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October 10, 2025
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Ukulimala kwemisipha yezinzwa ezingaphandle kwenzeka lapho izinzwa ezingaphandle kobuchopho bakho ne-spinal cord zilimale noma zicindezelwe. Lezi zinzwa zisebenza njengezikhali zamandla, zithwala imiyalezo phakathi kobuchopho bakho nezinye izingxenye zomzimba wakho ukulawula ukunyakaza, ukuzwa, nemisebenzi ebalulekile.
Uma lezi zindlela zezinzwa ziphulwe, ungase ube nokuqina, ubuthakathaka, noma ubuhlungu endaweni ethintekile. Izindaba ezinhle ukuthi izinzwa ezingaphandle zinekhono elimangalisayo lokuziphilisa, ikakhulukazi ngokunakekelwa okufanele nokwelashwa.
Ukulimala kwemisipha yezinzwa ezingaphandle kubhekisela ekubhujisweni okuthinta noma iyiphi inzwa ephakathi kwesistimu yakho ephakathi. I-peripheral nervous system yakho ihlanganisa zonke izinzwa ezisuka e-spinal cord yakho ziye ezandleni zakho, ezinyaweni, ezandleni, ezinyaweni, nasezitho.
Cabanga ngesistimu yakho yezinzwa njengenethiwekhi yokuxhuma eyingxaki ekhaya lakho. Ubuchopho bakho ne-spinal cord yibhodi elikhulu lamandla, kanti izinzwa ezingaphandle yizintambo ngazinye eziya kuyo yonke igumbi. Uma enye yalezi “zintambo” ilimala, ukuxhumana phakathi kobuchopho bakho nengxenye yomzimba kuba nephutha.
Ubunzima bungase buhluke kusukela ekuqineni okwesikhashana okuziphilisa kudonse kuya ekubhujisweni okungapheli komsebenzi. Iningi lokulimala kwemisipha yezinzwa ezingaphandle liwela phakathi, liphendula kahle ekwelapheni uma kubanjwe ngokushesha.
Izimpawu ozibonayo ziyahluka kuye ngokuthi iyiphi inzwa elimele kanye nobunzima bayo. Njengoba izinzwa ezahlukene ziqondisa imisebenzi ehlukene, izimpawu zakho ziyovumelana nomsebenzi othile owawufanele wenziwe yileyo nzwani elimele.
Nawa amabhande avamile okumelwe uwabuke:
Abanye abantu bachaza ukuzwa njenge-“pins and needles” noma ukuzwa sengathi uhlangothi lwabo “lulele.” Abanye bahlangabezana nokulahlekelwa ngokuphelele ukuzwa, njengokungathi ingxenye yomzimba wabo iye yaqina.
Ezimweni ezinzima kakhulu, ungase uqaphele ukulahleka kwemisipha lapho imisipha ethintekile ibukeka incintisana kunokujwayelekile. Lokhu kuvame ukwenzeka lapho ukulimala kwemisipha yezinzwa kuvimba ukukhuthaza imisipha isikhathi eside.
Odokotela bahlukanisa ukulimala kwemisipha yezinzwa ezingaphandle zibe izigaba ezintathu eziyinhloko ngokususelwa ebunzimeni. Ukuqonda lezi zinhlobo kusiza ekubikezeleni isikhathi sokuphulukisa nezinketho zokwelapha.
Neurapraxia yilona uhlobo oluthambile lapho inzwa icindzezelwa noma ilotshwe okwesikhashana. Ukwakhiwa kwemisipha yezinzwa kuhlala kuphelele, kodwa akunakuthumela imiyalezo kahle isikhathi esithile. Iningi labantu liyaphulile ngokuphelele phakathi kwamasonto kuya ezinyangeni.
Axonotmesis ihilela ukulimala kwemisipha yezinzwa ngokwayo, nakuba ukumbozwa kwangaphandle kuhlala kuphelele. Ukuphulukisa kuthatha isikhathi eside, ngokuvamile izinyanga eziningi, kodwa inzwa ingase ibuyele futhi ibuyisele umsebenzi.
