, naphakathi kunye neminwe yenkcazo. Ngokuqhelekileyo, intlungu ihamba kunye nokungakwazi ukulungisa ngokupheleleyo ingalo yakho okanye iminwe.
I-neral neral ngokwayo ihamba ukusuka emqaleni kwentamo, yehla ingalo, kunye neyakho. Ngaphandle kwendlela, ixubusha kunye nezihlunu kunye nesikhumba ukuqala ukunyakaza kunye nokuthumela imilayezo yomsindo emva kwengqondo. Ngokuxhomekeka apho kuvela khona umonakalo wamanyo, iimpawu ziyahlukahluka kokubili kunye nokuthintela ukuhamba.
Ukulimala kwiAxilla
Ngokukhawuleza emva kokushiya i-plexus (brasial plexus) (inethiwekhi yeentambo ezisemmpondweni yentamo), i-neral nererve iya kuhamba phantsi kweengalo eziseduze ne-axilla (axilla). Ukusetyenziswa kakubi kweentonga ziyinto eqhelekileyo yokunyanzeliswa kwamagulane emzimbeni kweli nqanaba.
Umlenze we-radial unesibophezelo sokulawula izihlunu ezisekupheleni kwengalo. Ngenxa yoko, nayiphi na umonakalo kwimbilini kwi-axilla iya kubangela ubuthathaka bengalo , ingakumbi ukuba unyakaza into ethile. Kwakhona akunakwenzeka ukuguqula umkhonto, okwenza ukuba "i-drop drop". Amanqwanqwa angamazinyo angaphinda athathaka, okwenza kube nzima ukuvula ngokupheleleyo isandla.
Ukongeza kwintlupheko, abantu abanokulimala kwentsholongwane ye-neral kwi-axilla banokuvala kunye ne-numbness ukusuka ngasemva kwengalo ukuya esandleni, ngokukodwa ecaleni nangasemva kwesithupha.
Ukulimala kwi-Spiral Groove
Emva kokushiya i-axilla, i-nerval radial ihamba phantsi ingalo ize ijikeleze i-humerus (ithambo elikhulu phakathi kwegxala kunye ne-elbow) kwisitya esaziwa njenge-groove.
Iimbilini zihlala zixininiswe ngaphakathi kwesi sondlo kwaye ziphazamise amandla omntu wokuguqula umkhonto kwaye ulungise iminwe. Ukulimala okwenziwe ngokukhawuleza kwolu hlobo kungahle kwenzeke ngenxa yokuphuka kwe- humerus okanye imeko eyaziwa ngokuba ngu "ngoMgqibelo ebusuku" apho umntu elele ngombono ekhongwe emva kwesitulo.
Nangona ukulimala kuya kubangela ukuba ubuthathaka be-brachioradialis muscle ye-forearm, i-muscle ye-muscle ayiyi kuphazamiseka. Ngaphezu koko, ubuthathaka buya kubonakala ngakumbi xa i-muscle isandiswa kunokuba iguquguquke .
Ukulimala kwi-Posterior Interosseous Nerve
Ngaphambi kokuba ungene kwi-elbow, icandelo lombhobho we-radial liza kufakwa kwi-nerve yangaphakathi engxowankulu ejongene nokulungiswa nantoni ngaphantsi komgca. Ngokungafani kwamanye amagatsha omnyoba, i-posterior interosseous nervous has no recepors sensory kwaye iyona nto ijongene nokunyakaza kwemizimba. Ngenxa yoko, ukulimala kwakuza kubonakaliswa bubuthakathaka besisu kunokuba nayiphi na into engavamile. Ukungakwazi ukunweba iminwe kudla ngokuba ngumqondiso wokuthetha.
Okukuphela kwezinto ezikhoyo ziimisipha zesandla esilawulwa yi-set of neerves.
Ukuba isalathisi siyathinteka, kuya kubonakala kuphela kwisithuba sesandla. Kwimeko enjalo, isandla sinokutsalwa ngaphezulu kwelinye icala kunomnye xa i-wrist isandiswa. I-brachioradialis kunye neengxaki ze-muscle ziya kusinda zombini.
Nangona kunqongophala kweemvakalelo ezingavamile, ukulimala kwi-posterior interosseous nerve kungabangela ubuhlungu kakhulu, ingakumbi xa iminwe ifakwe.
I-Radial Neuropathy
Njengoko umlenze we-radial udlula i-elbow, iya kuqhubeka phantsi kweyandla apho isebenza khona nje ngokusebenza. Ngeli nqanaba, i-nerve iyona inokubangela ukulimala kwisikristeni, njengokuba xa iimbopho ziboshwe okanye iimbopho zigqamile kakhulu.
Umzekelo wokugada kunzima kakhulu ukusuka kwisikristeni ukuya ngasemva kwesithupha. Inokuthi ihambe kunye ne "izikhonkwane kunye neenaliti" ukuvakalelwa okanye iintlungu zokudubula okanye ezantsi kwesandla.
Ukuxhamla kunye nokuPhathwa
Ukuba kukho ukulimala kwentsholongwane ye-neral, unyango luya kubandakanya ukuthintela ukunyakaza ukuze i-nerve inexesha lokuphilisa. Oku kungabandakanya ukuqaqamba kwesandla esihamba kunye nokusetyenziswa kwezidakamizwa ezichasayo (i-NSAIDs) ezingenayo i-nonsteroidal ukunceda ukulawula intlungu. Kwiimeko ezigqithiseleyo, i- block nererve mayinconywe .
Ixesha lokubuyisela linokuqala ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezintandathu. Kulabo abanentlungu kunye nokukhubazeka akuphuculanga, uphando olungakumbi lunokufuneka ngeendlela zokuqhuba i-nerve okanye i- electromyography (EMG) . Ngokusekelwe kwiziphumo, utyando lunokucetyiswa.
> Imithombo:
> Arnold, W .; Krishna, V .; Freimer, M. et al. "Ukuxeliswa kwe-acute compress radial neuropathy." Umzimba weMisipha. 2012; 45: 893. INGXELO: 10.1002 / mus.23305.
> Ljungquist, K .; Martineau, P .; kunye no-Allan, C. "Ukulimala kwamaNinzi eRaalal." J Ukwelashwa Kwezandla. 2015; 40 (1); 166-72. INGXELO: 10.1016 / j.jhsa.2014.05.010.