Emikono n’ebigere biwulira nga biwunya oba nga byokya? Kino kiyinza okuba Small Fiber Neuropathy!

Wali owuliddeko okuwunya mu ngalo n’ebigere, oba okuwunya ng’enseenene eziseeyeeya mu ngalo n’ebigere? Tomala gagoba bubonero buno ng’ekintu ekimala okubaawo, nedda? Kubanga oluusi wayinza okubaawo embeera emabega w’obubonero buno eyeetaaga okufaayo. Leero, tugenda kwogera ku mbeera eyitibwa Small Fiber Neuropathy (SFN) , ebaawo ng’obusimu obutono mu mubiri gwaffe gwonoonese.

Kale, Small Fiber Neuropathy kye ki?

Mu ngeri ennyangu, eno mbeera ya busimu esangibwa mu kiti ky’obulwadde bw’obusimu obuyitibwa peripheral neuropathy . Embeera eno ebaawo ng’obusimu obutono ennyo obutonotono mu lususu lwaffe obwonooneddwa olw’ensonga ezimu. Obuwuzi buno obutono obw’obusimu bwe buweereza obubonero eri obwongo obukwata ku bulumi n’ebbugumu ly’omubiri gwaffe. Kale bino bwe byonooneddwa, nga bwe kyayogeddwako emabegako, okuziyira n’okwokya obulumi bisobola okubaawo mu ngalo n’ebigere.

Wabula kino tekikosa mikono na bigere byokka. Era kiyinza okukosa obusimu obulala obutono obufuga emirimu emikulu mu mubiri gwaffe, gamba nga puleesa n’okukuba kw’omutima .

Obubonero buno obwa SFN oluusi buyinza okuba obw’amaanyi ennyo, era buyinza okuba n’akakwate akakulu ku mutindo gw’obulamu bwo . Wadde nga eno si mbeera ya maanyi, eyinza okutta omuntu, oluusi eyinza okuba akabonero k’embeera endala ey’amaanyi. Eno y’ensonga lwaki abasawo bagezaako okuzuula ekivaako embeera eno, ne bagijjanjaba, era ne bawandiika n’eddagala erifuga obubonero buno obuluma.

Embeera eno ya bulijjo etya?

Mu butuufu, eno si mbeera ya bulijjo nnyo. Okusinziira ku kunoonyereza okumu, abantu nga 53 ku buli bantu 100,000 mu nsi yonna balina obulwadde bw’obusimu obuyitibwa small fiber neuropathy. Kyokka, abanoonyereza balowooza nti omuwendo guno guyinza okuba nga gusingako nnyo. Balowooza nti si buli muntu alina obulwadde buno nti azuulibwa bulungi. Kale, mpozzi abantu bangi abalina ekizibu kino okusinga bwe tulowooza.

Bubonero ki obw’obulwadde bw’obusimu obuyitibwa small fiber neuropathy (SFN)?

Obubonero bw’embeera eno buyinza okwawukana okusinziira ku muntu. Wabula obubonero obusooka obusinga okulabika bwe bulumwa "pins-and-needles" oba okwokya mu ngalo n'ebigere. Obubonero buno oluusi bujja ne bugenda, oluusi buba buli kiseera, era emirundi mingi bweyongera okumala ekiseera.

Obubonero obulala obuyinza okulabibwa mulimu:

• Feeling dizzy , oba nga ogenda okuzirika.
• Okuwulira ng’omutima gwo gukuba mangu (omutima okukuba) .
• Okuzirika .
• Obutasobola kuwulira bulumi, ebbugumu oba ennyonta mu kitundu ekitono eky’omubiri.
• Okuzimba mu lubuto , obutagaaya mmere.
• Okutuuyana okusinga ku bulijjo.

Teebereza engeri gye kyandibadde ekinyiiza singa owulira ng’emikono n’ebigere bikufumita emiggo, oba wadde okukuma omuliro, ne bw’oba ​​otudde awo.

Lwaki tufuna obulwadde bw’obusimu obuyitibwa small fiber neuropathy (SFN)? Biki ebivaako?

Ekyewuunyisa, nga kitundu ku balwadde ba small fiber neuropathy babaawo awatali nsonga etegeerekeka . Abasawo kino bakiyita " idiopathic small fiber neuropathy." Ekyo kitegeeza nti ekituufu ekivaako tekisobola kuzuulibwa.

Kyokka okunoonyereza kuzudde nti endwadde ez’enjawulo, embeera ezimu ez’obuzaale, n’okukwatibwa obutwa obumu nabyo bisobola okuvaako kino.

Embeera eno era eyinza okuva ku ndwadde ezimu.

