Ukuba uye wakha waphaphazela ngento ephazamisayo okanye ekhuphayo echaphazela ingalo okanye isandla sakho, unokuzibuza ngokukhawuleza ukuba njani okanye kutheni kwenzeka ntoni? Kuthetha ukuthini inxalenye yomzimba ukuba "ulale"? Khawucinge nge-anatomy yengalo kunye nendlela ukunyanzeliswa kwemisipha ye-radial, ulnar, kunye ne-median kungenza kubangele ukuphazamiseka, ukubetha, kunye nobuthathaka obuchaphazela phezulu.
Funda ukuba ukulala kwindawo yokulala kunokukhokelela kwiimeko zonyango njengoMgqibelo ebusuku, ukukhubazeka kwamathambo, kunye ne-carpal tunnel syndrome. Ekugqibeleni, hlola ezinye zonyango ezinokunceda.
Kuthetha ukuthini kwiCandelo leQumrhu lokuba "Ulale"?
Kuqhelekileyo ukuthetha ukuba inxalenye yomzimba "ileleke" xa ivakale-kwaye inokungafumani kakuhle-okanye inezikhonkwane kunye neenaliti okanye ukubetha (ngezinye izikhathi kuthiwa yi-paresthesia). Kukho intlungu okanye ezinye izinto eziphazamisayo ezihambelana nale ntliziyo, ingakumbi njengoko kuphulukana. Yintoni eyenza ezi zinto?
Abantu abaninzi bakholelwa ngokugqithiseleyo ukuba le mpawu ivela ngenxa yokulahlekelwa kwegazi okwethutyana ukuya kumphetho, njengokuba unyawo okanye isandla. Enyanisweni, isizathu sinokuthi sibe ngenxa yokunyanzeliswa kwentsholongwane yokubonelela inxalenye yomzimba. Ngokuqhelekileyo, ukunikezelwa kwegazi (kubandakanywa zombini imirhoxo kunye nemithanjeni) kuhamba kunye nenzwa ejongene nokuhambisa ulwazi lwenzululwazi kunye nokwenza umsebenzi we-muscle.
Kwezinye iimeko, umonakalo ekunikezeni igazi kwiimbilini kunokukhokelela ekudakaleni, kodwa ngokuqhelekileyo icinezelwa kwi-nerve ngokwayo eneempembelelo ezinentsingiselo.
Amagulane angasengozini ephezulu yokonakaliswa kwiimeko ezithile. Oku kuphazamiseka kungahle kwenziwe ngokubanzi, okukhokelela ekusebenziseni izibilini ezininzi.
Umonakalo wamantombazana ubizwa ngokuba yi-neuropathy. Kunokwenzeka ukuba i-neuropathy ibe yodwa kwiimbilini ezincinci, okanye kwintsimbi enye.
Umonakalo ogqithiseleyo wentsholongwane jikelele yindlela yokuphelisa i-neuropathy . Ngokuqhelekileyo kuthinta iimbilini ezinde kakhulu zomzimba, ezo zifikelela ezinyaweni nasemilenzeni ephantsi. Ingabangela isifo sikashukela, i-hypothyroidism, ukusilela kwe-vitamin B12, isifo esingasigxina sesifo, okanye ukutyhila kwinyithi enzima. Ngokuhamba kwexesha, iimbilini zingaphazamiseka ngokukhawuleza kwaye le nzakalo ihlala ingenakwenzeka. Ngalo mlando, kunokwenzeka ukuba umonakalo kwi-nerve eyodwa inokwenzeka.
Kukho nesifo esingaqhelekanga se-genetic esingakwazi ukusilimala. Eyaziwa ngokuba yi-neuropathy yelifa ezixhomekeke kwiintlungu zengcinezelo (HNPP), ikhokelela kwiziqhamo zobuthathaka kunye nokulahlekelwa kwintlungu edla ngokuxhatshazwa nexinzelelo lweentsholongwane. I-autosomal ephezulu, eyenza imbali yentsapho ixhaphake kakhulu. Abantu abachaphazelekayo babika ubunzima banobunzima bomonakalo obangelwa kwimisebenzi yemihla ngemihla, kuquka ukuvuka kweempawu ngaphandle kokulala.
