Ingabe ngezinye izikhathi uzwa ubuhlungu, umuzwa "wokushaywa yizinaliti", noma ubuhlungu obuqhubekayo ezithweni zakho? Nakuba lokhu kungase kube ngenxa yendlela oma ngayo, uma lezi zimpawu zihlala isikhathi eside, kungase kusho okuthile okubaluleke kakhulu. Ungase ube nobunzima bokucindezelwa kwemizwa . Ake sibheke kabanzi ukuthi lokhu kusho ukuthini empilweni yakho eNirogi Lanka.
Kuyini i-nerve ecindezelwe?
Kalula nje, inzwa ecindezelwe yenzeka lapho inzwa emzimbeni wakho icindezelwa izicubu ezizungezile—njengamathambo , imisipha, noma imisipha . Cabanga ngayo njengepayipi lengadi: uma othile eyinyathela, ukugeleza kwamanzi kuyavinjelwa. Uma inzwa icindezelwa, izimpawu ezihamba ngayo ziyaphazamiseka, okuholela ekubeni ndikindiki, ukuzwa ukuqaqamba, noma ubuhlungu .
Igama elithi “i-pinched nerve” liyigama elijwayelekile hhayi ukuxilongwa kwezokwelapha okuthile. Esikhundleni salokho, odokotela bakhomba isimo esiyisisekelo esibangela ingcindezi. Isibonelo, ukucindezelwa kwemizwa emgogodleni kungatholakala njenge- Spinal Stenosis noma i-Radiculopathy . Odokotela bavame ukusebenzisa igama elithi nerve entrapment .
Izimpawu zingaba zesikhashana noma ezingamahlalakhona, kuye ngokuthi zingakanani futhi zibangelwa yini. Kodwa-ke, izimo eziningi zingaphathwa ngempumelelo ngokuphumula, imithi ethengiswa ngaphandle kwemithi kadokotela (OTC), kanye nokwelashwa ngokomzimba .
Yiziphi izinhlobo zemizwa ecindezelwe?
Ukucindezelwa kwemizwa kuyahlukahluka kuye ngendawo kanye nenzwa ethile ethintekile. Imizwa edlula emihubheni emincane noma emiseleni emalungeni ethu isengozini enkulu. Lapho izicubu ezizungezile zivuvukala noma zilimele, zibeka ingcindezi emthambo, okubangela izimpawu.
Ukucindezelwa Kwezinzwa Zomgogodla
Uma izimpande zemizwa eziphuma emgogodleni wakho zicindezelwa izicubu ezizungezile, kungabangela ubuhlungu, ukungazweli, kanye nokuqaqamba komzimba wonke. Lesi simo saziwa ngokuthi yi-Radiculopathy .
I-Radiculopathy ihlukaniswa ngokwesigaba somgogodla othintekile:
- I-Cervical Radiculopathy: Ukucindezeleka entanyeni, okungase kubangele ubuhlungu kanye nokungazweli okuphuma engalweni.
- I-Thoracic Radiculopathy: Ayivamile; ingathinta isifuba noma izifunda zesisu.
- I-Lumbar Radiculopathy: Imbangela evamile ye -Sciatica , okuholela ebuhlungwini nasekugugeni okuvela emhlane ongezansi nokuhamba phansi komlenze.
Ukucindezelwa Kwezinzwa Ezingaphandle
Imizwa ingacindezelwa nakwezinye izingxenye zomzimba. Izibonelo ezivamile zifaka:
- I-Median nerve (isihlakala): Kuholela ku- Carpal Tunnel Syndrome , evame ukubonakala kubantu abenza imisebenzi ephindaphindayo njengokuthayipha.
- I-radial nerve (ingqiniba): Kuholela ku- Radial Tunnel Syndrome .
- Imizwa entanyeni nasesifubeni esingaphezulu: Kuholela ku- Thoracic Outlet Syndrome .
- I-Ulnar nerve (ingqiniba noma isihlakala): Iholela ekubanjweni kwe-Ulnar Nerve . Umuzwa "wethambo elihlekisayo" owuzwayo lapho ushaya ingqiniba yakho uwukucindezela kwesikhashana kwale nerve.
- Inzwa yesikhumba ye-femoral eseceleni (ithanga): Iholela ku -Meralgia Paresthetica .
- Inzwa ye-peroneal (umlenze ongezansi): Kuholela ku- Fibular Tunnel Syndrome .
- I-Pudendal nerve (indawo ye-pelvic): Iholela ku -Pudendal Neuralgia .
- I-sciatic nerve (umhlane ongezansi, isinqe, izinqe): Kuholela ku -Sciatica , isimo abaningi abasijwayele.
