Koj puas muaj hom mob hlab ntsha (Neuropathic Pain) no? Cia peb tham txog nws!

Puas muaj tej lub sij hawm koj lub cev mob lossis loog tsis muaj laj thawj dab tsi li? Zoo li hluav taws xob poob, lossis kub hnyiab, lossis raug mob? Cov no tsis yog tsuas yog xav xwb. Qhov no hu ua mob hlab ntsha, lossis mob neuropathic . Cia peb tham txog qhov no kom meej me ntsis hnub no, vim nws tuaj yeem cuam tshuam rau ntau tus neeg.

Mob Neuropathic yog dab tsi?

Hais yooj yim xwb, mob hlab ntsha yog qhov mob uas tshwm sim los ntawm kev ua haujlwm tsis zoo lossis kev puas tsuaj rau peb lub paj hlwb. Koj puas paub tias peb muaj cov hlab ntsha no thoob plaws peb lub cev? Lawv zoo li cov xov hlau uas nqa cov ntaub ntawv thoob plaws peb lub cev. Lub paj hlwb no muab faib ua ob ntu tseem ceeb. Ib qho yog lub paj hlwb hauv nruab nrab . Qhov no suav nrog peb lub hlwb, tus txha caj qaum, thiab cov hlab ntsha. Qhov tod tes yog lub paj hlwb peripheral . Cov hlab ntsha no tau faib thoob plaws hauv peb lub cev, suav nrog peb txhais ceg, ntiv tes, thiab txawm tias peb cov kabmob sab hauv.

Yog li ntawd, thaum muaj ib yam dab tsi ua rau cov hlab ntsha no puas tsuaj, lawv pib xa cov cim tsis raug mus rau peb qhov chaw mob. Thaum ntawd peb hnov ​​​​​​qhov mob hlab ntsha no uas tsis tuaj yeem ua tau. Qee zaum, tsis yog tsuas yog thaj chaw uas cov hlab ntsha raug puas tsuaj xwb, tab sis peb lub paj hlwb hauv nruab nrab kuj tuaj yeem hloov pauv. Qhov no hu ua "central sensitization" hauv cov lus kho mob.

Tej zaum koj twb tau hnov ​​lo lus 'Neuropathy' lawm. Nws txhais tau tias muaj kev cuam tshuam lossis kev hloov pauv hauv kev ua haujlwm ntawm ib lossis ntau lub paj hlwb. Koj puas paub tias kwv yees li 30% ntawm cov mob 'neuropathy' no yog los ntawm ntshav qab zib mellitus . Txawm li cas los xij, muaj ntau pua lwm yam kab mob uas tuaj yeem ua rau qhov no. Piv txwv li, cov kab mob xws li 'shingles', 'HIV/AIDS', thiab kev haus dej cawv kuj tuaj yeem cuam tshuam rau qhov no.

Cov tsos mob ntawm tus mob hlab ntsha no yog dab tsi?

Mob hlab ntsha tsis zoo ib yam rau txhua tus, tab sis muaj qee cov tsos mob uas pom ntau:

• Mob yam tsis muaj kev cia siab: Qhov no qee zaum yuav zoo li kub hnyiab, mob raug chob, lossis raug hluav taws xob poob. Ib txhia neeg yuav muaj kev loog lossis xav tias "mob heev".
• Allodynia: Qhov no txawv me ntsis. Xav txog, yog tias koj muaj cua tshuab maj mam hla koj daim tawv nqaij, lossis ib tug neeg maj mam kov koj, lossis ib yam dab tsi uas feem ntau tsis ua rau mob, koj hnov ​​​​​​mob heev. Ntawd yog qhov allodynia yog. Nws yog qhov rhiab heev rau kov .
• Kev qaug zog ntau dhau:Qhov uas tshwm sim hauv qhov no yog qee yam uas feem ntau mob me ntsis, zoo li raug koob me me chob, dhau los ua qhov mob uas tsis tuaj yeem ua tau. Yog li ntawd, nws mob ntau dua li qhov nws yuav tsum tau ua .
• Hypoalgesia: Qhov no yog qhov txawv. Ib yam dab tsi uas feem ntau yuav mob, zoo li koob chob, ua rau koj tsis mob heev , lossis tej zaum tsis mob kiag li.
• Kev tsis hnov ​​​​​​lus zoo: Qhov no txhais tau tias koj yuav muaj kev hnov ​​​​​​mob txawv txawv, tsis zoo siab, thiab qee zaum mob yam tsis muaj laj thawj. Ib txhia neeg yuav xav tias cov kab nkag mus rau hauv lawv lub cev, lossis zoo li cov dej poob.
• Tsis tsaug zog: Muaj coob tus neeg muaj teeb meem pw tsaug zog vim qhov mob no. Thaum pw tsaug zog tsis zoo, qhov mob kuj tuaj yeem ua rau muaj kev ntxhov siab ntxiv.

