Ingabe nawe uzizwa sengathi une-nerve ecindezelwe? (I-Pinched Nerve) Ake sithole ukuthi lokhu kuyini ngempela!

Ingabe ngezinye izikhathi uzizwa ungenamizwa ezandleni nasezinyaweni zakho, ukukhala, noma ubuhlungu obuvamile? Kungaba ngenxa yendlela ohleli ngayo. Kodwa uma izinto ezinjengalezi ziqhubeka zenzeka, kungase kungabi yinto eyenzeka ngengozi nje. Ungase futhi ube nemizwa ecindezelekile . Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini i-nerve ecindezelwe?

Kalula nje, inzwa ecindezelwe yilapho inzwa emzimbeni wethu, okungukuthi, inzwa, icindezelwa yizicubu ezizungezile – isibonelo , amathambo, imisipha noma imisipha . Njengoba nje umuntu enyathela ipayipi lamanzi bese amanzi eyeka ukugeleza, inzwa ecindezelwe ivimba imizwa edlula kuyo. Yingakho sizwa ukungakhululeki, ukuqaqamba noma ubuhlungu . "Inzwa ecindezelwe" akuyona indlela ethile yokuxilongwa odokotela abayisebenzisayo. Esikhundleni salokho, odokotela bakhomba izimo ezithile ezibangela lokhu. Isibonelo, inzwa ecindezelwe emgogodleni ingabizwa ngokuthi `(Spinal Stenosis)` noma `(Radiculopathy)`. Ngezinye izikhathi odokotela bayibiza nangokuthi `(Nerve Entrapment)`. Lezi zimpawu zemithambo ye-varicose zingaba zesikhashana noma ezingamahlalakhona, kuye ngokuthi imbangela nobunzima buyini. Kodwa-ke , izimo eziningi zingelashwa ngokuphumula, imithi ethengiswa ngaphandle kwemithi kadokotela (OTC), kanye nokwelashwa ngokomzimba .

Yiziphi izinhlobo zemizwa ecindezelwe?

Kunezindlela eziningi ezahlukene kanye nezimbangela zokucindezelwa kwemithambo yegazi, kuye ngokuthi umthambo uthintekile. Imithambo yegazi edlula ezimbotsheni ezincane (imigudu noma imisele) emalungeni ethu ivame kakhulu ukucindezelwa. Uma izicubu zivuvukala noma zonakele, zingabeka ingcindezi emthanjeni, okubangela izimpawu.

I-stenosis yomgogodla

Lapho izimpande zemizwa eziphuma emgogodleni wethu zicindezelwa yizicubu ezizungezile, singaba nobuhlungu, ukungazweli, kanye nemizwa yokuthuthumela ezingxenyeni ezahlukene zomzimba. Lesi simo sibizwa ngokuthi `(Radiculopathy).` Kunezinhlobo eziningana `(Radiculopathy)` ezihlukaniswe ngokuya ngokuthi imizwa icindezelwe kuphi emgogodleni:

• I-Cervical Radiculopathy: Ukucindezelwa kwenzwa entanyeni. Lokhu kungabangela ubuhlungu kanye nokungazweli kusukela entanyeni kuye engalweni.
• I-Thracic Radiculopathy: Lokhu akuvamile kangako kunezinye. Kungathinta izindawo ezifana nesifuba nesisu.
• I-Lumbar Radiculopathy: Lesi yimbangela yesimo esaziwa ngokuthi "i- Sciatica " kubantu abaningi. Sibangela ubuhlungu kanye nokungazweli kusukela phansi emhlane kuya emilenzeni.

