Ingabe ngezinye izikhathi uzizwa sengathi izandla noma izinyawo zakho ziyathuthumela? Ingabe iminwe yakho ngezinye izikhathi izizwa sengathi iyathuthumela? Namuhla sikhuluma ngokuhlolwa okukhethekile odokotela abakusebenzisayo ukuthola ukuthi ngabe kukhona yini inkinga ohlelweni lwakho lwezinzwa. Lokhu kubizwa ngokuthi i-Nerve Conduction Study, noma i-NCS test ngamafuphi.
Kalula nje, luyini lolu vivinyo lwezinzwa (i-NCS)?
Cabanga ngemizwa emzimbeni wethu njengezintambo zikagesi. Lezi zintambo yilapho izimpawu zikagesi ezivela ebuchosheni zihamba khona ziye ezithweni zethu, zitshela ubuchopho lokho esikuzwayo (kushisa, kubanda) futhi zisiyale ukuba sihambise izitho zethu ngendlela esiyifunayo. Ukuhlolwa kwe-NCS kuwukuhlolwa okulinganisa ukuthi lezi zintambo zikagesi, noma izinzwa, zisebenza kanjani.
Lokhu kubheka kakhulu isimo sezinzwa zakho ezingaphandle . Okungukuthi, inethiwekhi yezinzwa enwebeka kuwo wonke umzimba ngaphandle kohlelo oluyinhloko olubizwa ngokuthi ubuchopho kanye nentambo yomgogodla. Lokhu kuhlola kulinganisa ukuthi isignali kagesi ihamba ngokushesha kangakanani emsipheni nokuthi inamandla kangakanani leyo signali.
Ake sibone ukuthi hlobo luni lwezinzwa lokhu okufunayo:
- Izinzwa Zokunyakaza: Lezi yizinzwa ezilawula imisipha yethu futhi zisisize sinyakaze. Isibonelo, uma ufuna ukuphakamisa ingalo yakho, lezi zinzwa zithwala umyalezo ovela ebuchosheni bakho uye emisipheni yengalo yakho.
- Imizwa Yokuzwa: Le mizwa ithwala izinto esizizwayo, njengokuthinta, ubuhlungu, nokushisa, ziye ebuchosheni. Uma uthinta into eshisayo, le mizwa yokuzwa yazisa ubuchopho ngokushesha.
Udokotela wakho uzoyala lokhu kuhlolwa uma unezimpawu ezifana nokungazweli, ukuqaqamba, noma ubuthakathaka ezingalweni zakho, ezandleni, noma ezinyaweni zakho. Lokhu kuhlolwa kwe-NCS kuvame ukwenziwa kanye nolunye ukuhlolwa olubizwa nge -EMG (Electromyography) . Sizoxoxa ngalokho kamuva.
Yiziphi izifo ezingatholakala ngokuhlolwa kwe-NCS?
Lokhu kuhlolwa kuthola kakhulu ukulimala kwemizwa kanye nokucindezelwa kwemizwa. Ake sibheke ukuthi ziyini lezi zimo nokuthi yini ezibangela zona.
1. I-Peripheral Neuropathy
Lokhu kubangelwa ukulimala kwemizwa engaphandle komzimba wonke. Kungaba nezizathu eziningi zalokhu.
| Isizathu | Incazelo elula |
|---|---|
| Isifo sikashukela | Amazinga kashukela aphezulu egazini isikhathi eside angalimaza imizwa, yingakho ukuba ndikindiki ezandleni nasezinyaweni kuvamile kubantu abanesifo sikashukela. |
| Ukuntuleka kwamavithamini | Ikakhulukazi uma umzimba untula amavithamini abalulekile ohlelweni lwezinzwa, njengevithamini B12 kanye ne-B6, imizwa ingaba buthaka. |
| Izinkinga ze-thyroid | Ukungalingani kwama-hormone e-thyroid kungathinta nokusebenza kwezinzwa. |
| Ukusetshenziswa kotshwala ngokweqile | Ukuphuza utshwala ngokweqile isikhathi eside kulimaza ngqo imizwa. |
| Izimo zokuzivikela komzimba | Ngezinye izikhathi amasosha omzimba wethu aqala ukuhlasela imizwa yethu. Isibonelo, izifo ezifana ne- (Lupus), (Rheumatoid Arthritis), (Guillain-Barré Syndrome) . |
| Izifo | Amanye amagciwane (isib. i-HIV) kanye nokutheleleka ngamagciwane nakho kungalimaza imizwa. |
| Eminye imithi | Ukulimala kwemizwa kungaba umphumela ongemuhle wemithi ethile, ikakhulukazi i-chemotherapy yomdlavuza. |
2. Izimpawu Zokucindezeleka Kwemizwa
Lokhu kwenzeka lapho inzwa icindezelwa phakathi kwethambo, imisipha, noma ezinye izicubu endaweni ethile emzimbeni.
Njengoba nje ukugeleza kwamanzi kuncipha lapho othile enyathela ipayipi lamanzi, izimpawu ezidlula emthanjeni ziba buthakathaka uma zicindezelwa.
Nazi ezinye izibonelo zalokhu:
- I-Carpal Tunnel Syndrome: Isimo esivame ukuthinta abantu abasebenza kukhompyutha noma abasebenza ngomshini isikhathi eside. Lokhu kubangelwa ukucindezelwa kwemizwa edlula esihlakaleni , okubangela ukungazweli kanye nobuhlungu esithupheni, umunwe wokukhomba, kanye nomunwe ophakathi.