Vim li cas peb thiaj mob cov hlab ntsha li no? Dab tsi yog cov ua rau mob?

Muaj ntau yam ua rau mob hlab ntsha no. Cia peb saib cov laj thawj tseem ceeb:

• Kev siv cawv tsis zoo: Cov neeg uas haus cawv ntau dhau tuaj yeem raug kev puas tsuaj rau cov hlab ntsha thiab mob zoo li no.
• Kab mob ntshav qab zib: Kab mob ntshav qab zib yog ib qho teeb meem uas ntau tus neeg hauv Sri Lanka muaj. Koj puas paub tias yog tsis tswj tau zoo, kab mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas tsuaj thiab ua rau mob zoo li no? Yog vim li ntawd cov neeg uas muaj kab mob ntshav qab zib yuav tsum ceev faj txog lawv cov ntshav qab zib, tshwj xeeb tshaj yog lawv txhais taw.
• Cov mob ntawm cov hlab ntsha ntawm lub ntsej muag: Qee zaum qhov mob no kuj tuaj yeem tshwm sim los ntawm cov kab mob uas cuam tshuam rau cov hlab ntsha ntawm lub ntsej muag.
• HIV/AIDS: Tus kab mob no kuj tseem tuaj yeem cuam tshuam rau lub paj hlwb thiab ua rau mob.
• Cov kab mob hauv lub paj hlwb: Piv txwv li, cov kab mob xws li mob stroke, Parkinson's kab mob, thiab multiple sclerosis (MS) kuj tuaj yeem ua rau mob hlab ntsha.
• Mob hnyav hauv cheeb tsam: Qhov no kuj yog ib qho ua rau mob hlab ntsha.
• Kab mob shingles: Kab mob qhua pias yog lwm yam ua rau mob. Nws tshwm sim rau cov neeg uas tau mob qaib ntxhw thaum lawv tseem yog menyuam yaus. Cov pob khaus no, nrog rau cov pob liab liab, qee zaum tuaj yeem nyob ntev li ntau lub hlis lossis ntau xyoo.

Ntxiv rau qhov no, muaj lwm yam laj thawj:

• Cov tshuaj kho mob qog noj ntshav: Qee cov tshuaj kho mob qog noj ntshav, xws li cisplatin, paclitaxel, thiab vincristine, kuj tuaj yeem ua rau cov hlab ntsha puas tsuaj.
• Kev kho mob hluav taws xob: Kev kho mob hluav taws xob rau mob qog noj ntshav kuj tseem tuaj yeem ua rau mob hlab ntsha.
• Kev Poob Ib Sab Tes (Amputation):`Thaum ib ceg raug phais tshem tawm, qhov mob ntawm ceg uas tsis pom tseeb yuav tshwm sim. Qhov no kuj yog qhov mob ntawm cov hlab ntsha.
• Kev nias ntawm cov hlab ntsha hauv peb lub pob txha caj qaum lossis o: Qhov mob no kuj tuaj yeem tshwm sim yog tias cov hlab ntsha hauv peb lub pob txha caj qaum raug nias.
• Kev raug mob lossis kev phais mob uas ua rau cov hlab ntsha puas tsuaj: Kev puas tsuaj rau cov hlab ntsha tuaj yeem tshwm sim tom qab muaj xwm txheej loj lossis kev phais mob.
• Cov qog nqaij hlav uas nias rau ntawm cov hlab ntsha: Yog tias ib qho qog nqaij hlav tsim nyob rau hauv lub cev thiab nias rau ntawm cov hlab ntsha, qhov ntawd kuj tuaj yeem ua rau mob.

Cov kws kho mob paub qhov no li cas?

Thaum koj mus ntsib kws kho mob, lawv yuav nug txog koj keeb kwm kev kho mob ua ntej thiab tom qab ntawd kuaj lub cev. Yog tias tus kws kho mob xav tias koj muaj kev puas tsuaj rau cov hlab ntsha, lawv yuav nrhiav cov tsos mob uas cuam tshuam nrog kev mob hlab ntsha. Tom qab ntawd lawv yuav sim nrhiav qhov ua rau mob. Qee zaum lawv kuj yuav tsum tau kuaj ntshav thiab luam theej duab.

Cov kev kho mob rau qhov no yog dab tsi?

Tam sim no cia peb saib cov kev kho mob rau qhov mob hlab ntsha no. Qhov tseeb, kev kho rau qhov no nyob ntawm qhov ua rau thiab koj cov tsos mob. Koj tus kws kho mob yuav tsim ib txoj kev npaj kho mob uas ua haujlwm zoo tshaj plaws rau koj.

