Ngaba wakha waziva uziva urhawuzelelwa ngequbuliso engalweni okanye emlenzeni wakho, okanye uziva nje urhawuzelelwa? Usenokuphela emva kwexesha elithile. Kodwa ukuba olu rhawuzelelo luyaqhubeka, luhamba nentlungu okanye ubuthathaka, ayilocebo lilungileyo ukulityeshela. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi-'nerve entrapment' enokubangela iimpawu ezifana nezi.
Yintoni i-Nerve Compression?
Ngamafutshane, eli ligama elinikwa umthambo emzimbeni wethu oxineneyo, ovalekileyo, okanye ocinezelweyo ndaweni ithile.
Khawuthelekelele ukuba ingqondo yethu kunye nomqolo (iCentral Nervous System) zifana neofisi enkulu. Ukusuka kule ofisi inkulu, kukho inkqubo 'yeentambo zefowuni' ezithwala imiyalezo eyahlukeneyo ukuya kwiindawo ezikude njengezandla zethu, imilenze, kunye neminwe. Ezi ntambo zezo sizibiza ngokuba yiPeripheral Nervous System.
Khawucinge nje, kwenzeka ntoni ukuba olu cingo lwefowuni luxinwa okanye lugobile ndaweni ithile? Imiyalezo ayidluli kakuhle, akunjalo? Yiloo nto eyenzekayo xa umthambo uxinwa. Ngenxa yokuba imiyalezo ayidluli kakuhle kwindawo elawulwa ngulo mthambo, kuvela iimpawu ezifana nokurhawuzelela, iintlungu, kunye nokungaziva mnandi . Ukuba le meko iyaqhubeka, umthambo nawo unokonakala. Siwubiza ngokuba yi-'Neuropathies'.
Ziziphi iintlobo eziphambili zokuxinana kwemithambo yegazi?
Ezi ngxaki zokuvaleka kwemithambo yegazi zinokwenzeka kwiindawo ezahlukeneyo zomzimba. Ezi meko zibizwa ngamagama ahlukeneyo kuxhomekeke kwindawo ezenzeka kuyo. Makhe sijonge iintlobo eziphambili ezibonwayo.
| Indawo ebambekileyo | Igama lesayensi yezonyango kunye nengcaciso elula |
|---|---|
| Izitho Eziphezulu | |
| Isandla | I-Carpal Tunnel Syndrome: Yimeko eqhelekileyo kakhulu. Ibangelwa kukucinezelwa kwemithambo-luvo ephakathi edlula esihlahleni. |
| Ingqiniba | I-Cubital Tunnel Syndrome: Ukucinezelwa kwemithambo-luvo ye-ulnar ehamba ngengqiniba. Oku kunokubangela ukurhawuzelela kumnwe omncinci nomnwe weringi. |
| Igxalaba | Ukubetheka Kwemithambo-luvo Engaphezulu Kwesinqe: Ukonakala komthambo-luvo ongaphezulu kwesinqe ngasemva kwegxalaba. |
| Intamo kunye nesifuba esingaphezulu | Isifo seThoracic Outlet: Ukuqina kwemithambo entanyeni esezantsi nakwisifuba esingaphezulu. |
| Amalungu Asezantsi | |
| Ukusuka emqolo ongezantsi ukuya ezantsi emlenzeni | I-Sciatica: Le yinto abantu abaninzi abaye beva ngayo. Yintlungu ebangelwa kukucinezelwa kwe-sciatic nerve, eqala emqolo ukuya emlenzeni. |
| Indawo yethanga | I-Meralgia Paresthetica: Imeko ebangela ukurhawuzelelwa nokutsha ngaphandle kwethanga. |
| Isithende kunye nesoli | I-Tarsal Tunnel Syndrome: Intlungu nokurhawuzelela ezantsi kweenyawo ngenxa yokucinezelwa komthambo we-tibial kwindawo yeqakala. |
Kutheni imithambo yegazi ivaleka ngolu hlobo? Zithini izizathu?
Akukho sizathu sinye sokuba umthambo uvaleke. Zininzi izizathu ezinokubakho. Ngokwesiqhelo, imithambo ihamba kumalungu ethu njengemijelo emincinci ('imijelo' okanye 'imijelo'). Ukuba izicubu ezijikeleze lo mjelo ziyavuvukala okanye zonakele ngenye indlela, umthambo odlula kuwo uyavaleka.
Nazi ezinye zezizathu eziphambili:
- Iingozi kunye nokwenzakala: Ngenxa yezinto ezinje ngamathambo aphukileyo kunye namalungu atyumkileyo.
