I-Neuropathy Yabesifazane

-Delile

• Yini ebangela i-femoral neuropathy?
• Izimpawu ze-femoral neuropathy
• Kubi kangakanani?
• Ukuhlonza i-femoral neuropathy
• Ukuhlolwa kokuqala
• Ukuqhutshwa kwemizwa
• I-Electromyography (EMG)
• Ukuhlolwa kwe-MRI ne-CT
• Izinketho zokwelashwa
• Imithi
• Ukwelashwa
• Ukuhlinzwa
• Umbono wesikhathi eside ngemuva kokwelashwa
• Amathiphu okuvimbela ukulimala kwezinzwa

Iyini i-femoral neuropathy?

I-femoral neuropathy, noma ukungasebenzi kahle kwemizwa yabesifazane, kwenzeka lapho ungakwazi ukunyakaza noma ukuzwa ingxenye yomlenze wakho ngenxa yezinzwa ezonakele, ikakhulukazi imizwa yabesifazane. Lokhu kungavela ekulimaleni, ekucindezelweni isikhathi eside emthanjeni, noma ekulimaleni kwezifo. Ezimweni eziningi, lesi simo sizophela ngaphandle kokwelashwa. Kodwa-ke, imithi kanye nokwelashwa ngokomzimba kungadingeka uma izimpawu zingathuthuki.

Yini ebangela i-femoral neuropathy?

Imizwa yabesifazane ingenye yezinzwa ezinkulu emlenzeni wakho. Itholakala eduze komgogodla futhi ilawula imisipha esiza ukuqondisa umlenze wakho nokuhambisa izinkalo zakho. Ibuye inikeze umuzwa engxenyeni engezansi yomlenze wakho nangaphambili kwethanga lakho. Ngenxa yokuthi itholakala kuphi, ukulimala kwethambo lezinsikazi akuvamile ngokuhlobene nama-neuropathies abangelwa ukulimala kwezinye izinzwa. Lapho i-nerve femoral yonakele, ithinta ikhono lakho lokuhamba futhi ingadala izinkinga ngokuzwa emlenzeni nasezinyaweni zakho. Buka izinzwa zesifazane kule BodyMap ye-femur.

Ukulimala kwezinzwa zesifazane kungaba umphumela we:

• ukulimala okuqondile
• isimila noma okunye ukukhula ukuvimba noma ukubamba ingxenye yenzwa yakho
• ingcindezi ende ku-nerve, njengokuvela kokungasebenzi kahle isikhathi eside
• ukuphuka okhalo
• imisebe esifubeni
• ukopha noma ukopha esikhaleni ngemuva kwesisu, okubizwa ngokuthi isikhala se-retroperitoneal
• ipayipi elibekwe emthanjeni wesifazane, okudingekayo ezinqubweni ezithile zokuhlinzwa

Isifo sikashukela singadala i-femoral neuropathy. Isifo sikashukela singadala ukulimala kwemizwa okubanzi ngenxa yokuguquguquka koshukela wegazi nomfutho wegazi. Ukulimala kwemithambo okuthinta imilenze yakho, izinyawo, izinzwane, izandla nezingalo kwaziwa njenge-peripheral neuropathy. Okwamanje kunempikiswano mayelana nokuthi i-femoral neuropathy iyi-neuropathy yangaphakathi yini noma uhlobo oluthile lwe-amyotrophy yesifo sikashukela.

Ngokusho kweNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), isifo sikashukela yisona sizathu esivame kakhulu se-peripheral neuropathy kubantu abanesifo sikashukela okungenani iminyaka engu-25.

Izimpawu ze-femoral neuropathy

Lesi simo sezinzwa singaholela ebunzimeni bokuhamba. Umlenze noma idolo lakho lingazizwa libuthakathaka, futhi ungahle ungakwazi ukucindezela umlenze othintekile.

