I-Meralgia paresthetica yinkinga engabangela ubuhlungu obuvuthayo futhi iguqulwe ngaphezu nangaphambili kwethanga. Kukhona isisindo esidlula ngaphesheya komkhawulo wesikhumba futhi phansi phansi kwethanga. Le nerve, ebizwa ngokuthi i-lateral femal cutaneous nererve, inikeza ubuchopho ngolwazi mayelana nokuzwela ngaphesheya nangaphandle kwethanga.
Izimbangela
I-Meralgia paresthetica yisimo esibangelwa ukucindezelwa kwe-femal lateral. Kungaba nezimbangela eziningana kule nkinga, kodwa kubonakala njalo ekukhulelweni, abantu abazithokozisa ngokuzumayo, iziguli ezigqoka izingubo eziqinile noma amabhande, nezinye izimo ezithile.
Ngezinye izikhathi, i-meralgia paresthetica ingabangelwa ukwelashwa okuhlukahlukene. Isibonelo, lesi sifo ngezinye izikhathi sibonakala ngemuva kokuba iziguli zihlinzekwe futhi zisesikhundleni esingavamile isikhathi eside lapho kunokucindezelwa kwangaphandle kwangaphandle kwesibindi. Enye imbangela yokuhlinzeka uma i-nerve ibhidlika ngenkathi yenza enye inqubo yokuhlinza. Lokhu kungenzeka uma ukutholakala kwamathambo kutholakala ekhanda, noma phakathi nezinqubo ezithile zokuhlinza ezifana nokuhlinzwa okuqhubekayo kwe-hip esikhundleni .
Izimpawu Nezibonakaliso
Abantu abane-meralgia paresthetica bangase bakhononde ezinye noma zonke izimpawu ezilandelayo:
- Ubuhlungu noma ukushisa ngaphandle kwethanga
- Ubungcweti ngaphandle kwethanga
- Ukuzwela ukuthinta ukukhanya ngaphandle kwethanga
- Ukuphulukisa izimpawu ngezikhundla ezithile
- Izimpawu ezikhulayo lapho sigqoke amabhande amancane, amabhande omsebenzi, noma izingubo eziqinile
- Inzuzo yesimanje yakamuva noma ukukhulelwa
Izimpawu zingase zibe yisikhathi (okusho ukuthi ziza futhi zihambe) noma zingase ziphikelele.
Kwamanye abantu, azibonakali nakancane, kanti kwabanye bakhathazeka kakhulu. Iningi labantu lithi ngenkathi bengathandi izimpawu, akuthinti impilo noma imisebenzi yabo noma kubangela ubuhlungu obukhulu. Kulezi zimo, imithi ngokuvamile igcinwa elula. Kodwa-ke, kukhona abanye abahlukunyezwa kakhulu yizimpawu ze-meralgia, futhi laba yibo abangase badinge ukwelashwa okunamandla.
Ukwelapha
Kuxhomeke ukuthi yiziphi zezici ezingase zibe negalelo ezimpawu zakho. Uma imbangela ingenxa yokugqoka okunamandla, amabhande, noma amabhande omsebenzi, bese ulungisa lezi zingubo kufanele unciphise izimpawu zakho. Iziguli ezikhulelwe zivame ukuxazulula ngokuphelele izimpawu zabo emva kokubeletha. Uma ukucutshungulwa kwesisindo samanje kucatshangelwa ukuthi kube nomthelela esimweni, khona-ke uhlelo lokulahlekelwa isisindo lunganconywa. Ngenkathi lezi zinyathelo zivame kunzima kakhulu (ukulinda ukulethwa noma umntwana noma ukunciphisa umzimba) ziyizo zokwelashwa eziphumelela kakhulu. Iningi labantu lithola ukukhululeka okukhulu lapho isisindo sinenkinga encane kuso.
Uma izinyathelo ezilula zinganciphisi izimpawu zakho ze-meralgia paresthetica, khona-ke umjovo we- cortisone oseduze nentshonalanga ungasiza. Umgomo wokujova i-cortisone ukunciphisa ukuvuvukala okungase kube negalelo ekucindezelweni kwenzalo.
Ama-injection ka-Cortisone angase abe ukwelashwa okucacile (okusho ukuthi inkinga iya ngemuva kokudubula), noma kungase kube ukwelashwa okwesikhashana. Kodwa-ke, ngisho noma ukwelashwa kungokwengqayizivele, kungase kube usizo. Uma i-cortisone idubula iyasiza, kodwa izimpawu zibuya, laba yibo abangase bazuze ekunakekeleni ukwelashwa.
Ukuhlinzwa akudingeki ukuba ukwelashwa kwe-meralgia paresthetica. Kuphela uma yonke imithi yokwelashwa ingalutholi usizo, inqubo yokuhlinzwa ingacatshangwa. Udokotela wakho ohlinzayo wayezohlakaza futhi abone inzwa, afune izindawo zokucindezela, bese uzama ukukhulula inzwa kusuka kunoma yiziphi izindawo lapho zingase zikhonjiwe khona.
Ngaphandle kwalokho, abanye odokotela abahlinzayo bagxilile (ukusika) inzwa, ukuze kungabe kungabangela izinkinga. Uma inqubo ye-transection isenziwa, uzoba nendawo engapheli yokugwedla phambili kwethanga.
> Umthombo:
> Grossman MG, et al. "I-Meralgia Pesthetica: Ukuxilongwa Nezokwelapha" J Am Acad Orthop Surg, Vol 9, No 5, September / Okthoba 2001, 336-344.