I-plexitis ye-obstetric ibhekisela ekudakaleni kokuzalwa futhi imelela umonakalo ohlangothini lwehlombe. Utholakala ezinsheni ezimbili ezivela ku-1 000, ikakhulukazi ezisebenza isikhathi eside, eziqhubekayo, ezihambisana nokuphazamiseka kokufakelwa.
Kwenzeka kanjani futhi nini?
I-Plexitis yenhlanganisela yamahlombe ezinsana izakhiwa ngenxa yesimo sayo esingalungile esibelethweni, ngenxa yokuthi yikuphi ukulethwa kunzima noma akunakwenzeka. Kulesi simo, isazi sezidakamizwa sichitha isibambo se-fetus bese sichitha ekupheleni kwekhanda nge-forceps. Ngenxa yalokho, ukunqwabelana kwe-plexus ye-brachial kwenzeka ngenxa yokuphambuka kwekhanda yi-obstetrician kwesinye noma esinye isiqondiso.
Njengomthetho, asikwazi ukuveza kuphela isizathu esisodwa sokukhubazeka kokuzalwa, ngoba kunwetshwa ngokweqile kwemizwa kanye nokucindezela kwabo ekufakweni kwamathambo enqubo yokubeletha.
Kanti futhi, i-plexitis ejwayelekile ingenzeka ngenxa yokudonsa isibambo sesithelo phezulu, ngemuva kwekhanda. Ngenxa yalokho, kanyekanye nokwehlukaniswa kwe-plexus ye-brachial, ukucindezeleka kwenzeka phakathi kwekhanda lehlombe, i-clavicle kanye nezinqubo ezithintekayo ze-vertebrae engezansi yomgogodla womlomo wesibeletho.
Uma-ke, uma ingane ishiya amahlombe amabili ngesikhathi sokubeletha, i-plexitis emntwaneni osanda kuzalwa ibangelwa ukucindezelwa kwe-plexus ye-brachial ne-clavicle ne-humerus. Lolu hlobo lokulimala kokuzalwa luvame ukuphindwe kathathu kaningi ngekhanda kunokuba ne-gluteal.
Ngokwenzokwelapha, kunezinhlobo ezintathu ze-plexitis ye-joint joint, ehluke phakathi kwabo kulezo zingxenye ezahlukene ze-plexus ye-brachial.
Izimpawu
I-Plexitis yenhlanganisela yamahlombe, ebhekwe ezinsana ezisanda kuzalwa, inezibonakaliso ezibonakala kahle. Isibonakaliso sangempela salesi sifo ukuthi isibambiso silele singasondeli eduze kwesiqu, futhi ihlombe lijikelezwe ngaphakathi. I-forearm ayi-unbent. Isundu sibheke phezulu. Ngokuvuselela okubuhlungu kwalesi sandla, akukho mpendulo yokusabela ngezimoto. Ukunyakaza okunamandla kwesandla kwenziwa ngokukhululekile. Uma kwenzeka kokubili ukunyakaza kwezinyathelo ezingasebenzi futhi okusebenzayo kungavinjelwa, umuntu angacabanga ukuthuthukiswa kokubizwa ngokuthi ukukhubazeka kwesandla somntwana osanda kuzalwa. Kwenzeka ngenxa yokuphuka kwe-humerus noma i-epiphyolysis yehlombe. Ukukhubazeka kokukhubazeka akuvamile.
Ku-plexitis yenhlanganisela yamahlombe, kuhlaba ngokucacile ukuthi engalweni ewonakele kukhona ukwehla okuphawulekayo kwezwi le-musculature yemisipha.
Ukwelapha
Ukwelashwa kwe-plexitis ezinsana kuqhutshwa ngendlela efanayo nabantu abadala. Qala kusukela emavikini okuqala empilo yomntwana. Izingane eziye zafinyelela eminyakeni yobudala zonyaka zithola ukwelashwa okubuyiselwayo.
Ukwelashwa okungahambi kahle kwesifo esinjalo kungaholela ekuthuthukiseni izivumelwano. Kulesi simo, isixazululo kuphela sizoba usizo lokuhlinza.
Ukwelashwa kwe-plexitis yenhlanganisela yamahlombe kuyinkqubo ende. Ngokuvamile kuhlanganisa:
- ukuvivinya umzimba;
- i-electrostimulation;
- i-drug electrophoresis;
- ukwelashwa okushisa (ama-parafini okugeza).
Futhi, nge-plexitis, ukuxilonga kuboniswa. Izingane ezineminyaka engaphezu kwengu-3 zivame ukwelapha ukuphazamiseka kwe-plexus ye-brachial. Ukuze wenze lokhu, i-electrode engu-1 ifakwa kwi-plexus ye-brachial, kanti eyesibili - esihlakaleni. Kuphelele, kuze kube ngu-10-12 izinqubo ezinjalo zenziwa.
Ukwelashwa okusebenzayo kwe-shoulder plexitis kwenziwa ezinganeni eminyakeni yokuqala engu-5-7 yokuphila.
Ngakho-ke, i-plexitis ye-joint joint isifo esiyinkimbinkimbi kakhulu, esidinga ukwelashwa okuyinkimbinkimbi nesikhathi eside.