Olina okuziyira oba obunafu mu kigere? Ka tuyige ku (Obuvune bw'obusimu bw'omu lubuto)!

Wali owuliddeko ng’owunyiriza, okulumwa oba okukaluubirirwa okusitula engalo zo oba enkizi mu kigere kyo ekya wansi, wansi w’okugulu? Oba owulira ng’ekigere kyo kikusika ku ttaka ng’otambula? Ebintu bino oluusi biyinza okuva ku buzibu bw’obusimu mu kigere kyaffe. Embeera emu ng'ezo eyitibwa obuvune bw'obusimu obuyitibwa peroneal nerve injury . Kino ka twogere mu bujjuvu katono leero, nedda?

Buno Obuvune bw’obusimu bw’omubiri (Peroneal Nerve Injury) kye ki?

Mu ngeri ennyangu, obulwadde bw’obusimu obuyitibwa peroneal neuropathy buba buzibu bw’obusimu bwo obwa bulijjo obw’omu lubuto . Obusimu buno bwe buleeta okuwulira mu maaso n’ebbali w’amagulu go. Era busimu bwe bumu obukuyamba okusitula engalo n’enkizi.

Teebereza, singa wabaawo ekintu ekyonoona obusimu buno, oyinza okuzirika, okuwunya, okulumwa oba okunafuwa mu magulu go. Oluusi, oyinza n'okufuna embeera eyitibwa "okutonnya kw'ebigere." Kino kitegeeza nti tosobola kusitula kugulu kwo waggulu okuva ku kisambi. Olwo, olina okusika ekigere kyo ku ttaka ng’otambula. Kino tekinyiiza katono?

Obusimu obuyitibwa peroneal nerve busangibwa butya mu mubiri gwaffe?

Kiba nga "waya" entono munda mu mibiri gyaffe. Obusimu obuyitibwa peroneal nerve butandikira waggulu ku bisambi byaffe, awali eggumba ly’ekisambi ne glutes, okumpi n’obusimu obunene obuyitibwa sciatic nerve. Okuva awo, eddukira wansi emabega w’ekisambi kyo, n’ekyuka n’ekka mu maaso g’okugulu ng’okugulu kwo kugoloddwa, n’oluvannyuma n’edduka okutuukira ddala ku bigere.

Kati laba, obusimu buno bwawukana mu matabi amalala abiri okumpi n’okugulu .

Enjawulo wakati w’obusimu obuwanvu n’obw’okungulu obw’omu lubuto

Amatabi gano abiri ge gano:

1. Deep peroneal nerve : Buno buddukira wansi munda mu kigere, waggulu w’eggumba lyo ery’enkizi. Kifuga enkola y’ekigere kyo eky’omunda naddala ekigere kyo ekinene n’ekigere ekyokubiri.

2. Obusimu obuyitibwa superficial peroneal nerve : Buno buddukira ebweru w’ekigere. Kiwa okuwulira ku bitundu bibiri ku bisatu eby’ebweru eby’ekigere n’eky’okungulu ky’ekigere. Era ayamba okufuga engalo endala zonna.

Otegedde obusimu buno bwe buli obukulu?

Ani asinga okulwala embeera eno?

Omuntu yenna asobola okulwala obusimu obuyitibwa peroneal nerve damage. Wabula abantu abalina embeera z’obulamu ezimu oba obuvune bali mu bulabe bwa maanyi okubufuna. Okugeza nga:

• Obulwadde bw’okwetamwa okulyaEmbeera z'obulamu bw'obwongo ezikwatagana n'emmere, nga ``Anorexia nervosa''.
• Endwadde z’obusimu ez’ensikirano nga Charcot- Marie -Obulwadde bw’amannyo.
• Embeera z’okuzimba mu mubiri, gamba ng’endwadde z’enkizi oba lupus .
• Obuvune mu kugulu oba enkizi.
• Body mass index ( BMI ) ntono nnyo, ekitegeeza nti ya bantu abagonvu.
• Ku abo abalina ssukaali ow'ekika eky'okubiri .

Tekikoma awo, bw’oba ​​omuntu asala amagulu buli kiseera ng’amaviivi go gafukamidde, oba ng’okugulu kwo kuli mu cast, oba ng’oli muntu amala ebiseera bingi mu buliri (bed rest), era oba mu bulabe obutono.

Biki ebivaako obuzibu mu busimu obuyitibwa peroneal nerve disorders?

Ebiseera ebisinga, ebizibu bino eby’obusimu biva ku buvune obw’amaanyi ku kugulu, okugulu oba enkizi. Ebika by’obuvune bino mulimu:

• Okumenya enkizi.
• Fibula fracture kwe kumenya eggumba eddene eriri emabega w’ekigere, fibula .
• Okugulu okukutuka.
• Okumenya okugulu .

