Ngaba uyayazi iCauda Equina Syndrome? Makhe sithethe ngayo!

Hayi bo, ngamanye amaxesha sifumana iintlungu zomqolo, akunjalo? Kodwa ezinye iintlungu zomqolo azilungelanga ukudlala. Namhlanje siza kuthetha ngemeko enzima kancinci, kodwa kubaluleke kakhulu ukuyazi. Oku kubizwa ngokuba yiCauda Equina Syndrome. Le yimeko engxamisekileyo ebangelwa kukucinezelwa kwemithambo-luvo esezantsi komqolo wethu.

Yintoni iCauda Equina Syndrome?

Ngamafutshane, iCauda Equina Syndrome yimeko apho iqela leengcambu zemithambo-luvo ezisezantsi komqolo wethu zicinezelwa. Ezi ingcambu zemithambo-luvo zifana nomsila wehashe, yiyo loo nto igama elithi 'cauda equina', elivela kwigama lesiLatini elithi 'umsila wehashe'. Khawucinge nje, ezi mithambo-luvo zezona zinceda ekushukumeni nasekuveni emilenzeni yethu, kunye nokusebenza kwesinyi sethu somchamo kunye namathumbu.

Ezi mithambo-luvo zifana nje neentambo zombane ezinika amandla emakhaya nakwiivenkile zethu. Ezi mithambo-luvo zithumela kwaye zamkele imiqondiso yombane emizimbeni yethu yonke. Khawucinge ukuba kuya kwenzeka ntoni ukuba isivuthuvuthu esikhulu sigaleleka ngequbuliso kwaye isebe lomthi omdala liwe lize libethe intambo yombane? Liza kutyunyuzwa, kwaye izindlu ezikuloo ndawo ziya kulahlekelwa ngumbane, akunjalo? Yiyo le ndlela i-cauda equina nerve etyunyuzwa ngayo. Emva koko 'umbane' oya emilenzeni yethu, esinyini, nasemathunjini uyaphazamiseka. Kanye njengokuba inkampani yombane yeza ngokukhawuleza yaza yasusa umthi yaza yalungisa intambo, kule meko, oogqirha kufuneka bangenelele ngokukhawuleza baze basuse ukutyunyuzwa, okanye kungenzeki umonakalo ongunaphakade .

Ingaba le yimeko engxamisekileyo?

Ewe, ngokuqinisekileyo! I-Cauda equina syndrome ithathwa njengengxamiseko yezonyango . Isenokungabi yingozi ebomini, kodwa ukuba ayinyangwa kakuhle, inokubangela umonakalo ongunaphakade emzimbeni wakho, mhlawumbi nokukhubazeka. Ke ngoko, ukuba ufumana naziphi na ezi mpawu , kufuneka ufune unyango ngokukhawuleza . Utyando lwakwangoko lunokunceda ekunciphiseni uninzi lweempawu kwaye luthintele umonakalo ongunaphakade.

Ngaba kukho iintlobo zezi?

Ewe, oogqirha bachonge iintlobo ezimbini eziphambili ze-cauda equina syndrome:

1. I-Cauda Equina Syndrome engaphelelanga (CES-I): Oku kulapho ulahlekelwa khona yimvakalelo yokungxamiseka kokuchama okanye ukulahla indle. Ngamanye amazwi, awuziva ngathi kufuneka uye kwindlu yangasese. Nangona kunjalo, usenokuba nolawulo oluthile lwesinyi kunye namathumbu. Le meko ichaphazela malunga nama-40% abantu abane-cauda equina syndrome.

2. Gqibezela iCauda Equina Syndrome (CES-R):Oku kwenzeka xa umchamo wakho ugcina okanye unendle, okanye ungazibambi. Oku kuthetha ukuba awukwazi ukuchama okanye awukwazi ukuyeka. Oku kuchaphazela abantu abamalunga nama-60%, kwaye yeyona meko imbi kakhulu.

Kuqheleke kangakanani oku?