- I-Tibial nerve (iqakala/unyawo): Iholela ku- Tarsal Tunnel Syndrome .
Konke lokhu kuwela ngaphansi kwesigaba se- Nerve Compression Syndromes .
Ungase ukhumbule umuzwa wengalo noma umlenze wakho “ulala.” Lesi isibonelo esincane sokucindezelwa kwemizwa. Ukuma kabi isikhathi eside noma ukulala endaweni exakile kungacindezela imizwa okwesikhashana, okubangela lowo muzwa wokudabuka, ovame ukuxazululeka uma usushintshe indawo yakho.
Kuvame kangakanani ukuba ne-nerve ecindezelwe?
Ukucindezelwa kwemizwa kuvame kakhulu , ikakhulukazi izigameko zesikhashana njengokungazweli kwesikhashana, okuyinto iningi lethu elike labhekana nayo ngesikhathi esithile.
Kodwa-ke, amacala anzima kakhulu, angapheli njenge -Radiculopathy awavamile.
Ziyini izimpawu zomthambo ocijile?
Ukucindezeleka kwemizwa kuvame ukuholela ku- paresthesia , noma imizwa engavamile, njenge:
- Ukudlidliza
- Ukushisa
- Ukuzwa kwezikhonkwane nezinaliti
- Ukuluma
- Ukuba ndikindiki
- Umuzwa "wokulala"
Ngaphezu kwalokho, ukucindezeleka kwemizwa kungabangela ubuhlungu , obungase buzwe bubukhali noma bube njengobuhlungu obungapheli. Ukucindezeleka okumaphakathi kuya kokukhulu kungaholela nasekubuthakathakeni kwemisipha .
Ngenxa yokuthi inzwa eyodwa ivame ukunikeza izindawo eziningana, izimpawu zingase zivele. Isibonelo, uma inzwa ye-sciatic icindezelwe emhlane wakho ongezansi, ungase uzizwe izimpawu esinqeni sakho, esinqeni, noma phansi komlenze wakho.
Yini ebangela ukucindezelwa kwemizwa?
Imizwa iyacindezelwa lapho amathambo, imisipha, noma imisipha ezungezile icindezela kuwo. Ukuvuvukala nokuvuvukala ngokweqile nakho kungabangela lokhu. Izimo ezithile ezingabeka ingcindezi engavamile emithanjeni zifaka:
- I-Rheumatoid Arthritis : Lesi simo sokuvuvukala singabangela ukuvuvukala kwamalunga okubeka ingcindezi ezinzwa eziseduze.
- I-Osteoarthritis : Ngokuvamile ibizwa ngokuthi "ukuguguleka nokuklebhuka," lesi simo sibangela ukuba i-cartilage emalungeni ibole. Njengoba amathambo egudlana, umzimba ungase ube nama-bone spurs , angacindezela imizwa eseduze.
- Ukulimala: Ukulimala emathanjeni akho, emalungeni, emisipha, noma emisipheni kungacindezela imizwa ngenxa yokugudluka kwezicubu noma ukuvuvukala ngemva kokulimala. Isibonelo, ukuklwebheka okukhulu kwesihlakala kungaholela ekucindezelweni kwemizwa kuleyo ndawo.
Izinkinga Zomgogodla
Izimo ezithile ezithinta umgogodla ezingaholela ekucindezelweni kwemizwa zifaka:
- I-Herniated Disk: Ngokuvamile ibizwa ngokuthi “i-slipped disk.” Lokhu kwenzeka lapho ukunamathelana okuthambile phakathi kwamathambo akho omgogodla kuphuma futhi kubeka ingcindezi ezinzwa zakho.
- Izimila Zomgogodla
- I-Spinal Stenosis: Ukuncipha komsele womgogodla.
- Ukuphuka Komgogodla: Ukuphuka kwamathambo omgogodla wakho.
Yini eyandisa ingozi yakho yokuba ne-nerve ecindezelwe?
Izinto ezithile zingandisa ingozi yakho yokuba ne-nerve ecindezelwe. Ake sibheke ukuthi ziyini:
- Ubudala: Kungenzeka kakhulu ukuthi ube nesifo sokucinana kwemizwa uma uneminyaka engaphezu kwengu-50. Lokhu kuvame ukubangelwa yisifo samathambo kanye nokuguguleka okuhlobene nokuguga.
- Ukukhuluphala ngokweqile: Isisindo somzimba esiningi singabeka ingcindezi engadingekile ezinzwa zakho.
