Ngaba uhlala uneentlungu zomqolo? Mhlawumbi uziva nokurhawuzelelwa emilenzeni yakho. Kodwa khawucinge, kunye nale ntlungu yomqolo, ngequbuliso uba nobunzima bokuchama okanye bokukhupha indle, okanye awukwazi ukuyilawula? Oku akuyonto onokuyityeshela nje. Le inokuba yimeko yezonyango engxamisekileyo, enzulu kakhulu efuna utyando olungxamisekileyo. Yile nto sithetha ngayo namhlanje.
Yintoni iCauda Equina Syndrome?
Ngamafutshane, le yimeko engaqhelekanga kodwa imbi kakhulu. Emazantsi omqolo wethu, okanye umqolo, kukho inqwaba yeengcambu zemithambo-luvo. Le nqwaba yemithambo-luvo imile njengomsila wehashe, ngoko ke ibizwa ngokuba yi "Cauda Equina" ngesiLatini. Le mithambo-luvo ithumela kwaye ifumana imiyalezo evela kwizitho ezisemilenzeni, ezinyaweni, nakwizitho ze-pelvic.
I-Cauda Equina Syndrome (CES) yenzeka xa le mithambo-luvo icinezelwe ngesizathu esithile. Oku kuthathwa njengengxamiseko yotyando . Ukuba unyango lulibaziseka, umonakalo kwimithambo-luvo usenokungabuyeki. Oku kuthetha ukuba imilenze yomibini inokukhubazeka ngonaphakade , kwaye kukho ithuba lokulahlekelwa ngokusisigxina kolawulo lwesinyi kunye namathumbu.
Le meko ingenzeka ngequbuliso (ngokuqatha) okanye ikhule ngokuhamba kwexesha (ihlala ixesha elide). Nangona kunjalo, kubalulekile ukubona ugqirha kwangoko xa iimpawu zibonakala.
Zithini izizathu zeCauda Equina Syndrome?
Nangona le meko ixhaphake kakhulu kubantu abadala, inokwenzeka nakubantwana abaneziphene zokuzalwa okanye abonzakele kakhulu emgogodleni wabo. Izizathu eziphambili zezi:
- Idiski ehluthwe yi-herniated kumqolo ongezantsi, ecinezela imithambo-luvo, yeyona nto ixhaphakileyo.
- I-stenosis yomqolo .
- Ithumba okanye umhlaza emgogodleni.
- Iintsholongwane, ukudumba, ukopha, okanye ukwaphuka komqolo.
- Ukwenzakala komqolo ngenxa yengozi enkulu (umz., ingozi yemoto, ukuwa kwindawo ephakamileyo, inxeba lokudutyulwa).
- Iziphene zokuzalwa, umzekelo, i-arteriovenous malformation (AVM).
- Ingxaki emva kotyando lomqolo.
- Ingxaki ye-anesthesia yomqolo.
Iimpawu zeRed Flag zale meko
Ezi mpawu zinokuba nzima ukuzibona, njengoko zifana nezezinye izifo. Kodwa ukuba unesinye okanye ngaphezulu "seZimpawu zeRed Flag" ezingezantsi, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele okanye ubone ugqirha ngoko nangoko.
Musa ukuhlala ekhaya ucinga ukuba oku kubuhlungu nje komqolo okuqhelekileyo. Ixesha libaluleke kakhulu apha.
| Uphawu | Inkcazo kunye nengcaciso |
|---|---|
| I-Anesthesia yeSaddle | Olu lolona phawu luphambili noluyingozi kakhulu . Khawuthelekelele ukuba xa ukhwela ihashe, amalungu omzimba wakho acinezelwe kwisihlalo. Oko kuthetha ukuba izinqe zakho, amathanga angaphakathi, kunye nendawo ejikeleze amalungu akho esini ziya kuvakala ngathi azinanto yakwenza okanye azinanto yakwenza ngokupheleleyo. Kuvakala ngathi ezo ndawo zithomalalisiwe. |
| Iingxaki zokulawula umchamo kunye namathumbu | Usenokuziva ngequbuliso ufuna ukuchama okanye ukukhupha indle uze ungakwazi ukuyeka (ukungakwazi ukuzibamba). Okanye usenokuziva ngathi awukwazi ukuchama okanye ukukhupha indle nokuba uzama ukuchama okanye ukukhupha indle (ukugcina). Usenokulahlekelwa nayimvakalelo yokuba ufuna ukuchama. |
| Intlungu ebuhlungu yomqolo kunye nentlungu yomlenze | I-Sciatica luhlobo lwentlungu oluvakala ngathi kukubetheka ngombane emlenzeni, olunzima ngaphezu kwentlungu eqhelekileyo yomqolo. Le ntlungu inokuba kwimilenze yomibini. |
| Ubuthathaka okanye ukungakhululeki emilenzeni | Usenokuziva ngathi imilenze yakho okanye enye yazo iyaphelelwa ngamandla. Usenokuba nobunzima bokuvuka esitulweni, okanye unokukhubeka xa uhamba. Usenokuziva nokutshisa emilenzeni nasezinyaweni zakho, okanye ukurhawuzelelwa (i-paresthesia) okuvakala ngathi ziimbovane zihamba. |
| Iingxaki zomsebenzi wesondo | Ukungasebenzi kakuhle ngokwesondo ngequbuliso okanye ukulahlekelwa yimvakalelo yesondo. |
Ugqirha uyifumana njani le nto?
