Ukuhlushwa Kwe-Thoracic Outlet? Izimpawu, Izimbangela, Nokwelapha

I-Thoracic outlet syndrome kwenzeka lapho ama-nerve noma imithambo yegazi icindezelwe endaweni ecindezelekile phakathi kwempumputhe yakho nengxube yokuqala. Lokhu kucindezela kudala uchungechunge lwezimpawu ezingathinta intamo yakho, ihlombe, ingalo, nesandla.

Cabanga ngale ndawo njengendawo ematasa lapho ama-nerve abalulekile nemithambo yegazi ihamba khona ebusweni bakho iye esandleni sakho. Uma le ndawo icishe ibe mncinci, kufana nokuxinana kwethrafikhi okuthinta ukugeleza okujwayelekile kwezinkomba negazi esandleni sakho.

Ziyini izimpawu ze-thoracic outlet syndrome?

Izimpawu ozibonayo ziyahluka kuye kokuthi ngabe ama-nerve, imithambo yegazi, noma kokubili acindezelwe. Abantu abaningi baphawula izinkinga ezivela entanyeni, ehlombweni, noma esandleni kunokuba baqaphele isimo esithile ngokushesha.

Uma ama-nerve ecishwa, ungase uzwe ukungathí sina nokuthimula ezintweni zakho, ikakhulukazi umunwe wakho omkhulu nomunwe omncane. Isandla sakho nengalo yakho kungase kube buthakathaka, okwenza kube nzima ukubamba izinto noma ukwenza imisebenzi emincane yemoto njengokubopha ihembe noma ukubhala.

Abanye abantu baba nobuhlungu obuhlungu obuvela entanyeni yabo iye ehlombweni nengalweni. Lolu buhlungu luhlala lubi uma uphakamisa ingalo yakho ngaphezulu kwekhanda lakho noma uthwala izinto ezisindayo.

Uma imithambo yegazi ithinteka, ingalo yakho ingase ibe yibandayo noma ibukeke imhlophe noma iluhlaza okwesibhakabhaka. Ungase uqaphele ukukhula kwengalo yakho noma esandleni, futhi ingalo yakho ingase izizwe isindayo noma ikhathele kalula kunokujwayelekile.

Ezimeni ezingavamile, ungase uthuthukise ama-blood clots emithanjeni ecindezelwe, okungabangela ukukhula okungazelelwe, okubuhlungu kakhulu nengalo yakho. Lokhu kudinga ukunakekelwa ngokushesha kwezokwelapha.

Ziyini izinhlobo ze-thoracic outlet syndrome?

Kunezinhlobo ezintathu eziyinhloko ze-thoracic outlet syndrome, ngayinye ithinta izakhiwo ezahlukene kuleyo ndawo ecishe ibe mncinci eduze kwempumputhe yakho. Ukuqonda ukuthi yiluphi uhlobo olukhona kusiza ukuqondisa indlela yokwelapha efanele.

I-Neurogenic thoracic outlet syndrome yilona uhlobo oluvamile kakhulu, okwenza ibe yingxenye engu-95% yazo zonke izimo. Lokhu kwenzeka lapho i-brachial plexus, inethiwekhi yama-nerve aphethe ingalo yakho nesandla, icishwa.

I-Vascular thoracic outlet syndrome ithinta imithambo yegazi futhi iza ngezindlela ezimbili. I-Venous thoracic outlet syndrome icindezela umthambo obuyisela igazi evela engalweni yakho enhliziyweni yakho, kuyilapho i-arterial thoracic outlet syndrome ithinta umthambo oleta igazi elisha engalweni yakho.

Lezi zinhlobo ze-vascular azivamile kakhulu kodwa zingaba nzima kakhulu. Ukucindezelwa kwe-arterial yilona uhlobo oluyimfihlo kakhulu futhi kungase kudinge ukwelashwa okusheshayo ukuvimbela ukuphazamiseka.

Yini ebangela i-thoracic outlet syndrome?

