Ingabe nawe uhlushwa ubuhlungu obubangelwa ukucindezelwa komthambo endaweni eyodwa? Ake sixoxe nge-(Mononeuropathy)!

Ingabe ngezinye izikhathi uzizwa ungenamizwa noma ubuhlungu obuvuthayo engxenyeni eyodwa yengalo noma umlenze wakho? Ungase uzizwe ubuthakathaka kancane kuleyo ndawo. Uma unalezi zimpawu, ungase ube nesimo esibangelwa ukulimala komthambo owodwa. Kwezokwelapha, lokhu sikubiza ngokuthi "iMononeuropathy" . Kalula nje, lokhu kuwukulimala komthambo owodwa emzimbeni wakho.

Kuyini lokhu `(i-Mononeuropathy)`? Kwenzekani ngempela?

Uyazi, imizimba yethu inezintambo ezincane ezithwala imiyalezo esuka ebuchosheni iye emzimbeni wonke, ebizwa ngokuthi imizwa. I-"Mononeuropathy" iwukulimala kwenye yalezi zinzwa. Iyingxenye yesigaba esikhulu esibizwa ngokuthi "i-peripheral neuropathy." Okusho ukuthi, isimo esithinta izinzwa ezingaphandle kobuchopho kanye nomgogodla.

Cabanga ngakho njengocingo lukagesi endlini yakho. Inengxenye engaphakathi ebizwa ngokuthi "i-axon" ethwala imiyalezo, kanye nesembozo sangaphandle esibizwa ngokuthi "i-myelin sheath" esiyivikelayo. Kufana nocingo lwethusi olusentambo kagesi kanye nepulasitiki eliyizungezile. Uma kukhona ukucindezela okuqhubekayo kulo mthambo, noma uma kukhona ukulimala, noma uma kukhona ukuvuvukala, lo mthambo we-myelin noma i-axon kungalimala. Khona-ke imiyalezo ngentambo ingancishiswa ijubane, noma imiswe ngokuphelele. Yilapho izimpawu okukhulunywe ngazo ngaphambili, njengokungazweli nobuhlungu, zivela khona.

Kungenzeka kanjani ukuthi `(i-Mononeuropathy)`? Yiziphi izinhlobo ezivame kakhulu?

Eqinisweni, noma yimuphi umthambo owodwa emzimbeni wethu ungonakala ngale ndlela. Kodwa-ke, imizwa egijima eduze kwesikhumba noma eduze kwethambo inamathuba amaningi okuthinteka. Ezinye zalezi zinamagama akhethekile. Kungenzeka ukuthi uke wezwa ngala magama:

• I-Carpal Tunnel Syndrome: Lena inkinga evamile kubantu abaningi. Uma uthayipha kukhompyutha usuku lonke noma wenza umsebenzi wezandla (njengokuthunga noma ukubaza), inzwa ephakathi egijima esihlakaleni sakho ingacindezelwa, okubangela ukungakhululeki nobuhlungu eminweni yakho.
• I-Sciatica: Lokhu futhi kuvame kakhulu. Lobuhlungu obukhulu buvela lapho inzwa enkulu (i-sciatic nerve) egijima kusukela emhlane wethu idlule ezinqeni zethu futhi yehle ngemilenze yethu icindezelwa. Ngezinye izikhathi lokhu kungabangelwa ukuphakamisa into esindayo, ukuhlala kabi, noma i-disc ehlungiwe phakathi kwamathambo ethu.
• Ukubhajwa Kwezinzwa Ze-Ulnar Esinqeni:Kulabo abahlala bebeka indololwane yabo etafuleni, noma lapho okuthile kucindezela indololwane, lo mthambo ungacindezelwa, okwenza umunwe omncane kanye nengxenye yomunwe wendandatho kube ndikindiki futhi kube buthakathaka. Lokhu kubizwa nangokuthi `(Cubital Tunnel Syndrome)`.
• I-Radial Tunnel Syndrome: Ibangelwa ukucindezelwa kwenzwa engalweni (i-radial nerve).
• Esinye isimiso semizwa esihlakaleni (`(Guyon's Canal Syndrome)`): Lokhu kusebenza futhi emsipheni we-ulnar, kodwa ukucindezelwa kwenzeka esihlakaleni.
• Izinkinga Zezinzwa Zomuntu Ngamunye: Lo mthambo ungacindezelwa uma umlenze ugobile isikhathi eside, noma uma idolo lilimele. Lokhu kungenza kube nzima ukuphakamisa umlenze.
• Izinkinga Zezinzwa Ze-Axillary: Lokhu kungenzeka ngenxa yokulimala ehlombe.
• Izinkinga ezihlobene nomthambo wesikhumba we-lateral femoral: Ukucindezelwa kwale mthambo kubangela ukungazweli nokuvuvukala ngemuva kwethanga .

