Ukungasebenzi kahle kwemizwa yabesifazane

Ukungasebenzi kahle kwemizwa yabesifazane ukulahleka kokuhamba noma ukuzwa ezingxenyeni zemilenze ngenxa yokulimala kwemizwa yabesifazane.

Imizwa yesifazane itholakala okhalweni bese yehlela ngaphambili emlenzeni. Isiza imisipha ukuhambisa isinqe nokuqondisa umlenze. Inikeza umuzwa (ukuzwa) ngaphambili kwethanga nengxenye yomlenze ongezansi.

Inzwa yakhiwe ngemicu eminingi, ebizwa ngama-axon, ezungezwe ukufakwa, okubizwa ngokuthi i-myelin sheath.

Ukulimala kwanoma iyiphi inzwa eyodwa, enjenge-femal nerve, ibizwa nge-mononeuropathy. I-Mononeuropathy ngokuvamile isho ukuthi kunembangela yendawo yokulimala kwenzwa eyodwa. Ukuphazamiseka okubandakanya wonke umzimba (ukuphazamiseka kwesistimu) nakho kungadala ukulimala kwezinzwa okukodwa kunzwa eyodwa ngasikhathi (njengokuvela nge-mononeuritis multiplex).

Izimbangela ezivame kakhulu zokungasebenzi kahle kwemizwa yabesifazane yilezi:

• Ukulimala okuqondile (ukuhlukumezeka)
• Ukucindezela isikhathi eside kunzwa
• Ukucindezela, ukunweba, noma ukubopha izinzwa ngezingxenye eziseduze zomzimba noma izakhiwo ezihlobene nezifo (njengesimila noma isitsha segazi esingajwayelekile)

Imizwa yesifazane nayo ingalimala kunoma yikuphi okulandelayo:

• Ithambo le-pelvis eliphukile
• Ipayipi elibekwe emthanjeni wobufazi emgodini
• Isifo sikashukela noma ezinye izimbangela ze-peripheral neuropathy
• Ukopha kwangaphakathi okhalweni noma esiswini (esiswini)
• Ukulala ngemuva ngamathanga nemilenze kuguquke kuphenduke (isikhundla se-lithotomy) ngesikhathi sokuhlinzwa noma izinqubo zokuxilonga
• Amabhande okhalweni aqinile noma asindayo

Izimpawu zingafaka noma yikuphi okulandelayo:

• Izinguquko zethanga ethangeni, emadolweni, noma emlenzeni, njengokuncipha kokuzwa, ukuba ndikindiki, ukuhayiza, ukushisa, noma ubuhlungu
• Ubuthakathaka bamadolo noma bomlenze, kufaka phakathi ubunzima bokukhuphuka naphezulu ezitebhisini - ikakhulukazi phansi, ngomuzwa wedolo elixegayo noma elixegayo

Umhlinzeki wezokunakekelwa kwempilo uzokubuza ngezimpawu zakho bese ekuhlola. Lokhu kuzobandakanya ukuhlolwa kwezinzwa nemisipha emilenzeni yakho.

Ukuhlolwa kungakhombisa ukuthi une:

• Ubuthakathaka lapho uqondisa idolo noma ugoba okhalweni
• Izwela lishintsha ngaphambili kwethanga noma ngaphambili
• I-reflex engavamile yedolo
• Incane kunemisipha ejwayelekile ye-quadriceps ngaphambili kwethanga

Ukuhlolwa okungenziwa kufaka phakathi:

• I-Electromyography (EMG) yokuhlola impilo yemisipha nezinzwa ezilawula imisipha.
• Ukuhlolwa kwe-Nerve conduction (i-NCV) ukubheka ukuthi amasiginali kagesi ashesha kangakanani ngokusebenzisa inzwa. Lokhu kuhlolwa kuvame ukwenziwa ngasikhathi sinye ne-EMG.
• I-MRI ukuhlola ubukhulu noma izicubu.

Umhlinzeki wakho anga-oda izivivinyo ezengeziwe, ngokuya ngomlando nezimpawu zakho zezokwelapha. Ukuhlolwa kungafaka ukuhlolwa kwegazi, ama-x-ray, nokunye ukuhlolwa kwe-imaging.

Umhlinzeki wakho uzozama ukukhomba futhi aphathe imbangela yomonakalo wezinzwa. Uzokwelashwa nganoma yiziphi izinkinga zezokwelapha (njengesifo sikashukela noma ukopha ethangeni) okungase kubangele ukulimala kwezinzwa.Kwezinye izimo, inzwa izophola ngokwelashwa kwenkinga yezokwelapha eyisisekelo.

Ezinye izindlela zokwelashwa zingafaka:

• Ukuhlinzwa ukususa isimila noma ukukhula okucindezela inzwa
• Imithi yokudambisa izinhlungu
• Ukwehla kwesisindo nokushintsha kwendlela yokuphila uma isifo sikashukela noma isisindo esiningi sinomthelela ekulimaleni kwemizwa

Kwezinye izimo, akukho ukwelashwa okudingekayo futhi uzolulama wedwa. Uma kunjalo, noma yikuphi ukwelashwa, njengokwelashwa ngokomzimba nokwelashwa komsebenzi, kuhloswe ngakho ukukhulisa ukuhamba, ukugcina amandla emisipha nokuzimela ngenkathi ululama. Ama-brace noma ama-splints angabekwa ukusiza ekuhambeni.

Uma imbangela yokukhubazeka kwemizwa yabesifazane ingakhonjwa futhi yelashwe ngempumelelo, kungenzeka ukuthi ululame ngokuphelele. Kwezinye izimo, kungahle kube nokulahleka okuncane noma okuphelele kokunyakaza noma ukuzwa, okuholele ezingeni elithile lokukhubazeka unomphela.

Ubuhlungu bemizwa bungase bungakhululeki futhi bungaqhubeka isikhathi eside. Ukulimala endaweni yabesifazane nakho kungalimaza umthambo noma umthambo wesifazane, ongadala ukopha nezinye izinkinga.

Izinkinga ezingaba nomphumela zifaka:

• Ukulimala okuphindaphindiwe emlenzeni okungabonakali ngenxa yokulahlekelwa umuzwa
• Ukulimala kokuwa ngenxa yobuthakathaka bemisipha

Shayela umhlinzeki wakho uma uba nezimpawu zokungasebenzi kahle kwemizwa yabesifazane.

Neuropathy - imizwa yabesifazane; I-neuropathy yabesifazane

• Ukulimala kwemizwa yabesifazane

IClinchot DM, uCraig EJ. I-neuropathy yabesifazane. Ku: Frontera WR, iSilver JK, uRizzo TD Jr, ama-eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 54.

I-Katirji B. Ukuphazamiseka kwemizwa yangaphakathi. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 107.