- Ukukhulelwa: Ngesikhathi sokukhulelwa, ingane yakho ekhulayo ithatha isikhala, ishintsha ezinye izitho nezicubu. Lokhu, kuhlangene nesisindo esengeziwe somntwana kanye ne-placenta, kungaholela ekucindezelweni kwemizwa.
- Imisebenzi yokunyakaza ephindaphindayo: Ukusebenzisa ilunga elifanayo ngokuphindaphindiwe kungabangela ukuvuvukala, okungase kucindezele imizwa. Labo abasemisebenzini ethile (isib., abathayipha, abasebenzi bomugqa wokuhlanganisa) noma abasubathi abathile basengozini enkulu.
Ihlolwa kanjani i-nerve ecindezelwe?
Uma uke wazama ukuphumula ekhaya nokusebenzisa umuthi wokuqeda ubuhlungu ngaphandle kokusebenzisa i-counter, kodwa izimpawu zakho azikathuthuki ngemva kwesonto, kungcono ukubonisana nochwepheshe wezempilo . Ukuze uthole ukuthi i-nerve icindezelwe kuphi, udokotela wakho uzokwenza ukuhlolwa ngokomzimba. Bazohlola ubuthakathaka bemisipha, bahlole noma yiziphi izinguquko ekuziphendukeni kwakho, futhi babuze ngemizwa oyitholayo.
“Dokotela, iminwe yami esandleni sami sokunene ayizwakali, futhi ngezinye izikhathi kuzwakala sengathi ngishaqekile ngogesi. Kwenzeka kakhulu uma sengithayiphe isikhathi esithile.” Ukucacisa kahle ukuthi uzizwa kanjani kubaluleke kakhulu.
Uma kudingeka, udokotela wakho angancoma okukodwa noma ngaphezulu kwalokhu kuhlolwa okulandelayo:
- I-X-ray: Lokhu kungasiza ekuboneni izinguquko zamathambo, njenge-spinal stenosis noma ukuphuka kwamathambo, okungase kuthinte imizwa yakho.
- I-Ultrasound: Isetshenziselwa ukuhlola ukucindezelwa kwemizwa noma umonakalo kuma-ligaments azungezile.
- I-Computed Tomography (i-CT scan): I-CT scan inikeza izithombe ze-3D zamathambo akho nezicubu ezithambile, inikeza ulwazi olunemininingwane eminingi kune-X-ray ejwayelekile.
- I-Magnetic Resonance Imaging (MRI): I-MRI ilungele kakhulu ukuhlonza umonakalo wezicubu ezithambile ongase ubangele ukucindezelwa kwemizwa, futhi ivame ukusetshenziswa ezinkingeni ezihlobene nomgogodla.
- I-Electromyography (EMG) kanye neSifundo Sokuqhutshwa Kwezinzwa: Lezi zivivinyo zihlola ukuthi izinzwa zakho zisebenza kahle kangakanani. Lokhu kusiza udokotela wakho ukuthi anqume ukuthi izimpawu zakho zivela ekucindezelweni kwezimpande zezinzwa emgogodleni noma kwesinye isimo.
Iyini indlela yokwelapha i-nerve ecindezelwe?
Ezimweni eziningi, ukuhlinzwa akudingekile uma ucindezelwe umthambo. Kunalokho, udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu kwelashwa okulandelayo ukuze anikeze impumuzo:
- Isikhathi nokuphumula: Kwabaningi, inzwa ecindezelwe iyaziphilisa ngokwayo ngokuhamba kwesikhathi ngaphandle kokungenelela kodokotela. Izimpawu zakho zingase zinyamalale ezinsukwini noma emavikini ambalwa.
- Iqhwa nokushisa: Njengoba kunjalo nganoma yikuphi ukuvuvukala, ukusebenzisa iqhwa nokushisa kunganikeza impumuzo yesikhashana.
- Imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela: Imithi efana ne-Acetaminophen kanye ne-Nonsteroidal Anti-inflammatory Drugs (NSAIDs), njenge-Ibuprofen kanye ne-Naproxen, ingasiza ekulawuleni izimpawu zakho. Landela njalo imiyalelo esephaketheni uma usebenzisa le mithi.
- Amadivayisi okuvimba ukunyakaza: Kuye ngendawo kanye nembangela, udokotela wakho angase asikisele ukugqoka i-brace ukuze anciphise ukunyakaza, njenge-splint yesihlakala noma ikhola yomlomo wesibeletho entanyeni. Lokhu kunikeza imizwa isikhathi sokuphola.