Lub hom phiaj tseem ceeb ntawm kev kho mob yog:

• Kev Kho Mob Tus Kab Mob Tseem Ceeb: Piv txwv li, yog tias muaj qog nqaij hlav nias rau ntawm cov hlab ntsha, kev kho mob hluav taws xob lossis phais mob siv tau los ua kom qog nqaij hlav me dua.
• Kev txo qhov mob .
• Tswj kev ua haujlwm .
• Txhim kho koj lub neej zoo .

Feem ntau, yuav tsum muaj ntau yam kev kho mob ua ke los tswj qhov mob ntawm cov hlab ntsha no, es tsis yog tsuas yog ib qho kev kho mob xwb. Cov kev kho mob no yuav muaj xws li:

Cov tshuaj kho mob

• Cov tshuaj tua mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj (OTC): Cov tshuaj xws li acetaminophen thiab ibuprofen tuaj yeem pab txo qhov mob me ntsis.
• Cov tshuaj tiv thaiv kev qaug dab peg: Tsis paub meej tias vim li cas cov tshuaj no thiaj ua haujlwm zoo rau kev mob hlab ntsha, tab sis qee tus neeg pom tias lawv pab tau zoo heev. Lawv xav tias cov tshuaj no cuam tshuam rau lub cev cov cim qhia mob.
• Cov tshuaj tiv thaiv kev nyuaj siab:Tam sim no koj yuav xav tias, 'Auj, kuv mob hlab ntsha, vim li cas kuv thiaj li tau txais tshuaj rau kev nyuaj siab?' Qhov tseeb, kev ntxhov siab thiab kev nyuaj siab tuaj yeem ua rau mob hlab ntsha hnyav dua. Tsis tas li ntawd, qee cov tshuaj antidepressants tau pom tias pab txo qhov mob hlab ntsha. Qhov no txhais tau tias cov tshuaj no muab kev pab los ntawm kev mob thiab kev ntxhov siab tib lub sijhawm.
• Kev Kho Mob Sab Nraud: Cov tshuaj pleev, tshuaj pleev, lossis cov ntaub nplaum uas muaj lidocaine lossis capsaicin tuaj yeem siv ncaj qha rau ntawm qhov chaw mob. Cov no ua rau mob ib ntus.

Lwm yam kev kho mob

• Cov hlab ntsha txhaws: Cov no yog cov kev kho mob uas muab ua tshuaj txhaj. Lawv muab rau ze ntawm cov hlab ntsha mob lossis pawg ntawm cov hlab ntsha. Qhov no kuj tseem tuaj yeem txo qhov mob ib ntus.
• Kev Kho Mob Lub Cev: Qhov no tuaj yeem pab txo qhov mob thiab tsis xis nyob uas tshwm sim los ntawm kev mob ntawm cov hlab ntsha. Nws kuj tseem tuaj yeem pab lub cev tsim cov tshuaj uas txo qhov mob. Qhov no suav nrog ntau yam kev zaws thiab kev tawm dag zog.
• Kev Phais Mob: Qee zaum, kev phais mob kuj tseem tuaj yeem pab txo qhov mob ntawm cov hlab ntsha. Tus kws phais mob tuaj yeem tso, kho, lossis tshem tawm qee cov hlab ntsha.
• Kev sab laj txog kev puas siab puas ntsws: Ntxiv rau kev kho mob, koj kuj tseem yuav tau txais txiaj ntsig los ntawm kev sab laj txog kev puas siab puas ntsws. Qhov no tuaj yeem pab koj daws qhov kev ntxhov siab uas tshwm sim los ntawm kev mob hlab ntsha.

Yog tias cov kev kho mob no tsis pab txo qhov mob ntawm koj cov hlab ntsha, koj tus kws kho mob yuav pom zoo kom siv cov kev kho mob xws li kev siv tshuaj kho mob rau cov hlab ntsha hauv lub paj hlwb, kev siv tshuaj kho mob rau cov hlab ntsha hauv lub paj hlwb, lossis kev siv tshuaj kho mob rau lub hlwb. Koj tus kws kho mob yuav nrog koj tham txog qhov zoo thiab qhov tsis zoo ntawm cov kev kho mob no.

Puas muaj txoj hauv kev kom tsis txhob mob hlab ntsha?

