Ingabe uvame ukuba nobuhlungu emhlane? Mhlawumbe uzizwa uzwa ukuqaqamba emilenzeni yakho. Kodwa ake ucabange, kanye nalokhu buhlungu emhlane, ngokuzumayo uba nobunzima bokuchama noma ukukhipha indle, noma awukwazi ukuzilawula? Lokhu akuyona into ongayiziba nje. Lokhu kungaba yisimo sezokwelapha esibucayi kakhulu, esiphuthumayo esidinga ukuhlinzwa okuphuthumayo. Yilokhu esikhuluma ngakho namuhla.
Iyini i-Cauda Equina Syndrome?
Kalula nje, lesi yisimo esingavamile kakhulu kodwa esibucayi kakhulu. Ngaphansi komgogodla wethu, noma umgogodla, kunenqwaba yezimpande zemizwa. Lesi nqwaba semizwa simise njengomsila wehhashi, ngakho-ke sibizwa ngokuthi "i-Cauda Equina" ngesiLatini. Lezi mizwa zithumela futhi zamukele imiyalezo eya futhi ibuya ezithweni ezisemilenzeni, ezinyaweni nasezithweni zethu zesitho sangasese sowesifazane.
I-Cauda Equina Syndrome (CES) yenzeka lapho lesi sixha semizwa sicindezelwa ngesizathu esithile. Lokhu kubhekwa njengesimo esiphuthumayo sokuhlinzwa . Uma ukwelashwa kwephuza, umonakalo wemizwa ungase ungalungiseki. Lokhu kusho ukuthi imilenze yomibili ingase ikhubazeke unomphela , futhi kungenzeka ukuthi kulahlekelwe unomphela ukulawula isinyi kanye namathumbu.
Lesi simo singavela ngokuzumayo (esibucayi) noma sikhule ngokuhamba kwesikhathi (esingamahlalakhona). Kodwa-ke, kubalulekile ukubona udokotela ngokushesha nje lapho kuvela izimpawu.
Yiziphi izimbangela ze-Cauda Equina Syndrome?
Nakuba lesi simo sivame kakhulu kubantu abadala, singase senzeke nasezinganeni ezizalwa zineziphene noma eziye zalimala kakhulu emgogodleni wazo. Izimbangela eziyinhloko yilezi:
- I-disc ehlungiwe emhlane ongezansi, ecindezela imizwa, yiyona imbangela evame kakhulu.
- I-stenosis yomgogodla .
- Isimila noma umdlavuza emgogodleni.
- Ukutheleleka, ukuvuvukala, ukopha, noma ukwaphuka komgogodla.
- Ukulimala komgogodla ngenxa yengozi enkulu (isib. ingozi yemoto, ukuwa usuka endaweni ephakeme, inxeba lokudutshulwa).
- Izinkinga zokuzalwa, isibonelo, ukukhubazeka kwemithambo yegazi (i-AVM).
- Inkinga ngemva kokuhlinzwa emhlane.
- Inkinga yokubulala izinzwa komgogodla.
Izimpawu ze-Red Flag zalesi simo
Lezi zimpawu kungaba nzima ukuzibona, njengoba zifana nezezinye izifo. Kodwa uma unesinye noma ngaphezulu "sezimpawu ze-Red Flag" ezingezansi, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) noma ubone udokotela ngokushesha.
Ungahlali ekhaya ucabanga ukuthi lokhu kumane kuyibuhlungu bomhlane obujwayelekile. Isikhathi sibaluleke kakhulu lapha.
| Isibonakaliso | Incazelo kanye nencazelo |
|---|---|
| I-Saddle Anesthesia | Lesi yisibonakaliso esiyinhloko nesiyingozi kakhulu . Cabanga ukuthi uma ugibela ihhashi, izingxenye zomzimba wakho ezicindezelwe esihlalweni sehhashi. Lokho kusho ukuthi izinqe zakho, amathanga angaphakathi, kanye nendawo ezungeze izitho zakho zobulili kuzozizwa kuncane noma kungazwakali ngokuphelele. Kuzwakala sengathi lezo zindawo zithotshisiwe. |
| Izinkinga ngokulawulwa komchamo kanye namathumbu | Ungase uzizwe ngokuzumayo udinga ukuchama noma ukukhipha indle futhi ungakwazi ukuyeka (ukungakwazi ukuzibamba). Noma ungase uzizwe sengathi awukwazi ukuchama noma ukukhipha indle ngisho nalapho uzama ukuchama noma ukukhipha indle (ukugcina). Ungase futhi ulahlekelwe umuzwa wokudinga ukuchama. |
| Ubuhlungu obukhulu emhlane kanye nobuhlungu emilenzeni | I-Sciatica uhlobo lobuhlungu oluzwakala njengokushaqeka ngogesi emlenzeni, olunzima kakhulu kunobuhlungu obuvamile bomhlane. Lobuhlungu bungaba semilenzeni yomibili. |
| Ubuthakathaka noma ukungakhululeki emilenzeni | Ungase uzizwe sengathi imilenze yakho noma omunye wayo uyafa. Ungase ube nobunzima bokuvuka esihlalweni, noma ungase ukhubeke lapho uhamba. Ungase uzizwe nomuzwa oshisayo emilenzeni nasezinyaweni zakho, noma umuzwa wokucasuka (i-paresthesia) ozwakala sengathi izintuthwane ziyahamba. |
| Izinkinga zokusebenza kocansi | Ukungasebenzi kahle kocansi noma ukulahlekelwa umuzwa wocansi ngokuzumayo. |
Udokotela ukuthola kanjani lokhu?
