Ngamanye amaxesha usenokuba ukhe waziva intlungu engaqhelekanga okanye evuthayo ngaphakathi komlenze wakho, ingakumbi kwindawo engaphantsi kwedolo. Ngamanye amaxesha isenokuvakala imbi ngakumbi xa uhamba okanye ugoba umlenze wakho. Sihlala sicinga ukuba lo ngumthambo oxineneyo okanye umsipha okrazukileyo. Ewe, kukho inyaniso ethile kuloo bali. Namhlanje siza kuthetha ngemithambo-luvo ebaluleke kakhulu emlenzeni wethu, kodwa abantu abaninzi abayazi igama layo. Leyo yimithambo-luvo yesaphenous. Nokuba umonakalo omncinci kule mithambo-luvo unokubangela ukungakhululeki okunjalo.
Kulungile, yintoni ke le nerve yesaphenous?
Ngamafutshane, i-saphenous nerve yi -sensory nerve ehamba ngaphakathi emlenzeni wakho. Ngoku usenokuba uzibuza ukuba yintoni i-sensory nerve. Cinga ngomzimba wethu njengesekethe yombane entsonkothileyo. Iintambo ezikule sekethe zibizwa ngokuba zii-nerves. Zimbini iintlobo zezi ntambo.
1. IiMotor Neves: Ezi zithwala imiyalezo esuka engqondweni ukuya kwizihlunu. Ezi mithambo-luvo zinika imiyalelo efana nokuthi "shukumisa ingalo yakho" kunye nokuthi "phakamisa umlenze wakho."
2. Iimvakalelo: Ezi zenza okwahlukileyo koko. Zithwala ulwazi malunga noko sikuvayo eluswini nakwimisipha yethu (ubushushu, umkhuhlane, iintlungu, ukuchukumisa) zibuyela engqondweni.
I-saphenous nerve ikwihlobo lwesibini, i-sensory nerve. Oku kuthetha ukuba ayiyaleli izihlunu ukuba zishukume, kodwa yileyo ixela yonke into evakala ngaphakathi komlenze wakho ebuchotsheni. Le yinxalenye yenkqubo ye-peripheral nerve yomzimba wethu. Oko kukuthi, yinxalenye yenethiwekhi ye-nerve esasazeka kuwo wonke umzimba, ngaphandle kwenkqubo ephakathi, eyingqondo kunye nomqolo.
Iyintoni inzuzo yale nerve emzimbeni wethu?
Umsebenzi ophambili we-saphenous nerve kukudlulisa iimvakalelo ezivela ngaphakathi komlenze wakho ziye kwingqondo nakwi-spinal cord. Kufana nomgca wefowuni osuka eluswini lomlenze wakho uye kwingqondo yakho. Loluphi ulwazi oludlula kulo mgca?
| Uhlobo lovakalelo | Kalula nje... |
|---|---|
| Indawo Yomlenze | Nokuba uvala amehlo akho, usenokuziva apho umlenze wakho ukhoyo, nokuba ugobile okanye woluliwe. Yiyo le ndlela le mithambo-luvo enceda ngayo ukunika ubuchopho ulwazi malunga nendawo yomlenze wakho. |
| Intlungu | Ukuba kukho into ebetha ngaphakathi emlenzeni, ukuba kukho umkrwelo, ukuba kukho iva kuwo, le nerve ithumela umyalezo engqondweni isithi, "Kubuhlungu apha." |
| Ubushushu | Ukuba uphosa amanzi ashushu emlenzeni wakho, okanye ukuba uthambisa iqhekeza lomkhenkce kuwo, uziva ubushushu okanye ukubanda ngenxa yalo mthambo. |
| Chukumisa | Xa umntu echukumisa ingaphakathi lomlenze wakho, xa uhlikihla impahla yakho, okanye xa ingcongconi ikuluma, uyayiva loo nto ngenxa yomsebenzi wale mithambo-luvo. |
Ivela phi kanye kanye emlenzeni le mvakalelo?
Une-saphenous nerve enye kwimilenze yakho nganye. Le nerve inika imvakalelo ngaphakathi komlenze wakho. Oko kuthetha ukuba:
- Ngaphantsi kwedolo ukuya kwicala elingaphakathi
- Ngaphakathi esifubeni
- Ngaphakathi kweqakala
- Igophe lonyawo lwakho
Ngamafutshane, le mithambo-luvo inceda ekunikeni imvakalelo ngaphakathi komlenze wakho, ukusuka edolweni ukuya ezantsi konyawo lwakho.