Ukuminyana kwemithambo kwenye indawo emzimbeni

Ngaphezu komgogodla, imithambo ingacindezelwa nakwezinye izingxenye zomzimba. Nazi ezinye izibonelo:

• I-median nerve esihlakaleni: Lapho le nzwa icindezelwa, kuvela isimo esibizwa ngokuthi "i-Carpal Tunnel Syndrome". Lokhu kuvamile kubantu ababhala noma abasebenza ngezandla zabo isikhathi eside.
• I-radial nerve endololwaneni: Ibangela isimo esibizwa ngokuthi ``Radial Tunnel Syndrome``.
• Imizwa entanyeni engezansi nasesifubeni esingaphezulu: Ibangela isimo esibizwa ngokuthi i-Thoracic Outlet Syndrome.
• I-Ulnar nerve endololwaneni noma esihlakaleni: Kuvela isimo esibizwa ngokuthi "Ulnar Nerve Entrapment". Ngezinye izikhathi, lapho indololwane ishaywa ndawana thize, kuzwakala sengathi kushaqeka ngogesi ngenxa yale nerve.
• Inzwa yesikhumba ye-lateral femoral: Ibangela isimo esibizwa ngokuthi "i- Meralgia Paresthetica ".
• Inzwa ye-peroneal: Ibangela isimo esibizwa ngokuthi ``Fibular Tunnel Syndrome``.
• I-pudendal nerve endaweni ye-pelvic: Ibangela isimo esibizwa ngokuthi "i-Pudendal Neuralgia".
• I-Sciatica: Isimo esenzeka emhlane ongezansi, esinqeni, esinqeni, noma emlenzeni . Abantu abaningi bake bezwa ngalokhu.
• I-Tibial nerve esithendeni noma ematheni onyawo: Ibangela isimo esibizwa ngokuthi ``Tarsal Tunnel Syndrome``.

Konke lokhu kuwela esigabeni se-`(Nerve Compression Syndromes)`. Uyakhumbula ukuthi ngezinye izikhathi uzizwa sengathi ingalo noma umlenze wakho "uyaqina futhi uyaqina nje"? Leso futhi yisibonelo esincane se-nerve ecindezelwe. Uma uhleli noma ulele endaweni engafanele, i-nerve iyacindezelwa, okubangela lowo muzwa wokuqhaqhazela, ukuqaqamba. Lapho nje ushintsha leso simo, iyaphela ngemva kwesikhashana.

Kuvamile kangakanani lesi simo? (Kuvame kangakanani ukuba ne-nerve ecindezelwe?)

Ukucindezelwa kwemizwa kuyisimo esivame kakhulu , ikakhulukazi ukuba ndikindiki okuncane. Sonke sike saba ndikindiki ezandleni nasezinyaweni zethu. Kodwa-ke, ukucindezelwa okukhulu kwemizwa, njenge-radiculopathy, akuvamile kangako.

Ziyini izimpawu zomthambo ocijile?

Uma umthambo ucindezelwe, ngokuvamile ubangela imizwa engavamile ebizwa ngokuthi "i-Paresthesia." Lokhu kungaba:

• Njengezintuthwane ezigijimayo (Ukungqubuzana)
• Njengokusha (Ukusha)
• " Ukuhlaba noma ukuhlaba / "Izikhonkwane nezinaliti"
• Ukuluma
• Ukuba ndikindiki
• Umuzwa "wokulala"

Ngaphezu kwalokho, uma umthambo ucindezelwa, kubangela ubuhlungu.Kungaba buhlungu. Lokhu kungaba ubuhlungu obukhulu noma ubuhlungu obungacacile. Ukucindezeleka kwemizwa okumaphakathi kuya kokukhulu nakho kungabangela ubuthakathaka bemisipha . Khumbula, uma inzwa eyodwa inikeza umuzwa ezindaweni eziningana zomzimba wakho, lezi zimpawu zingasakazeka ezindaweni ezahlukene. Isibonelo, uma inzwa ye-sciatic icindezelwe emhlane wakho ongezansi, ungase ube nezimpawu phansi kwenqulu, esinqeni, kanye/noma emlenzeni.

Yini ebangela ukucindezelwa kwemizwa?