Le meko ayiqhelekanga kangako. Iingcali zithi ukuba ujonga ihlabathi, ichaphazela malunga nomntu omnye kwabangama-30,000 okanye omnye kwabangama-100,000 ngonyaka. Kukwaqikelelwa ukuba i-cauda equina syndrome ibandakanya malunga ne-3% yazo zonke ii-spinal disc herniations.

Ziziphi ezi mpawu ziyingozi?

Kulungile, ngoku makhe sibone ukuba zeziphi iimpawu ze-cauda equina syndrome. Ukuba unenye okanye ngaphezulu kwezi, ngokuqinisekileyo kuya kufuneka uye esibhedlele ngoko nangoko .

• Intlungu ebuhlungu emqolo ongezantsi kunye/okanye emlenzeni (njenge-sciatica). Isenokuvela ngequbuliso kwaye inganyamezeleki.
• Ubuthathaka emilenzeni. Usenokukufumanisa kunzima ukuma okanye ukuhamba, kwaye usenokuvakalelwa ngathi imilenze yomibini iyaphelelwa ngamandla.
• Iimvakalelo ezingaqhelekanga ezifana nokungaziva, ukutsha, okanye ukurhawuzelela (i-paresthesia) ngasemva kwemilenze, iimpundu, indawo yesinqe, kunye namathanga angaphakathi (indawo yesali). Isenokuvakala ngathi umlenze uyalaliswa, okanye isenokuba indindisholo ngokupheleleyo.
• Ukungakwazi ukuzibamba komchamo kunye/okanye ilindle. Usenokuvuza umchamo okanye ilindle ungaqondanga.
• Ubunzima bokuchama (ukugcinwa komchamo). Nangona ufuna ukuchama, usenokungakwazi ukuchama, okanye usenokukwazi ukuchama kancinci kancinci.
• Utshintsho olukhawulezileyo kwimvakalelo yesondo.

Ukuba ubona naziphi na kwezi mpawu, nceda ubone ugqirha ngokukhawuleza ngaphandle kokulibazisa. Kuba unyango lwangethuba yeyona ndlela ilungileyo yokuthintela iziphumo ezibi.

Ngaba ungahamba nale meko?

Oku kunzima ukukuqinisekisa, kuba kuxhomekeke kwiimpawu onazo. Abanye abantu basenokungabi nangxaki yokuhamba benesi sifo. Kodwa kwabanye, ingakumbi ukuba banobuthathaka obukhulu okanye baphelelwe lithemba emilenzeni yabo, ukuhamba kunokuba ngumceli mngeni. Yiyo loo nto kubalulekile ukubona ugqirha kwangoko xa uqala ukubona iimpawu.

Yintoni ebangela oku?

Eyona nto ibangela i-cauda equina syndrome, njengoko benditshilo ngaphambili, kukuba iingcambu zemithambo-luvo ye-cauda equina, ezikwizantsi lomqolo wethu (i-L1 ukuya kwi-L5 vertebrae), zicinezelwe yinto ethile.

Eyona nto ixhaphakileyo yile ngxaki yi-herniated lumbar disc . Ezi disc zifana nejeli zisebenza njengemiqamelo phakathi kwamathambo omqolo. Xa idiski ivuvukala, inokucinezela iingcambu zemithambo-luvo.

Ngaphandle koko, kunokubakho ezinye izizathu ezininzi zokuba ezi ngcambu zemithambo-luvo zixinzelelwe:

• Usulelo: Imizekelo ibandakanya ithumba le-epidural, i-discitis, kunye ne-meningitis.
• Ukulimala emqolo ongezantsi.
• I-Lumbar spinal stenosis: Oku kukunciphisa indlela yemithambo-luvo emgogodleni.
• Iingxaki zotyando lomqolo emva kotyando.
• Amahlwili egazi ajikeleze umqolo (i-Spinal epidural hematoma).
• Ukopha komqolo.
• Izilonda zomqolo okanye iithumba.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba le meko ayinyangwanga kakuhle, okanye ukuba unyango lulibaziseka, inokubangela umonakalo osisigxina kuloo mithambo-luvo. Ukuba oku kuyenzeka, iingxaki ezinkulu nezingapheliyo zinokwenzeka, ezinje:

• Ukungasebenzi kakuhle ngokwesondo.
• Ukulahlekelwa ngokupheleleyo kolawulo lwesinyi okanye amathumbu.
• Ukukhubazeka kwemilenze.

