Chida, Phawa ndi Mkhosi
Matenda otchedwa Thoracic outlet syndrome (TOS) ndi chikhalidwe chimene chimapangitsa kuti munthu azivutika kwambiri ndi matenda, kupweteka, ndi kugwedeza (osati nthawi zonse pamodzi, osati zizindikiro zomwezo mwa munthu aliyense). TOS ikhoza kukhala yovuta kufotokoza, ndi yachilendo, choncho zingatengere nthawi yaitali kuzindikira kuti ndi chifukwa cha zizindikiro zanu. Odwala ambiri omwe ali ndi TOS amayendera madokotala angapo osiyana siyana ndipo amakhala ndi mayesero ambiri asanamvetsetse kuti ali ndi TOS.
Zifukwa za TOS
Matenda a Thoracic amatanthauza gulu la zinthu zomwe zimayambitsa kupweteka kwa mitsempha kapena mitsempha ya magazi m'deralo mozungulira collarbone. Mtundu wochuluka wa TOS umachitika pamene mitsempha (makamaka mbali ya brachial plexus) imapindikizidwa pakati pa collarbone ndi nthiti yoyamba. Mtundu uwu wa TOS umatchedwa neurogenic TOS. Pangakhalenso kupanikizika kwa mitsempha yambiri yamagazi (mitsempha ya subclavia kapena mitsempha), yomwe imakhala yosazolowereka. Izi zimatchedwa TOS.
TOS amayamba kuchitika pambuyo povulazidwa (ngakhale kuti zizindikiro sizingayambe mpaka masabata pambuyo povulazidwa) kapena kupanikizika mobwerezabwereza. Mitsempha kapena mitsempha ya magazi ikhoza kukhala pinched ndi mafupa kapena mapewa ofewa pakati pa nkhanu ndi nthiti yoyamba.
Zizindikiro za TOS
Zizindikiro zofanana za TOS zimachitika kwa odwala omwe ali achichepere, achangu, komanso odwala. Ngakhale kuti zikhalidwe zina zimasokonezeka ndi vutoli likupezeka ndi odwala ochepa, nthawi zambiri TOS imawoneka ngati palibe anthu ena odwala.
Zizindikiro zofala kwambiri za TOS zikuphatikizapo:
- Kujambula mdzanja
- Khosi, mapewa, ndi ululu wa mkono
- 'Kulemera' kwa mkono
- Mutu
Mtundu wambiri wa TOS wamtunduwu ukhoza kuyambitsa kutupa kwa mkono (TOS venous) kapena kupweteka komanso kusasinthasintha kozizira kumapeto (TOS). Mayesero ambiri angathe kuchitidwa, ngakhale zotsatira zowonongeka zingatheke kapena siziwoneka.
Chinthu chofunika kwambiri pakufufuza ndi mbiri yakale ndi kuunika kwa thupi ndi dokotala wodziwa vutoli. Mayesero kawirikawiri amaphatikizapo x-rays, MRIs , maphunziro a mitsempha , komanso maphunziro apadera. Chimodzi mwa mayesero ofunikira kwambiri ndi jekeseni yowonetsera kuti mudziwe komwe kuli kovuta kwa mitsempha.
Kuvuta Kwambiri
Chovuta kwambiri pa matenda a thoracic outlet ndi chakuti ndizovuta kuti mudziwe. Odwala ambiri omwe ali ndi TOS amapezeka kuti ali ndi vuto lina, ngati sizinthu zambiri. Kaŵirikaŵiri mayesero ambiri akhala akuchitidwa ndipo chithandizo chayesedwa popanda kupambana.
Zina mwa mavuto omwe amawoneka omwe angabweretse zizindikiro monga TOS ndi awa:
- Syprome Tunnel Syndrome kapena Cubital Tunnel Syndrome
- Dokotala wa Cervical Disc
- Mafuta a Rotator Mavuto
Odwala ena auzidwa kuti ali ndi matenda a psychosomatic kapena fibromyalgia . Odwala ena, omwe sanapeze mpumulo ku zizindikiro za manja kapena kupweteka kwapweteka, angapeze matendawa koma alibe vutoli. Malangizo anga abwino ndi kupeza dokotala yemwe amamvetsa vutoli ndipo ali wokonzeka kugwira nawo ntchito kawirikawiri ndi kayendedwe ka TOS mofulumira komanso mophweka.
Malingaliro a Chithandizo
Odwala ambiri angathe kupeza chithandizo ndi mankhwala osapereka opaleshoni.
Njira zowonjezereka zimaphatikizapo kupumula (makamaka pambuyo pa TOS), kupeŵa ntchito zapadera zomwe zimayambitsa zizindikiro, ndi mankhwala opatsirana. Majekeseni mu minofu yomwe ili pafupi ndi ziphuphu zingathe kuthetsa zizindikiro ngati minofu ndi chifukwa cha TOS.
Kawirikawiri opaleshoni imasungidwa kwa iwo omwe ali ndi zizindikiro zosalekeza, kapena pamene pali TOS yaikulu yomwe ingakhale yowonjezera mkhalidwe wosautsa. Mwamwayi, odwala ambiri amatha kupeza mpumulo popanda kuchitapo kanthu!
Zotsatira:
Kuhn JE, et al. "Thoracic Outlet Syndrome" J Am Acad Orthop Surgery April 2015 vol. 23 no. 4 222-232. www.jaaos.org/content/23/4/222.abstract