Thoracic outlet syndrome

Thoracic outlet syndrome ke boemo bo sa tloaelehang bo kenyeletsang:

• Bohloko molaleng le lehetleng
• Ho ba lerootho le ho hlohlona ha menoana
• Tšoaro e fokolang
• Ho ruruha ha leoto le amehileng
• Ho bata hoa leoto le amehileng

Sebaka sa thoracic ke sebaka se pakeng tsa ribcage le collarbone.

Metsing e tsoang mokokotlong le methapo e meholo ea mali ea 'mele e feta sebakeng se moqotetsane haufi le lehetla la hao le molaleng tseleng e eang liphakeng. Ka linako tse ling, ha ho na sebaka se lekaneng hore methapo e fete ka molala le likhopo tse kaholimo.

Khatello (compression) methapong ena ea mali kapa methapong e ka baka matšoao matsohong kapa matsohong.

Khatello e ka etsahala haeba o na le:

• Khopo e eketsehileng kaholimo ho ea pele.
• Sehlopha se thata se sa tloaelehang se kopanyang mokokotlo le likhopo.

Batho ba nang le lefu lena hangata ba kile ba lematsa sebaka seo nakong e fetileng kapa ba sebelisa lehetla hampe.

Batho ba nang le melala e melelele le mahetla a lepeletseng ba ka ba le monyetla oa ho hlaolela boemo bona ka lebaka la khatello e eketsehileng methapong le methapong ea mali.

Matšoao a lefu la thoracic outlet syndrome a ka kenyelletsa:

• Bohloko, ho ba shohlo, le ho hlohlona ka menoana e pinki le lesale, le sephakeng sa kahare
• Bohloko le ho hlohlona molaleng le mahetleng (ho jara ntho e boima ho ka mpefatsa bohloko)
• Matšoao a tsamaiso e mpe ea letsoho kapa forearm ('mala o boputsoa, ​​matsoho a batang, kapa letsoho le ruruhileng)
• Bofokoli ba mesifa e letsohong

Mofani oa hao oa tlhokomelo ea bophelo o tla u hlahloba mme a botse nalane ea hau ea bongaka le matšoao a hau.

Liteko tse latelang li ka etsoa ho netefatsa phumano:

• Electromyography (EMG)
• CT angiogram
• MRI
• Boithuto ba velocity ea methapo
• X-ray

Liteko li boetse li etsoa ho felisa mathata a mang, joalo ka lefu la carpal tunnel kapa methapo e senyehileng ka lebaka la mathata a molaleng.

Kalafo ea 'mele e sebelisoa khafetsa ho phekola lefu la thoracic outlet syndrome. E thusa:

• Etsa mesifa ea hao ea mahetla e be matla
• Ntlafatsa tsela eo u tsamaeang ka eona lehetleng
• Khothaletsa boemo bo botle ba 'mele

Mofani oa hau a ka fana ka moriana oa bohloko.

Haeba ho na le khatello mothapong, mofani oa hau a ka u fa tšesaane ea mali ho thibela mali.

U kanna ua hloka ho buuoa haeba kalafo ea 'mele le liphetoho mesebetsing li sa ntlafatse matšoao a hau. Ngaka e buoang e ka itšeha ka tlasa letsoho la hao kapa ka holim'a molaleng oa hau.

Nakong ea ts'ebetso, ho ka etsoa tse latelang:

• Khopo e eketsehileng ea tlosoa 'me mesifa e itseng ea pongoa.
• Karolo ea khopo ea pele e tlosoa ho ntša khatello sebakeng seo.
• Ho etsoa opereishene ea Bypass ho etsoa ho nchafatsa mali ho potoloha kapa ho tlosa sebaka se bakang matšoao.

Ngaka ea hau e kanna ea fana ka tlhahiso ea mekhoa e meng, ho kenyeletsoa angioplasty, haeba mothapo o patisane.

Ho etsa opereishene ea ho tlosa khopo e eketsehileng le ho khaola lihlopha tse thata tsa fiber ho ka fokotsa matšoao ho batho ba bang. Batho ba bang ba na le matšoao a khutlang kamora ho buuoa.

Mathata a ka hlaha ka ts'ebetso efe kapa efe, mme a ipapisitse le mofuta oa ts'ebetso le thethebatso.

Likotsi tse amanang le ts'ebetso ena li kenyelletsa:

• Tšenyo ea methapo kapa methapo ea mali, e bakang bofokoli ba mesifa
• Lung ea putlama
• Ho hloleha ho kokobetsa matšoao

• Anatomy ea Outlet ea Thoracic

Tlatsa AG. Brachial plexus methapo ea methapo le li-syndromes tsa thoracic. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 250.

Osgood MJ, Lum YW. Thoracic outlet syndrome: pathophysiology le tlhahlobo ea tlhahlobo. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 120.