- Ukushukuma okuphindaphindayo: Lo mngcipheko uphezulu kubantu abenza uhlobo olufanayo lweentshukumo rhoqo, njengomntu ochwetheza rhoqo kwikhompyutha, umntu osebenza kumzi-mveliso weempahla, okanye umntu ochwela.
- I-Arthritis: Ukudumba kwamalungu kunokubangela ukuba imithambo yegazi ingakwazi ukungena kakuhle.
- Isifo seswekile: Isifo seswekile sinokubangela umonakalo kwimithambo-luvo.
- Iingxaki zomqolo:Idiski ehluthwe yi-herniated yimeko apho idiski ephakathi kwamathambo omqolo iphuma ize icinezele umthambo.
- Ukutyeba kakhulu kunye nokukhulelwa: Eminye imithambo yegazi inokuba nzima ngenxa yokwanda kobunzima kunye notshintsho emzimbeni ngexesha lokukhulelwa.
- Iingxaki ze-thyroid: Iimeko ezifana ne-'Hypothyroidism' (i-hormone ye-thyroid ephantsi).
- Iithumba okanye iiCysts: Ezi zihlumayo ezikufutshane nomthambo zinokubangela ukuba umthambo unciphe.
Zinjani iimpawu?
Iimpawu zemithambo evuvukileyo zihlala zibonakala kancinci kancinci. Aziveli ngequbuliso. Iimpawu zinokuvela zize ziphele kwizigaba zokuqala. Kwakhona, ezi mpawu zinokunyuka xa umthambo ucinezelwe.
Nangona iimpawu zahlukile ngokuxhomekeke ekubeni yeyiphi imithambo evalekileyo, nazi ezinye zeempawu eziqhelekileyo:
- Intlungu, ukurhawuzelela, okanye ukurhawuzelela: Oku kudla ngokuvakala ngaphakathi nangaphandle kwelungu apho umthambo ucinezelwe khona (umz., esihlahleni, engqinibeni, eqatheni).
- Ubuthathaka bemilenze: Ubunzima bokubamba izinto, ukungakwazi ukuphakamisa ingalo okanye umlenze, njl. Kungavakala ngathi "ingalo ayinamandla."
- Ubunzima bokwenza imisebenzi yemihla ngemihla: Ukuba awukwazi ukubamba ikomityi kakuhle uze uyilahle, okanye ukuba unengxaki yokuqhobosha ihempe yakho, oko kungaba luphawu lobuthathaka besandla.
- Ukulahlekelwa yimisipha: Xa imeko inzima kwaye iqhubeka ixesha elide, izihlunu ezinikezelwa yilo mthambo zinokuncipha zize zibe ncinci.
Ngoko ke, musa ukucinga nje ukuba ukurhawuzelelwa okanye iintlungu ezikwimilenze yakho ziya kuphela. Kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuze ufumane unobangela.
Ugqirha uyixilonga njani le nto? (Uxilongo)
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho ngokweenkcukacha. Emva koko, uza kukuhlola (`Uvavanyo Lomzimba`). Apha, unokucelwa ukuba wenze izinto ezincinci. Umzekelo, unokucelwa ukuba uchukumise into ethile, uphakamise ingalo okanye umlenze, okanye ubambe indawo ethile.
Ukuba kukho ingxaki yomthambo ekrokrelwayo emva kolu vavanyo, uvavanyo olulandelayo lunokuyalelwa ukuqinisekisa ngakumbi:
- Uphononongo lokuHanjiswa kwemithambo-luvo kunye ne-Electromyography (EMG): Olu vavanyo lulinganisa indlela iimpawu zombane ezihamba ngokukhawuleza nakakuhle ngayo kwiimithambo-luvo zakho kunye nendlela ezifikelela ngayo kwizihlunu zakho. Kufana 'nokujonga' ucingo.
- Iiskeni ezifana ne-MRI, i-ultrasound, okanye i-X-ray: Ezi ntlobo zeeskeni zinokubona ngokucacileyo apho umthambo uvalekile khona kunye nesizathu (umzekelo, ingxaki yethambo okanye ithumba).
Luluphi unyango? Ngaba lunganyangeka ngaphandle kotyando?
Kwiimeko ezininzi, utyando alufuneki. Le meko inokulawulwa okanye inyangwe ngonyango olungelulo utyando. Ugqirha uza kuqala azame olu hlobo lonyango.
- Amayeza: Ii-NSAID zinganikwa ukunciphisa iintlungu nokudumba. Ngamanye amaxesha, ukuba ukudumba kukhulu, inaliti ye-steroid inganikwa ngqo kwindawo apho umthambo uvalekile khona.
