Umshiseli, obizwa ngokuba yi-stinger, uyingozi ngokuqhelekileyo kwimidlalo yokuqhagamshelana, ngakumbi ibhola . Abavuthayo kumathathi-nxaxheba ebhola bebhola baqheleke kakhulu, kunye nabangaphezu kwama-50% abo bonke abadlali abavakalisa ubuncinane isiqwenga esinye sophiso esibangelwa ngethuba lomsebenzi wabo - abanye ngeempapasho eziphindaphindiweyo.
Umlilo: Yintoni eyenzekayo?
Indlela echanekileyo yokulimala ayilwazi ngokuchanekileyo, kodwa kucatshangelwa ukuba umshiseli ngenxa yokulula okanye ukunyanzeliswa, okanye ukudibana kokubili, kwe-plexus ye-brachial.
I-plexus ye-brachial yinkonzo yeentsimbi eziye zaphuma kwintambo yomthambo. Ezi zinzwa zihamba ngaphesheya kwephahla kunye nengalo.
Xa i-nerve igxininiswa, iqala ukwenza ngokungavumelekanga. Oku kunokuthetha ukuba izigulane zinokuva ubunzima, ukuphazamiseka okanye ubuthathaka, okanye zonke ezi mpawu. Ngokuqhelekileyo intloko yomdlali isetyenziswe kude nehlombe elichaphazelekayo, njengoko kunokwenzeka ngexesha lokudibana okanye ukuwela emhlabathini. Xa indawo ephakamileyo yamagxa igxotha umhlaba ngamandla, intloko nentamo iyakudonsa kwelinye icala, kwaye ihlombe lishiya kwenye. Ukwelula okwenziwe kwiphepha kungabangela ukulimala kwi-plexus ye-brachial.
Iimpawu zokushisa
Iimpawu zokushisa zibuhlungu ngokukhawuleza kwaye ukubetha kuphuma entanyeni kwaye kuhla ingalo kwiminwe. Esi sibonakaliso sikhalazo esivakaliswa ngumqhubi. Ngokuqhelekileyo abagijimi baya kufumana ubuthathaka besandla esichaphazelekayo, nangona ubuthathaka bungathabatha iiyure eziliqela ukubonisa, kwaye kunokuthatha iintsuku, iiveki okanye ixesha elide ukulungisa.
Uninzi ngokuqhelekileyo, iimpawu zixazulula phakathi kwemizuzu embalwa okanye iiyure. Isizathu sokuba abanye abantu babhekisele kwenzakalo njengento yokutshisa isifo esisoloko sineziphumo zoqhagamshelwano olufudumele okanye olushushu olwandisa ingalo.
Ukulimala okutshayo kuye kwahlelwa kwisikali sokubala njengamabakala 1, 2, no-3. Nangona ukulandelwa kudla ngokungahambelani phakathi kweeklinikhi ezahlukeneyo, ukulimala kwebanga lokuqala ngokuphindaphindiweyo kuya kwiimeko eziqhelekileyo kwiiveki ezimbalwa, ngelixa umdlali webanga eli-3 angalimala iimpawu zonyaka okanye ngaphezulu.
Abadlali bezemidlalo abagcina umshiseli kufuneka bahlolwe ngokukhawuleza ngonyango okanye abasebenzi bezonyango abaqeqeshwe kule nzakala. Uvavanyo kufuneka lubandakanye ukuvavanywa kwezinto ezingaqhelekanga kunye nobuthakathaka be-muscle. Nawuphi na umdlali onokufumanisa ngokunyaniseka okanye obuthathaka akufanele abuyele kwinxaxheba kuze kube yilapho iimpawu zigqibeleleyo. Kwiimeko apho iimpawu ziqhubeka okanye zinzima kakhulu, kufuneka kuhlolwe ngakumbi ukuvavanya ngezinye izizathu ezinokubangela ukuphazamiseka kunye nobuthathaka ezifana ne-disni herniated okanye umonakalo wamagulane. Iimvavanyo zingabandakanya i-x-ray, i-MRIs, okanye izifundo zokuqhuba i-nerve; nangona kunjalo, ngokuqhelekileyo le mvavanyo ayimfuneko.
Ukunyangwa koMlilo
Akukho nto enokuyenza yonyango lomlilo, nangona usebenzo oluthile lwezonyango olubandakanya ukulula kunye nokuqiniswa lunokuba luncedo. Ukuze abuyele kwimidlalo, abadlali abaye baqhubeka nokushisa kufuneka bafezekise oku kulandelayo:
- Uhlobo oluhambayo lokuhamba kwentamo nengalo
- Isigqibo sesimo esingaqhelekanga ( paresthesias )
- Iimvavanyo eziqhelekileyo, kuquka uvavanyo lwe-Spurling
- Ukuhlolwa kwamandla okuqhelekileyo
Ukuthintela kungenziwa ngokuqiniswa kwentamo kunye namahlombe ehlombe. Ukongeza, abanye abadlali bebhola baya kusebenzisa iipads ezikhethiweyo okanye iikholeji ("iikholam ze-cowboy") ukukhusela ukunqanda ngokweqile kwe-plexus ye-brachial kwaye sinethemba lokuthintela ukulimala okwenziwa rhoqo kwe-stinger.
Kubalulekile ukuba abagijimi abanempawu engabonakaliyo yomshiseli, okanye abagijimi abangenazo iimpawu ezingaphendulwanga, banokuvavanya ukuba ngaba kukho enye imbangela yeempawu zabo. Kukho imeko yentamo kunye nomthambo ongagqithisa iimpawu zesitshisi, kwaye ezi zifuna ukuba zijongwe kwiimbaleki ezineempawu ezinzima okanye ezingapheliyo.
Eyaziwayo njenge: Stinger
> Imithombo:
> I-SM encane, i-Durand P ne-Shankwiler JA. Ukulimala Kwisifo Sengxakeke Kwintlungu Yabadlali: Icandelo I "J Am Acad Orthop Surg u-Apreli 2007; 15: 249-256.