Thoracic kuburitsa chirwere

Thoracic outlet syndrome chinhu chisingawanzo chinosanganisira:

• Marwadzo mumutsipa nefudzi
• Unhu uye kurira kweminwe
• Kubata kushoma
• Kuzvimba kwechikamu chakakanganiswa
• Kutonhora kwenhengo yakabatwa

Iyo thoracic nzira yekubuda ndiyo nzvimbo iri pakati pembabvu necollarbone.

Tsinga dzinouya kubva kumuzongoza nemidzi mikuru yeropa yemuviri inodarika nepanzvimbo nhete pedyo nepafudzi rako necollarbone munzira inoenda kumaoko. Dzimwe nguva, panenge pasina nzvimbo yakakwana yekuti tsinga dzipfuure nepakati pekora uye nembabvu dzepamusoro.

Kumanikidza (kumanikidza) pane aya mitsipa yeropa kana tsinga zvinogona kukonzera zviratidzo mumaoko kana mumaoko.

Kushushikana kunogona kuitika kana iwe uine:

• Mbabvu yekuwedzera pamusoro pekutanga.
• Bhendi risina kujairika rakabatanidza musana nembabvu.

Vanhu vane chirwere ichi vanowanzo kukuvadza nzvimbo iyi munguva yakapfuura kana kunyanyisa fudzi.

Vanhu vane mitsipa mirefu uye mapfudzi akadonha vanogona kuita mukana wekukura nemamiriro aya nekuda kwekuwedzera kumanikidza kumitsipa uye tsinga dzeropa.

Zviratidzo zve thoracic outlet syndrome zvinogona kusanganisira:

• Marwadzo, chiveve, uye kurira mune pinky uye mhete minwe, uye mukati memukati
• Marwadzo uye kurira mumutsipa nemapfudzi (kutakura chinhu chinorema kunogona kuita kuti marwadzo awedzere)
• Zviratidzo zvekushomeka kwekutenderera muruoko kana ruoko rwemberi (bhuruu bhuruu, maoko anotonhora, kana ruoko rwakazvimba)
• Kushaya simba kwetsandanyama dziri muruoko

Anokuchengetedza hutano achakuongorora obvunza nezve nhoroondo yako yezvokurapa nezviratidzo.

Iyi bvunzo inotevera inogona kuitwa kusimbisa kuongororwa:

• Electromyography (EMG)
• CT angiogram
• MRI
• Tsinga conduction velocity kudzidza
• X-ray

Kuyedza kunoitwawo kutonga kunze mamwe matambudziko, senge carpal tunnel syndrome kana tsinga yakakuvadzwa nekuda kwematambudziko ari mumutsipa.

Kurapa kwepanyama kunowanzo shandiswa kurapa thoracic outlet syndrome. Inobatsira:

• Simbisa mapfudzi ako
• Natsiridza yako renji yekufamba mubendekete
• Kurudzira zvirinani mamiriro

Mupiki wako anogona kupa mushonga wekurwadziwa.

Kana paine kumanikidza pane mutsinga, mupi wako anogona kukupa iro rinotetepa reropa kudzivirira ropa rinovhara.

Iwe ungangoda kuvhiyiwa kana kurapwa kwemuviri uye shanduko mune chiitiko zvisinga gadzirise zviratidzo zvako. Chiremba anovhiya anogona kucheka kana pasi pehapwa yako kana pamusoro pekora rako chete.

Panguva yekuvhiyiwa, zvinotevera zvinogona kuitwa:

• Imwe mbabvu inobviswa uye dzimwe mhasuru dzinochekwa.
• Chikamu chembabvu yekutanga chinobviswa kuti chiburitse kumanikidza munzvimbo.
• Kuvhiya kweBypass kunoitwa kudzosera ropa parutivi rwekumanikidza kana kubvisa nzvimbo iri kukonzera zviratidzo.

Chiremba wako anogona zvakare kuratidza dzimwe nzira, kusanganisira angioplasty, kana tsinga yacho yakadzikira.

Kuvhiya kubvisa iyo yekuwedzera mbabvu uye kuputsa yakasimba fiber mabhendi anogona kurerutsa zviratidzo mune vamwe vanhu. Vamwe vanhu vane zviratidzo zvinodzoka mushure mekuvhiyiwa.

Matambudziko anogona kuitika chero nekuvhiya, uye zvinoenderana nerudzi rwemaitiro uye anesthesia.

Njodzi dzakabatana nekuvhiya uku dzinosanganisira:

• Kukuvadza kune tsinga kana tsinga dzeropa, zvichikonzera kushaya simba kwemhasuru
• Lung kudonha
• Kukundikana kubvisa zviratidzo

• Thoracic nzira yekubuda

Kuzadza AG. Brachial plexus nerve inopinda uye thoracic kuburitsa syndromes. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 250.

Osgood MJ, Lum YW. Thoracic outlet syndrome: pathophysiology uye kuongorora kuongororwa. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 120.