- I-Sciatica: Isimo esibangelwa ukucindezelwa kwenzwa enkulu egijima kusukela emhlane iye phansi emlenzeni, okubangela ubuhlungu obukhulu kanye nokungazweli okuphuma phansi emlenzeni.
Uyini umehluko phakathi kokuhlolwa kwe-NCS kanye ne-EMG?
Esikhathini esiningi, lezi zivivinyo ezimbili zenziwa ndawonye. Kodwa lezi zivivinyo ezimbili zibheka izinto ezimbili.
Kalula nje,
- Ukuhlolwa kwe-NCS kubheka ukuthi 'ugesi' ugeleza kahle futhi ngesivinini esingakanani 'ngocingo' olubizwa ngokuthi i-nerve.
- Ukuhlolwa kwe-EMG kubheka indlela imisipha exhunywe kulowo mthambo esabela ngayo ngemva kokudlula kogesi, okungukuthi, ukuthi ufinyela kahle kangakanani.
Ngokwenza lezi zivivinyo zombili ndawonye, udokotela wakho anganquma ngqo ukuthi izimpawu zakho zibangelwa inkinga yezinzwa noma inkinga yemisipha.
Ngingalungiselela kanjani lolu vivinyo?
Lokhu akudingi ukulungiselela okuningi, kodwa khumbula lezi zinto.
- Geza kahle ngaphambi kokuyohlolwa. Kubalulekile ukuhlala uhlanzekile.
- Ungafaki noma yimaphi amakhrimu, ama-lotion, ama-powder , noma amafutha ezithweni zakho ngosuku lokuhlolwa. Ukushiya lokhu esikhumbeni kungathinta ukunemba kokuhlolwa.
- Woza ugqoke izingubo ezikhululekile nezikhululekile .
- Uma une- pacemaker noma enye idivayisi kagesi efakwe emzimbeni wakho, kufanele utshele udokotela wakho ngaphambi kokuhlolwa.
Kwenzekani ngesikhathi sokuhlolwa? Ingabe kukhona okufanele ukwesabe?
Abantu abaningi bayesaba kancane lesi sivivinyo, ngoba sihilela ukunikeza 'umzuzu'. Kodwa asikho ngempela isizathu sokwesaba.
Nakhu okwenzekayo igxathu negxathu ngesikhathi sokuhlolwa:
1. Uzohlaliswa esihlalweni noma ulale embhedeni.
2. Ngemuva kwalokho, udokotela noma uchwepheshe uzonamathisela izinto ezincane ezifana nezitikha ezibizwa ngokuthi ama-electrode ebusweni besikhumba sakho, lapho kutholakala khona imizwa ezohlolwa.
3. Ngemuva kwalokho, ukushaya kwenhliziyo okuncane kakhulu, okuthambile kuhanjiswa emthanjeni kusuka ku-electrode eyodwa.
4. Lokhu kuzwakala njengogesi omncane ngezinye izikhathi 'owukitazayo' lapho sigqoka izingubo. Abanye abantu bakuzwa njengokukitaza okuncane. Lokhu akubuhlungu.Ekuqaleni kwaba nokushukuma okuncane, kodwa kwahlala isikhathi esingaphansi komzuzwana.
5. Njengoba lesi siginali sikagesi sihamba nge-nerve, amanye ama-electrode alinganisa ukuthi sihamba ngesivinini esingakanani.
6. Ngale ndlela, kunikezwa ukushaya kwenhliziyo okuncane ezindaweni eziningana zemizwa bese kuqoqwa idatha.
Lonke lolu hlelo lungathatha noma yikuphi kusukela kumaminithi angu-15 kuya ehoreni, kuye ngokuthi inani lezinzwa lihlolwa kanjani.
Lokhu ukuhlolwa okuphephile ngokuphelele. Nakuba ama-electrical impulses angase azwakale engakhululekile, awesikhashana nje kuphela. Abantu abaningi bangenza lokhu kuhlolwa ngaphandle kwezinkinga.
Izinto okufanele uzazi ngemiphumela yokuhlolwa (Umbiko)
Ngokuvamile ungathola umbiko wemiphumela yakho zingakapheli amahora angama-24-48 uqedile ukuhlolwa.
Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi lo mbiko we-NCS umane nje uyimpicabadala. Udokotela wakho akenzi isinqumo ngokusekelwe kulo mbiko kuphela. Uzocabangela izimpawu zakho, ezinye izimo zakho zezokwelapha, kanye nemiphumela yanoma yiziphi ezinye izivivinyo okungenzeka zenziwe, ukuze anqume isimo sakho esiqondile futhi ahlele ukwelashwa kwakho.
Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngakho ngemva kokuthola umbiko bese uthola incazelo kuye.
Umlayezo Wokuya Nawe Ekhaya
- I-NCS (Ucwaningo Lokuqhutshwa Kwezinzwa) iyindlela ephephile ehlola ukusebenza kwezinzwa ezithweni zakho.
- Lokhu kuhlolwa kubaluleke kakhulu ekutholeni imbangela yezimpawu ezifana nokungazweli, ukuqaqamba, kanye nobuthakathaka ezithweni.
- Ama-pulse amancane kagesi anikezwa ngesikhathi sokuhlolwa awabuhlungu. Azwakala njengokukhafula okuncane noma ukushaqeka.
- Udokotela uzofika esiphethweni ngokuhlanganisa imiphumela yalolu vivinyo nezimpawu zakho kanye nolunye ulwazi lwezokwelapha.
- Uma unemibuzo noma ukukhathazeka ngalolu vivinyo, khuluma nodokotela wakho ngakho ngokukhululekile.
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