Neurotmesis imele ukulimala okunzima kakhulu lapho yonke inzwa isikwa noma ilimale kakhulu. Lolu hlobo ngokuvamile ludinga ukulungiswa ngokusebenza futhi lungase lube nokushintsha okungapheli, nakuba ukuphulukisa okuncane kusase kungenzeka.
Ukulimala kwemisipha yezinzwa ezingaphandle kungenzeka ngezindlela eziningi ezahlukene, kusukela ekulimala okungazelelwe kuya ekunciphilekeni okunciphile. Ukuqonda izimbangela ezivamile kungakusiza ukuthi uqaphele izingozi ezingase zikube khona ekuphileni kwakho kwansuku zonke.
Izimbangela ezivamile zihlanganisa:
Ngezinye izikhathi, izehlakalo ezincinyane zibangela ukulimala kwemisipha yezinzwa. Isibonelo, ukulala endaweni engathandeki noma ukukhotha ihlombe lakho isikhathi eside kwanele ukucindezela izinzwa ngokwanele ukubangela izimpawu zesikhashana.
Imisebenzi ethile noma imisebenzi yandisa ingozi yakho, ikakhulukazi lezo ezihilela ukunyakaza okuphindaphindiwe kwezandla, ukucindezela isikhathi eside ezinhlangothini, noma ukuvezwa ezithulini ezincinci.
Kufanele uxhumane nodokotela wakho uma ukuqina, ukuthungatha, noma ubuthakathaka buhlala isikhathi esingaphezu kwamalanga ambalwa. Ukwelashwa okusheshayo kuvame ukuletha imiphumela emihle, ngakho ungalindi ukubona uma izimpawu ziyaphuka zodwa.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinzima ngokushesha ngemuva kokulimalwa. Lokhu kuhlanganisa ukulahlekelwa ngokuphelele ukunyakaza noma ukuzwa, ubuhlungu obukhulu, noma izimpawu zokutheleleka njengobushushu nokuvuvukala.
Biza futhi udokotela wakho uma izimpawu ezilula ziya ziba zimbi ngokuhamba kwesikhathi noma ziqala ukuphazamisa imisebenzi yakho yansuku zonke. Ngisho nezingxaki ezincane zezinzwa zingazuza ekuhlolweni nasekwelapheni kwezobuchwepheshe.
Izinto eziningi zingandisa amathuba akho okuthuthukisa izinkinga zezinzwa ezingaphandle. Ukuqaphela lezi zingozi kukusiza ukuthi uthathe izinyathelo zokuvikela futhi uqaphele izimpawu ngokushesha.
Izingozi ezivamile zihlanganisa:
Ezinye izingozi awunakuzishintsha, njengobudala bakho noma i-genetics. Kodwa-ke, ungashintsha ezinye ngokukhetha indlela yokuphila, ukusebenza kahle komsebenzi, nokuphatha izimo zezempilo ezingaphansi.
Abantu abanesifo sikashukela babhekene nengozi enkulu, njengoba amazinga aphezulu kashukela egazini angalimaza kancane kancane imisipha yezinzwa emzimbeni wonke. Ukugcina ukugcina ukushukela egazini kuya phansi kunciphisa kakhulu le ngozi.
Nakuba ukulimala okuningi kwemisipha yezinzwa ezingaphandle kuphulukisa kahle ngokwelashwa okufanele, amanye angaletha izingozi zesikhathi eside. Ukuqonda lezi zinto ezingase zenzeke kukusiza ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuze uzivikele noma uzilawule.
Izingozi ezivamile zihlanganisa:
Ezimweni ezingavamile, ukulimala okunzima kwemisipha yezinzwa kungabangela i-complex regional pain syndrome, isimo lapho ubuhlungu bukhulu futhi busakazeka ngaphandle kwendawo yokulimala yokuqala. Lokhu kudinga izindlela zokwelapha ezikhethekile.
