Kupsyinjika kwa mitsempha ndizopangitsa kuti thupi likhale lopweteka kwambiri
Kunjenjemera ndi kugwedeza ndi mavuto ambiri, ndipo mitsempha yopangira chingwe ndi dzanja ndi yovuta. Ngati mukumva kuti mulibe chifuwa m'kamwa mwanu kapena dzanja lanu, vuto la mitsempha ndilo chifukwa. Ngakhale kuti ndizosazolowereka, ndikofunika kudziwa ngati chifukwa chake ndi choopsa. Kutaya manja pang'ono kungasonyeze mavuto aakulu monga stroke , kapena matenda a mtima kapena aortic dissection .
Komabe, nthendayi nthawi zambiri imagwirizanitsidwa ndi zizindikiro zina m'mabuku awa. Kuyenerera kuyenera kuyesedwa mwamsanga ngati kungabwere mwadzidzidzi, kumayenderana ndi mavuto ena monga kufooka , alibe chifukwa chodziwika bwino (monga kugona pa mkono), kapena kugwirizanitsidwa ndi vuto la khosi kapena chifuwa.
Kodi Numb Zikutanthauza Chiyani?
Pali zinthu ziwiri zomwe zikusewera: tanthawuzo la mawu opanda pake ndi mbali za dzanja zomwe zimakhala ndi zovuta zachilendo. Pogwedezeka, kodi mukutanthauza "zikhomo ndi singano" kumverera, kutchedwa paresthesia , kapena kodi mumatanthauza kusamva kwathunthu? Pamene mukuganiza za chala chanu chachikulu, kodi mbali zonse za chala chachikulu chimakhudzidwa, kapena kodi ndi kutsogolo, mbali, kapena kumbuyo kwa chala chachikulu? Funso lomaliza lingakhale lofunika kwambiri pothandizira kusiyanitsa chomwe chimapangitsa munthu kukhala wopanda mphamvu.
Kumvetsetsa Mitsempha ya Mediya
Dzanja limalandira mitsempha ya mitsempha yomwe imatuluka pakati pa mafupa omwe ali m'khosi.
Nthambizi zimapangika ndikutsekemera m'malingaliro ovuta, kenaka zimakhala mitsempha yotchedwa mitsempha yamkati, yamtundu, ndi ya ulnar. Ngakhale kuti mitsempha yonseyi imakhudzidwa ndi kusuntha chala chachikulu, mitsempha yamakono ndi yam'kati imakhala yogwirizana ndi thunthu.
Mitsempha yam'kati imapereka chidwi kwa gawo lotchedwa "palmar" gawo la thupi-gawo ndi thumbprint ndi gawo lomwe amabisa pamene mukupanga nkhonya.
Mitsempha imaperekanso nkhope ya kanjedza ya index ndi zala zapakati.
Mitsempha yam'kati imapezeka nthawi zambiri, ndipo imatha kuchepetsa mphamvu zamagetsi kuchokera kumtundu kupita kumsana ndi ubongo. Zotsatira zake ndizofooka. Nthawi zina, zofooka zingathenso kumabweretsa, makamaka minofu yomwe imagubudulira chala chaching'ono ku chala chaching'ono.
Malo amodzi kwambiri a mitsempha yamkati yomwe ingapangidwenso imakhala mu msewu wa carpal , gawo lopapatiza mu dzanja limene mitsempha yam'kati imayenda pamatope angapo ku zala. Ngati matopewa amatha kutentha, kutupa mumsewu wopapatiza kungapangitse mitsempha yambiri. Izi nthawi zina zimapweteka, koma osati nthawi zonse.
Mitsempha yam'kati imatha kuphindikizidwa pamalo kwinakwake mdzanja, koma nthawi zambiri izi zimayambitsa kupweteka kapena kufooka mdzanja kapena mkono komanso dzanja ndi thumb.
