Ngaba nawe unengxaki yentlungu ebangelwa kukuxinana komthambo kwindawo enye? Masithethe nge (Mononeuropathy)!

Ngaba ngamanye amaxesha uziva ungenazimvakalelo okanye intlungu evuthayo kwenye yengalo okanye umlenze wakho? Usenokuziva ubuthathaka kancinci kuloo ndawo. Ukuba unale mpawu, usenokuba unemeko ebangelwa kukonakala komthambo omnye. Kwezonyango, oku sikubiza ngokuba yi-"Mononeuropathy" . Ngamafutshane, oku kukonakala komthambo omnye emzimbeni wakho.

Yintoni le `(Mononeuropathy)`? Kwenzeka ntoni kanye kanye?

Uyazi, imizimba yethu ineentambo ezincinci ezithwala imiyalezo esuka ebuchotsheni iye emzimbeni wonke, ezibizwa ngokuba yimithambo-luvo. I-"Mononeuropathy" kukonakalisa enye yezi mithambo-luvo. Ikwicandelo elikhulu elibizwa ngokuba yi- "peripheral neuropathy." Oko kukuthi, imeko echaphazela imithambo-luvo engaphandle kwengqondo kunye nomqolo.

Cinga ngayo njengentambo yombane endlwini yakho. Inenxalenye engaphakathi ebizwa ngokuba yi-"axon" ethwala imiyalezo, kunye nesigqubuthelo sangaphandle esibizwa ngokuba yi-"myelin sheath" esikhuselayo. Ifana nentambo yobhedu kwintambo yombane kunye neplastiki eyijikelezileyo. Ukuba kukho uxinzelelo oluqhubekayo kule nerve, okanye ukuba kukho ukwenzakala, okanye ukuba kukho ukudumba, le sheath ye-myelin okanye i-axon ingonakala. Emva koko imiyalezo nge-nerve inokuncitshiswa, okanye imiswe ngokupheleleyo. Kulapho ke iimpawu ezikhankanyiweyo ngaphambili, ezifana nokungaziva kunye nentlungu, zivela khona.

Ingenzeka njani `(iMononeuropathy)`? Ziziphi iintlobo eziqhelekileyo?

Enyanisweni, nawuphi na umthambo omnye emzimbeni wethu ungonakaliswa ngale ndlela. Nangona kunjalo, imithambo-luvo esondela eluswini okanye ekufutshane nethambo ichaphazeleka lula. Ezinye zezi zinamagama akhethekileyo. Usenokuba ukhe weva ngala magama:

• I-Carpal Tunnel Syndrome: Le yingxaki eqhelekileyo kubantu abaninzi. Ukuba uchwetheza kwikhompyutha imini yonke okanye wenza umsebenzi wezandla (njengokuthunga okanye ukuchwela), umthambo ophakathi ohamba esihlahleni sakho unokucinezelwa, okubangela ukuba iminwe yakho ingabi nanto kwaye ibe buhlungu.
• I-Sciatica: Oku kuqhelekile kakhulu. Le ntlungu inzima yenzeka xa umthambo omkhulu (umthambo we-sciatic) ohamba usuka emqolo udlule ezinqeni zethu uze uye emilenzeni yethu ucinezelwa. Ngamanye amaxesha oku kunokubangelwa kukuphakamisa into enzima, ukuhlala ngendlela engafanelekanga, okanye idiski ye-herniated phakathi kwamathambo ethu.
• Ukubanjwa kweNerve ye-Ulnar kwi-Elbow:Kwabo bahlala bephumza ingqiniba yabo etafileni, okanye xa into ethile icinezela ingqiniba, le mithambo-luvo inokunyanzeliswa, nto leyo ebangela ukuba umnwe omncinci kunye nesiqingatha somnwe weringi zibe ndindisholo kwaye zibe buthathaka. Oku kukwabizwa ngokuba yi-`(Cubital Tunnel Syndrome)`.
• I-Radial Tunnel Syndrome: Ibangelwa kukucinezelwa komthambo engalweni (i-radial nerve).
• Omnye umthambo osesihlahleni (`(Guyon's Canal Syndrome)`): Oku kusebenza nakwimithambo-luvo ye-ulnar, kodwa ucinezelo lwenzeka esihlahleni.
• Iingxaki zeMithambo yoMzimba: Le mithambo-luvo inokucinezelwa xa umlenze ugobile ixesha elide, okanye ukuba idolo lonzakele. Oku kunokwenza kube nzima ukuphakamisa umlenze.
• Iingxaki ze-Axillary Never: Oku kungenzeka ngenxa yokwenzakala egxalabeni.
• Iingxaki ezinxulumene nemithambo-luvo yesikhumba esecaleni ye-femoral: Ukucinezelwa kwale mithambo-luvo kubangela ukungaziva kunye nokudumba ngasemva kwethanga .