Indlela iAnatomy ekhokelela kwiimpawu ezahlukileyo
Unxibelelwano oluvela kwingqondo ukuya kumancinci amancinci emzimbeni uphelela indlela ehamba ngayo, njengendlela yenkqubo yamanxeba aphuma kwisikhululo samandla ukuya kwisibane sombane.
Ngelishwa, kukho iimeko ezinokuthi ziphazamise okanye zitshabalalise ezi zixhumo. Ngaphandle kweengqondo-nangona intambo yomlomo wesibeletho entanyeni okanye i-plexus ye-brachial yeentsholongwane kwi-underarm-kuneendawo eziqhelekileyo apho imigca ingahla. Ngokukodwa, ukuphazamiseka, ukubetha, kunye nobuthathaka obuchaphazela isandla okanye ingalo kwaye kunokubangela ukuba ulale ubusuku buchaphazela iintsholongwane ezintathu ezinkulu:
I-Radial Nerve: UMgqibelo woMgqibelo woPhulo okanye u-Honeymoon Palsy
Ukulimala kwi- neral radial iyakwenza okanye ayiyi kubangela ukulahlekelwa kwintlungu okanye ukubetha, kuxhomekeke apho ukuxinwa okanye ukuphazamiseka kwenzeka khona. Ku nokuba nobuthathaka obuthathaka.
Isizathu sokulimala sinokumisela ukuba yeyiphi na impembelelo enokulindeleka.
Esinye sezilima eziqhelekileyo kuthiwa yi-Saturday night palsy. Kuyenzeka xa kukho ukunyanzeliswa kwentsholongwane ye-radial kwi-groove ye-humero (ithambo elingaphakameni elingaphezulu kwe-elbow). Inokuthi ikhuthazwe ngenxa yokunyanzeliswa kwentsholongwane ngokubhekiselele kwithambo xa ukufumana uxinzelelo lweengalo ixesha elide. Oku kunokwenzeka ukuba iingalo zifakwe kwisitulo, njengaxa ubuthongo obunxilisayo, ngoko ke igama layo lidibaniswa nobusuku beveki xa ukusela kakhulu kunokwenzeka ukuba kwenzeke. Ku nokuba nobuthathaka obangelwayo kwandisa iminwe nangesandla-kwaye akunakwenzeka ukuba i-triceps ibandakanyeke. Kungase kubekho ukulahlekelwa kwintsholongwane emva kwesithupha kunye neminwe embalwa yokuqala.
Kwakhona kunokwenzeka ukuba i-neral neral ikhuse phezulu. Kwi-honeymoon palsy, ubunzima bentloko yeqabane elilalayo lunokunyanzelisa i-nerve eduze kwiphepha. Ngokufanayo, ukusetyenziswa kweentonga kungakhokelela ekulimaleni kwimbilini kwi-armpit. Kwi-syndrome ye-post-interosseous post, ubuthakathaka obufanayo bubonakala ngomnwe kunye nesandiso sesandla, kodwa akukho ntlungu yokulahleka.
Ulnar Nerve: iTennis okanye iGolfer's Elbow, nawuphi na?
Ukuvuvukala okanye ukulimala kwi- nerve ye-ulnar , ngokuqhelekileyo kwi-elbow, kukhokelela kwiimeko eziqhelekileyo zokusetyenziswa ngokweqile ezifana ne-tennis okanye i-golfer's elbow (i-epicondylitis elandelelana kunye ne-medial). Uxinzelelo kwi-nerve ye-ulnar ngexesha lokulala linokubangela ukuba ingalo ilele. Ngokukodwa, ukuphumla ixesha elide okanye ngokuphindaphindiweyo kwe-elbow flexible (kwidesksi okanye kwisihlalo seentonga) kunokunyanzelisa i-nervous. Ubume obusisiweyo bendonga ngexesha lokulala lunokuba negalelo ekugqibeleni i-neuropathy.