Ngaphezu kwalokhu, kukhona nohlobo lwe- "cranial mononeuropathies" (i-mononeuropathies ehlotshaniswa ne-cranial nerve) . Lokhu kusho ukuthi enye yezinzwa ezingu-12 ezivela ngqo ebuchosheni bethu yonakele. Isibonelo yi- "Bell's Palsy" (Bell's Palsy) . Kulokhu, inzwa ebusweni ("facial nerve" - ​​i-seventh cranial nerve) iyathinteka, okubangela ukuthi uhlangothi olulodwa lobuso luwe ngokuzumayo.

Ngezinye izikhathi izinzwa ezingaphezu kweyodwa, okungukuthi, izinzwa ezimbili noma ezintathu, zingalimala ngesikhathi esisodwa, ezingxenyeni ezahlukene zomzimba. Lokhu kubizwa ngokuthi 'i-multiple mononeuropathies'.

Cabanga nje, ama-40% abantu baseMelika bazobhekana ne-sciatica ngesikhathi esithile empilweni yabo! I-Bell's Palsy ithinta cishe umuntu oyedwa kwabangu-60. I-Carpal Tunnel Syndrome ithinta cishe abantu abathathu kwabayi-1,000 ngonyaka. Ngakho-ke lokhu akuyona into engavamile kangako.

Ziyini izimpawu zalokhu `(i-Mononeuropathy)`?

Izimpawu zingase zihluke kuye ngokuthi inzwa yonakele, kodwa izimpawu ezivame kakhulu zifaka:

• Ukuba ndikindiki endaweni ethintekile .
• Ubuhlungu noma umuzwa wokushisa .
• Umuzwa ofana “nezintuthwane ezigijima nxazonke” noma “izikhonkwane nezinaliti”.
• Ubuthakathaka bemisipha endaweni ethintekile. Uma lokhu kuqhubeka, imisipha ingase inciphe (ukuwohloka kwemisipha).

Uma unesinye noma ngaphezulu kwalezi zimpawu, kubaluleke kakhulu ukubona udokotela ngokushesha. Lokhu kungenxa yokuthi isimo singaba sibi kakhulu uma singelashwa. Uma kunjalo:

• Ubuhlungu obungapheli bungase buvele.
• Inzwa yokuthinta ingase ilahleke .
• Ubuthakathaka bemisipha obuhlala njalo noma ukukhubazekaIsimo esinjengalesi singenzeka.

Kungani lokhu `(i-Mononeuropathy)` kuvela? Ziyini izimbangela?

Kungaba nezizathu eziningana zalokhu. Ngokuyinhloko:

1. Ukulimala

Lokhu kuvame ukubangelwa ukulimala okuqondile kwemizwa. Kungabangelwa izinto ezifana nalezi:

• Ukunyakaza okuphindaphindiwe / ukulimala kokucindezeleka okuphindaphindiwe: Cabanga ngomuntu othayipha kukhibhodi yekhompyutha usuku lonke, noma umuntu othunga izingubo, noma umuntu osebenzisa izandla zakhe ngendlela efanayo efektri. Ukunyakaza okuphindaphindiwe okunjengalokhu kungabangela umonakalo omncane kulezo zinzwa.
• Ukwelulwa ngokweqile kwelunga.
• Ukuhlala isikhathi eside ubambe inyama ngamandla: Njengokubamba isikhali esinzima uqinise isikhathi eside.
• Ukulimala kwemizwa ngenxa yokuphuka kwamathambo.
• Ukulimala (ukulimala emthanjeni, njengokusikwa ngethuluzi elibukhali noma ukuhlinzwa).
• Kungabangelwa futhi ukwelashwa ngemisebe yomdlavuza.