Ukongeza koku, kukwakho nohlobo lwe- "cranial mononeuropathies" (i-mononeuropathies enxulunyaniswa nemithambo-luvo ye-cranial) . Oku kuthetha ukuba enye yemithambo-luvo eli-12 evela ngqo engqondweni yethu yonakele. Umzekelo yi- "Bell's Palsy" (iBell's Palsy) . Kule meko, imithambo-luvo ebusweni ("facial nerve" - ​​imithambo-luvo yesixhenxe ye-cranial) iyachaphazeleka, nto leyo ebangela ukuba elinye icala lobuso liwe ngequbuliso.

Ngamanye amaxesha imithambo-luvo engaphezu kwesinye, oko kukuthi, imithambo-luvo emibini okanye emithathu, inokonakala ngaxeshanye, kwiindawo ezahlukeneyo zomzimba. Oku kubizwa ngokuba yi-'multiple mononeuropathies'.

Khawucinge nje, ama-40% abantu baseMelika baya kuba nengxaki ye-sciatica ngaxa lithile ebomini babo! I-Bell's Palsy ichaphazela malunga nomntu omnye kwabangama-60. I-Carpal Tunnel Syndrome ichaphazela malunga nabantu abathathu kwabayi-1,000 ngonyaka. Ngoko ke ezi aziqhelekanga kangako.

Zithini iimpawu zale `(Mononeuropathy)`?

Iimpawu zinokwahluka ngokuxhomekeke kwimithambo-luvo eyonakeleyo, kodwa ezona mpawu zixhaphakileyo ziquka:

• Ukungaziva ngqindilili kwindawo echaphazelekayo .
• Intlungu okanye ukutsha .
• Imvakalelo efana "neentshulube ezibaleka zijikeleza" okanye "izikhonkwane neenaliti".
• Ukuba buthathaka kwezihlunu kwindawo echaphazelekayo. Ukuba oku kuyaqhubeka, izihlunu zinokuncipha (ukuwohloka kwemisipha).

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukubona ugqirha ngoko nangoko. Oku kungenxa yokuba imeko inokuba mandundu ukuba ayinyangwa. Ukuba kunjalo:

• Intlungu engapheliyo inokwenzeka.
• Imvakalelo yokuchukumisa isenokulahleka .
• Ubuthathaka bemisipha obungapheliyo okanye ukukhubazeka komzimbaImeko efana nale inokwenzeka.

Kutheni le nto `(iMononeuropathy)` ikhula? Zithini izizathu?

Kunokubakho izizathu ezahlukeneyo zoku. Ngokuyintloko:

1. Ukwenzakala

Oku kudla ngokubangelwa kukwenzakala ngqo komthambo. Kungabangelwa zizinto ezifana nezi:

• Iintshukumo eziphindaphindwayo / ukwenzakala okuphindaphindwayo koxinzelelo: Khawucinge ngomntu ochwetheza kwikhibhodi yekhompyutha imini yonke, okanye umntu othunga impahla, okanye umntu osebenzisa izandla zakhe ngendlela efanayo kumzi-mveliso. Iintshukumo eziphindaphindwayo ezinje zinokubangela umonakalo omncinci kuloo mithambo-luvo.
• Ukwandiswa kakhulu kwelungu.
• Ukuhlala ixesha elide ubambe inyama ngamandla: Njengokubamba isixhobo esinzima ngokuqinileyo ixesha elide.
• Ukonakala komthambo ngenxa yokuqhekeka kwamathambo.
• Ukonzakala (ukwenzakala kumthambo, njengokusikwa ngesixhobo esibukhali okanye utyando).
• Ingabangelwa nalunyango lwemitha yomhlaza.

