Iyini iCauda Equina Syndrome (CES) nokuthi Iphathwa Kanjani?

-Delile

• Ziyini izimpawu?
• Yini ebangela i-CES?
• Ubani osengozini ye-CES?
• Ixilongwa kanjani i-CES?
• Ingabe kudingeka ukuhlinzwa?
• Yiziphi izindlela zokwelashwa ezikhona ngemuva kokuhlinzwa?
• Uyini umbono?
• Ukuhlala neCES

Iyini ngempela i-CES?

Ekupheleni okuphansi komgogodla wakho kunenqwaba yezimpande zemizwa ezibizwa ngokuthi i-cauda equina. Lokho kuyisiLatini esithi "umsila wehhashi." I-cauda equina ixhumana nobuchopho bakho, ithumele amasiginali ezinzwa emuva naphambili maqondana nemisebenzi yezinzwa neyezimoto yezitho zakho ezingezansi nezitho ezisendaweni yesifuba sakho.

Uma lezi zimpande ze-nerve zicindezelwa, ungahlakulela isimo esibizwa nge-cauda equina syndrome (CES). Kuyi, kulinganiselwa ukuthinta. I-CES inomthelela ekulawuleni onakho esinyeni sakho, emilenzeni, nakwezinye izitho zomzimba. Uma ishiywe ingalashwa, ingaholela ezinkingeni ezinkulu zesikhathi eside.

Qhubeka ufunde ukuze ufunde ukuthi yiziphi izimpawu ezibangelwa yisimo, ukuthi silawulwa kanjani, nokuningi.

Ziyini izimpawu?

Izimpawu ze-CES kungathatha isikhathi eside ukukhula futhi zingahluka kakhulu. Lokhu kungenza ukuxilongwa kube nzima.

Ezimweni eziningi, isinye nemilenze yizindawo zokuqala ezithinteka yi-CES.

Isibonelo, ungaba nobunzima bokubamba noma ukukhipha umchamo (incontinence).

I-CES ingadala ubuhlungu noma ukulahlekelwa yimizwa ezingxenyeni ezingenhla zemilenze yakho, kanye nezinqe, izinyawo, nezithende. Izinguquko zisobala kakhulu "endaweni yesihlalo," noma ezingxenyeni zemilenze yakho nezinqe ezingathinta isihlalo uma ubugibele ihhashi. Lezi zimpawu zingaba nzima futhi, uma zingashiywanga zelashwa, ziba zimbi ngokuhamba kwesikhathi.

Ezinye izimpawu ezingakhombisa i-CES zifaka:

• ubuhlungu obukhulu beqolo
• ubuthakathaka, ubuhlungu, noma ukulahlekelwa ukuzwa emlenzeni owodwa noma womabili
• ukungalingani kwamathumbu
• ukulahleka kokucabanga ezithweni zakho ezingezansi
• ukungasebenzi ngokocansi

Uma uhlangabezana nenye yalezi zimpawu, kufanele ubone udokotela.

Yini ebangela i-CES?

Idiski ye-herniated ingenye yezimbangela ezivame kakhulu ze-CES. Idiski kuyinto isiguqo phakathi kwamathambo e amathambo akho. Yakhiwe ngengaphakathi elifana nejeli nengaphandle eliqinile.

Idiski ye-herniated yenzeka lapho ingaphakathi elithambile liphuma ngaphandle ngengaphandle lediski. Njengoba ukhula, impahla yediski iba buthakathaka. Uma ukuwohloka kukhulu ngokwanele, ukulwela ukuphakamisa okuthile okusindayo noma ngisho nokusonta nje indlela engafanele kungadala ukuthi kuqhume idiski.

Uma lokhu kwenzeka, izinzwa eziseduze nediski zingacasuka. Uma ukuqhuma kwediski ku-lumbar yakho engezansi kukhulu ngokwanele, kungahle kuqhubekele phambili ne-cauda equina.

