I-Neuropathy yabasetyhini

Umxholo

• Yintoni ebangela i-femoral neuropathy?
• Iimpawu ze-femoral neuropathy
• Inzulu kangakanani?
• Ukuchonga isifo se-femoral neuropathy
• Uvavanyo lokuqala
• Ukuqhutywa kwemithambo
• Umbane we-Electromyography (EMG)
• I-MRI kunye ne-CT
• Izinketho zonyango
• Amayeza
• Unyango
• Ugqirha
• Umbono wexesha elide emva konyango
• Iingcebiso zokuthintela ukonakala kwemithambo-luvo

Yintoni i-femoral neuropathy?

I-femoral neuropathy, okanye ukungasebenzi kakuhle kwethambo lobufazi, kwenzeka xa ungakwazi ukushukuma okanye uzive uyinxalenye yomlenze wakho ngenxa yemithambo-luvo eyonakeleyo, ngakumbi imithambo-luvo yobufazi. Oku kunokubangela ukwenzakala, uxinzelelo lwexesha elide kwi-nerve, okanye ukonakaliswa sisifo. Kwiimeko ezininzi, le meko iya kuhamba ngaphandle konyango. Nangona kunjalo, amayeza kunye nonyango lomzimba lunokuba yimfuneko ukuba iimpawu aziphucuki.

Yintoni ebangela i-femoral neuropathy?

Iimbilini zobufazi yenye yezona zinzwa zikhulu emlenzeni wakho. Itholakala kufuphi ne-groin kwaye ilawula izihlunu ezinceda ukulungisa umlenze wakho kunye nokuhambisa iinqumlo zakho. Ikwabonelela ngemvakalelo kwinxalenye esezantsi yomlenze wakho nangaphambili kwethanga lakho. Ngenxa yokuba ibekwe phi, ukonakala kwimithambo-luvo yobufazi akuqhelekanga xa kuthelekiswa nemithambo-luvo ebangelwe kukonakala kweminye imithambo-luvo. Xa imithambo-luvo yobufazi yonakele, ichaphazela amandla akho okuhamba kwaye inokubangela iingxaki ngovakalelo emlenzeni nasezinyaweni zakho. Jonga i-nerval femoral kule BodyMap ye-femur.

Ukonakala kwimbilini yobufazi kunokuba sisiphumo se:

• ukwenzakala ngqo
• ithumba okanye okunye ukukhula kuthintela okanye ukubambelela kwinxalenye yentliziyo yakho
• uxinzelelo lwexesha elide kwimithambo-luvo, njengokuhamba kwexesha elide
• Ukuqhekeka kwe-pelvic
• Imitha esinqeni
• Ukopha okanye ukopha kwisithuba esisemva kwesisu, esibizwa ngokuba yindawo yokubuyela umva endaweni
• ipayinti ebekwe kumthambo wobufazi, eyimfuneko kwiinkqubo ezithile zotyando

Isifo seswekile sinokubangela ukungasebenzi kakuhle komzimba kwabasetyhini. Isifo seswekile sinokubangela ukonakala kwemithambo-luvo ngenxa yokuhla kweswekile yegazi kunye noxinzelelo lwegazi. Umonakalo wamathambo ochaphazela imilenze yakho, iinyawo, iinzwane, izandla, neengalo ziyaziwa njengeheripheral neuropathy. Okwangoku kukho mpikiswano malunga nokuba i-femoral neuropathy iyinyani yenyani okanye luhlobo lwesifo seswekile i-amyotrophy.

Ngokwe-National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), isifo seswekile sesona sizathu sixhaphakileyo semithambo-luvo kubantu abanesifo seswekile iminyaka engama-25 ubuncinci.

Iimpawu ze-femoral neuropathy

Le meko ye-nerve inokukhokelela kubunzima bokuhambahamba. Umlenze wakho okanye idolo unokuziva ubuthathaka, kwaye usenokungakwazi ukubeka uxinzelelo kumlenze ochaphazelekayo.