Izici eziningi zinganciphisa i-thoracic outlet futhi zenze ukucindezela okubangela izimpawu. Izimbangela zivame ukwehla ezinhlotsheni ezihlobene nokwakheka komzimba, imisebenzi, noma ukulimala.

Ukwahluka kokwakheka komzimba okuvela ekuzalweni kungasetha isiteji saleli simo. Abanye abantu bazalwa benengxube eyengeziwe ebizwa ngokuthi i-cervical rib, noma bangase babe nezintambo ezicindezelayo ezihlanganisa ama-ribs abo nomgogodla wabo.

Ukuma okubi kudlala indima enkulu ezimweni eziningi. Amahlombe awohlokayo, ukuma kwekhanda phambili, noma amahlombe aqoqekile anganciphisa kancane kancane indawo ye-thoracic outlet ngokuhamba kwesikhathi.

Imisebenzi ephindaphindwayo ehilela ukuphakamisa izandla zakho ngaphezulu kwekhanda ingase ihlanganyele kule nkinga. Lokhu kuhlanganisa imisebenzi efana nokugeza, ukudlala i-baseball, ukupeyinta, noma ukusebenza kwikhompyutha ngokwakheka okubi.

Ukulimala okuvela ezingozi zezimoto, ukuwela, noma ezemidlalo kungabangela ukukhula noma ukuguquka kwemisipha nezinsimbi ezizungezile i-thoracic outlet. Ngisho nokulimala okuncane kubonakala ngezinye izikhathi kubangela izimpawu emasontweni noma izinyanga kamuva.

Ukukhula ngokungazelelwe kwesisindo kungase futhi kuhlanganyele ngokushintsha isikhundla samahlombe akho nendawo ekhona endaweni ye-thoracic outlet.

Nini okufanele ubheke udokotela nge-thoracic outlet syndrome?

Kufanele ubheke udokotela uma une-numbness, ukuthimula, noma ubuhlungu obuqhubekayo entanyeni yakho, ehlombweni, engalweni, noma esandleni okungaphuli ngokuphumula. Lezi zimpawu akufanele ziganjwa, ikakhulukazi uma zithinta imisebenzi yakho yansuku zonke.

Funani ukunakekelwa ngokushesha kwezokwelapha uma ingalo yakho iqhubeka ikhula, ibe buhlungu kakhulu, noma ishintshe umbala ibe luhlaza okwesibhakabhaka noma imhlophe. Lezi zimpawu zingase zibonise i-blood clot noma ukucindezelwa okukhulu kwemithambo yegazi okudinga ukwelashwa okusheshayo.

Uma uqaphela ubuthakathaka obuqhubekayo esandleni sakho noma engalweni, noma uma ulahlekelwa izinto ngokukhulu, sekuyisikhathi sokuhlolwa. Ukwelashwa kwasekuqaleni kuvame ukubangela imiphumela emihle.

Ungalindi uma izimpawu zakho ziya ziba zimbi ngokuhamba kwesikhathi noma uma zithinta umsebenzi wakho, ukulala, noma ikhwalithi yokuphila kwakho. Okuba yinto encane yokungakhululeki ngezinye izikhathi kungase kuqhubeke uma kushiywa kungelaphi.

Ziyini izici ezingozi ze-thoracic outlet syndrome?

Ukuqonda izici zakho ezingozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela leli simo noma ukulibamba ngokushesha. Ezinye izici ongazilawula, kuyilapho ezinye ziyisigaba sokuthi ungubani.

Ubudala bakho nobulili bakho kudlala indima, ngesimo esivame kakhulu kwabesifazane abaneminyaka engama-20 kuya kwengu-50. Izizathu zalokhu azicaci ngokuphelele, kodwa zingase zihlangane nokuhluka kokwakheka komzimba namandla emisipha.

