Uzwa ubuhlungu obungabekezeleleki noma umuzwa oshisayo lapho izingubo zakho zikhuhla, lapho umoya uvunguza, noma lapho umngane ekushaya kancane ehlombe? Uma uzwa ubuhlungu obukhulu ngisho noma uthinta kancane kodwa empeleni kungabangeli ubuhlungu, ungase ube nalesi simo. Namuhla sikhuluma ngalesi simo esingavamile, kodwa esivamile kakhulu, esibuhlungu esithinta abantu abaningi, i-allodynia.
Iyini ngempela i-Allodynia?
Kalula nje, i-allodynia umuzwa wobuhlungu obuvela entweni engavamile ukubangela ubuhlungu. Cabanga ngophaphe lwenyoni oluthinta isikhumba sakho. Ngokuvamile sizwa umuzwa omnene nojabulisayo, akunjalo? Kodwa kumuntu one-allodynia, kuzwakala njengobuhlungu obubukhali, njengokugwazwa ngommese.
Lokhu kwaziwa ngokwezokwelapha ngokuthi ubuhlungu be-neuropathic . Lokhu kusho ukuthi akuyona inkinga ngesikhumba sakho, kodwa inkinga ngesistimu yezinzwa ethwala umuzwa wobuhlungu uye ebuchosheni. Ngokuvamile kuyisibonakaliso sesinye isimo. Isibonelo, kuvame ukubonakala ezimweni ezifana nesifo sikashukela, i-herpes, i-fibromyalgia, kanye ne-migraines.
Abantu abaningi abane-allodynia bathi isikhumba sabo sizizwa “sibucayi kakhulu, sengathi sishiswe yilanga.” Kwabanye abantu, lobu buhlungu bungazwakala njengommese, inaliti, noma umuzwa oshisayo, njengoba isikhumba sivutha.
Yiziphi izinhlobo eziyinhloko ze-Allodynia?
Lesi simo singahlukaniswa ngezinhlobo ezintathu eziyinhloko kuye ngokuthi senzeka kanjani. Ake siqonde lokhu ngethebula.
| Uhlobo lwe-Allodynia | Kalula nje, yilokhu okwenzekayo (Okushoyo kalula) |
|---|---|
| I-Allodynia Enamandla | Ubuhlungu lapho into ihamba phezu kwesikhumba. Isibonelo, ukukhuhla izingubo emzimbeni, amashidi okulala ashaya umzimba. |
| I-Allodynia Yokuthinta | Ubuhlungu obubangelwa ukuthintwa okuncane kakhulu noma ukucindezela. Isibonelo, ukuxhawula isandla somuntu, ukuba othile akuthinte ikhanda. |
| I-Allodynia Yokushisa | Ubuhlungu obubangelwa ukushintsha okuncane kwezinga lokushisa. Isibonelo, uma uphuma egumbini le-AC, noma lapho ithonsi lamanzi abandayo lithinta isikhumba sakho. |
Kungani lokhu kwenzeka kithi? Iyini imbangela?
Isizathu esiyinhloko salokhu ukukhubazeka ekucutshungulweni kobuhlungu ohlelweni lwethu lwezinzwa. Lokhu sikubiza ngokuthi 'i-Central Sensitization'.
Cabanga ngomzimba wakho njengendawo evikelekile kakhulu, kanti uhlelo lwakho lwezinzwa luyisistimu yalo yokuphepha. Uma uthinta into eshisayo, izinzwa ohlelweni lwakho lwezinzwa zithumela isignali ebuchosheni bakho zithi, "Ingozi!" Ngaleso sikhathi, uhlelo lokuphepha luyakhala, uzwa ubuhlungu, bese udonsa isandla sakho. Lena inqubo evamile.
Kodwa isimo sezokwelapha, ingozi, noma eminye imithi ingaphazamisa ukusebenza kwalolu hlelo lokuzivikela. Ngemuva kwalokho, i-alamu iqala ukukhala ngisho noma kungekho ngozi. Njenge-alamu yokuphepha ekhala ngaphandle kokufika kwesela. Ingubo ekhuhla umzimba akuyona ingozi, kodwa uhlelo lwezinzwa oluphazamisekile luyichaza kabi njengengozi futhi luthumela izimpawu zobuhlungu ebuchosheni. Yilokho okwenzekayo esimweni se-allodynia.
