Yintoni iCauda Equina Syndrome (CES) kwaye inyangwa njani?

Umxholo

• Ziintoni iimpawu?
• Yintoni ebangela i-CES?
• Ngubani osemngciphekweni we-CES?
• Ichongwa njani iCES?
• Ngaba kufuneka utyando?
• Zeziphi iindlela zokhetho ezikhoyo emva kotyando?
• Yintoni imbono?
• Ukuhlala neCES

Yintoni kanye kanye iCES?

Kwiphepha elisezantsi lomqolo wakho sisiqwengana seengcambu ezibizwa ngokuba yi-cauda equina. Esi sisiLatin esithi "umsila wehashe." I-cauda equina inxibelelana nengqondo yakho, ithumela imiqondiso ye-nerve ngapha nangapha ngokubhekisele kwimisebenzi yeemvakalelo kunye neemoto zamalungu akho asezantsi kunye namalungu kwingingqi yakho ye-pelvic.

Ukuba ezi ngcambu zemithambo zifakwa emzimbeni, unokuphuhlisa imeko ebizwa ngokuba yi-cauda equina syndrome (CES). Yi, eqikelelwa ukuba ichaphazele. I-CES ifuthe kulawulo onalo kwisinyi sakho, imilenze, kunye namanye amalungu omzimba. Ukuba ishiywe inganyangwa, inokukhokelela kwiingxaki zexesha elide.

Qhubeka ufunda ukuze ufunde ukuba zeziphi iimpawu ezibangelwa yimeko, ilawulwa njani, kunye nokunye.

Ziintoni iimpawu?

Iimpawu ze-CES zingathatha ixesha elide ukukhula kwaye zinokwahluka ngokobunzima. Oku kunokwenza uxilongo lube nzima.

Kwiimeko ezininzi, isinyi kunye nemilenze ziindawo zokuqala ezichaphazeleka yiCES.

Umzekelo, unokuba nobunzima bokubamba okanye ukukhulula umchamo (ukungakwazi ukuzibamba).

I-CES inokubangela iintlungu okanye ukulahleka kwemvakalelo kwiindawo eziphezulu zemilenze yakho, kunye neempundu zakho, iinyawo kunye nezithende. Utshintsho lubonakala kakhulu "kwindawo yesali," okanye kumalungu emilenze yakho kunye neempundu ezinokuchukumisa isali xa ukhwele ihashe. Ezi mpawu zinokuba nzima kwaye, ukuba ziyekwe zinganyangwa, zisiba mandundu ngokuhamba kwexesha.

Ezinye iimpawu ezinokuthi zibonakalise i-CES zibandakanya:

• iintlungu ezisezantsi ezisezantsi
• ubuthathaka, iintlungu, okanye ukulahleka kwemvakalelo komnye okanye kwimilenze yomibini
• ukungahambi kwamathumbu
• ukuphulukana nengqondo kwimilenze yakho esezantsi
• ukungasebenzi kakuhle ngokwesondo

Ukuba unazo naziphi na kwezi mpawu, kufuneka ubonane nogqirha.

Yintoni ebangela i-CES?

Idiski ye-herniated sesinye sezizathu eziqhelekileyo zeCES. Idiski ngumqamelo phakathi kwamathambo kwi-vertebrae yakho. Yenziwe ngejeli engaphakathi kunye nengaphandle elinzima.

Idiski ye-herniated yenzeka xa ingaphakathi elithambileyo liphuma ngaphandle ngaphandle kwidiski. Njengoko usiya ukhula, izinto zediski ziyancipha. Ukuba ukuwohloka kunqabile ngokwaneleyo, ukuzinyanzela ukuphakamisa into enzima okanye nokujija nje indlela engalunganga kunokubangela ukuba idiski idilike.

Xa oku kusenzeka, imithambo-luvo kufutshane nediski inokucaphuka. Ukuba idiski eqhekekileyo kwi-lumbar yakho esezantsi inkulu ngokwaneleyo, inokutyhala ngokuchasene ne-cauda equina.

