Plexopathy ea brachi

Brachial plexopathy ke mofuta oa pherekano ea methapo ea pelo. E etsahala ha ho na le tšenyo ho plexus ea brachial. Sena ke sebaka se lehlakoreng le leng le le leng la molala moo metso ea methapo e tsoang mokokotlong e arohanang methapo ea letsoho ka leng.

Tšenyo ea methapo ena e baka bohloko, ho fokotseha ha motsamao, kapa ho theola maikutlo letsohong le lehetleng.

Tšenyo ea plexus ea brachial hangata e tsoa ho tsoa kotsi e otlolohileng ho methapo, likotsi tse otlollang (ho kenyeletsoa le ts'oaetso ea pelehi), khatello ea lihlahala sebakeng seo (haholoholo ho tsoa lihlahala tsa matšoafo), kapa tšenyo e bakoang ke kalafo ea radiation.

Ho se sebetse ha plexus ea brachial le hona ho ka amahanngoa le:

• Liphoso tsa pelehi tse behang khatello molaleng
• Ho hlahisa chefo, lik'hemik'hale kapa lithethefatsi
• Anesthesia e tloaelehileng, e sebelisoang nakong ea ho buuoa
• Maemo a ho ruruha, joalo ka a bakoang ke vaerase kapa bothata ba boits'ireletso ba mmele

Maemong a mang, ha ho lebaka le ka tsejoang.

Matšoao a ka kenyelletsa:

• Boikutlo ba lehetla, letsoho kapa letsoho
• Mahlaba a mahetla
• Ho lla, ho cha, bohloko, kapa maikutlo a sa tloaelehang (sebaka se ipapisitse le sebaka se lemetseng)
• Bofokoli ba lehetla, letsoho, letsoho kapa letsoho

Ho hlahlojoa ha letsoho, letsoho le letsoho ho ka senola bothata ka methapo ea plexus ea brachial. Lipontšo li ka kenyelletsa:

• Ho holofala ha letsoho kapa letsoho
• Ho thata ho tsamaisa lehetla, letsoho, letsoho kapa menoana
• Ho fokotseha ha maikutlo a letsoho
• Ho senya mesifa
• Bofokoli ba ho fetoha ha letsoho

Nalane e qaqileng e ka thusa ho tseba sesosa sa plexopathy ea brachial. Lilemo le thobalano li bohlokoa, hobane mathata a mang a brachial plexus a atile haholo lihlopheng tse ling. Ka mohlala, bahlankana ba atisa ho ba le lefu la ho ruruha kapa la post-virus la brachial plexus le bitsoang Parsonage-Turner syndrome.

Liteko tse ka etsoang ho fumana boemo bona li ka kenyelletsa:

• Liteko tsa mali
• X-ray sefubeng
• Electromyography (EMG) ho lekola mesifa le methapo e laolang mesifa
• MRI ea hlooho, molala le lehetla
• Ho tsamaisa methapo ho hlahloba hore na matšoao a motlakase a feta kapele hakae methapong
• Bokooa ba methapo ea kutlo ho lekola sengoathoana sa methapo ka tlas'a microscope (e sa hlokahaleng hangata)
• Ultrasound

Kalafo e etselitsoe ho lokisa sesosa sa sesosa le ho u lumella ho sebelisa letsoho le letsoho ka hohle kamoo ho ka khonehang. Maemong a mang, ha ho hlokahale kalafo mme bothata bo ba betere ka bo eona.

Khetho ea kalafo e kenyelletsa e 'ngoe ea tse latelang:

• Meriana ea ho laola bohloko
• Phekolo ea 'mele ho thusa ho boloka matla a mesifa.
• Li-brace, maballo, kapa lisebelisoa tse ling ho u thusa ho sebelisa letsoho
• Sebaka sa methapo, moo moriana o kenngoang sebakeng se haufi le methapo ho fokotsa bohloko
• Ho buoa ho lokisa methapo kapa ho tlosa ntho e tobileng methapo

Kalafo ea mosebetsing kapa tlhabollo ho fana ka maikutlo a liphetoho mosebetsing li ka hlokahala.

Maemo a bongaka a kang lefu la tsoekere le lefu la liphio a ka senya methapo. Maemong ana, kalafo e boetse e lebisoa ho boemo ba mantlha ba bongaka.

Pholoso e ntle e ka khonahala haeba sesosa se khethiloe mme se phekoloa hantle. Maemong a mang, ho ba le tahlehelo e sa fellang kapa e felletseng ea motsamao kapa maikutlo. Bohloko ba methapo bo ka ba matla mme bo ka nka nako e telele.

Mathata a ka kenyelletsa:

• Ho holofala ha letsoho kapa letsoho, ho ba bonolo ho isa bohatong, ho ka lebisang ho likonteraka
• Karolo e fokolang kapa e felletseng ea letsoho
• Ho lahleheloa ke maikutlo ka mokhoa o sa fellang kapa o felletseng letsohong, letsohong kapa menoaneng
• Kotsi e etsahalang khafetsa kapa e sa hlokomeleheng letsohong kapa sephakeng ka lebaka la kutlo e fokotsehileng

Bitsa mofani oa hao oa tlhokomelo ea bophelo haeba u utloa bohloko, ho ba shohlo, ho hlohlona, ​​kapa ho fokola lehetleng, letsohong kapa letsohong.

Neuropathy - plexus ea brachial; Ho se sebetse ha plexus ea brachial; Lefu la Parsonage-Turner; Pancoast lefu

• Sisteme ea methapo e bohareng le methapo ea methapo

Chad DA, MP ea Bowley. Mathata a methapo ea methapo le li-plexuses. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 106.

Waldman SD. Cervicothoracic interspinous bursitis. Ka: Waldman SD, e hlophisitsoeng. Atlas of Syntr Pain Pain Syndromes. La 4 ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 23.