Uyazazi yini i-Cauda Equina Syndrome? Ake sixoxe ngayo!

O, ngezinye izikhathi sizwa ubuhlungu emhlane, akunjalo? Kodwa ezinye izinhlungu emhlane azilungile ekudlaleni. Namuhla sizokhuluma ngesimo esibucayi kancane, kodwa kubaluleke kakhulu ukwazi ngaso. Lokhu kubizwa ngokuthi i-Cauda Equina Syndrome. Empeleni lesi yisimo esiphuthumayo esibangelwa ukucindezelwa kwemizwa engxenyeni engezansi yomgogodla wethu.

Iyini i-Cauda Equina Syndrome?

Kalula nje, i-Cauda Equina Syndrome yisimo lapho iqembu lezimpande zemizwa phansi komgogodla wethu licindezelwa khona. Lezi zimpande zemizwa zibukeka njengomsila wehhashi, yingakho igama elithi 'cauda equina', elivela egameni lesiLatini elisho 'umsila wehhashi'. Cabanga nje, lezi mizwa yizo ezisiza ngokunyakaza kanye nokuzwa emilenzeni yethu, kanye nokusebenza kwesinyi sethu somchamo kanye namathumbu.

Lezi zinzwa zifana nezintambo zikagesi ezinika amandla emakhaya ethu nasezitolo. Lezi zinzwa zithumela futhi zamukele izimpawu zikagesi emizimbeni yethu yonke. Cabanga ukuthi kuzokwenzekani uma isiphepho esikhulu sifika ngokuzumayo bese igatsha lomuthi omdala liwa lishaye intambo kagesi? Lizochotshozwa, futhi izindlu kuleyo ndawo zilahlekelwe amandla, akunjalo? Yileyo ndlela i-cauda equina nerve echotshozwa ngayo. Khona-ke 'ugesi' oya emilenzeni yethu, esinyeni, nasemathunjini uyaphazamiseka. Njengoba nje inkampani kagesi yeza ngokushesha yasusa umuthi yalungisa intambo, kulesi simo futhi, odokotela kudingeka bangenelele ngokushesha futhi basuse ukuchotshozwa, noma kungenzeka umonakalo ohlala njalo .

Ingabe lokhu kuyisimo esiphuthumayo?

Yebo, impela! I-Cauda equina syndrome ibhekwa njengesimo esiphuthumayo sezokwelapha . Kungase kungabi yingozi empilweni, kodwa uma ingelashwa kahle, ingabangela umonakalo ongapheli emzimbeni wakho, mhlawumbe ngisho nokukhubazeka. Ngakho-ke, uma uhlangabezana nanoma yiziphi zalezi zimpawu , kufanele ufune usizo lwezokwelapha ngokushesha . Ukuhlinzwa kusenesikhathi kungasiza ekunciphiseni izimpawu eziningi futhi kuvimbele umonakalo ongapheli.

Ingabe zikhona izinhlobo zalokhu?

Yebo, odokotela bathole izinhlobo ezimbili eziyinhloko ze-cauda equina syndrome:

1. I-Cauda Equina Syndrome Engaphelele (CES-I): Lokhu kwenzeka lapho ulahlekelwa umuzwa wokuphuthuma wokuchama noma wokukhipha indle. Ngamanye amazwi, awuzizwa sengathi kufanele uye endlini yangasese. Kodwa-ke, ungase ube nokulawula isinyi kanye namathumbu. Lesi simo sithinta cishe abantu abangu-40% abane-cauda equina syndrome.

2. Qedela i-Cauda Equina Syndrome (CES-R):Lokhu kwenzeka uma ugcina umchamo kanye/noma indle, noma ungazithinti. Lokhu kusho ukuthi awukwazi ukuchama noma awukwazi ukuyeka. Lokhu kuthinta abantu abangaba ngu-60%, futhi yisimo esibi kakhulu.

Kuvamile kangakanani lokhu?