Yiyo loo nto sihlala sisithi kubaluleke kangakanani ukufuna iingcebiso zonyango ngokukhawuleza nje xa uqaphela iimpawu. Musa ukulibazisa umzuzwana!

Oogqirha bayixilonga njani le nto?

Ugqirha uza kuxilonga i-cauda equina syndrome ngokwenza uvavanyo lomzimba, uvavanyo lwe-neurological, kunye novavanyo oluthile. Ugqirha uza kubuza ngembali yakho yezonyango aze ajonge ukuba ungenza oku kulandelayo:

• Yima.
• Hlala phantsi
• Hamba ngezithende
• Hamba ngeenzwane
• Qhoba phambili.
• Ngqengqa ngomqolo.
• Goba emacaleni
• Yolula uze uphakamise imilenze yakho.

Olu lwazi lunokunceda ugqirha wakho ukuba afumane umbono olungileyo ngokuqina komzimba wakho, imvakalelo, amandla, ukusabela komzimba, ukulungelelana komqolo, kunye nomgama wokunyakaza. Ngamanye amaxesha ugqirha wakho angenza uvavanyo lwe-rectal ukujonga imeko yemisipha yakho yempundu, njengoko le mithambo-luvo ikwachaphazela loo ndawo.

Luhlobo luni lovavanyo olwenzayo?

Ugqirha wakho unokuyalela uvavanyo lwemifanekiso olufana nolu ukuze ajonge amathambo akho, iingcambu zemithambo-luvo, kunye nomqolo:

• I-Magnetic Resonance Imaging (MRI): Olu lolona vavanyo lubalaseleyo lokufumanisa le meko. Lubonisa ngokucacileyo imithambo-luvo kunye nezicubu ezithambileyo.
• I-Computed Tomography (i-CT scan):Ukuba i-MRI ayinakwenziwa ngokukhawuleza, nayo iyasetyenziswa.
• I-Myelogram: Oku kuquka ukufaka idayi ekhethekileyo kulwelo lomqolo kunye nokuthatha i-X-ray okanye i-CT scan. Iindawo zokuxinwa kwemithambo-luvo zinokubonakala ngokucacileyo.

Uyihlela njani le nto?

Ugqirha wakho angaluchaza isifo sakho se-cauda equina njengesifo esibukhali okanye esingapheliyo. Olu hlobo lolwahlulo luya kumisela uhlobo lonyango olufunekayo.

• I-Acute cauda equina syndrome: Iimpawu ziqala ngequbuliso kwaye ziba mandundu ngokukhawuleza. Kunokwenzeka ukuba udinge utyando zingadlulanga iiyure ezingama-24 ukuya kuma-48 emva kokuqala kweempawu.
• Isifo se-cauda equina esingapheliyo: Iimpawu zakho bezikho ixesha elide. Usenokuba ubeneempawu ixesha elide ngaphambi kokuba ufumane unyango, okanye usenokuba nomonakalo ongapheliyo wemithambo-luvo ngenxa yeempawu.

Zithini iindlela zonyango?

Iimpawu ze-cauda equina syndrome ezikhawulezileyo zifuna utyando olungxamisekileyo . Ugqirha wotyando ukhulula iingcambu zemithambo-luvo ezicinezelweyo ukuze zibuyele esiqhelweni. Olu tyando lubizwa ngokuba yi-lumbar laminectomy . Ngamafutshane, lususa unobangela we-pinched nerve (njenge-slipped disc).