Xa i-nerve ye-ulnar iba yintanjengxu okanye kufuphi ne-elbow, ubuthathaka bobunzima bomzimba kwisandla kunokukhokelela ekunciphiseni amandla. Ukongezelela, ukutyhafa kunye nokubetha phezu kweyesine kunye nesesihlanu (iminwe kunye ne-pinky) iminwe kunye necala elihambelana nesandla (elibizwa ngokuba yi-eminence) lingabangela. Ubuthathaka kwimisipha ende ende yeeminwe inokukhula.
Kwakhona kunokwenzeka ukuba iimbilini ze-ulnar zixineke kwisikristsi. Kule meko, ubuthathaka buhlala bucala kwizandla zomzimba kunye nezinye izihlunu. Kukho intlungu efana neyo okanye ingqungquthela kwisigxina sesandla.
Umdla wamanzi: iCarpal Tunnel Syndrome
I-Carpal tunnel syndrome yinto exhaphakileyo ye-neuropathy echaphazela enye inzwa. Kuquka ukulimala kwimbindi yomlambo ebonakaliswe ngokunyanzeliswa njengoko idlula phantsi kwe-flexor retinaculum, okanye i-carpal ligament, engapheliyo emzimbeni. Ngaloo misonto ye-tunnel ye-tunnel eguqulela iminwe, imithwalo yegazi kunye nomdla we-median. Ukuvuvukala okanye ukuvuvukala kule ndinyana kungakhokelela kwimpawu ezichaphazela isandla ebusuku.
Intlungu yobusuku, ukuvutha komlilo, ukutshitshisa, okanye ukuguquka kungadlulisela kwintsika yesundu, isalathisi kunye neminwe ephakathi. Oku kungaqatshelwa ngokuvuswa kokulala. Ubuhlungu bungabonakala bubonakala kwi-forearm. Iimpawu zidla ngokugqithiseleyo ngokusetyenziswa kakubi kwesandla okanye nesandla. Nangona inokuchaphazela zombini izandla, ngokuqhelekileyo inkulu kwisandla esiphezulu. Kwiimeko eziphambili, ubuthathaka okanye ukuchithwa kwe-abductor pollicis brevis muscle edibanisa isithupha kwisandla.
Ngaphandle kwemibandela ebangelwa yi-peripheral neuropathy echazwe ngasentla, i-nerve median ingalimala kakhulu xa ukhulelwe, ukukhuluphala, i-rheumatoid arthritis, i-gout kunye nezinye iimeko. Phantse ama-3.5 ekhulwini labantu abaqhelekileyo abanamava e-carpal tunnel syndrome.
Ngaba Kukhuselekile Ukulwa Nokulala?
Kungakhathaliseki ukuba yiyiphi inzondo ebandakanyekayo, unokuzibuza: Ngaba ikhuselekile ingalo yokulala? Ngethamsanqa, ukuba ingalo yakho ilala ebusuku, iimpawu ziza kusombulula ngaphambi kokuba uvuselele usuku. Enyanisweni, ukunyanzeliswa okuphakathi kwamathambo omzimba kubonakala rhoqo ngexesha lokulala. Ezi zinokuvelisa iimpawu zengqondo ezidlulileyo okanye nokuba ubuthathaka kwisandla okanye ingalo. Zininzi iziqwenga zingabonakali xa ubuthongo buqala. Ukubuyiselwa kwenzeka ngokukhawuleza, kwaye ngokungaqhelekanga ukuxilongwa kwakhona kwonyango olufunekayo.
Ukuxilongwa kunye neNyango yokuLawiswa kweMigodi yamaNzi
Ukuba iimpawu azipheli kwiiyure zentsasa kusasa, qwalasela uvavanyo olongezelelweyo kunye nonyango. Kungadingeka ukuba kubonwe yi-neurologist eya kuthi ithathe imbali epheleleyo kwaye yenze uviwo olusisigxina. Ukucingwa kwe-anatomy entanyeni, i-brachial plexus, okanye iisayithi zokuncintisana okunokwenzeka-kuquka ikhompyutha ye-tomography (CT) okanye i-IRM) . Izifundo zombane zeentsimbi zomhlaba zingalungiselelwa ngeengcali ze-neuromuscular, ezibandakanya izifundo ze-nerv conduction (NCS) kunye ne-electromyograms (EMG) .