Lesi simo asivamile kakhulu. Ochwepheshe bathi uma ubheka umhlaba, sithinta cishe umuntu oyedwa kwabangu-30,000 noma oyedwa kwabangu-100,000 ngonyaka. Kulinganiselwa nokuthi i-cauda equina syndrome ibangela cishe u-3% wazo zonke izibazi zomgogodla.

Yiziphi lezi zimpawu eziyingozi?

Kulungile, manje ake sibone ukuthi ziyini izimpawu ze-cauda equina syndrome. Uma unesinye noma ngaphezulu kwalezi, kufanele uye esibhedlela ngokushesha .

• Ubuhlungu obukhulu emhlane ongezansi kanye/noma emlenzeni (njenge-sciatica). Bungase buvele ngokuzumayo futhi bungabekezeleleki.
• Ubuthakathaka emilenzeni. Ungase ukuthole kunzima ukuma noma ukuhamba, futhi ungase uzizwe sengathi imilenze yomibili iyaphela amandla.
• Imizwa engavamile njengokungazweli, ukusha, noma ukuqaqamba (i-paresthesia) ngemuva kwemilenze, izinqe, indawo yesinqe, kanye namathanga angaphakathi (indawo yesihlalo). Kungase kuzwakale sengathi umlenze uyalaliswa, noma kungase kube nsundu ngokuphelele.
• Ukungakwazi ukuzibamba ngenxa yomchamo kanye/noma indle. Ungase uvuze umchamo noma indle ungaqapheli.
• Ubunzima bokuchama (ukugcinwa komchamo). Ngisho noma ufuna ukuchama, ungase ungakwazi ukuchama, noma ungase ukwazi ukuchama kancane kancane.
• Izinguquko ezisheshayo emuzweni wocansi.

Uma ubona noma yiziphi zalezi zimpawu, sicela ubonane nodokotela ngokushesha ngaphandle kokulibala. Ngoba ukwelashwa kusenesikhathi kuyindlela engcono kakhulu yokuvimbela imiphumela emibi kakhulu.

Ungakwazi yini ukuhamba unalesi simo?

Lokhu kunzima ukukusho ngokuqinisekile, njengoba kuncike ekutheni unazo izimpawu ezinjani. Abanye abantu bangase bangabi nabunzima bokuhamba ngalesi simo. Kodwa kwabanye, ikakhulukazi uma benobuthakathaka obukhulu noma ukungabi namizwa emilenzeni yabo, ukuhamba kungaba yinselele. Yingakho kubalulekile ukubona udokotela ngokushesha nje lapho uqala ukuzwa izimpawu.

Yini ebangela lokhu?

Imbangela eyinhloko ye-cauda equina syndrome, njengoba ngishilo ngaphambili, ukuthi izimpande ze-cauda equina nerve, ezitholakala phansi komgogodla wethu (ama-vertebrae e-L1 kuya ku-L5), zicindezelwa okuthile.

Imbangela evame kakhulu yalokhu i-herniated lumbar disc . Lawa ma-disc afana ne-jelly asebenza njengemicamelo phakathi kwamathambo omgogodla. Uma i-disc iqhuma, ingacindezela izimpande zemizwa.

Ngaphandle kwalokho, kungaba nezinye izizathu eziningana zokuthi kungani lezi zimpande zemizwa zicindezelwa:

• Ukutheleleka: Izibonelo zifaka ithumba le-epidural, i-distitis, ne-meningitis.
• Ukulimala emhlane ongezansi.
• I-Lumbar spinal stenosis: Lokhu kuwukuncishiswa kwendlela yezinzwa emgogodleni.
• Izinkinga zokuhlinzwa komgogodla we-lumbar ngemuva kokuhlinzwa.
• Amahlule egazi azungeze umgogodla (i-Spinal epidural hematoma).
• Ukopha komgogodla.
• Izilonda zomgogodla noma izimila.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma lesi simo singelashwa kahle, noma uma ukwelashwa kubambezeleka, kungabangela umonakalo ohlala njalo kulezo zinzwa. Uma lokhu kwenzeka, kungaba nezinkinga ezinkulu, ezingapheli , njenge:

• Ukungasebenzi kahle kocansi.
• Ukulahlekelwa ngokuphelele ukulawula isinyi noma amathumbu.
• Ukukhubazeka kwemilenze.

