Ukungasebenzi kakuhle kwentliziyo kwabasetyhini

Ukungasebenzi kakuhle kwemithambo-luvo yabasetyhini kukuphulukana nentshukumo okanye uvakalelo kwinxalenye yemilenze ngenxa yomonakalo kwi-femal nerve.

I-nerve femoral ibekwe kwi-pelvis kwaye yehle ngaphambili emlenzeni. Inceda izihlunu zihambise isinqe kwaye zilungelelanise umlenze. Inika imvakalelo (imvakalelo) ngaphambili kwethanga kunye nenxalenye yomlenze ongezantsi.

I-nerve yenziwa yimicu emininzi, ebizwa ngokuba yi-axon, ejikelezwe kukugquma, okubizwa ngokuba yi-myelin sheath.

Umonakalo kuyo nayiphi na imbilini, enje nge-femal nerve, ibizwa ngokuba yi-mononeuropathy. I-Mononeuropathy idla ngokuthetha ukuba kukho unobangela wasekhaya wokonakalisa kwi-nerve enye. Ukuphazamiseka okubandakanya umzimba uphela (ukuphazamiseka kwenkqubo) kunokubangela ukonakala kwemithambo-luvo ekwanti ngexesha elinye (njengoko kwenzeka nge-mononeuritis multiplex).

Oonobangela abaqhelekileyo bokungasebenzi kakuhle kwethambo lobufazi zezi:

• Ukulimala ngqo (umothuko)
• Uxinzelelo olude kwi-nerve
• Ukunyanzelwa, ukolulwa, okanye ukubanjwa kweethambo ngamalungu akufuphi omzimba okanye izakhiwo ezinxulumene nezifo (ezinje ngesisu okanye isitya segazi esingaqhelekanga)

Iimbilini zobufazi nazo zingonakaliswa nakwezinye izinto ezilandelayo:

• Ithambo lesinqe elaphukileyo
• I-catheter ebekwe kumthambo wobufazi kwi-groin
• Isifo seswekile okanye ezinye izinto ezibangela i-peripheral neuropathy
• Ukopha ngaphakathi kwi-pelvis okanye kwindawo yesisu (isisu)
• Ukulala ngasemva ngamathanga kunye nemilenze eguqukileyo kwaye yajika (indawo ye-lithotomy) ngexesha lotyando okanye iinkqubo zokuqonda isifo
• Amabhanti esinqe aqine okanye anzima

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukutshintsha kwemvakalelo ethangeni, emadolweni, okanye emlenzeni, njengokuncipha kovakalelo, ukuba ndindisholo, ukubetha, ukutshisa, okanye iintlungu
• Ubuthathaka bamadolo okanye umlenze, kubandakanya ubunzima bokunyuka nokuhla kwezitepsi - ngakumbi ezantsi, ngemvakalelo yedolo linikezela okanye liqhuqha

Umboneleli wezempilo uya kubuza malunga neempawu zakho kwaye akuvavanye. Oku kuya kubandakanya uvavanyo lweemithambo kunye nemisipha kwimilenze yakho.

Uviwo lunokubonisa ukuba une:

• Ubuthathaka xa ulungisa idolo okanye ugoba esinqeni
• Ukutshintsha kwemizwa ngaphambili kwethanga okanye ngaphambili
• I-reflex engaqhelekanga yedolo
• Incinci kunezihlunu eziqhelekileyo ze-quadriceps ngaphambili kwethanga

Uvavanyo olunokwenziwa lunokubandakanya:

• I-Electromyography (EMG) yokujonga impilo yezihlunu kunye neerval ezilawula izihlunu.
• Uvavanyo lwe-Nerve conduction (i-NCV) ukujonga ukuba zikhawuleza kangakanani iimpawu zombane. Olu vavanyo luhlala lwenziwa ngaxeshanye ne-EMG.
• I-MRI yokujonga ubunzima okanye amathumba.

Umboneleli wakho unoku-odola uvavanyo olongezelelweyo, kuxhomekeke kwimbali yakho yonyango kunye neempawu. Uvavanyo lunokubandakanya uvavanyo lwegazi, ii-x-reyi, kunye nolunye uvavanyo lwe-imaging.

Umboneleli wakho uya kuzama ukuchonga nokunyanga unobangela womonakalo wemithambo-luvo. Uya kunyangwa naziphi na iingxaki zonyango (ezinje ngeswekile okanye ukopha esinqeni) ezinokubangela ukonakala kwentliziyo.Kwezinye iimeko, i-nerve iya kuphulukisa ngonyango lwengxaki yezonyango.

Olunye unyango lunokubandakanya:

• Utyando lokususa ithumba okanye ukukhula okucinezela kwi-nerve
• Amayeza okuphelisa iintlungu
• Ukwehla kobunzima kunye notshintsho kwindlela yokuphila ukuba isifo seswekile okanye ubunzima obugqithisileyo banegalelo kumonakalo wemithambo-luvo

Ngamanye amaxesha, akukho nyango lufunekayo kwaye uya kuphila ngokwakho. Ukuba kunjalo, naluphi na unyango, olufana nonyango lomzimba kunye nonyango lomsebenzi, lujolise ekwandiseni ukuhamba, ukugcina amandla emisipha kunye nokuzimela ngelixa uchacha. Izicoci okanye iziqhoboshi zinokumiselwa ukunceda ekuhambeni.

Ukuba unobangela wokungasebenzi kakuhle kwethambo lobufazi unokuchongwa kwaye unyangwe ngempumelelo, kunokwenzeka ukuba uphinde uchache ngokupheleleyo. Ngamanye amaxesha, kunokubakho ukulahleka okupheleleyo okanye okupheleleyo kokuhamba okanye ukuziva, kukhokelela kwinqanaba elithile lokukhubazeka okusisigxina.

Iintlungu zemithambo-luvo zinokungonwabi kwaye zinokuqhubeka ixesha elide. Ukwenzakala kwendawo yobufazi kunokwenzakalisa umthambo wobufazi okanye umthambo, onokubangela ukopha kunye nezinye iingxaki.

Iingxaki ezinokubangela zibandakanya:

• Ukuphindaphinda ukonzakala emlenzeni okungabonakali ngenxa yokulahleka kwemvakalelo
• Ukwenzakala ngenxa yokuwa ngenxa yokuba buthathaka kwezihlunu

Fowunela umnikezeli wakho ukuba uphuhlisa iimpawu zokungasebenzi kakuhle kwentliziyo.

Neuropathy - luvo lobufazi; I-neuropathy yabasetyhini

• Umonakalo womzimba wabasetyhini

Clinchot DM, uCraig EJ. I-neuropathy yabasetyhini. Ku: UFrontera WR, iSilver JK, uRizzo TD Jr, ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 54.

Katirji B.Ukuphazamiseka kwemithambo yoluvo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 107.