Kumvetsa Radial Mitsempha
Nthambi yeniyeni ya mitsempha yamtunduwu imayambitsa kupweteka kumbuyo kwa dzanja, thunthu, ndi zala ziwiri zoyambirira ku ubongo. Ngati mitsempha yamatsempha imasokonezeka, kupweteka kwa kumbuyo kwa dzanja kungapangitse.
Kuwonongeka kwa mitsempha yamtunduwu kumakhala kochepa kwambiri kusiyana ndi mitsempha yamkati. Zoopsazo ndizowonekeratu, komanso.
M'malo motupa mosasunthika kamene kamakanikiza mitsempha, vutoli lingakhale kupweteka kwa fupa m'manja, mwachitsanzo.
Kuonjezera apo, pokhapokha ngati kuwonongeka kuli kokha kwa nthambi yapamwamba, padzakhala kufooka kwa thupi. Pa thumbu, izi zimawonekera kwambiri mu minofu yomwe imachotsa chingwe chachikulu kuchoka pa chala choyamba, ngati kuti imatsanzira nyundo yosweka ya mfuti.
Kumvetsetsa Mitsempha ya Ulnar
Kuvulala kwa mitsempha ya ulnar pamene ikuyenda kuchokera pa khosi mpaka kumapazi anu kungayambitse kupweteka ndi kumangirira kumbali ya dzanja lanu, makamaka chala chanu chala ndi chala chaching'ono. Chitsanzo chimodzi ndi pamene mumasokoneza "fupa lamanyazi" ndipo mumamva ngati mukuwombera pansi.
Mofanana ndi mitsempha yamkati, mitsempha ya ulnar imatha kupanikizidwa, makamaka pamene imadutsa m'munsimu. Izi zikachitika, munthu amayamba matenda a chiberekero , zomwe zingayambitse kupweteka ndi kumangirira mu mphete ndi chala chaching'ono, komanso kufooka kwa minofu.
Kumvetsa Spinal Cord, Mitsempha ya Mitsempha, ndi Brachial Plexus
Mitsempha imathamanga kuchoka ku dzanja kupita kumanja, ndiyeno kumtunda wa msana. Monga misewu ikuyandikira mzinda wawukulu, magalimoto ochulukirapo (mu nkhaniyi ya magetsi) amalowerera pamene mukuyandikira kwambiri pakati pa ntchitoyi-ubongo. Mitsempha yomwe poyamba idali yosiyana kwambiri imayamba kuyendetsa mbali, kenako imatembenuka mu ubongo, malo omwe sichikulirapo kusiyana ndi thupi lanu, lomwe limatulutsa chidziwitso chonse pakati pa thupi ndi ubongo.
Pachifukwa ichi, pamene vuto liri pafupi kwambiri ndi ubongo, ndizowonjezera kuti zambiri zowonongeka zidzasokonezedwa, ngati magalimoto akunyamula pawayendedwe.
Musanalowe mumsewu wopita mumsewu wamtsempha, magetsi amatha kudutsa mumsewu wovuta kwambiri wotchedwa brachial plexus. Ngakhale n'zotheka kuti tizilonda tating'ono ting'onoting'ono tomwe timapanga thumba limodzi, sizingatheke, ndipo nthawi zambiri zimakhala zochepa kwambiri pamene chidziwitso chimalowa mu msana. Sizingatheke kuti ziwalo zina za thupi zikhale zofooka, koma kufooka kungakhale kotere.
Ndikoyenera kutchula zochepa zochepa ku ulamuliro. Zomwe zimagwiritsidwa ntchito ndi magalimoto zimagawanika mu msana, kuyambira pomwe mizu ya mitsempha imalowa. Mauthenga apamtunda amapita kumbuyo ndi kumvetsetsa zam'mbuyo kumbuyo kwa msana wamtsempha. Pachifukwa ichi, n'zotheka kukhala ndi chimfine chokhacho chifukwa cha chingwe chachingwe. Komabe, kupweteka kumeneko kumakhudza kwambiri kuchuluka kwa thupi.
