Wake wazizwa umuzwa wokucasuka okungazelelwe engalweni noma emlenzeni wakho, noma umuzwa wokucasuka nje? Kungase kuphele ngemva kwesikhathi. Kodwa uma lo muzwa wokucasuka uqhubeka, uhambisana nobuhlungu noma ubuthakathaka, akuwona umqondo omuhle ukuwushaya indiva. Namuhla sizokhuluma ngesimo esibizwa ngokuthi 'i-nerve entrapment' esingabangela izimpawu ezinjengalezi.
Kuyini Ukucindezelwa Kwezinzwa?
Kalula nje, leli yigama elinikezwa umthambo emzimbeni wethu onciphayo, ovalekile, noma ocindezelwe ndawana thile.
Cabanga ukuthi ubuchopho bethu kanye nomgogodla (i-Central Nervous System) kufana nehhovisi elikhulu. Kusukela kuleli hhovisi elikhulu, kukhona uhlelo 'lwezintambo zocingo' oluthwala imiyalezo eya ezindaweni ezikude njengezandla zethu, imilenze, kanye neminwe. Lezi zintambo yilokho esikubiza ngokuthi i-Peripheral Nervous System.
Ake ucabange nje, kwenzekani uma ucingo lolu lucindezelwa noma lugobeka ndawana thize? Imiyalezo ayidluli kahle, akunjalo? Yilokho okwenzekayo uma inzwa icindezelwa. Ngenxa yokuthi imiyalezo ayidluli kahle endaweni elawulwa yileyo nzwa, kuvela izimpawu ezifana nokuqaqamba, ubuhlungu, kanye nokungazweli . Uma lesi simo siqhubeka, inzwa nayo ingalimala. Siyibiza ngokuthi 'i-Neuropathy'.
Yiziphi izinhlobo eziyinhloko zokuminyana kwemithambo yegazi?
Lokhu kuvinjelwa kwemithambo yegazi kungenzeka ezingxenyeni ezahlukene zomzimba. Lezi zimo zibizwa ngamagama ahlukene kuye ngokuthi zenzeka kuphi. Ake sibheke izinhlobo eziyinhloko ezibonakala.
| Indawo ebhajwe | Igama lesayensi yezokwelapha kanye nencazelo elula |
|---|---|
| Izitho Eziphezulu | |
| Ingalo | I-Carpal Tunnel Syndrome: Isimo esivame kakhulu. Sibangelwa ukucindezelwa kwe-median nerve edlula esihlakaleni. |
| Indololwane | I-Cubital Tunnel Syndrome: Ukucindezelwa kwe-ulnar nerve edlula endololwaneni. Lokhu kungabangela ukuqaqamba komunwe omncane kanye nomunwe wendandatho. |
| Ihlombe | Ukubhajwa Kwezinzwa Ezingaphezulu Kwesinqe: Ukulimala kwenzwa engenhla kwesinqe ngemuva kwehlombe. |
| Intamo nesifuba esingaphezulu | I-Thoracic Outlet Syndrome: Ukuqina kwemithambo entanyeni engezansi nasesifubeni esingaphezulu. |
| Izitho Ezingezansi | |
| Kusukela emhlane ongezansi phansi komlenze | I-Sciatica: Lokhu kuyinto abantu abaningi abaye bezwa ngayo. Ubuhlungu obubangelwa ukucindezelwa kwe-sciatic nerve, eqala emhlane iye phansi emlenzeni. |
| Indawo yethanga | I-Meralgia Paresthetica: Isimo esibangela ukuqaqamba nokusha kwemisipha ngaphandle kwethanga. |
| Isithende kanye nesoli | I-Tarsal Tunnel Syndrome: Ubuhlungu nokuqaqamba ematheni onyawo ngenxa yokucindezelwa komthambo we-tibial endaweni yeqakala. |
Kungani imithambo yegazi ivaleka kanje? Ziyini izimbangela?
Akukho imbangela eyodwa yokuthi umthambo uvaleke. Kunezimbangela eziningi ezingaba khona. Ngokuvamile, imithambo ihamba emalungeni ethu njengemigudu emincane ('imihubhe' noma 'imihubhe'). Uma izicubu ezizungeze lo mhubhe zivuvukala noma zonakala ngenye indlela, umthambo odlula kuwo uyavaleka.
Nazi ezinye zezizathu eziyinhloko:
- Izingozi nokulimala: Ngenxa yezinto ezifana namathambo aphukile kanye namalunga aqhekekile.
