Ubungqingili bezwane: Unobangela onokubakho kunye nendlela yokuNyanga

Umxholo

• Yeyiphi imiqondiso yokubhabha kwamazwane?
• Yintoni ebangela ubhontsi?
• Ndingalufumana nini uncedo lwezonyango?
• Kufunyaniswa njani ukuba nzulu?
• Uphathwa njani ubhontsi?
• Ukunyanga unyawo olungapheliyo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni ukuphola kwamazwane?

Ukuba ndindisholo kweenzwane luphawu olwenzeka xa uvakalelo kwiinzwane zakho luchaphazeleka. Unokufumana ukungabikho kwemvakalelo, ukurhawuzelela, okanye kwanokutsha. Oku kunokwenza ukuhamba nzima okanye kubuhlungu.

Ukubhabha kweenzwane kungaluphawu lwethutyana, okanye kusenokuba luphawu olungapheliyo - okt ixesha elide. Ukuba ndindisholo kweenzwane okungapheliyo kunokuchaphazela amandla akho okuhamba kwaye kungakhokelela ekonzakaleni nakwizilonda onokuthi ungazazi. Ngelixa inzipho zenzwane zingangunobangela wokukhathazeka, kunqabile ukuba kuthathwe njengonyango olungxamisekileyo.

Yeyiphi imiqondiso yokubhabha kwamazwane?

Ubundindisholo bezinzwane luvakalelo olungaqhelekanga oluhlala lucutha amandla akho okuziva iinzwane zakho okanye umhlaba ophantsi kwakho. Unokuziva ubetha imilenze yakho okanye kwiinzwane zakho njengoko kubuya uvakalelo kwaye ubundindisholo buhamba.

Ukuba ndindisholo kunokubangela izikhonkwane kunye neenaliti ukuziva kwiinzwane zakho. Oku kunokwenzeka ngonyawo olunye kuphela okanye zombini iinyawo, kuxhomekeke kwisizathu sayo.

Yintoni ebangela ubhontsi?

Umzimba wakho uqulethe inethiwekhi entsonkothileyo yemithambo-luvo ebonelela ngengqondo yakho yokubamba. Xa imithambo icinezelwe, yonakele, okanye icatshukisiwe, ngokungathi umnxeba unqunyuliwe kwaye imiyalezo ayinakudlula. Isiphumo kukuba ndindisholo, nokuba kukwexeshana okanye kuya kuhlala ixesha elide.

Inani leemeko zonyango linokubangela ukuba i-toe numbness, kubandakanya:

• ukunxila okanye ukusetyenziswa gwenxa kotywala
• Isifo seCharcot-Marie-Tooth
• isifo seswekile kunye neswekile ye-neuropathy
• iqabaka
• Isifo seGuillain-Barré
• idiski ye-herniated
• isifo sokuqinelwa yimithambo (multiple sclerosis) (MS)
• i-syndromes ye-nerve compression syndromes, enjenge-Morton's neuroma (echaphazela ibhola yonyawo) okanye i-tarsal tunnel syndrome (echaphazela i-tibial nerve)
• isifo se-arterial (PAD)
• isifo se-vascular peripheral (PVD)
• Isifo sikaRaynaud
• yesciatica
• amatyathanga
• ukulimala kwethambo lomqolo
• i-vasculitis, okanye ukudumba kwemithambo yegazi

Abanye abantu bafumana amava okuzilolonga ahambelana nokuzivocavoca umzimba, ngakumbi emva kokuzibandakanya kwimithambo enefuthe eliphezulu njengokubaleka okanye ukudlala umdlalo. Kungenxa yokuba imithambo-luvo icinezelwa rhoqo xa usenza umthambo. Ukuba ndindisholo kufuneka kuye ngokukhawuleza emva kokuba uyekile ukwenza umthambo.

Ngaphantsi kwesiqhelo, ukuba ndindisholo kwiinzwane kunokuba ngumqondiso wesiganeko esibi kakhulu semithambo-luvo. Yiyo imeko xa uhlangabezana nobundindisholo ngequbuliso kwelinye icala lomzimba. Oku kunokubangelwa:

• ukuxhuzula
• ukubetha
• uhlaselo lwexeshana lwe-ischemic (TIA)

Ndingalufumana nini uncedo lwezonyango?