Izindaba ezinhle ukuthi ukungenelela okusheshayo nokuphathwa okuqhubekayo kunciphise kakhulu ingozi yalezi zingozi. Iningi labantu abalimele imisipha yezinzwa ezingaphandle libuyisela umsebenzi omkhulu, ikakhulukazi uma ukwelashwa kuqala ngokushesha.
Ukulimala okuningi kwemisipha yezinzwa ezingaphandle kungavikeleka ngokwenza izinguquko ezilula zokuphila nokubona izingozi. Izinguquko ezincane ekuphileni kwakho kwansuku zonke zingenza umehluko omkhulu ekuvikeleni izinzwa zakho.
Amasu abalulekile okuvimbela ahlanganisa ukugcina isimo esihle, ikakhulukazi ngesikhathi semisebenzi ephindaphindwayo. Thatha amaholide njalo emisebenzini edinga izikhundla ezihlala njalo noma imisebenzi ephindaphindwayo, uvumela izinzwa zakho isikhathi sokuphulukisa.
Uma unesifo sikashukela, ukugcina amazinga akho kashukela egazini elawulwayo kubalulekile empilweni yezinzwa. Ukwenza umsebenzi njalo, ukudla okulinganiselayo, nokulandela uhlelo lwakho lokwelapha konke kuhlanganyela ekuvikeleni izinzwa kangcono.
Sebenzisa ukusebenza kahle komsebenzi ekhaya nasekhaya. Lungisa indawo yakho yokusebenza ukuze ugweme ukucindezela isikhathi eside izinzwa, ikakhulukazi ezandleni zakho, ezingalweni, nasemadolweni. Imishini yokusekela njengezikhibhodi ezisebenza kahle noma izikhwama zezandla zingasiza.
Udokotela wakho uzoqala ngomlando ophelele wezokwelapha nokuhlolwa komzimba ukuqonda izimpawu zakho nokubona izinzwa ezithintekile. Bazohlola ukubonakala kwakho, amandla emisipha, nokuzwa kwezindawo ezahlukene.
Izivivinyo ezikhethekile zisiza ukuqinisekisa ukuxilongwa nokubona ubunzima bokulimala. Izifundo zokuphathwa kwezinzwa zilinganisa ukuthi imiyalezo yamandla ihamba kanjani ngezinzwa zakho, kanti i-electromyography (EMG) ihlola impendulo yemisipha ekukhuthazeni kwezinzwa.
Ezimweni ezithile, udokotela wakho angase ayalele izifundo zokuthola izithombe njenge-MRI noma i-ultrasound ukuze abone izakhiwo zezinzwa futhi abone izindawo zokucindezela noma ukulimala. Izivivinyo zegazi zingasiza ekuqedeni izimo ezingaphansi njengesihlalo noma ukwehluleka kwezinto eziphilayo.
Lezi zithuluzi zokuxilonga zisiza iqembu lakho lokunakekelwa kwezempilo ukuba lenze uhlelo lokwelapha oluqondiswe ngokususelwa ohlotsheni lwakho oluthile nobunzima bokulimala kwemisipha yezinzwa.
Ukuphathwa kokulimala kwemisipha yezinzwa ezingaphandle kugxile ekukhuthazeni ukuphulukisa, ukuphatha izimpawu, nokubuyisela umsebenzi. Indlela ihluka kuye ngohlobo nobunzima bokulimala kwakho, kodwa iningi lokwelapha alukho ukungena futhi lisebenza kakhulu.
Ukuphathwa okuqondile kuvame ukusebenza kahle ekulimaleni okuthambile kuya kokuphakathi. Lokhu kuhlanganisa ukuphumula emisebenzini ebangela ukulimala, imithi yokulwa nokuvuvukala, nokwenza umzimba ukuze ugcine amandla nokuguquguquka ngenkathi izinzwa ziyaphuka.
Udokotela wakho angase akukhuthaze imithi ethile yokuhlungu kwezinzwa, njenge-gabapentin noma i-pregabalin, esebenza ngokuhlukile kunokunciphisa ubuhlungu obujwayelekile. Le miithi iqondisa ngokuqondile ukungakhululeki okuphathelene nezinzwa.