Emva kotyando, ugqirha unokucebisa izinto ezifana nezi:

• Sela amayeza okuphucula ulawulo lwakho lomchamo kunye namathumbu.
• Faka umbhobho kuwe ukuze ukhuphe isinyi sakho (self-catheterization).
• Thatha inxaxheba kwimithambo yonyango lomzimba ukuze ufumane amandla emva kotyando.
• Fumana iinkonzo zonyango lomsebenzi ukuze zikuncede ngemisebenzi yemihla ngemihla.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Wonke umntu uyaphila ngesantya esahlukileyo. Ungaqala ukuva iimpundu zakho kunye nemilenze yakho kwakhona kwiintsuku ezimbalwa emva kotyando. Nangona kunjalo, kufuneka uphephe ukwenza umsebenzi onzima de umzimba wakho uphile kwakhona, kwaye nokuhamba kufuneka kwenziwe ngononophelo. Kungathatha iiveki, iinyanga, okanye iminyaka ukubuyisela ulawulo lwesinyi sakho kunye namathumbu emva kotyando. Ugqirha wakho uza kukuchazela into omawuyilindele kunye namanyathelo alandelayo kwinkqubo yakho yokuchacha. Kubalulekile ukuba nomonde ngonyango lwakho.

Ngaba oku kungathintelwa?

Akunakwenzeka ukuthintela zonke izizathu ze-cauda equina syndrome. Ngamanye amaxesha, asikwazi ukulawula izinto ezifana neengozi kunye nomhlaza. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa umngcipheko wakho we-slipping discs, ezizezona zibangela zixhaphakileyo. Nazi ezinye iingcebiso:

• Kuphephe ukunxiba izihlangu ezinezithende eziphakamileyo rhoqo. Ezi ntlobo zezihlangu zinokutshintsha indawo efanelekileyo yomqolo wakho.
• Yeka ukusebenzisa iimveliso zecuba (ezifana neecuba). Ezi zingenza buthathaka iidiski eziphakathi kwamathambo akho omqolo.
• Qinisa izihlunu zakho. Buza ugqirha wakho malunga nokuzilolonga okunokuqinisa izihlunu zakho zomqolo nezesisu (imisipha engundoqo).
• Xa uphakamisa iintsimbi, ziphakamise ngokufanelekileyo. Ukuba ufuna ukuphakamisa into enzima, goba amadolo akho kwaye ugcine umqolo wakho uthe nkqo, endaweni yokugoba esinqeni.
• Ziqhelise ukuma kakuhle. Ukuhlala kakuhle kunokunciphisa uxinzelelo kumqolo.
• Yolula umzimba wakho. Yolula umzimba wakho ngamanye amaxesha, ingakumbi xa uhleli ixesha elide.

Ingaba oku kunefuthe kubomi bomntu?

I-Cauda equina syndrome ayichaphazeli ngqo ubomi bakho. Oko kukuthi, ayizukukubulala ngokukhawuleza. Nangona kunjalo, iimpawu kunye neengxaki ezinokubakho zinokuba nefuthe elikhulu kumgangatho wobomi bakho. Ke ngoko, kubalulekile ukufuna unyango ngokukhawuleza nje ukuba uqaphela iimpawu.

Injani imbono?

Utyando lunokunciphisa uxinzelelo kwiingcambu zemithambo-luvo yakho. Ukuba ufumana unyango kwangethuba, unokuthintela umonakalo wemithambo-luvo osisigxina. Ngelishwa, oogqirha botyando abanakuyibuyisela emva umonakalo wemithambo-luvo xa sele uvele. Emva kotyando, ugqirha wakho uya kukujonga ukuze abone ukuba utyando luhambe njani aze akuxelele amanyathelo alandelayo kwisicwangciso sakho sonyango. Nokuba sithini na isiphumo, kusenokwenzeka ukuba ufune unyango lwexesha elide ukuze unyange nayiphi na intlungu eqhubekayo, ukulahlekelwa sisinyi/ulawulo lwamathumbu, okanye ubuthathaka bemisipha.

