Ukungasebenzi kakuhle kwemithambo-luvo

Ukungasebenzi kakuhle kwemithambo-luvo ngenxa yomonakalo kwimithambo-luvo ekhokelela ekuphulukaneni nentshukumo okanye uvakalelo enyaweni nasemlenzeni.

I-peroneal nerve yisebe le-nerve ye-sciatic, enika intshukumo kunye nemvakalelo kumlenze ongezantsi, elunyaweni nasezinzwaneni. Ukungasebenzi kakuhle kwemithambo-luvo luhlobo oluthile lwe-peripheral neuropathy (ukonakala kwimithambo-luvo engaphandle kwengqondo okanye umnqonqo) Le meko inokuchaphazela abantu bayo nayiphi na iminyaka.

Ukungasebenzi kwe-nerve enye, efana ne-neroneal nererone eqhelekileyo, ibizwa ngokuba yi-mononeuropathy. I-Mononeuropathy ithetha ukuba umonakalo we-nerve wenzeka kwindawo enye. Iimeko ezithile zomzimba wonke zinokubangela ukonzakala kwentliziyo enye.

Ukonakala kwimbilini kuphazamisa i-myelin sheath egubungela i-axon (isebe leeseli zemithambo-luvo). I-axon inokwenzakala, nto leyo ebangela iimpawu ezibi kakhulu.

Izizathu eziqhelekileyo zomonakalo kwi-neroneal nerone zibandakanya oku kulandelayo:

• Umothuko okanye ukwenzakala emadolweni
• Ukophuka kwefibula (ithambo lomlenze ongezantsi)
• Ukusetyenziswa kwesamente ebunjiweyo (okanye enye inyanzelo yexesha elide) yomlenze ongezantsi
• Ukuwela imilenze rhoqo
• Rhoqo unxibe iibhutsi eziphezulu
• Uxinzelelo emadolweni ukusuka kwizikhundla ngexesha lobuthongo obunzulu okanye isiqaqa
• Ukwenzakala ngexesha lotyando lwedolo okanye ekubekweni kwindawo engathandekiyo ngexesha lokudinwa

Ukulimala okuqhelekileyo kwenzwa kubonakala kubantu:

• Ngoobani ababhityileyo (umzekelo, kwianorexia nervosa)
• Ngoobani abaneemeko ezithile ezizimeleyo, ezifana ne-polyarteritis nodosa
• Ngoobani abanomonakalo wemithambo-luvo kwezinye iingxaki zonyango, ezinje ngeswekile okanye ukusebenzisa utywala
• Ngubani onesifo seCharcot-Marie-Tooth, isifo esizuzwe njengelifa esichaphazela yonke imithambo-luvo

Xa i-nerve yenzakele kwaye ikhokelela ekusebenzeni, iimpawu zinokubandakanya:

• Ukuncipha kovalo, ukuba ndindisholo, okanye ukubetha phezulu kunyawo okanye kwinxalenye engaphandle yomlenze wangasentla okanye osezantsi
• Unyawo olwehlayo (alunakho ukubamba unyawo phezulu)
• "Ukubetha" ukuhamba (iphethini yokuhamba apho inyathelo ngalinye lenza ingxolo yokubetha)
• Iinzwane zirhuqa xa zihamba
• Iingxaki zokuhamba
• Ubuthathaka bamaqatha okanye iinyawo
• Ukuphulukana nobunzima bemisipha kuba imithambo-luvo ayikhuthazi izihlunu

Umboneleli wezempilo uya kwenza uvavanyo lomzimba, olunokubonisa:

• Ukuphulukana nolawulo lwezihlunu kwimilenze neenyawo ezisezantsi
• I-Atrophy yonyawo okanye izihlunu zangaphambili
• Kunzima ukuphakamisa unyawo neenzwane kunye nokwenza intshukumo yokukhupha iinzwane

Uvavanyo lomsebenzi we-nerve lubandakanya:

• I-Electromyography (EMG, uvavanyo lomsebenzi wombane kwimisipha)
• Uvavanyo lokuqhutywa kwemithambo (ukubona ukuba umqondiso wombane ukhawuleza uhambe njani kwi-nerve)
• IMRI
• Imithambo-luvo

Olunye uvavanyo lunokwenziwa ngokuxhomekeka kwisizathu sokukrokreleka kokungasebenzi kakuhle kwemithambo-luvo, kunye neempawu zomntu nendlela ezikhula ngayo. Uvavanyo lunokubandakanya uvavanyo lwegazi, ii-x-reyi kunye nezikena.

