Ngamanye amaxesha xa sima emva kokuhlala kwindawo enye okwethutyana, izandla neenyawo zethu ziyavakala zibuhlungu, akunjalo? Ziyaphela emva kwexesha elithile. Kodwa ngaba uhlala uziva ubuhlungu ezandleni nasezinyaweni zakho, okanye intlungu efana neepini neenaliti, okanye ngamanye amaxesha ubushushu? Oku kunokuba yinto engaphezulu nje kobuhlungu obuqhelekileyo. Namhlanje sithetha ngemeko ebizwa ngokuba yi-'Peripheral Neuropathy' ebangela ezi mpawu. Nangona eli ligama eloyikisayo, ukuba uyazi, ukulilawula akunzima njengoko ucinga.
Ngamafutshane, yintoni i-Peripheral Neuropathy?
Eli gama liyinkimbinkimbi kancinci, ngoko masiqale siliqonde. Inkqubo yemithambo-luvo yomzimba wethu yahlulwe yangamacandelo amabini aphambili. Eyokuqala yiNkqubo yeNervous ephakathi . Ibandakanya ingqondo yethu kunye nomqolo (umthambo oyintloko odlula emgogodleni). Oku kufana 'neOfisi eNkulu' yomzimba wethu.
Elinye icandelo yiPeripheral Nervous System . Oku kuquka yonke imithambo-luvo ephuma kwiofisi ephambili, oko kukuthi, ingqondo kunye nomqolo, kwaye isasazeka emzimbeni wonke. Ifana nenkqubo yeengcingo zefowuni ezisuka kwiofisi ephambili ziye kulo lonke ilizwe. Le mithambo-luvo ithwala kwaye ihambisa iimvakalelo kunye nemiyalezo ezandleni zethu, ezinyaweni, ebusweni, nakwiminwe yethu.
Ngoko ke, i-Peripheral Neuropathy yimeko okanye umonakalo kwimithambo-luvo engaphandle 'kweofisi enkulu', oko kukuthi, imithambo-luvo yenkqubo yemithambo-luvo engaphandle. Ekubeni zininzi izizathu zoku, iimpawu zinokuhluka kakhulu kumntu nomntu.
Ngubani onokuba nethuba elikhulu lokufumana le meko?
I-Peripheral Neuropathy inokuchaphazela nabani na, kungakhathaliseki ubudala, isini, okanye uhlanga. Nangona kunjalo, abanye abantu basengozini enkulu. Ingakumbi,
- Kwabo baneDiabetes Mellitus .
- Umngcipheko wokufumana le meko uyanda ngokuhamba kweminyaka. Kuqikelelwa ukuba phakathi kwe-5% kunye ne-7% yabantu abangaphezu kweminyaka engama-45 kwihlabathi liphela banohlobo oluthile lwe-peripheral neuropathy.
- Kwabo banezifo ezithile ezizuzwe njengelifa.
Le mithambo-luvo yonakala njani?
Ukuze sikuqonde oku, kufuneka sazi kancinci ngendlela ii-neurons zethu ezenziwe ngayo. Cinga nge-neuron njengentambo yombane.
- I-Axon: Le yinxalenye efana nentambo yobhedu yentambo yombane. Kulapho imiyalezo ihamba khona.
- I-Myelin Sheath: Le yiplastiki egquma ucingo lobhedu. Inceda umyalezo ukuba uhambe ngokukhawuleza, ngaphandle kokuvuza, kwaye ikhusela i-axon.
I-Peripheral Neuropathy inokwenzeka ngeendlela ezimbini eziphambili:
1. Ukususa imyelin kwi-Neuropathy: Oku kufana nokufakwa kweplastiki kwi-wire yombane enyibilikayo. Oku kunciphisa isantya seemiyalezo ezihamba ngaso, kwaye imiyalezo iyabhidlika.
2. Ukonakala kwe-Axonal: Oku kufana nomonakalo owenziwe yintambo yobhedu ngokwayo. Olu lolona hlobo luqhelekileyo. Imithambo-luvo emide emzimbeni wethu isuka kwintambo yomqolo iye kwiincam zeenzwane zethu. Ke ngoko, xa olu hlobo lomonakalo lusenzeka, imilenze neenyawo zezona zichaphazeleka kuqala.
Zithini iimpawu zoku?