Unokuziva ungonwabanga kwimilenze yakho. Ziquka:

• Ukuba ndindisholo nakweyiphi na indawo yomlenze (uqobo ngaphambili nangaphakathi kwethanga, kodwa kunokwenzeka yonke indlela ukuya ezinyaweni)
• ukugcuma kulo naliphi na ilungu lomlenze
• iintlungu ezibuhlungu kummandla wesini
• ubuthathaka obuncinci bezantsi
• kunzima ukwandisa idolo ngenxa yobuthathaka be-quadriceps
• uziva ngathi umlenze okanye idolo lakho liza kukhupha (bopha) kuwe

Inzulu kangakanani?

Uxinzelelo olude olubekwe kwi-femal nerve lunokuthintela ukuphuma kwegazi kwindawo echaphazelekayo. Ukuhamba kwegazi okunciphileyo kunokubangela ukonakala kwethishu.

Ukuba ukonakala kwentliziyo yakho sisiphumo sokwenzakala, kunokwenzeka ukuba umthambo wakho wobufazi okanye umthambo womzimba nawo wonakele. Oku kunokubangela ukopha ngaphakathi okuyingozi. Umthambo wobufazi ngumthambo omkhulu kakhulu olele kufutshane nomthambo wobufazi. Umothuko udla ngokonakalisa zombini ngexesha elinye. Ukonzakala kwimithambo okanye ukopha kwimithambo kunokubangela uxinzelelo kwimithambo-luvo.

Ukongeza, i-nerve femoral inikezela uvakalelo kwinxalenye enkulu yomlenze. Ukuphulukana nemvakalelo kunokukhokelela ekonzakaleni. Ukuba nezihlunu zomlenze obuthathaka kunokukwenza ukuba uthambekele ekuweni. I-Falls ixhalabisa ngokukodwa kubantu abadala ngenxa yokuba banokubangela ukuba i-hip fractures, eyingozi kakhulu.

Ukuchonga isifo se-femoral neuropathy

Uvavanyo lokuqala

Ukuchonga isifo se-femur neuropathy kunye nesizathu sayo, ugqirha wakho uya kwenza uvavanyo lomzimba ngokubanzi kwaye abuze imibuzo malunga nokwenzakala kutshanje okanye utyando, kunye nemibuzo malunga nembali yakho yezonyango.

Ukujonga ubuthathaka, baya kuvavanya izihlunu ezithile ezifumana uvakalelo kwimbilini yobufazi. Ugqirha wakho uya kuthi ujonge amadolo akho okubuza kwaye abuze malunga notshintsho kwiimvakalelo ngaphambili kwethanga kunye nenxalenye yomlenze. Injongo yovavanyo kukufumanisa ukuba ubuthathaka bubandakanya kuphela intsholongwane yobufazi okanye ukuba ezinye iimbilini zinegalelo.

Uvavanyo olongezelelweyo lunokubandakanya:

Ukuqhutywa kwemithambo

Ukuqhutywa kwemithambo kujonga isantya seempembelelo zombane kwimithambo-luvo yakho. Impendulo engaqhelekanga, enjengexesha elicothayo lokuba umqondiso wombane uhambe ngemithambo-luvo yakho, uhlala ubonakalisa ukonakala kwimbilini ebuzwayo.

Umbane we-Electromyography (EMG)

I-Electromyography (EMG) kufuneka yenziwe emva kovavanyo lokuqhutywa kwemithambo-luvo ukubona ukuba zisebenza kakuhle kangakanani izihlunu kunye neethambo zakho. Olu vavanyo lurekhoda umsebenzi wombane okhoyo kwimisipha yakho xa imithambo-luvo ekhokelela kubo isebenza. I-EMG iya kugqiba ukuba ngaba umsipha uphendula ngokufanelekileyo ekuvuseleleni. Iimeko ezithile zonyango zibangela ukuba izihlunu zizitshise zodwa, into engaqhelekanga enokuchazwa yi-EMG. Ngenxa yokuba imithambo-luvo ikhuthaza kwaye ilawule izihlunu zakho, uvavanyo lunokuchonga iingxaki kuzo zombini izihlunu kunye neerves.

I-MRI kunye ne-CT

Iskena seMRI sinokujonga amathumba, ukukhula, okanye nakuphi na okunye ubunzima kwindawo ye-femal nerve enokubangela uxinzelelo kwi-nerve. Iskena seMRI sisebenzisa amaza erediyo kunye neemagnethi ukuvelisa umfanekiso ocacileyo welungu lomzimba oskenwayo.

