Akuyona nje ubuhlungu bomhlane! Ake sifunde ngesimo esiphuthumayo esibizwa ngokuthi i-Cauda Equina Syndrome (CES)?

Kuthiwani uma ngokuzumayo uba nobuhlungu obukhulu emhlane, ukungazweli emilenzeni yakho, kanye nomuzwa ongalawuleki? Ungase ucabange, 'Lokhu akulona nje ubuhlungu obuvamile emhlane,' akunjalo? Namuhla sikhuluma ngesimo esibucayi esidinga ukunakekelwa okusheshayo, kodwa akekho okhuluma ngaso kakhulu, esibizwa ngokuthi i-Cauda Equina Syndrome (CES). Nakuba lesi kuyisimo esingavamile kakhulu, kubaluleke kakhulu ukuqaphela ngoba uma kwenzeka, kungadinga ukuhlinzwa okuphuthumayo, ngakho-ke kubaluleke kakhulu ukuqaphela.

Kalula nje, iyini i-Cauda Equina Syndrome (CES)?

Ukuze siqonde lokhu, ake siqale sibheke umgogodla wethu. Phansi komgogodla wethu, kukhona inqwaba yemizwa esukela phansi kusukela emgogodleni. Ibukeka njengomsila wehhashi, ngakho ibizwa ngokuthi 'i-Cauda Equina', okuyigama lesiLatini elisho "umsila wehhashi." Le mizwa ithumela futhi yamukele imizwa eya emilenzeni, ezinyaweni nasezithweni zethu zangasese.

I-Cauda Equina Syndrome (CES) yisimo lapho inqwaba yezinzwa, ebumbeke njengomsila wehhashi, icindezelwa kakhulu ngesizathu esithile. Lokhu kucindezela kubangela umonakalo ezinzwa.

Kungani lokhu kwenzeka? Ziyini izimbangela ze-CES?

Lesi simo sivame kakhulu kubantu abadala, kodwa singase senzeke nasezinganeni ezizalwa zinezinkinga zomgogodla noma izingane eziye zalimala kakhulu emgogodleni wazo. Izimbangela eziyinhloko yilezi:

• Idiski ephukile kakhulu emhlane ongezansi: Lena yimbangela evame kakhulu.
• I-stenosis yomgogodla .
• Isimila noma umdlavuza owenzeka emgogodleni.
• Ukutheleleka, ukuvuvukala, ukopha, noma ukuphuka komgogodla.
• Njengenkinga yokulimala komgogodla ngenxa yengozi enkulu, njengengozi yemoto, ukuwa, noma inxeba lokudutshulwa.
• Izimo ezithile ezikhona lapho kuzalwa, njengokuxhumana okungavamile phakathi kwemithambo yegazi ( i-Arteriovenous Malformation ).
• Inkinga ngemva kokuhlinzwa emhlane.
• Njengenkinga ye-anesthesia yomgogodla (lokhu akuvamile kakhulu).

Hlala uqaphile! Lezi yizimpawu eziyisixwayiso ze-CES

I-CES ngezinye izikhathi kungaba nzima ukuyixilonga. Izimpawu ziyahlukahluka kumuntu nomuntu futhi zingavela ngezindlela ezahlukene. Izimpawu zingafana nezinye izimo, ngakho-ke zingaqondwa kalula. Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, bona udokotela ngokushesha. Uma kungenzeka, iya ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.

Umehluko phakathi kwe-CES Ephelele kanye ne-Engaphelele

Odokotela bahlukanisa lesi simo sibe izinhlobo ezimbili, kuye ngokuthi sithinta kangakanani ukulawula umchamo wakho kanye namathumbu.