Funa unyango kwangoko ukuba unamava obuthathaka kunye naziphi na kwezi mpawu:

• kunzima ukubona kwelinye okanye omabini amehlo
• ukujinga ebusweni
• ukungakwazi ukucinga okanye ukuthetha ngokucacileyo
• ukulahleka kwemali eseleyo
• ubuthathaka bemisipha
• ukungazinzi kwamazwane okwenzeka emva koxinzelelo lwentloko lwakutsha nje
• Ukuphulukana ngesiquphe kwemvakalelo okanye ubundindisholo kwelinye icala lomzimba wakho
• ngequbuliso, intloko ebuhlungu
• ukungcangcazela, ukuxhuzula, okanye ukushukumisa iintshukumo

Ukuba ubhontsi wakho weenzwane awuhambisani nezinye iimpawu, jonga ugqirha wakho xa ungakhululeki okanye ungahambi njengokuba wawusenza ngaphambili. Kuya kufuneka uphinde ufune uncedo lonyango ukuba ubhontsi benzwane buqala ukuba mandundu.

Kufunyaniswa njani ukuba nzulu?

Ugqirha wakho uya kuqala athathe uluhlu lwembali yakho yezonyango kunye neempawu ngaphambi kokuqhuba uviwo lomzimba. Ukuba uhlangabezana neempawu zestroke- okanye zokubanjwa, ugqirha unokucebisa nge-CT okanye nge-MRI scan. Oku kunokufumana ukopha kwingqondo okunokubonisa ukubetha.

I-MRI kunye ne-CT scans zikwasetyenziselwa ukufumanisa ukungaqheleki kumqolo okunokubonisa i-sciatica okanye i-spinal stenosis.

Ugqirha wakho uya kwenza uvavanyo olubanzi lweenyawo ukuba iimpawu zakho zibonakala zigxile ezinyaweni ngokwazo. Oku kubandakanya ukuvavanya amandla akho okuqonda ubushushu kunye nolunye uvakalelo ezinyaweni.

Olunye uvavanyo lubandakanya izifundo zokuqhutywa kwemithambo-luvo, ezinokubona ukuba ugqithiselwa njani amandla ombane ngemithambo-luvo. I-Electromyography lolunye uvavanyo olumisela ukuba izihlunu zisabela njani kukhuthazo lombane.

Uphathwa njani ubhontsi?

Unyango lwenzonzobila yobhontsi luxhomekeke kwisizathu sayo.

Ukuba isifo seswekile sesifo seswekile ngunobangela, ugqirha wakho uza kuncoma amayeza kunye nonyango lokuqinisekisa ukuba iswekile yegazi lakho ihlala kumanqanaba afanelekileyo. Ukonyusa imisebenzi yakho yomzimba kunye nokujonga ngononophelo kwindlela otya ngayo nako kunokunceda.

Ukuba ubundindisholo bubangelwa kukuxinana kwemithambo-luvo elunyaweni, ukutshintsha uhlobo lweembadada ozinxibayo kunokunceda. Ukuba ubundindisholo bunxulumene notywala, kuya kufuneka uyeke ukusela kwaye uqale ukuthatha imultivitamin.

Ukongeza kula manyathelo, ugqirha unokuyalela amayeza okuphelisa iintlungu. Oku kunokubandakanya:

• i-antidepressants kunye ne-anticonvulsants ukunyanga iintlungu zeswekile, kubandakanya i-duloxetine (iCymbalta) kunye ne-pregabalin (eLyrica)
• iiopioid okanye amayeza afana neopioid, anje nge-oxycodone (Oxycontin) okanye i-tramadol (Ultram)
• I-tricyclic antidepressants, kubandakanya i-amitriptyline

Ukunyanga unyawo olungapheliyo

Abantu abanamanqatha onyawo olunganyangekiyo kufuneka baye kuvavanyo lwenyawo oluqhelekileyo ukukhangela amanxeba nokuhamba kweenyawo. Kuya kufuneka baziqhelanise nococeko lweenyawo olugqwesileyo, kubandakanya:

• ukusika iinzipho ngokuthe ngqo ukunqumla okanye ukusika iinzipho ezisikiweyo kwiofisi yeenyawo
• Ukuhlola iinyawo yonke imihla ukusikeka okanye amanxeba usebenzisa isipili esiphathwayo ukujonga ezantsi iinyawo
• ukunxiba iikawusi ezithambileyo nezityebileyo ezixhasa kunye nokuqinisa iinyawo
• ukunxiba izihlangu ezikufanela kakuhle ezivumela iinzwane ukuba zihambe