Ukuthi yini i-Meralgia Paresthetica? Izimpawu, Izimbangela, Nokwelashwa

I-Meralgia paresthetica yisimo esibangela ukungathí sina, ukukhahlela, nobuhlungu obuqabula emadolweni angaphandle. Kwenzeka lapho inzwa ebizwa ngokuthi yi-lateral femoral cutaneous nerve icindezelwe noma ikhungathekile njengoba idlula endaweni yekhipu yakho.

Le nzwani iphethe ukubona eziphucwini zethanga lakho langaphandle. Uma icindezelwe noma ivalwe, uzokuzwa imizwa engathandeki kuleyo ndawo ethile. Izindaba ezinhle ukuthi i-meralgia paresthetica ngokuvamile ayikabi yingozi futhi ngokuvamile iphulukana nokwelashwa okulula.

Ziyini izimpawu ze-meralgia paresthetica?

Isimpawu esiyinhloko yimvamisa engavamile emadolweni angaphandle, ngokuvamile ngakolunye uhlangothi kuphela. Ungase uqaphele le miqondo iza iye, noma ingaba khona usuku lonke.

Nawa izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ukungathí sina noma ukunciphisa ukubona emadolweni angaphandle
• Ukukhahlela okufana nezimpini nezicathulo
• Ukushisa noma ubuhlungu obuhlungu endaweni ethonye
• Ukuncipha kokuthinta okukhanyayo
• Ubuhlungu obukhulu, obukhulu obuza buye
• Izimpawu ezibi kakhulu uma uhamba noma ukuma isikhathi eside

Le miqondo ngokuvamile ithonya indawo enkulu njengandla yakho emadolweni angaphandle. Izimpawu zivame ukuba zimbi kakhulu uma usebenza futhi zingase zibe ngcono uma uhlezi noma ugobe ikhipu lakho.

Ezimweni ezingavamile, abanye abantu bahlangabezana nobuhlungu obukhulu obuqabula obunokuphazamisa ubuthongo noma imisebenzi yansuku zonke. Akukhona njalo, lesi simo singathinta womabili amadolo, nakuba lokhu kungavamile.

Yini ebangela i-meralgia paresthetica?

I-Meralgia paresthetica ithuthukiswa lapho i-lateral femoral cutaneous nerve icindezelwe noma ikhungathekile. Le nzwani ihamba kusuka emuva lakho oluphansi, idlula emathangeni akho, bese iye emadolweni akho.

Imbangela evamile kakhulu ukucindezela enzwani njengoba idlula noma ngaphansi kweqembu elikhulu lezicubu eduze lethanga lakho. Lokhu kungenzeka ngezizathu eziningana:

• Izingubo eziqinile njengezibhande, ama-corsets, noma ama-jeans aqinile
• Ukuzuza isisindo okufaka ukucindezela okwengeziwe enzwani
• Ukukhulelwa, ikakhulukazi ezinyangeni zokugcina
• Ukwenza izinyathelo ezivamile zezinyawo ezenzweni ezinjengokugibela ibhayisikili noma ukuhamba
• Ukuma noma ukuhamba isikhathi eside
• Izicubu zezilo ezivela ekuhlinzweni kwangaphambili endaweni yekhipu noma yeqanda

Ngezinye izikhathi lesi simo singathuthuka ngaphandle kwesici esicacile. Ezimweni ezingavamile, kungase kuhlobene nesifo sikashukela, ukutholakala kwe-lead, noma ezinye izimo zezokwelapha ezithinta izinzwa emzimbeni wonke.

Akukhona njalo, i-tumor noma ukukhula eduze kwendlela yenzwa kungabangela ukucindezela, nakuba lokhu kungavamile kakhulu. Udokotela wakho angakusiza ukuthola ukuthi kuyadingeka yini ukuhlolwa okwengeziwe ukuze kuvinjwe lezi zimbangela ezingavamile.

Nini okufanele ubona udokotela nge-meralgia paresthetica?