Le mithambo-luvo ibaluleke njani kuthi ngokwezonyango?
Ukongeza ekuxeleleni ubuchopho oko sikuvayo, le mithambo-luvo iluncedo kakhulu koogqirha. Oko kunyango olubizwa ngokuba yi-nerve block .
Ukuvalwa kwemithambo-luvo kubandakanya ukukhetha umthambo othile uze uwufake ngenaliti ukuze umise umthambo ukuba ungasebenzi okwethutyana. Kufana nokuvuthela i-fuse. Oku kuyayekisa imiqondiso yentlungu esuka kuloo mthambo iye engqondweni, kwaye indawo efumana imvakalelo kuloo mthambo iba ndindisholo.
Oogqirha benza uthintelo lwemithambo-luvo kwi-saphenous nerve ngezizathu ezintathu eziphambili:
1. Yeka intlungu xa kwenzeka ingozi: Khawuthelekelele ukuba wenzekele kakhulu ngaphakathi emlenzeni wakho. Ngelo xesha, ukwenza le mithambo-luvo ingasebenzi kakuhle ukuze ulawule intlungu okwethutyana kunokubonelela ngokukhululeka okukhulu.
2. Ukuvala indawo ngaphambi kotyando:Endaweni yokulahlekelwa ngokupheleleyo zingqondo ngaphambi kotyando oluncinci ngaphakathi komlenze, iqatha, okanye iqakala, kunokwenzeka ukwenza olu tyando ngokuqhawula lo mthambo kuphela.
3. Njengonyango lweentlungu ezingapheliyo: Ngamanye amaxesha kunokubakho iintlungu ezingapheliyo ezinxulumene nalo mthambo. Kwiimeko ezinjalo, le ndlela ikwasetyenziselwa ukulawula iintlungu.
Ifumaneka njani le mithambo-luvo emlenzeni wethu?
Nangona oku kuyinto yobuchwephesha kancinci, masiyiqonde ngokulula.
I-saphenous nerve iqala phezulu kwethanga lakho, ngaphakathi, kwindawo ebizwa ngokuba yi-femoral triangle . Oku kufana nokudibana okukhulu. Imithambo yegazi emininzi ebalulekileyo kunye nemithambo-luvo esiya emlenzeni idlula kule ndawo.
- I-saphenous nerve, eqala kule ndawo idibana kuyo, ihamba ngemisipha ekwicala langaphakathi lethanga, ngendlela efana nomngxuma ebizwa ngokuba yi-adductor canal .
- Njengoko iphuma kule tunnel, kufutshane nedolo, i-nerve yahlukana ibe ngamasebe amabini aphambili.
- Elinye isebe (isebe le-infrapatellar) linika uvakalelo kulusu olungaphantsi kwedolo.
- Elinye isebe eliphambili ('isebe lesartorial') liwela ngaphaya kwedolo lize likhuphe amasebe amancinci ukuze linike imvakalelo emqolo, eqatheni, nangaphakathi kwenyawo.
Le mithambo-luvo ayikho phezu kolusu lomlenze, kodwa inzulu kancinci. Ngenxa yoko, ayisoloko yonakaliswa kukukrweleka okanye ukukrweleka okuncinci.
Ziziphi iimeko ezichaphazela i-saphenous nerve?
Njengoko besitshilo ngaphambili, le mithambo-luvo ikhuselekile kakuhle ngaphakathi emlenzeni, ngoko ke akunakwenzeka ukuba yenzeke. Nangona kunjalo, kwezinye iimeko, le mithambo-luvo inokonakala okanye icinezelwe.
Izizathu ezibini eziphambili zezi:
- Ukubhajwa/Ukuxinana Kwemithambo-luvo: Uxinzelelo olungaqhelekanga kwimithambo-luvo evela kwimisipha ejikelezileyo, ii-ligaments, okanye ezinye izicubu.
- Ukonzakala: Ukusikeka okanye amanxeba anzulu ngaphakathi komlenze.