Ukwenza umzimba kudlala indima ebalulekile ekuphulukiseni, kusiza ukugcina amandla emisipha nokuguquguquka kwesinhlangothi ngenkathi izinzwa zibuyela. Ukwenza umsebenzi kungakufundisa amasu okuzihlanganisa nemisebenzi yansuku zonke uma umsebenzi ugcine ukhulu.
Ngokulimala okunzima noma lezo ezingaphenduli ekwelapheni okuqondile, izinketho zokusebenza zingase zibe zidingekile. Lokhu kungase kuhlanganise ukulungisa izinzwa, ukufaka izinzwa, noma izinqubo zokunciphisa ukucindezela ezintweni ezincindezelwe.
Amasu amaningi okunakekelwa ekhaya angase asekele ukuphulukisa kwakho futhi akusize ukuphatha izimpawu ngenkathi izinzwa zakho ziyaphuka. Lezi zindlela zisebenza kangcono uma zihlanganiswe nokwelashwa kwezokwelapha kwezobuchwepheshe.
Ukwenza umzimba okuthambile nokulotsha kungasiza ukugcina ukuthambile nokugwema ukubamba. Udokotela wakho angakufundisa ukunyakaza okuthile okuphephile futhi okuzuzisayo ngokulimala kwakho okuthile.
Ukushisa nokubanda kungasiza ekuqedeni izimpawu. Ama-cold packs angasiza ekuqedeni ukuvuvukala nokunciphisa ubuhlungu, kanti ama-warm compresses angathuthukisa ukuhamba kwegazi nokunciphisa imisipha. Sebenzisa njalo isivikelo njengentawula ukuvikela isikhumba sakho.
Ukudla okufanele kusekela ukuphulukisa kwemisipha yezinzwa, ikakhulukazi ukudla okunama-B vitamins, ama-omega-3 fatty acids, nama-antioxidants. Hlala uthambile futhi cabanga ngokuxoxa ngokuthi ungasebenzisa amavithamini nodokotela wakho.
Amasu okulawula ukucindezeleka njengokucamngca, ukuphefumula okujulile, noma i-yoga ethambile kungasiza ekuqedeni ukuzwa ubuhlungu nokukhuthaza ukuphulukisa okuphelele. Ukulala okwanele kubalulekile ekubuyiseleni kwemisipha yezinzwa.
Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola izinzuzo eziningi ngesikhathi sakho nodokotela. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini eyenza zibe ngcono noma zimbi.
Dala uhlu lwemithi, izithasiselo, namavithamini owathatha. Faka noma yikuphi ukushintsha kwamuva kuhlelo lwakho lokwelapha, njengoba eminye imithi ingathinta umsebenzi wezinzwa.
Letha umlando ophelele wezokwelapha, kufaka phakathi noma yikuphi ukulimala kwamuva, ukuhlinzwa, noma izifo. Ungakhohlwa ukukhuluma ngomlando womndeni wezifo zezinzwa noma izimo ezihlobene njengesihlalo.
Bhala imibuzo ofuna ukuyibuza udokotela. Imibuzo evamile ingase ihlanganise isikhathi esilindelekile sokuphulukisa, ukumisa imisebenzi, nezibonakaliso ezixwayisa ezidinga ukunakekelwa ngokushesha.
Cabanga ngokuletha umngani othembekile noma ilungu lomndeni ukuze likukhumbuze ulwazi olubalulekile oluxoxwe ngesikhathi se-aphoyintimenti, ikakhulukazi uma uhlangabezana nobuhlungu noma ukukhathazeka.
Ukulimala kwemisipha yezinzwa ezingaphandle kuvame kakhulu kunalokho ongase ucabange, kodwa ukubuka kuvame ukuba kuhle ngokwelashwa okufanele. Iphuzu eliyinhloko ukuqaphela izimpawu ngokushesha nokufuna ukunakekelwa kwezokwelapha okufanele ngaphambi kokuba izinkinga zibe zimbi kakhulu.
