Ngaba ngamanye amaxesha uziva iintlungu ezinzima emzimbeni wakho ngaphandle kwesizathu, njengokutsha, ukubethelwa ngumbane, okanye iiphini kunye neenaliti? Mhlawumbi neempahla ozinxibileyo ziyakugudla emzimbeni wakho kwaye zibuhlungu kangangokuba awukwazi ukuzinyamezela? Ezi zinto azizozinto nje ezingaqhelekanga. Ezi zinokuba yimeko ekhethekileyo ebuhlungu ebizwa ngokuba yi -'Neuropathic Pain' kunyango, ebangelwa yingxaki ethile kwinkqubo yethu yemithambo-luvo. Oku akufani nentloko eqhelekileyo okanye intlungu yomqolo, kwahlukile. Ngoko ke namhlanje, masithethe ngale nto ngokulula, ngokungathi sithetha nomhlobo, ngendlela onokuyiqonda.
Ngamafutshane, yintoni intlungu ye-neuropathic?
Kulungile, ukuze sikuqonde oku, kufuneka siqale sazi kancinci ngenkqubo yemithambo-luvo emzimbeni wethu. Cinga ngenkqubo yethu yemithambo-luvo njengothungelwano lweengcingo zefowuni ezijikeleza kulo lonke ilizwe. Amaziko amabini aphambili ale nethiwekhi yingqondo yethu kunye nomqolo . Oku sikubiza ngokuba yinkqubo yemithambo-luvo ephakathi. Ukusuka kula maziko aphambili, kukho iingcingo ezininzi ezincinci ezithwala imiyalezo kuzo zonke iikona zomzimba, kuquka iingalo, imilenze, iminwe, kunye nezitho zangaphakathi. Ezi zizinto esizibiza ngokuba yimithambo-luvo engaphandle.
Ngoku khawucinge ukuba kwenzeka ntoni ukuba ezinye zeengcingo kule nethiwekhi yefowuni zonakele okanye azisebenzi kakuhle? Imiyalezo ayihambi kakuhle, akunjalo? Mhlawumbi ithunyelwe imiyalezo engalunganga. Yiloo nto eyenzekayo ngentlungu ye-neuropathic. Xa ii-nerve fibers zethu zonakele, loo mithambo-luvo yonakeleyo iqala ukuthumela imiqondiso engalunganga engqondweni yethu, umyalezo ongalunganga othi "intlungu." Nokuba akukho sizathu sokwenene sokuba intlungu yenzeke, ungaziva intlungu ngenxa yezi miqondiso zingalunganga.
Elinye igama lale nto yi -neuropathy . Lutshintsho okanye ukuphazamiseka komsebenzi wemithambo-luvo enye okanye ezingaphezulu. Le meko inokwenzeka kubantu abanesifo seswekile abafikelela kwi-30%. Ukongeza, ezinye izifo ezininzi, umzekelo, i-shingles emva kwe-chickenpox, i-HIV/AIDS, kunye nengxaki yokusebenzisa utywala, nazo zinokubangela le ntlungu ye-neuropathic.
Ingaba le ntlungu ivakala njani kuwe? Zithini iimpawu zayo?
Intlungu ye-neuropathic ayilohlobo olunye lwentlungu. Inokuvakala ngeendlela ezininzi ezahlukeneyo. Kwabanye abantu, iba mandundu ngakumbi ide inganyamezeleki, ngelixa kwabanye, ifika ize idlule. Ukuze kube lula ukuqonda, makhe sijonge ezi mpawu kwitheyibhile.
| Uhlobo lwempawu (Igama lezonyango) | Kalula nje, le yindlela evakala ngayo |
|---|---|
| Intlungu eyenzeka ngesiquphe | Intlungu efika ngequbuliso ngaphandle kwesizathu esicacileyo. Ingavakala ngathi kukutsha , ukuhlaba , okanye ukubetheka ngombane . Ingahamba nokurhawuzelelwa okanye "ukubetheka" . |
| I-Allodynia | Kwanento engaqhelekanga ukubangela iintlungu inokubangela iintlungu eziqatha. Cinga ngayo njengokukhuhla ilaphu lombhede emzimbeni wakho, impahla oyinxibileyo ichukumisa ulusu lwakho , okanye umntu okuchukumisa kancinci. |
| I-Hyperalgesia | Into edla ngokubangela iintlungu, njengokuhlaba okuncinci okubangelwa yimeva, ibuhlungu kakhulu kunokuba bekulindelwe, kwaye ivakala ngathi yintlungu enkulu kakhulu. |
| I-Hypoalgesia | Eli lelinye icala lemali. Ukuziva iintlungu ezincinci ngenxa yento ekufanele ukuba ibuhlungu. Umzekelo, ukungaziva iintlungu zokuhlatywa ngenaliti. |
| I-Dysesthesia | Iimvakalelo ezingachazekiyo, ezingaqhelekanga, ezingakhululekanga, okanye ezibuhlungu. Usenokuziva into ethile ibaleka phantsi kolusu lwakho , njengokutsalwa kwamanzi . |
| Ukungalali | Le ntlungu ingapheliyo inokwenza kube nzima ukulala ebusuku. Xa ubuthongo bulahlekile, intlungu inokubangela uxinzelelo kunye nexhala. |
Kutheni kukho olu hlobo lwentlungu? Zithini izizathu eziphambili?
Akukho sizathu sinye sale ntlungu ye-neuropathic. Zininzi izizathu. Makhe sijonge ezona zinto ziphambili ezibangela le ntlungu.
- Isifo seswekile: Njengoko besitshilo ngaphambili, eyona nto iphambili neyona ixhaphakileyo yentlungu ye-neuropathic sisifo seswekile. Amanqanaba aphezulu eswekile egazini ixesha elide anokonakalisa imithambo-luvo.
- Ingxaki yokusebenzisa utywala: Ukusela utywala kakhulu ixesha elide nako kunokonakalisa imithambo-luvo kwaye kubangele le ntlungu.
- Iishingles: Oku kubangelwa yintsholongwane efanayo ebangela i-chickenpox. Emva kokuba i-chickenpox ipholile, intsholongwane inokuhlala ingasebenzi kwiiseli zethu zemithambo-luvo ize iphinde ivuseleleke emva kweminyaka emininzi ukuze ibangele le ntlungu inzima.
- I-HIV/AIDS: Intsholongwane ye-HIV ngokwayo inokonakalisa imithambo-luvo, kwaye amanye amayeza asetyenziswa ngenxa yayo nawo anokubangela oku.
- Izifo zenkqubo yemithambo-luvo ephakathi: Le ntlungu inokubangelwa zizifo ezichaphazela ingqondo kunye nomgogodla, ezifana nestroke, isifo sikaParkinson, kunye ne-multiple sclerosis (MS).
- I-Complex regional pain syndrome: Intlungu ebuhlungu, engapheliyo engalweni okanye emlenzeni emva kwengozi.
- Iimeko zemithambo-luvo yobuso: Umzekelo, i-trigeminal neuralgia.
Ukongeza kwezi, kukho nezinye izizathu:
- Unyango lomhlaza: Amanye amayeza okulwa nomhlaza, anjenge-cisplatin, i-paclitaxel, kunye ne-vincristine, kunye nonyango lwemitha lunokonakalisa imithambo-luvo.
- Ukunqunyulwa kwelungu okanye umlenze: Emva kokuba kususwe ilungu okanye umlenze ngotyando, imvakalelo yentlungu kwindawo apho ilungu lisusiwe khona ibizwa ngokuba yintlungu yelungu .
- Ukucinezelwa kwemithambo-luvo yomqolo: Intlungu inokubangelwa kukucinezelwa kwemithambo-luvo ngenxa yeemeko ezifana nokuqhekeka kwediski yomqolo.
- Utyando okanye iingozi: Ukonakala komthambo ngexesha lotyando okanye ingozi.
- Ii-tumor: Le ntlungu inokubangelwa nasisisu esinomhlaza okanye esiqhelekileyo esicinezela umthambo.
Ugqirha uyixilonga njani le meko?
Xa uthetha ngeempawu ezinje, into yokuqala ugqirha wakho aza kuyenza kukubuza ingcaciso eneenkcukacha.
- Buza ngembali yakho yezonyango.
- Uza kuhlolwa kakuhle (uvavanyo lomzimba).
- Ngokuxhomekeke kuhlobo lwentlungu oyichazayo (njengokutsha, ukuhlaba, okanye ukuba ndindisholo), ugqirha unokufumana umbono wokuba ingaba le yintlungu ye-neuropathic.
Emva koko, ugqirha uza kuzama ukufumana unobangela wentlungu. Oku kuthetha ukuba angenza uvavanyo ukuze abone ukuba ingaba ibangelwa sisifo seswekile, esinye isifo, okanye amayeza.
Zithini iindlela zonyango zoku?
Ukunyanga iintlungu ze-neuropathic kunzima ngakumbi kuba akufani neentlungu eziqhelekileyo. Unyango luxhomekeke kwisizathu esiyintloko sentlungu yakho kunye nohlobo lweempawu zakho. Iinjongo eziphambili zonyango zezi:
- Ukunyanga imeko engundoqo: Umzekelo, ukususa ngotyando ithumba elicinezela umthambo. Kwimeko yesifo seswekile, ukulawula amanqanaba eswekile egazini.
- Ukuphelisa iintlungu: Ukunciphisa iintlungu nokukunika isiqabu.
- Ukunceda ukuqhubeka nemisebenzi yemihla ngemihla: Ukunceda ukuqalisa imisebenzi ephazanyisiweyo ngenxa yentlungu.
- Ukuphucula umgangatho wobomi: Ukulungiselela ukuphila kakuhle nentlungu.
Amaxesha amaninzi, kunzima ukulawula le ntlungu ngendlela enye yonyango, ngoko ke kusetyenziswa iindlela ezahlukeneyo zonyango.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Izithomalalisi zentlungu ezithengiswa ngaphandle kwekhawuntara (izithomalalisi zentlungu ze-OTC) | Amayeza anjenge-acetaminophen kunye ne-ibuprofen awasoloko esebenza kakuhle kwiintlungu ze-neuropathic. |
| Amayeza okuthintela ukuxhuzula | Kukholelwa ukuba la mayeza anciphisa iintlungu ngokuphazamisana nemiqondiso yentlungu ehamba ngemithambo-luvo. Asebenza kakhulu kwiintlungu ze-neuropathic. |
| Amayeza okudakumba | Ukuxhalaba kunye nokudakumba kungenza intlungu ibe mandundu. La mayeza anciphisa iintlungu kwaye akhuthaze impilo-ntle yengqondo. |
| Unyango lwezihloko | Iikhrimu, amafutha, okanye amabala ane-lidocaine okanye i-capsaicin anokusetyenziswa ngqo kwindawo ebuhlungu. |
| Iibhloko zemithambo-luvo | Inaliti ekufutshane nomthambo okanye ingcambu yomthambo ebangela intlungu inokuyithomalalisa okwethutyana intlungu. |
| Ulungiso lwenyama | Ukuzilolonga kunye nokuphulula umzimba kunokunceda ekunciphiseni iintlungu, ukuqina, kunye nokungonwabi. Oku kukwavuselela amayeza endalo okubulala iintlungu emzimbeni. |
| Utyando | Kwezinye iimeko, iintlungu zingancitshiswa ngokulungisa, ukukhulula, okanye ukususa imithambo-luvo eyonakeleyo. |
| Ingcebiso yengqondo | Ukunika iingcebiso kunokuba luncedo kakhulu ekulweni noxinzelelo oluza nokuphila nentlungu engapheliyo. |
Eyona nto ibalulekileyo kukuba ugqirha wakho akhethe unyango olulungele wena . Musa ukuya kufuna amayeza ngokusekelwe kumava.
Ukuba olu nyango aluyilawuli intlungu yakho, ugqirha wakho uya kukuchazela nangonyango oluphucukileyo, olufana nokukhuthaza umqolo.
Ngaba le ntlungu ingathintelwa?
Nangona oku kungenakuthintelwa rhoqo, kukho izinto ezininzi esinokuzenza ukunciphisa umngcipheko.
- Yeka ukutshaya. Ukutshaya konakalisa imithambo yegazi, nto leyo enokunciphisa ukuhanjiswa kwegazi kwimithambo-luvo.
- Yenza umthambo ofanelekileyo kuwe. Ukuzilolonga imihla ngemihla kuphucula ukujikeleza kwegazi.
- Yitya ukutya okunempilo. Yitya ukutya okutyebileyo kwiziqhamo ezintsha, imifuno, iimbotyi, iinkozo ezipheleleyo, kunye neeproteni ezingenamafutha.
- Nciphisa ukusetyenziswa kotywala.
- Ukuba unesifo seswekile, jonga amanqanaba eswekile egazini lakho rhoqo kwaye uwanyamekele kakuhle. Nyamekela iinyawo zakho ngokukodwa.
Ufanele uye nini kugqirha?
Ukuba unayo nayiphi na kwezi mpawu zingezantsi, qiniseka ukuba ubona ugqirha.
- Ukuba ezinye iindawo zomzimba wakho azinangqondo
- Ukuba uhlala uziva ngathi uhlatywa yinaliti
- Ukuba uziva ukuba izihlunu zakho ziya zibuthathaka
- Ukuba unemisipha engalawulekiyo (ukushukuma)
- Ukuba izinto ezisesandleni sakho ziqhubeka ziwa phantsi
Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU)?
Ukuba unentlungu ebuhlungu, ukungaziva, okanye ubuthathaka obukhula ngokukhawuleza, oko kungaba luphawu lomonakalo omkhulu wemithambo-luvo. Kwimeko enjalo, kuya kufuneka uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe. Ezi mpawu nazo zinzima:
- Ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga.
- Utshintsho kwimikhwa yendlu yangasese, njengobunzima bokuchama .
- Ukudinwa okanye ukuphelelwa zingqondo.
Ukuqukumbela, iintlungu ze-neuropathic yimeko esongela ubomi enokwenza kube nzima ukwenza imisebenzi yemihla ngemihla. Kodwa ungacingi ukuba awunakuphila nayo. Ngonyango olufanelekileyo kunye nolawulo lweentlungu, ungayilawula intlungu kwaye uphile ubomi obuhle. Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza kwaye ungagcini nje ngokunyamezela intlungu.
Umyalezo Wokuya Ekhaya
- Intlungu ye-neuropathic yintlungu engabangelwa kukwenzakala kwindawo apho intlungu ivakala khona, kodwa kunoko kukonakala okanye ukungasebenzi kakuhle kwenkqubo yemithambo-luvo.
- Le ntlungu inokuvakala ngeendlela ezahlukeneyo, njengokutsha, ukuhlaba, okanye ukurhawuzelela. Ngamanye amaxesha, kwanokuziva impahla ikhuhla emzimbeni kunokuba nzima.
- Isifo seswekile sesona sibangela esi sifo, kodwa ii-shingles, iingozi, kunye nezinye izifo ezininzi nazo zinokubangela esi sifo.
- Akukho ndlela inye 'yomlingo' yokunyanga oku. Ukuze ufumane iziphumo eziphumelelayo, kufuneka udibanise amayeza, unyango lomzimba, mhlawumbi neengcebiso zengqondo.
- Ukuba unentlungu yemithambo-luvo engapheliyo okanye enzima, ungaze uyityeshele. Qiniseka ukuba uthetha nogqirha wakho ngayo.
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