Mayesero Kuti Ayesere Kukhala Wokongola ndi Kuwongolera
Mayesero omwe amalamulidwa nthawi zambiri amawunikira kupeza chifukwa chenicheni cha kufooka ndi kugwedeza, ndi cholinga chokhazikitsa ndondomeko yabwino yothandizira. Musamayembekezere kukhala ndi mayesero onsewa, koma ochepa chabe omwe angakhale othandiza payekha.
- Electromyography (EMG) kapena kuphunzira kafukufuku wamagulu (NCV) : Mayesowa amayesa ntchito ya mitsempha mmanja ndi miyendo yanu. EMG ndi mayeso omwe amagwiritsidwa ntchito pogwiritsa ntchito singano m'matumbo, pamene NCV imaphatikizapo kugwiritsa ntchito magetsi kumtundu ndikugwiritsa ntchito pang'ono. Mayesero onsewa amakhala osasangalatsa kwa masekondi angapo, koma anthu ambiri amatha kupirira mayesero popanda zovuta, ndipo sipangakhale kupweteka kapena kupwetekedwa otsalira pambuyo poyesedwa.
- Mwina mungafunikire kukhala ndi ubongo wa CT kapena ubongo wa MRI ngati mukutheka kuti kupweteka kapena kupweteka kumayambitsa matenda a stroke, multiple sclerosis, kupwetekedwa kwa mutu, ubongo wa ubongo, kapena matenda ena a ubongo.
- Kuwombera koyenera kumakhala kosafunika nthawi zambiri, ngati dokotala akuda nkhawa ndi matenda owonjezereka omwe amatchedwa Guillain-Barre Syndrome (GBS). GBS imadziwika ndi kufooka kwakukulu kwa miyendo, kutsata ndi kufooka kwa manja ndi kufooka kwa minofu ya thupi, kuphatikizapo minofu yomwe imalamulira kupuma. GBS nthawi zambiri zimayambira ndi zofooka zochepa kapena kugwedeza kwa mapazi kapena manja.
Popeza kuti poizoni, kufooka kwa zakudya, ndi matenda ena amatha kuwononga mitsempha yambiri, adokotala akhoza kulamula kuyesa magazi. Komabe, zikhalidwezi zimakhudza thupi lonse kamodzi, kotero zingakhale zachilendo kuti mbali imodzi ya thupi ikhale yovuta kwambiri kuposa ina.
Zitsanzo zimaphatikizapo poizoni wambiri ndi vitamini B12. Matenda a shuga komanso matenda a chithokomiro angayambitse matenda a m'mimba.
Mawu Ochokera
Nthaŵi zambiri, chimfine chaching'ono chimangobwera chabe chifukwa cha kupanikizika kwa mitsempha ya phokoso. Ngakhale zokhumudwitsa, sizili zoopsa, sizinapereke zizindikiro zina zowonetsera. Malingana ngati vutoli ndilo vuto lokhalo, palibe chithandizo chaukali kwenikweni chomwe chimafunidwa. Ngakhalenso chifukwa cha kupwetekedwa, madokotala sangapereke mankhwala popanda zizindikiro zina zowopsa kale. Magazi amphamvu amatha kuperekedwa chifukwa cha kupwetekedwa, koma izi zimapangitsa kuti ubongo umachoke mu ubongo, choncho umagwiritsidwa ntchito mosamala.
Ngati kusowa kwachabechabe kapena zala zanu kukupitirira, ndibwino kuti mupite kukaonana ndi dokotala wanu kuti mukayeseko, koma pokhapokha ngati pali zizindikiro zina zofooka kapena zadzidzidzi zomwe zilipo, sizikuwoneka kuti ndizidzidzidzi.
> Zotsatira:
> Azhary H, Farooq MU, Bhanushali M, Majid A, Kassab MY. Pulogalamu ya Mitsempha Yophatikiza Nthenda: Kusiyanasiyana kwa Umoyo ndi Kusamalira. American Family Physician . 2010 Apr 1; 81 (7): 887-92.
> Blumenfeld H. Neuroanatomy kupyolera m'zipatala zamkati (2rd ed.). Sinauer Associates, Inc .; 2011.