Kusokonekera kwa ubongo Brachial

Brachial plexopathy ndi mtundu wa zotumphukira za m'mitsempha. Zimachitika ngati pali kuwonongeka kwa plexus ya brachial. Awa ndi malo mbali zonse za khosi pomwe mizu ya mitsempha yochokera mumtsempha wa msana imagawika m'mitsempha ya mkono uliwonse.

Kuwonongeka kwa mitsempha iyi kumabweretsa kupweteka, kuchepa kwa mayendedwe, kapena kuchepa kwamphamvu mu mkono ndi phewa.

Kuwonongeka kwa phulus brachial nthawi zambiri kumachitika chifukwa chovulala mwachindunji ku mitsempha, kuvulala kotambasula (kuphatikiza kuvulala kwakubadwa), kukakamizidwa ndi zotupa m'derali (makamaka zotupa zam'mapapo), kapena kuwonongeka komwe kumadza chifukwa cha mankhwala a radiation.

Brachial plexus dysfunction imatha kuphatikizidwanso ndi:

• Zolepheretsa kubadwa zomwe zimakakamiza m'khosi
• Kuwonetseredwa ndi poizoni, mankhwala, kapena mankhwala osokoneza bongo
• Anesthesia yodziwika bwino, yogwiritsidwa ntchito popanga opaleshoni
• Zinthu zotupa, monga zomwe zimachitika chifukwa cha kachilombo kapena chitetezo cha mthupi

Nthawi zina, palibe chifukwa chodziwika.

Zizindikiro zimaphatikizapo:

• Dzanzi paphewa, mkono, kapena dzanja
• Kupweteka pamapewa
• Kumangirira, kuwotcha, kupweteka, kapena kumva zachilendo (malo amatengera dera lomwe lavulala)
• Kufooka kwa phewa, mkono, dzanja, kapena dzanja

Kuyesedwa kwa mkono, dzanja ndi dzanja kumatha kuwonetsa vuto la mitsempha ya pakhosi la brachial. Zizindikiro zimatha kuphatikiza:

• Kupunduka kwa mkono kapena dzanja
• Zovuta kusuntha phewa, mkono, dzanja, kapena zala
• Maganizo otsika a mkono
• Kuwonongeka kwa minofu
• Kufooka kwa kusinthasintha kwa manja

Mbiri yakale ingathandize kudziwa chomwe chimayambitsa matendawa. Zaka ndi kugonana ndizofunikira, chifukwa mavuto ena a brachial plexus amapezeka m'magulu ena. Mwachitsanzo, anyamata nthawi zambiri amakhala ndi matenda otupa kapena obwera pambuyo pa ma virus a brachial plexus otchedwa Parsonage-Turner syndrome.

Kuyesa komwe kungachitike kuti mupeze vutoli kungaphatikizepo:

• Kuyesa magazi
• X-ray pachifuwa
• Electromyography (EMG) kuti muwone minofu ndi minyewa yomwe imayendetsa minofu
• MRI ya mutu, khosi, ndi phewa
• Kupititsa patsogolo mitsempha kuti muwone momwe zikwangwani zamagetsi zimadutsira muminyewa
• Mitsempha yamitsempha yoyesa mitsempha pansi pa maikulosikopu (osafunika kwenikweni)
• Ultrasound

Chithandizochi chikuwongolera zomwe zikuyambitsa ndikukulolani kugwiritsa ntchito dzanja lanu ndi dzanja lanu momwe mungathere. Nthawi zina, palibe chithandizo chofunikira ndipo vutoli limadzichitira lokha.

Njira zochiritsira ndi izi:

• Mankhwala ochepetsa ululu
• Thandizo lakuthupi kuti likhalebe lolimba minyewa.
• Maburashi, ziboda, kapena zida zina zokuthandizani kugwiritsa ntchito mkono wanu
• Mitsempha, pomwe mankhwala amalowetsedwa m'deralo pafupi ndi mitsempha kuti muchepetse ululu
• Kuchita opaleshoni yokonza misempha kapena kuchotsa china chake chomwe chikukanikiza mitsempha

Thandizo lantchito kapena upangiri wokhudzana ndi kusintha kwakuntchito kungafunike.

Matenda azachipatala monga matenda ashuga komanso impso amatha kuwononga mitsempha. Nthawi izi, chithandizo chimayendetsedwanso pazovuta zamankhwala.

Kuchira bwino kumatheka ngati chifukwa chake chazindikiritsidwa ndikuchiritsidwa bwino. Nthawi zina, pamakhala kuchepa pang'ono kapena kwathunthu kwakusuntha kapena kumverera. Kupweteka kwamitsempha kumatha kukhala kovuta ndipo kumatha nthawi yayitali.

Zovuta zingaphatikizepo:

• Kupunduka kwa dzanja kapena mkono, wofatsa mpaka wolimba, zomwe zingayambitse mgwirizano
• Mbali kapena lathunthu mkono ziwalo
• Kutaya pang'ono kapena kwathunthu kumikono, dzanja, kapena zala
• Kuvulala mobwerezabwereza kapena kosazindikira m'manja kapena mkono chifukwa chakuchepa kwachisangalalo

Itanani yemwe akukuthandizani ngati mukumva kuwawa, kuchita dzanzi, kumva kulasalasa, kapena kufooka phewa, mkono, kapena dzanja.

Matenda amitsempha - plexus ya brachial; Kusokonekera kwa plexus brachial; Matenda a Parsonage-Turner; Matenda a Pancoast

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Chad DA, MP wa Bowley. Kusokonezeka kwa mizu ya mitsempha ndi ma plexuses. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 106.

Waldman SD. Cervicothoracic interspinous bursitis. Mu: Waldman SD, mkonzi. Atlas of Syntr Pain Pain Syndromes. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 23.