Ukuphila nokungakwazi ukuzibamba, ukungasebenzi kakuhle ngokwesondo, okanye ezinye iingxaki ezinxulumene ne-cauda equina syndrome akulula. Ungaziva uxinezelekile, udandathekile, okanye uxhalabile ngeli xesha. Kunokuchaphazela nomsebenzi wakho wesikolo, umsebenzi, kunye nolwalamano nabahlobo kunye nosapho. Iqela lakho lezonyango linokukunceda wenze utshintsho kwimisebenzi yakho yemihla ngemihla kwaye ulungelelane nale meko. Ungafuna ukubona umcebisi wezempilo yengqondo okanye ujoyine iqela lenkxaso ukuze uqhagamshelane nabanye abaye bafumana amava afanayo. Khumbula ukuba awuwedwa.

Ufanele uye nini kugqirha?

Ukuba ufumana ezi mpawu ze-cauda equina syndrome, kuya kufuneka uye kwisebe likaxakeka esibhedlele ngoko nangoko :

• Intlungu ebuhlungu kumqolo ongezantsi (ngequbuliso okanye engapheliyo).
• Ubunzima okanye ukungakwazi ukulawula umchamo okanye ukulahla indle.
• Ubunzima bokuhamba, ubuthathaka emilenzeni.
• Ukungaziva mnandi okanye ezinye iimvakalelo ezingaqhelekanga emathangeni angaphezulu, ezinqeni, okanye kwindawo yesini.

Ukufumana unyango ngokukhawuleza kunokukunceda ukunciphisa umngcipheko weengxaki ezihlala ixesha elide.

Imibuzo omele uyibuze ugqirha wakho

Musa ukuthandabuza ukubuza ugqirha wakho imibuzo efana nale:

• Luhlobo luni lwe-cauda equina syndrome endinalo?
• Ingaba ikhawuleza okanye ayiguquki?
• Ndingaludinga utyando ngokukhawuleza kangakanani?
• Luza kuthatha ixesha elingakanani utyando?
• Ndiza kuhlala ixesha elingakanani esibhedlele emva kotyando?
• Ngaba ndine-herniated disc? Okanye yinto eyahlukileyo?
• Iza kuba njani inkqubo yam yokuchacha emva kotyando?

Ukuba ufumana iimpawu ze-cauda equina syndrome, ungathandabuzi ukuya kwigumbi longxamiseko. Nangona kunokuba yinto eyoyikisayo, okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba okuba ufumane umonakalo osisigxina emzimbeni wakho (njengokulahlekelwa kulawulo lwesinyi/amathumbu, ukukhubazeka).

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Kulungile, ngoko ke iCauda Equina Syndrome yimeko embi kakhulu, kodwa enokulawulwa kakhulu ngonyango olukhawulezileyo .

• Nika ingqalelo kwiimpawu: Musa ukuzityeshela, ingakumbi ukuba ufumana ukungakhululeki kwemilenze, ubuthathaka, okanye utshintsho kwindlela olawula ngayo isinyi/amathumbu kunye nentlungu yomqolo.
• Qonda ukuba le yingxamiseko: Le yingxamiseko yezonyango. Ukulibazisa unyango kunokukhokelela ekonakaleni kwemithambo-luvo.
• Bona ugqirha ngokukhawuleza: Wakuba uqaphela iimpawu, yiya esibhedlele ngokukhawuleza.
• Ixesha lokuchacha emva konyango: Nokuba emva kotyando, kungathatha iinyanga, kwaneminyaka, ukuba uphile ngokupheleleyo. Ngeli xesha, unokufuna ukwenza izinto ezifana nokukhupha isinyi ngesandla. Musa ukuba namahloni okuthetha nogqirha wakho malunga nokuchama kunye nokukhupha indle. Iqela lakho lezonyango liya kukunceda uhlengahlengise kwaye ulawule ubomi bakho bemihla ngemihla.
• Impilo yengqondo ibalulekile: Xa uphila nemeko efana nale, impilo yengqondo ibaluleke njengempilo yomzimba. Ukuba kuyimfuneko, funa ingcebiso kumcebisi wempilo yengqondo okanye ujoyine iqela lenkxaso.

Siyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!

I-Cauda Equina Syndrome, Intlungu yomqolo, Ukucinezelwa kwemithambo-luvo, Ukungaziva mnandi kwemilenze, Ulawulo lomchamo, Utyando olungxamisekileyo