Matenda otupa kwambiri

Matenda a Thoracic outlet ndi osowa omwe amaphatikizapo:

• Ululu m'khosi ndi paphewa
• Kufooka ndi kumva kulasalasa kwa zala
• Kugwira kofooka
• Kutupa kwa nthambi yomwe yakhudzidwa
• Kuzizira kwa nthambi yomwe yakhudzidwa

Malo otchedwa thoracic outlet ndi dera pakati pa nthiti ndi kolala.

Mitsempha yobwera kuchokera kumsana ndi mitsempha yayikulu yamagazi yamthupi imadutsa pamalo opapatiza pafupi ndi phewa lanu ndi kolala panjira yopita kumanja. Nthawi zina, sipakhala malo okwanira kuti mitsempha idutse kudzera mu kolala ndi nthiti zakumtunda.

Kupanikizika (kupanikizika) pamitsempha yamagazi iyi kapena misempha kumatha kuyambitsa zizindikiro m'manja kapena m'manja.

Zovuta zitha kuchitika ngati muli:

• Nthiti yowonjezera pamwamba pa yoyamba.
• Bulu lolimba modabwitsa lolumikiza msana ndi nthiti.

Anthu omwe ali ndi vutoli nthawi zambiri amavulaza m'derali m'mbuyomu kapena kugwiritsa ntchito mopitirira muyeso paphewa.

Anthu omwe ali ndi khosi lalitali komanso mapewa onyentchera amatha kukhala ndi vuto lotere chifukwa chapanikizika kwambiri ndi mitsempha ndi mitsempha yamagazi.

Zizindikiro za thoracic outlet syndrome zitha kuphatikizira izi:

• Kupweteka, dzanzi, ndi kumenyera zala zapinki ndi mphete, ndikutsogolo kwamkati
• Kupweteka ndi kumenyedwa m'khosi ndi m'mapewa (kunyamula chinthu cholemetsa kumatha kukulitsa ululu)
• Zizindikiro za kusayenda bwino m'manja kapena m'manja (mtundu wabuluu, manja ozizira, kapena dzanja lotupa)
• Kufooka kwa minofu m'manja

Wothandizira zaumoyo wanu adzakufunsani ndikufunsani za mbiri yanu yamankhwala ndi zomwe mukudziwa.

Mayesero otsatirawa akhoza kuchitidwa kuti atsimikizire matendawa:

• Electromyography (EMG)
• CT angiogram
• MRI
• Kuphunzira kwa kuthamanga kwa mitsempha
• X-ray

Kuyesedwa kumachitidwanso kuti athetse mavuto ena, monga carpal tunnel syndrome kapena mitsempha yowonongeka chifukwa chazovuta zapakhosi.

Thandizo lakuthupi limagwiritsidwa ntchito nthawi zambiri kuchiza matenda amtundu wa thoracic. Zimathandiza:

• Limbikitsani minofu yanu yamapewa
• Sinthani mayendedwe anu phewa
• Limbikitsani kukhazikika

Wothandizira anu akhoza kukupatsani mankhwala opweteka.

Ngati pali vuto pamitsempha, omwe amakupatsani akhoza kukupatsani magazi ochepera magazi kuti muteteze magazi.

Mungafunike kuchitidwa opaleshoni ngati chithandizo chakuthupi komanso kusintha kwa magwiridwe antchito sizikuthandizani kuti mukhale ndi matenda. Dokotalayo amatha kudula pamanja kapena pamwambapa.

Pa opaleshoni, zotsatirazi zitha kuchitika:

• Nthiti yowonjezera imachotsedwa ndipo minofu ina imadulidwa.
• Gawo la nthiti yoyamba limachotsedwa kuti litulutse zovuta m'deralo.
• Kuchita opaleshoni yolambalalako kumachitika kuti magazi abwererenso kupsinjika kapena kuchotsa dera lomwe likuyambitsa zizindikirazo.

Dokotala wanu amathanso kunena njira zina, kuphatikiza angioplasty, ngati mtsempha wamagazi wachepetsedwa.

Kuchita opareshoni kuti muchotse nthiti ndi kuphwanya ma fiber olimba kumatha kuchepetsa zizindikilo mwa anthu ena. Anthu ena ali ndi zizindikilo zomwe zimabwerera pambuyo pa opaleshoni.

Zovuta zimatha kuchitika ndi opaleshoni iliyonse, ndipo zimadalira mtundu wa njira ndi ochititsa dzanzi.

Zowopsa zokhudzana ndi opaleshonizi ndi izi:

• Kuwonongeka kwa mitsempha kapena mitsempha yamagazi, kupangitsa kufooka kwa minofu
• Mapapo kugwa
• Kulephera kuthetsa zizindikiro

• Matenda otsekemera

Zolemba AG. Brachial plexus mitsempha yolumikizidwa ndi ma thoracic outlet syndromes. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 250.

Osgood MJ, Lum YW. Matenda a Thoracic outlet: pathophysiology ndi kuwunika kwa matenda. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chaputala 120.