Umsebenzi wakho noma imisebenzi yakho kubalulekile. Imisebenzi edinga ukunyakaza okuphindaphindwayo kwezandla ngaphezulu, ukuphakamisa izinto ezisindayo, noma ukusebenza isikhathi eside kwikhompyutha ngokuma okubi kukhulisa ingozi yakho.

Ukulimala kwangaphambili entanyeni yakho, ehlombweni, noma emuva phezulu kungakha izinsalela noma ukungalingani kwemisipha okuhlanganyela ne-thoracic outlet syndrome kamuva.

Ukwakheka komzimba kungaba yinto ebalulekile, ikakhulukazi uma unetamo elide, amahlombe awohlokayo, noma uthwala isisindo esengeziwe esithinta ukuma kwakho.

Abagijimi abahilelekile ezemidlalo eziphezulu njengokuqubha, i-tennis, noma i-baseball babhekene nengozi enkulu ngenxa yemvelo ephindaphindwayo yemisebenzi yabo kanye nethuba lokungalingani kwemisipha.

Ziyini izinkinga ezingase zenzeke nge-thoracic outlet syndrome?

Ngesikhathi izimo eziningi ze-thoracic outlet syndrome zingaphathwa kahle, ukushiya kungelaphi ngezinye izikhathi kungabangela izinkinga ezinkulu. Ukuqonda lezi zinkinga ezingase zenzeke kusiza ukugcizelela ukubaluleka kokwelashwa okuhle.

Ukonakala kwama-nerve okuqhubekayo yinkinga evamile uma uhlobo lwe-neurogenic lungelaphi. Ngemuva kwesikhathi, ukucindezela okuqhubekayo kuma-nerve kungabangela ubuthakathaka noma ukuthimula okungapheli esandleni sakho nengalweni.

Ama-blood clots abonisa inkinga enkulu kakhulu ye-vascular thoracic outlet syndrome. Uma imithambo yegazi icishwa, igazi lingase libuthene futhi lenze ama-clots angase ahambe emaphaphwini akho, adale isimo esingozi esibulalayo esibizwa nge-pulmonary embolism.

Ubuhlungu obuqhubekayo nokukhubazeka kungase kuqhubeke uma izimpawu ziqhubeka izinyanga noma iminyaka. Lokhu kungathinta kakhulu ikhono lakho lokusebenza, ukuzivocavoca, noma ukwenza imisebenzi yansuku zonke.

Ezimeni ezingavamile zokucindezelwa kwe-arterial, ungase uthuthukise i-aneurysm lapho udonga lomthambo luyehla futhi luqhuma. Lokhu kungabangela ama-blood clots ukuba enze emthambo ngokwakhe.

Abanye abantu bathuthukisa izinkinga zesibili njenge-frozen shoulder noma i-chronic regional pain syndrome uma begwema ukusebenzisa ingalo yabo ethintekile ngenxa yobuhlungu.

I-thoracic outlet syndrome ingavikeleka kanjani?

Ngesikhathi ungakwazi ukuvimbela zonke izimo ze-thoracic outlet syndrome, ikakhulukazi lezo ezihlobene nokwakheka komzimba ozalwa nawo, izimo eziningi zingagwenywa ngemikhuba emihle nokuqaphela umzimba.

Ukugcina ukuma okuhle yilona thuluzi lakho elihle kakhulu lokuvikela. Gcina amahlombe akho emuva nasezansi, gwema ukugoba, futhi qiniseka ukuthi isikrini sakho sekhompyutha sikumahlombe akho ukuvimbela ukuma kwekhanda phambili.

Thatha amaphasi ahlala njalo ngesikhathi semisebenzi ephindaphindwayo, ikakhulukazi leyo ehilela izandla zakho namahlombe. Uma usebenza kwikhompyutha, suka uphumule uze ugoqe njalo imizuzu engama-30.

Qinisani imisipha yakho yehlombe nentamo ngokuvivinya umzimba njalo. Gxila emisebenzini ehudula amahlombe akho ndawonye futhi eqinisa imisipha esekela ukuma okuhle.

