Ukwehla konyawo

Ukwehla konyawo kulapho unobunzima bokuphakamisa ingxenye engaphambili yonyawo lwakho. Lokhu kungadala ukuthi uhudule unyawo lwakho lapho uhamba. Ukwehla konyawo, okubizwa nangokuthi unyawo lokwehla, kungadalwa inkinga ngemisipha, izinzwa, noma ukwakheka konyawo noma komlenze wakho.

Ukwehla konyawo akusona isimo ngokwako. Kuyisibonakaliso sesinye isifo. Ukwehla konyawo kungadalwa yizimo eziningi zezempilo.

Isizathu esivame kakhulu sokwehla kwezinyawo ukulimala kwe-peroneal nerve. I-peroneal nerve igatsha le-sciatic nerve. Inikeza ukunyakaza nokuzwela emlenzeni ongezansi, onyaweni nasezinzwaneni.

Izimo ezithinta izinzwa nemisipha emzimbeni zingaholela ekwehleni konyawo. Kubandakanya:

• I-peripheral neuropathy. Isifo sikashukela yisona sizathu esivame kakhulu se-peripheral neuropathy
• Imisipha dystrophy, iqembu lezinkinga ezibangela ubuthakathaka bemisipha nokulahleka kwezicubu zemisipha.
• Isifo seCharcot-Marie-Tooth yisifo esizuzwe njengefa esithinta izinzwa zomngcele
• Uvendle lubangelwa igciwane, futhi lungadala ukuba buthakathaka kwemisipha nokukhubazeka

Ukuphazamiseka kobuchopho nomgogodla kungadala ukubuthakathaka kwemisipha nokukhubazeka futhi kufaka phakathi:

• Unhlangothi
• I-Amyotrophic lateral sclerosis (ALS)
• I-Multiple sclerosis

Ukwehla konyawo kungadala izinkinga zokuhamba. Ngoba awukwazi ukuphakamisa ingaphambili lonyawo lwakho, udinga ukuphakamisa umlenze wakho ngaphezu kokujwayelekile ukuze uthathe isinyathelo sokugwema ukuhudula izinzwane zakho noma ukukhubeka. Unyawo lungenza umsindo wokushaya ngempama njengoba lushaya phansi. Lokhu kubizwa nge-steppage gait.

Ngokuya ngesizathu sokwehla konyawo, ungazizwa ndikindiki noma ukuhayiza phezulu konyawo lwakho noma shin. Ukwehla konyawo kungenzeka enyaweni eyodwa noma zombili, kuya ngesizathu.

Umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba, okungakhombisa:

• Ukulahleka kokulawulwa kwemisipha emilenzeni nasezinyaweni ezingezansi
• I-Atrophy yonyawo noma imisipha yomlenze
• Kunzima ukuphakamisa unyawo nezinzwane

Umhlinzeki wakho anga-oda ukuhlolwa okukodwa noma okungaphezulu kokuhlola imisipha nezinzwa zakho nokuthola imbangela:

• I-Electromyography (EMG, ukuhlolwa komsebenzi kagesi emisipha)
• Ukuhlolwa kwemithambo yemithambo ukubona ukuthi amasiginali kagesi ashesha kangakanani ngokusebenzisa inzwa yomngcele)
• Ukufanekisa izivivinyo ezifana neMRI, X-rays, CT scan
• I-ultrasound yezinzwa
• Ukuhlolwa kwegazi

Ukwelashwa kokwehla konyawo kuya ngokuthi kubangelwa yini. Kwezinye izimo, ukwelapha imbangela kuzophilisa nokwehla konyawo. Uma imbangela kungukugula okungalapheki noma okuqhubekayo, ukwehla kwezinyawo kungahlala unomphela.

Abantu abathile bangazuza ekwelashweni ngokomzimba nangokomsebenzi.

Ukwelashwa okungenzeka kufaka phakathi:

• Ama-brace, ama-splints, noma ukufaka izicathulo ukusiza ukusekela unyawo nokulugcina lusendaweni ejwayelekile.
• Ukwelashwa ngokomzimba kungasiza ukwelula nokuqinisa imisipha futhi kukusize uhambe kangcono.
• Ukugqugquzela izinzwa kungasiza ukubuyisa izinzwa nemisipha yonyawo.

Kungadingeka ukwelashwa ukuze unciphise ukucindezela kwethambo noma ukuzama ukulilungisa. Okwehla konyawo lwesikhathi eside, umhlinzeki wakho angaphakamisa ukuxuba amathambo amaqakala noma onyawo. Noma ungahlinzwa. Kulokhu, ithenda elisebenzayo kanye nemisipha enamathiselwe idluliselwa engxenyeni ehlukile yonyawo.

Ukululama kahle kangakanani kuya ngokuthi yini ebanga ukwehla konyawo. Ukwehla konyawo kuzovame ukuphela ngokuphelele. Uma imbangela inzima kakhulu, njenge-stroke, ungahle ungalulami ngokuphelele.

Shayela umhlinzeki wakho wezempilo uma unenkinga yokuhamba noma ukulawula unyawo lwakho:

• Izinzwani zakho zihudula phansi ngenkathi uhamba.
• Unempama yokushaya (iphethini yokuhamba lapho isinyathelo ngasinye senza umsindo wokushaya ngempama).
• Awukwazi ukubamba ingaphambili lonyawo lwakho.
• Unciphise ukuzwa, ukuba ndikindiki, noma ukuncinza onyaweni noma ezinzwaneni.
• Unobuthakathaka beqakala noma unyawo.

Ukulimala kwe-peroneal nerve - ukwehla konyawo; Ukukhubazeka konyawo; I-Peroneal neuropathy; Yehlisa unyawo

• Ukungasebenzi kahle kwezinzwa ezivamile

UDel Toro DR, uSeslija D, uKing JC. I-Fibular (peroneal) neuropathy. Ku: Frontera WR, Silve JK, Rizzo TD, eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 75.

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.

Thompson PD, Nutt JG. Izinkinga ze-Gait. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 24.