Yingakho siqhubeka nokusho ukuthi kubaluleke kangakanani ukufuna iseluleko sezokwelapha ngokushesha nje lapho ubona izimpawu. Ungalibali umzuzwana!

Odokotela bakuthola kanjani lokhu?

Udokotela uzoxilonga i-cauda equina syndrome ngokwenza ukuhlolwa ngokomzimba, ukuhlolwa kwezinzwa, kanye nokuhlolwa okuthile. Udokotela uzobuza ngomlando wakho wezokwelapha futhi ahlole ukuthi ungakwazi yini ukwenza okulandelayo:

• Sukuma.
• Hlala phansi
• Hamba ngezithende
• Hamba ngezinyawo
• Thembela phambili.
• Thembeka emuva.
• Goba emaceleni
• Yelula bese uphakamisa imilenze yakho.

Lolu lwazi lungasiza udokotela wakho ukuthi athole umbono omuhle ngokuqina komzimba wakho, umuzwa, amandla, ukusabela, ukuqondana komgogodla, kanye nobubanzi bokunyakaza. Ngezinye izikhathi udokotela wakho angase enze nokuhlolwa kwe-rectal ukuhlola isimo semisipha yakho yendunu, njengoba le mizwa nayo ithinta leyo ndawo.

Hlobo luni lokuhlolwa olwenzayo?

Udokotela wakho angase acele ukuhlolwa kwezithombe okufana nalokhu ukuze kubhekwe amathambo akho, izimpande zemizwa, kanye nomgogodla:

• I-Magnetic Resonance Imaging (MRI): Lesi isivivinyo esingcono kakhulu sokuxilonga lesi simo. Sibonisa ngokucacile imizwa nezicubu ezithambile.
• I-Computed Tomography (i-CT scan):Uma i-MRI ingenakukwazi ukwenziwa ngokushesha, lokhu kuyasetshenziswa futhi.
• I-Myelogram: Lokhu kuhilela ukufaka idayi ekhethekile oketshezini lomgogodla bese kwenziwa i-X-ray noma i-CT scan. Izindawo zokucindezela kwemizwa zingabonakala kahle.

Ukuhlukanisa kanjani lokhu?

Udokotela wakho angahlukanisa i-cauda equina syndrome yakho njenge-acute noma i-chronic. Lokhu kuhlukaniswa kuzonquma ukuthi hlobo luni lokwelashwa oludingayo.

• I-acute cauda equina syndrome: Izimpawu ziqala ngokuzumayo futhi ziba zimbi kakhulu ngokushesha. Cishe uzodinga ukuhlinzwa zingakapheli amahora angama-24 kuya kwangu-48 kusukela ekuqaleni kwezimpawu.
• I-chronic cauda equina syndrome: Izimpawu zakho bezilokhu zikhona isikhathi eside. Kungenzeka ukuthi ubunezimpawu isikhathi eside ngaphambi kokufuna ukwelashwa, noma ungase ube nomonakalo wezinzwa unomphela ngenxa yezimpawu.

Yiziphi izindlela zokwelapha?

Izimpawu ezisheshayo (ezibukhali) ze-cauda equina syndrome zidinga ukuhlinzwa okuphuthumayo . Udokotela ohlinzayo ukhulula izimpande zemizwa ezicijile ukuze zibuyele esimweni esijwayelekile. Lokhu kuhlinzwa kubizwa ngokuthi i-lumbar laminectomy . Kalula nje, kususa imbangela yemizwa ecijile (njengediski eshelelayo).

