Ngaba ngamanye amaxesha uziva utshile ezandleni okanye ezinyaweni zakho, uziva urhawuzelelwa, okanye unesicaphucaphu? Ngaba uziva iintlungu ezinganyamezelekiyo nokuba ilaphu lebhedi libetha emlenzeni wakho? Nokuba ucinga ukuba ezi zinto zizinto nje ezingacwangciswanga, kusenokuba kukho isizathu sezonyango emva koku. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yiSmall Fiber Neuropathy (SFN), ebangela ezi mpawu. Nangona eli ligama elide, masiliqonde ngokulula.
Yintoni iSmall Fiber Neuropathy (SFN)?
Ngamafutshane, i-Small Fiber Neuropathy (SFN) yimeko yenkqubo yemithambo-luvo ejikeleze umzimba. Kulungile, oko kuvakala kuyinkimbinkimbi kancinci, akunjalo? Masiyihlalutye.
Khawuthelekelele ukuba umzimba wethu ugqunywe luthungelwano lwemithambo-luvo, njengenkqubo yocingo lombane. Inemicu yemithambo-luvo emincinci kakhulu, engatyebanga ngaphezu kweenwele. Le yileyo ithwala iimvakalelo ezifana nobushushu, ukubanda, kunye nentlungu eviwa lulusu lwethu ukuya engqondweni. I-SFN kuxa ezo micu yemithambo-luvo zincinci zonakala ngesizathu esithile.
Xa le mithambo-luvo yonakele, ayisebenzi kakuhle. Iqala ukuthumela imiqondiso engalunganga engqondweni. Yiyo loo nto uziva utshile, uhlaba, okanye urhawuzelelwa ziintlungu ezingalweni zakho nasemilenzeni ngaphandle kwesizathu.
Le meko ayichaphazeli kuphela imithambo-luvo eluswini, kodwa ichaphazela neminye imithambo-luvo ebuthathaka elawula imisebenzi ebalulekileyo emzimbeni wethu (umzekelo, uxinzelelo lwegazi, ukubetha kwentliziyo). I-SFN ayisongeli ubomi, kodwa ngamanye amaxesha inokuba luphawu lwesinye isifo esinzima.
Ziziphi iimpawu eziphambili zoku?
Iimpawu ze-SFN zingahluka kumntu nomntu. Kodwa uphawu oluqhelekileyo, ingakumbi kwizigaba zokuqala, ziintlungu ezandleni nasezinyaweni. Le ntlungu ngamanye amaxesha iyafika ize iphele, ngamanye amaxesha ihlala ihleli. Inokuba mandundu ngokuhamba kwexesha.
Makhe sibone ukuba zeziphi iimpawu eziphambili.
| Uphawu | Ingcaciso Elula |
|---|---|
| Intlungu ebuhlungu okanye evuthayo | Ukutsha nokuhlaba ezandleni nasezinyaweni. Olu lolona phawu luqhelekileyo. |
| Ukudinwa okanye ukuquleka | Ukuziva unesizungu okanye unesizungu xa umile, mhlawumbi uphelelwe ngamandla. Oku kunokwenzeka ngakumbi xa uphakama uhleli. |
| Ukubetha kwentliziyo | Ukuva intliziyo yakho ibetha ngokukhawuleza, okanye ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza. |
| Ukuba ndindisholo | Ukungaziva kakuhle kunye nokulahlekelwa yimvakalelo kwezinye iindawo. |
| Ukulahlekelwa yintlungu kunye nobushushu | Ukulahlekelwa kukuziva ubushushu, ukubanda, okanye iintlungu kwiindawo ezincinci zomzimba. Umzekelo, usenokungaziva nto xa uchukumisa into eshushu. |
| Isisu esibuhlungu | Intlungu yesisu okanye ukuqaqamba ngaphandle kwesizathu. |
| Utshintsho ekujulukeni | Ukubila ngaphezu kwesiqhelo okanye mhlawumbi ukungakwazi ukubila ngokupheleleyo. |
Kutheni i-Small Fiber Neuropathy (SFN) isenzeka?
Lo ngumbuzo obaluleke kakhulu. Kwisiqingatha sabantu abane-SFN, akukho sizathu sifumanekayo . Oogqirha babiza le meko ngokuthi "Idiopathic Small Fiber Neuropathy." Oko kuthetha "i-SFN yesizathu esingaziwayo."
Nangona kunjalo, kukho izinto ezininzi ezinokubangela isiqingatha esisele.
Ngenxa yezinye iimeko zempilo
Rhoqo, i-SFN sisiphumo esingesihle sesinye isifo.
- Isifo seswekile: Eyona nto iphambili neyona ixhaphakileyo ye-SFN sisifo seswekile. Amanqanaba eswekile egazini angalawulekiyo ixesha elide anokonakalisa le mithambo-luvo ibuthathaka.
- Ukunganyamezelani neglucose: Oku kukhokelela kwisifo seswekile. Kunokubangela nomonakalo kwimithambo-luvo.
- Iingxaki zomzimba:Izifo ezifana nesifo seCeliac, isifo sikaSjögren, kunye neSarcoidosis zinokubangela ukuba amasosha omzimba ahlasele le mithambo-luvo.
- Iintsholongwane: Iintsholongwane ezifana neHepatitis C okanye iHIV nazo zinokubangela i-SFN.
- Ukunqongophala kweVithamin B: Ukunqongophala kweVithamin B12 ngokukodwa kunokonakalisa imithambo-luvo.
- Ingxaki yokusebenzisa utywala
- Isifo se-thyroid
- Isifo seMetabolic
Izifo ezizuzwe njengelifa
Ngamanye amaxesha le meko inokubangelwa zizinto ezibangela ufuzo. Oku kuthetha ukuba kukho umntu kusapho lwakho onayo kwaye nawe ungayifumana. 'Isifo sikaFabry' kunye ne 'Familial amyloidosis' zezinye zemizekelo enjalo.
Ngenxa yamachiza athile kunye neetyhefu
Ezi mithambo-luvo zinokonakala ngenxa yemiphumo emibi yamanye amayeza esiwasebenzisayo.
- Amanye amayeza e-chemotherapy omhlaza
- Amanye amayeza okubulala iintsholongwane (umz. i-metronidazole, i-nitrofurantoin)
- Amachiza afana ne-'tumor necrosis factor inhibitors'
Zithini iingxaki zoku?
Kukho iingxaki ezimbini eziphambili ezibangelwa yi-SFN.
1. Ukulahlekelwa zimvakalelo zentlungu: Enye yezona ngozi ziphambili zoku kukulahlekelwa zimvakalelo zentlungu. Khawuthelekelele uchukumisa imbiza eshushu esitovini, kodwa ukuba awuziva ubushushu, ungatshisa isandla sakho. Amathuba okuba iingozi ezinjalo zenzeke aphezulu. Ke ngoko, kubalulekile ukuba umntu one-SFN ahlole amalungu akhe rhoqo ukuba akawenzakali na.
2. Ukuwa: Ukuba nesiyezi, ubunzima bokuhamba, kunye nokulahlekelwa yibhalansi kwandisa umngcipheko wokuwa.
Ugqirha uyifumana njani le nto?
Wakuba uchaze iimpawu zakho, ugqirha wakho uza kukuxilonga aze akubuze imibuzo. Akukho vavanyo lunye lokuqinisekisa i-SFN, ngoko ke kunokufuneka ukuba wenze iimvavanyo ezininzi.
- I-biopsy yolusu: Olu lolona vavanyo lubalulekileyo lokufumanisa esi sifo. Apha, kuthathwa iqhekeza elincinci kakhulu lesikhumba (malunga ne-3 millimeters) lize lihlolwe phantsi kwemakroskopu ukuze kubonwe ukuba imicu yemithambo-luvo emincinci ixinene kangakanani.
- Uvavanyo lwe-axon reflex ye-quantitative sudomotor (QSART): Olu vavanyo luvavanya indlela esebenza ngayo imithambo-luvo ebandakanyeka ekubileni.
- Izifundo ze-Electromyography (EMG) kunye nokuqhuba imithambo-luvo: Ezi zilingo zihlala zijonga umsebenzi wee-nerve fibers ezinkulu. Ezi zilingo zihlala ziqhelekile kwi-SFN. Nangona kunjalo, ziluncedo ekuthinteleni ezinye iimeko ze-neurological.
- Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukuze kukhangelwe izizathu ezisisiseko, ezinje ngesifo seswekile, ukungabikho kweevithamini, kunye neengxaki ze-thyroid.