Kufanele ubona udokotela uma une-numbness, ukukhahlela, noma ubuhlungu obungapheli emadolweni akho angaphandle obuhlala izinsuku ezimbalwa. Nakuba i-meralgia paresthetica ngokuvamile ayikabi yingozi, kubalulekile ukuthola ukuxilongwa okufanele.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu obuqabula obuphazamisa imisebenzi yakho yansuku zonke noma ubuthongo. Xhumana nodokotela wakho uma izimpawu zisakazeka ngaphandle kwendaweni yethanga langaphandle noma uma uthuthukisa ubuthakathaka omunyameni wakho.

Uma unesifo sikashukela noma ezinye izimo ezithinta izinzwa zakho, kubalulekile kakhulu ukuba noma yikuphi ukungathí sina okusha noma ukukhahlela kuhlolwe ngokushesha. Udokotela wakho angakusiza ukuthola imbangela futhi ancoma ukwelashwa okufanele.

Ziyini izici ezingozi ze-meralgia paresthetica?

Izici ezithile zingandisa amathuba akho okukhula lesi simo. Ukuqonda lezi zici ezingozi kungakusiza ukuthatha izinyathelo zokuvimbela noma ukuyibamba ngokushesha.

Izici ezingozi ezivamile kakhulu zihlanganisa:

• Ukuba ngumuntu omkhulu noma olukhulu
• Ukukhulelwa, ikakhulukazi ekuqaleni nasekugcineni kwezinyanga
• Ukugqoka izingubo eziqinile njalo
• Ukuba nesifo sikashukela
• Iminyaka ephakathi kuka-40-60
• Imisebenzi edinga ukuhlala isikhathi eside noma ukuhamba
• Ukuhlinzwa kwangaphambili kwe-hip noma i-pelvic
• Ezinye imisebenzi yezemidlalo njengokugibela ibhayisikili noma ukugijima

Amadoda nabesifazane bathinteka ngokulinganayo, nakuba abesifazane abakhulelwe banengozi yesikhashana ephakeme ngenxa yemikhawulo emizimbeni yabo ngesikhathi sokukhulelwa. Abantu abasebenza emisebenzini edinga isikhathi eside sokuma, njengabasebenzi bezitolo noma ochwepheshe bokuhlinzwa, bangase babe nengozi enkulu.

Ukuba nenye noma ngaphezulu kwezici ezingozi akusho ukuthi uzokuthuthukisa i-meralgia paresthetica. Abantu abaningi abanezi zici ezingozi abakaze bahlangabezane nalesi simo.

Ziyini izinhlanganisela ezingase zenzeke ze-meralgia paresthetica?

Abantu abaningi abane-meralgia paresthetica abanawo ubunzima obukhulu. Lesi simo ngokuvamile sibhekwa njengoba singabi nengozi, okusho ukuthi ngeke sibangele umonakalo ophakade empilweni yakho.

Nokho, abanye abantu bangase bahlangabezane nalezi zinselele:

• Ubuhlungu obuhlala njalo obuthonya ikhwalithi yempilo
• Ukuphazamiseka kokulala ngenxa yokushisa noma ukukhahlela
• Ubunzima ngemisebenzi yomzimba noma ukuzivocavoca
• Ukuqina kwengqondo okuvela ekubhekaneni nezimpawu ezihlala njalo
• Ukushintsha okwesikhashana kokubona kwesikhumba okungase kuhlale khona ngisho nasemuva kokwelashwa

Ezimweni ezingavamile, uma lesi simo siye sashonelwa isikhathi eside kakhulu, abanye abantu bangase bahlangabezane nokushintsha okuphakade kokubona kwesikhumba endaweni ethonye. Lokhu kungavamile futhi ngokuvamile kwenzeka kuphela lapho ukucindezela kwenzwa kunzima futhi kuhlala isikhathi eside.

Iningi labantu abane-meralgia paresthetica liphulukana ngokuphelele ngokwelashwa okufanele. Ngisho noma izimpawu zihlala njalo, ngokuvamile azibi kakhulu ngokuhamba kwesikhathi noma ziholele kwezinye izinkinga zempilo.

I-meralgia paresthetica ingavikeleka kanjani?

Ungathatha izinyathelo eziningana zokunciphisa ingozi yakho yokuthuthukisa i-meralgia paresthetica. Ezinye zezi zindlela zisebenza ekunciphiseni ukucindezela enzwani ebangela lesi simo.