Okusingira ddala, jjukira nti singa okutuka okugulu, oba mu bulabe bwa maanyi nnyo obw’okukosebwa obusimu bw’omubiri (perioneal nerve damage). Kiteeberezebwa nti abantu nga babiri ku buli bataano abasekula okugulu bajja kufuna okwonooneka kuno okw’obusimu.

Oluusi, embeera eno era esobola okubaawo oluvannyuma lw’okulongoosebwa, gamba ng’okukyusa okugulu oba okukyusa ekisambi .

Obuzibu buno tebusobola kubaawo olw’obubenje buno bwokka, naye era n’olw’obusimu obuyitibwa peroneal nerve bunyigirizibwa . Ebintu ebiyinza okuleeta okunyigirizibwa kuno bye bino:

• Okutondebwa kw’ekizimba ky’omusaayi.
• Okusuula amagulu okunywezeddwa.
• Okutondebwa kw’ekizimba mu kitundu ekyo.

Bubonero ki obulaga obuzibu buno?

Obumu ku bubonero obusinga okulabika ng'obusimu bw'omu kifuba okwonooneka y'embeera eyitibwa "okutonnya kw'ebigere." "Foot drop" nkola ya ntambula eyeetongodde ebaawo ng'otambula. Kino kitegeeza nti tosobola kufukamira enkizi yo okuteeka ekigere mu maaso. Wabula olina okusitula okugulu okumu waggulu okusinga okulala okusobola okusitula ekigere okuva ku ttaka. Kiwulira ng’ekigere kyo kisika ku ttaka. Kino kyangu okukuleetera okwesittala n’okugwa.

Obubonero obulala bwe buno:

• Obutasobola kutambuza kigere.
• Obutasobola kufukamira bigere oba enkizi waggulu (abasawo kino bakiyita `dorsiflexion`).
• Okufiirwa okuwulira mu kitundu eky’okungulu eky’ekigere oba enkizi.
• Obulumi mu kigere oba ekigere ekya wansi.

Bw’oba ​​olina obubonero buno, kirungi okugenda ew’omusawo amangu ddala nga bwe kisoboka.

Ddala omusawo azuula atya kino?

Bw’ogenda ew’omusawo , bajja kusooka kwekebejja ekigere n’okubuuza ku bubonero bwo. Olwo, bayinza okukola ebigezo eby’enjawulo okukakasa embeera entuufu.

• Okukebera ebifaananyi : Mu bino mulimu okukebera nga CT scan , ultrasound oba MRI .
• Magnetic resonance (MR) neurography: Kino kigezo kya njawulo ekya MRI ekikozesebwa okufuna ekifaananyi ekirungi eky’obusimu.
• Electromyogram (EMG ): Kino kitunuulira engeri ebinywa byo gye biddamu okusikirizibwa kw’obusimu.
• Okunoonyereza ku busimu obutambuza obusimu : Kino kipima amangu n’engeri ebiwujjo by’amasannyalaze gye bitambulamu ku busimu bwo.

Oluvannyuma lw’okukeberebwa kuno, omusawo asobola okukubuulira ddala oba olina obusimu obuyitibwa peroneal nerve damage oba ekizibu ekirala.

Okwonooneka kw’obusimu obuyitibwa peroneal nerve kujjanjabwa kutya?

Obujjanjabi businziira ku busimu obukosebwa we buli n’obuzibu bwe buli. Ebiseera ebisinga, abasawo batandika n’obujjanjabi obutali bwa kulongoosa.

Obujjanjabi obutali bwa kulongoosa

• Ebintu ebiyingiza engatto : Bino biyitibwa ebisiba , ebisiba oba ebisiba engatto . Bino bisobola okukuyamba okutambula obulungi ne bw'oba olina "foot drop."
• Obujjanjabi bw’omubiri : Kino kizingiramu okukola dduyiro okwongera amaanyi g’ekigere kyo n’okutambula kw’osobola okutambuza obulungi ekigere.
• Okutendekebwa mu ntambula : Kino kikutendeka engeri y'okutambulamu obulungi nga tolina "foot drop".

Obujjanjabi obw’okulongoosa

Mu mbeera ezimu naddala singa obusimu bunyigirizibwa nnyo oba nga bwonoonese, omusawo ayinza okukuwa amagezi okulongoosebwa. Mu kiseera ky’okulongoosebwa, oyinza okusobola:

• Okumalawo puleesa ku busimu we bunyigirizibwa.
• Okuddaabiriza obusimu obwonooneddwa.
• Singa obusimu bwonoonese nnyo, busobola okuddamu okuzimbibwa nga tukozesa ebitundu by’obusimu ebigaba okuva mu muntu omulala.