- Ukunyakaza okuphindaphindiwe: Le ngozi iphakeme kubantu abenza njalo uhlobo olufanayo lokunyakaza, njengomuntu ohlala ethayipha kukhompyutha, umuntu osebenza efektri yezingubo, noma umuntu osebenza ngokubaza.
- I-Arthritis: Ukuvuvukala kwamalunga kunganciphisa indlela yemithambo yegazi.
- Isifo Sikashukela: Isifo sikashukela singadala nomonakalo wezinzwa.
- Izinkinga zomhlane:I-disc ye-herniated yisimo lapho i-disc ephakathi kwamathambo omgogodla iqhuma khona bese icindezela inzwa.
- Ukukhuluphala ngokweqile nokukhulelwa: Eminye imithambo yegazi ingaqina ngenxa yokukhuluphala kanye nezinguquko emzimbeni ngesikhathi sokukhulelwa.
- Izinkinga ze-thyroid: Izimo ezifana ne-'Hypothyroidism' (i-hormone ye-thyroid ephansi).
- Ama-Tumors noma ama-Cysts: Lokhu kukhula eduze komthambo kungabangela ukuthi umthambo unciphe.
Zinjani izimpawu?
Izimpawu zemithambo evuvukalayo zivame ukubonakala kancane kancane. Aziveli ngokuzumayo. Izimpawu zingase zivele ziphele ezigabeni zokuqala. Futhi, lezi zimpawu zingase zande uma umthambo ucindezelwa.
Nakuba izimpawu ziyahlukahluka kuye ngokuthi yimuphi umthambo ovalekile, nazi ezinye izimpawu ezivamile:
- Ubuhlungu, ukuqaqamba, noma umuzwa wokuqaqamba: Lokhu kuvame ukuzwakala ngaphakathi nangaphandle kwelunga lapho umthambo ucindezelwe khona (isib., isihlakala, indololwane, iqakala).
- Ubuthakathaka bezitho zomzimba: Ubunzima bokubamba izinto, ukungakwazi ukuphakamisa ingalo noma umlenze, njll. Kungazwakala sengathi "ingalo ayizwakali."
- Ubunzima bokwenza imisebenzi yansuku zonke: Uma ungakwazi ukubamba indebe kahle bese uyilahla, noma uma unenkinga yokufaka izinkinobho zehembe lakho, kungaba uphawu lobuthakathaka besandla.
- Ukulahlekelwa Imisipha: Uma isimo sibi kakhulu futhi siqhubeka isikhathi esithile, imisipha enikezwa yilowo mthambo ingancipha futhi ibe mncane.
Ngakho-ke, ungacabangi nje ukuthi ukuqaqamba noma ubuhlungu ezithweni zakho kuzophela. Kubaluleke kakhulu ukubona udokotela ngokushesha ngangokunokwenzeka ukuze uthole imbangela.
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho ngokuningiliziwe. Ngemuva kwalokho, uzokuhlola (`Ukuhlolwa Komzimba`). Lapha, ungase ucelwe ukuba wenze izinto ezincane. Isibonelo, ungase ucelwe ukuthi uthinte okuthile, uphakamise ingalo noma umlenze, noma ubambe isikhundla esithile.
Uma kusolwa inkinga yemithambo yegazi ngemva kwalokhu kuhlolwa, ukuhlolwa okulandelayo kungacelwa ukuze kuqinisekiswe kabanzi:
- Ucwaningo Lokuqhutshwa Kwezinzwa kanye ne-Electromyography (EMG): Lolu vivinyo lulinganisa ukuthi izimpawu zikagesi zihamba ngokushesha futhi kahle kangakanani emithanjeni yakho nokuthi zifinyelela kahle kangakanani emisipheni yakho. Kufana 'nokuhlola' ucingo.
- Ama-scan anjenge-MRI, i-ultrasound, noma i-X-ray: Lezi zinhlobo zama-scan zingabona ngokucacile ukuthi umthambo uvalekile kuphi kanye nembangela (isibonelo, inkinga yamathambo noma isimila).
Iyini indlela yokwelapha? Ingabe ingelapheka ngaphandle kokuhlinzwa?
Ezimweni eziningi, ukuhlinzwa akudingeki. Lesi simo singalawulwa noma selapheke ngokwelashwa okungekona ukuhlinzwa. Udokotela uzozama lolu hlobo lokwelashwa kuqala.
- Imithi: Ama-NSAID anganikezwa ukunciphisa ubuhlungu nokuvuvukala. Ngezinye izikhathi, uma ukuvuvukala kukhulu, umjovo we-steroid unganikezwa ngqo endaweni lapho umthambo uvalekile khona.
- Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu. Udokotela wezifo zomzimba uzokufundisa ukuzivocavoca okuthile ukuze aqinise imisipha yakho futhi andise ukuguquguquka kwakho. Bazokufundisa nokuthi ungenza kanjani imisebenzi yansuku zonke ngaphandle kokucindezela imithambo yakho.
- Ukugqoka ama-splint noma ama-braces: Lokhu kusiza ukugcina ilunga elithintekile (isib., isihlakala) lingashukumi futhi lisendaweni efanele. Ukuzigqoka, ikakhulukazi ebusuku, kunganciphisa kakhulu izimpawu.
Kunini lapho kudingeka khona ukuhlinzwa?
Uma ukwelashwa okungenhla kungasizi, noma uma umthambo uvalekile kakhulu, udokotela wakho angase akuncome ukuhlinzwa. Ukuhlinzwa kuhilela ukususa ingcindezi emthanjeni. Ukuze wenze lokhu,
- Ukwandisa umhubhe lapho umthambo udlula khona.
- Ukususa into efana nesimila esibangela ukucindezeleka.
- Ngezinye izikhathi umthambo udinga ukulungiswa noma ukuhanjiswa kwenye indlela.
Yini engenziwa ukuvimbela lesi simo ekhaya?
Uma usengozini yokuba nehlule legazi, ikakhulukazi ngenxa yomsebenzi wakho, ukulandela lezi zinyathelo ezilula kungenza umehluko omkhulu.
- Qaphela indlela osebenza ngayo: Uma usebenza ngekhompyutha, lungisa ikhibhodi yakho nesihlalo ukuze izihlakala zakho nezindololwane zibe sesimweni esifanele.
- Ungagcini izindololwane zakho zigobile isikhathi eside kakhulu: Gwema ukugcina izindololwane zakho zigobile isikhathi eside kakhulu etafuleni noma esihlalweni lapho uphumuza khona izandla zakho.
- Phumula: Esikhundleni sokuhlala usesimweni esifanayo, vuka uhambehamba okungenani kanye ngehora, welule imilenze yakho kancane.
- Sebenzisa imishini efanele: Sebenzisa indawo yokuphumula esihlakaleni sakho ngekhibhodi yakho kanye nephedi yegundane.
- Gqoka i-brace/i-splint: Uma udokotela wakho ekuncoma, gqoka i-brace ngesikhathi somsebenzi noma ebusuku.
Yisiphi isikhathi esingcono kakhulu sokubona udokotela?
Uma unezimpawu ezilandelayo, ungangabazi ukubona udokotela ngokushesha.
| Lokho okuzwayo (izimpawu) | Kungani kufanele ubonane nodokotela? |
|---|---|
| Ubunzima bokwenza imisebenzi elula yansuku zonke (ukubopha ihembe, ukubhala, ukubamba okuthile). | Lokhu kungaba uphawu lokuthi kukhona ubuthakathaka bemisipha noma ukulimala kwemizwa. |
| Ubuhlungu obuqhubekayo bamalunga. | Kubalulekile ukunquma ngokunembile ukuthi imbangela yobuhlungu ingenye yini inkinga, njenge-arthritis, noma umthambo ovalekile. |
| Ukuqaqamba okuqhubekayo, ukuhlaba, noma ubuthakathaka engalweni noma emlenzeni. | Lezi yizimpawu ezicacile zokuthi inzwa ingaphansi kwengcindezi. Ukwelashwa okusheshayo kungavimbela umonakalo ohlala njalo. |
| Ubunzima bokuhamba noma ukulahlekelwa yibhalansi. | Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha, njengoba lokhu kungaba uphawu lwenkinga enkulu yezinzwa emilenzeni noma emhlane. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuqaqamba kanye nobuhlungu emalungeni omzimba akuvamile ngaso sonke isikhathi. Kungaba uphawu lokucindezelwa kwemizwa.
- Ukungazinaki izimpawu kungaholela ekulimaleni kwemizwa okungapheli kanye nobuthakathaka bemisipha.
- Ngokutholakala kusenesikhathi kanye nokwelashwa okufanele, ukululama kungatholakala ngaphandle kokuhlinzwa.
- Uma umsebenzi wakho noma indlela yakho yokuphila ikubeka engcupheni, ungasivimbela lesi simo ngokugcina ukuma okufanele kanye nokuzivocavoca umzimba.
- Uma izimpawu ziqhubeka noma ziba zimbi kakhulu, qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
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