Meralgia Paresthetica

I-meralgia paresthetica yisimo esibangela ukukhahlela, ukungabi namuzwa nobuhlungu obuvuthayo emadolweni angaphandle. Ibangelwa ukucindezelwa kwenerve enikeza umuzwa kwisiqephu sesikhumba esimboze umlenze. I-Meralgia paresthetica ibizwa nangokuthi ukubanjwa kwenzwa ye-lateral femoral cutaneous. Izingubo eziqinile, ukukhuluphala noma ukwanda kwesisindo, nokubeletha izimbangela ezivamile ze-meralgia paresthetica. Kodwa-ke i-meralgia paresthetica ingabangelwa ukulimala noma isifo esinjengesi-shukela. I-Meralgia paresthetica ngokuvamile ingakhululeka ngezindlela zokwelapha ezingathuthukisiwe, okuhlanganisa nokugqoka izingubo eziqondile. Uma izimpawu zingakhululeki ngalezo zindlela, ukwelashwa kungafaka imithi. Ngokungavamile, kuyadingeka ukuhlinzwa.

I-meralgia paresthetica ingabangela lezi zimpawu engxenyeni yangaphandle yomathanga:

• Ukukhahlela.
• Ubuhlungu obuqabukayo.
• Ukuncipha kokuzwa noma ukungabi nakuzwa.
• Ukwanda kokuzwa nobuhlungu ngisho nasekuthinteni okulula. Lezi zimpawu zivame ukubonakala ngakolunye uhlangothi lomzimba wakho futhi zingase zinyuke ngemuva kokubhadula noma ukuqina. Bheka ochwepheshe bezempilo uma unezimpawu ze-meralgia paresthetica.

I-meralgia paresthetica ivela lapho i-nerve yomlomo we-femoral cutaneous icindezelwe khona, eyaziwa nangokuthi ukucindezela. Le nerve inikeza imizwa ebusweni be-thigh yangaphandle. I-nerve ithinta kuphela imizwa futhi ayithinti ikhono lakho lokusebenzisa imisipha yomlenze wakho. Kubantu abaningi, le nerve idlula ngesigxobo siye e-thigh engaphezulu ngaphandle kwenkinga. Kepha ku-meralgia paresthetica, i-nerve yomlomo we-femoral cutaneous ivalekile. Ngokuvamile i-inguinal ligament icindezela i-nerve. Le ligament ihamba ngesigxobo esivela esiswini siye e-thigh engaphezulu. Izimbangela ezivamile zaleli cindezelo zihlanganisa noma yiliphi isimo esandisa ukucindezela esigxobeni, okuhlanganisa: Izingubo eziqinile, ezifana namabhande, ama-corsets nama-pants aqinile. Ukukhuluphala noma ukwanda kwesisindo. Ukugqoka ibhande le-thuluzi elikhulu. Ukukhulelwa. Ukubuthana kwamanzi esiswini okubangela ukwanda kokucindezela kwesisu. I-scar tissue eduze kwe-inguinal ligament ngenxa yokulimala noma ukuhlinzwa kwangaphambili. Ukulimala kwe-nerve kungabangela i-meralgia paresthetica. Ukulimala kwe-nerve kungaba ngenxa yesifo sikashukela, ukulimala ngemuva kokuhlinzwa noma ukulimala kwe-seat belt ngemuva kengozi yemoto.

Okulandelayo kungenza ube sengozini enkulu yokuba nemeralgia paresthetica:

• Ubuhlungu bezinsukwini. Ukulimala kwama-nerve okuhambisana nobuhlungu bezinsukwini kungaholela ekuqaleni komalgia paresthetica.
• Ubudala. Abantu abaneminyaka ephakathi kwama-30 nama-60 baphezu kokungozini enkulu.

Uchwepheshe wakho wezempilo angenza ukuxilongwa kwe-meralgia paresthetica ngokusekelwe emlandweni wakho wezokwelapha kanye nokuhlolwa komzimba. Ungase udinga ukuhlolwa ukuze uhlole ukuzwa emathangeni akho. Ochwepheshe bakho bezempilo bangase bakucela futhi ukuthi uchaze ubuhlungu bese uqopha indawo ebuhlungu noma engaphilile emhlane wakho.

Ezinye izivivinyo zingafaka ukuhlolwa kwamandla kanye nokuhlolwa kokubonakaliswa kokuziphatha ukuze kusizwe ukukhipha ezinye izimbangela zezimpawu zakho.

Izivivinyo zingase futhi zibheke inkinga ngomsuka wezinzwa noma ukonakala kwezinzwa ze-femoral, okuyaziwa ngokuthi yi-neuropathy. Uchwepheshe wakho wezempilo angase akukhuthaze:

• Izifundo zokwenza izithombe. Izinguquko ezihlobene ne-meralgia paresthetica ngeke zibonakale ku-X-ray. Kepha izithombe zesinqe sakho nendawo yesisu zingase zibe usizo ekuqedeni ezinye izimo njengesimbangela sezimpawu zakho.

Ukuhlolwa kwe-CT noma i-MRI kungase kuyalwe uma uchwepheshe wakho wezempilo ekholelwa ukuthi i-tumor ingase ibe yimbangela yezimpawu zakho.