Izimo ezingabangela i-allodynia
- I-neuropathy ehlobene nesifo sikashukela
- I-Fibromyalgia
- I-Migraines
- I-post-herpetic neuralgia (ubuhlungu ngemva kokutheleleka yi-herpes)
- I-Multiple Sclerosis (MS)
- I-Complex regional pain syndrome (CRPS)
- I-Trigeminal neuralgia (TN)
- Inkinga yokusebenzisa utshwala
- Ukuntuleka kwevithamini D noma ivithamini B
- Ezinye izindlela zokwelapha umdlavuza (i-Chemotherapy, i-Radiation therapy)
- Ukulimala kwemizwa ngemva kwengozi (isib., ukusikeka okujulile) noma ukuhlinzwa (isib., ukususwa kwesitho)
Ukuthola kanjani lokhu, Dokotela?
Uma ubika izimpawu ezinjengalezi, into yokuqala udokotela wakho azokwenza ukukubuza ngomlando wakho wezokwelapha ophelele bese ekuxilonga.
- Ubuhlungu bunjani? (Ubuhlungu? Ukushisa?)
- Izokwanda nini?
- Yini oyenzayo ukuze unciphise ubuhlungu?
- Yimiphi eminye imithi oyithathayo?
Ngemva kokubuza imibuzo efana nale, bazokucela ukuthi ulinganise ubukhulu bobuhlungu kusukela ku-0 kuya ku-10. Ngemva kwalokho, bangenza izivivinyo ezithile ukuze bathole ukuthi yini ngempela ebangela lokhu.
- Ukuhlolwa kwegazi (isb. I-Complete Blood Count)
- Ukuhlolwa komchamo
- Ukuhlolwa kwe-MRI noma i-CT scan
- Ukuhlolwa okukala ukusebenza kwezinzwa - i-EMG (i-Electromyogram) kanye ne-NCS (Ucwaningo Lokuqhutshwa Kwezinzwa)
Akukho ukwelashwa kwalolu buhlungu?
Nakanjani ikhona. Isihluthulelo sokwelashwa ukuhlonza nokwelapha isimo esiyisisekelo esibangela i-allodynia. Isibonelo, uma sibangelwa isifo sikashukela, kubalulekile ukulawula kahle isifo sikashukela.
Uma kungatholakali imbangela noma uma ubuhlungu buqhubeka naphezu kokwelashwa kwesimo esiyisisekelo, kunezindlela ezahlukene zokuphatha ubuhlungu. Udokotela wakho uzokhetha uhlelo lokwelapha olukulungele kangcono.
| Indlela Yokwelapha | Ake sifunde ngalokhu. |
|---|---|
| Imithi Yomlomo | Kunemithi ethile yobuhlungu bemizwa. Imithi efana nePregabalin, iGabapentin, kanye neminye imithi yokucindezeleka ivame ukusetshenziswa kulokhu. Imithi efana neTriptans inikezwa i-allodynia ebangelwa yi-migraines. |
| Imithi Yokwelapha | Kukhona okhilimu, ama-lotion, noma ama-patches angasetshenziswa endaweni yobuhlungu. Izibonelo zifaka amafutha aqukethe i-lidocaine ne-capsaicin. Lawa aqeda isikhumba okwesikhashana futhi anciphise ubuhlungu. |
| Ukwelashwa Komzimba (PT) | Lena inqubo ebizwa ngokuthi 'ukungazweli'. Udokotela wezifo zengqondo uzoqala ngokuthinta isikhumba sakho kancane kancane, andise kancane kancane ingcindezi. Ngokuhamba kwesikhathi, uhlelo lwakho lwezinzwa luzojwayela ukuthinta, futhi ubuhlungu buzophela. |
| Ukwelulekwa Nokwelashwa | Ukuphila nobuhlungu obungapheli kungaba yinto ekhathazayo engqondweni. Ukwelulekwa kubaluleke kakhulu ekuphatheni ukucindezeleka nokukhathazeka okubangelwa yilokhu. Izindlela ezifana ne-Cognitive Behavioral Therapy (CBT) zikufundisa indlela yokubhekana nobuhlungu. |
| Imijovo | Imijovo efana nokuvimba imizwa inganikezwa ukuze kucinywe okwesikhashana imizwa noma i-nerve fiber ebangela ubuhlungu. |
| Ukuhlinzwa | Uma kungekho okunye ukwelashwa okuphumelelayo, ukuhlinzwa okufana nokukhuthazwa kwentambo yomgogodla kungacatshangelwa. Lokhu kuhilela ukufaka idivayisi encane emgogodleni ukuvimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. |
Ingabe lesi simo asinakuvinjelwa?
