Ingabe uzithola uhudula izinzwane zakho phansi ungaqapheli ngisho nalapho uhamba? Ingabe kufanele uphakamise amadolo akho ngaphezu kokujwayelekile lapho ukhuphuka izitebhisi? Ingabe uvame ukukhubeka futhi uwe lapho wenza kanjalo? Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi 'Ukuwa Kwezinyawo'. Lokhu empeleni akuyona isifo esihlukile, kodwa uphawu lwenye inkinga emzimbeni wethu. Ngakho-ke namuhla, ake sixoxe ngalokhu kalula nangendlela enesizotha.
Kuyini ngempela i-Foot Drop?
Kalula nje, i-Foot Drop ukungakwazi ukuphakamisa ingxenye engaphambili yonyawo lwakho, okungukuthi, izinzwane. Lokhu kubangelwa ubuthakathaka noma ukukhubazeka kwemisipha ephakamisa izinzwane. Lesi simo singaba sesikhashana noma ngezinye izikhathi sibe esingamahlalakhona.
Ngenxa yokuthi abakwazi ukuphakamisa ingaphambili lonyawo lwabo kanje, umuntu one-Foot Drop uhudula izinzwane zakhe phansi lapho ehamba. Ukuze ayeke lokhu kuhudula, kufanele aphakamise amadolo akhe phezulu kakhulu lapho ehamba. Cabanga ngakho njengokukhuphuka izitebhisi. Ukuhamba ngale ndlela akuvamile, ngakho-ke kunengozi enkulu yokukhubeka nokuwa.
Ukuwa kwezinyawo akusona isifo, kodwa kuwuphawu lwenkinga yempilo eyisisekelo. Ngakho-ke, akuwona umqondo omuhle ukungasinaki lesi sibonakaliso uma usibona.
Lesi simo singathinta umlenze owodwa kuphela (ohlangothini olulodwa) noma imilenze yomibili (ehlangothini zombili).
Yini engabangela lokhu?
Ukuwa kwezinyawo kubangelwa kakhulu inkinga ohlelweni lwethu lwezinzwa noma emisipheni. Ake sibheke izimbangela eziyinhloko.
I-Lumbar Radiculopathy
Lena yimbangela evame kakhulu yokuwa kwezinyawo. Kwenzeka lapho umthambo oqala emhlane ongezansi bese ugijima phansi emilenzeni ucindezelwa. Lesi simo singabangelwa ukucindezelwa komthambo ku-L5 vertebra emhlane.
Izimbangela zokucindezeleka kwemizwa emgogodleni:
- I-Spinal Stenosis: Ukuncishiswa komsele womgogodla (i-spinal stenosis): Njengoba iminyaka ikhula, indlela imizwa edlula ngayo emgodleni womgogodla iyancishiswa.
- Ukuqhekeka kwamathambo: Ukuqhekeka kwamathambo amancane akheka eduze kwamalunga kungabangela ukucindezelwa kwemizwa.
- I-Herniated Disk: Lokhu yilokho esikubiza ngokuthi "i-herniated disk." Lokhu kungabangela nokucindezelwa kwemizwa.
Ukulimala Kwemizwa Yomuntu Ngamunye
Enye yezinzwa eziyinhloko ezigeleza emilenzeni yethu yi-peroneal nerve. Lena yi-nerve egeleza ngaphansi kwedolo, ngaphandle komlenze. Ukulimala kwale nzwa kungenye imbangela enkulu yokuwa kwezinyawo.
Lo mthambo ungalimala uma:
- Ukulimala edolweni, emlenzeni, noma eqakaleni (isb., ukwaphuka, ukukhumuka).
- Ukuhlala ugoqe imilenze isikhathi eside kungabangela ukuthi le nzwa icindezelwe endaweni yamadolo.
- Uma umlenze ugcinwa ebhodweni isikhathi eside.
- Kuvela isimila noma i-cyst egcwele uketshezi emthanjeni.
- Izifo ezifana ne-rheumatoid arthritis.
- Izifo ezithinta uhlelo lwezinzwa oluseceleni, njengeCharcot-Marie-Tooth.
Izifo zobuchopho kanye nezinzwa zomzimba
Ukunyakaza kwethu kulawulwa ubuchopho nomgogodla. Ngakho-ke ukuwa kwezinyawo kungabangelwa yizimo ezihlobene. Kodwa-ke, ezikhathini ezinjengalezi, kunezinye izimpawu eziningi ngaphezu kokuwa kwezinyawo.
- Izifo ezihlobene nobuchopho: Isifo Sohlangothi, I-Multiple Sclerosis (MS), I-Cerebral Palsy, Isifo SikaParkinson.
- Izifo Zezinzwa Zokunyakaza: Uvendle, i-ALS (i-Amyotrophic Lateral Sclerosis).
