Ngaba ngamanye amaxesha ukhe uzive ngathi izandla okanye iinyawo zakho ziyaxhuzula? Ngaba iminwe yakho ngamanye amaxesha ivakalelwa ngathi iyaphelelwa ngamandla? Namhlanje sithetha ngovavanyo olukhethekileyo olusetyenziswa ngoogqirha ukufumanisa ukuba kukho ingxaki kwinkqubo yakho yemithambo-luvo. Oku kubizwa ngokuba yiNerve Conduction Study, okanye uvavanyo lwe-NCS ngamafutshane.
Ngamafutshane, yintoni olu vavanyo lwe-neurological (NCS)?
Cinga ngemithambo-luvo esemzimbeni wethu njengeentambo zombane. Ezi ntambo kulapho imiqondiso yombane esuka ebuchotsheni ihamba khona iye emalungeni ethu, ixelela ingqondo into esiyivayo (ishushu, ibanda) kwaye isiyalela ukuba sishukumise amalungu ethu ngendlela esiyifunayo. Uvavanyo lwe-NCS luvavanyo olulinganisa indlela ezi ntambo zombane, okanye iintambo, ezisebenza ngayo.
Oku ikakhulu kujonga imeko yemithambo-luvo yakho engaphandle . Oko kukuthi, inethiwekhi yemithambo-luvo esasazeka kuwo wonke umzimba ngaphandle kwenkqubo ephambili ebizwa ngokuba yingqondo kunye nentambo yomgogodla. Olu vavanyo lulinganisa ukuba isignali yombane ihamba ngesantya esingakanani kwimithambo-luvo kunye nokuba inamandla kangakanani loo mqondiso.
Makhe sibone ukuba loluphi uhlobo lwemithambo-luvo olufunayo:
- IiMotor Neves: Ezi ziimithambo-luvo ezilawula izihlunu zethu kwaye zisinceda sishukume. Umzekelo, xa ufuna ukuphakamisa ingalo yakho, ezi mithambo-luvo zithwala umyalezo ovela engqondweni yakho ukuya kwizihlunu zengalo yakho.
- Iimvakalelo: Ezi mvakalelo zithwala izinto esizivayo, njengokuchukumisa, iintlungu, kunye nobushushu, ziye engqondweni. Ukuba uchukumisa into eshushu, ezi mvakalelo zikhawuleza zixelele ingqondo.
Ugqirha wakho uza kuyalela olu vavanyo ukuba uneempawu ezifana nokungaziva mnandi, ukurhawuzelelwa, okanye ubuthathaka kwiingalo zakho, izandla, okanye iinyawo zakho. Olu vavanyo lwe-NCS ludla ngokwenziwa kunye nolunye uvavanyo olubizwa ngokuba yi-EMG (Electromyography) . Siza kuthetha ngaloo nto kamva.
Zeziphi izifo ezinokufunyaniswa ngovavanyo lwe-NCS?
Olu vavanyo lubona ikakhulu umonakalo wemithambo-luvo kunye nokucinezelwa kwemithambo-luvo. Makhe sijonge ukuba zeziphi ezi meko kwaye yintoni ebangela oko.
1. I-Peripheral Neuropathy
Oku kubangelwa kukonakala kwemithambo-luvo emzimbeni wonke. Zininzi izizathu zoku.
| Isizathu | Ingcaciso elula |
|---|---|
| Isifo seswekile | Amanqanaba aphezulu eswekile egazini ixesha elide anokonakalisa imithambo-luvo, yiyo loo nto ukuba ndindisholo ezandleni nasezinyaweni kuyinto eqhelekileyo kubantu abanesifo seswekile. |
| Ukunqongophala kweevithamini | Ingakumbi xa umzimba ungenazo iivithamini ezibalulekileyo kwinkqubo yemithambo-luvo, ezifana nevithamini B12 kunye ne-B6, imithambo-luvo inokuba buthathaka. |
| Iingxaki ze-thyroid | Ukungalingani kwiihomoni ze-thyroid kunokuchaphazela nokusebenza kwemithambo-luvo. |
| Ukusetyenziswa kotywala ngokugqithisileyo | Ukusela utywala kakhulu ixesha elide kuyayonakalisa ngokuthe ngqo imithambo-luvo. |
| Iimeko zokuzikhusela komzimba | Ngamanye amaxesha amajoni omzimba wethu aqala ukuhlasela imithambo-luvo yethu. Umzekelo, izifo ezifana ne (Lupus), (Rheumatoid Arthritis), (Guillain-Barré Syndrome) . |
| Iintsholongwane | Ezinye iintsholongwane (umz. i-HIV) kunye nosulelo lweebhaktheriya nazo zingonakalisa imithambo-luvo. |
| Amanye amayeza | Ukonakala kwemithambo-luvo kunokuba yimiphumo emibi yamanye amayeza, ingakumbi i-chemotherapy yomhlaza. |
2. Iimpawu zokucinezelwa kwemithambo-luvo
Oku kwenzeka xa umthambo uxinwa phakathi kwethambo, izihlunu, okanye ezinye izicwili emzimbeni.
Kanye njengokuba ukuhamba kwamanzi kuncipha xa umntu enyathela umbhobho wamanzi, imiqondiso edlula kumthambo wemithambo-luvo iba buthathaka xa ucinezelwe.
Nantsi eminye imizekelo yoku:
- I-Carpal Tunnel Syndrome: Imeko edla ngokuchaphazela abantu abasebenza kwikhompyutha okanye abachwetheza ixesha elide. Oku kubangelwa kukucinezelwa komthambo ohamba esihlahleni , nto leyo ebangela ukuba umntu angabi nanto yakwenza nentlungu kubhontsi, umnwe wokukhomba, nomnwe ophakathi.