Xa usiya esibhedlele, ugqirha uza kumamela ngononophelo iimpawu zakho. Emva koko uza kuhlola umzimba wakho, ingakumbi amandla, ukusabela komzimba, kunye neemvakalelo emilenzeni yakho.
Kodwa ukuqinisekisa esi sifo ngokuqinisekileyo, kufuneka i-MRI scan . I-MRI inokufumana imifanekiso yomqolo kunye nemithambo-luvo enamacala amathathu (3D). Oku kunokwenza ukuba i-nerve compression ifumaneke phi kanye kanye. Kwimeko apho i-MRI ingafumaneki khona, i-X-ray okanye i-CT scan ebizwa ngokuba yi-myelogram nayo inokwenziwa.
Ungayinyanga njani? Ngaba kufuneka ukhawuleze?
Ukuba le meko ifunyenwe, unyango kukwenza utyando ngoko nangoko ukuze kukhululwe umthambo ocinezelekileyo. Olu tyando lubizwa ngokuba yi-lumbar laminectomy .
Khumbula, utyando zingadlulanga iiyure ezingama-48 emva kokuba iimpawu ziqalile lunika ithuba elihle lokuthintela umonakalo ongunaphakade kunye nokuchacha.
Ukongeza kotyando, ezinye iindlela zonyango zinokunikwa kuxhomekeke kwisizathu:
- Amayeza e- steroid (corticosteroids) anedosi ephezulu yokunciphisa ukudumba.
- Ii-antibiotics ukuba unobangela lusulelo.
- Ukuba imbangela yi-tumor enomhlaza, unyango lwe-radiation okanye i-chemotherapy inokunikwa emva kotyando.
Kwanasemva kotyando, kuxhomekeke kubungakanani bomonakalo wemithambo-luvo, lusenokungapholi ngokupheleleyo. Nangona kunjalo, kungathatha iminyaka ukuba izinto ezifana nolawulo lwesinyi kunye namathumbu zibuyele esiqhelweni.
Ukuhlala neCES - Yintoni ekufuneka uyazi?
Ukuba kukho umonakalo osisigxina emva kotyando, kuya kufuneka ufunde ukuphila notshintsho. Inkxaso yomzimba neyeemvakalelo ibaluleke kakhulu kuwe ngeli xesha lohambo.
Yazisa usapho lwakho ngale nto uze ufumane uncedo lwabo. Ungafumana uncedo nakwiingcali ezahlukeneyo, ezinje:
- Ingcali yoNyango lomzimba
- Ingcali yoNyango loMsebenzi
- Ingcali yezesondo
- Umcebisi okanye ingcali yezengqondo
Ukuba unengxaki yokulawula umchamo okanye ilindle lakho, ezi zinto zinokukunceda:
- Khupha isinyi sakho ngokupheleleyo usebenzisa i-catheter kathathu ukuya kane ngemini.
- Sela amanzi amaninzi kwaye uhlale ucocekile ukuze uthintele usulelo lomchamo.
- Ukuba kuyimfuneko, sebenzisa i-glycerin suppositories okanye i-enemas ukunceda ukuphuma kwendle.
- Nxiba ii-pads zokukhusela.
Thetha ngokukhululekileyo nogqirha wakho ngayo yonke le nto. Uza kukunika ulwalathiso olufunayo.
Umyalezo Wokuya Ekhaya
- I-Cauda Equina Syndrome (CES) ayisiyontlungu yomqolo eqhelekileyo nje kuphela, kodwa yingxamiseko yezonyango .
- Ukuba ufumana iimpawu ezinje ngokuba ndindisholo ezijikeleze iimpundu kunye namalungu esini (i-saddle anesthesia), ukulahlekelwa yindlela yokuchama/indle, okanye ukulahlekelwa ngamandla emilenze, yiya esibhedlele ngoko nangoko .
- Unyango oluphambili lutyando olungxamisekileyo kwiiyure ezingama-48. Okukhona ilibaziseka ixesha elide, kokukhona amathuba okwenzakala okusisigxina esanda.
- Nokuba emva kotyando, kungathatha ixesha ukuba umntu aphile. Iingcebiso zonyango kunye nenkxaso yosapho zibalulekile.
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