Xa kushiywe kungakhange kulandelwe, i-neuropathy ingakhokelela kumonakalo wangexesha elide kunye neenkwenkwezi eziqhubekayo, ukubetha, kunye nokulahleka kobunzima bomzimba okanye umsebenzi.
Kubalulekile ukuba umgca ophezulu uxhaswa ngokufanelekileyo ngexesha lokulala. Isikrini kunye neelbow akufanele ziguquguquke okanye zenzelelwe ixesha elide ngexesha lokulala. Ukuba kuya kubangela ukuphazamiseka ngelixa livuke, liyisimo esifanele siphephe ixesha elide ngexesha lokulala. Uninzi lwexesha, umntu uya kuvuka aze ahlaziywe, kodwa ukusela ngokweqile okanye ukulala iipilisi kunokukhokelela ekungabikho komonakalo ongenakunceda.
Ngaphandle kokubaluleka kokuma kwesandla, isandla kunye nengalo ngexesha lokulala, ingenelelo engakumbi ingabonakala iyimfuneko. Ezi zikhethi ziquka:
- I-Radial Neuropathy: Ininzi eyingozi eyenziwa ngcinezelo idla ngokuphucula kwiiveki ezi-6 ukuya kwezi-8. Iingxaki ezikhoyo ezichaphazela i-humerus, ingakumbi ezo zingenakwenzeka ngexesha lobudakwa, kufuneka zifakwe ngaphandle njengokuba i-prognosis ingasweleka.
- U-Ulnar Neuropathy: Ukuphumla nokuphepheka kwezinto ezibangelwayo (njenge-longitudinal flexion) enokuba luncedo kakhulu. Uphando olwenziwe nge-décompression kwisayithi yokufakela ingaba yinto yokugqibela.
- I-Median Neuropathy: Iibhondi zesibindi okanye izibilini, izidakamizwa ezingekho-steroidal ezichasayo (ibuprofen, naproxen, njl.) Kunye nejoyi ye-corticosteroid yangaphakathi inokuba luncedo. Xa iimpawu ezinzima zenzeka, ngokulahlekelwa kwintlungu okanye ukuhlaselwa kweemisipha, ukukhululwa kwe-carpal tunnel ngokusebenzisa utyando kunokunika uncedo olukhawulezileyo. Oku kungadinga ukubonisana ne-neurosurgeon okanye ugqirha wesifo somzimba.
ILizwi
Ngenhlanhla, ukuvusa ngesandla okanye ingalo esele yalala ebusuku ayinakulimala. Uxinzelelo kwi-radial, ulnar, okanye iintsholongwane zomzimba zingenzeka ngenxa yokuma. Iimpawu zingasombulula ngokukhawuleza xa zivusa kwaye zingenayo impembelelo engapheliyo. Ukuba iimpawu zivela rhoqo okanye ziphazamise ukulala, kungenokuba ixesha lokuthetha nodokotela. Ukungenelela okulula njengesikhonkwane sekhanda kunokunika uncedo. Kwezinye iimeko, utyando lungaba unyango olukhethiweyo ukuqinisekisa ukuba isisombululo kunye nomsebenzi ophezulu wale misonto ebalulekileyo.
> Imithombo:
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> Misulis, KE. "I-Hemiplegia ne-Monoplegia," kwi- Neurology kwiZenzo zeZliniki. Eds. UBradley WG, et al . Butterworth, Heinemann, no-Elsevier. Ngomhla we-2008. iphe. 346-347.
> Moore, KL noDalley, AF. "I-Anatomy ye-Clinically Oriented." ULippincott Williams & Wilkins , umxholo we-4, 1999, iphe. 665-830.
> Papanicolaou, GD et al . "Ubuninzi kunye neempawu zengxaki yokunyanzeliswa kwemizwa ebantwini jikelele." J Hand Surg , 2001, vol 26, iphe. 460-466.
> Spinner, RJ et al . "Imvelaphi ye-'Egroup night palsy '?" I- Neurosurgery , 2002, i-vol 51, iphe. 737-741.