• I-Electromyography. Lo mvivinyo uqapha ukukhishwa kwamandla okukhiqizwa yemisipha ukuze kusize ekulinganiseni nasekuxilongweni kwezimo zemisipha nezinzwa. I-needle encane ebizwa ngokuthi yi-electrode ifakwa emsisipha ukuze irekhode umsebenzi wamandla. Lo mvivinyo ungase ube yadingeka ukuze kuqedeke ezinye izifo.
• Ukuhlolwa kokuphatha kwezinzwa. Ama-electrodes afana ne-patch afakwa ehlathini lakho ukuze akhuthaze inzwa ngomfutho omncane wamandla. Umfutho wamandla uqeda ukuhlolwa kwezinzwa ezonakele. Ukuqhathaniswa kwezinzwa ze-lateral femoral cutaneous ngakwesinye uhlangothi kungase kwenziwe. Lo mvivinyo ungase wenziwe ikakhulu ukuze kuqedeke ezinye izimbangela zezimpawu.
• Ukubamba kwezinzwa. Ukunciphisa ubuhlungu okuzuzwe ngokuqapha i-anesthetic emathangeni akho lapho inzwa ye-lateral femoral cutaneous ingena khona kungaqinisekisa ukuthi une-meralgia paresthetica. Ukwenza izithombe ze-ultrasound kungase kusetshenziswe ukuqondisa i-needle.

Izifundo zokwenza izithombe. Izinguquko ezihlobene ne-meralgia paresthetica ngeke zibonakale ku-X-ray. Kepha izithombe zesinqe sakho nendawo yesisu zingase zibe usizo ekuqedeni ezinye izimo njengesimbangela sezimpawu zakho.

Ukuhlolwa kwe-CT noma i-MRI kungase kuyalwe uma uchwepheshe wakho wezempilo ekholelwa ukuthi i-tumor ingase ibe yimbangela yezimpawu zakho.

Kubantu abaningi, izimpawu ze-meralgia paresthetica ziyancipha ezinyangeni ezimbalwa. Ukwelashwa kugxile ekunciphiseni ukucindezelwa kwezinzwa. Izindlela zokulawula ngokuvumelana nezimo Izindlela zokulawula ngokuvumelana nezimo zihlanganisa: Ukugqoka izingubo ezikhululekile. Ukulahlekelwa isisindo esingaphezulu. Ukuthatha izidakamizwa zokunciphisa ubuhlungu ezitholakala ngaphandle kwemvume. Kungase kuhlanganise i-acetaminophen (Tylenol, ezinye), i-ibuprofen (Advil, Motrin IB, ezinye) noma i-aspirin. Imithi Uma izimpawu zihlala isikhathi esingaphezu kwezinyanga ezimbili noma uma ubuhlungu bakho bungapheli ngezindlela zokulawula ngokuvumelana nezimo, ukwelashwa kungase kuhlanganise: Imijovo ye-corticosteroid. Imijovo inganciphisa ukuvuvukala futhi inqobe ubuhlungu isikhashana. Imiphumela engahle ibe khona ihlanganisa ukutheleleka kwamalunga, ukulimala kwezinzwa, ubuhlungu nokukhanya kwesikhumba endaweni yokujova. Ama-tricyclic antidepressants. Le mithi ingase inqobe ubuhlungu bakho. Imiphumela engahle ibe khona ihlanganisa ukukhathala, umlomo omile, ukuvinjelwa komgogodla kanye nokungasebenzi kahle kwezocansi. I-Gabapentin (Gralise, Neurontin), i-phenytoin (Dilantin, Phenytek) noma i-pregabalin (Lyrica). Le mithi yokuvimba ukushaya ingase isize ukunciphisa ubuhlungu. Imiphumela engahle ibe khona ihlanganisa ukuvinjelwa komgogodla, isicanucanu, isiphithiphithi, ukukhathala nokukhathazeka. Ukuhlinzwa Kancane, ukuhlinzwa ukuze kuncishiswe ukucindezelwa kwezinzwa kungase kucatshangelwe. Lolu khetho lwabantu abanezimpawu ezibuhlungu kakhulu nezihlala isikhathi eside. Cela isikhathi sokuhlangana Kunenkinga ngolwazi olugqamisiwe ngezansi bese uqala kabusha ifomu. Kusuka eMayo Clinic kuya ku-ibhokisi lakho lokungenayo Bhalisela mahhala futhi uhlale unolwazi mayelana nokuthuthuka kocwaningo, amathiphu ezempilo, izihloko zamanje zezempilo, kanye nobuchwepheshe bokulawula impilo. Chofoza lapha ukuze ubuke isifinyezo se-imeyili. Ikheli Le-imeyili 1 Iphutha Inkambu ye-imeyili iyadingeka Iphutha Faka ikheli le-imeyili elivumelekile Funda kabanzi mayelana nokusetshenziswa kwedatha kweMayo Clinic. Ukuze sikunikeze ulwazi olufanele nelusizo, futhi siqonde ukuthi loluphi ulwazi oluzuzisa, singahlanganisa i-imeyili yakho nolwazi lokusetshenziswa kwewebhusayithi nenye imininingwane esinayo ngawe. Uma ungumguli weMayo Clinic, lokhu kungase kuhlanganise ulwazi oluvikelwe lwezempilo. Uma sihlanganisa lolu lwazi nolwazi lwakho oluvikelwe lwezempilo, sizolubheka bonke lolu lwazi njengolwazi oluvikelwe lwezempilo futhi sizolubeka noma sizoludalula kuphela njengoba kuchaziwe esazisweni sethu semithetho yobumfihlo. Ungakhetha ukungatholi izaziso ze-imeyili noma kunini ngokuchofoza kusixhumanisi sokuzikhipha ku-imeyili. Bhalisela! Ngiyabonga ngokubhalisa! Uzobe usuyithola iMayo Clinic ulwazi lwezempilo olusanda kutholakala oluceliwe ku-imeyili yakho. Uxolo kukhona okungahambanga kahle ngokubhalisa kwakho Sicela, zama futhi emizuzwini embalwa Zama futhi