Iskena se-CT sinokukhangela ukukhula kwemithambo okanye ukukhula kwethambo.

Izinketho zonyango

Inyathelo lokuqala lokunyanga i-femal neuropathy lijongana nemeko engunobangela okanye unobangela. Ukuba uxinzelelo kwimithambo-luvo ngunobangela, injongo iya kuba kukunciphisa uxinzelelo. Ngamaxesha athile kukonzakala okuphakathi, njengokucinezelwa kancinci okanye ukwenzakala okweluliweyo, ingxaki inokusombulula ngokuzenzekelayo. Kubantu abanesifo seswekile, ukubuyisa amanqanaba eswekile yegazi kwindawo yesiqhelo kunokunciphisa ukungasebenzi kakuhle kwemithambo-luvo. Ukuba umthambo-luvo wakho awuziphuculi ngokwawo, uyakufuna unyango. Oku kuhlala kubandakanya amayeza kunye nonyango lomzimba.

Amayeza

Unokuba neenaliti ze-corticosteroid emlenzeni wakho ukunciphisa ukudumba kunye nokususa nakuphi na ukudumba okwenzekayo. Amayeza eentlungu anokunceda ekuthomalaliseni nayiphi na intlungu kunye nokungonwabi. Ngentlungu ye-neuropathic, ugqirha wakho unokumisela amayeza, afana ne-gabapentin, pregabalin, okanye i-amitriptyline.

Unyango

Unyango lomzimba lunokunceda ukwakha amandla kwimisipha yakho yomlenze kwakhona. Ingcali yonyango iya kukufundisa imithambo yomeleze kwaye yolule imisipha yakho. Ukunyanga ngokwasemzimbeni kunceda ukunciphisa iintlungu kunye nokukhuthaza ukuhamba.

Kuya kufuneka usebenzise isixhobo samathambo, esifana nesibiyeli, ukukunceda uhambe. Ngokwesiqhelo, ukuqiniswa kwamadolo kuyanceda ekuthinteleni ukugoba kwamadolo.

Kuxhomekeke kubuzaza bomonakalo wemithambo-luvo kwaye unengxaki engakanani yokuba ujikeleze, unokufuna unyango lwasemsebenzini. Olu hlobo lonyango lukunceda ukuba ufunde ukwenza imisebenzi yesiqhelo njengokuhlamba kunye neminye imisebenzi yokuzinakekela. Oku kubizwa ngokuba “yimisebenzi yansuku zonke.” Ugqirha wakho unokucebisa ngokucebisa ngomsebenzi ukuba imeko yakho inyanzelisa ukuba ufumane omnye umgca womsebenzi.

Ugqirha

Ugqirha wakho unokucebisa ukuba utyando ukuba ukukhula kwakho kuthintele imithambo-luvo yobufazi. Ukususa ukukhula kuya kunciphisa uxinzelelo kwi-nerve yakho.

Umbono wexesha elide emva konyango

Unokwazi ukuphilisa ngokupheleleyo emva kokuba unyange imeko engaphantsi. Ukuba unyango aluphumelelanga okanye ukuba ukonakala kwethambo lobufazi kukhulu, unokuphulukana ngokusisigxina nalaa ndawo yomlenze wakho okanye ukwazi ukuyihambisa.

Iingcebiso zokuthintela ukonakala kwemithambo-luvo

Unokuwunciphisa umngcipheko we-femoral neuropathy obangelwa sisifo seswekile ngokugcina amanqanaba eswekile yegazi ephantsi kolawulo. Oku kunceda ukukhusela imithambo-luvo yakho kumonakalo obangelwe sesi sifo. Amanyathelo othintelo aya kubhekiswa kwisizathu ngasinye. Thetha nogqirha wakho ukuze ufumane iingcebiso malunga namanyathelo othintelo anokukunceda.

Ukugcina indlela yokuphila esebenzayo kuyanceda ukugcina izihlunu zomlenze wakho zomelele kwaye kuphuculwe uzinzo.