I-Radial Nerve: I-Peripheral Upper Extremity

I-plexus ye-brachial yinethiwekhi yemithambo-luvo eqala kumqolo wesibeleko/intamo kwaye ihambe ihla i-cervicoaxillary umjelo kwikhwapha. Ukwenziwa kwindawo yegxalaba ekudibaneni kwesebe le-brachial plexus, I-nerve ye-radial isuka ezantsi ingalo, ngokudibanisa i-elbow, ukuya kwi-forearm, ngaphesheya kwesihlahla, kunye neengcebiso zeminwe. Imithambo-luvo ichaphazeleka kukwenzakala okunokubangela ukusebenza okungaqhelekanga okukhokelela kwiimvakalelo ezingaqhelekanga kunye nokungasebenzi kakuhle kwezihlunu.

Umtya wemithambo

Enye yemithambo-luvo enkulu yecala eliphezulu.

• Kukho i-brachial plexus enye kwicala ngalinye lomzimba ethwala imithambo-luvo kwingalo nganye.
• I-nerve ye-radial inemisebenzi emibini emikhulu.
• Enye kukunika iimvakalelo ezandleni, kwiingalo, ezingalweni nakwiminwe.
• Enye kukuhambisa imiyalezo kwizihlunu malunga nexesha lokudibana.

Umsebenzi weMoto

• I-nerve ye-radial idlulisela imiqondiso kwizihlunu ezingasemva kwengalo kunye ne-forearm xa kufuneka ifinyeze.
• Abantu abanomsebenzi ongaqhelekanga we-radial nerve banokufumana ubuthathaka bemisipha kunye neempawu ezinje ukuwa kwesihlahla.
• Ukuwa kwesandla kwenzeka xa izihlunu ze-forearm zangasemva azikwazi ukuxhasa isandla, okubangela ukuba umntu abambe i-wrist kwi-posture eguquguqukayo.
• Ukusebenza okungaqhelekanga kwe-nerve ye-radial kunokubangela iimpawu ze-numbness okanye ukubetha ngasemva kwesandla.

Conditions

Iimeko ezinxulumene ne-nerve ye-radial ziquka ukukrala, ukuqhawuka, ukuphuka, kunye nokukhubazeka.

Ukuphazamiseka kweNerve

• Uqhankqalazo ludla ngokubakho ngenxa yomonzakalo wamandla angacacanga anokuthi atyumze kwaye atyumze indawo yemithambo-luvo.
• Oku kubangela ukungaqhelekanga okanye ukungabikho komsebenzi.
• I-nerve contusion ingenzeka kumntu, umsebenzi, okanye ukulimala kwezemidlalo okanye ezinye iimeko ezivelisa uxinzelelo olunamandla kwi-nerve / s.

IiNerve Lacerations

• Inxeba lenzeka xa kukho ukwenzakala okugqobhozayo okusika kunye/okanye ukuqhawula umthambo.
• Le nzakala inokuthi yenzeke kumanxeba ahlatywayo okanye inqunywe ngeglasi ephukileyo, isinyithi, njl.

Izahlulo

• Amathambo aphukileyo angaphezulu angakhokelela kumonakalo owandisiweyo kwimithambo-luvo kufuphi nethambo elonakeleyo.
• Olona hlobo luqhelekileyo lokuphuka olunxulumene nokungasebenzi kakuhle kwe-nerve ye-radial kukuphuka kwithambo le-humerus.
• I-nerve igoqa ngokuqinileyo kwi-humerus kwaye inokulimala ngokuphuka.
• Uninzi lwamanxeba anxulumene nokuqhekeka kwe-radial nerve aphilisa ngokwawo kwaye ayifuni utyando.
• Nangona kunjalo, indlela yokulimala ephilisayo ingaba ngumahluko phakathi komsebenzi oqhelekileyo kunye neentlungu ezingapheliyo.