Akuvamile ukuthi lesi simo sibangelwe yizifo ezihlobene nemisipha njenge-muscular dystrophy.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela ngoba unalezi zimpawu, uzoqala akuhlole ngokucophelela. Uzohlola amandla emisipha yemilenze yakho, indlela ohamba ngayo, nokuthi ungawuphakamisa yini umlenze wakho.
Ngemuva kwalokho, singase sincome ezinye izivivinyo ukuthola imbangela yangempela .
| Uhlobo lokuhlola | Ubonani kulokhu? |
|---|---|
| Ukuhlolwa Kwezithombe | Ukuhlolwa okufana ne-X-ray, i-ultrasound, kanye ne-MRIs kusetshenziselwa ukuhlola ukucindezelwa kwemizwa noma ukwaphuka kwayo emhlane, emilenzeni, noma ebuchosheni. |
| Ukuhlolwa Kwegazi | Ungahlola umonakalo wezinzwa obangelwa yizimo ezifana nesifo sikashukela. |
| Ukuhlolwa Kwezinzwa | Izifundo zokuqhuba imizwa kanye nokuhlolwa kwe-EMG (Electromyography) kungakhomba indawo eqondile yenkinga yemizwa kanye nobukhulu bomonakalo. Lezi zivivinyo zibaluleke kakhulu ekuxilongweni. |
Yiziphi izindlela zokwelapha lokhu?
Into engcono kakhulu ukuthi ezimweni eziningi, kukhona ukwelashwa kwalokhu. Kodwa-ke, ukwelashwa kuncike embangela eyinhloko. Uma imbangela eyinhloko yelashwa, isimo se-Foot Drop naso singalapheka.
- Ukwelashwa Komzimba Nokusebenza: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuze uqinise imisipha ebuthakathaka, ugcine imilenze yakho iguquguquka, futhi ulungise indlela yakho yokuhamba.
- Ukusetshenziswa kwamadivayisi (Ama-braces, Ama-Splints, Ama-Orthotics): Ama-braces/ama-splints akhethekile noma ama-insert ezicathulo angasetshenziswa ukusiza ukugcina umlenze neqakala kusesimweni esifanele. Lokhu kunganciphisa kakhulu inani lokukhubeka okwenzekayo ngenkathi uhamba.
- Ukuhlinzwa: Kwezinye izimo, ukuhlinzwa kungadingeka. Isibonelo, ukuhlinzwa kungenziwa ukuze kuncishiswe ingcindezi emsipheni ocijile, kulungiswe umthambo owonakele, noma mhlawumbe kuxhunywe kabusha umsipha oqinile emsipheni obuthakathaka.
Izinto ongazenza ukuze uqaphele ekhaya
Kunobungozi obukhulu bokuwa ngenxa yokuwa kwezinyawo. Ngakho-ke kudingeka uqaphele kakhulu kokubili ekhaya nangaphandle.
- Ungashiyi izinto ezingadingekile phansi endlini yakho. Gcina izindlela zokuhamba zihlanzekile.
- Susa izinto ezingaphambana, njengokhaphethi kanye namakhaphethi ashwabene.
- Sebenzisa i-handrail uma ukhuphuka futhi wehla izitebhisi.
- Uma kudingeka, sebenzisa i-walking aid (udondolo noma i-walker). Akuyona into okufanele ube namahloni ngayo. Ukuphepha kwakho kuyinto ebaluleke kakhulu.
Uma unenkinga yokuphakamisa umlenze wakho futhi uzizwa sengathi izinzwane zakho ziyahudula phansi, ungalindi nje ubone ukuthi kuzolunga yini ngokwako, kodwa bona udokotela ngokushesha. Into ebaluleke kakhulu ukuthola imbangela eqondile.
Ngezinye izikhathi, uma kuyimbangela yesikhashana, njengomthambo omncane ocijile, ingase izixazulule yodwa. Kodwa-ke, uma ibangelwa yisifo esingamahlalakhona njenge-MS noma i-ALS, isimo sokuwa kwezinyawo singase sibe unomphela. Ngakho-ke, kubalulekile ukuthola ukuxilongwa okunembile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuwa kwezinyawo akusona isifo esihlukile, kodwa uphawu olubangelwa inkinga emgogodleni, emsipheni emlenzeni, noma ebuchosheni.
- Uphawu oluyinhloko ukungakwazi ukuphakamisa ingxenye engaphambili yonyawo (uhlangothi lwezinzwane) ngenkathi uhamba, uluhudula phansi.
- Uma ubona lesi sibonakaliso, ungasinaki futhi ufune iseluleko sezokwelapha. Uma imbangela itholakala kusenesikhathi, kulapho kungenzeka khona ukuthi ukwelashwa kuphumelele.
- Lesi simo singelashwa ngempumelelo ngokwelashwa ngokomzimba, imishini ekhethekile, futhi ngezinye izikhathi ngokuhlinzwa.
- Ngesikhathi sokwelashwa, kubaluleke kakhulu ukulungisa indawo yasekhaya lakho ukuze uvimbele ukuwa.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho