Ngaba amalungu akho omzimba aziva ebuhlungu? Ngaba aziva ngathi ayatsha? Masithethe ngePeripheral Neuropathy.

Ngaba wakha waziva urhawuzelelwa ezandleni okanye ezinyaweni zakho? Kwabanye abantu, oku akukokurhawuzelelwa nje kuphela, kodwa kunokuba yintlungu enganyamezelekiyo kunye nokudumba. Unobangela wezinto ezinjalo unokuba yingxaki kwinkqubo yakho yemithambo-luvo. I-Peripheral Neuropathy ligama eliqhelekileyo leengxaki ezininzi zemithambo-luvo. Nangona eli gama lisenokuvakala lingaqhelekanga, le meko ixhaphakile kakhulu kwilizwe lethu. Ngoko ke masithethe ngayo ngokulula namhlanje.

Ngamafutshane, yintoni i-Peripheral Neuropathy?

Kulungile, ukuze sikuqonde oku, kufuneka siqale sazi kancinci ngenkqubo yethu yemithambo-luvo. Inkqubo yethu yemithambo-luvo ineenxalenye ezimbini eziphambili.

1. Inkqubo Yemithambo-luvo Ephakathi: Oku kuquka ingqondo yethu kunye nomqolo. Cinga ngako njengekhompyutha ephambili kunye nentambo ephambili emzimbeni wethu.

2. Inkqubo Yemithambo-luvo Ejikelezayo: Oku kubhekisa kuzo zonke iimithambo-luvo ezisuka kwintambo ephambili, oko kukuthi, intambo yomqolo kunye nobuchopho, ukuya kuthi ga ezingalweni, emilenzeni, nakwiiminwe. Ezi zifana neengcingo ezincinci ezisuka kwintambo ephambili ukuya kuyo yonke indawo yendlu.

Uyaqonda ngoku? I-Peripheral Neuropathy yimeko eyenzeka xa kukho umonakalo okanye isifo kwinkqubo yemithambo-luvo engaphandle , imithambo-luvo emincinci esasazeka emzimbeni wonke. Xa le mithambo-luvo yonakele, ayithumeli imiyalezo eya nebuya engqondweni ngokufanelekileyo. Yiyo loo nto siqala ukuziva izinto ezinje ngokundindisholo kunye nentlungu.

Le meko inokuvela nakubani na wanoma yimuphi ubudala, kodwa umngcipheko wokuyifumana uyanda njengoko iminyaka ikhula nakubantu abaneengxaki ezithile zempilo.

Le mithambo-luvo yonakala njani?

Ukuze siqonde oku, makhe sijonge ukuba yintoni i-nerve. Cinga nge-nerve njengocingo lombane, ucingo oluthwala umsinga.

• I-Axon: Le yi-conductor yombane engaphakathi kwintambo. Kulapho imiyalezo yemithambo-luvo idluliselwa khona.
• I-Myelin: Le yiplastiki ejikeleze ucingo. Ikhusela i-axon kwaye inceda imiyalezo ukuba ihambe ngokukhawuleza.

Kukho iindlela ezimbini eziphambili ezinokwenzeka ngazo i-peripheral neuropathy:

1. Ukususa imyelo kwi-Neuropathy: Oku kuxa i-sheath yeplastiki ye-nerve fibers yonakele. Oku kuthetha ukuba imiqondiso yombane, okanye imiyalezo ye-nerve, ayihambi kakuhle, kwaye imiyalezo isenokude "ivuze".

2. I-Axonal Neuropathy: Olu lolona hlobo luqhelekileyo. Kulapho imicu yemithambo-luvo engaphakathi kwimithambo-luvo yonakala khona. Ekubeni imiva-luvo emide emzimbeni wethu isemilenzeni yethu, iimpawu zokuqala zolu hlobo lwe-neuropathy zihlala zikwimilenze nasezinyaweni.

