Wake wazizwa ngale ndlela? Uma ugoba ikhanda lakho ukuze ucoshe into ewele phansi, noma uma ugoba intamo yakho phambili, uzwa ubuhlungu obukhulu obuzwakala sengathi ugesi ugeleza emgogodleni wakho. Kufana nokushaqeka kukagesi. Nakuba kuhamba ngemizuzwana embalwa, umuzwa uyesabeka kancane. Yilokho esizokhuluma ngakho namuhla. Ngokwezokwelapha, lolu phawu lubizwa ngokuthi uphawu lukaLhermitte.
Iyini ngempela iSignali kaLhermitte?
Kalula nje, i-Lhermitte's Sign ubuhlungu obubukhali, obufana nogesi obuvele buhlasele umgogodla wakho, ngezinye izikhathi bungene ezingalweni nasemilenzeni, lapho ugoba intamo yakho phambili. Lokhu kungenzeka uma ukhwehlela noma uthimula. Ubuhlungu buvela ngokuzumayo futhi buphele ngemizuzwana. Kodwa bungenzeka izikhathi eziningana ngosuku.
Ngezinye izikhathi udokotela wakho uzobiza lokhu ngokuthi "isimo sesihlalo sokugunda izinwele." Isizathu salokhu ukuthi esikhathini esidlule, abanye abantu babezwa lolu hlobo lobuhlungu lapho bebhekise amakhanda abo phambili ezihlalweni zokugunda izinwele ngenkathi begezwa izinwele zabo.
Kodwa khumbula, lesi sibonakaliso esibizwa ngokuthi i-Lhermitte's Sign asiyona ingozi noma asisongeli impilo. Kodwa-ke, siyisignali ebalulekile esisinika mayelana nokuthile okungahambi kahle emzimbeni wethu.
Kungani sizizwa ngale ndlela? Iyini imbangela?
Isizathu esiyinhloko salokhu ukuthi kukhona umonakalo othile emithanjeni yomgogodla wethu. Kwezokwelapha, lokhu kulimala sikubiza ngokuthi "isilonda" noma "isilonda". Udokotela angathola ukuthi unesilonda esinjalo emgogodleni wakho wesibeletho nge-"MRI" scan.
Cabanga ngemizwa yethu njengezintambo zikagesi. Lezi zintambo zivikelwe yi-sheath evikelayo (insulation). Le sheath evikelayo ezungeze imizwa yethu ibizwa ngokuthi i-myelin. Le sheath ye-myelin yiyo evumela imiyalezo evela ebuchosheni ukuthi ihambe ngokushesha nangokunembile iye kwezinye izingxenye zomzimba.
Uma ngesizathu esithile lesi sigxobo se-myelin sonakele, isimo esibizwa ngokuthi "i-demyelination," inzwa iyavezwa. Ngaleso sikhathi, lapho ugoba indawo efana nentamo yakho, inzwa eyonakele iyavuselelwa futhi ithumela izimpawu zobuhlungu ezingamanga ebuchosheni. Yilokho okusenza sizizwe sengathi sishaywa ugesi.
Yiziphi izimo zezokwelapha ezingabangela isibonakaliso sikaLhermitte?
Imbangela evame kakhulu nehamba phambili yalesi sibonakaliso yi-multiple sclerosis (MS). Izifundo zithole ukuthi cishe umuntu oyedwa kwabathathu abane-MS uzobhekana nesibonakaliso sikaLhermitte okungenani kanye empilweni yakhe.
Ngaphandle kwalokho, kunezinye izizathu eziningana ezingathinta lokhu. Ithebula elingezansi lizocacisa lokhu kabanzi.
| Isimo/Imbangela | Incazelo elula |
|---|---|
| I-Multiple Sclerosis (MS) | Lesi yisifo esithinta uhlelo lwezinzwa. Kulesi simo, uhlelo lokuzivikela lomzimba lulimaza i-myelin sheath ezungeze izinzwa. Lesi yisona sizathu esivame kakhulu. |
| Ukuntuleka kwe-Vitamin B12 | I-Vitamin B12 ibalulekile ohlelweni lwezinzwa olunempilo. Uma amazinga e-B12 emzimbeni ephansi kakhulu, kungenzeka umonakalo wezinzwa. |
| Idiski ene-herniated | Idiski efana nojeli phakathi kwamathambo omgogodla iyaqhuma, icindezele umgogodla noma imizwa. Ngokuvamile sithi "idiski ene-herniated." |
| I-spondylitis yomlomo wesibeletho | Ukucindezelwa kwemizwa ngenxa yokuguguleka kwamathambo omgogodla kanye namalunga entanyeni njengoba kukhula. |
| Ukucindezelwa kwentambo yomgogodla | Ukucindezeleka emgogodleni ngenxa yesimila, ingozi, noma esinye isizathu. |
| Igciwane le-chickenpox (ama-shingles) | Kwezinye izimo, igciwane elibangela i-chickenpox lingavuselela futhi lithinte imizwa. |
| Ukwelashwa ngemisebe noma ngamakhemikhali (Ukwelashwa ngemisebe/ngamakhemikhali) | Lokhu kungenzeka njengomphumela ongemuhle wokwelashwa ngemisebe yomdlavuza, ikakhulukazi endaweni yentamo. |
Yiziphi izinto ezibangela lobu buhlungu?
