I-Pinched Nerve Emhlane Wakho Ophakeme? Nakhu Okumele Ukwenze

-Delile

• Kwenzenjani?
• Izimpawu
• I-anatomy yomgogodla
• Izimbangela
• Ukuxilongwa
• Ukwelashwa
• Phumula
• Imithi
• Ukwelashwa ngokomzimba
• Ukuhlinzwa
• Ukwelula nokuzivocavoca umzimba
• Ukuphakanyiswa kwekhanda elithambile
• Ukuhoxa okuyisisekelo
• Ukubonana nodokotela nini
• Okubalulekile

Kwenzenjani?

I-nerve pinched ukulimala okwenzeka lapho inzwa yelulelwe kude kakhulu noma icindezelwe ithambo noma izicubu ezizungezile. Emhlane ongaphezulu, imizwa yomgogodla isengozini yokulimala evela emithonjeni ehlukahlukene.

Kwezinye izimo, i-nerve ekhonjiwe emhlane wakho ongenhla ingalethwa ukuma okungalungile noma ukulimala kwezemidlalo noma kwesisindo. Inzwa eboshiwe emhlane wakho ongaphezulu ingadala ubuhlungu, ukuncinza, noma ukuba ndikindiki endaweni yokulimala nakwezinye izindawo emzimbeni wakho ongaphezulu.

Izimpawu

Inzwa ebunjiwe emhlane wakho ongaphezulu ingadala ubuhlungu obubukhali obungalimaza kakhulu lapho ujikela ohlangothini olulodwa noma lapho ulungisa ukuma kwakho. Ungase uzwe ubuhlungu ngaphezulu ngakwesokunene sakho noma ngakwesobunxele sakho, kuya ngokuthi inzwa yelulwa noma icindezelwe kuphi.

Kwesinye isikhathi ubuhlungu bungakhipha phansi umgogodla noma ngesifuba sakho ukuze ubuzwe emahlombe nasesifubeni. Ungase uzwe nokushaywa, noma "izikhonkwane nezinaliti" kulezo zindawo ezifanayo.

Ezinye izimpawu zesibindi esikhonjiwe emhlane wakho ongaphezulu zibandakanya ubuthakathaka bemisipha emhlane nasemahlombe noma yimuphi umsipha ophiliswa yizinzwa ezithintekile.

Imisipha yakho yangemuva kungenzeka ingasebenzisani lapho uzama ukugoba noma ukuncika emuva. Ungazizwa uqine lapho uzama ukunyakaza. Ngisho nokuhlala isikhathi eside kungahle kube nzima ngenzwa encinzelwe emhlane wakho ongaphezulu.

I-anatomy yomgogodla

Ukuze ufunde ukuthi izinzwa zomgogodla zingacindezelwa kanjani, kuyasiza ukuqonda kabanzi mayelana nokwakheka kwekholomu lomgogodla.

Unama-vertebrae angama-24, angamathambo ahlukaniswe ngama-disc. Ama-discs asiza ukubamba amathambo ndawonye futhi asebenze njengamakhushini phakathi kwawo. Ngokubambisana amathambo nama-disc kwakha ikholomu lomgogodla, induku eqinile, eguquguqukayo evumela ukuthi ume, uhlale, uhambe, futhi uhambe uye kolunye uhlangothi nangaphambili uye emuva.

Okugijima kwehle maphakathi nawo wonke ama-vertebrae kungumgogodla, ishubhu elenziwe izicubu zemizwa. Ukunwebeka kusuka entanjeni yomgogodla ngokusebenzisa ama-disc kuyizimpande zomgogodla ezixhumeka kunethiwekhi enkulu yezinzwa emzimbeni wakho wonke.

Izimbangela

Isizathu esivamile sezinzwa ezicijile ngemuva yi-disc ye-herniated. Lokhu kwenzeka lapho isikhungo esithambile sediski, esaziwa njenge-nucleus, sidlulela kungqimba lwediski lwangaphandle olunzima, olubizwa ngokuthi i-annulus.

Uma i-nucleus iqhubekela emsipheni kukholamu lomgogodla, ungaba nesibindi esicinene nezinye noma zonke izimpawu ezihambisana naso. Lokhu kubizwa ngokuthi yi-radiculopathy.

I-Radiculopathy ingakhula kunoma iyiphi ingxenye yomgogodla. Umhlane wakho uchazwa njengezingxenye ezintathu:

• i-lumbar, noma i-back back
• umlomo wesibeletho, noma intamo
• i-thoracic, okuyindawo engemuva engenhla phakathi kwezingxenye ze-lumbar nezomlomo wesibeletho

Isizathu esiyinhloko se-disc herniation ukugqoka nokudabuka okuhlobene nobudala. Ama-Disc alahlekelwa olunye uketshezi lwawo phakathi neminyaka futhi aba mancane kakhulu futhi asengozini yokuqhekeka kanye ne-herniation.