Ezinye izimbangela ze-CES zifaka:

• izilonda noma izicubu emgogodleni wakho ongezansi
• ukutheleleka komgogodla
• ukuvuvukala komgogodla wakho ongezansi
• i-spinal stenosis, ukuncipha komsele ogcina umgogodla wakho
• ukukhubazeka kokuzalwa
• izinkinga ngemuva kokuhlinzwa komgogodla

Ubani osengozini ye-CES?

Abantu okungenzeka ukuthi bathuthukise i-CES kufaka phakathi labo abane-disk ye-herniated, njengabantu abadala asebekhulile noma abasubathi kwezemidlalo enomthelela omkhulu.

Ezinye izinto eziyingozi kwidiski ye-herniated zifaka:

• ukukhuluphala ngokweqile noma ukukhuluphala
• ukuba nomsebenzi odinga ukuphakamisa okunzima kakhulu, ukujija, ukusunduza nokugoba eceleni
• ukuba nokuthambekela kofuzo kwidiski ye-herniated

Uma uke walimala kanzima emuva, njengalowo odalwe yingozi yemoto noma ukuwa, nawe usengozini enkulu ye-CES.

Ixilongwa kanjani i-CES?

Lapho ubona udokotela wakho, kuzodingeka unikeze umlando wakho wezokwelapha. Uma abazali bakho noma ezinye izihlobo eziseduze beye baba nezinkinga emuva, yabelana ngalolo lwazi, futhi. Udokotela wakho uzophinde afune uhlu oluningiliziwe lwazo zonke izimpawu zakho, kufaka phakathi ukuthi ziqale nini nobukhulu bazo.

Ngesikhathi sokuqokwa kwakho, udokotela wakho uzokuhlola ngokomzimba. Bazohlola ukuzinza, amandla, ukuqondanisa, kanye nokuzindla kwemilenze nezinyawo zakho.

Cishe uzocelwa ukuthi:

• hlala
• ame
• hamba ezithendeni nasezinzwaneni zakho
• phakamisa imilenze yakho ngenkathi ulele phansi
• goba phambili, emuva, futhi eceleni

Ngokuya ngezimpawu zakho, udokotela wakho futhi angahlola izicubu zakho zangasese zethoni nobuthakathaka.

Ungase weluleke ukuthi uhlolwe i-MRI engezansi kwakho. I-MRI isebenzisa amandla kazibuthe ukusiza ukukhiqiza izithombe zezimpande zomgogodla wakho nezicubu ezizungeze umgogodla wakho.

Udokotela wakho futhi angancoma ukuhlolwa kwe-imaging ye-myelogram. Kulesi sivivinyo, udayi okhethekile ufakwa ezicutshini ezizungeze umgogodla wakho. Kuthathwa i-X-ray ekhethekile ukukhombisa noma yiziphi izingqinamba ngentambo yakho yomgogodla noma izinzwa ezibangelwa i-herniated disk, isimila, noma ezinye izindaba.

Ingabe kudingeka ukuhlinzwa?

Ukuxilongwa kwe-CES kuvame ukulandelwa ukuhlinzwa ukuze unciphise ukucindezela kwezinzwa. Uma imbangela iyi-disk ye-herniated, ukuhlinzekwa kungenziwa kudiski ukususa noma yini ecindezela i-cauda equina.

Ukuhlinzwa kufanele kwenziwe kungakapheli amahora angama-24 noma ama-48 ukuqala kwezimpawu ezinzima, njenge:

• ubuhlungu obukhulu beqolo
• ukulahlekelwa ngokungazelelwe kwemizwa, ubuthakathaka, noma ubuhlungu emlenzeni owodwa noma womabili
• ukuqala kwamuva kwe-incontinence engxenyeni noma yokuchama
• ukulahleka kokucabanga emaphethelweni akho aphansi

Lokhu kungasiza ukuvimbela ukulimala kwezinzwa okungenakulungiseka nokukhubazeka. Uma isimo sishiywa singelashwa, ungakhubazeka futhi uhlakulele ukungalawuleki unomphela.

Yiziphi izindlela zokwelashwa ezikhona ngemuva kokuhlinzwa?

Ngemuva kokuhlinzwa, udokotela wakho uzokubona ngezikhathi ezithile ukuze ahlole ukululama kwakho.

