Ukungasebenzi kahle kwezinzwa ezivamile

Ukungasebenzi kahle kwe-peroneal nerve ejwayelekile kungenxa yokulimala kwethambo le-peroneal eliholela ekulahlekelweni kokuhamba noma ukuzwa onyaweni nasemlenzeni.

I-peroneal nerve igatsha le-sciatic nerve, enikezela ukunyakaza nokuzwela emlenzeni ongezansi, onyaweni nasezinzwaneni. Ukungasebenzi kahle kwezinzwa ezivamile uhlobo oluthile lwe-peripheral neuropathy (ukulimala kwezinzwa ezingaphandle kobuchopho noma umgogodla). Lesi simo singathinta abantu banoma yibuphi ubudala.

Ukungasebenzi kahle kwe-nerve eyodwa, efana ne-peroneal nerve ejwayelekile, kubizwa ngokuthi yi-mononeuropathy. I-Mononeuropathy isho ukuthi ukulimala kwezinzwa kwenzeke endaweni eyodwa. Izimo ezithile zomzimba wonke nazo zingadala ukulimala kwezinzwa okukodwa.

Ukulimala kwe-nerve kuphazamisa i-myelin sheath emboza i-axon (igatsha leseli lezinzwa). I-axon nayo ingalimala, okudala izimpawu ezinzima kakhulu.

Izimbangela ezivamile zokulimala kwe-nerve peroneal zifaka okulandelayo:

• Ukuhlukumezeka noma ukulimala emadolweni
• Ukuqhekeka kwe-fibula (ithambo lomlenze ongezansi)
• Ukusetshenziswa kokhonkolo oqinile (noma okunye ukuminyaniswa kwesikhathi eside) komlenze ongezansi
• Ukweqa imilenze njalo
• Njalo egqoke amabhuzu aphezulu
• Ukucindezela emadolweni kusuka ezikhundleni ngesikhathi sokulala okujulile noma i-coma
• Ukulimala ngesikhathi sokuhlinzwa emadolweni noma ekubekeni endaweni engathandeki ngesikhathi se-anesthesia

Ukulimala okuvamile kwe-peroneal nerve kuvame ukubonwa kubantu:

• Obani abancane kakhulu (ngokwesibonelo, abavela ku-anorexia nervosa)
• Obani abanezimo ezithile zokuzivikela komzimba, njenge-polyarteritis nodosa
• Obani abanokulimala kwemizwa okuvela kwezinye izinkinga zezokwelapha, njengesifo sikashukela noma ukusetshenziswa kotshwala
• Ngubani onesifo seCharcot-Marie-Tooth, isifo esizuzwe njengefa esithinta zonke izinzwa

Lapho inzwa ilimele futhi iphumela ekungasebenzi kahle, izimpawu zingafaka:

• Ukwehla kwemizwa, ukuba ndikindiki, noma ukuncinza phezulu konyawo noma engxenyeni engaphandle yomlenze ongaphezulu noma ophansi
• Unyawo olwehlayo (alukwazi ukubamba unyawo phezulu)
• "Ukushaya" gait (iphethini yokuhamba lapho isinyathelo ngasinye senza umsindo wokushaya)
• Izinzwane zihudula ngenkathi uhamba
• Izinkinga zokuhamba
• Ubuthakathaka bamaqakala noma bezinyawo
• Ukulahleka kwemisipha ngoba izinzwa azikhuthazi imisipha

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba, okungakhombisa:

• Ukulahleka kokulawulwa kwemisipha emilenzeni nasezinyaweni ezingezansi
• I-Atrophy yonyawo noma imisipha yangaphambili
• Kunzima ukuphakamisa unyawo nezinzwane nokwenza ukunyakaza kozwane

Ukuhlolwa komsebenzi wezinzwa kufaka:

• I-Electromyography (EMG, ukuhlolwa komsebenzi kagesi emisipha)
• Ukuhlolwa kokuqhutshwa kwemizwa (ukubona ukuthi amasiginali kagesi ashesha kangakanani ngokusebenzisa inzwa)
• I-MRI
• I-ultrasound yezinzwa

Okunye ukuhlolwa kungenziwa ngokuya ngesizathu esisolwayo sokungasebenzi kahle kwemizwa, nezimpawu zomuntu nokuthi zikhula kanjani. Ukuhlolwa kungafaka ukuhlolwa kwegazi, ama-x-ray kanye nokuskena.

