Ubudenge nokugungqa

Ukuba ndindisholo kunye nokubetha ziimvakalelo ezingaqhelekanga ezinokuthi zenzeke naphi na emzimbeni wakho, kodwa zihlala zivakala kwiminwe yakho, izandla, iinyawo, iingalo, okanye imilenze.

Zininzi izinto ezinokubangela ukuba ube ndindisholo kunye nokutswina, kubandakanya:

• Ukuhlala okanye ukuma kwindawo enye ixesha elide
• Ukulimaza i-nerve (ukulimala kwentamo kunokubangela ukuba uzive unqabile naphi na ngengalo okanye isandla sakho, ngelixa ukulimala okuphantsi kunokubangela ukuphazamiseka okanye ukugubungela umva womlenze wakho)
• Uxinzelelo kwimithambo-luvo yomqolo, njengakwi-disk herniated
• Uxinzelelo kwimithambo yoluvo evela kwimithambo yegazi eyandisiweyo, izicubu, izicwili ezibomvu, okanye usulelo
• I-Shingles okanye i-herpes zoster usulelo
• Ezinye izifo ezifana ne-HIV / AIDS, iqhenqa, igcushuwa, okanye isifo sephepha
• Ukungabikho kwegazi kwindawo, njengokuqina kwemithambo, iqabaka, okanye ukudumba kwenqanawa
• Amanqanaba angaqhelekanga e-calcium, i-potassium, okanye i-sodium emzimbeni wakho
• Ukusilela kweevithamini ze-B ezinje nge-B1, B6, B12, okanye i-folic acid
• Ukusetyenziswa kwamayeza athile
• Ukusetyenziswa kweziyobisi ezithile ezitalatweni
• Umonakalo wemithambo ngenxa yokukhokela, utywala, okanye icuba, okanye iziyobisi zechemotherapy
• Unyango ngemitha
• Ukulunywa zizilwanyana
• Izinambuzane, amakhalane, imites kunye nesigcawu
• Iityhefu zokutya kwaselwandle
• Iimeko zokuzalwa ezichaphazela imithambo-luvo

Ubudenge kunye nokutswina kunokubangelwa zezinye iimeko zonyango, kubandakanya:

• I-Carpal tunnel syndrome (uxinzelelo kwi-nerve kwisandla)
• Seswekile
• Imigraines
• Isifo sokugubhuka
• Ukuxhuzula
• Ukubetha
• Uhlaselo lwexeshana lwe-ischemic (TIA), ngamanye amaxesha lubizwa ngokuba yi "mini-stroke"
• Ukungasebenzi kwe-thyroid
• I-Raynaud phenomenon (ukunciphisa imithambo yegazi, ngokuqhelekileyo ezandleni nasezinyaweni)

Umboneleli wakho wezempilo kufuneka afumane kwaye anyange unobangela wokuba ndindisholo okanye ukurhawuzelela. Ukunyanga le meko kunokwenza ukuba iimpawu zihambe okanye ziyeke ukuba mandundu. Umzekelo, ukuba une-carpal tunnel syndrome okanye iintlungu ezisezantsi, ugqirha unokucebisa ngeendlela ezithile.

Ukuba unesifo seswekile, umboneleli wakho uya kuxoxa ngeendlela zokulawula inqanaba leswekile yegazi.

Amanqanaba asezantsi eevithamini aya kunyangwa ngevithamini.

Amayeza abangela ukuba ndindisholo okanye ukurhawuzelela kunokufuna ukuba kutshintshwe okanye kutshintshwe. SUKUTSHINTSHE okanye uyeke ukuthatha nawaphi na amayeza akho okanye uthathe idosi enkulu yazo naziphi na iivithamini okanye izongezo de uthethe nomboneleli wakho.

Ngenxa yokuba ukungakhathali kunokubangela ukuncipha kwemvakalelo, kunokwenzeka ukuba wenzakalise ngengozi isandla okanye unyawo olundindisholo. Qaphela ukukhusela indawo ekusikeni, kumaqhuma, kwimigruzuko, kukutsha, okanye kolunye ukwenzakala.