Imithambo iyacindezelwa lapho izicubu ezizungezile, njengamathambo , imisipha, zibeka ingcindezi kuzo. Imithambo ingacindezelwa futhi ngenxa yokuvuvukala nokuvuvukala okukhulu. Nazi ezinye izimo ezithile ezingabeka ingcindezi engavamile emithanjeni:

• I-Rheumatoid Arthritis : Lesi yisifo esibangela ukuvuvukala emalungeni. Lokhu kuvuvukala kungabangela ukuthi imithambo yegazi eseduze inciphe.
• I-Osteoarthritis : Yilokhu esikubiza ngokuthi "ukuguguleka nokuklebhuka." Njengoba i-cartilage emalungeni iguguleka, amathambo aqala ukugudlana. Umzimba usabela ngokukhula kwethambo elisha. Ama-spurs ethambo akha ngale ndlela angacindezela imizwa eseduze.
• Ukulimala: Umthambo ocijile ungabangelwa ukulimala kwamathambo akho, amalunga, imisipha, noma imisipha. Lokhu kungabangelwa ukunyakaza kwezicubu ezonakele noma ukuvuvukala okwenzeka ngemva kokulimala. Isibonelo, uma uwa bese ujika ingalo yakho, ungase ube nomthambo ocijile lapho.

Izinkinga ezingaba khona ngomgogodla

Izimo ezithile ezingabangela i-spinal stenosis zifaka:

• I-Herniated Disk: Siphinde sithi "i-herniated disk." Ama-disc athambile aphakathi kwamathambo omgogodla ayaphuma futhi acindezele imizwa.
• Izimila Zomgogodla
• I-Spine Stenosis
• Ukuphuka Komgogodla

Yini eyandisa ingozi yakho yokuba ne-nerve ecindezelwe?

Kunezici ezithile ezandisa ingozi yokuba nemithambo yegazi evalekile. Ake sibone ukuthi ziyini:

• Ubudala: Abantu abangaphezu kweminyaka engu-50 banamathuba amaningi okuthola imithambo yegazi emincane. Lokhu kuvame ukubangelwa yi-arthritis kanye nokuwohloka okuhlobene nokuguga.
• Ukukhuluphala ngokweqile: Ukwanda kwesisindo somzimba kungacindezela imithambo yegazi.
• Ukukhulelwa: Ngesikhathi sokukhulelwa, njengoba umntwana ethatha isikhala esibelethweni, ezinye izitho nezicubu ziyasunduzelwa eceleni. Lokhu kungabangela ukucindezeleka emithanjeni. Isisindo somntwana kanye ne-placenta nakho kungabangela ukucindezeleka emithanjeni.
• Imisebenzi yokunyakaza ephindaphindayo: Uma ushukumisa ilunga elifanayo ngokuphindaphindiwe, ukuvuvukala kungenzeka futhi kubangele inzwa ecindezelwe. Abantu abenza imisebenzi ethile (isib. ukuthayipha, umsebenzi wokuhlanganisa) noma abadlala imidlalo ethile basengozini enkulu.

Udokotela uhlonza kanjani i-nerve ecindezelwe?

Uma izimpawu zakho zomthambo ovalekile zingapheli ngemva kwesonto lokuphumula ekhaya nokuthatha imithi yokubulala ubuhlungu ethengiswa ngaphandle kwemithi kadokotela, kungcono ukubona udokotela . Ukuze uthole ukuthi umthambo uvalekile kuphi, udokotela wakho uzokuhlola. Bazobheka ubuthakathaka bemisipha, izinguquko ekuziphendukeni, futhi babuze nganoma yimiphi imizwa oyitholayo.

"Dokotela, iziphetho zeminwe yami esandleni sami sokunene azinangqondo, ngezinye izikhathi kuzwakala sengathi ngishaqekile ngogesi. Ngokuvamile kwenzeka uma bengilokhu ngibhala okuthile isikhathi esithile." Kubaluleke kakhulu ukusho ngokucacile ukuthi uzizwa kanjani kanje.

