Ngaba nawe ufumana ukurhawuzelelwa nokutsha okunganyamezelekiyo kufutshane negxalaba lakho langaphandle? Kusenokuba njalo (Notalgia Paresthetica)!

Ngaba wakha waphawula indlela abanye abantu abakrwela ngayo iindawo zabo zangaphandle, ingakumbi amahlombe abo, ngalo lonke ixesha? Okanye wakha wahlangabezana nento efana nale nawe? Ayinyamezeleki, ngamanye amaxesha ivakala ngathi kukutsha, njengokungathi kukurhawuzelela... Inokuba yinto ecaphukisayo ngokwenene. Namhlanje siza kuthetha ngolu hlobo lokuphazamiseka.

Yintoni iNotalgia Paresthetica?

Ngamafutshane, iNotalgia Paresthetica yimeko apho ufumana ukurhawuzelelwa, ukutsha, okanye ukurhawuzelelwa okunganyamezelekiyo emqolo wakho, ngokuqhelekileyo ngaphakathi kwegxalaba lakho. Ukuba uyikrwela kakhulu, abantu abaninzi baya kuba nebala elimnyama eluswini . Le meko ngamanye amaxesha inokuhlala iinyanga okanye iminyaka.

Cinga ngako oku, igama elithi "notalgia" lithetha "iintlungu emqolo." Igama elithi "Paraesthesia" lithetha "ukutshisa, ukurhawuzelela, okanye ukurhawuzelela." Ngoko ke, igama libonisa ukuba yintoni le nto, akunjalo?

Eyona sizathu soku kukuba imithambo-luvo kuloo ndawo iyachaphazeleka okanye yonakele ngandlela thile. Kodwa ungakhathazeki, esi ayisosifo sisongela ubomi okanye siyingozi. Nangona kunjalo, ukuhlala nale ntlungu kunzima kancinci.

Ngubani onokuthi afumane oku?

Le meko, ebizwa ngokuba yi-notalgia paraesthetica , ixhaphake kakhulu kubantu abadala, ingakumbi abo baneminyaka engaphezu kwama-50 ubudala. Ikwaxhaphake kancinci kwabasetyhini kunakwamadoda.

Nangona kunjalo, kunqabile kakhulu, ukuba le meko iyenzeka kubantwana abancinci, isenokuba luphawu lwesifo esingaqhelekanga, esizuzwa njengelifa esibizwa ngokuba yi-"Multiple Endocrine Neoplasia 2A." Ke ngoko, kungcono ukubona ugqirha ukuba umntwana omncinci unento efana nale.

Ixhaphake kangakanani le meko?

Enyanisweni, akukho zibalo-manani malunga nokuba i-notalgia paraesthetica ixhaphake kangakanani kuluntu. Nangona kunjalo, oogqirha bakholelwa ukuba yimeko eqhelekileyo . Siyazi ukuba i-chronic pruritus , imeko ehlala ixesha elide, ichaphazela malunga nama-20% abantu. I-Notalgia paraesthetica yenye yezo ntlobo zokurhawuzelela okungapheliyo. Kukholelwa ukuba malunga ne-8% yazo zonke ezo ntlobo zokurhawuzelela kubangelwa yi-notalgia paraesthetica.

Zithini iimpawu zoku?

Uphawu oluphambili nolukhathazayo kukurhawuzelelwa okunganyamezelekiyo (ukurhawuzelelwa) emqolo, phakathi kwamagxa kunye nomqolo. Oku kudla ngokuvela kwelinye icala lomqolo, kodwa ngamanye amaxesha kunokwenzeka kumacala omabini.

Ukongeza koku kurhawuzelelwa, ungaziva nezinto ezinje kule ndawo:

• Ukurhawuzelela - njengeembovane ezibaleka zijikeleza, okanye njengombane.
• Ukuba ndindisholo - Kufana nokuba awukwazi ukukuva.
• Ukudumba(Ukutsha) - Njengokubethwa yipepile yetshili.
• Intlungu - Abanye abantu banokufumana ukurhawuzelelwa kunye neentlungu ezibuhlungu.
• Ukuthamba - Kubuhlungu xa kuchukunyiswa okanye kucinezelwa.
• Ubushushu - Kuvakala ngathi indawo ishushu.
• Ukubanda - Abanye abantu banokuziva bebanda kuloo ndawo.

Ngoku, xa ukrwela kakhulu, ungayeka ukukrwela? Kunzima kakhulu, akunjalo? Ngenxa yoko kukrwela nokukhuhla rhoqo, ulusu olukuloo ndawo ludla ngokutshintsha umbala, lwenze ibala lesikhumba elinombala omdaka okanye ngamanye amaxesha elimnyama.

Into ebalulekileyo kukuba le meko, ebizwa ngokuba yi-notalgia paresthetica, ayiqali ngokurhawuzelela. Yingxaki yemithambo-luvo, ayisiyongxaki yesikhumba. Ukuba unezirhawuzelelo kunye nokurhawuzelela, isenokuba yimeko eyahlukileyo.

Kutheni le nto ibangela le nodalgia paraesthetica? Zithini izizathu?

Inyaniso kukuba, abaphandi abakafumani ukuba yintoni kanye kanye ebangela i-noctalgia paresthetica. Nangona kunjalo, bacinga ukuba kusenokwenzeka ukuba kungenxa yohlobo oluthile lokucaphuka kwemithambo-luvo okanye ukungaqhelekanga kwindlela yokulawula ukurhawuzelela kwinkqubo yethu yemithambo-luvo .

Uninzi lwabaphandi luyavuma ukuba le yimeko yemithambo-luvo ebizwa ngokuba yi-"Neuropathies." Nangona kunjalo, akukho luvo lucacileyo malunga nokuba ibangelwa kukucinezelwa kwemithambo-luvo evela kumqolo (oku kubizwa ngokuba yi- "Radiculopathy ") okanye kukungasebenzi kakuhle okanye ukonakala kwemithambo-luvo eluswini ("Neuropathies").

Khawucinge nje, kukho izizathu ezahlukeneyo zokuba imithambo-luvo yomzimba wethu inokonakala okanye ichaphazeleke. Umzekelo:

• Isifo seDiski esiwohlokayo - Njengoko sikhula, iidiski zethu zomqolo ziyawohloka, nto leyo enokubangela ukucinezelwa kwemithambo-luvo.
• Idiski Ene-Herniated - Sithi "idiski ene-herniated." Oku kunokuchaphazela nemithambo-luvo.
• Izilonda ze-Osteoarthritis emqolweni wakho - Olu luhlobo lwe-arthritis oluza nokukhula.
• Iimeko ezithile zemetabolism, umzekelo, isifo seswekile - Abantu abanesifo seswekile banamathuba amaninzi okufumana umonakalo kwimithambo-luvo.
• Ezinye izifo, umzekelo, ii-shingles (herpes zoster) - olu lusulelo oluchaphazela imithambo-luvo.

Ngoko ke, ngenxa yezizathu ezinje, imithambo-luvo iyachaphazeleka, kwaye iimpawu ezifana nokurhawuzelelwa kunye nokuvuvukala okukhankanyileyo zinokubakho.

Ugqirha uyibona njani le nto?

Ngokwesiqhelo, ugqirha uxilonga esi sifo sibizwa ngokuba yi-notalgia paresthetica ngokwenza uvavanyo lomzimba aze athathe imbali yakho yezonyango.

Xa usiya kugqirha, uza kukubuza ngezi zinto zilandelayo:

• Zithini iimpawu zakho? (Ingaba kuyarhawuzelela kangakanani, nini xa kubi kakhulu, yintoni enye oyivayo?)
• Zithini iimeko zakho zonyango zangaphambili? (Imbali yezonyango)
• Ngawaphi amayeza owasebenzisayo ngoku? (Amayeza angoku)

Emva koko, ugqirha okanye umongikazi uza kukuxilonga, ingakumbi umqolo wakho.

Kwiimeko ezininzi , akufuneki vavanyo lubalulekileyo lwezonyango ukuze kufunyaniswe le meko. Oko kukuthi, uvavanyo lwemifanekiso okanye uvavanyo lwegazi alufane lwenziwe. Lwenziwa kuphela ukuba, ukongeza kwiimpawu ezikhankanyiweyo apha ngasentla, kukho ukurhaneleka kokuba unesifo semithambo-luvo okanye semithambo-luvo.

Zithini iindlela zonyango zoku?

Nantsi into ekufuneka ucinge ngayo. Ukunyanga i-notalgia paresthetica kunokuba nzima. Kukho unyango oluninzi olufumanekayo, kodwa alusebenzi lonke kuwo wonke umntu. Okusebenza komnye umntu kusenokungasebenzi komnye. Unyango lujolise kakhulu ekunciphiseni okwethutyana iimpawu ezifana nokurhawuzelelwa. Akukho nyango lwako okwangoku.

Nazi ezinye zeendlela zonyango ezikhoyo ngoku:

Amayeza Omlomo

• IGabapentin: Eli lelona yeza lisetyenziswa kakhulu kwi-notalgia paresthetica. Phakathi kwamayeza aselwayo, libonakalise iziphumo ezilungileyo ekunciphiseni ukurhawuzelela.
• Ii-Antihistamines: Ezi ngamanye amaxesha zinokunceda ekunciphiseni ukurhawuzelela ebusuku.

Amayeza Asetyenziswa Ngamayeza

Ezi zinokuza ngohlobo lweekhrimu, iiloshini, kunye neejeli.

• Izithambiso ezineCapsaicin: Le yeyona nto inika iipepile ezinambithekayo. Le yeyona nto isetyenziswa kakhulu kule meko. Usenokuziva utsha kancinci ekuqaleni, kodwa ukurhawuzelela kunokuphela kamva.
• Izithambiso ezinee-steroids: Ezi zinokunciphisa ukudumba kunye nokurhawuzelela.
• Izithambiso ezine-anesthetics (umz., i-lidocaine): Ezi ziyenza indawo ibe nentlungu okwethutyana kwaye zinciphise ukurhawuzelela.

Iinaliti zeBotulinum toxin (Botox®)

Iinaliti zeBotox® (Botulinum Toxin Injections) nazo zisetyenziselwa oku. Ezi naliti zifunyenwe zithintela imiqondiso yemithambo-luvo, ziphumze izihlunu, kwaye zinciphise iintlungu kunye nokurhawuzelela. Nangona kunjalo, azisebenzi kuwo wonke umntu.

Unyango lweTranscutaneous Electrical Nerve Stimulation (TENS)

Nangona eli lisenokubonakala ngathi ligama elintsonkothileyo,I-Transcutaneous Electrical Nerve Stimulation (TENS) lunyango olusebenzisa umbane osebenzisa amandla aphantsi ombane ukunciphisa iintlungu. Olunye uphando lufumanise ukuba xa i-TENS isetyenziswa imizuzu engama-20 ngosuku, iintsuku ezintlanu ngeveki, inciphisa ukurhawuzelela ngama-60% malunga nesithathu sabathathi-nxaxheba kolu phando.

Ibhloko yeMithambo yoMgogodla

Oku kuquka ukufaka indibaniselwano ye-painkiller kunye neyeza elichasene nokuvuvukala kwi-nerve okanye kwiqela lee-nerve ezichaphazelekayo. Olu hlobo lwe-injection lusetyenziselwa ukunyanga i-notalgia paresthetica ngokufaka i-nerve block kwi-nerve enika igxalaba.

Ulungiso lwenyama

Abanye abantu bafumene iziphumo ezilungileyo ngonyango lomzimba . Ngokukodwa, imithambo eqinisa izihlunu eziphezulu zesisu kunye nokolula izihlunu zesifuba inokunceda.

Ngaba oku kungathintelwa ukuba kwenzeke?

Ngelishwa, okwangoku akukho ndlela eyaziwayo yokuthintela ukuphuhliswa kwe-nodalgia paraesthetica, njengoko unobangela ochanekileyo ungekacaci.

Ithini ingxelo yokubikezela kwesi sifo?

Indlela ye-notalgia paresthetica inokwahluka kumntu nomntu. Kwabanye abantu, isenokuphela kwiinyanga ezimbalwa, ngelixa kwabanye inokuhlala iminyaka. Unyango lunokunceda ekunciphiseni iimpawu. Ngamanye amaxesha, imeko isenokuphela ngokwayo ngokuhamba kwexesha (oku kubizwa ngokuba kukukhululwa) .

Nangona ingeyonto ebeka ubomi esichengeni, ukungonwabi okubangelwa yiyo kunokuchaphazela umgangatho wobomi bakho. Kwenzeka xa ukrwempa rhoqo, xa ungakwazi ukulala ebusuku, kwaye xa kunzima ukwenza umsebenzi, akunjalo?

Sifanele siye kugqirha nini?

Ukuba ugqirha ufumanise ukuba une-notalgia paresthetica, kwaye unyango olufumeneyo alukuncedi, okanye ukuba ufumana iziphumo ebezingalindelekanga ezivela kunyango, qiniseka ukuba ubona ugqirha kwakhona ukuze uxoxe ngezinye iindlela zonyango.

Nangona i-notalgia paresthetica ingeyongxaki yempilo enzulu, iimpawu zayo zinokuba mbi kakhulu kwaye ziphazamise. Ukuba le meko iphazamisa umgangatho wobomi bakho, kubalulekile ukuthetha nogqirha. Angacebisa isicwangciso sonyango esifanelekileyo kuwe. Kungathatha ixesha ukufumana unyango olufanelekileyo kuwe, kodwa kufanelekile ukuzama.

Umyalezo Wokugqibela Wokuya Ekhaya

Kulungile, nazi izinto ekufuneka uzikhumbule koko sithethe ngako:

• I-Notalgia paraesthetica yimeko eyenzeka emqolo nasemagxeni.Ukurhawuzelela okukhulu, ukutsha, okanye ukuba ndindisholo.
• Le yingxaki yemithambo-luvo , ayisosifo solusu. Ngoko ke, akukho rhashalala ekuqaleni.
• Ukukrwela rhoqo kunokubangela ukuba ulusu olukuloo ndawo lutshintshe umbala.
• Nangona kungekho nyango lupheleleyo loku, kukho unyango lokulawula iimpawu.
• Ukuba unale mpawu, musa ukuba neentloni okanye ucinge ukuba yingxaki, kodwa bonana nogqirha ukuze akunike icebiso. Akunyanzelekanga ukuba uphile nale ntlungu.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba ukhe waba namava afanayo, ungalibali ukuthetha nogqirha ngayo.

I- Notalgia Paresthetica, Ukurhawuzelelwa ngumqolo, Ukurhawuzelelwa ngamagxa, Ukurhawuzelelwa yimithambo-luvo, Ukuqhawuka kolusu, Ukudumba, I-Notalgia Paresthetica Sinhala