Ungase uzwe nemizwa engavamile emilenzeni yakho. Kubandakanya:

• ukuba ndikindiki kunoma iyiphi ingxenye yomlenze (imvamisa ngaphambili nangaphakathi kwethanga, kepha kungenzeka yonke indlela ifike ezinyaweni)
• ukuncinza kunoma iyiphi ingxenye yomlenze
• ubuhlungu obuzwelayo esifundeni sangasese
• ubuthakathaka bemisipha ephansi
• ubunzima bokwengeza idolo ngenxa yobuthakathaka be-quadriceps
• uzizwe sengathi umlenze noma idolo lakho lizokunika (bopha) kuwe

Kubi kangakanani?

Ukucindezelwa isikhathi eside okubekwe emsipheni wobufazi kungavimbela igazi ukuba lingagobhozi endaweni ethintekile. Ukwehla kwegazi kungaholela ekulimaleni kwezicubu.

Uma ukulimala kwakho kwezinzwa kungumphumela wokulimala, kungenzeka ukuthi umthambo wakho wobufazi noma umthambo nawo ulimele. Lokhu kungadala ukopha kwangaphakathi okuyingozi. Umthambo wesifazane ungumthambo omkhulu kakhulu olele eduze kwemizwa yabesifazane. Ukuhlukumezeka kuvame ukulimaza bobabili ngasikhathi sinye. Ukulimala emthanjeni noma ukuphuma kwegazi emthanjeni kungadala ukucindezelwa kunzwa.

Ngokwengeziwe, i-nerve femoral inikeza ukuzwa engxenyeni enkulu yomlenze. Lokhu kulahlekelwa umuzwa kungaholela ekulimaleni. Ukuba nemisipha yomlenze ebuthakathaka kungakwenza ujwayele ukuwa. Ukuwa kukhathaza kakhulu abantu abadala asebekhulile ngoba kungadala ukuphuka kwe-hip, okuyingozi enkulu kabi.

Ukuhlonza i-femoral neuropathy

Ukuhlolwa kokuqala

Ukuxilonga i-femoral neuropathy nembangela yayo, udokotela wakho uzokwenza ukuhlolwa okuphelele komzimba futhi abuze imibuzo mayelana nokulimala kwakamuva noma ukuhlinzwa, kanye nemibuzo ngomlando wakho wezokwelapha.

Ukubheka ubuthakathaka, bazohlola imisipha ethile ethola ukuzwa okuvela ezinzwa zobufazi. Udokotela wakho mhlawumbe uzohlola ukucabanga kwakho kwamadolo bese ebuza ngezinguquko ekuzizweni engxenyeni engaphambili yethanga nengxenye emaphakathi yomlenze. Umgomo wokuhlola ukunquma ukuthi ubuthakathaka buhilela izinzwa zesifazane kuphela noma uma ezinye izinzwa nazo zifaka isandla.

Ukuhlolwa okungeziwe kungafaka:

Ukuqhutshwa kwemizwa

Ukuqhutshwa kwemisipha kuhlola ijubane lokushaywa ugesi ezinzwa zakho. Impendulo engajwayelekile, njengesikhathi esisheshayo sokuthi amasiginali kagesi ahambe ngezinzwa zakho, imvamisa ikhombisa ukulimala kwenzwa okukhulunywa ngayo.

I-Electromyography (EMG)

I-Electromyography (EMG) kufanele yenziwe ngemuva kokuhlolwa kokuqhutshwa kwemizwa ukubona ukuthi imisipha nezinzwa zakho zisebenza kahle kangakanani. Lokhu kuhlolwa kuqopha umsebenzi kagesi okhona emisipheni yakho lapho izinzwa eziholela kuzo zisebenza. I-EMG izonquma ukuthi imisipha iphendula ngokufanele yini ekuvuseleleni. Izimo ezithile zezokwelapha zibangela imisipha ukuba izithungele ngokwayo, okungajwayelekile okungavezwa yi-EMG. Ngoba izinzwa zivuselela futhi zilawule imisipha yakho, isivivinyo singakhomba izinkinga ngazo zombili imisipha nezinzwa.

Ukuhlolwa kwe-MRI ne-CT

Ukuskena kwe-MRI kungabheka izicubu, ukukhula, noma olunye uquqaba endaweni ye-femal nerve engadala ukucindezelwa kunzwa. Iskena seMRI sisebenzisa amagagasi omsakazo nozibuthe ukukhiqiza isithombe esinemininingwane ngengxenye yomzimba wakho eskeniwe.