Lobuhlungu bungavela ngokuzumayo ngenxa yemisebenzi ethile nezimo ezithile.
- Ukugoba intamo phambili: Lesi yisona siqhubu esiyinhloko.
- Ukukhwehlela
- Ukuzingela izingwenya
- Ukukhamuluka
Futhi, amathuba okuba lesi sibonakaliso sivele aphezulu ezimweni ezilandelayo:
- Uma ukhathele (Ukhathele)
- Uma ucindezelekile
- Uma uzivocavoca
- Uma usendaweni eshisayo
Udokotela ukuxilonga kanjani lokhu futhi yiziphi izindlela zokwelapha?
Akukho ukuhlolwa okuqondile okufanele kuhlolwe uphawu lukaLhermitte. Udokotela uzolubona ngokushesha nje lapho ulusho. Umgomo oyinhloko kadokotela ukuthola imbangela yalolu phawu, okungukuthi, isimo sezokwelapha esiyisisekelo.
Ngenxa yalokho,
- Udokotela uzokubuza ngokucophelela ngezimpawu zakho.
- Kuzohlolwa ngokomzimba. Kungenziwa ukuhlolwa okufana nokuhlolwa kwe-Spurling ukuze kuhlolwe ukucindezelwa kwemizwa okungenzeka ukuthi kubangela ubuhlungu entanyeni.
- Ungathunyelwa ukuze uyohlolwa ngezithombe, njenge -MRI scan . Lokhu kungabonisa ngokusobala ukuthi kukhona yini izilonda, i-herniated disc, noma omunye umonakalo emgogodleni.
Uma kukhulunywa ngokwelashwa, lobu buhlungu, obuhlala imizuzwana embalwa kuphela, bungase bungadingi ukwelashwa okukhethekile. Into ebaluleke kakhulu ukwelapha imbangela eyinhloko.
Ngokwesibonelo:
- Uma imbangela kuyi-MS, ukwelashwa kwayo kuzonciphisa ukwenzeka kwe-Lhermitte's Sign.
- Uma imbangela iwukuntuleka kwe-vitamin B12, ukunikeza i-vitamin B12 kungayelapha ngokuphelele le nkinga.
- Uma idiski ihlungiwe, ukwelashwa ngokomzimba noma mhlawumbe ukuhlinzwa kungadingeka.
Ngaphezu kwalokho, udokotela wakho angancoma okulandelayo ukusiza ukuphatha lobu buhlungu:
- Imithi yobuhlungu bemizwa, isibonelo `(Gabapentin)`.
- Kugqokwa i-brace yentamo ukuze kuncishiswe ukunyakaza kwentamo.
- Ukudluliselwa kuchwepheshe wezokwelapha ngokomzimba ukuze athole izivivinyo zokuphumula kwemisipha kanye nokwelula umzimba.
Kufanele ngimbone nini udokotela?
Uma uzwa ubuhlungu obufana nokushaqeka kukagesi obuchazwe ngenhla, ikakhulukazi uma ugoba intamo yakho, ungabunaki.
- KuweUma uzizwa kanje okokuqala empilweni yakho, nakanjani vakashela udokotela.
- Uma usuvele unesimo esifana ne-MS, futhi lezi zimpawu zibonakala zintsha noma zimbi kakhulu, yazisa udokotela wakho.
- Uma lobu buhlungu buhambisana nezinye izimpawu (isib. ukungazweli ezithweni, ubunzima bokuhamba, izinguquko embonweni), funa iseluleko sezokwelapha ngokushesha.
Nakuba lokhu kungasongeli impilo, kuyisibonakaliso esibalulekile esivela emzimbeni wakho. Ngakho ungakushayi indiva bese uvumela imbangela eyinhloko ibe yingozi.
Umlayezo Wokuya Nawe Ekhaya
- Uphawu lukaLhermitte lubuhlungu obufushane, obufana nogesi obuzwakala phansi komgogodla lapho intamo igobile phambili.
- Nakuba lesi sibonakaliso singeyona ingozi, siwuphawu olubalulekile lomonakalo emizweni emgogodleni.
- Nakuba imbangela eyinhloko yalokhu kuyi-Multiple Sclerosis (MS), ezinye izimbangela ezifana nokuntuleka kwe-vitamin B12 kanye nokuqhekeka kwe-spinal disc nazo zingadlala indima.
- Uma unezinye zalezi zimpawu, ungazinaki futhi ubone udokotela wakho ngokushesha ukuze uthole imbangela yangempela futhi uthole ukwelashwa okufanele.
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