Ngemva kokuhlinzwa, udokotela angase ancome izinto ezifana nalezi:

• Thatha imithi yokuthuthukisa ukulawula umchamo wakho kanye namathumbu.
• Faka ipayipi kuwe ukuze ukhiphe isinye sakho (ukuzithulula ngokwakho).
• Bamba iqhaza ekuzilolongeni ngokomzimba ukuze uthole amandla ngemva kokuhlinzwa.
• Thola izinsizakalo zokwelapha emsebenzini ukuze zikusize ngemisebenzi yansuku zonke.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Wonke umuntu uyalulama ngesivinini esihlukile. Ungase uqale ukuzwa izinqe zakho nemilenze yakho futhi zingakapheli izinsuku ezimbalwa ngemva kokuhlinzwa. Kodwa-ke, kufanele ugweme umsebenzi onzima kuze kube yilapho umzimba wakho usuphilile futhi, futhi ngisho nokuhamba kufanele kwenziwe ngokucophelela. Kungathatha amasonto, izinyanga, noma ngisho neminyaka ukuze uphinde ulawule isinyi sakho namathumbu ngemva kokuhlinzwa. Udokotela wakho uzokuchazela ukuthi yini ongayilindela nokuthi yiziphi izinyathelo ezilandelayo enkambisweni yakho yokululama. Kubalulekile ukuba nesineke ngokwelashwa kwakho.

Ingabe lokhu kungavinjelwa?

Akunakwenzeka ukuvimbela zonke izimbangela ze-cauda equina syndrome. Ngezinye izikhathi, asikwazi ukulawula izinto ezifana nezingozi nomdlavuza. Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yakho yokushelela ama-disc, okuyimbangela evame kakhulu. Nazi ezinye izeluleko:

• Gwema ukugqoka izicathulo ezinezithende eziphakeme njalo. Lezi zinhlobo zezicathulo zingashintsha indawo efanele yomgogodla wakho.
• Yeka ukusebenzisa imikhiqizo kagwayi (njengogwayi). Lokhu kungenza buthaka ama-disc aphakathi kwamathambo akho omgogodla.
• Qinisa imisipha yakho. Buza udokotela wakho ngezivivinyo ezingaqinisa imisipha yakho yasemhlane neyesisu (imisipha eyinhloko).
• Uma uphakamisa izinsimbi, ziphakamise kahle. Uma udinga ukuphakamisa into esindayo, goba amadolo akho bese ugcina umhlane wakho uqondile, kunokuba ugobe okhalweni.
• Prakthiza ukuma kahle. Ukugcina ukuma okuhle kunganciphisa ingcindezi emgogodleni.
• Yelula umzimba wakho ngezikhathi ezithile, ikakhulukazi uma uhleli isikhathi eside.

Ingabe lokhu kunomthelela empilweni yokuphila?

I-Cauda equina syndrome ayithinti ngqo impilo yakho. Okusho ukuthi, ngeke ikubulale ngokushesha. Kodwa-ke, izimpawu kanye nezinkinga ezingaba khona zingaba nomthelela omkhulu ezingeni lempilo yakho. Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha nje lapho ubona izimpawu.

Unjani umbono?

Ukuhlinzwa kunganciphisa ingcindezi ezimpandeni zemizwa yakho. Uma uthola ukwelashwa kusenesikhathi, ungavimbela ukulimala kwemizwa okuhlala njalo. Ngeshwa, odokotela abahlinzayo abakwazi ukubuyisela emuva ukulimala kwemizwa uma sekwenzekile. Ngemva kokuhlinzwa, udokotela wakho uzokuqapha ukuze abone ukuthi ukuhlinzwa kuhambe kanjani futhi akutshele ukuthi yiziphi izinyathelo ezilandelayo ohlelweni lwakho lokwelashwa. Kungakhathaliseki ukuthi umphumela uba yini, cishe uzodinga ukulungiswa kwesikhathi eside ukuze welaphe noma yibuphi ubuhlungu obuqhubekayo, ukulahlekelwa ukulawula isinyi/amathumbu, noma ubuthakathaka bemisipha.

Ukuphila nokungakwazi ukuzibamba, ukungasebenzi kahle kocansi, noma ezinye izinkinga ezihlobene ne-cauda equina syndrome akulula. Ungase uzizwe ucindezelekile, ucindezelekile, noma ukhathazekile phakathi nalesi sikhathi. Kungathinta nomsebenzi wakho wesikole, umsebenzi, kanye nobudlelwano nabangani nomndeni. Ithimba lakho lezokwelapha lingakusiza wenze izinguquko endleleni yakho yansuku zonke futhi uzivumelanise nalesi simo. Ungase ufune nokubona umeluleki wezempilo yengqondo noma ujoyine iqembu lokusekelana ukuze uxhumane nabanye abake baba nokuhlangenwe nakho okufanayo. Khumbula ukuthi awuwedwa.

