Ngaba ngamanye amaxesha uva iintlungu ezinganyamezelekiyo nezingaqhelekanga emqolo okanye emilenzeni yakho? Kuvakala ngathi kukutsha kombane, okanye ukutsha okufana nokutsha kwesikhumba sakho? Ngamanye amaxesha le ntlungu inzima kangangokuba awukwazi nokuhlala kwindawo enye okanye ulale kamnandi. Abantu abaninzi bacinga ukuba olu hlobo lwentlungu lubuhlungu nje bomqolo. Kodwa ngamanye amaxesha unobangela woku unokuba yimeko enzima ngakumbi abantu abaninzi abangazange bayive. Namhlanje, siza kuthetha ngemeko engaqhelekanga, kodwa esongela ubomi. Yiyo leyo i-Arachnoiditis .
Ngamafutshane, yintoni i-Arachnoiditis?
I-Arachnoiditis yimeko ebuhlungu kakhulu ebangelwa kukudumba kwe-membrane ekhuselayo ejikeleze imithambo-luvo emqolo wethu. Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, masiligcine lilula.
Khawucinge ukuba ingqondo yethu kunye nomqolo zizinto ezimbini ezixabisekileyo nezinobuthathaka. Ngoko ke ukuze sizikhusele ekonakaleni, indalo isinike iileya ezintathu zezigqubuthelo zokukhusela. Le nkqubo yokugquma siyibiza ngokuba yi-meninges .
1. I-Dura mater: Le sisigqubuthelo sangaphandle, esomeleleyo kancinci, nesityebileyo.
2. I-Arachnoid mater: Le iphakathi. Yi-membrane ethambileyo kakhulu, efana newebhu yesigcawu. Igama elithi arachnoiditis livela kwigama lale membrane.
3. I-Pia mater: Le sisigqubuthelo esincinci esinamathele ngaphakathi kwengqondo kunye nomqolo.
I-Arachnoiditis yenzeka xa i-membrane ye-arachnoid embindini womqolo yonakele kwaye iqala ukudumba. Oku kudumba kuchaphazela kakhulu imithambo-luvo emqolo ongezantsi (umqolo we-lumbar) kunye nomqolo ophakathi (umqolo wesifuba). Umqolo wonke awuchaphazeleki rhoqo yile meko.
Oku kufana neeleya ezintathu zokusonga into exabisekileyo. Kukho into eyenzekileyo kumgca ophakathi wesisongelo kwaye uqala ukucinezela kwiintambo (imithambo-luvo) ezingaphakathi.
Kwenzeka ntoni emzimbeni xa kuvela i-arachnoiditis?
Xa i-membrane ye-arachnoid idumba, kuqala uthotho lweziganeko. Yinkqubo enzima eqala ngento enye ize ibangele iingxaki ezingaphezulu.
- Izicwili zesikhumba: Xa kukho ukudumba okanye umonakalo ndaweni ithile, umzimba wethu uzama ukuwuphilisa. Kule nkqubo, njengokuba isicwili senzeka xa ulusu lwethu lonzakele, izicwili zesikhumba ziqala ukwakheka zijikeleze olu lwelwesi luthambileyo.
- Ukucinezelwa kwemithambo-luvo: Le tissue yesilonda ibangela ukuba iingcambu zemithambo-luvo zicinezelwe kwaye zibhideke. Xa imithambo-luvo ebekufanele ukuba ikhululeke ukuhamba icinezelwe, ukusebenza kwayo kuyaphazamiseka.
- Ukuvaleka kolwelo lwe-cerebrospinal: Imithambo-luvo engaphakathi kwintambo yethu yomqolo idada kulwelo olukhethekileyo olubizwa ngokuba yi-cerebrospinal fluid. Yile nto itya kwaye ikhusela imithambo-luvo. Xa indawo incipha ngenxa yezibazi ezibangelwa yi-arachnoiditis, ukuhamba kolu lwelo kuyavaleka.
- Ukuncipha kokunikezelwa kwegazi: Njengoko imithambo-luvo icinezelwa kwaye izicwili ezijikelezileyo zikhula, ukunikezelwa kwegazi kwimithambo-luvo kunokuncipha. Oku kungonakalisa imithambo-luvo kwaye kubangele ukuba iphele kancinci kancinci (i-nerve atrophy).
Isiphumo sayo yonke le nto ziintlungu ezingapheliyo ezinganyamezelekiyo kunye neengxaki ezinxulumene nemithambo-luvo.