Ukuba lo monakalo ukhawuleza kangakanani na ukwenzeka kuxhomekeke kwisizathu. Ingozi ingenzeka ngoko nangoko. Ezinye izifo kunye nokwenzakala zingenzeka kwiintsuku okanye iiveki. Izifo ezifana nesifo seswekile zingathatha iinyanga okanye iminyaka ukuba zenze lo monakalo.

Ziziphi iimpawu zePeripheral Neuropathy?

Iimpawu zoku zahlukile kakhulu. Oku kungenxa yokuba zinokuchaphazela iintlobo ezahlukeneyo zemithambo-luvo emzimbeni wethu. Iimpawu zinokwahlulwa zibe ziintlobo ezintathu.

Yintoni esona sizathu siphambili soku?

Zininzi izinto ezibangela i-peripheral neuropathy. Ezinye zixhaphake kakhulu, ngelixa ezinye zinqabile.

• Isifo Seswekile Esingalawulekiyo (Uhlobo Lwesibini Lweswekile): Esi sesona sizathu siphambili sePeripheral Neuropathy kwihlabathi nakwilizwe lethu. Amanqanaba aphezulu eswekile egazini ixesha elide ayonakalisa imithambo-luvo, ingakumbi imithambo-luvo esemilenzeni.
• Ukusela utywala kakhulu: Ukusela utywala kakhulu ixesha elide konakalisa ngokuthe ngqo imithambo-luvo.
• Ukunqongophala kweevithamini: Ukunqongophala kweevithamini, ingakumbi i-vitamin B12, i-B1, kunye ne-B6, kunokuchaphazela ukusebenza kwemithambo-luvo. Kwakhona, ukuthatha i-vitamin B6 eninzi kuyingozi kwimithambo-luvo.
• Iimeko zokuzikhusela komzimba: Kwizifo ezifana ne-Guillain-Barré syndrome, i-Lupus, kunye ne-Rheumatoid arthritis, inkqubo yomzimba wethu yokuzikhusela ihlasela imithambo-luvo.
• Amayeza kunye neetyhefu: Amanye amayeza e-chemotherapy kunye namanye amayeza asetyenziselwa ukunyanga umhlaza angonakalisa imithambo-luvo. Iintsimbi ezinzima ezifana ne-lead kunye ne-mercury nazo zinokubangela umonakalo kwimithambo-luvo.
• Izifo: Izifo ezibangelwa ziintsholongwane ezifana ne-HIV, ii-shingles, kunye nezifo ezibangelwa ziintsholongwane ezifana nesifo seLyme zingonakalisa imithambo-luvo.
• Iingozi okanye utyando: Ingozi okanye utyando lunokubangela umonakalo kumthambo ngokuwusika, ukuwutyumza, okanye ukuwutsala.
• Izizathu zofuzo: Ezinye izifo zemithambo-luvo zifunyanwa njengelifa, umzekelo, isifo sikaCharcot-Marie-Tooth.
• Idiopathic Neuropathy: Kwezinye iimeko, nangona zonke iimvavanyo zifunyenwe, akukho sizathu sithile sifumanekayo .

Ugqirha uyifumana njani le nto?

Ukuba unale mpawu, kubaluleke kakhulu ukubonana nogqirha. Ugqirha uza kulandela amanyathelo aliqela ukuze afumanise esi sifo.

1. Ukukubuza iinkcukacha: Baza kukubuza imibuzo emininzi, efana nokuba zithini iimpawu zakho, ukuba sele unexesha elingakanani unazo, nokuba unezinye izifo ezifana nesifo seswekile, ngawaphi amayeza owasebenzisayo, nokuba usela utywala na.

2. Uvavanyo lomzimba:Ugqirha uza kuhlola iingalo nemilenze yakho, ingakumbi amandla emisipha, ii-reflexes (ezifana nokubethela idolo lakho ngesando esincinci), kunye nokuziva (ukuchukumisa ilungu lakho nge-cotton swab okanye iphini elincinci ukuze abone ukuba ungaliva na).