Oyinza otya okukendeeza ku bulabe bw’okufuna obuzibu obw’ekika kino?

Tewali ngeri yonna gye tuyinza kuziyiza ddala busimu bwa peroneal okwonooneka. Kyokka waliwo ebintu by’oyinza okukola okukendeeza ku bulabe bw’okufuna ebizibu eby’amaanyi:

• Weewale okusala amagulu nga bwe kisoboka naddala ku kugulu.
• Kendeeza ku mirimu egiteeka puleesa ku maviivi naddala ku mabbali oba emabega w’amaviivi.
• Bw’ofuna obuvune oba okuziyira mu kigere, laba omusawo mu bwangu.

Bw’ofaayo ku bintu bino ebitonotono, osobola okwewala ekizibu ekinene.

Kiki ky’oyinza okusuubira singa oba olina obusimu bw’omubiri (perioneal nerve damage)?

Okuwona kisinziira ku buvune we buli n’obuzibu bwe buli. Ku bantu bangi, obujjanjabi obutali bwa kulongoosa bukendeeza nnyo ku bubonero, oluusi n’okubumalawo ddala.

Naddala bw’oba ​​olina embeera eno oluvannyuma lw’okulongoosebwa okugulu kwonna , otera okuwona ddala. Wabula singa embeera eno yabaddewo olw’okugulu okuseeseetula, emikisa gy’obubonero okubula ddala giba mitono katono. Naye teweeraliikiriranga, obujjanjabi bujja kukuwa obuweerero.

Kitwala bbanga ki okuwona oluvannyuma lw’okulongoosebwa?

Bw’oba ​​olongooseddwa olw’obuvune ku busimu bw’omubiri (peroneal nerve injury), obudde bw’okuwona buyinza okwawukana. Mu budde obutuufu, ojja kwetaaga okussa ekkomo ku mirimu gyo mu wiiki mukaaga ezisooka ng’omaze okulongoosebwa. Oluvannyuma lwa wiiki mukaaga, osobola okwongera ku mirimu gyo mpolampola. Ebiseera ebisinga kitwala emyezi nga esatu oba ena okudda engulu mu bujjuvu.

Kiki ekirala ky’oyagala okubuuza omusawo?

Bw’ogenda okulaba omusawo, kiba kirungi n’obuuza ebibuuzo bino:

• Ensonga ki esinga okunviirako okulwala obuzibu buno obw’obusimu obuyitibwa peroneal nerve disorder?
• Bujjanjabi ki bwe nnina?
• Kiki ekiyinza okubaawo singa kino sifuna bujjanjabi?
• Kiki kye nnyinza okukola okutangira kino obutaddamu kubaawo?

Kikulu nnyo ggwe okumanya ebintu bino.

Mbeera ki endala ez’obusimu ezirina obubonero obufaananako bwe butyo?

Waliwo embeera z’obusimu ezimu eziyinza okuleeta obubonero obufaananako n’obulwadde bw’obusimu obuyitibwa peroneal neuropathy. Eno y’ensonga lwaki omusawo ajja kukukebera mu bujjuvu okuzuula oba olina obulwadde bw’obusimu obuyitibwa peroneal neuropathy oba ekintu ekirala kyonna.

Embeera ezimu ezirina obubonero obufaanagana ze zino:

• ALS (Obulwadde bw’okusannyalala mu bitundu by’omubiri ebiyitibwa Amyotrophic lateral sclerosis - ALS) .
• Herniated disk (disiki ewunya mu mugongo) .
• Obulwadde bw’okuzimba omubiri (multiple sclerosis).
• Obulwadde bwa Parkinson

N’olwekyo, bw’owulira ekintu ekitali kya bulijjo mu kigere kyo, kiba kya magezi okukiraga omusawo awatali kulwawo n’omanya ekizibu ekituufu.

Mu bufunze (Obubaka bw’okutwala awaka)

Okay, kale obuvune bw’obusimu bw’omubiri (perineal nerve injury) bwe twogeddeko leero kwonooneka ku busimu obudduka okuva ku bisambi byaffe okukka ku magulu okutuuka ku bigere byaffe. Kino kiyinza okuvaako okuziyira, obulumi, okunafuwa mu kigere ekya wansi, n'okusingira ddala obuzibu mu kutambula obuyitibwa "foot drop."

Ekisinga obukulu si kutya singa ofuna obubonero buno, wabula okugenda ew’omusawo amangu ddala akuwe amagezi. Emirundi mingi embeera eno esobola okulongoosebwa n’obujjanjabi obutali bwa kulongoosa ng’okuyingiza engatto n’okujjanjaba omubiri.

Kale, faayo ku magulu go. Kubanga, amagulu gaffe gawagira omubiri gwaffe gwonna, nedda?

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