Kufanele ubonane nini nodokotela?

Uma uhlangabezana nalezi zimpawu ze-cauda equina syndrome, kufanele uye esibhedlela ngokushesha :

• Ubuhlungu obukhulu emhlane ongezansi (ngokuzumayo noma okuqhubekayo).
• Ubunzima noma ukulahlekelwa ukulawula ukuchama noma ukuphuma kwendle.
• Ubunzima bokuhamba, ubuthakathaka emilenzeni.
• Ukuba ndikindiki noma eminye imizwa engavamile emathangeni angaphezulu, ezinqeni, noma endaweni yokuzala.

Ukuthola ukwelashwa ngokushesha ngangokunokwenzeka kungakusiza ukunciphisa ingozi yezinkinga zesikhathi eside.

Imibuzo okufanele uyibuze udokotela wakho

Ungangabazi ukubuza udokotela wakho imibuzo efana nale:

• Uhlobo luni lwe-cauda equina syndrome enginalo?
• Ingabe iyingozi noma ingamahlalakhona?
• Ngidinga ukuhlinzwa ngokushesha kangakanani?
• Kuzothatha isikhathi esingakanani ukuhlinzwa?
• Kuzodingeka ngihlale isikhathi esingakanani esibhedlela ngemva kokuhlinzwa?
• Ingabe nginayo i-herniated disc? Noma ingabe kukhona okunye?
• Inqubo yami yokululama izoba njani ngemva kokuhlinzwa?

Uma uzwa izimpawu ze-cauda equina syndrome, ungangabazi ukuya ekamelweni lezimo eziphuthumayo. Nakuba kungase kwesabise, uma uthola ukwelashwa ngokushesha, mancane amathuba okuthi ubhekane nomonakalo ongapheli emzimbeni wakho (njengokulahlekelwa ukulawula isinyi/amathumbu, ukukhubazeka).

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Kulungile, ngakho-ke i-Cauda Equina Syndrome iyisimo esibucayi, kodwa esingalawulwa kakhulu ngokwelashwa okusheshayo .

• Qaphela izimpawu: Ungazinaki, ikakhulukazi uma uzwa ukungakhululeki emilenzeni, ubuthakathaka, noma izinguquko ekulawuleni isinyi/amathumbu kanye nobuhlungu emhlane.
• Qonda ukuthi lesi yisimo esiphuthumayo: Lesi yisimo esiphuthumayo sezokwelapha. Uma ulinda isikhathi eside, kulapho umonakalo omkhulu ungavela khona ezinzwa.
• Bona udokotela ngokushesha: Uma nje ubona izimpawu, hamba uye esibhedlela ngokushesha okukhulu.
• Isikhathi sokululama ngemva kokwelashwa: Ngisho nangemva kokuhlinzwa, kungathatha izinyanga, ngisho neminyaka, ukuze ululame ngokugcwele. Phakathi nalesi sikhathi, kungadingeka wenze izinto ezifana nokukhuculula isinye ngesandla. Ungabi namahloni okukhuluma nodokotela wakho mayelana nokuchama nokuphuma endlini yangasese. Ithimba lakho lezokwelapha lizokusiza ukuthi ulungise futhi uphathe impilo yakho yansuku zonke.
• Impilo yengqondo nayo ibalulekile: Uma uphila nesimo esinjengalesi, impilo yengqondo ibaluleke njengempilo yomzimba. Uma kudingeka, funa iseluleko kumeluleki wezempilo yengqondo noma ujoyine iqembu lokusekela.

Sithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

I- Cauda Equina Syndrome, Ubuhlungu bomhlane, Ukucindezelwa kwemizwa, Ukuba ndikindiki kwemilenze, Ukulawulwa komchamo, Ukuhlinzwa Okuphuthumayo