2. Uxinzelelo lweMithambo

Ezi zinto zilandelayo zinokubangela i-mononeuropathy:

• Into efana nethumba elicinezela umthambo.
• Ukudumba okugqithisileyo (i-edema).
• I-cast engafakwanga kakuhle: Ukuba i-cast iqinile kakhulu ukuba ingafakwa umlenze okanye ingalo eyaphukileyo, inokucinezela imithambo-luvo.
• Ukusebenzisa iintonga.
• Ukuhlala kwindawo efanayo, ugobile, ixesha elide: njengokujika kwicala elinye uze ugcine iingalo zakho phantsi kwakho ngelixa usebenza egadini okanye ulele.
• Xa ulele ebhedini okanye uhlala kwindawo enye ixesha elide.

3. Ezinye Iimeko Zempilo

Ezinye izifo zinokubangela "iMononeuropathy." Nangona kunjalo, ezi zifo zihlala zichaphazela imithambo-luvo engaphezulu kwesinye.

• Ukusetyenziswa kotywala ngokugqithisileyo (`Ingxaki yokusebenzisa utywala`).
• Iimeko zokuzikhusela komzimba kunye nokudumba: Umzekelo, izifo ezifana neLupus kunye neRheumatoid Arthritis. Ezi zizifo ezibangelwa kukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela.
• Ezinye izifo: I-HIV (AIDS), iiShingles (herpes zoster - imeko eyenzeka emva kwe-chickenpox).
• Isifo seswekile: Abantu abanesifo seswekile basengozini enkulu yokulimala kwemithambo-luvo. Esi sisizathu esixhaphakileyo.
• Ukunqongophala kweevithamini kunye nezondlo.

Uyifumana njani le nto, Gqirha?

Uninzi lwexesha, ugqirha uza kukubuza oku:

• Ngokumamela nokufunda ngeempawu,
• Ngokwazi iinkcukacha malunga nezifo zakho zangaphambili ('imbali yezonyango'),
• Ngokwenza uvavanyo lomzimba kunye novavanyo lwemithambo-luvo,

Le meko inokufunyanwa njenge-"Mononeuropathy".

Nangona kunjalo, ekubeni kunokubakho izizathu ezininzi zoku, ukuba unobangela awucaci, okanye ukuba iimpawu zakho zinzima, ugqirha wakho unokuyalela iimvavanyo ezongezelelweyo. Ezi mvavanyo zinokunceda ukuqinisekisa ukuxilongwa kunye nokufumana unobangela oyintloko. Imizekelo:

• I-EMG - I-Electromyography: Oku kuvavanya indlela ezisebenza ngayo izihlunu zakho kunye nemithambo-luvo edibana nazo.
• Uphononongo lokuqhuba imithambo-luvo: Oku kulinganisa isantya esihamba ngaso imiyalezo ngemithambo-luvo. Ukuba imithambo-luvo yonakele, esi santya siyancitshiswa.
• Uvavanyo lwegazi: Jonga ezinye iimeko zempilo, ezifana nesifo seswekile kunye nokungabikho kweevithamini emzimbeni.
• Uvavanyo lwemifanekiso: Uvavanyo olufana ne-ultrasound, i-MRI scan, okanye i-CT scan lunokusetyenziswa ukujonga uxinzelelo lwemithambo-luvo okanye ithumba.

Ziziphi iindlela zonyango lwe-"Mononeuropathy"?

Unyango luxhomekeke kwizinto ezininzi, kuquka:

• Ngowuphi umthambo owonakeleyo?
• Yintoni isizathu?
• Imbi kangakanani imeko?
• Zithini iimpawu zakho?