- Uvavanyo lwemfuza: Olu vavanyo lunokwenziwa ukuba kukho ukurhanelwa kwesizathu sofuzo.
Zithini iindlela zonyango?
Oogqirha bagxila kwiinjongo ezimbini eziphambili ngexesha lonyango.
1. Nyanga unobangela oyintloko: Le yeyona nto ibalulekileyo. Ukuba ibangelwa sisifo seswekile, isifo seswekile silawulwa kakuhle. Ukuba sisifo sokunqongophala kweevithamini, ke iivithamini ezifunekayo ziyanikwa. Xa unobangela unyangwa ngokufanelekileyo, umonakalo kwimithambo-luvo unokupheliswa okanye uncitshiswe.
2. Ukulawula iintlungu kunye nezinye iimpawu: Kukho amayeza akhethekileyo okulawula iintlungu zemithambo-luvo.
Kubalulekile: Iipilisi zokuthomalalisa iintlungu eziqhelekileyo (ezifana neParacetamol kunye ne-Ibuprofen) azisebenzi kakuhle kolu hlobo lwentlungu yemithambo-luvo. Ngoko ke, kubalulekile ukusebenzisa kuphela amayeza achazwe ngugqirha wakho.
Ezinye zeentlobo eziphambili zamayeza asetyenziswayo zidweliswe ngezantsi.
| Udidi lwamayeza | Imizekelo kunye namanqaku |
|---|---|
| Amayeza okuthintela ukuxhuzula | Nangona la mayeza esetyenziselwa isifo sokuwa, asebenza kakhulu ekulawuleni iintlungu zemithambo-luvo. Umzekelo: `Gabapentin`, `Pregabalin` |
| Amayeza okudakumba | Nangona la mayeza enzelwe ukudakumba, asetyenziswa ngempumelelo kakhulu ukulawula iintlungu ezibangelwa kukonakala kwemithambo-luvo. Umzekelo: `Amitriptyline`, `Nortriptyline`, `Desipramine` |
| Ii-anesthetics zangaphandle | Iikhrimu, iijeli, okanye iiplasta ezisetyenziswa eluswini. Ezi ziyenza buthathaka indawo yentlungu kwaye zinciphise iintlungu. Umzekelo: `Lidocaine`, `Capsaicin` |
Ndifanele ndimbone nini ugqirha?
Ukuba uneempawu ezikhankanyiweyo kweli nqaku, ingakumbi ukutsha, ukungaziva, okanye ukurhawuzelelwa kwamalungu omzimba, musa ukuzityeshela nje njengento eyenzeka nje, kodwa qiniseka ukuba ubonana nogqirha. Kuba oko kungaba luphawu lwesifo esinzulu nesinyangekayo njengesifo seswekile.
Ukuba sele ufunyenwe une-SFN ngugqirha, bonana nogqirha wakho kwakhona ukuba ubona utshintsho olulandelayo:
- Kuthekani ukuba intlungu ezinyaweni zam ngoku isasazeka ezandleni zam?
- Ukuba ubuninzi okanye ubunzima bentlungu buyanda.
- Ukuba kuvela iimpawu ezintsha, ezinje ngokuba nesiyezi okanye ubunzima bokuhamba.
Xa ubona ugqirha wakho, ungabuza le mibuzo ilandelayo.
- "Kutheni ndinezi mpawu?"
- "Ngaba ezi mpawu ziya kuba zimbi ngakumbi?"
- "Zeziphi iindlela zonyango ezilungileyo endinokuzisebenzisa?"
- "Ngaba ndiza kuba nale meko ngonaphakade?"
Umyalezo Wokuya Ekhaya
- I-Small Fiber Neuropathy (SFN) yimeko ebangelwa kukonakala kwemithambo-luvo emincinci kakhulu eluswini lwethu.
- Iimpawu eziphambili kukutsha, ukungaziva mnandi, kunye nentlungu ehlabayo ezandleni nasezinyaweni.
- Idla ngokuba yimbangela ephambili yale meko sisifo seswekile esingalawulekiyo, ngoko ke ukungazihoyi ezi mpawu kunokuba yingozi.
- Ukuba unale mpawu, bonana nogqirha wakho ngokukhawuleza ukuze ufumane unobangela kwaye ufumane unyango olufanelekileyo.
- Ukunyanga unobangela oyintloko kunye nokulawula iintlungu kubaluleke kakhulu kunyango.
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