Lokhu kwehla kwe-disc kungenzeka emuva emuva kancane kancane ngokuhamba kwesikhathi. Kungasheshiswa futhi ngokuphakamisa okuthile okusindayo phezu kwekhanda lakho.

Ingcindezi emithanjeni yomgogodla nayo ingaqhamuka kuma-bone spurs, okuyizibalo ezingajwayelekile zethambo ezibangelwa yi-osteoarthritis noma ukuhlukumezeka kwethambo. I-Bone spurs eyakha kuma-vertebrae akho inganciphisa izinzwa eziseduze.

I-rheumatoid arthritis, isifo esivuthayo esithinta amalunga, kwesinye isikhathi singakhula emgogodleni wakho. Ukuvuvukala kokuhlangana komgogodla kungafaka ingcindezi kumgogodla womgogodla.

Ukuxilongwa

Udokotela wakho angakwazi ukuxilonga imizwa eboshiwe emhlane wakho ongaphezulu ngokufunda ngezimpawu zakho, umlando wezokwelapha, nangokuhlola umhlane wakho. Uma i-nerve pinched ingabonakali, udokotela wakho angancoma ukuhlolwa kwe-imaging, njenge:

• Imagnetic resonance imaging (i-MRI). Lokhu kuhlolwa okungenabuhlungu, okungahlaseli kusebenzisa uzibuthe onamandla namagagasi omsakazo ukudala izithombe zangaphakathi komzimba wakho. Ngokungafani ne-X-ray, ekhombisa ngokuyinhloko amathambo nezitho ezinkulu, i-MRI ingaveza izithombe ezinemininingwane eminingi ngezicubu ezithambile, njengamadiski asekholamu lakho lomgogodla. I-MRI kwesinye isikhathi ingathatha izimpawu zokucindezelwa kwemizwa.
• Iskena se-CT. Lokhu kuhlolwa okungenabuhlungu futhi okungekho konakalisi kudala izithombe eziningiliziwe zezimpande zakho zezinzwa. I-Ultrasound, esebenzisa amagagasi omsindo ukudala izithombe, futhi ingathola ukucinana kwemizwa emhlane ongenhla.
• Isifundo sokuqhuba imizwa. Lokhu kubheka ukushaywa kwezinzwa nokuthi izinzwa nemisipha yakho kusabela kanjani kuzo ngecala elincane likagesi elethwa ngama-electrode akhethekile abekwe esikhunjeni sakho.
• I-Electromyography (EMG). Ku-EMG, udokotela wakho uzofaka inaliti emisipheni eyenziwe yizinzwa abakholelwa ukuthi zilimele. Indlela imisipha esabela ngayo ekhokhweni kagesi elethwe yinaliti ingakhombisa uma kukhona ukulimala kwezinzwa kuleyo ndawo.

Ukwelashwa

Phumula

Ukuphumula ukwelashwa okuvame kakhulu kwezinzwa ezicijile emhlane ongaphezulu. Kufanele uyeke ukwenza izinto ezingakucindezela emuva, njengokuphakamisa izinto ezisindayo phezu kwekhanda lakho noma yikuphi ukucindezela noma ukudonsa okunzima.

Imithi

Kanye nokuphumula, ungathola ukuphumula kobuhlungu ngokuthatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-ibuprofen (Advil) ne-naproxen (Aleve). Imijovo ye-Corticosteroid nayo inganciphisa ukuvuvukala nobuhlungu ezindaweni ezithintekile.

Ukwelashwa ngokomzimba

Udokotela wakho angancoma ukwelashwa ngokomzimba ukuzivocavoca nokuqinisa imisipha yomhlane wakho ongaphezulu. Ukubopha le misipha kungasiza ekunciphiseni ukucindezela kwethambo.

Udokotela ongokomzimba angakusiza nokuthi ufunde ukuguqula indlela owenza ngayo imisebenzi ethile, njengokusebenza kwegceke noma ukuphakamisa izinto ezisindayo, ukusiza ukwehlisa umthwalo emisipheni yakho yangemuva. Ukulungisa ukuma kwakho nokuhlala kwakho nakho kungaba yingxenye yokwelashwa kwakho ngokomzimba.

Ukuhlinzwa

Uma ukuphumula nokwelashwa ngokomzimba kungasizi, ukuhlinzeka kungasiza ekwelapheni imizwa ebunjiwe ebuhlungu emuva. Lokhu kungabandakanya ukususa ingxenye yediski ye-herniated noma i-bone spur.