Ungalulama ngokugcwele kunoma yiziphi izinkinga ze-CES, noma ngabe abantu abathile banezimpawu ezithile eziqhubekayo. Uma uqhubeka unezimpawu, qiniseka ukuthi utshela udokotela wakho.

Uma i-CES ithinte ikhono lakho lokuhamba, uhlelo lwakho lokwelashwa luzobandakanya ukwelashwa ngokomzimba. Umelaphi angakusiza ukuthi ubuyise amandla akho futhi akunikeze izivivinyo zokusiza ukuthuthukisa igxathu lakho. Isazi sokusebenza singasiza futhi uma imisebenzi yansuku zonke, njengokugqoka, ithinteka yi-CES.

Ochwepheshe abasiza ngokungazibambi nokungasebenzi kahle kwezocansi bangaba yingxenye yethimba lakho lokutakula.

Ukuze uthole ukwelashwa kwesikhathi eside, udokotela wakho angancoma izidakamizwa ezithile ukusiza ngokuphathwa kobuhlungu:

• Ukudambisa izinhlungu zemithi kadokotela, njenge-oxycodone (OxyContin), kungasiza ngokushesha ngemuva kokuhlinzwa.
• Ukudambisa izinhlungu ezithengiswayo, njenge-ibuprofen (Advil) noma i-acetaminophen (iTylenol), kungasetshenziselwa ukukhulula izinhlungu zansuku zonke.
• I-Corticosteroids ingahle inqunyelwe ukusiza ukunciphisa ukuvuvukala nokuvuvukala okuzungeze umgogodla.

Udokotela wakho angakunikeza nemithi yokwelapha isinye kangcono noma ukulawula amathumbu. Izinketho ezijwayelekile zifaka:

• i-oxybutynin (Ditropan)
• i-tolterodine (i-Detrol)
• i-hyoscyamine (Levsin)

Ungase uzuze ekuqeqesheni isinye. Udokotela wakho angancoma amasu okukusiza uthulule isinye sakho ngenhloso futhi wehlise ubungozi bokungalawuleki. Ama-suppositories e-Glycerin angakusiza ukuthi ukhiphe amathumbu akho lapho ufuna nawo.

Uyini umbono?

Ngemuva kokuhlinzwa, izinzwa zakho nokulawulwa kwezimoto kungahle kubuye kancane ekubuyeni. Umsebenzi wesinye ikakhulukazi kungaba owokugcina ukululama ngokuphelele. Ungadinga ipayipi kuze kube yilapho uphinde uthola amandla okulawula isinye sakho. Abanye abantu, noma kunjalo, badinga izinyanga eziningi noma ngisho neminyaka embalwa ukuze balulame. Udokotela wakho ungumthombo wakho ongcono kakhulu wolwazi mayelana nombono wakho ngamunye.

Ukuhlala neCES

Uma umsebenzi wamathumbu nesinye ungalulami ngokuphelele, kungadingeka ukuthi usebenzise ipayipi kaningi ngosuku ukuze uqinisekise ukuthi usula isinye ngokuphelele. Uzodinga futhi ukuphuza uketshezi oluningi ukusiza ukuvimbela ukutheleleka komgudu womchamo. Amapayipi okuvikela noma amanabukeni amadala angasiza ekubhekaneni nesinye noma ukungasebenzi kwamathumbu.

Kuzobaluleka ukwamukela lokho ongeke ukwazi ukukushintsha. Kepha kufanele usebenze ngezimpawu noma ngezinkinga ezingalapheka ngemuva kokuhlinzwa kwakho. Qiniseka ukuthi uxoxa ngezinketho zakho nodokotela wakho eminyakeni ezayo.

Ukwelulekwa ngokomzwelo nangokwengqondo kungakusiza ukuthi ujwayele, ngakho-ke khuluma nodokotela wakho ngezinketho ongazithola. Ukwesekwa komndeni wakho nabangane nakho kubaluleke kakhulu. Ukuwafaka ekutholeni kwakho kungabasiza baqonde ukuthi ubhekene nani nsuku zonke futhi kubenze bakwazi ukukusiza kangcono ngokutakula kwakho.