Ezinye izinto ezinokubangela i-CES zibandakanya:

• izilonda okanye amathumba kumqolo wakho osezantsi
• usulelo lomqolo
• ukudumba komqolo wakho osezantsi
• spinal stenosis, ukunciphisa umjelo ogcina intambo yakho yomqolo
• iziphene zokuzalwa
• iingxaki emva kotyando lomqolo

Ngubani osemngciphekweni we-CES?

Abantu kunokwenzeka ukuba baphuhlise i-CES kubandakanya abo bane-herniated disk, njengabantu abadala okanye iimbaleki kwezemidlalo ezinefuthe eliphezulu.

Ezinye izinto ezinobungozi kwidiski ye-herniated zibandakanya:

• ukutyeba kakhulu okanye ukutyeba kakhulu
• ukuba nomsebenzi ofuna ukuphakanyiswa okunzima, ukujija, ukutyhala, nokugoba ecaleni
• ukuba nobume bemfuza kwidiski ye-herniated

Ukuba uye wonzakala kakhulu emqolo, njengaleyo ibangelwe yingozi yemoto okanye ukuwa, ukwabasemngciphekweni omkhulu we-CES.

Ichongwa njani iCES?

Xa ubona ugqirha wakho, kuya kufuneka unikezele ngembali yakho yonyango. Ukuba abazali bakho okanye ezinye izalamane ezisondeleyo ziye zaneengxaki zomqolo, yabelana olo lwazi, nawe. Ugqirha wakho uya kufuna uluhlu oluneenkcukacha zazo zonke iimpawu zakho, kubandakanya xa beqala kunye nobukhali babo.

Ngexesha lokuqeshwa kwakho, ugqirha wakho uya kwenza uvavanyo lomzimba. Baza kuvavanya uzinzo, ukomelela, ulungelelwaniso, kunye nengqondo yemilenze neenyawo zakho.

Uya kucelwa ukuba:

• hlala
• yima
• hamba ngezithende nakubhontsi
• phakamisa imilenze yakho xa ulele phantsi
• ukugoba phambili, ukubuyela umva, kunye necala

Ngokuxhomekeke kwiimpawu zakho, ugqirha wakho unokujonga kwakhona izihlunu zakho zangasemva zethoni kunye nokuqaqamba.

Unokucetyiswa ukuba uhlolwe i-MRI kumqolo wakho osezantsi. I-MRI isebenzisa imihlaba yemagnethi ukukunceda ukuvelisa imifanekiso yengcambu yakho yomqolo kunye neethishu ezijikeleze umqolo wakho.

Ugqirha wakho usenokucebisa ngovavanyo lwe-imaging ye-myelogram. Kolu vavanyo, idayi ekhethekileyo itofelwe kwizicubu ezijikeleze umqolo wakho. Kuthathwa i-X-ray ekhethekileyo ukubonisa nayiphi na imiba ngentambo yakho yomqolo okanye imithambo-luvo ebangelwe yidiski ye-herniated, ithumba, okanye eminye imiba.

Ngaba kufuneka utyando?

Ukuxilongwa kwe-CES kuhlala kulandelwa luqhaqho ukunciphisa uxinzelelo kwimithambo-luvo. Ukuba unobangela yidiski ye-herniated, ukusebenza kunokwenziwa kwidiski ukususa nantoni na ecofa kwi-cauda equina.

Utyando kufuneka lwenziwe kwiiyure ezingama-24 okanye ezingama-48 zokuqala kweempawu ezinzulu, ezinje:

• iintlungu ezisezantsi ezisezantsi
• ukulahleka ngesiquphe kwemvakalelo, ubuthathaka, okanye iintlungu komnye okanye kwimilenze yomibini
• Ukuqala kwangoku kokungavumelani kwe-rectal okanye i-urinary incontinence
• ukulahleka kweengcamango kwimida yakho esezantsi

Oku kunokunceda ukuthintela umonakalo we-nerve ongenakulungiseka kunye nokukhubazeka. Ukuba imeko ishiywe inganyangwa, unokukhubazeka kwaye uhlakulele ukungahambi ngokusisigxina.

Zeziphi iindlela zokhetho ezikhoyo emva kotyando?

Emva kotyando, ugqirha wakho uyakukubona amaxesha ngamaxesha ukujonga kwakhona.