2. Ukucindezelwa Kwezinzwa

Okulandelayo kungabangela i-mononeuropathy:

• Into efana nesimila esicindezela imizwa.
• Ukuvuvukala okukhulu (i-edema).
• I-cast engafakwanga kahle: Uma i-cast iqine kakhulu ukuba ingangena emlenzeni noma engalweni ephukile, ingacindezela imizwa.
• Ukusebenzisa izinduku zokusibekela.
• Ukuhlala endaweni efanayo, ugobile, isikhathi eside: njengokujika ohlangothini olufanayo bese ugcina izingalo zakho ngaphansi kwakho ngenkathi usebenza engadini noma ulele.
• Uma uvalelwe embhedeni noma uhlala endaweni efanayo isikhathi eside.

3. Ezinye Izimo Zempilo

Ezinye izifo zingadala "i-Mononeuropathy." Kodwa-ke, lezi zifo zivame ukuthinta imithambo engaphezu kweyodwa.

• Ukusebenzisa utshwala ngokweqile (`Inkinga yokusebenzisa utshwala`).
• Izimo zokuzivikela komzimba kanye nokuvuvukala: Isibonelo, izifo ezifana ne-Lupus kanye ne-Rheumatoid Arthritis. Lezi yizifo ezibangelwa ukungasebenzi kahle kwesimiso somzimba sokuzivikela.
• Ezinye izifo: I-HIV (AIDS), Ama-Shingles (i-herpes zoster - isimo esenzeka ngemva kwe-chickenpox).
• Isifo Sikashukela: Abantu abanesifo sikashukela basengozini enkulu yokuthola ukulimala kwemizwa. Lokhu kuyimbangela evame kakhulu.
• Ukuntuleka kwamavithamini nezakhamzimba.

Ukuthola kanjani lokhu, Dokotela?

Esikhathini esiningi, udokotela uzokubuza:

• Ngokulalela nokufunda ngezimpawu,
• Ngokwazi imininingwane ngezifo zakho zangaphambilini ('umlando wezokwelapha'),
• Ngokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa,

Lesi simo singatholakala ngokuthi "i-Mononeuropathy".

Kodwa-ke, njengoba kungaba nezimbangela eziningana zalokhu, uma imbangela ingacacile, noma uma izimpawu zakho zinzima, udokotela wakho angase acele ukuhlolwa okwengeziwe. Lokhu kuhlolwa kungasiza ekuqinisekiseni ukuxilongwa nokuthola imbangela eyisisekelo. Izibonelo:

• I-EMG - I-Electromyography: Lokhu kuhlola ukuthi imisipha yakho kanye nezinzwa ezixhumene nazo zisebenza kahle kangakanani.
• Ucwaningo lokuqhutshwa kwemizwa: Lokhu kulinganisa isivinini lapho imiyalezo ihamba khona ngemizwa. Uma imizwa yonakele, leli jubane liyancishiswa.
• Ukuhlolwa kwegazi: Hlola ezinye izimo zezokwelapha, njengesifo sikashukela kanye nokuntuleka kwamavithamini.
• Ukuhlolwa kwezithombe: Ukuhlolwa okufana ne-ultrasound, i-MRI scan, noma i-CT scan kungasetshenziswa ukubheka ukucindezelwa kwemizwa noma isimila.

Yiziphi izindlela zokwelapha i-"Mononeuropathy"?

Ukwelashwa kuncike ezintweni eziningana, okuhlanganisa:

• Yimuphi umthambo owonakele?
• Iyini imbangela?
• Isimo sibi kangakanani?
• Ziyini izimpawu zakho?

Udokotela wakho uzoncoma ukwelashwa okufanele kakhulu kwesimo sakho. Nazi ezinye izindlela zokwelapha ezivamile:

• Ukwelashwa okuvamile: ukuphumula, ukusetshenziswa kwemithi yokwelapha ubuhlungu.
• Ukugqoka izinti zokubopha: Lezi zisetshenziselwa ukugcina indawo ethintekile ingashukumi. Isibonelo, kubekwa isinti esihlakaleni sabantu abane-Carpal Tunnel Syndrome.
• Imijovo ye-steroid: Le mijovo ifakwa endaweni lapho inzwa icindezelwe khona ukuze kuncishiswe ubuhlungu, ukuvuvukala, kanye nokuvuvukala.
• Ukwelashwa ngokomzimba: Lokhu kusiza ukubuyisela ukusebenza kwezinzwa nokuqinisa imisipha ngokuzivocavoca okuthile kanye nokunye ukwelashwa.
• Ukwelapha isimo esiyisisekelo: Uma lokhu kungenxa yesifo esifana nesifo sikashukela, kubaluleke kakhulu ukulawula leso sifo.
• Ukuhlinzwa: Uma ezinye izindlela zokwelapha zingasizi, kungase kudingeke ukuhlinzwa ukuze kukhululwe inzwa ecindezelwe.