Ukwelashwa kuhlose ukuthuthukisa ukuhamba nokuzimela. Noma yikuphi ukugula noma enye imbangela ye-neuropathy kufanele yelashwe. Ukudonsa amadolo kungavimbela ukulimala okuqhubekayo ngokuwela imilenze, ngenkathi kusebenza njengesikhumbuzo sokungaweleli imilenze yakho.

Kwezinye izimo, ama-corticosteroids afakwe endaweni anganciphisa ukuvuvukala nokucindezela ku-nerve.

Ungadinga ukuhlinzwa uma:

• Isifo asipheli
• Unezinkinga ngokunyakaza
• Kunobufakazi bokuthi i-axon yezinzwa ilimele

Ukuhlinzwa ukukhipha ingcindezi emithanjeni kunganciphisa izimpawu uma ukugula kubangelwa yingcindezi yenzwa. Ukuhlinzwa ukukhipha izicubu emsipheni nakho kungasiza.

UKULAWULA IZIMPAWU

Ungahle udinge ukwehlisa okweqile noma okwempilo kadokotela ukulawula izinhlungu. Eminye imishanguzo engasetshenziselwa ukunciphisa izinhlungu ifaka phakathi i-gabapentin, i-carbamazepine, noma i-tricyclic antidepressants, njenge-amitriptyline.

Uma ubuhlungu bakho bukhulu, isazi sezinhlungu singakusiza ukuthi uhlole zonke izinketho zokuphumula kobuhlungu.

Ukuvivinya umzimba ngokwelashwa kungakusiza ugcine amandla emisipha.

Imishini yamathambo ingakhuphula ikhono lakho lokuhamba futhi ivikele izinkontileka. Lokhu kungabandakanya izinsimbi zokubopha izinduku, izihlakala, izicathulo zamathambo, noma enye imishini.

Ukwelulekwa ngokomsebenzi, ukwelashwa okusebenzayo, noma izinhlelo ezifanayo kungakusiza ukukhulisa ukuhamba kwakho nokuzimela.

Umphumela uncike embangela yenkinga. Ukuphatha imbangela ngempumelelo kungaqeda ukungasebenzi kahle, noma kungathatha izinyanga ezimbalwa ukuthi inzwa ithuthuke.

Uma ukulimala kwemizwa kukhulu, ukukhubazeka kungahlala unomphela. Ubuhlungu bezinzwa bungase bungakhululeki neze. Lesi sifo asijwayele ukunciphisa impilo yokuphila elindelekile yomuntu.

Izinkinga ezingakhula ngalesi simo zifaka:

• Ukwehla kwekhono lokuhamba
• Ukwehla okungapheli kokuzwa emilenzeni noma ezinyaweni
• Ubuthakathaka obungapheli noma ukukhubazeka emilenzeni nasezinyaweni
• Imiphumela emibi yemithi

Shayela umhlinzeki wakho uma unezimpawu zokungasebenzi kahle kwezinzwa ezivamile.

Gwema ukweqa imilenze yakho noma ukubeka ingcindezi yesikhathi eside ngemuva noma ohlangothini lwamadolo. Phatha ukulimala emlenzeni noma emadolweni ngaso leso sikhathi.

Uma isamente, imbadada, ukugqoka, noma enye ingcindezi emlenzeni ongezansi idala ukuzwa okuqinile noma ukuba ndikindiki, shayela umhlinzeki wakho.

I-Neuropathy - imizwa ejwayelekile ye-peroneal; Ukulimala kwe-peroneal nerve; Ukukhubazeka kwemizwa ye-peroneal; I-Fibular neuropathy

• Ukungasebenzi kahle kwezinzwa ezivamile

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.

UToro DRD, Seslija D, King JC. I-Fibular (peroneal) neuropathy. 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 75.