Ngenkathi ukuhlinzwa kungasebenza impela, imvamisa kuyindlela yokugcina. Ezinye izindlela ezilondolozayo kufanele zivivinywe kuqala.

Ukwelula nokuzivocavoca umzimba

Ngenkathi ukuphumuza imisipha yakho yangemuva yangemuva kubalulekile ngemuva kokuxilongwa kwemizwa okucinjiwe, kukhona izivivinyo ezimbalwa ongazenza ukusiza ukuthuthukisa ukuguquguquka kwemizwa yakho nokunciphisa ubuhlungu bakho.

Khumbula ukukhuluma nodokotela wakho kuqala ngaphambi kokuhlanganyela kunoma iyiphi inqubo yokwelula noma yokuzivocavoca engathinta imizwa yakho encinziwe.

Ukuphakanyiswa kwekhanda elithambile

Lokhu kunwebeka kungasiza imisipha yakho yangemuva nentamo.

1. Lala ngesisu sakho. Khulisa umzimba wakho ongaphezulu ngokuhlala phezu kwezindololwane zakho.
2. Faka isilevu sakho phansi ubheke esifubeni sakho.
3. Phakamisa ikhanda lakho kancane ukuze amehlo akho abheke phezulu ngangokunokwenzeka ngaphandle kokucindezela intamo yakho noma emuva.
4. Bamba imizuzwana emi-5, bese wehlisa ikhanda lakho kancane uye endaweni yokuqala.
5. Bamba isikhundla sokuqala imizuzwana emihlanu ngaphambi kokuphinda uphakamise ikhanda lakho.
6. Phinda kuze kube izikhathi eziyishumi ngosuku.

Ukuhoxa okuyisisekelo

Lokhu kungukuzivocavoca okuhle ukusiza ngokuma komzimba.

1. Yima nezingalo zakho eceleni kwakho nekhanda lakho lingathathi hlangothi.
2. Kancane kancane donsela amahlombe akho emuva naphansi, njengokungathi uzama ukukhama amahlombe akho ehlombe ndawonye.
3. Bamba imizuzwana eyi-10, bese ubuyela endaweni yakho yokuqala.
4. Phinda izikhathi ezi-5. Yenza amaqoqo ama-2 okuphindwayo ama-5 usuku ngalunye.

Faka ukumelana ngokwelula ithawula noma ibhande lokumelana phambi kwakho ngenkathi unyakaza futhi ucindezela amahlombe akho.

Ukubonana nodokotela nini

Ubuhlungu obuphansi beqolo noma ukurhawuzelela okuphela ngemuva kwezinsuku ezimbalwa kungaba umphumela wokuvuvukala kwesikhashana okufaka ingcindezi emsipheni. Lezi zimpawu azidingi ukuvakashelwa udokotela.

Kodwa-ke, uma ubuhlungu bezinzwa ezingemuva buyinkinga ephindaphindayo, chaza izimpawu zakho kudokotela wakho. Ithuluzi leHealthline FindCare linganikeza izinketho endaweni yangakini uma ungenalo udokotela.

Uma unezinhlungu emuva noma ukuba ndikindiki okuhlala izinsuku ezimbalwa ngaphandle kokukhululeka, kufanele ubonane nodokotela kungekudala. Futhi, uma ubuhlungu budubula phansi umgogodla wakho noma ngaphandle kwesifuba sakho, yenza i-aphoyintimenti ngokushesha. Ukuthungwa noma ukuba ndikindiki ezingalweni noma emilenzeni yakho nakho kufanele kukhuthaze ukuvakashelwa ngokushesha kudokotela wakho.

Okubalulekile

Ezimweni eziningi, ukululama okugcwele emthanjeni ophihliwe kwenzeka ngaphandle kokuphumula okuncane. Esibonakalisweni sokuqala se-nerve ecindezelwe emhlane wakho ongaphezulu, thola indawo enethezekile uphumule. Uma ukwazi ukuthatha i-NSAID, yenza kanjalo, kodwa ngaso sonke isikhathi landela imiyalo yelebula noma ukuholwa udokotela wakho.

Uma ubuhlungu noma ukuphazamiseka kuqhubeka ngemuva kokuphumula, bheka udokotela wakho bese uzama ukuchaza izimpawu zakho ngokuningiliziwe, kufaka phakathi ukuthi ziqale nini nokuthi yini, uma kukhona, okuletha ukukhululeka.

Eminye imizwa elimele kakhulu kungenzeka ingavuseleleki noma ibuyele esimeni sayo sangaphambilini esigcwele. Uma kunjalo, ukwelashwa ngokomzimba nezinye izindlela zokwelapha kungakusiza ukuphatha noma yimiphi imiphumela ebambekayo yenzwa eboshiwe emhlane wakho ongaphezulu.