Uma uya esibhedlela, udokotela uzolalela ngokucophelela izimpawu zakho. Ngemuva kwalokho uzohlola umzimba wakho, ikakhulukazi amandla, ukusabela, kanye nomuzwa emilenzeni yakho.
Kodwa ukuqinisekisa lesi sifo ngokuqinisekile, kudingeka i-MRI scan . I-MRI ingathola izithombe zomgogodla nezinzwa ezinezinhlangothi ezintathu (3D). Lokhu kungakhomba indawo eqondile yokucindezelwa kwezinzwa. Ezimweni lapho i-MRI ingatholakali khona, i-X-ray noma i-CT scan ebizwa ngokuthi i-myelogram nayo ingenziwa.
Ungayiphatha kanjani? Ingabe udinga ukushesha?
Uma lesi simo sitholakala, ukwelashwa ukwenza ukuhlinzwa ngokushesha ukuze kukhishwe inzwa ecindezelwe. Lokhu kuhlinzwa kubizwa ngokuthi i-lumbar laminectomy .
Khumbula, ukuhlinzwa zingakapheli amahora angu-48 kusukela izimpawu ziqale kunikeza ithuba elihle kakhulu lokuvimbela umonakalo ohlala njalo nokululama.
Ngaphezu kokuhlinzwa, ezinye izindlela zokwelapha zinganikezwa kuye ngembangela:
- Imithi ye- steroid (corticosteroids) enesilinganiso esiphezulu sokunciphisa ukuvuvukala.
- Ama-antibiotic uma imbangela iwukutheleleka.
- Uma imbangela kuyi-tumor yomdlavuza, ukwelashwa ngemisebe noma i-chemotherapy kunganikezwa ngemva kokuhlinzwa.
Ngisho nangemva kokuhlinzwa, kuye ngokuthi umonakalo wezinzwa ungakanani, kungase kungapholi ngokuphelele. Kodwa-ke, kungathatha iminyaka ukuthi izinto ezifana nokulawula isinyi kanye namathumbu zibuyele esimweni esijwayelekile.
Ukuhlala ne-CES - Yini okudingeka uyazi?
Uma kukhona umonakalo ohlala njalo ngemva kokuhlinzwa, kuzodingeka ufunde ukuphila nezinguquko. Ukusekelwa ngokomzimba nangokomzwelo kubaluleke kakhulu kuwe phakathi nalolu hambo.
Yazisa umndeni wakho ngalokhu bese uthola usizo lwabo. Ungacela usizo kochwepheshe abahlukahlukene, njengalaba:
- Udokotela Wezokwelapha Umzimba
- Uchwepheshe Wezokwelapha Emsebenzini
- Uchwepheshe Wezokwelapha Ucansi
- Umeluleki noma isazi sokusebenza kwengqondo
Uma unenkinga yokulawula umchamo noma indle yakho, lezi zinto zingasiza:
- Khulula isinyi sakho ngokuphelele usebenzisa i-catheter kathathu kuya kane ngosuku.
- Phuza amanzi amaningi futhi uhlale uhlanzekile ukuze uvimbele izifo zomchamo.
- Uma kudingeka, sebenzisa ama-suppositories e-glycerin noma ama-enemas ukusiza ukuphuma kwendle.
- Gqoka ama-protective pads.
Khuluma nodokotela wakho ngokukhululekile ngakho konke lokhu. Uzokunikeza isiqondiso osidingayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cauda Equina Syndrome (CES) akuyona nje ubuhlungu obuvamile emhlane, iyisimo esiphuthumayo sezokwelapha .
- Uma uzwa izimpawu ezifana nokuba ndikindiki ezinqeni nasezithweni zangasese (i-saddle anesthesia), ukulahlekelwa ukulawula umchamo/indle, noma ukulahlekelwa amandla emilenze, iya esibhedlela ngokushesha .
- Ukwelashwa okuyinhloko ukuhlinzwa okuphuthumayo zingakapheli amahora angu-48. Uma kubambezeleka isikhathi eside, kulapho amathuba okulimala unomphela eba makhulu khona.
- Ngisho nangemva kokuhlinzwa, kungathatha isikhathi ukululama. Iseluleko sezokwelapha kanye nokusekelwa komndeni kubalulekile.
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