- I-Sciatica: Imeko ebangelwa kukucinezelwa kwemithambo-luvo emikhulu eqala emqolo iye emlenzeni, nto leyo ebangela iintlungu eziqatha kunye nokungaziva kukhanya emlenzeni.
Yintoni umahluko phakathi kovavanyo lwe-NCS kunye ne-EMG?
Uninzi lwexesha, ezi mvavanyo zimbini zenziwa kunye. Kodwa ezi mvavanyo zimbini zijonga izinto ezimbini.
Kalula nje,
- Uvavanyo lwe-NCS lujonga ukuba 'umbane' uhamba kakuhle kwaye ukhawuleza kangakanani na ecaleni 'kwentambo' ebizwa ngokuba yi-nerve.
- Uvavanyo lwe-EMG lujonga indlela umsipha odibene naloo mthambo osabela ngayo emva kokuba umbane udlulile, oko kukuthi, indlela oqina ngayo.
Ngokwenza zombini ezi mvavanyo kunye, ugqirha wakho unokufumanisa ukuba iimpawu zakho zibangelwa yingxaki yemithambo-luvo okanye yemisipha.
Ndingazilungiselela njani ezi vavanyo?
Oku akudingi kulungiselela okuninzi, kodwa khumbula ezi zinto.
- Hlamba kakuhle ngaphambi kokuba uye kuvavanyo. Kubalulekile ukuhlala ucocekile.
- Musa ukuthambisa naziphi na iikhrimu, iiloshini, iipowder , okanye iioyile emilenzeni yakho ngomhla wovavanyo. Ukuzishiya ezi zinto eluswini kunokuchaphazela ukuchaneka kovavanyo.
- Yiza unxibe impahla ekhululekileyo nekhululekileyo .
- Ukuba unesixhobo sokuncedisa ukujikeleza kwegazi okanye esinye isixhobo se-elektroniki esifakwe emzimbeni wakho, kufuneka uxelele ugqirha wakho ngaphambi kovavanyo.
Kwenzeka ntoni ngexesha lovavanyo? Ngaba kukho into omele uyoyike?
Abantu abaninzi bayoyika kancinci olu vavanyo, kuba lubandakanya ukunika 'umzuzu'. Kodwa akukho sizathu sokoyika.
Nantsi into eyenzekayo inyathelo ngenyathelo ngexesha lovavanyo:
1. Uza kuhlaliswa esitulweni okanye ulale ebhedini.
2. Emva koko, ugqirha okanye ingcali iza kuncamathisela izinto ezincinci ezifana nezitikha ezibizwa ngokuba zii-electrodes kumphezulu wolusu lwakho, apho kukho khona imithambo-luvo eza kuvavanywa.
3. Emva koko, i-pulse yombane encinci kakhulu, ethambileyo ithunyelwa kwi-nerve evela kwi-electrode enye.
4. Oku kuvakala ngathi ngumbane omncinci othi ngamanye amaxesha 'uthintithe' xa sinxiba impahla. Abanye abantu bakuva ngathi kukuthintitha kancinci. Oku akubuhlungu.Ekuqaleni kwakukho ukushukuma okuncinci, kodwa kwahlala ixesha elingaphantsi komzuzwana.
5. Njengoko olu phawu lombane luhamba ngemithambo-luvo, ezinye ii-electrode zilinganisa ukuba luhamba ngesantya esingakanani.
6. Ngale ndlela, i-electrical pulse encinci inikwa kwiindawo ezahlukeneyo ze-nerve kwaye idatha iqokelelwa.
Le nkqubo yonke ingathatha naphi na ukusuka kwimizuzu eli-15 ukuya kwiyure, kuxhomekeke kwinani lemithambo-luvo evavanywayo.
Olu luvavanyo olukhuselekileyo ngokupheleleyo. Nangona ii-electrical impulses zingavakala zingakhululekanga, kodwa zisebenza ixesha elifutshane kakhulu. Uninzi lwabantu lunokwenza olu vavanyo ngaphandle kweengxaki.
Izinto ekufuneka uzazi malunga neziphumo zovavanyo (Ingxelo)
Ngokwesiqhelo ungafumana ingxelo yeziphumo zakho kwiiyure ezingama-24-48 emva kokwenza uvavanyo.
Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba le ngxelo ye-NCS yinxalenye enye nje yephazili. Ugqirha wakho akenzi sigqibo ngokusekelwe kule ngxelo kuphela. Uza kuqwalasela iimpawu zakho, ezinye iimeko zakho zempilo, kunye neziphumo zalo naluphi na olunye uvavanyo olunokuba lwenziwe, ukuze amisele imeko yakho echanekileyo aze acwangcise unyango lwakho.
Kungoko ke, kubalulekile ukuthetha nogqirha wakho ngale nto emva kokufumana ingxelo uze ufumane ingcaciso kuye.
Umyalezo Wokuya Ekhaya
- I-NCS (i-Nerve Conduction Study) yindlela ekhuselekileyo evavanya ukusebenza kwemithambo-luvo emilenzeni yakho.
- Olu vavanyo lubaluleke kakhulu ekufumaneni unobangela weempawu ezinje ngokuba ndindisholo, ukurhawuzelelwa, kunye nobuthathaka kwimilenze.
- Iimpembelelo zombane ezincinci ezinikwayo ngexesha lovavanyo azibuhlungu. Zivakala nje njengokukhafula okanye ukushukuma okuncinci.
- Ugqirha uza kufikelela kwisigqibo sokuxilongwa ngokudibanisa iziphumo zolu vavanyo kunye neempawu zakho kunye nolunye ulwazi lwezonyango.
- Ukuba unemibuzo okanye iinkxalabo malunga nolu vavanyo, thetha nogqirha wakho ngalo mbandela ngokukhululekileyo.
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