Ukuskena kwe-CT kungabheka nokukhula kwemithambo noma kwamathambo.

Izinketho zokwelashwa

Isinyathelo sokuqala ekwelapheni i-femoral neuropathy ukubhekana nesimo noma imbangela engaphansi. Uma ukucindezelwa ku-nerve kuyimbangela, umgomo kuzoba ukukhulula ukucindezelwa. Kwesinye isikhathi ekulimaleni okuncane, njengokucindezelwa okuncane noma ukulimala okweluliweyo, inkinga ingaxazululeka ngokuzenzekelayo.Kubantu abanesifo sikashukela, ukubuyisa amazinga kashukela egazini abuyele kokujwayelekile kunganciphisa ukungasebenzi kahle kwemizwa. Uma izinzwa zakho zingathuthuki zodwa, uzodinga ukwelashwa. Lokhu kuvame ukufaka imithi nokwelashwa ngokomzimba.

Imithi

Ungaba nemijovo ye-corticosteroid emlenzeni wakho ukunciphisa ukuvuvukala futhi ususe noma yikuphi ukuvuvukala okwenzekayo. Imithi yezinhlungu ingasiza ekudambiseni noma yibuphi ubuhlungu nokungahambi kahle. Ngobuhlungu be-neuropathic, udokotela wakho angakunikeza imithi, njenge-gabapentin, pregabalin, noma i-amitriptyline.

Ukwelashwa

Ukwelashwa ngokomzimba kungasiza ekwakheni amandla emisipheni yemilenze yakho futhi. Umelaphi uzokufundisa ukuzivocavoca ukuqinisa nokwelula imisipha yakho. Ukwelashwa ngokomzimba kusiza ukunciphisa izinhlungu futhi kukhuthaze ukuhamba.

Kungase kudingeke ukuthi usebenzise idivaysi yamathambo, efana ne-brace, ukukusiza ekuhambeni. Imvamisa, ukuqiniswa kwamadolo kuyasiza ekuvimbeleni ukuguqa kwamadolo.

Ngokuya ngokuthi umonakalo wezinzwa unzima kangakanani nokuthi unenkinga engakanani lapho uhamba khona, ungahle udinge nokwelashwa komsebenzi. Lolu hlobo lwezokwelapha lusiza ukuthi ufunde ukwenza imisebenzi ejwayelekile njengokugeza neminye imisebenzi yokuzinakekela. Lokhu kubizwa “ngemisebenzi yokuphila kwansuku zonke.” Udokotela wakho futhi angancoma ukwelulekwa ngokomsebenzi uma isimo sakho sikuphoqa ukuba uthole omunye umsebenzi.

Ukuhlinzwa

Udokotela wakho angancoma ukuhlinzwa uma ukukhula kuvimbela imizwa yakho yobufazi. Ukususa ukukhula kuzokhipha ingcindezi ezinzwa zakho.

Umbono wesikhathi eside ngemuva kokwelashwa

Ungase ukwazi ukuphulukisa ngokugcwele ngemuva kokuphatha isimo esingaphansi. Uma ukwelashwa kungaphumeleli noma uma ukulimala kwemizwa yabesifazane kukhulu, ungalahlekelwa unomphela umuzwa kuleyo ngxenye yomlenze wakho noma amandla okuyihambisa.

Amathiphu okuvimbela ukulimala kwezinzwa

Ungehlisa ingozi yokuba ne-femoral neuropathy ebangelwa yisifo sikashukela ngokugcina amazinga kashukela egazini elawulwa. Lokhu kusiza ukuvikela izinzwa zakho kumonakalo odalwe yilesi sifo. Izinyathelo zokuvimbela zingaqondiswa kunhloso ngayinye. Khuluma nodokotela wakho ukuthola izeluleko mayelana nokuthi yiziphi izindlela zokuvimbela ezingaba ngcono kuwe.

Ukugcina indlela yokuphila esebenzayo kusiza ukugcina izicubu zomlenze wakho ziqinile futhi kuthuthukise ukuzinza.