- Unyango Lomzimba: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo ethile yokuqinisa izihlunu zakho nokwandisa ukuguquguquka kwakho. Iya kukufundisa nendlela yokwenza imisebenzi yemihla ngemihla ngaphandle kokubeka uxinzelelo kwimithambo yakho.
- Ukunxiba ii-splint okanye ii-braces: Ezi zinceda ukugcina ilungu elichaphazelekileyo (umz., isihlakala) lingashukumi kwaye likwindawo efanelekileyo. Ukunxiba ezi, ingakumbi ebusuku, kunokunciphisa kakhulu iimpawu.
Kunini apho kufuneka khona utyando?
Ukuba unyango olungentla aluncedi, okanye ukuba umthambo uvalekile kakhulu, ugqirha wakho unokucebisa utyando. Utyando lubandakanya ukususa uxinzelelo kumthambo. Ukuze wenze oku,
- Ukwandisa umngxuma apho umthambo udlula khona.
- Ukususa into efana nethumba elibangela uxinzelelo.
- Ngamanye amaxesha umthambo kufuneka ulungiswe okanye utshintshe indlela.
Yintoni enokwenziwa ukuthintela le meko ekhaya?
Ukuba usemngciphekweni wokuba negazi eliqhekekileyo, ingakumbi ngenxa yomsebenzi wakho, ukulandela la manyathelo alula kunokwenza umahluko omkhulu.
- Lumka ngendlela oma ngayo xa usebenza: Ukuba usebenza ngekhompyutha, lungisa ikhibhodi yakho kunye nesitulo ukuze izihlathi zakho kunye neengqiniba zakho zibe kwindawo efanelekileyo.
- Musa ukugcina iingqiniba zakho zigobile kakhulu: Kuphephe ukugcina iingqiniba zakho zigobile kakhulu etafileni okanye esitulweni apho uphumza khona izandla zakho.
- Phumla kancinci: Endaweni yokuhlala kwindawo efanayo, vuka uhambehamba ubuncinane kanye ngeyure, wolule amalungu akho kancinci.
- Sebenzisa izixhobo ezifanelekileyo: Sebenzisa indawo yokuphumla esihlahleni kunye nekhibhodi yakho kunye nephedi yemawusi.
- Nxiba i-brace/i-splint: Ukuba ugqirha wakho uyayicebisa, nxiba i-brace ngexesha lomsebenzi okanye ebusuku.
Leliphi ixesha elifanelekileyo lokubona ugqirha?
Ukuba unezi mpawu zilandelayo, ungathandabuzi ukubona ugqirha ngokukhawuleza.
| Oko ukuvayo (iimpawu) | Kutheni ufanele uye kugqirha? |
|---|---|
| Ubunzima bokwenza imisebenzi elula yemihla ngemihla (ukuqhobosha ihempe, ukubhala, ukubamba into ethile). | Oku kungaba luphawu lokuba kukho ubuthathaka bemisipha okanye umonakalo wemithambo-luvo. |
| Intlungu yamalungu engapheliyo. | Kubalulekile ukufumanisa ngokuchanekileyo ukuba imbangela yentlungu yenye imeko, efana ne-arthritis, okanye umthambo ovalekileyo. |
| Ukurhawuzelela okungapheliyo, ukuhlaba, okanye ubuthathaka engalweni okanye emlenzeni. | Ezi zezona mpawu zicacileyo zokuba umthambo uphantsi koxinzelelo. Unyango olukhawulezileyo lunokuthintela umonakalo ongunaphakade. |
| Ubunzima bokuhamba okanye ukulahlekelwa yibhalansi. | Kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza, kuba oku kungaba luphawu lwengxaki enkulu yemithambo-luvo emilenzeni okanye emqolo. |
Umyalezo Wokuya Ekhaya
- Ukurhawuzelela kunye nentlungu emagxeni omzimba azisoloko ziqhelekile. Kungaba luphawu lokucinezelwa kwemithambo-luvo.
- Ukungazinaki iimpawu kunokubangela umonakalo osisigxina wemithambo-luvo kunye nobuthathaka bemisipha.
- Ngokufunyanwa kwangoko kunye nonyango olufanelekileyo, umntu unokuchacha ngaphandle kotyando.
- Ukuba umsebenzi wakho okanye indlela ophila ngayo ikubeka emngciphekweni, ungayithintela le meko ngokugcina indlela efanelekileyo yokuma kunye nokuzilolonga.
- Ukuba iimpawu ziyaqhubeka okanye ziyanda, qiniseka ukuba ubona ugqirha wakho ukuze akunike ingcebiso.
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