Nawa amathiphu okuvimbela asebenzayo:

• Gcina isisindo esinempilo ukuze unciphise ukucindezela izinzwani
• Gwema ukugqoka izibhande eziqinile, izingubo, noma izingubo zangaphansi
• Thatha ama-breaks njalo ekuhlaleni noma ekuhambeni isikhathi eside
• Khetha izingubo eziqondile ezizungezile emadolweni akho nasemathangeni
• Shintsha imisebenzi yakho ukuze ugweme ukwenza izinyathelo ezivamile zezinyawo
• Sebenzisa isimo esifanele uma uhlezi noma ukuma
• Lawula isifo sikashukela ngokuphumelelayo uma unesimo

Uma ukhulelwe, ukugqoka izingubo zokukhulelwa ezisekelayo nokugwema ama-waistbands aqinile kungasiza ekuvimbeleni ukucindezela kwenzwa. Ngabantu abasebenzi yabo edinga isikhathi eside sokuma, ukusebenzisa ama-mats okuqeda ukukhathala noma ukuthatha ama-breaks avamile okuhlala kungasiza.

Abagijimi nabantu abazivocavoca njalo kufanele banakekele isimo somzimba wabo futhi bagweme imisebenzi ehlala ibeka ukucindezela endaweni yekhipu. Ukwenza lezi zinguquko ezincane kungaya ibanga elide ekuvimbeleni lesi simo.

I-meralgia paresthetica ixilongwa kanjani?

Ukuxilonga i-meralgia paresthetica ngokuvamile kuqala ngodokotela wakho ebuza ngezimpawu zakho futhi ahlole indawo ethonye. Bazofuna ukwazi ukuthi izimpawu zaqala nini, yini eyenza zibe ngcono noma zimbi, nokuthi uke waba naziphi izinguquko zakamuva emisebenzini yakho noma ezingutsheni.

Phakathi kokuhlolwa komzimba, udokotela wakho uzohlola ukubona emadolweni akho futhi angase athinte kancane izindawo ezahlukene ukuze abone ukuthi uzizwa kuphi ukungathí sina noma ukwanda kokuzwa. Bangase futhi bahlole izimpendulo zakho namandla emisipha.

Ezimweni eziningi, ukuxilongwa kungenziwa ngokusekelwe ezimpawu zakho nasekuhlolweni komzimba kuphela. Nokho, udokotela wakho angase ayalele ukuhlolwa okwengeziwe uma engaqiniseki ngokuxilongwa noma efuna ukuvimbela ezinye izimo.

Lezi zivivinyo zingase zihlanganise izifundo zokuphetha kwenzwa, ezilinganisa ukuthi izinzwa zakho zisebenza kangcono kangakanani, noma ukuhlolwa kwezithombe njenge-MRI uma kukhona ukukhathazeka ngezinye izimbangela zokucindezela kwenzwa. Izivivinyo zegazi zingase zenziwe ukuze kuhlolwe isifo sikashukela noma ezinye izimo ezingathinta izinzwa.

Yini ukwelashwa kwe-meralgia paresthetica?

Ukwelashwa kwe-meralgia paresthetica ngokuvamile kuqala ngezindlela ezilula, ezigcinwe. Umgomo ukunciphisa ukucindezela enzwani ethonye futhi ulawule izimpawu zakho ngenkathi inzwa iphulukana.

Udokotela wakho cishe uzoncoma lezi zindlela zokuqala zokwelapha:

• Ukugqoka izingubo eziqondile nokugwema izibhande eziqinile
• Ukulahlekelwa isisindo uma unesisindo esiningi
• Ukuthatha imithi yokunciphisa ubuhlungu eyenziwe ngaphandle njenge-ibuprofen noma i-acetaminophen
• Ukufaka iqhwa noma ukushisa endaweni ethonye
• Ukugwema imisebenzi ebiyisa izimpawu
• Ukuzivocavoca okugobe ngobumnene

Uma ukwelashwa okuqondene nokugcinwa kungabi namphumela ngemuva kwamasonto ambalwa, udokotela wakho angase ancome imithi ekhethekile yokuhlungu kwenzwa, njenge-gabapentin noma i-pregabalin. Le miithi isebenza ngendlela ehlukile kunokunciphisa ubuhlungu okuvamile futhi ingase ibe yiphumelela kakhulu ezimpawu ezihlobene nezinzwa.