- Ama-Corticosteroids: Ukuze unciphise ubuhlungu obukhulu nokuvuvukala, udokotela wakho angase akunikeze imithi yokulwa nokuvuvukala efana ne-Prednisone. Le mithi inganikezwa njengamaphilisi noma imijovo ngomlomo.
- Ukwelashwa ngokomzimba: Ukuzilula nokuzivocavoca okuthambile kungasiza ekunciphiseni ingcindezi ezinzwa zakho nokuphatha ubuhlungu obuncane. Buza udokotela wakho noma uchwepheshe wezokwelapha ngokomzimba ukuthi yiziphi izivivinyo ezithile ezilungele isimo sakho.
Ukuhlinzwa kubhekwa njengendlela yokugcina lapho ezinye izindlela zokwelapha zinganikezi impumuzo. Uhlobo lokuhlinzwa luncike endaweni kanye nembangela eyinhloko yokucindezelwa.
Ingabe imizwa ecindezelwe iyaphela yodwa?
Imizwa ecindezelwe kancane ivame ukuzixazulula ngokwayo ngokuphumula nokunakekelwa ekhaya. Imizwa ecindezelwe kancane ingadinga ukwelashwa njengokwelashwa ngokomzimba noma ama-corticosteroids. Amacala amakhulu abangelwa yizimo ezingamahlalakhona njenge-Spinal Stenosis angaqhubeka isikhathi eside.
Udokotela wakho angakunikeza ukulindela okucacile kohambo lwakho lokululama.
Yiziphi izimpawu zokuthi imizwa yami ecindezelwe iyaphola?
Ukwehla kobukhulu bezimpawu zakho kuyisibonakaliso esiyinhloko sokuthi uyalulama. Bheka lezi zinkomba:
- Ubuhlungu obuphelele buncishisiwe.
- Ubuhlungu obuthinta indawo encane yomzimba wakho.
- Ukwehla kwemvamisa noma ukuqina kwemizwa engavamile (njengokuthuthumela noma ukungazweli).
- Ukunyakaza okuthuthukisiwe kwelunga elithintekile.
- Ukwanda kwamandla emisipha endaweni ethintekile.
- Zimbalwa “izinto ezibangela izimpawu zakho ukuba zivele.
Ukuphulukiswa kwemizwa kuthatha isikhathi. Khumbula, ngisho nokuthuthuka okuncane kuyisibonakaliso esihle. Uma ungaboni ntuthuko ngemva kwamasonto amabili, xhumana nodokotela wakho.
Ngingakuvimbela kanjani ukuba nomthambo ocindezelwe?
Nakuba kungezona zonke izinzwa ezicindezelwe ezingavinjelwa, unganciphisa ingozi yakho ngokushintsha indlela yokuphila:
- Gcina isisindo esinempilo .
- Gcina imisipha yakho iqinile futhi iguquguquka ngokwenza izivivinyo zokuzelula .
- Gwema ukuhlala endaweni efanayo isikhathi eside kakhulu noma ukuhlala uphambanise imilenze isikhathi eside.
- Nciphisa ukunyakaza okuphindaphindiwe (njengokuthayipha) futhi uthathe ikhefu njalo.
Kufanele ngimbone nini umhlinzeki wezempilo?
Uma usunezimpawu isikhathi esingaphezu kwesonto ezingathuthuki ngokunakekelwa ekhaya, sicela uxhumane nomhlinzeki wezempilo . Bangakwazi ukubona imbangela eyinhloko futhi batuse uhlelo lokwelashwa olufanele.
Uma uzwa ubuhlungu obukhulu noma ubuthakathaka bemisipha ngokuzumayo , bona udokotela ngokushesha okukhulu. Ungalibali ukufuna usizo ngalezi zimpawu.
Umlayezo Wokuya Nawe Ekhaya
Inzwa ecindezelwe iyinkinga evamile. Uma ucabanga ukuthi umzimba wakho uqukethe amakhulu amagatsha enzwa angaphandle, kulula ukubona ukuthi umuntu angacindezelwa kanjani. Kodwa-ke, lokhu akusho ukuthi kufanele ubekezelele ubuhlungu obuqhubekayo noma imizwa engavamile. Uma usola ukuthi unenzwa ecindezelwe futhi izimpawu zakho azithuthuki, sicela uxhumane nodokotela wakho. Balapha ukuzokusekela. Ungakhathazeki, njengoba lezi zimo zivame ukwelashwa ngempumelelo ngokunakekelwa okulula nokuphumelelayo okuvela eNirogi Lanka.
Imizwa Ecijile, Ukuba Ndindindi, Ubuhlungu Bemizwa, I-Radiculopathy, I-Sciatica, I-Carpal Tunnel Syndrome