Kunokubakho iimpawu ezininzi. Kuxhomekeke kuhlobo lomthambo owonakeleyo. Ngamanye amaxesha kunokuchaphazela umthambo omnye kuphela, okanye kunokuchaphazela imithambo-luvo emininzi ngaxeshanye. Kukho iintlobo ezintathu zeempawu.
| Uhlobo lwempawu | Kalula nje... | Ichaphazela njani loo nto? |
|---|---|---|
| Iimpawu zeMoto | Ezo zinxulumene nokuhamba kwemisipha |
|
| Iimpawu zeemvakalelo | Ezo zinxulumene neemvakalelo |
|
| Iimpawu Zokuzimela | Ezo zinxulumene neenkqubo ezizenzekelayo esingenakuzilawula. |
|
Yintoni enokubangela oku?
Zininzi izizathu zePeripheral Neuropathy. Ngamanye amaxesha, akukho sizathu sifumanekayo. Oku sikubiza ngokuba yi-'Idiopathic Neuropathy'. Ezona zizathu zixhaphakileyo zezi:
- Isifo Seswekile (Uhlobo lwesibini lwesifo Seswekile): Eyona nto iphambili neyona ixhaphakileyo ye-peripheral neuropathy eSri Lanka nakwihlabathi liphela sisifo seswekile esingalawulekiyo. Amanqanaba aphezulu eswekile egazini ixesha elide ayonakalisa imithambo-luvo ebuthathaka.
- Ukunqongophala kweevithamini: Ukunqongophala kweevithamini ezithile, ingakumbi iivithamini B12, B1, B6, B9 (folic acid), kunye nevithamini E, kungonakalisa imithambo-luvo. Ukutya ivithamini B6 ngokugqithisileyo kuyingozi nakwimithambo-luvo.
- Ukusela utywala kakhulu: Ukusela utywala kakhulu ixesha elide konakalisa ngokuthe ngqo imithambo-luvo.
- Iintsholongwane: Ezinye iintsholongwane (umz. i-HIV, i-herpes zoster) kunye neentsholongwane zingonakalisa imithambo-luvo.
- Izifo Ezizikhusela Ngokwasemzimbeni: Kwizifo ezifana ne-Guillain-Barré syndrome, i-lupus, kunye ne-rheumatoid arthritis, inkqubo yomzimba wethu yokuzikhusela ihlasela imithambo-luvo.
- Amayeza athile kunye neetyhefu: Amanye amayeza e-chemotherapy omhlaza, amanye amayeza okubulala iintsholongwane, kunye nokuvezwa kwiityhefu ezifana neekhemikhali zezolimo kunye neesinyithi ezinzima (i-lead, i-mercury).
- Ukonzakala: Ukonakala ngqo komthambo ngenxa yengozi okanye utyando.
- Iimeko zeMfuzo: Izifo ezizuzwe njengeCharcot-Marie-Tooth disease.
- Ezinye iimeko zonyango: isifo sezintso, isifo sesibindi, umhlaza (uxinzelelo lwe-tumor kwimithambo-luvo), kunye neengxaki zemithambo yegazi.
Eyona nto ibalulekileyo kukuba ukuba unezi mpawu, kufuneka ubone ugqirha ukuze akunike ingcebiso, kunokuba uzame ukufumanisa unobangela ngokwakho.
Uyifumana njani le nto, Gqirha?
Xa ubona ugqirha, uza kuqala akubuze imibuzo emininzi malunga neempawu zakho, imbali yezonyango, kunye nokuba kukho umntu kusapho lwakho okhe waba nezigulo ezifanayo na. Emva koko uza kwenza uvavanyo lomzimba aze avavanye ukusebenza kwemithambo-luvo yakho (imvakalelo, amandla emisipha, ii-reflexes).
Ukongeza, iimvavanyo ezinjalo zingasetyenziselwa ukufumana unobangela:
- Uvavanyo lwegazi: Ukufumanisa izinto ezifana nesifo seswekile, ukungabikho kweevithamini, ukusebenza kwezintso, kunye neengxaki zenkqubo yomzimba yokuzikhusela.
- Uphononongo lokuHanjiswa kwemithambo-luvo (NCS) kunye ne-Electromyogram (EMG): Ezi zilinganisa isantya esihamba ngaso imiyalezo kwiimithambo-luvo kunye nomsebenzi wombane wezihlunu. Oku kubaluleke kakhulu ekuqinisekiseni ukuba kukho umonakalo wemithambo-luvo kunye nokuba ikuphi.