Iningi labantu abalimele imisipha yezinzwa ezingaphandle libuyisela umsebenzi omkhulu, ikakhulukazi uma ukwelashwa kuqala ngokushesha. Ngisho nasezimeni lapho ukuphulukisa okuphelele kungenzeki, izindlela ezahlukene zokwelapha zingasiza ekuqedeni izimpawu nokwenza impilo ibe ngcono.
Khumbula ukuthi ukuphulukisa kwemisipha yezinzwa kuthatha isikhathi, ngokuvamile izinyanga kunamaviki. Yiba nesineke nenqubo futhi uhlale uqine ngohlelo lwakho lokwelapha, ngisho noma intuthuko ibonakala ihamba kancane.
Iqembu lakho lokunakekelwa kwezempilo lilapho ukuze likusize ekubuyiseleni. Unganqikazi ukuxhumana ngokukhululekile ngezimpawu zakho, ukukhathazeka, nemigomo yokwelapha ukuze uqinisekise ukuthi uthola ukunakekelwa okuhle kakhulu.
Ukuphulukisa kwemisipha yezinzwa ezingaphandle kuyahluka kakhulu kuye ngohlobo nobunzima bokulimala. Ukulimala okuncane kokucindezela kungase kuphele phakathi kwamasonto kuya emavikini, kanti ukulimala okunzima kakhulu kungathatha izinyanga eziningi kuya ngaphezu konyaka. Izinzwa ngokuvamile zibuyela ngesivinini esilinganiselwe ku-1 millimeter ngosuku, ngakho-ke ibanga elivela endaweni yokulimala liya endaweni yokuqondisa lithonya isikhathi sokuphulukisa.
Nakuba ukulimala okuningi kwemisipha yezinzwa ezingaphandle kungase kube nokushintsha okungapheli, abantu abaningi bayabuyisela umsebenzi omkhulu ngokwelashwa okufanele. Umphumela uyahluka kuye ngezinto ezifana nobunzima bokulimala, indawo, impilo yakho yonke, nokuthi ukwelashwa kuqala nini. Ngisho nalapho ukuphulukisa okuphelele kungenzeki, izindlela ezahlukene zokwelapha zingathuthukisa kakhulu izimpawu nomsebenzi.
Ubuhlungu bezinzwa ngokuvamile buzwakala buhlukile kunamanye ama-pain. Abantu ngokuvamile bayichaza njengokushisa, ukudubula, ukugwaza, noma ukuzwa njengokungathi kukhona ugesi. Ungase futhi ube nokuthungatha, ukuqina, noma ukuzwela okukhulu lapho ngisho nokubamba okulula kuzwakala kungakhululeki. Ubuhlungu bungase buye buze noma buhlale bukhona, futhi ngokuvamile bulandela indlela yenzwa ethintekile.
Ukudla okulinganiselayo kusekela impilo yezinzwa nokuphulukisa. Ukudla okunama-B vitamins (ikakhulukazi i-B12, i-B6, ne-folate) kuzuzisa kakhulu, kufaka phakathi imifino eluhlaza, amaqanda, izinhlanzi, nama-cereals aqinisiwe. Ama-omega-3 fatty acids avela izinhlanzini, ama-walnuts, nama-flaxseeds angasiza ekuqedeni ukuvuvukala. Ukudla okunama-antioxidants njenge-berries nemifino enemibala ehlukahlukene futhi kusekela impilo yonke yezinzwa.
Izincomo zokwenza umzimba ziyahluka kuye ngokulimala kwakho okuthile nezimpawu. Nakuba kufanele ugweme imisebenzi ebangela ukulimala kwakho, ukunyakaza okuthambile nemisebenzi efanele ngokuvamile kusiza ukugcina umsebenzi nokukhuthaza ukuphulukisa. Ukwenza umzimba kungakunikeza imisebenzi ephephile, eqondiswe ngqo esimweni sakho. Xhumana njalo nodokotela wakho ngaphambi kokuthi uqale noma yiluphi uhlelo lokwenza umzimba ngesikhathi sokuphulukisa.
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