• I-CES engaphelele: Kulesi simo, uzizwa udinga ukuchama, kodwa kunzima kancane. Ungase ungakwazi ukukhipha ngokuphelele isinye sakho. Kodwa usenalo igunya lokulawula. Uma uhlinzwa kusenesikhathi kulesi sigaba, unethuba elingcono lokululama ngokugcwele.
• I-CES ephelele: Kulesi simo, kukhona ukulahlekelwa ngokuphelele kokulawulwa komchamo kanye nendle. Akukho mizwa yokudinga ukuchama (ukugcinwa). Ngisho nokuhlinzwa ngemva kokufinyelela kulesi sigaba, kungaba nzima ukulungisa umonakalo wezinzwa.

Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngokushesha nje lapho izimpawu ziqala, kukho konke ukuphila.

Ungasithola kanjani lesi sifo?

Uma uhlangana nodokotela, uzokwenza lezi zinto.

1. Umlando wezokwelapha: Ubuza ngezimpawu zakho, ukuthi zaqala kanjani, kanye nezinye izinkinga zempilo.

2. Ukuhlolwa komzimba: Imilenze yakho izohlolwa amandla, imizwa, kanye nokusabela komzimba.

3. I-MRI scan: Lena yindlela engcono kakhulu yokuxilonga i-CES. Isebenzisa insimu yamagnetic ukudala izithombe ezicacile zomgogodla wakho kanye nemizwa. Lokhu kungabonisa ngqo ukuthi imizwa icindezelwe kuphi.

4. Ezinye izivivinyo: Uma i-MRI ingekho, i-Myelogram (i-X-ray noma i-CT scan lapho kufakwa khona uketshezi olukhethekile emgogodleni) noma izivivinyo ezilinganisa ukusebenza kwezinzwa njenge- EMG/NCS nazo zingenziwa.

Yiziphi izindlela zokwelapha?

Ukwelashwa okuwukuphela okuphumelelayo kwe-CES ukuhlinzwa okuphuthumayo ukuze kukhishwe inzwa ecindezelwe. Lokhu kuhlinzwa kubizwa ngokuthi i-Lumbar Laminectomy .

Ngaphezu kokuhlinzwa, kungase kudingeke ezinye izindlela zokwelapha, kuye ngokuthi imbangela:

• Ama-Corticosteroids: Kunikezwa imithi yama-steroid enesilinganiso esiphezulu ukuze kuncishiswe ukuvuvukala okuzungeze izinzwa.
• Ama-antibiotic: Uma imbangela kuyisifo, kunikezwa ama-antibiotic.
• Ukwelashwa ngemisebe noma ngamakhemikhali: Uma imbangela kuyisifo somdlavuza, lokhu kwelashwa kungadingeka ngemva kokuhlinzwa.

Ukuphila ne-CES kanye nokuvuselelwa

Ngisho nangemva kokuhlinzwa, ukungakhululeki okuthile kungaqhubeka kuye ngomonakalo wezinzwa. Yileyo ndlela i-CES eba ngayo. Uma lokho kwenzeka, into ebaluleke kakhulu ukufunda ukuphila nezinguquko. Kunezingcweti eziningi nezindlela ezingakusiza.

• Udokotela Wezokwelapha: Usiza ekwakheni kabusha amandla emilenzeni nokufunda ukuhamba.
• Uchwepheshe Wezokwelapha Emsebenzini: Ukufundisa amasu nemishini edingekayo ukuze wenze imisebenzi yansuku zonke ngokuzimela.
• Umeluleki weContinence: Unikeza izeluleko ngezixazululo zezinkinga zokulawula umchamo kanye namathumbu (isib. ukusetshenziswa kwe-catheter, ama-pad akhethekile).
• Umeluleki: Usiza ekulawuleni ukucindezeleka nosizi oluvelayo lapho ubhekene nesimo esiphuthumayo noma isimo esibucayi njengalesi.

Ukusekelwa ngumndeni wakho nakho kubaluleke kakhulu kulolu hambo. Futhi, ukujoyina iqembu lokusekelana nabanye ababhekene nalesi simo kungaba umthombo omkhulu wamandla.