Ukubuyiswa ngokupheleleyo kuzo naziphi na iingxaki ze-CES kunokwenzeka, nangona abantu abathile benempawu ezithile ezihleliyo. Ukuba uqhubeka unempawu, qiniseka ukuxelela ugqirha wakho.

Ukuba i-CES ichaphazele amandla akho okuhamba, isicwangciso sakho sonyango siya kubandakanya unyango lomzimba. Umgqirha unokukunceda uphinde ufumane amandla kwaye akunike ukuzivocavoca ukukunceda ukuphucula umgama wakho. Ingcali yezomsebenzi inokuba luncedo ukuba imisebenzi yemihla ngemihla, enjengokunxiba, iyachaphazeleka yi-CES.

Iingcali zokunceda ngokungaziphathi kakuhle kunye nokungasebenzi ngokwesondo nazo zinokuba yinxalenye yeqela lakho lokubuyisela kwimeko yesiqhelo.

Unyango lwexesha elide, ugqirha unokucebisa amayeza athile ukunceda kulawulo lweentlungu:

• Ukunciphisa iintlungu, njenge-oxycodone (i-OxyContin), kunokukunceda ngokukhawuleza emva kokuhlinzwa.
• Ukunciphisa iintlungu ezingaphezulu kwekhawuntari, ezinje nge-ibuprofen (Advil) okanye i-acetaminophen (iTylenol), inokusetyenziselwa ukuphelisa iintlungu mihla le.
• I-Corticosteroids inokumiselwa ukunceda ukunciphisa ukudumba kunye nokudumba kujikeleze umqolo.

Ugqirha wakho usenokukuyalela amayeza ngesinyi okanye ukulawula amathumbu. Izinketho eziqhelekileyo zibandakanya:

• oxybutynin (Ditropan)
• itolterodine (Detrol)
• i-hyoscyamine (iLevsin)

Unokufumana inzuzo kuqeqesho lwesinyi. Ugqirha wakho unokucebisa ngeendlela zokukunceda ukhulule isinyi sakho ngenjongo kwaye unciphise umngcipheko wokungalawuleki. Amakhandlela eglycerin anokukunceda ukhuphe amathumbu akho xa ufuna nawo.

Yintoni imbono?

Emva kotyando, izivamvo zakho kunye nolawulo lweemoto zinokuhamba kancinci ekubuyeni. Umsebenzi wesinyi ngokukodwa inokuba ngowokugqibela ukubuyela ngokupheleleyo. Unokufuna i-catheter de uphinde uphinde ulawule ngokupheleleyo kwi-bladder yakho. Abanye abantu, nangona kunjalo, badinga iinyanga ezininzi okanye iminyaka embalwa ukuze bachache. Ugqirha wakho ngowona mthombo wakho wolwazi malunga nembono yakho.

Ukuhlala neCES

Ukuba umsebenzi wamathumbu kunye nesinyi awubuyisi ngokupheleleyo, unokufuna ukusebenzisa i-catheter amaxesha ambalwa ngemini ukuqinisekisa ukuba ushiye isinyi sakho ngokupheleleyo. Kuya kufuneka ukuba usele amanzi amaninzi ukunceda ukuthintela usulelo lwe-urinary tract. Iipads zokukhusela okanye ii-diapers zabantu abadala zinokuba luncedo ekujonganeni nesinyi okanye ukungabinakho ukubamba amathumbu.

Kuya kubaluleka ukwamkela into ongenakukutshintsha. Kodwa kuya kufuneka usebenze malunga neempawu okanye iingxaki ezinokunyangeka emva kotyando lwakho. Qiniseka ukuba uxoxa ngezinketho zakho nogqirha wakho kwiminyaka ezayo.

Ukucebisa ngokwasemoyeni nangokwengqondo kunokukunceda ukuba uhlengahlengise, ke thetha nogqirha wakho malunga nezinto onokukhetha kuzo. Inkxaso yosapho kunye nabahlobo bakho nayo ibaluleke kakhulu. Ukubabandakanya ekuphulukweni kwakho kunokubanceda ukuba baqonde into ojongana nayo yonke imihla kwaye ubenze ukuba bakuncede ngcono ngokuchacha kwakho.