Ubunyonincwane Bezinzwane: Izimbangela Ezikhona Nendlela Yokwelapha

-Delile

• Ziyini izimpawu zokuba ndikindiki kuzwane?
• Yini ebangela uzungu ukuba ndikindiki?
• Kufanele ngiluthole nini usizo lwezokwelapha?
• Kutholakala kanjani ukuba ndikindiki kuzwane?
• Kuphathwa kanjani ukuba ndikindiki kuzwane?
• Ukwelapha izinyawo ezingamahlalakhona

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Kuyini ukuzipha izinzwane?

Ukuba ndikindiki kuzwane kuyisibonakaliso esenzeka lapho kuthinteka ukuzwa kwezinzwane zakho. Ungase uzwe ungekho umuzwa, ukuhayiza, noma ukuzwa okuvuthayo. Lokhu kungenza ukuhamba kube nzima noma kube buhlungu.

Ukuba ndikindiki kozwane kungaba uphawu lwesikhashana, noma kungaba uphawu olungapheli - okusho ukuthi, isikhathi eside. Ukuba ndikindiki kozwane okungalapheki kungathinta ikhono lakho lokuhamba futhi kungaholela ekulimaleni nasemanxebeni okungenzeka awazi. Ngenkathi ukundikindiki kozwane kungaba yimbangela yokukhathazeka, kuyaqabukela kubhekwe njengesimo esiphuthumayo sezokwelapha.

Ziyini izimpawu zokuba ndikindiki kuzwane?

Ukuba ndikindiki kuzwane ukuzwa okungavamile okuvame ukunciphisa ikhono lakho lokuzwa izinzwane zakho uqobo noma umhlabathi ongaphansi kwakho. Ungase futhi uzizwe uthinta imilenze yakho noma izinzwane zakho njengoba umuzwa ubuya futhi ukuba ndikindiki kuhamba.

Ubuntofontofo bungadala nokuzwa izikhonkwane nezinaliti ezinzwaneni zakho. Lokhu kungenzeka ngonyawo olulodwa noma ezinyaweni zombili, kuya ngesizathu sako.

Yini ebangela uzungu ukuba ndikindiki?

Umzimba wakho uqukethe inethiwekhi eyinkimbinkimbi yemizwa yezinzwa enikeza umuzwa wakho wokuthinta. Lapho izinzwa zicindezelwe, zilimele, noma zicasulwa, kuba sengathi ulayini wocingo unqunyiwe kanti nemiyalezo ayikwazi ukungena. Umphumela uba ndikindiki, kungaba okwesikhashana noma ukuhlala isikhathi eside.

Izimo eziningi zezokwelapha zingadala ukuba ndikindiki kuzwane, kufaka phakathi:

• ukuphuza ngokweqile noma ukuphuza ngokweqile
• Isifo seCharcot-Marie-Tooth
• isifo sikashukela kanye neuropathy yesifo sikashukela
• isithwathwa
• Isifo se-Guillain-Barré
• idiski ye-herniated
• i-multiple sclerosis (MS)
• ama-syndromes wokucindezelwa kwemizwa, njenge-Morton's neuroma (ethinta ibhola lonyawo) noma i-tarsal tunnel syndrome (ethinta i-tibial nerve)
• isifo se-peripheral arterial (PAD)
• isifo semithambo yegazi (PVD)
• Isifo sikaRaynaud
• sciatica
• amasongo
• ukulimala komgogodla
• i-vasculitis, noma ukuvuvukala kwemithambo yegazi

Abanye abantu babhekana nobunzima bezinzwane ezihlobene nokuzivocavoca umzimba, ikakhulukazi ngemuva kokuzibandakanya ekuzivocavoca okunomthelela omkhulu njengokugijima noma ukudlala umdlalo. Lokhu kungenxa yokuthi izinzwa zivame ukucindezelwa ngenkathi zivocavoca umzimba. Ukuba ndikindiki kufanele kwehle ngokushesha ngemuva kokuyeka ukujima.

Okungajwayelekile, ukuba ndikindiki ezinzwaneni kungaba uphawu lomcimbi obucayi kakhulu wezinzwa. Lokhu kunjalo lapho uhlangabezana nokuba ndikindiki okungazelelwe kolunye uhlangothi lomzimba. Lokhu kungabangelwa:

• ukudlikiza
• unhlangothi
• ukuhlaselwa kweschemic okudlulayo (TIA)

Kufanele ngiluthole nini usizo lwezokwelapha?

Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nobuthakathaka bezinzwane kanye nenye yalezi zimpawu:

• kunzima ukubona ngaphandle kwamehlo noma womabili
• ukujula kobuso
• ukungakwazi ukucabanga noma ukukhuluma kahle
• ukulahlekelwa ibhalansi
• ubuthakathaka bemisipha
• Ubundikindiki uzwane obenzeka ngemuva kokuhlukumezeka ekhanda muva nje
• ukulahlekelwa okungazelelwe kokuzwa noma ukuba ndikindiki ngakolunye uhlangothi lomzimba wakho
• ngokuzumayo, ikhanda elibi kakhulu
• ukuthuthumela, ukunyakazisa, noma ukunyakaza

Uma ubundikindiki bezinzwane zakho kungahambisani nezinye izimpawu, bona udokotela wakho lapho kuba nzima noma kungasekho njengoba kwenzeka ngaphambili. Kufanele futhi ufune usizo lwezokwelapha uma ukungazwani kwezinzwane kuqala ukuba kubi.

Kutholakala kanjani ukuba ndikindiki kuzwane?

Udokotela wakho uzoqala aqoqe umlando wakho wezokwelapha nezimpawu ngaphambi kokwenza ukuhlolwa komzimba. Uma uhlangabezana nezimpawu ezinjengokushaywa unhlangothi- noma ukuquleka, udokotela angancoma ukuskena i-CT noma i-MRI. Lokhu kungathola ukopha ebuchosheni okungabonisa ukushaywa unhlangothi.

Ukuskena kwe-MRI ne-CT nakho kusetshenziselwa ukuthola ukungajwayelekile emgogodleni okungakhombisa i-sciatica noma i-spinal stenosis.

Udokotela wakho uzokwenza ukuhlolwa okuphelele kwezinyawo uma izimpawu zakho zibonakala zigxile ezinyaweni ngokwazo. Lokhu kufaka phakathi ukuhlola amakhono akho ukuze uzwe ukushisa nezinye izinzwa ezinyaweni.

Olunye uvivinyo lubandakanya izifundo zokuqhuba izinzwa, ezingabona ukuthi amandla kagesi adluliswa kahle kangakanani ngezinzwa. I-Electromyography olunye uvivinyo olunquma ukuthi imisipha isabela kanjani ekuvuseleleni ugesi.

Kuphathwa kanjani ukuba ndikindiki kuzwane?

Ukwelashwa kokuzizwa uzipho kuya ngezimbangela zako.

Uma isifo sikashukela sesifo sikashukela siyimbangela, udokotela wakho uzoncoma imishanguzo nokwelashwa ukuqinisekisa ukuthi ushukela wegazi lakho uhlala emazingeni afanele. Ukwandisa umsebenzi wakho womzimba nokunaka ngokucophelela ekudleni kwakho nakho kungasiza.

Uma ukuphazamiseka kungenxa yokucindezelwa kwemizwa onyaweni, ukushintsha uhlobo lwezicathulo ozigqokayo kungasiza. Uma ukuphazamiseka kuhlobene notshwala, kufanele uyeke ukuphuza bese uqala ukuthatha i-multivitamin.

Ngaphezu kwalezi zinyathelo, udokotela angahle anikeze imishanguzo yokuqeda izinhlungu. Lokhu kungafaka:

• ama-anti-depressants kanye nama-anticonvulsants ukwelapha ubuhlungu besifo sikashukela, kufaka phakathi i-duloxetine (Cymbalta) ne-pregabalin (Lyrica)
• ama-opioid noma imishanguzo efana ne-opioid, efana ne-oxycodone (Oxycontin) noma i-tramadol (Ultram)
• ama-tricyclic antidepressants, kufaka phakathi i-amitriptyline

Ukwelapha izinyawo ezingamahlalakhona

Abantu abanezinyawo ezingelapheki kufanele bahlolwe izinyawo njalo ukuze babheke amanxeba nokusakazwa kwezinyawo. Kufanele futhi bazijwayeze inhlanzeko enhle kakhulu yezinyawo, kufaka phakathi:

• ukusika izinzwani uqonde ngaphesheya noma ukusika izinzwane ehhovisi likadokotela wezinyawo
• ukuhlola izinyawo nsuku zonke ukusikeka noma amanxeba usebenzisa isibuko esiphathwa ngesandla ukubheka phansi kwezinyawo
• ukugqoka amasokisi athambile, awugqinsi asekela futhi ahlanganise izinyawo
• ukugqoka izicathulo ezilingana kahle ezivumela izinzwane ukuthi zihambe