Unyango lujolise ekuphuculeni ukuhamba nokuzimela. Nasiphi na isigulo okanye esinye isizathu sonyango lwe-neuropathy kufuneka sinyangwe. Ukudibanisa idolo kunokuthintela ukonzakala okungaphezulu ngokuwela imilenze, ngelixa usebenza njengesikhumbuzo sokungaweli imilenze yakho.

Ngamanye amaxesha, ii-corticosteroids ezijoyiweyo endaweni zinokunciphisa ukudumba kunye noxinzelelo kwi-nerve.

Unokufuna utyando ukuba:

• Ingxaki ayipheli
• Unengxaki ngokuhamba
• Kukho ubungqina bokuba i-axon ye-nerve yonakele

Utyando lokukhupha uxinzelelo kwimithambo-luvo lunokunciphisa iimpawu ukuba ukuphazamiseka kubangelwa luxinzelelo lwe-nerve. Ugqirha lokususa amathumba kwi-nerve kunokunceda.

UKULAWULA IIMPAWU

Unokufuna i-over-the-counter okanye iintlungu zokuthomalalisa iintlungu ukulawula iintlungu. Amanye amayeza anokusetyenziselwa ukunciphisa iintlungu abandakanya i-gabapentin, i-carbamazepine, okanye i-tricyclic antidepressants, efana ne-amitriptyline.

Ukuba iintlungu zakho zinzima, ingcali yentlungu inokukunceda uphonononge zonke iinketho zokuphelisa iintlungu.

Ukuzivocavoca umzimba kunokukunceda ugcine amandla omzimba.

Izixhobo zamathambo zinokuphucula amandla akho okuhamba kunye nokukhusela iikhontrakthi. Oku kunokubandakanya izihlangu zezilima, izihlangu, izihlangu zamathambo, okanye esinye isixhobo.

Ukucebisa ngezobugcisa, unyango ngomsebenzi, okanye iinkqubo ezifanayo kunokukunceda wandise ukuhamba kwakho nokuzimela.

Iziphumo zixhomekeke kunobangela wengxaki. Ukunyanga ngempumelelo unobangela kunokubangela ukungasebenzi kakuhle, nangona kunokuthatha iinyanga ezininzi ukuphucula imithambo-luvo.

Ukuba umonakalo wemithambo unzima, ukukhubazeka kunokuba sisigxina. Intlungu yentlungu inokungonwabi. Esi sifo asihlali sinciphisa ixesha elilindelekileyo lobomi bomntu.

Iingxaki ezinokuthi zikhule ngale meko zibandakanya:

• Ukwehla kwamandla okuhamba
• Ukuhla ngokusisigxina kwimvakalelo emilenzeni nasezinyaweni
• Ubuthathaka obungapheliyo okanye ukukhubazeka emilenzeni nasezinyaweni
• Iziphumo ebezingalindelekanga zamayeza

Fowunela umboneleli wakho ukuba uneempawu zokungasebenzi kakuhle kwemithambo-luvo.

Gwema ukuwela imilenze yakho okanye ukubeka uxinzelelo lwexesha elide ngasemva okanye kwicala ledolo. Phatha ukonzakala emlenzeni okanye emadolweni kwangoko.

Ukuba i-cast, splint, ukunxiba, okanye olunye uxinzelelo kumlenze ongezantsi kubangela ukuziva uqinile okanye ukuphazamiseka, tsalela umnikezeli wakho.

Neuropathy - luvo oluqhelekileyo olulodwa; Ukwenzakala kwemithambo-luvo; Ukukhubazeka kwemithambo-luvo; I-Fibular neuropathy

• Ukungasebenzi kakuhle kwemithambo-luvo

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.

UToro DRD, uSeslija D, uKing JC. I-Fibular (peroneal) ye-neuropathy. 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 75.