Thoracic Outlet Syndrome: Zizindikiro ndi Chithandizo

Zamkati

• Zizindikiro za Thoracic Outlet Syndrome
• Kuchiza kwa Thoracic Outlet Syndrome
• Zochita za Thoracic Outlet Syndrome

Thoracic Outlet Syndrome imachitika pamene mitsempha kapena mitsempha yamagazi yomwe ili pakati pa clavicle ndi nthiti yoyamba imapanikizika, ndikupweteketsa m'mapewa kapena kulira m'manja ndi manja, mwachitsanzo.

Nthawi zambiri, matendawa amapezeka kwambiri mwa amayi, makamaka omwe adachita ngozi yagalimoto kapena kuvulala mobwerezabwereza pachifuwa, koma amathanso kukhala ndi amayi apakati, kuchepetsa kapena kuzimiririka akabereka.

Matenda a Thoracic outlet amachiritsidwa kudzera mu maopareshoni, komabe, pali mankhwala ena omwe amathandizira kuwongolera zizindikilo, monga chithandizo chamankhwala ndi njira zochepetsera kupanikizika kwa tsambalo.

Zizindikiro za Thoracic Outlet Syndrome

Zizindikiro za matendawa zitha kukhala:

• Kupweteka kwa mkono, phewa ndi khosi;
• Kuyika kapena kutentha padzanja, dzanja ndi zala;
• Zovuta kusuntha mikono yanu, chifukwa cha kufooka ndi kutayika kwa minofu;
• Chifukwa cha kusayenda bwino kwa magazi, zizindikilo monga zofiirira kapena zotumbululuka manja ndi zala zingawoneke, kutopa, kusintha chidwi, kuchepa kwa kutentha m'deralo;
• Zowawa pambali pamutu ndi m'khosi, m'chigawo cha mitsempha ya rhomboid ndi suprascapular, chammbali cha mkono ndi pamwambapa, pakati pa index ndi chala chachikulu, pakakhala kupanikizika kwa C5, C6 ndi C7;
• Ululu m'dera la suprascapular, khosi, gawo lamankhwala lamanja, pakati pa mphete ndi zala zapinki, pomwe pali kupanikizika kwa C8 ndi T1;
• Pomwe pali nthiti ya khomo lachiberekero, pakhoza kukhala kupweteka m'dera la supraclavicular lomwe limakulirakulira mukatsegula mkono kapena mutagwira zinthu zolemetsa;
• Pamene pali kupanikizika kwa mitsempha, zizindikiro monga kulemera, kupweteka, kutentha kwa khungu, kufiira ndi kutupa kumawoneka, makamaka paphewa.
  chapachifuwa

Poonetsa izi, ndikofunikira kukaonana ndi a orthopedist kapena a physiotherapist kuti adziwe zolondola ndi mayeso oyambitsa matendawa.2 Malo a msana, chifuwa ndi thunthu, atha kukhala othandiza kuwunika kuchepa kwa dera.

Kuyesedwa kwachizindikiro kungakhale:

• Mayeso a Adson:Munthuyo ayenera kupuma kwambiri, kutembenuzira khosi kumbuyo ndikutembenuzira nkhope yake mbali yoyesedwa. Ngati kugunda kumachepetsa kapena kutha, chizindikirocho chimakhala chabwino.
• Kuyesa kwa mphindi 3: tsegulani manja potembenuka kwakunja ndikutembenuka kwa 90 digiri ya zigongono. Wodwala ayenera kutsegula ndi kutseka manja kwa mphindi zitatu. Kuberekanso kwa zizindikilo, dzanzi, paraesthesia komanso kulephera kupitiriza mayeso ndi mayankho abwino. Anthu wamba amatha kutopa ndi miyendo, koma kawirikawiri paresthesia kapena kupweteka.

Mayeso ena omwe adalamulidwa ndi adotolo amaphatikizira ma computed tomography, imaging resonance imaging, myelography, magnetic resonance imaging ndi Doppler ultrasound yomwe imatha kulamulidwa pakagwidwa matenda ena.

Kuchiza kwa Thoracic Outlet Syndrome

Chithandizocho chiyenera kutsogozedwa ndi a orthopedist ndipo nthawi zambiri chimayamba ndikumwa ma anti-inflammatories, monga Ibuprofen ndi Diclofenac, kapena mankhwala opewetsa ululu, monga Paracetamol, kuti athetse vuto pakakhala zovuta. Kuphatikiza apo, tikulimbikitsidwa kuti tizichita zamankhwala zolimbitsa thupi kuti tithandizire minofu ndikukhazikika, kupewa kuyambika kwa izi.

Kugwiritsa ntchito ma compress ofunda ndi kupumula kumatha kukhala kothandiza kuti muchepetse kusapeza bwino, koma kuwonjezera apo, ngati muli onenepa kwambiri muyenera kuonda, pewani kukweza mikono yanu pamwamba pamzere wamapewa, mutanyamula zinthu zolemera ndi matumba pamapewa anu. Kulimbikitsidwa kwa Neural ndi pompage ndi njira zamanja zomwe zitha kuchitidwa ndi physiotherapist, ndipo zolimbitsa thupi zimawonetsedwanso.

Zochita za Thoracic Outlet Syndrome

Kuchita masewera olimbitsa thupi kumathandizira kusokoneza mitsempha ndi mitsempha yamagazi pafupi ndi khosi, kukonza kuthamanga kwa magazi ndikuchepetsa zizindikilo. Ndibwino kuti mufunsane ndi physiotherapist musanachite masewera olimbitsa thupi, kuti musinthe mikhalidwe iliyonse.

Chitani 1

Sungani khosi lanu kumbali yonse momwe mungathere ndikukhala pomwepo kwa masekondi 30. Kenako chitani zolimbitsa thupi zomwezo mbali inayo ndikubwereza katatu.

Chitani 2

Imirirani, tulutsani chifuwa chanu kenako ndikokereni mivi yanu momwe mungathere. Khalani pomwepo kwa masekondi 30 ndikubwereza zochitikazo katatu.

Milandu yovuta kwambiri, momwe zizindikirazo sizimatha ndi kugwiritsa ntchito mankhwala osokoneza bongo kapena chithandizo chamankhwala, adotolo amalangiza opareshoni yam'mimba kuti ichepetse ziwiya ndi mitsempha yomwe yakhudzidwa. Pochita opareshoni, mutha kudula minofu ya scalene, kuchotsa nthiti ya khomo lachiberekero, kuchotsa zomwe zitha kupondereza mitsempha kapena chotengera magazi, komanso zomwe zimayambitsa zizindikirazo.