Yiya esibhedlele okanye utsalele inombolo yongxamiseko yendawo yakho (enje nge-911) ukuba:

• Unobuthathaka okanye awukwazi ukuhamba, kunye nokuba ndindisholo okanye ukubetha
• Ubudenge okanye ukurhawuzelela kwenzeka emva nje kwentloko, intamo, okanye ukwenzakala emqolo
• Awunakho ukulawula ukuhamba kwengalo okanye umlenze, okanye ulahlekelwe sisinyi okanye ulawulo lwamathumbu
• Udidekile okanye ulahlekelwe yingqondo, nokuba ngokufutshane
• Unentetho engacacanga, utshintsho kumbono, ubunzima bokuhamba, okanye ubuthathaka

Fowunela umnikezeli wakho ukuba:

• Ukuba ndindisholo okanye ukurhawuzelela akukho sizathu sicacileyo (njengesandla okanye unyawo "ukulala")
• Unentlungu entanyeni, kwingalo, okanye eminweni
• Uchama rhoqo
• Ukuba ndindisholo okanye ukurhawuzelela kusemilenzeni kwaye iba mbi ngakumbi xa uhamba
• Unerhashalala
• Unesiyezi, ukuxhamla kwemisipha, okanye ezinye iimpawu ezingaqhelekanga

Umboneleli wakho uya kuthatha imbali yezonyango kwaye enze uvavanyo lomzimba, ejonge ngononophelo inkqubo yakho yeemvakalelo.

Uya kubuzwa malunga neempawu zakho. Imibuzo ingabandakanya xa ingxaki iqale, indawo ekuyo, okanye ukuba kukho nantoni na ephucula okanye eyenza mandundu iimpawu.

Umboneleli wakho unokubuza imibuzo ukumisela umngcipheko wesifo, isifo se-thyroid, okanye isifo sikashukela, kunye nemibuzo malunga nemikhwa yakho yokusebenza kunye namayeza.

Uvavanyo lwegazi olunoku-odolwa lubandakanya:

• Gcwalisa ubalo lwegazi (CBC)
• Inqanaba le-Electrolyte (umlinganiso weekhemikhali zomzimba kunye neeminerali) kunye novavanyo lomsebenzi wesibindi
• Uvavanyo lomsebenzi we-thyroid
• Ukulinganisa amanqanaba eevithamini-ngakumbi ivithamini B12
• Isinyithi esinzima okanye ukuvavanywa kwetyhefu
• Inqanaba lentlenga
• Iprotheyini esebenzayo yeC

Ukujonga iimvavanyo kunokubandakanya:

• I-Angiogram (uvavanyo olusebenzisa i-x-ray kunye nedayi ekhethekileyo ukubona ngaphakathi kwimithambo yegazi)
• I-angiogram ye-CT
• Ukuvavanywa kwentloko kwe-CT
• Uvavanyo lwe-CT lomqolo
• I-MRI yentloko
• I-MRI yomqolo
• I-Ultrasound yeenqanawa zentamo ukumisela umngcipheko we-TIA okanye ukubetha
• I-Vascular ultrasound
• X-reyi kummandla ochaphazelekayo

Olunye uvavanyo olunokwenziwa lunokubandakanya:

• I-Electromyography kunye nezifundo zokuqhutywa kwemithambo yokulinganisa ukuba izihlunu zakho zisabela njani kukhuthazo lwentliziyo
• Ukugqobhoza i-Lumbar (impompo yomqolo) ukulawula ukungasebenzi kakuhle kwenkqubo ye-neva
• Uvavanyo lokukhuthaza ukubanda lunokwenziwa ukujonga imeko kaRaynaud

Ukuphulukana nokuziva; Paresthesias; Ukucofa kunye nokuba ndindisholo; Ukuphulukana nemvakalelo; Izikhonkwane kunye neenaliti zokuziva

• Inkqubo ye-nervous central kunye ne-peripheral system

Uvavanyo lukaMcGee S. lwenkqubo yeemvakalelo. Ku: McGee S, ed. Ubungqina obuSekwe ePhameni. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 62.

Ikhephu DC, iBunney BE. Ukuphazamiseka kwemithambo-luvo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 97.

Swartz MH. Inkqubo yemithambo-luvo. Ku: Swartz MH, ed. Incwadi yokubhalwa kweempawu zomzimba: Imbali kunye noVavanyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2014: isahl 18.