I-Crutch Palsy

• I-crutch palsy luxinzelelo lwemithambo-luvo ekwikhwapha olubangelwa kukusebenzisa iintonga ngendlela engafanelekanga.
• Ukuze asebenzise iintonga ngokufanelekileyo, umntu ngamnye kufuneka axhase ubunzima bomzimba wakhe ngezandla.
• Nangona kunjalo, abaninzi bavame ukubeka uxinzelelo malunga ne-armpit phezulu kwi-crutch, kubangela ukucaphuka kwi-nerve kuloo ndawo.
• Ukukhwela phezulu kweentonga kunye nokusebenzisa ifom efanelekileyo kunokuthintela imeko.

NgoMgqibelo Night Palsy

• NgoMgqibelo ebusuku ndikhubazekile ngumsebenzi ongaqhelekanga we-nerve ye-radial emva kokulala kwindawo ebangela uxinzelelo oluthe ngqo kwi-nerve.
• Oku kaninzi kwenzeka xa umntu elala ebeke ingalo yakhe phezu kwe-armrest esitulweni.
• Igama livela xa abantu benxilile kwaye balala kwindawo engeyiyo ibhedi kunye neendawo ezingathandekiyo.

impatho

Ukulimala kwe-nerve kudla ngokubangela iimpawu kwiindawo ezahlukeneyo ngaphandle kwalapho umonakalo we-nerve ukhona, unzima ukuxilongwa. Ukumisela indawo ethile yomonakalo we-nerve yinyathelo lokuqala ekuphuhliseni isicwangciso sonyango esifanelekileyo. Emva kokuba indawo ichongiwe, amanyathelo anokuthathwa ukuze kuthintelwe umonakalo ombi kwi-nerve.

• Injongo kukunciphisa uxinzelelo olusuka ekucaphukeni okanye ekucinezeleni.
• Unyango lweChiropractic inokuphelisa iimpawu kwaye ibuyisele ukusebenza ngoku:
• I-massage yokukhulula indawo kunye nokwandisa ukujikeleza kwegazi.
• Ukunciphisa ukubuyisela ukulungelelaniswa komzimba.
• Uhlengahlengiso lokubuyisela ukulinganisela komzimba.
• Ukuzivocavoca kunye nokwelula ukugcina unyango, ukuqinisa imisipha, kunye nokukhusela ukulimala.
• Kwiimeko apho kukho umonakalo wesakhiwo, utyando lunokufuneka ukususa uxinzelelo okanye ukulungisa umonakalo.

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Kulumkele Utyando

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Ucaphulo

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Barton, N J. "Izilonda zemithambo-luvo." Isandla vol. 5,3 (1973): 200-8. doi:10.1016/0072-968x(73)90029-6

UDaly, uMichael, kunye noChris Langhammer. "I-Radial Nerve Injury kwi-Humeral Shaft Fracture." Iiklinikhi ze-Orthopedic zaseMntla Melika vol. 53,2 (2022): 145-154. doi:10.1016/j.ocl.2022.01.001

DeCastro A, Keefe P. Wrist Drop. [Ihlaziywe 2022 Jul 18]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK532993/

Eaton, CJ, kunye noGD Lister. "Uxinzelelo lwe-radial nerve." Iiklinikhi zezandla vol. 8,2 (1992): 345-57.

IGlover NM, uMurphy PB. I-Anatomy, iGxala kunye neLungu eliPhezulu, iNerve yeRadial. [Ihlaziywe ngo-2022 ngo-Agasti 29]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK534840/

Ljungquist, Karin L et al. "Ukulimala kwemithambo yemitha." Ijenali yotyando lwesandla vol. 40,1 (2015): 166-72. doi:10.1016/j.jhsa.2014.05.010

UWęgiel, uAndrzej, kunye nabanye. "Uxinzelelo lwe-nerve yeRadial: umbono we-anatomical kunye neziphumo zeklinikhi." Uphononongo lwe-Neurosurgical vol. 46,1 53. 13 Feb. 2023, doi:10.1007/s10143-023-01944-2