Gwema ukuthwala izikhwama ezisindayo ngehlombe elilodwa, futhi zama ukusabalalisa isisindo ngokulinganayo uma uphakamisa noma uthwala izinto.

Uma uhlanganyela ezemidlalo eziphezulu, sebenza nomqeqeshi noma umqeqeshi ukuqinisekisa ukuthi unekhono elifanele futhi uhlanganise imisebenzi ehlanganisa ukungalingani kwemisipha.

I-thoracic outlet syndrome ihlonishwa kanjani?

Ukuhlonishwa kwe-thoracic outlet syndrome kungaba inselele ngoba izimpawu zivame ukulingisa ezinye izimo. Udokotela wakho uzosebenzisa ukuxuba komlando wakho wezokwelapha, ukuhlolwa komzimba, namavivinyo akhethekile ukuze afinyelele ekuxazululeni.

Udokotela wakho uzoqala ngokubuza imibuzo eningiliziwe mayelana nezimpawu zakho, lapho zenzeka khona, nokuthi yini eyenza zibe ngcono noma zimbi. Bazofuna futhi ukwazi ngomsebenzi wakho, imisebenzi yakho, nanoma yikuphi ukulimala kwangaphambili.

Phakathi kokuhlolwa komzimba, udokotela wakho uzoqapha i-pulse yakho kanye ne-blood pressure ezandleni zombili, abuke ubuthakathaka bemisipha noma ukulahleka, futhi ahlulele imizwa yakho ezindaweni ezahlukene zezandla zakho nezingalo.

Izivivinyo zokubeka ezikhethekile zisiza ukwembula ukuthi izimpawu zakho zihlangene nokucindezelwa kwe-thoracic outlet. Lokhu kungase kuhlanganise ukuphakamisa izandla zakho ngaphezulu kwekhanda lakho noma ukujika ikhanda lakho ezindaweni ezahlukene ngenkathi uhlola i-pulse yakho.

Izivivinyo zokuphetha kwama-nerve zingasiza ekuqondeni ukuthi ama-nerve akho acindezelwe kangakanani. Lezi zivivinyo zilinganisa ukuthi izinkomba zombane zihamba ngokushesha kangakanani ngama-nerve akho.

Izivivinyo zokubonisa njenge-X-rays, i-CT scans, noma i-MRI zingase ziyalwe ukubuka ukungalingani kokwakheka komzimba njenge-ribs eyengeziwe noma ukuvimbela ezinye izimo ezingase zibangele izimpawu ezifanayo.

Ukuphathwa kwe-thoracic outlet syndrome kuyini?

Ukuphathwa kwe-thoracic outlet syndrome kuvame ukuqala ngezindlela ezigcinwe futhi kuqhubekele kwezinye izinketho ezinkulu uma kudingeka. Izindaba ezinhle ukuthi abantu abaningi bayathuthuka kakhulu ngokwelashwa okuhle.

I-Physical therapy yisisekelo sokwelapha ezimweni eziningi. Uchwepheshe oqeqeshwe kahle uzokufundisa imisebenzi yokuthuthukisa ukuma kwakho, uqine imisipha ebuthakathaka, futhi ugoqe izindawo ezinzima ezihlanganyela ekucindezelweni kwama-nerve noma imithambo yegazi.

Ukuphathwa kobuhlungu kungase kuhlanganise imithi engaphezu kokubalwa njenge-ibuprofen noma i-naproxen ukunciphisa ukuvuvukala nobuhlungu. Udokotela wakho angase futhi abele imithi yokupumula kwemisipha uma ukucindezeleka kwemisipha kuhlanganyela nezimpawu zakho.

Ukushintsha kwemisebenzi kudlala indima ebalulekile ekuphileni kwakho. Lokhu kusho ukuqonda nokuchitha imisebenzi noma izikhundla ezibangela izimpawu zakho ngenkathi uphulukana.