Yintoni i-Adhesive Arachnoiditis?
Njengoko i-arachnoiditis iqhubeka, inokuba mandundu ngakumbi. Loo zicubu zesilonda esithethe ngazo ngaphambili kwaye imithambo-luvo inamathelana iba nzima ngakumbi. Oku kubizwa ngokuba yi -Adhesive Arachnoiditis . Igama elithi "Adhesive" lithetha "ukunamathela."
Kule meko, imithambo-luvo iyabanjwa ize ingasebenzi kakuhle. Oku kunokubangela ukukhubazeka okukhulu kwabanye abantu. Kukho iimeko apho imilenze ikhubazeka aze umntu angakwazi ukuhamba aze asebenzise isitulo esinamavili . Oku akwenzeki kuwo wonke umntu. Nangona kunjalo, kubalulekile ukwazi ukuba oku kungenzeka.
Ziziphi iimpawu ze-arachnoiditis?
Ayingabo bonke abantu abafumana iimpawu ezifanayo zesi sifo. Iyahluka ngokuxhomekeke ekubeni leliphi icala lomqolo elichaphazelekileyo. Iimpawu zinokuba buthathaka kakhulu kwabanye, kwaye zibe nzima kakhulu kwabanye. Kodwa uphawu oluqhelekileyo noluphambili ziintlungu.
Ekubeni idla ngokuchaphazela imithambo-luvo emqolo ongezantsi nasemilenzeni, iimpawu zibonakala kakhulu kuloo ndawo.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu enzima, ebuhlungu | Intlungu ebukhali, njengokubethwa ngumbane okanye ukuhlatywa yimela, iqala emqolo ize yehle ngemilenze. |
| Ukudumba kunye nokungakhululeki | Usenokuziva utshile emilenzeni yakho, okanye imilenze yakho ingaziva ngathi ayinamandla. |
| Iimvakalelo ezingaqhelekanga | Kuvakala ngathi iimbovane zibaleka emilenzeni yakho (ukwakheka) okanye ngathi amathontsi amanzi ayawa. Oku kungenxa yokuba imithambo-luvo ithumela imiqondiso engalunganga engqondweni, nangona kungekho nto yenzekayo ngokwenene. |
| Ubuthathaka kwimilenze | Uziva ubuthathaka emilenzeni yakho, kunzima ukuhamba, kwaye kunzima ukunyuka izinyuko. |
| Ubunzima bokuhlala kwindawo enye | Intlungu iyanda emva kokuhlala imizuzu embalwa ngexesha, nto leyo eyenza kube nzima ukuhlala ixesha elide. |
| Ukushukuma kwemisipha nokushukuma | Ukuqaqamba kwemisipha emilenzeni, ukushukuma kwemisipha okungalawulekiyo. |
| Iingxaki zomchamo kunye namathumbu | Iimeko ezinje ngokulahlekelwa kulawulo lwesinyi (isinyi esine-neurogenic) kunye nokuqhina kwesisu kunokwenzeka. |
| Ukuziphatha okubi ngokwesondo | Amadoda anokuba neengxaki zokuma (ukungasebenzi kakuhle kwe-erectile) kwaye abafazi banokuba nokoma kwe-vaginal. |
Ezi mpawu zinokuba mandundu ngokuhamba kwexesha, kwaye ngamanye amaxesha zibe zingunaphakade. Le ntlungu ingapheliyo yenza kube nzima kubantu abaninzi ukuqhubeka nokusebenza ngendlela eqhelekileyo.
Kutheni le nto i-Arachnoiditis isenzeka? Zithini izizathu?
Amaxesha amaninzi, kunzima ukufumana unobangela ochanekileyo wesi sifo. Ngenxa yokuba sisifo esingaqhelekanga, kwaye kukho izizathu ezininzi ezinokubakho, ngamanye amaxesha iimpawu zibonakala kuphela emva kwexesha elide ukusukela oko kwaqalayo.