Nangona kunjalo, ngaphezu kwezi zizathu zimbini, esona sizathu siqhelekileyo nesiphambili somonakalo kwi-saphenous nerve kukonakala okwenzeka njengengxaki yotyando oluthile . Kuba ngexesha lotyando olwenziwa endleleni yale nerve, kukho ithuba lomonakalo ongeyongozi kwi-nerve.
| Uhlobo lotyando olunokubangela umonakalo | Kalula nje, oko kuthetha... |
|---|---|
| Ukwakhiwa kwakhona kwe-ACL | Utyando lwenziwa xa i-ligament ebalulekileyo enceda ukuzinzisa idolo ikrazukile. |
| I-Arthroscopy yeDolo | Utyando apho kufakwa isixhobo esincinci esinekhamera edolweni ukuze kuhlolwe kwaye kunyangwe ingaphakathi. |
| Utyando lweMeniscus Cartilage (Ukulungiswa kweMeniscus) | Utyando lokulungisa i-cartilage ekrazukileyo ngaphakathi kwedolo. |
| Utyando lweQakala | Utyando lokwaphuka kweqatha, iimeko ezinzima ze-arthritis, njl. |
| Ukuhluthwa kwemithambo yeVaricose | Ukususwa kwemithambo yemithambo ebuhlungu ngotyando, ebonakala kumphezulu wemilenze. |
| Utyando lwe-bypass (utyando lwe-CABG) | Xa umthambo wegazi entliziyweni uvaliwe, kuya kwenziwa utyando lokubuyisela ukuhamba kwegazi ngokudibanisa umthambo ovela emlenzeni (umthambo we-saphenous). Oku kungonakalisa umthambo we-saphenous, ohamba ecaleni komthambo we-saphenous. |
| Ukucoca Intliziyo | Uvavanyo kunye nonyango lwenziwa ngokungenisa umbhobho omncinci entliziyweni ngomngxuma owenziwe kwindawo yempumlo. |
Zeziphi iimpawu ekufuneka ndidibane nogqirha ngazo?
Ukuba uqhubeka ufumana enye okanye ngaphezulu kwezi mpawu zilandelayo ngaphakathi komlenze wakho, ingakumbi edolweni, emathangeni, okanye eqakaleni, kubalulekile ukubona ugqirha ukuze akuxelele ngale nto.
- Ukurhawuzelela kunye nokungaziva mnandi
- Imvakalelo yokutsha
- Intlungu yokudubula
- Intlungu Engacacanga, Ebuhlungu
- Ukuqina kwemisipha kuloo ndawo
Xa uxelela ugqirha wakho ngezi mpawu, uza kukuhlola. Ukuba kuyimfuneko, banokukuthumela kwingcali yemithambo-luvo. Ngamanye amaxesha, banokucebisa uvavanyo olukhethekileyo, olufana ne -EMG (Electromyography), ukuze kuchongwe umsebenzi ochanekileyo wemithambo-luvo.
Eyona nto ibalulekileyo kukuba, musa ukuyityeshela nayiphi na kwezi mpawu, ucinge ukuba, "Zivele zenzeke." Kubaluleke kakhulu ukwazisa ugqirha wakho ngezi mpawu, ingakumbi ukuba usandul' ukwenza utyando lwedolo, iqatha, okanye intliziyo.
Ukuba ucwangciselwe utyando, lilungelo lakho ukuthetha nogqirha wakho kwangaphambili malunga nezi ngxaki zinokubakho. Ukuba nogqirha onamava oza kwenza utyando kunokunciphisa kakhulu ezi ngozi.
Umyalezo Wokuya Ekhaya
- I-saphenous nerve yi-nerve ebalulekileyo ethwala iimvakalelo ezifana nokuchukumisa, iintlungu, kunye nobushushu obuvela ngaphakathi komlenze wakho (ukusuka edolweni ukuya ezantsi konyawo lwakho) ukuya engqondweni.
- Ukonakala kwesi siva kuqheleke kakhulu, kodwa kudla ngokuba yingxaki yotyando olufana nedolo, iqakala, okanye utyando lwe-bypass.
- Ukuba uneentlungu ezingapheliyo, ezitshisayo, okanye ezibukhali ngaphakathi komlenze wakho, isenokuba yingxaki yemithambo-luvo yesaphenous.
- Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela kwaye bonana nogqirha wakho ngokukhawuleza ukuze akunike icebiso.
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