- I-Neva Biopsy: Ngamanye amaxesha, iqhekeza elincinci lesikhumba, kunye neqhekeza elincinci lezicubu zemithambo-luvo, lithathwa lize lihlolwe phantsi kwe-microscope.
- Iskeni ye-MRI.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kwisizathu se-peripheral neuropathy yakho.
1. Ukunyanga unobangela oyintloko:
- Ukuba unesifo seswekile: Eyona nto ibalulekileyo kukulawula amanqanaba eswekile egazini lakho kakuhle.
- Ukuba kungenxa yokunqongophala kweevithamini: Nika iivithamini ezifanelekileyo.
- Ukuba kungenxa yesifo senkqubo yomzimba yokuzikhusela: Nika amayeza abhalwe ngugqirha.
- Ukuba kungenxa yeyeza: Ugqirha wakho uya kugqiba ukuba alitshintshe okanye aliyeke na iyeza, ukuba kunokwenzeka.
2. Ukulawula iimpawu:
- Amayeza eentlungu: Iintlungu zemithambo-luvo azipheliswa ziipilisi zokuthomalalisa iintlungu eziqhelekileyo. Kukho amayeza athile alo. Amanye amayeza asetyenziselwa isifo sokuwa kunye nokudakumba anokunikwa ngeedosi eziphantsi ukulawula iintlungu zemithambo-luvo kakhulu.
- Izithambiso kunye neePatches: Kukho iikhrimu kunye neepatches ezithile ezinokusetyenziswa kwindawo yentlungu.
- Unyango Lomzimba: Ukuzilolonga kunye nezinye iindlela zonyango kunceda ukuqinisa izihlunu, ukuphucula ulungelelwano, kunye nokunciphisa iintlungu.
- Izihlangu kunye nezixhobo ezikhethekileyo: Ugqirha wakho unokucebisa izihlangu ezikhethekileyo ukunceda ukuthintela ukwenzakala kubantu abaneemvakalelo eziphantsi ezinyaweni zabo. Abantu abanengxaki yokuhamba banokufuna ukusebenzisa isixhobo esifana nomsimelelo.
Sifanele sifune nini ingcebiso yezonyango ngoko nangoko? (Sifanele siye nini kwi-ETU)
Nangona i-peripheral neuropathy ingaqhelekanga ukubangela ukufa kwangoko, ezinye iimpawu zinokuba luphawu lwemeko enzima. Ukuba wena okanye umntu omaziyo uneempawu ezilandelayo, yiya kwicandelo elikufutshane lesibhedlele esingxamisekileyo (ETU) ngokukhawuleza.
| Iimpawu ekufuneka uziqaphele | Imeko enokuba mandundu |
|---|---|
| Istroke |
| I-Guillain-Barré Syndrome (imeko enzima apho inkqubo yomzimba yokuzikhusela ihlasela imithambo-luvo) |
| Iimpawu Ezinzima Zokuzimela |
Umyalezo Wokuya Ekhaya
- I-Peripheral Neuropathy kukonakalisa imithambo-luvo engaphandle kwengqondo kunye nomqolo.
- Ukungaziva mnandi, ukutsha, iinaliti ezibukhali, kunye nentlungu zezona mpawu zixhaphakileyo.
- Eyona nto ibangela oku eSri Lanka sisifo seswekile esingalawulekiyo. Ngoko ke, ukuba unesifo seswekile, kubalulekile ukulawula amanqanaba eswekile yakho kakuhle.
- Ukuba unale mpawu, ungalindi uze ubone ugqirha kwangoko. Ukuba uqala unyango kwangethuba, unganciphisa umonakalo wemithambo-luvo.
- Unyango luyahluka ngokuxhomekeke kwisizathu. Ngoku kukho unyango oluninzi olufumanekayo lokulawula iintlungu, ukuqinisa izihlunu, kunye nokuphucula umgangatho wobomi.
- Ukuba unemvakalelo encinci ezinyaweni zakho, jonga iinyawo zakho rhoqo ukuze uphephe ukwenzakala kwaye unxibe izihlangu ezifanelekileyo. Buza ugqirha wakho ukuba akunike ulwazi oluthe kratya malunga noku.
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