Nangona kunjalo, kukho izizathu eziphambili ezininzi ezifunyenwe ngophando.
| Isizathu | Inkcazo |
|---|---|
| Utyando lomqolo | Malunga ne-90% yamatyala e-arachnoiditis abangelwa yingxaki yotyando lomqolo. Nangona kunjalo, oku akuthethi ukuba wonke umntu otyando lomqolo uza kuba nayo. Yingxaki engaqhelekanga kakhulu. Nokuba ukopha okuncinci ngexesha lotyando kunokubangela ukuba olu hlobo lwe-membrane ludumbe. |
| Ukulimala komqolo | Le meko inokwenzeka ngenxa yokwenzakala okukhulu ngqo emgogodleni, njengengozi yemoto okanye ukuwa. |
| Iikhemikhali | Idayi esetyenziswe kuvavanyo lwe-myelogram oludala (olungasasetyenziswayo) ichongiwe njengesizathu, kwaye kukho inkxalabo yokuba izithintelo kwezinye iinaliti ze-epidural steroid nazo zinokuba yimbangela. |
| Iintsholongwane | Le meko inokubangelwa zizifo ezibangelwa ziintsholongwane okanye ziintsholongwane, ingakumbi izifo ezichaphazela umqolo, ezifana ne-meningitis kunye nesifo sephepha. |
| Uxinzelelo lwemithambo-luvo lwexesha elide | Oku kunokubangelwa kukucinezelwa kwemithambo-luvo ixesha elide ngenxa yesifo sediski esiwohlokayo okanye ukuncitshiswa komjelo womqolo (i-spinal stenosis). |
Ukongeza, ezinye iimeko zempilo ezifana ne-Ankylosing spondylitis kunye ne-Guillain-Barré syndrome nazo azinakubangela i-Arachnoiditis.
Indlela yokuxilonga esi sifo?
I-Arachnoiditis inokuba nzima ukuyixilonga kuba yimeko engaqhelekanga kwaye ayingoogqirha bonke abanamava amaninzi ngayo. Akukho vavanyo lunye olunokuqinisekisa ngokuqinisekileyo.
Ukuba ugqirha urhanela ukuba esi sifo sikhona, uza kumamela ngononophelo iimpawu zakho, akuhlole, aze akuthumelele ezi mvavanyo.
- Iskeni ye-MRI (Magnetic Resonance Imaging): Oku kunokuvelisa imifanekiso ecacileyo yomqolo, imithambo-luvo, kunye nezicubu ezingqongileyo. I-MRI inokujonga izinto ezinje ngokutyeba okanye ukunamathela kwiingcambu zemithambo-luvo.
- I-CT Myelogram: Oku kuquka ukufaka idayi ekhethekileyo kwi-spinal cord nokwenza i-CT scan. Oku kuvumela umfanekiso ocacileyo wemithambo-luvo kunye nendawo ejikeleze yona.
- Ukubhaqwa Kweempundu: Oku kuquka ukufaka inaliti emgogodleni kunye nokuthatha isampuli yolwelo lwe-cerebrospinal ukuze ivavanywe. Olu vavanyo lubalulekile ukuze kuqinisekiswe ukuba kukho usulelo olubangela le meko.
- Uvavanyo lwe-EMG (Electromyogram): Olu vavanyo lusetyenziselwa ukulinganisa ubukhali bomonakalo wemithambo-luvo. Lusebenzisa imiqondiso yombane ukubona indlela esebenza ngayo imithambo-luvo.
Ugqirha ufikelela kwisigqibo sokugqibela emva kokuqwalasela ulwazi olufunyenwe kwezi mvavanyo kunye neempawu zakho.
Ziziphi iindlela zonyango lwe-arachnoiditis?
Ngelishwa, akukho nyango lwe-arachnoiditis. Yimeko engapheliyo, ehlala ixesha elide. Ke ngoko, iinjongo eziphambili zonyango kukulawula iintlungu, ukulawula iimpawu, kunye nokuphucula umgangatho wobomi.
Ukudibanisa iindlela ezahlukeneyo zonyango kusebenza ngcono kunonyango olunye.
- Ulawulo lweentlungu: Le yeyona nto ibalulekileyo. Ugqirha wakho unokukunika amayeza aqala kwiziyobisi ezichasene nokuvuvukala (ii-NSAID) ukuya kumayeza anamandla afana nee-opioids zentlungu enzima. Ukongeza, kukho amayeza enzelwe ngokukodwa iintlungu zemithambo-luvo. Umzekelo, amayeza anjenge -duloxetine, i-gabapentin, kunye ne-pregabalin . Ukuba unemisipha ebuhlungu, unganikwa amayeza anjenge -baclofen .
