Kodi manja ndi mapazi anu akumva dzanzi kapena kutentha? Izi zitha kukhala Small Fiber Neuropathy!

Kodi munayamba mwamvapo kunjenjemera m'manja ndi m'mapazi mwanu, kapena kutentha ngati nyerere zomwe zimakwawa m'manja ndi m'mapazi mwanu? Musangonyalanyaza zizindikirozi ngati chinthu chomwe chimachitika basi, sichoncho? Chifukwa nthawi zina pangakhale vuto lomwe limakhala kumbuyo kwa zizindikirozi lomwe likufunika chisamaliro. Lero, tikambirana za vuto lotchedwa Small Fiber Neuropathy (SFN) , lomwe limachitika pamene ulusi waung'ono wa mitsempha m'thupi mwathu wawonongeka.

Ndiye, kodi Small Fiber Neuropathy ndi chiyani?

Mwachidule, uwu ndi matenda a mitsempha omwe ali m'gulu la matenda a mitsempha ya m'mitsempha . Matendawa amapezeka pamene mitsempha yaying'ono kwambiri ya pakhungu lathu yawonongeka pazifukwa zina. Mitsempha yaying'ono iyi ndi yomwe imatumiza uthenga ku ubongo wokhudza ululu ndi kutentha kwa thupi lathu. Choncho izi zikawonongeka, monga tafotokozera kale, dzanzi ndi ululu woyaka zimatha kuchitika m'manja ndi m'mapazi.

Komabe, izi sizimangokhudza manja ndi mapazi okha, komanso zingakhudze mitsempha ina ing'onoing'ono yomwe imayang'anira ntchito zofunika m'thupi lathu, monga kuthamanga kwa magazi ndi kugunda kwa mtima .

Zizindikiro za SFN nthawi zina zimakhala zoopsa kwambiri, ndipo zimatha kukhudza kwambiri moyo wanu. Ngakhale kuti izi si vuto lalikulu, lomwe lingawononge moyo wanu, nthawi zina lingakhale chizindikiro cha vuto lina lalikulu. Ichi ndichifukwa chake madokotala amayesa kupeza chomwe chimayambitsa vutoli, kulichiza, komanso kupereka mankhwala oletsa zizindikiro zopwetekazi.

Kodi vutoli ndi lofala bwanji?

Ndipotu, vutoli si lofala kwambiri. Malinga ndi kafukufuku wina, anthu pafupifupi 53 pa anthu 100,000 padziko lonse lapansi ali ndi vuto la mitsempha yaing'ono ya ulusi. Komabe, ofufuza amakhulupirira kuti chiwerengerochi chikhoza kukhala chokwera kwambiri. Amakhulupirira kuti si aliyense amene ali ndi vutoli amene amapezeka bwino. Chifukwa chake, mwina anthu ambiri ali ndi vutoli kuposa momwe timaganizira.

Kodi zizindikiro za matenda a small fiber neuropathy (SFN) ndi ziti?

Zizindikiro za vutoli zimatha kusiyana malinga ndi munthu. Komabe, zizindikiro zoyambirira zodziwika bwino ndi ululu wa "zikhomo ndi singano" kapena kutentha m'manja ndi m'mapazi. Zizindikirozi nthawi zina zimabwera ndi kutha, nthawi zina zimakhala zosatha, ndipo nthawi zambiri zimakula pakapita nthawi.

Zizindikiro zina zomwe zingawonekere ndi izi:

• Kumva chizungulire , kapena ngati kuti watsala pang'ono kukomoka.
• Kumva ngati mtima wanu ukugunda mofulumira (kugunda kwa mtima) .
• Kusamva bwino .
• Kulephera kumva ululu, kutentha, kapena kuzizira m'dera laling'ono la thupi.
• Kupweteka m'mimba , kusanza.
• Kutuluka thukuta kwambiri kuposa masiku onse.

Tangoganizirani momwe zingakhalire zokhumudwitsa ngati mukumva ngati manja ndi mapazi anu akubayidwa ndi ndodo, kapena akuyaka moto, ngakhale mutangokhala pamenepo.

N’chifukwa chiyani timadwala matenda a small fiber neuropathy (SFN)? Kodi zimayambitsa matenda amenewa ndi chiyani?

Chodabwitsa n'chakuti, pafupifupi theka la milandu ya matenda a mitsempha yaing'ono ya ulusi imachitika popanda chifukwa chomveka . Madokotala amatcha izi " idiopathic small fiber neuropathy." Izi zikutanthauza kuti chifukwa chenicheni sichingapezeke.

Komabe, kafukufuku wapeza kuti matenda osiyanasiyana, matenda ena obadwa nawo, komanso kukhudzana ndi poizoni wina kungayambitsenso izi.

Vutoli likhozanso kuchitika chifukwa cha matenda ena.

Matenda a shuga mellitus ndi matenda akuluakulu komanso ofala kwambiri omwe amakhudza izi. Kupatula apo, matenda otsatirawa angayambitsenso SFN:

• Vuto la kugwiritsa ntchito mowa .
• Matenda omwe amayamba chifukwa cha kufooka kwa chitetezo chamthupi, mwachitsanzo , matenda a Celiac , Sarcoidosis , kapena Sjögren's syndrome .
• Kulephera kwa kagayidwe ka shuga m'thupi (Kulephera kulekerera shuga m'thupi) .
• Matenda ena opatsirana, monga Hepatitis C kapena HIV (Human Immunodeficiency Virus) .
• Matenda a kagayidwe kachakudya .
• Matenda a chithokomiro .
• Sepsis ndi matenda oopsa.
• Kusowa kwa Vitamini B.

Zingakhalenso chifukwa cha matenda ena obadwa nawo.

Kusintha kwa majini m'majini komwe kumathandiza maselo athu kupanga ndi kutumiza zizindikiro zamagetsi kudzera mu dongosolo la mitsempha kungayambitsenso SFN. Matenda ena obadwa nawo ndi awa:

• Matenda a Ehlers-Danlos
• Matenda a Fabry
• Familyal amyloidosis
• Matenda a Pompe
• Porphyria
• Matenda a Wilson

Mankhwala ena ndi poizoni...

Chiwopsezo chokhala ndi matenda amitsempha yaing'ono ya ulusi chingawonjezekenso pogwiritsa ntchito mankhwala ena. Zitsanzo:

• Maantibayotiki ena, mwachitsanzo , Metronidazole , Nitrofurantoinndi Linezolid .
• Mankhwala a chemotherapy , monga Bortezomib , Thalidomide , ndi Vincristine (Oncovin) .
• Mankhwala oletsa kutupa kwa chotupa , mwachitsanzo , etanercept .

Kodi ndi zinthu ziti zomwe zimapangitsa kuti zizindikirozo zikhale zovuta kwambiri? (Zoyambitsa)

Kawirikawiri, zinthu zomwe zingayambitse zizindikirozi ndi mpweya wozizira womwe umagunda pakhungu , kapena nsalu yopukutira pakhungu . Tangoganizirani, ngati mukugona usiku ndipo nsalu zogona zikukukutirani pa miyendo yanu, mungamve dzanzi ndi ululu wosapiririka... Ngakhale chinthu chaching'ono ngati chimenecho chingayambitse ululu waukulu kwa anthu awa.

Kodi mavuto a vutoli ndi otani? Kodi ndiyenera kuopa?

Matenda a small fiber neuropathy amatha kuchepetsa mphamvu yanu yomva ululu. Mwachitsanzo, ngati mwangozi mwakhudza chinthu chotentha, mumatha kupsa popanda kuzindikira. Zingakupangitseninso chizungulire ndikukhudza mayendedwe anu . Chifukwa chake, mumatha kugwa, eti? Chifukwa chake muyenera kusamala ndi zinthu izi.

Kodi dokotala amazindikira bwanji izi? (Kuzindikira)

Dokotala adzayamba kaye wakuyezetsa thupi ndikufunsa za mbiri yanu yachipatala . Palibe mayeso amodzi omwe angathandize kuzindikira molondola matenda a small fiber neuropathy. Komabe, pali mayeso angapo omwe nthawi zambiri amachitidwa:

• Electromyography (EMG) : Izi zimayesa mphamvu yamagetsi ya mitsempha ndi minofu.
• Mayeso a majini : Yang'anani zomwe zimayambitsa matenda a chibadwa.
• Mayeso ojambulira zithunzi : Zinthu monga ma CT scan kapena ma MRI scan .
• Kafukufuku wokhudza kayendedwe ka mitsempha : Yang'anani liwiro lomwe zizindikiro zimadutsa m'mitsempha.
• Kuyeza kwa khungu - mayeso a ulusi wa mitsempha : Chitsanzo chaching'ono cha khungu chimatengedwa ndikuwunikidwa pansi pa maikulosikopu kuti muwone kuchuluka kwa ulusi wa mitsempha womwe ulipo.
• Mayeso a Quantitative Sudomotor Axon Reflex Test (QSART) : Izi zimayesa momwe mitsempha imagwirira ntchito yomwe imalamulira thukuta.

Kuphatikiza apo, madokotala amathanso kuyesa matenda ena, monga matenda a shuga, omwe angayambitse matenda amitsempha yaing'ono ya ulusi.

Kodi mankhwala ake ndi otani? Kodi angachiritsidwe?

Pochiza vutoli, madokotala amayang'ana kwambiri kuchepetsa ululu womwe umabwera chifukwa cha vutoli.Mankhwala ndi njira zina zochiritsira zilipo. Matenda a small fiber neuropathy nthawi zambiri amakhala vuto la matenda ena, choncho ndikofunikira kuchiza vuto lomwe limayambitsa matendawa .

Mankhwala opweteka

Pali mitundu ingapo ya mankhwala omwe angagwiritsidwe ntchito kuchepetsa ululu:

• Mankhwala ena oletsa kugunda kwa mtima , monga Gabapentin , Pregabalin , ndi Topiramate , angathandize kuchepetsa ululu wa mitsempha.
• Mankhwala ena oletsa kuvutika maganizo , monga amitriptyline , nortriptyline , ndi desipramine , ndi abwinonso pochiza ululu wa mitsempha.
• Mankhwala oletsa ululu pakhungu : Mwachitsanzo , mafuta a lidocaine kapena mafuta a capsaicin . Izi zimathandiza kuchepetsa ululu zikagwiritsidwa ntchito pamalo opweteka.

Kumbukirani, ndikofunikira kwambiri kugwiritsa ntchito mankhwala monga momwe dokotala wanenera.

Kodi mungayembekezere chiyani mukakhala ndi vutoli?

Matenda a mitsempha yaing'ono ya ulusi amayamba pang'onopang'ono . Nthawi zina zizindikiro zimatha kuipiraipira kenako nkukhalabe chimodzimodzi kwa zaka zambiri. Kafukufuku wina adapeza kuti pakati pa 13% ndi 36% ya anthu omwe ali ndi matenda a mitsempha yaing'ono ya ulusi pamapeto pake amakhala ndi matenda a mitsempha yaulusi yaulusi yaulusi, vuto lomwe limakhudza ulusi waukulu wa mitsempha . Izi zingayambitse kutaya kumva, monga kumva kukhudza ndi kugwedezeka, ngati kuti mwavala magolovesi.

Kuyembekezeka kwanu mukalandira chithandizo kumadalira chifukwa cha matenda anu a SFN. Mwachitsanzo, ngati muli ndi matenda a shuga, muyenera kumwa mankhwala a shuga moyo wanu wonse. Chifukwa chake, lankhulani ndi dokotala wanu za matenda anu ndi momwe chithandizo chingathandizire kuchepetsa ululu wanu ndi zizindikiro zina.

Kodi izi zimakhudza moyo wa munthu?

Ayi, matenda a small fiber neuropathy okha sadzafupikitsa nthawi yanu yoti mukhale ndi moyo . Komabe, ngati pali vuto linalake lomwe limayambitsa matendawa, monga matenda a shuga kapena kachilombo ka HIV, lingakhudze nthawi yomwe mumakhala ndi moyo.

Kodi ndimadzisamalira bwanji?

Chimodzi mwa zinthu zofunika kwambiri zomwe mungachite kuti mudzisamalire nokha ndikuwongolera ululu womwe umabwera chifukwa cha matenda amitsempha yaing'ono ya ulusi. Dokotala wanu mwina adzakupatsani mankhwala ochepetsa ululu, koma mungafunenso kuganizira mapulogalamu ochepetsera ululu . Izi zingaphatikizepo uphungu ndi chithandizo, masewera olimbitsa thupi, komanso kutikita minofu kapena kulimbitsa thupi.

Ndiyenera kukaonananso ndi dokotala liti?

Zizindikiro zazing'ono za neuropathy ya ulusi zimatha kusintha ndikuipiraipira pakapita nthawi. Ngati muli ndi SFN, uzani dokotala wanu ngati muwona zizindikiro zomwe zinayamba mbali imodzi ya thupi lanu kenako nkuwonekeranso mbali ina. Mwachitsanzo:

• Ndikanakonda ululu "wonga ndodo" m'miyendo mwanga tsopano ungamvekenso m'manja mwanga.
• Ngati kuchuluka kwa ululu kwawonjezeka, kapena ngati ululu wakula kwambiri.
• Ngati zizindikiro zatsopano zaonekera, monga chizungulire kapena kuvutika kuyenda.

Ndi bwino kupita kwa dokotala mwachangu nthawi ngati izi.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mukapita kwa dokotala, kumbukirani kufunsa mafunso awa:

• Kodi chifukwa cha zizindikiro zanga n'chiyani?
• Kodi zizindikiro zanga zidzakula kwambiri?
• Ndi mankhwala ati omwe ndikulimbikitsidwa kwa ine?
• Kodi ndidzakhala ndi vutoli kwamuyaya?

Kudziwa mayankho a mafunso awa kudzakuthandizani kumvetsetsa bwino.

Ndiye, kodi tiyenera kukumbukira chiyani kuchokera pa izi? (Uthenga Wopita Nawo Kunyumba)

Matenda a small fiber neuropathy (SFN) ndi matenda osatha omwe amachititsa dzanzi, kutentha, ndi kupweteka m'miyendo zomwe zingakhudze moyo wanu. Nthawi zambiri amawoneka ngati chizindikiro cha matenda ena omwe angakhale oopsa.

Madokotala amachiritsa SFN pothana ndi vuto lomwe limayambitsa matendawa. Palinso mankhwala ndi mapulogalamu othandizira kuthana ndi ululu ndi zizindikiro zina zomwe zimabwera chifukwa cha matendawa. Ngati mukumva dzanzi kapena kutentha m'manja ndi m'mapazi, musanyalanyaze ndipo pitani kwa dokotala. Zizindikirozi zitha kukhala zizindikiro zoyambirira za matenda aakulu. Musadandaule, ngati mutapezeka ndi matendawa ndi kulandira chithandizo msanga, nthawi zambiri mutha kuwongolera vutoli.

` Small Fiber Neuropathy, SFN, kupweteka kwa mitsempha, kumva kuwawa, dzanzi, matenda a shuga, neuropathy