Ukuthuthukiswa kwe-ergonomic endaweni yakho yokusebenza kungenza umehluko omkhulu. Lokhu kungase kuhlanganise ukulungisa ukuphakama kwesihlalo sakho, isikhundla somonitha wekhompyutha, noma isikhundla sekhibhodi.

Ezimeni ezinkulu lapho ukwelashwa okuqondisiwe kungasizi khona, ukucutshungulwa kungase kubhekwe. Izinketho zokucutshungulwa zihlanganisa ukususa ingxube eyengeziwe, ukunqamula izinsimbi ezicindezelayo, noma ukulungisa imithambo yegazi eyonakele.

Ngezinhlobo ze-vascular ezinemithambo yegazi, ungase udinge imithi yokunciphisa igazi noma izinqubo zokususa i-clot nokubuyisela ukugeleza kwegazi okujwayelekile.

Indlela yokuphatha i-thoracic outlet syndrome ekhaya?

Ukuphathwa ekhaya kudlala indima ebalulekile ekuphileni kwakho futhi kungathuthukisa kakhulu izimpawu zakho uma kuhlanganiswa nokuphathwa kwezobuchwepheshe. Isikhiye ukulandela nokubekezela njengoba umzimba wakho uphulukana.

Faka uqhwa endaweni ethintekile imizuzu engama-15-20 izikhathi eziningi ngosuku ngesikhathi sokuvuvukala ukunciphisa ukuvuvukala nobuhlungu. Ukuphathwa kokushisa kungase futhi kusize ekucindezelekeni kwemisipha, kodwa kugwenywe uma une-swelling.

Zama imisebenzi udokotela wakho we-physical therapy akuyifundisayo nsuku zonke, ngisho noma uzizwa ungcono. Le misebenzi ikusiza ukugcina ukuthuthuka okutholile nokuvimbela izimpawu ukuba zingabuyeli.

Dala indawo yokusebenza ye-ergonomic ekhaya nasemsebenzini. Qiniseka ukuthi umonitha wakho wekhompyutha ukumahlombe akho, izinyawo zakho zisephatheni, futhi izandla zakho zisekelwe uma ubhala.

Thatha amaphasi ahlala njalo ekuphindaphindweni kwemisebenzi. Beka i-timer ukukhumbuza ukuthi ushintshe izikhundla futhi ugoqe njalo imizuzu engama-30.

Lala ngokusekelwa kwepilow elifanele ukuze ugcine ukuma okuhle kwentamo. Gwema ukulala esiswini, okungase kuqinise intamo yakho namahlombe.

Lawula ukucindezeleka ngezindlela zokupumula, njengoba ukucindezeleka kungenza kube kubi ukucindezeleka kwemisipha nezimpawu.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela kahle i-appointment yakho kusiza ukuqinisekisa ukuthi uthola ukuxazulula okuchane kakhulu nesiqondiso sokwelapha esifanele. Ukuthatha isikhathi sokulungisa imicabango yakho nolwazi ngaphambili kwenza i-visit ibe yiyona ephumelelayo.

Gcina idayari yezimpawu okungenani isonto ngaphambi kwe-appointment yakho. Qaphela lapho izimpawu zenzeka khona, lokho obekwenza, isikhathi eside eside, nokuthi yini esize noma eyenza zaba zimbi.

Yenza uhlu lwezimpawu zakho zonke, ngisho noma zibonakala zingahlobene. Faka imininingwane mayelana nokuthimula, ukuthimula, ubuhlungu, ubuthakathaka, noma ukushintsha kombala noma ukushisa ezandleni zakho noma ezandleni.

Letha uhlu oluphelele lwemithi, izongezelelo, nanoma yikuphi ukwelashwa okuye kwazamwa. Faka imithi engaphezu kokubalwa futhi uqaphele ukuthi yiziphi eziye zasiza noma ezingasizanga.

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Lokhu kungase kuhlanganise imibuzo mayelana nezinketho zokwelapha, isikhathi sokuphulukana okulindelekile, noma imisebenzi okufanele uyigweme.

