Isizathu sokulahlekelwa ngamakhono ajwayelekile okusebenza ngamandla ngengalo eyodwa, kufaka phakathi ukujula nokwandiswa kwamalunga, ukwehla kobuzwe bayo kungaba yi-Erba-Duchesne paresis. Lezi zifo zaqala ukuchazwa ngo-1872 yizinzwa ezimbili ze-neurologists ezivela eFrance naseJalimane, ogama lawo labizwa ngokuthi ukukhubazeka. Ngokuvamile kwenzeka ezinsana, kuba ukulimala kwe-obstetric, kodwa ngezinye izikhathi kutholakala futhi sekukhulile.
I-Erba-Duchesne paresis ivela kanjani kubantu abadala?
Ngokujwayelekile isifo esichazwe yisisusa somonakalo omkhulu owenziwe ngesandla. Kubantu abadala, i-paresis ye-trunk engenhla ye-shoulderba ye-Erba-Duchesne ingaba ngezizathu ezilandelayo:
- ukulimaza okunzima entweni eqinile immobile;
- wehla kusuka ukuphakama kuya esandleni;
- isilonda esijulile esinqunyiwe esifundeni se-plexus ye-brachial;
- hit into enzima ehlombe (phezulu);
- isibhamu sokulimala;
- Ukwelula okukhulu kwengalo (ukudonsa ngesandla).
Ngokumelene nesizinda salokhu kulimala, ukuqhuma okuyingxenye noma okuphelele kwesigamu esiphezulu se-plexus brachial kwenzeka.
Ukwelashwa kwe-paresis ka-Erba-Duchesne
Ukwelashwa kwe-pathology okucatshangelwayo kunikeza:
1. Ukungaxoshwa kwesandla ngesondo elikhethekile.
2. Ukwelapha izidakamizwa:
- abaphulukisi;
- anti-inflammatory;
- antispasmodics ;
- anticholinesterase izidakamizwa;
- izidakamizwa ezithuthukisa imetabolism ezicubu zezinzwa;
- ukuvuselela kanye neminye imithi.
3. I-Physiotherapy:
- isibani sikaSollux;
- i-electrostimulation;
- Iziphetho ze-UHF;
- i-electrophoresis;
- izicelo ze-ozocerite;
- i-paraffinotherapy .
4. Ukuzibulala.
5. Ukuzivocavoca kwezokwelapha.
6. I-Reflexotherapy.
Uma kungabikho izinguquko ezinhle ngenxa yokwelapha okulindelekile, isiguli sithunyelwa ku-neurosurgeon ukucabangela ukuthi kungenzeka ukungenelela kokusebenza.
Imiphumela yeDuchesne-Erba paresis
Ezimweni eziningi, kungenzeka ukuba ubuyekeze ngokuphelele umsebenzi wesolo elimele futhi ubuyisele ukuhamba kwawo, ikakhulukazi ngokuhlukana okuyingxenye ye-plexus ye-brachial. Ukukhubazeka kubonakala kungavamile, njengoba umthetho, uma ukwelashwa okwanele kungakenziwa.