Ezimweni ezihlala njalo, udokotela wakho angase ancome ukugxilwa kwe-corticosteroid eduze kwenzwa ethonye. Ezimweni ezingavamile lapho ezinye izindlela zokwelapha zingasebenzi, izinketho zokuhlinzwa njengokukhululwa kwenzwa kungase kubhekwe, nakuba lokhu kungavamile.

Indlela yokuphatha i-meralgia paresthetica ekhaya?

Kunezinto eziningana ongenza ekhaya ukuze usize ulawule izimpawu zakho bese usekela ukululama kwakho. Lezi zindlela zokunakekela ngokwakho zisebenza kangcono uma zihlanganiswe nezincomo zokwelashwa zedokotela wakho.

Nawa amasu okulawula ekhaya asebenzayo:

• Faka ama-ice packs imizuzu engu-15-20 izikhathi eziningi ngosuku ukuze unciphise ukuvuvukala
• Sebenzisa ukwelashwa kokushisa ngokucindezela okufudumele noma i-heating pad ngezilungiselelo eziphansi
• Yenza ukugobeka okumnene kwe-hip nethanga njengoba kunconywe udokotela wakho
• Shintsha imisebenzi yakho yansuku zonke ukuze ugweme ukuhlala noma ukuhamba isikhathi eside
• Lala ngepilow phakathi kwamadolo akho ukuze unciphise ukucindezela ohlangothini oluthonye
• Zama amasu okuphumula ukuze usize ulawule ubuhlungu nokucindezeleka

Nakani imisebenzi noma izimo ezenza izimpawu zakho zibe zimbi futhi zama ukuzigwema uma kungenzeka. Abanye abantu bathola ukuthi ukushintsha isimo sabo sokulala noma ukusebenzisa ifenisha ehlukile emsebenzini kungenza umehluko omkhulu.

Gcina idayari yesimpawu ukuze uqaphele ukuthi yini esiza futhi yini engasizi. Lolu lwazi lungaba lubalulekile uma uxoxa ngenqubekelaphambili yakho nodokotela wakho futhi ulungise uhlelo lwakho lokwelashwa.

Kufanele ulungiselele kanjani i-appointment yakho yedokotela?

Ukulungiselela ukuvakasha kwakho kudokotela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nehlelo lokwelashwa eliphumelelayo. Ukuthatha isikhathi sokulungisa imicabango yakho nolwazi ngaphambili kuzokwenza i-appointment ibe yiphumelelayo kakhulu.

Ngaphambi kwe-appointment yakho, bhala phansi izimpawu zakho ngokuningiliziwe, kufaka phakathi ukuthi zaqala nini, zizwa kanjani, futhi yini ezenza zibe ngcono noma zimbi. Qaphela noma yiziphi izinguquko zakamuva emisebenzini yakho, ezingutsheni, noma isisindo esingase sibe yiyona.

Letha uhlu lwemithi yonke nezinhlanganisela ozithathayo, kufaka phakathi imithi yokunciphisa ubuhlungu oyizamele ngezimpawu. Lungiselela futhi uhlu lwemibuzo ofuna ukuyibuza udokotela wakho ngesimo sakho nezinketho zokwelashwa.

Cabanga ukuthi ulethe umngani noma ilungu lomndeni omethembayo ukuze akusize ukukhumbula ulwazi olubalulekile oluxoxwe ngesikhathi sokuvakasha. Unganqikazi ukubuza udokotela wakho ukuba aphinde noma acacise noma yini ongayiqondi.

Yini okufanele uyikhumbule nge-meralgia paresthetica?

I-Meralgia paresthetica yisimo esilawuleka esibangela ukungathí sina, ukukhahlela, nobuhlungu obuqabula emadolweni akho angaphandle ngenxa yokucindezela kwenzwa. Nakuba izimpawu zingase zibe zingezinhle futhi zikhathaze, lesi simo ngokuvamile asibi futhi siphendula kahle ekwelapheni.