Letha ulwazi mayelana nomsebenzi wakho nemisebenzi yansuku zonke, ikakhulukazi noma yikuphi ukunyakaza okuphindaphindwayo noma izikhundla ezingase zihlanganyele nezimpawu zakho.

Iyini into ebalulekile mayelana ne-thoracic outlet syndrome?

I-Thoracic outlet syndrome yisimo esingaphatheka esenzeka lapho ama-nerve noma imithambo yegazi icindezelwe endaweni phakathi kwempumputhe yakho nengxube yokuqala. Ngesikhathi izimpawu zingase zikhathaze futhi zithinte, ukuqonda isimo kukusiza ukuthi ufunane ukwelashwa okufanele.

Ukuqaphela kwasekuqaleni nokuphathwa kuvame ukubangela imiphumela emihle. Abantu abaningi bayathuthuka kakhulu ngokwelashwa okuqondisiwe njenge-physical therapy, ukulungisa ukuma, nokushintsha kwemisebenzi.

Isikhiye sokuphathwa okuphumelelayo siqukethe ukubhekana nezimpawu nezimbangela eziyinhloko. Lokhu kuvame ukusho ukwenza izinguquko zesikhathi eside ekuma kwakho, imikhuba yomsebenzi, nemisebenzi yansuku zonke.

Khumbula ukuthi ukuphulukana kudinga isikhathi nokubekezela. Ngesikhathi abanye abantu beqaphela ukuthuthuka phakathi kwamasonto ambalwa, abanye bangase badinge izinyanga eziningi zokwelashwa okuqhubekayo ukuze bafinyelele imiphumela yabo engcono kakhulu.

Imibuzo evamile ebuzwa mayelana ne-thoracic outlet syndrome

Ingase iphele yodwa i-thoracic outlet syndrome?

Izimo ezilula ngezinye izikhathi ziyathuthuka ngokuphumula nokushintsha kwemisebenzi, kodwa izimo eziningi ziyazuza ngokwelashwa okuhle. Ngaphandle kokubhekana nezimbangela eziyinhloko njengokuma okubi noma imisebenzi ephindaphindwayo, izimpawu zivame ukubuyela noma zibe zimbi ngokuhamba kwesikhathi.

Ingabe i-thoracic outlet syndrome iyinkulu?

Izimo eziningi azinkulu futhi ziphendula kahle ekwelapheni okuqondisiwe. Noma kunjalo, izinhlobo ze-vascular zingaba zimbi kakhulu, ikakhulukazi uma ama-blood clots evela. Ukwelashwa kwasekuqaleni kusiza ukuvimbela ukuphazamiseka futhi kuthuthukise imiphumela.

Kuthatha isikhathi esingakanani ukuphulukana ne-thoracic outlet syndrome?

Isikhathi sokuphulukana sihluka kakhulu kuye ebukhulu besimo sakho nokuthi ulandela kangcono izikhuthazo zokwelapha. Abanye abantu baqaphela ukuthuthuka phakathi kwamasonto ambalwa, kuyilapho abanye bangase badinge izinyanga eziningi zokwelashwa okuqhubekayo.

Ngingase ngivivinye umzimba nge-thoracic outlet syndrome?

Yebo, kodwa kuzodingeka ushintshe imisebenzi yakho ekuqaleni. Udokotela wakho we-physical therapy uzokukhomba imisebenzi ephephile futhi enenzuzo. Gwema imisebenzi ephakeme kakhulu nokuthwala izinto ezisindayo kuze kube yilapho izimpawu zakho ziyathuthuka.

Ingabe ngizodinga ukucutshungulwa nge-thoracic outlet syndrome?

Ukucutshungulwa akudingeki ngokuvamile futhi kuvame ukugcinelwa izimo ezinkulu ezingaphenduli ekwelapheni okuqondisiwe. Abantu abaningi bayathuthuka kakhulu nge-physical therapy, ukulungisa ukuma, nokushintsha kwesitayela sempilo.