Kufanele ngimbone nini udokotela?

Uma ubhekene nezimpawu ezibalwe ngenhla zobuhlungu, ukungazweli, kanye nobuthakathaka bemisipha, kubalulekile ukubona udokotela. Uma uqala ukwelashwa ngokushesha, amathuba okuthola umphumela ophumelelayo ayanda.

Uma usuvele utholakale une-mononeuropathy, yazisa udokotela wakho uma izimpawu zakho ziba zimbi kakhulu noma uma kuvela izimpawu ezintsha.

Kungaba usizo ukubuza udokotela wakho le mibuzo:

• Uhlobo luni lwe-"Mononeuropathy" enginalo?
• Iyini imbangela yalokhu?
• Yiziphi izindlela zokwelapha enginazo? Yini oyincomayo?
• Kuzothatha isikhathi esingakanani ukuthi lokhu kuphulukiswe?
• Ingabe ngizolulama ngokuphelele, noma ingxenye nje?
• Yini okufanele ngiyenze ukuze ngivimbele lokhu ukuthi kungenzeki futhi?

Angakanani amathuba okululama kulesi simo?

Lokhu kungahluka kumuntu nomuntu. Kuncike ezintweni ezifana nomthambo owonakele, imbangela eyisisekelo, kanye nobukhulu bomonakalo womthambo.

Lesi simo singaba buhlungu futhi singaphazamisa imisebenzi yansuku zonke. Abanye abantu kufanele bahlushwe yilezi zimpawu isikhathi eside. Kodwa-ke, uma udokotela engathola imbangela futhi ukwelashwa kuphumelele, i-"Mononeuropathy" ingaba yisimo sesikhashana.

Uyini umehluko phakathi kwe-`(Mononeuropathy)` kanye ne-`(Polyneuropathy)`?

I-Polyneuropathy iwukuba imizwa eminingi emzimbeni wakho yehluleke ngesikhathi esisodwa. Isibonelo yisimo esibizwa ngokuthi i-Guillain-Barré syndrome, esenzeka ngokuzumayo.

Kodwa-ke, i-`(Mononeuropathy)` isho ukulimala kwenzwa eyodwa kuphela emzimbeni wakho. Ngezinye izikhathi, i-`multiple mononeuropathy`, ethinta imizwa eminingana ngesikhathi esisodwa, ingaba nzima kancane kodokotela ukuyihlukanisa ku-`(Polyneuropathy)`.

Kungenzeka ukuthi uke wezwa nge-`(Mononeuropathy)` ngamagama anjengokuthi `(Carpal Tunnel Syndrome)`, `(Bell's Palsy)` noma `(Sciatica)`. Konke lokhu kuyafana - ukulimala kwenzwa eyodwa. Into ebaluleke kakhulu ukuthi, uma unezimpawu ezifana nobuhlungu, ukungazweli, noma ukuqaqamba, funa usizo lwezokwelapha ngokushesha. Ngaleyo ndlela, ungalulama ngokushesha.

Okokugcina, izinto okufanele uzikhumbule

I-Mononeuropathy akuyona into okufanele uyesabe, kodwa futhi akuyona into okufanele uyishaye indiva. Uma une-numbness eqhubekayo, ubuhlungu, noma ubuthakathaka endaweni ethile yomzimba wakho, ungamane nje ungayishayi indiva. Bona udokotela ngokushesha. Ngokuthola ukuxilongwa okufanele kanye nokwelashwa okusheshayo, ungalulama ngokushesha futhi ubuyele emisebenzini yakho yansuku zonke.

I- Mononeuropathy, i-neuropathy, ukuba ndikindiki, ubuhlungu bemizwa, ukucindezelwa kwemizwa, i-carpal tunnel syndrome, i-sciatica