- Unyango lomzimba: Ukuzilolonga phantsi kwesikhokelo sogqirha onamava kubaluleke kakhulu. Unyango lwe-hydrotherapy , oluyimithambo eyenziwa emanzini, lunokuba luncedo kakhulu. Ngenxa yokuba umzimba uziva ungenabunzima bungako emanzini, ungazilolonga ngaphandle kokubeka uxinzelelo emqolo nasemalungeni akho. Ukuphulula umzimba kancinci kunye nokolula umzimba kunokunceda ukunciphisa iintlungu.
- Ukuvuselelwa kwentambo yomqolo:Oku kuquka ukufakwa kwesixhobo esincinci emzimbeni ngotyando kunye nokuthumela imiqondiso yombane engabonakaliyo kumqolo, nto leyo ethintela imiqondiso yentlungu ukuba ingafikeleli engqondweni. Nangona oku kungafanelekanga kuye wonke umntu, yindlela elungileyo yokulawula iintlungu kwabanye abantu.
- Unyango lwengqondo: Ukuphila nentlungu engapheliyo ixesha elide kunokunyusa umngcipheko wokudakumba, ixhala, kunye nokudakumba. Ke ngoko, ukuthetha nogqirha wengqondo (unyango lokuthetha) kunokukunceda ufunde indlela yokuphila nale ntlungu engqondweni.
Eyona nto ibalulekileyo kukuthetha nogqirha wakho uze nesicwangciso sonyango esifanelekileyo kuwe. Ukuba iyeza elinye alisebenzi, kukho ezinye iindlela. Ngoko ke musa ukuphelelwa lithemba.
Ungayiphila njani ne-arachnoiditis?
Ukuphila nesi sifo akulula, kodwa ngokwenza utshintsho oluncinci kwindlela ophila ngayo nokuzinyamekela, ungajongana nalo mceli mngeni.
- Kuphephe ukutshaya: Ukutshaya kuphazamisa ukuhamba kwegazi emzimbeni, nto leyo enokuyonakalisa ngakumbi imithambo-luvo.
- Yazi imida yakho: Musa ukuzama ukwenza okuninzi ngosuku olunye. Cwangcisa umsebenzi wakho. Zibekele ixesha lokuphumla nawe.
- Ukutya Okunempilo: Ukutya ukutya okunesondlo kulungile kwimpilo iyonke.
- Zilolonge kangangoko unako: Kunokuba nzima ukuzilolonga ngenxa yentlungu. Kodwa buza ugqirha wakho okanye ingcali yezonyango kwaye wenze imithambo elula onokuyenza.
- Lala kamnandi ebusuku: Intlungu ingaphazamisa ubuthongo, kodwa ukulala kamnandi ebusuku kunokukunceda kakhulu ekulweni nentlungu.
- Lawula uxinzelelo: Zama ukunciphisa uxinzelelo ngezinto ezifana nokucamngca, i-aromatherapy, kunye nokukhumbula.
- Joyina iqela lenkxaso: Ukujoyina iqela lenkxaso nabantu abanengxaki yeentlungu ezingapheliyo njengawe kunokukunceda uzive ngathi awuwedwa. Ungafunda nakwizinto ezenzeka kwabanye.
- Nciphisa utywala: Utywala bunokubangela iingxaki ezingakumbi zokulala kunye neentlungu.
Ukuphila neentlungu ezingapheliyo ngumceli mngeni womzimba nowengqondo. Ngoko ke ungaze woyike ukuzimela uze ucele uncedo olufunayo. Kungcono ukufumana ugqirha onolwazi nge-arachnoiditis kwaye usebenzisane naye ngokusondeleyo.
Umyalezo Wokuya Ekhaya
- I-Arachnoiditis yimeko engaqhelekanga ebangela iintlungu ezingapheliyo ezibangelwa kukudumba kwenwebu ekhusela imithambo-luvo kwintambo yomqolo.
- Oku kudla ngokubangelwa yingxaki yotyando lomqolo, kodwa kunokubangelwa nazezinye izinto, ezifana neengozi kunye nosulelo.
- Iimpawu eziphambili ziintlungu ezifana nokudumba, ukudumba, ukungaziva mnandi, ubuthathaka emilenzeni, kunye neengxaki zomchamo.
- Nangona esi sifo singenakunyangwa ngokupheleleyo, iintlungu kunye neempawu zinokulawulwa ngempumelelo ngamayeza, unyango lomzimba, kunye nolunye unyango.
- Kubaluleke kakhulu ukusebenzisana ngokusondeleyo nogqirha wakho, ukulandela isicwangciso sonyango esikufaneleyo, kunye nokugcina indlela yokuphila esempilweni.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment