Ngaba uziva intlungu enganyamezelekiyo okanye umvandedwa xa impahla yakho ikhuhla, xa umoya uvuthuza, okanye xa umhlobo wakho ekubamba kancinci egxalabeni? Ukuba uziva intlungu enzima nokuba kukuchukumisa kancinci okungabangela intlungu, usenokuba nale meko. Namhlanje sithetha ngesi sifo singaqhelekanga, kodwa sixhaphakileyo, esibuhlungu esichaphazela abantu abaninzi, i-allodynia.
Yintoni kanye kanye iAllodynia?
Ngamafutshane, i-allodynia yimvakalelo yentlungu evela kwinto engaqhelekanga ukubangela intlungu. Khawuthelekelele usiba lwentaka luchukumisa ulusu lwakho. Sihlala siziva sinomoya othambileyo nomnandi, akunjalo? Kodwa kumntu one-allodynia, ivakala njengentlungu ebukhali, njengokuhlaba ngemela.
Oku kwaziwa ngokwezonyango njengentlungu ye-neuropathic . Oku kuthetha ukuba asiyongxaki yesikhumba sakho, kodwa yingxaki yenkqubo yemithambo-luvo ethwala imvakalelo yentlungu iye engqondweni. Ihlala ingumqondiso wenye imeko. Umzekelo, idla ngokubonakala kwiimeko ezifana nesifo seswekile, i-herpes, i-fibromyalgia, kunye ne-migraines.
Abantu abaninzi abane-allodynia bathi ulusu lwabo luvakala “lubuthathaka kakhulu, ngokungathi lutshiswe lilanga.” Kwabanye abantu, le ntlungu inokuvakala njengemela, inaliti, okanye imvakalelo yokutsha, njengokuba ulusu luvutha.
Ziziphi iintlobo eziphambili ze-Allodynia?
Le meko inokwahlulwa ibe ziintlobo ezintathu eziphambili kuxhomekeke kwindlela eyenzeka ngayo. Masiqonde oku ngetafile.
| Uhlobo lwe-Allodynia | Kalula nje, oku kwenzekayo (Into ethethwayo ngokulula) |
|---|---|
| I-Allodynia enamandla | Intlungu xa into ishukuma phezu kolusu. Umzekelo, ukukhuhla impahla emzimbeni, amalaphu okulala abetha umzimba. |
| I-Allodynia ethathiweyo | Intlungu ebangelwa kukuchukumisa okanye ukucinezelwa kancinci. Umzekelo, ukuxhawula umntu ngesandla, umntu ochukumisa intloko yakho. |
| I-Allodynia yobushushu | Intlungu ebangelwa kukutshintsha okuncinci kobushushu. Umzekelo, xa uphuma kwigumbi le-AC, okanye xa ithontsi lamanzi abandayo lichukumisa ulusu lwakho. |
Kutheni oku kusenzeka kuthi? Yintoni unobangela?
Eyona nto iphambili yile ngxaki kwindlela esiphatha ngayo iintlungu kwinkqubo yethu yemithambo-luvo. Oku sikubiza ngokuba yi-'Central Sensitization'.
Cinga ngomzimba wakho njengendawo ekhuselekileyo kakhulu, kwaye inkqubo yakho yemithambo-luvo yinkqubo yayo yokhuseleko. Xa uchukumisa into eshushu, ii-sensors kwinkqubo yakho yemithambo-luvo zithumela umyalezo engqondweni yakho zisithi, "Ingozi!" Ngaloo mzuzu, inkqubo yokhuseleko iyaphela, uzive iintlungu, uze utsale isandla sakho. Le yinkqubo eqhelekileyo.
Kodwa imeko yempilo, ingozi, okanye amayeza athile anokuphazamisa ukusebenza kwale nkqubo yokuzikhusela. Emva koko, i-alamu iqala ukukhala nokuba akukho ngozi. Njenge-alamu yokhuseleko ekhala ngaphandle kokuba kufike isela. Ingubo ekhuhla emzimbeni ayisiyongozi, kodwa inkqubo yemithambo-luvo ephazamisekileyo iyichaza gwenxa njenge "ngozi" kwaye ithumela imiqondiso yentlungu engqondweni. Yiloo nto eyenzekayo kwimeko ye-allodynia.
Iimeko ezinokubangela i-allodynia
- I-neuropathy enxulumene nesifo seswekile
- I-Fibromyalgia
- Iintloko ezibuhlungu
- I-post-herpetic neuralgia (intlungu emva kokosuleleka yi-herpes)
- I-Multiple Sclerosis (MS)
- I-Complex regional pain syndrome (CRPS)
- I-Trigeminal neuralgia (TN)
- Ingxaki yokusebenzisa utywala
- Ukunqongophala kweVithamin D okanye iVithamin B
- Ezinye iindlela zonyango lomhlaza (iKhemotherapy, unyango lwemisebe)
- Ukonakala kwemithambo-luvo emva kwengozi (umz., ukusikwa okunzulu) okanye utyando (umz., ukususwa kwelungu lomzimba)
Uyifumana njani le nto, Gqirha?
Xa uxela iimpawu ezinje, into yokuqala ugqirha wakho aya kuyenza kukubuza ngembali yakho epheleleyo yezonyango aze akuhlole.
- Injani intlungu? (Iyahlaba? Iyatshisa?)
- Iza kwanda nini?
- Wenza ntoni ukunciphisa iintlungu?
- Ngawaphi amanye amayeza owasebenzisayo?
Emva kokubuza imibuzo efana nale, baya kukucela ukuba ulinganise ubukhulu bentlungu ukusuka ku-0 ukuya kwi-10. Emva koko, banokwenza uvavanyo oluthile ukuze bafumane ukuba yintoni kanye kanye ebangela loo nto.
- Uvavanyo lwegazi (umz. i-Complete Blood Count)
- Uvavanyo lomchamo
- Uvavanyo lwe-MRI okanye lwe-CT scan
- Uvavanyo olulinganisa ukusebenza kwemithambo-luvo - i-EMG (i-Electromyogram) kunye ne-NCS (uPhando lokuHanjiswa kweMithambo)
Ngaba akukho nyango lwale ntlungu?
Ngokuqinisekileyo ikho. Eyona nto ibalulekileyo kunyango kukuchonga nokunyanga imeko ebangela i-allodynia. Umzekelo, ukuba ibangelwa sisifo seswekile, kubalulekile ukulawula isifo seswekile kakuhle.
Ukuba akukho sizathu sifumanekayo okanye ukuba intlungu iyaqhubeka nangona kukho unyango lwengxaki engundoqo, kukho iindlela ezahlukeneyo zokulawula intlungu. Ugqirha wakho uya kukhetha isicwangciso sonyango esifanelekileyo kuwe.
| Indlela Yonyango | Masifunde ngale nto. |
|---|---|
| Amayeza Omlomo | Kukho amayeza athile eentlungu zemithambo-luvo. Amayeza afana nePregabalin, iGabapentin, kunye nezinye izidambisi-ntlungu asetyenziswa kakhulu koku. Amayeza afana neTriptans anikwa i-allodynia ebangelwa yimigraines. |
| Amayeza Asetyenziswa Ngamayeza | Kukho iikhrimu, iiloshini, okanye amabala anokusetyenziswa kwindawo yentlungu. Imizekelo ibandakanya amafutha aqulethe i-lidocaine kunye ne-capsaicin. La mafutha ayenza buthathaka ulusu okwethutyana kwaye anciphise iintlungu. |
| Unyango Lomzimba (PT) | Le yinkqubo ebizwa ngokuba yi-'desensitization'. Ingcali yezonyango iza kuqala ikuchukumise ulusu lwakho kancinci kancinci, inyuse uxinzelelo kancinci kancinci. Ekuhambeni kwexesha, inkqubo yakho yemithambo-luvo iya kuqhelana nokuchukumisa, kwaye intlungu iya kuphela. |
| Ingcebiso kunye noNyango | Ukuphila nentlungu engapheliyo kunokuba nzima engqondweni. Ukunika iingcebiso kubaluleke kakhulu ukulawula uxinzelelo kunye nexhala elibangelwa yile nto. Iindlela ezifana neCognitive Behavioral Therapy (CBT) zikufundisa indlela yokujongana nentlungu. |
| Iinaliti | Iinaliti ezifana nokuvimba imithambo-luvo zinokunikwa ukuze kucinywe okwethutyana imithambo-luvo okanye i-nerve fiber ebangela intlungu. |
| Utyando | Ukuba akukho nyango luphumelelayo, utyando olufana ne-Spinal Cord Stimulation lunokuthathwa ingqalelo. Oku kuquka ukufaka isixhobo esincinci kwi-spinal cord ukuthintela imiqondiso yentlungu ukuba ingafikeleli engqondweni. |
Ngaba le meko ayinakuthintelwa?
Kusenokungabi lula ukuyithintela ngokupheleleyo i-allodynia, njengoko luphawu lwenye imeko. Nangona kunjalo, singayinciphisa ingozi yokuphuhlisa iimeko eziphambili ezibangela i-allodynia.
- Hlala usempilweni: Ukuzilolonga rhoqo kunciphisa uxinzelelo, kunciphisa iintloko ezibuhlungu, kwaye kunceda ukulawula isifo seswekile.
- Gcina ubunzima obusempilweni: Ukutyeba kakhulu yeyona nto iphambili ebangela isifo seswekile.
- Qaphela imbali yosapho lwakho: Ukuba kukho umntu kusapho lwakho onezifo ezifana nesifo seswekile, i-MS, okanye i-fibromyalgia, thetha nogqirha wakho ngayo.
- Gonyelwa: Funa ingcebiso kagqirha malunga nokufumana imigonyo efunekayo yokukhusela intsholongwane ye-herpes.
- Yitya ukutya okunesondlo: Yitya ukutya okutyebileyo kwiziqhamo nemifuno ukuze uphephe ukungabikho kweevithamini emzimbeni.
Eyona nto ibalulekileyo kukuba, ukuba ufumana olu hlobo lwentlungu, ungayityesheli. Musa ukucinga ukuba, "Le yingxaki yengqondo nje." Le yimeko yokwenyani yezonyango ekufuneka inyangwe.
Kunzima kangakanani ukuba sentlungwini, ukungakwazi ukubamba umntwana wakho okanye umntu omthandayo, ukungakwazi nokunxiba impahla? Ngoko ke ukuba unale mpawu, ingakumbi ukuba ziphazamisana nobomi bakho bemihla ngemihla, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.
Umyalezo Wokuya Ekhaya
- I-Allodynia yimvakalelo yentlungu eqatha xa uyichukumisa, edla ngokungabangeli ntlungu.
- Le ayisiyongxaki yengqondo, kodwa yintlungu yokwenyani ebangelwa sisiphene kwinkqubo yemithambo-luvo (i-Neuropathic Pain).
- Ngokuqhelekileyo, oku kwenzeka njengophawu lwenye imeko yezonyango, efana nesifo seswekile, i-fibromyalgia, okanye i-migraines.
- Ukuba unale mpawu, ungazityesheli kwaye ngokuqinisekileyo bonana nogqirha wakho ukuze ufumane unobangela kwaye ufumane unyango.
- Le meko ingalawulwa ngempumelelo ngokunyanga isifo esibangela iintlungu kunye nokusebenzisa iindlela zokulawula iintlungu.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Isetyenziselwa siphi isifo iCholestyramine Resin / Questran powder?
Le ayisiyo ipilisi ye-cholesterol eqhelekileyo (i-Statin)! Olu luhlobo olukhethekileyo lweyeza (i-Bile Acid Sequestrant) elinikwa ukunciphisa 'i-cholesterol embi (i-LDL ephezulu)'. Oogqirha bayisebenzisa kwakhona ukunqanda ngoko nangoko 'ukurhawuzelelwa okunganyamezelekiyo (i-Pruritus) yomzimba/ulusu' ngenxa yesifo sesibindi/ukuvaleka kwenyongo kunye nokulawula ezinye iimeko zorhudo olunzima.
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💬 Zeziphi iingozi ezicaphukisayo neziyingozi ekufuneka uziqaphele xa usebenzisa eli yeza (iQuestran)?
Eyona ngxaki inkulu kukuba oku kubangela 'ukuqhinwa' okukhulu! Abanye abantu banokutsalwa lindle. Enye ingozi eyingozi kukuba nangona oku kusemathumbu, 'naziphi na ezinye iipilisi (iiPainkillers, iThyroid, iiVitamins)' ozithathayo aziyi kutsalwa egazini! Ke ngoko, amanye amayeza kufuneka athathwe nokuba yiyure ngaphambi okanye iiyure ezi-4 emva kokusela oku.
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