Ugqirha wakho uza kucebisa unyango olufanelekileyo kwimeko yakho. Nazi ezinye iindlela zonyango eziqhelekileyo:

• Unyango oluqhelekileyo: ukuphumla, ukusebenzisa amayeza okulawula iintlungu.
• Ukunxiba ii-splint: Ezi zisetyenziselwa ukugcina indawo echaphazelekayo ingashukumi. Umzekelo, i-splint ibekwa esihlahleni sabantu abane-Carpal Tunnel Syndrome.
• Iinaliti zeSteroid: Ezi naliti zifakwa kwindawo apho umthambo ucinezelwe khona ukunciphisa iintlungu, ukudumba, kunye nokudumba.
• Unyango lomzimba: Oku kunceda ukubuyisela ukusebenza kwemithambo-luvo nokuqinisa izihlunu ngokusebenzisa imithambo ethile kunye nolunye unyango.
• Ukunyanga imeko efihlakeleyo: Ukuba oku kungenxa yesifo esifana nesifo seswekile, kubaluleke kakhulu ukulawula eso sifo.
• Utyando: Ukuba ezinye iindlela zonyango azincedi, utyando lunokufuneka ukuze kukhululwe umthambo ocinezelweyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana iimpawu ezikhankanyiweyo apha ngasentla zentlungu, ukungaziva, kunye nobuthathaka bemisipha, kubalulekile ukubona ugqirha. Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba okuba nesiphumo esiphumelelayo esanda.

Ukuba sele ufunyenwe une-mononeuropathy, yazisa ugqirha wakho ukuba iimpawu zakho ziya zisiba mandundu okanye ukuba kuvela iimpawu ezintsha.

Kunganceda ukubuza ugqirha wakho le mibuzo:

• Luhlobo luni lwe-"Mononeuropathy" endinalo?
• Yintoni isizathu soku?
• Ziziphi iindlela zonyango endinazo? Ucebisa ntoni?
• Kuza kuthatha ixesha elingakanani ukuba oku kuphiliswe?
• Ngaba ndiza kuphila ngokupheleleyo, okanye inxalenye nje?
• Ndingenza ntoni ukuthintela oku ukuba kungenzeki kwakhona?

Ngawaphi amathuba okubuyela esimeni esifanelekileyo kule meko?

Oku kunokwahluka kumntu nomntu. Kuxhomekeke kwizinto ezifana nomthambo owonakeleyo, unobangela oyintloko, kunye nobunzima bomonakalo womthambo.

Le meko inokuba buhlungu kwaye inokuphazamisana nemisebenzi yemihla ngemihla. Abanye abantu kufuneka bahlupheke zezi mpawu ixesha elide. Nangona kunjalo, ukuba ugqirha angayifumana imbangela kwaye unyango luphumelele, i-"Mononeuropathy" inokuba yimeko yexeshana.

Yintoni umahluko phakathi kwe-`(Mononeuropathy)` kunye ne-`(Polyneuropathy)`?

I-Polyneuropathy kuxa imithambo-luvo emininzi emzimbeni wakho ingasebenzi ngaxeshanye. Umzekelo yimeko ebizwa ngokuba yi-Guillain-Barré syndrome, eyenzeka ngequbuliso.

Nangona kunjalo, `(Mononeuropathy)` ithetha umonakalo kwimithambo-luvo enye kuphela emzimbeni wakho. Ngamanye amaxesha, `i-multiple mononeuropathy`, echaphazela imithambo-luvo emininzi ngaxeshanye, inokuba nzima kancinci koogqirha ukwahlula kwi-`(Polyneuropathy)`.

Usenokuba ukhe weva nge-`(Mononeuropathy)` ngamagama anje nge-`(Carpal Tunnel Syndrome)`, `(Bell's Palsy)` okanye `(Sciatica)`. Zonke ezi zinto ziyafana - umonakalo kumthambo omnye. Eyona nto ibalulekileyo kukuba, ukuba uneempawu ezifana nentlungu, ukungaziva, okanye ukurhawuzelelwa, funa uncedo lwezonyango ngoko nangoko. Ngaleyo ndlela, unokuphola ngokukhawuleza.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Mononeuropathy ayisiyonto yokoyika, kodwa ayiyonto yokungayinaki. Ukuba une-numbness engapheliyo, iintlungu, okanye ubuthathaka kwindawo ethile yomzimba wakho, musa ukuyityeshela nje. Bona ugqirha ngoko nangoko. Ngokuchongwa ngokufanelekileyo kunye nonyango olukhawulezileyo, ungaphila ngokukhawuleza kwaye ubuyele kwimisebenzi yakho yemihla ngemihla.

I- Mononeuropathy, i-neuropathy, ukuba ndindisholo, iintlungu zemithambo-luvo, ucinezelo lwemithambo-luvo, isifo se-carpal tunnel, i-sciatica