Abantu abaningi bathola impumuzo enkulu ngokwenza izinguquko ezilula zokuphila njengokugqoka izingubo eziqondile, ukugcina isisindo esinempilo, nokugwema imisebenzi ebeka ukucindezela enzwani ethonye. Ngisho noma izimpawu zihlala njalo, ngokuvamile azibi kakhulu ngokuhamba kwesikhathi noma ziholele ezinhlanganiseni eziphakade.

Umgomo ukusebenza nodokotela wakho ukuze uthole ukusebenzisana okufanele kokwelapha isimo sakho esithile. Ngokubekezela nendlela efanele, ungalindela ukubona ukuthuthuka ezimpawu zakho futhi ubuyele emisebenzini yakho evamile.

Khumbula ukuthi ukululama kuthatha isikhathi, futhi kuyinto evamile ukuba izimpawu ziguquguquke ngesikhathi senqubo yokululama. Hlala uqine ngehlelo lakho lokwelashwa futhi unganqikazi ukuxhumana nodokotela wakho uma unemikhathazo noma imibuzo endleleni.

Imibuzo evamile ebuzwa nge-meralgia paresthetica

Q1: I-meralgia paresthetica ihlala isikhathi esingakanani?

Iningi lamacala e-meralgia paresthetica liphulukana phakathi nezinyanga ezimbalwa ngokwelashwa okufanele. Abanye abantu baqaphela ukuthuthuka phakathi kwamasonto, ngenkathi abanye bangase bathathe izinyanga eziningi ukuze baphucule ngokuphelele. Isikhathi sokuphulukana siyancika embangelweni ehlala njalo nokuthi ungayisombulula kangcono kangakanani izinto ezinjengezingubo eziqinile noma isisindo esiningi esingase sibe yimbangela yokucindezela kwenzwa.

Q2: Ingabe i-meralgia paresthetica ingabangela umonakalo ophakade?

Umonakalo ophakade ovela e-meralgia paresthetica awuvamile. Lesi simo ngokuvamile akusabangeli umonakalo ohlala njalo enzwani noma ezicubwini eziizungezile. Nokho, ezimweni ezingavamile kakhulu lapho ukucindezela okunzima kungaphathwa isikhathi eside, abanye abantu bangase bahlangabezane nokushintsha okuhlala njalo kokubona kwesikhumba. Abantu abaningi baphucula ngokuphelele ngokwelashwa okufanele.

Q3: Ingabe i-meralgia paresthetica ihlobene ne-sciatica?

Nakuba zombili izimo zihlanganisa ukucindezela kwenzwa futhi zingabangela izimpawu zezinyawo, zithinta izinzwa neendawo ezahlukene. I-Sciatica ihlanganisa inzwa ye-sciatic futhi ngokuvamile ibingela ubuhlungu obuhamba kusuka emuva oluphansi oluya emuva omunyameni. I-Meralgia paresthetica ithonya i-lateral femoral cutaneous nerve futhi ibingela izimpawu kuphela endaweni yethanga langaphandle.

Q4: Ingabe ukuzivocavoca kungasiza nge-meralgia paresthetica?

Ukugobeka okumnene nemisebenzi yokuzivocavoca ephansi kungasiza ekulawuleni i-meralgia paresthetica ngokuthuthukisa ukuguquguquka nokunciphisa ukucindezela enzwani ethonye. Nokho, kufanele ugweme imisebenzi ebiyisa izimpawu zakho, njengokuhamba isikhathi eside noma ukuzivocavoca okubeka ukucindezela ngqo endaweni yekhipu yakho. Xhumana nodokotela wakho njalo ngaphambi kokuthi uqale noma yiluphi uhlelo olusha lokuzivocavoca.

Q5: Ingabe i-meralgia paresthetica izobuyela emuva ngemuva kokwelashwa?

I-Meralgia paresthetica ingabuya uma izimbangela ezihlala njalo zingalungiswa. Isibonelo, uma izingubo eziqinile noma isisindo esiningi ekuqaleni sibangele lesi simo, ukubuyela kulezi zindlela kungase kubangele izimpawu futhi. Nokho, ngokugcina izinguquko zokuphila ezisize ekuxazululeni izimpawu zakho ekuqaleni, unganciphisa kakhulu ingozi yokubuyela.