Txawm hais tias peb tsis tuaj yeem tiv thaiv qhov mob ntawm cov hlab ntsha, muaj ob peb yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo:

• Yog koj haus luam yeeb, tso tseg. Qhov no yog qhov zoo tshaj plaws uas koj ua tau.
• Tsim kom muaj kev tawm dag zog tsis tu ncua uas haum rau koj.
• Noj ntau yam txiv hmab txiv ntoo tshiab, zaub, taum pauv, cov nplej tag nrho, thiab cov protein uas tsis muaj roj ntau (xws li ntses thiab nqaij qaib) rau hauv koj cov zaub mov noj.
• Yog koj haus cawv, ces tsis txhob haus ntau dhau.
• Yog koj muaj ntshav qab zib, xyuas koj cov ntshav qab zib tsis tu ncua, thiab saib xyuas koj ob txhais taw tshwj xeeb. Txawm tias qhov txhab me me tuaj yeem ua teeb meem loj.

Qhov teeb meem no loj npaum li cas? Yuav muaj dab tsi tshwm sim rau yav tom ntej?

Kev kho mob qhov mob ntawm cov hlab ntsha qee zaum yuav nyuaj, tab sis feem ntau nws tsis yog qhov txaus ntshai rau lub neej.Cov txiaj ntsig zoo tshaj plaws yog ua tiav los ntawm kev txhawb nqa koj lub hlwb, kev sib raug zoo, thiab kev xav zoo nrog rau kev kho kom rov zoo. Qhov tseem ceeb ntawm no yog tswj qhov mob thiab txhim kho koj lub neej zoo, nrog kev pab los ntawm tus kws tshwj xeeb txog kev mob, siv cov txheej txheem uas tau hais los saum toj no.

Thaum twg peb yuav tsum mus ntsib kws kho mob?

Yog koj muaj cov tsos mob uas qhia tias koj cov hlab ntsha raug mob, mus ntsib kws kho mob:

• Kev tsis muaj zog
• Kev khaus khaus
• Cov leeg tsis muaj zog
• Zoo li koj lub cev co tsis tswj tau (Kev co tsis tswj tau)
• Yog tias tej yam hauv koj txhais tes feem ntau poob rau hauv av '(Feem ntau poob tej yam khoom)'

Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ?

Yog tias koj mob hnyav, tsis muaj zog, lossis tsis muaj zog, thiab zoo li nws zuj zus tuaj sai sai, koj yuav tsum mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd. Cov no yuav yog cov cim qhia tias cov hlab ntsha puas tsuaj loj heev. Lwm cov tsos mob hnyav suav nrog:

• Lub plawv dhia ceev lossis tsis xwm yeem
• Kev hloov pauv hauv koj tus cwj pwm hauv chav dej (piv txwv li, nyuaj rau tso zis)
• Kiv taub hau los yog tsaus muag

Feem ntau, qhov mob no zoo li cas?

Muaj coob tus neeg piav txog qhov mob ntawm cov hlab ntsha zoo li qhov mob uas raug chob, chob, lossis kub hnyiab . Ib txhia kuj yuav hnov ​​​​​​zoo li raug hluav taws xob poob.

Mob hlab ntsha hom twg feem ntau yog?

Txawm hais tias muaj ntau hom mob hlab ntsha, tab sis tsuas yog 30% ntawm tag nrho cov mob uas cuam tshuam nrog ntshav qab zib yog cov mob neuropathy xwb.

Mob hlab ntsha tuaj yeem mob thiab ploj mus, lossis nws tuaj yeem mob tas li, mob tsis tuaj yeem ua tau. Nws tuaj yeem mob me me lossis mob hnyav. Nws tuaj yeem cuam tshuam rau txhua qhov ntawm lub cev. Txawm hais tias mob hlab ntsha feem ntau tsis txaus ntshai, nws tuaj yeem muaj kev cuam tshuam loj rau koj lub neej. Yog tias koj muaj mob hlab ntsha hnyav, lossis yog tias qhov mob tsis ploj mus, nco ntsoov mus ntsib kws kho mob. Nws tuaj yeem nrhiav tau qhov ua rau thiab qhia koj tias kev kho mob twg yog qhov zoo rau koj.

Thaum kawg, tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li, los ntawm qhov peb tau tham txog hnub no, kuv vam tias koj tau nkag siab zoo dua txog qhov mob neuropathic.

Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob yog tias koj muaj cov tsos mob no, thiab tsis txhob tsuas yog tsis quav ntsej lawv xwb. Qee zaum, qhov no tuaj yeem yog ib qho tsos mob ntawm lwm yam mob. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav qhov ua rau muaj qhov teeb meem thiab pib kho sai li sai tau.

Nco ntsoov tias, koj tsis yog tib tug xwb. Muaj ntau tus kws kho mob thiab kev kho mob uas tuaj yeem pab tau rau cov xwm txheej no. Tsis txhob ntshai, nyob ruaj khov, thiab ntsib qhov no.

Mob hlab ntsha, mob neuropathic, Mob Neuropathic, Mob hlab ntsha, Mob ntshav qab zib, Mob loog, o