3. Uvavanyo olukhethekileyo: Ukuba kuyimfuneko, ugqirha angakuthumela kwezinye iimvavanyo ezininzi.

• Uvavanyo lwegazi: Fumana izizathu ezifana nesifo seswekile, ukungabikho kweevithamini, kunye neengxaki zezintso.
• Uphononongo lokuHanjiswa kweMithambo (i-Electromyogram - i-EMG): Olu luvavanyo olukhethekileyo kancinci. Lulinganisa isantya kunye namandla emiqondiso yombane ehamba kwiimithambo-luvo zakho. Oku kunokunceda ekuqinisekiseni ukuba imithambo-luvo yonakele na, kwaye ukuba kunjalo, phi.
• I-Never Biopsy: Kunqabile kakhulu ukuba iqhekeza elincinci le-nerve lithathwe lize lihlolwe phantsi kwe-microscope.

Zithini iindlela zonyango? Ngaba oku kunganyangeka?

Unyango lwe-peripheral neuropathy luxhomekeke kwisizathu.

• Ukunyanga unobangela: Umzekelo, ukuba une-neuropathy ngenxa yesifo seswekile, unyango olubaluleke kakhulu kukulawula amanqanaba eswekile egazini lakho . Ukuba kukunqongophala kweevithamini, uza kunikwa iivithamini.
• Amayeza okulawula iintlungu nokudumba: Iintlungu zemithambo-luvo azipheliswa ziipilisi zokuthomalalisa iintlungu eziqhelekileyo. Kukho amayeza athile alo nyango. Ugqirha wakho uza kukunika amayeza afanelekileyo.
• Unyango Lomzimba: Ukuba izihlunu zibuthathaka, unyango lomzimba lunokuba luncedo kakhulu ekuziqiniseni, ekuphuculeni ubunzima bokuhamba, nasekuphuculeni ulungelelwano.
• Ukhathalelo olukhethekileyo lweenyawo: Abantu abanesifo seswekile, ngakumbi, baneemvakalelo ezinciphileyo ezinyaweni zabo, ngoko ke basenokungaziva naziphi na iingozi. Ngoko ke, kubalulekile ukujonga iinyawo zakho yonke imihla, ukunxiba izihlangu ezifanelekileyo, kunye nokubona ugqirha weenyawo.

Kwezinye iimeko, ingakumbi ukuba unobangela ufunyenwe kwaye unyangwa kwangethuba, omnye umonakalo wemithambo-luvo unokuguqulwa. Nangona kunjalo, i-neuropathy ebangelwa zizifo ezingapheliyo ezifana nesifo seswekile idla ngokuhlala ihleli. Nangona kunjalo, ngonyango olufanelekileyo, kunokwenzeka ukulawula iimpawu kunye nokuphila ubomi obuqhelekileyo .

Kufuneka nini ubonane nogqirha okanye uye kwi-ETU xa kukho imeko engxamisekileyo?

I-Peripheral Neuropathy ayisiyongxaki esongela ubomi. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, bona ugqirha ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane nawe:Okubalulekileyo.

• Ubuthathaka obukhawulezileyo kwelinye icala lomzimba, umlomo ugobile kwelinye icala, ubunzima bokuthetha: Ezi zinokuba ziimpawu zestroke .
• Ubuthathaka okanye ukuba ndindisholo okuqala ezinyaweni kuze kusasazeka ngokukhawuleza emzimbeni, ubunzima bokuphefumla okanye ukuginya: Ezi zinokuba ziimpawu zemeko eyingozi njenge -Guillain-Barré syndrome .
• Ukuba uhlala uziva unesizungu kwaye ulahlekelwa zingqondo xa umi okanye uvuka (ingakumbi ukuba ukuwa kubangele ukwenzakala entloko, entanyeni, okanye emqolo).
• Ukubetha kwentliziyo okungaqhelekanga (okukhawulezileyo ngequbuliso okanye okucothayo kakhulu).

Kwimeko engxamisekileyo efana nale, musa ukuhlala ekhaya kwaye ufune iingcebiso zonyango ngoko nangoko.