Uma kudingeka, udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu kuhlolwa:

• I-X-ray: I-X-ray ingasetshenziswa ukubona ukuthi izinguquko emathanjeni, njengokuncipha komsele womgogodla noma ukuphuka, zithinta yini imizwa.
• I-Ultrasound: I-ultrasound ingasetshenziswa ukubona ukuthi kukhona yini ukuncipha komthambo noma umonakalo kuma-ligaments azungezile.
• I-CT scan: I- CT scan ingaveza izithombe ze-3D zamathambo akho nezicubu ezithambile (njengemisipha) futhi inikeze ulwazi olunemininingwane eminingi kune-X-ray.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI): I-MRI ingasetshenziswa ukubona ukuthi kukhona yini umonakalo wezicubu ezithambile obangela ukuncipha kwemithambo yegazi. Lokhu kuvame ukwenziwa ngezinkinga zomgogodla.
• I-Electromyography (EMG) kanye neSifundo Sokuqhutshwa Kwezinzwa: Lezi zivivinyo zingahlola ukuthi inzwa isebenza kahle yini. Lokhu kungasiza udokotela wakho ukuthi anqume ukuthi izimpawu zakho zibangelwa yini ukucindezelwa kwezimpande zemizwa emgogodleni wakho noma esinye isimo.

Iyini indlela yokwelapha i-nerve ecindezelwe?

Ezimweni eziningi, ukuhlinzwa akudingekile ukwelapha umthambo ovalekile. Kunalokho, udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu kwelashwa ukuze akusize uzizwe ungcono:

• Isikhathi nokuphumula: Kwabaningi abantu, imithambo evuvukele izophela ngokuhamba kwesikhathi futhi ingase ingadingi ukwelashwa okukhethekile. Izimpawu zakho zingase ziphele ezinsukwini noma emavikini ambalwa.
• Iqhwa nokushisa: Njenganoma iyiphi indawo evuvukele, faka iqhwa nokushisa ukuze uthole impumuzo yesikhashana.
• Imithi yokunciphisa izinhlungu etholakala ngaphandle kwemithi kadokotela:I-Acetaminophen kanye nemithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) ingasiza ngezimpawu zakho. Izibonelo zama-NSAID zifaka phakathi i-ibuprofen ne-naproxen. Qiniseka ukuthi ulandela imiyalelo esephaketheni ngokucophelela lapho usebenzisa le mithi.
• Amadivayisi okuvimbela ukunyakaza: Kuye ngokuthi umthambo ucindezelwe kuphi nokuthi kungani, udokotela wakho angase akuncome ukuthi ugqoke into efana ne-brace ukuze unciphise ukunyakaza kuleyo ndawo. Isibonelo, i-splint yesihlakala noma ikhola yomlomo wesibeletho. Lokhu kunciphisa ukunyakaza futhi kunikeza umthambo isikhathi sokuphola.
• Ama-Corticosteroids: Udokotela wakho angase akunike imithi yokulwa nokuvuvukala, njenge-prednisone, ukunciphisa ubuhlungu nokuvuvukala. Le mithi inganikezwa ngomlomo noma ngemijovo.
• Ukwelashwa ngokomzimba: Ukuzilula nokuzivocavoca okuthambile kungasiza ekunciphiseni ingcindezi emithanjeni futhi kunciphise ubuhlungu obuncane. Buza udokotela wakho noma uchwepheshe wezokwelapha ngokuzivocavoca okungcono kakhulu kohlobo lwakho lwemithambo ye-varicose.

Ukuhlinzwa kuyindlela yokugcina uma ezinye izindlela zokwelapha zehlulekile. Uhlobo lokuhlinzwa olwenziwe luzohluka kuye ngendawo kanye nembangela yokuvaleka kwemithambo yegazi.

Ingabe imizwa ecindezelwe iyaphela yodwa?