Obulwadde bwa sukaali bwe bulwadde obusinga era obusinga okukosa kino. Ng’oggyeeko ekyo, endwadde zino wammanga nazo zoolekedde okuleeta SFN:

• Obuzibu mu kunywa omwenge .
• Endwadde ezireetebwa abaserikale b’omubiri okunafuwa, okugeza , obulwadde bwa Celiac , Sarcoidosis , oba Sjögren’s syndrome .
• Okukosa enkyukakyuka mu mubiri gwa glucose (Okulemererwa obutagumira glucose) .
• Endwadde ezimu ezisiigibwa, okugeza Hepatitis C oba siriimu (Human Immunodeficiency Virus) .
• Obulwadde bwa metabolic syndrome .
• Obulwadde bwa thyroid .
• Obulwadde bwa Sepsis bulwadde bwa maanyi.
• Obutabeera na vitamiini B.

Era kiyinza okuba nga kiva ku mbeera ezimu ez’obuzaale.

Enkyukakyuka mu buzaale mu buzaale obuyamba obutoffaali bwaffe okukola n’okusindika obubonero bw’amasannyalaze okuyita mu nkola y’obusimu nazo zisobola okuleeta SFN. Ezimu ku ndwadde endala ez’obuzaale mulimu:

• Obulwadde bwa Ehlers-Danlos
• Obulwadde bwa Fabry
• Obulwadde bwa amyloidosis mu maka
• Obulwadde bwa Pompe
• Obulwadde bwa Porphyria
• Obulwadde bwa Wilson

Eddagala erimu n'obutwa...

Obulabe bw’okulwala obulwadde bw’obusimu obuyitibwa small fiber neuropathy nagwo buyinza okweyongera ng’okozesa eddagala erimu. Eby’okulabirako:

• Eddagala erimu eritta obuwuka , okugeza , Metronidazole , Nitrofurantoin, ne Linezolid .
• Eddagala erijjanjaba eddagala , nga Bortezomib , Thalidomide , ne Vincristine (Oncovin) .
• Ebiziyiza ensonga y'okufa kw'ekizimba okugeza etanercept .

Bintu ki ebyonoona obubonero? (Ebivaako)

Ebiseera ebisinga, ebintu ebiyinza okuleeta obubonero buno kwe mpewo ennyogovu okukuba olususu , oba ekitundu ky’olugoye okusiiga ku lususu . Teebereza, singa osula ekiro ate nga n’ebitanda bikusika ku magulu, wandiwulidde okuziyira n’obulumi obutagumiikiriza... N’ekintu ekitono ng’ekyo kiyinza okuleeta obulumi obw’amaanyi eri abantu bano.

Bizibu ki ebiva mu mbeera eno? Nsaanidde okweraliikirira?

Obulwadde bw’obusimu obuyitibwa Small fiber neuropathy busobola okukendeeza ku busobozi bwo obw’okuwulira obulumi. Ng’ekyokulabirako, singa okwata ku kintu ekyokya mu butanwa, otera okwokya nga totegedde. Era kiyinza okukuziyira n'okukosa entambula yo . Kale, otera okugwa, nedda? N’olwekyo naawe olina okwegendereza ebintu bino.

Omusawo akizuula atya kino? (Okuzuula obulwadde)

Omusawo ajja kusooka kwekebejja omubiri n'okubuuza ku byafaayo byo eby'obujjanjabi . Tewali kukebera kumu kuyinza kuzuula bulungi bulwadde bwa small fiber neuropathy. Kyokka waliwo ebigezo ebiwerako ebitera okukolebwa:

• Electromyography (EMG) : Eno egezesa enkola y’amasannyalaze mu busimu n’ebinywa.
• Okukebera obuzaale : Kebera oba kiva ku buzaale.
• Okukebera ebifaananyi : Ebintu nga CT scans oba MRI scans .
• Okunoonyereza ku kutambuza obusimu : Laba sipiidi obubonero bwe butambula okuyita mu busimu.
• Skin biopsy - nerve fiber density tests : Akatundu akatono ak’olususu kakwatibwa ne kakeberebwa wansi wa microscope okulaba obuwuzi bw’obusimu bwe buli.
• Quantitative Sudomotor Axon Reflex Test (QSART) : Kino kigezesa emirimu gy’obusimu obufuga entuuyo.

Okugatta ku ekyo, abasawo bayinza n’okukebera embeera endala, gamba nga ssukaali, eziyinza okuba nga zireeta obulwadde bw’obusimu obuyitibwa small fiber neuropathy.

Bujjanjabi ki obukolebwa ku kino? Kisobola okuwona?

Abasawo bwe baba bajjanjaba embeera eno, okusinga essira balitadde ku kukendeeza ku bulumi obuva mu mbeera eno.Eddagala n’obujjanjabi obulala buliwo. Obulwadde bw’obusimu obutono obuyitibwa Small fiber neuropathy butera okuba ekizibu ky’embeera endala, n’olwekyo kikulu okujjanjaba n’embeera eyo .

Eddagala eriweweeza ku bulumi

Waliwo ebika by’eddagala ebiwerako ebiyinza okukozesebwa okufuga obulumi:

• Eddagala erimu eriziyiza okukonziba , nga Gabapentin , Pregabalin , ne Topiramate , liyinza okuyamba okukendeeza ku bulumi bw’obusimu.
• Eddagala erimu eriweweeza ku kweraliikirira , gamba nga amitriptyline , nortriptyline , ne desipramine , nalyo birungi ku bulumi bw’obusimu.
• Eddagala eribudamya ku mubiri : Okugeza , ebizigo bya lidocaine oba ebizigo bya capsaicin . Bino biwa obuweerero bw’obisiiga mu kifo ekiruma.

Jjukira nti kikulu nnyo okukozesa eddagala nga bwe liragiddwa ddala omusawo.

Kiki ky’oyinza okusuubira ng’obeera n’embeera eno?

Small fiber neuropathy ekula mpola nnyo . Oluusi obubonero buyinza okweyongera ate ne busigala bwe bumu okumala emyaka. Okunoonyereza okumu kwazuula nti abantu wakati wa 13% ne 36% abalina obulwadde bw’obusimu obutono (small fiber neuropathy) okukkakkana nga bafunye obulwadde bw’obusimu obuyitibwa large fiber neuropathy, embeera ekosa obusimu obunene . Kino kiyinza okuvaako okubulwa okuwulira, gamba ng’okuwulira ng’okwatako n’okukankana, ng’olinga ayambadde ggalavu.

Enteebereza yo oluvannyuma lw’okujjanjabwa esinziira ku kivaako SFN yo. Okugeza bw’oba ​​olina obulwadde bwa sukaali, ojja kwetaaga okumira eddagala lya sukaali obulamu bwo bwonna. Kale, yogerako n’omusawo wo ku mbeera yo n’engeri obujjanjabi gye buyinza okuyamba okufuga obulumi bwo n’obubonero obulala.

Kino kikwata ku bulamu bw’omuntu?

Nedda, obulwadde bw’obusimu obuyitibwa small fiber neuropathy bwennyini tebujja kukendeeza ku bulamu bwo . Kyokka singa wabaawo embeera ebasibukako ebuleeta, gamba nga ssukaali oba siriimu, kiyinza okukosa ebbanga ly’owangaala.

Nze nneerabirira ntya?

Ekimu ku bintu ebikulu by’oyinza okukola okwerabirira kwe kuddukanya obulumi obuva ku bulwadde bw’obusimu obuyitibwa small fiber neuropathy. Omusawo wo ajja kukuwa eddagala eriweweeza ku bulumi, naye era oyinza okwagala okulowooza ku nteekateeka z’okukendeeza ku bulumi . Mu bino biyinza okuli okubudaabudibwa n’okujjanjaba, okukola dduyiro, n’okukola masaagi oba okujjanjaba omubiri.

Ddi lwe nsaanidde okuddamu okulaba omusawo?

Obubonero bw’obulwadde bw’obusimu obuyitibwa Small fiber neuropathy busobola okukyuka ne bweyongera okusajjuka oluvannyuma lw’ekiseera. Bw’oba ​​olina SFN, tegeeza omusawo wo bw’olaba obubonero obwatandikira mu kitundu ekimu eky’omubiri n’oluvannyuma ne bulabika mu kitundu ekirala. Okugeza nga:

• Singa obulumi "obulinga omuggo" mu magulu gange kati busobola okuwulirwa mu ngalo zange nange.
• Singa emirundi gy’obulumi gyeyongedde, oba singa obulumi bweyongedde.
• Singa wabaawo obubonero obupya, gamba ng’okuziyira oba okukaluubirirwa okutambula.

Kirungi okulaba omusawo amangu mu biseera nga bino.

Bibuuzo ki ebikulu by’olina okubuuza omusawo?

Bw’ogenda okulaba omusawo, jjukira okubuuza ebibuuzo bino:

• Kiki ekivaako obubonero bwange?
• Obubonero bwange bunaayongera okusajjuka?
• Bujjanjabi ki obunteesebwako?
• Embeera eno nja kugifuna emirembe gyonna?

Okumanya eby’okuddamu mu bibuuzo bino kijja kukuwa okutegeera okunene.

Kale, kiki kye tusaanidde okujjukira mu kino? (Obubaka Obutwala Awaka)

Small fiber neuropathy (SFN) bulwadde obutawona obuleeta okuziyira, okwokya n’obulumi mu bitundu by’omubiri ebiyinza okukosa omutindo gw’obulamu bwo. Kitera okulabika ng’akabonero k’embeera endala enzijuvu, eyinza okuba ey’amaanyi.

Abasawo bajjanjaba SFN nga baddukanya embeera eyaliwo. Waliwo n’obujjanjabi ne pulogulaamu eziyamba okuddukanya obulumi n’obubonero obulala obujja nabwo. Bw’oba ​​ofuna okuziyira oba okwokya mu ngalo n’ebigere, tobibuusa maaso olabe omusawo. Obubonero buno buyinza okuba obubonero obusooka obw’embeera ey’amaanyi. Tofaayo, singa ozuulibwa n’ojjanjabibwa nga bukyali, ebiseera ebisinga osobola okufuga embeera eno.

` Small Fiber Neuropathy, SFN, okulumwa obusimu, okuwunya, okuzirika, ssukaali, obulwadde bw’obusimu