Imithambo ye-varicose ethambile ivame ukuzikhulula ngokwayo ngokunakekelwa ekhaya nokuphumula. Imithambo ye-varicose ephakathi ingadinga ukwelashwa ngokomzimba noma ukwelashwa kwezokwelapha njenge-corticosteroids. Imithambo ye-varicose ebuhlungu ebangelwa yizimo ezingapheli njenge-spinal stenosis ingahlala isikhathi eside. Udokotela wakho angakunikeza umbono omuhle walokho ongakulindela.

Ngingazi kanjani ukuthi imizwa yami ecindezelwe iyaphola? (Yiziphi izimpawu zokuthi imizwa yami ecindezelwe iyaphola?)

Isibonakaliso sokuthi imithambo yakho ye-varicose iyaphola ukwehla kobukhulu bezimpawu zakho. Lokhu kungafaka:

• Ubuhlungu buncane kunangaphambili.
• Ubuhlungu buthinta izingxenye zomzimba ezimbalwa kunangaphambili.
• Ukwehla kwamandla kanye/noma ukuvama kwemizwa engavamile (njengokuqaqamba, ukungazweli).
• Ukuthuthukiswa kobubanzi bokunyakaza kwelungu elithintekile.
• Amandla emisipha athuthukisiwe endaweni ethintekile.
• Ukunciphisa "izinto ezibangela izimpawu".

Kungathatha isikhathi ukuthi imithambo yegazi iphole. Khumbula, ngisho nokuncipha okuncane kwezimpawu zakho kuyisibonakaliso esihle. Uma izimpawu zakho zingathuthuki ngemva kwamasonto amabili, bona udokotela.

Ngingakuvimbela kanjani ukuba nomthambo ocindezelwe?

Akunakwenzeka ukuvimbela zonke izinhlobo zemithambo yegazi ephukile, kodwa unganciphisa ingozi yakho ngokwenza izinto ezithile. Isibonelo:

• Zigcine unesisindo esinempilo .
• EyakhoYenza izivivinyo zokuzelula ukuze ugcine imisipha yakho iqinile futhi iguquguquka.
• Gwema ukuhlala endaweni efanayo isikhathi eside kakhulu, noma ukuhlala uphambanise imilenze yakho (njengasePadmasana) isikhathi eside kakhulu.
• Nciphisa ukunyakaza okuphindaphindiwe (isib. ukuthayipha) bese uthatha ikhefu phakathi kwalokho.

Kufanele ngimbone nini umhlinzeki wezempilo?

Uma unezimpawu zemithambo evuvukalayo isikhathi esingaphezu kwesonto futhi zingathuthuki ngemithi yasekhaya, bona udokotela . Anganquma imbangela eyinhloko futhi ancome ukwelashwa.

Uma uzwa ubuhlungu obukhulu noma ubuthakathaka bemisipha ngokuzumayo , bona udokotela ngokushesha okukhulu. Kungcono ukungakuhlehlisi lokhu.

Umlayezo Wokuya Nawe Ekhaya

Imithambo ecijile iyinkinga evamile. Uma ucabanga ukuthi kunamakhulu amagatsha ezinzwa emzimbeni wakho, kulula ukucabanga ukuthi kungaba lula kangakanani ukucija elinye lawo. Kodwa lokho akusho ukuthi kufanele uhlupheke ngobuhlungu obungapheli kanye nemizwa engavamile ngenxa yale nkinga. Uma ucabanga ukuthi unemithambo ecijile futhi izimpawu zakho azibi ngcono, khuluma nodokotela wakho. Balapha ukuzokusiza. Ungakhathazeki, isikhathi esiningi lezi yizinto ezingelashwa ngokwelashwa okulula.

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Imizwa Ecijile, Ukuba Ndindindi, Ubuhlungu Bemizwa, I-Radiculopathy, I-Sciatica, I-Carpal Tunnel Syndrome