Kungase kungenzeki ukuvimbela ngokuphelele i-allodynia, njengoba kuyisibonakaliso sesinye isimo. Kodwa-ke, singanciphisa ingozi yokuthola izimo eziyinhloko ezibangela i-allodynia.
- Hlala umatasa: Ukuvivinya umzimba njalo kunciphisa ukucindezeleka, kunciphisa ikhanda elibuhlungu, futhi kusiza ukulawula isifo sikashukela.
- Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kuyimbangela enkulu yesifo sikashukela.
- Qaphela umlando womndeni wakho: Uma kukhona emndenini wakho onezifo ezifana nesifo sikashukela, i-MS, noma i-fibromyalgia, khuluma nodokotela wakho ngakho.
- Goma: Funa iseluleko sezokwelapha mayelana nokuthola imijovo edingekayo ukuze uvikeleke egciwaneni le-herpes.
- Yidla ukudla okunempilo: Yidla ukudla okucebile ngezithelo nemifino ukuze ugweme ukuntuleka kwamavithamini.
Into ebaluleke kakhulu ukuthi, uma uzwa lolu hlobo lobuhlungu, ungabunaki. Ungacabangi ukuthi, "Lokhu kuyinkinga yengqondo nje." Lesi yisimo sangempela sezokwelapha esidinga ukwelashwa.
Kunzima kangakanani ukuba sezinhlungwini, ukungakwazi ukubamba ingane yakho noma othandekayo wakho, ukungakwazi ngisho nokugqoka izingubo? Ngakho-ke uma unalezi zimpawu, ikakhulukazi uma ziphazamisa impilo yakho yansuku zonke, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Allodynia umuzwa wobuhlungu obukhulu obuvela ekuthinteni okungabangeli ubuhlungu ngokuvamile.
- Lokhu akuyona inkinga yengqondo, kodwa ubuhlungu bangempela obubangelwa ukukhubazeka ohlelweni lwezinzwa (Ubuhlungu be-Neuropathic).
- Ngokuvamile, lokhu kwenzeka njengophawu lwesinye isimo sezokwelapha, njengesifo sikashukela, i-fibromyalgia, noma i-migraines.
- Uma unalezi zimpawu, ungazinaki futhi nakanjani bonana nodokotela wakho ukuze uthole imbangela bese uthola ukwelashwa.
- Lesi simo singalawulwa ngempumelelo ngokwelapha isifo esiyisisekelo esibangela ubuhlungu kanye nokusebenzisa amasu okulawula ubuhlungu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Iyiphi isifo esetshenziselwa i-Cholestyramine Resin / Questran powder?
Leli akulona iphilisi le-cholesterol elivamile (i-Statin)! Lolu uhlobo olukhethekile lomuthi (i-Bile Acid Sequestrant) olunikezwa ukunciphisa 'i-cholesterol embi (i-LDL Ephezulu)'. Odokotela baphinde bawusebenzisele ukuvimba ngokushesha 'ukulunywa okungabekezeleleki (i-Pruritus) komzimba/isikhumba' ngenxa yesifo sesibindi/ukuvinjelwa kwenyongo kanye nokulawula ezinye izimo zohudo ezinzima.
💬 Le mpuphu (i-Cholestyramine) iyincibilikisa kanjani i-cholesterol embi/iyivimbe ukuthi inganqwabelani uma uyiphuza namanzi?
Isibindi sethu senza i-cholesterol entsha nsuku zonke futhi sikhiqize 'ama-bile acid', abese eya emathunjini bese ebuyiselwa esibindini. Uma uphuza lo muthi, uya emathunjini bese umunca lelo 'bile' njengesiponji, ulivale bese ulidlulisela nendle yakho. Uma i-bile iphela, isibindi asinayo enye indlela ngaphandle kokumunca i-cholesterol/LDL egazini lakho bese senza i-bile entsha. Leyo bile izokuvimbela ekuklwebheni umzimba wakho.
💬 Yiziphi izingozi ezicasulayo neziyingozi kakhulu okufanele uziqaphele lapho uthatha lo muthi (i-Questran)?
Inkinga enkulu ukuthi lokhu kubangela 'ukuqunjelwa' okukhulu! Abanye abantu bangathola ngisho nokushaywa yindle. Enye ingozi eyingozi kakhulu ukuthi ngenkathi lokhu kusemathumbu, 'noma yimaphi amanye amaphilisi (ama-Painkillers, i-Thyroid, amaVithamini)' owathathayo ngeke amuncwe egazini! Ngakho-ke, eminye imithi kufanele ithathwe ihora ngaphambi noma emahoreni ama-4 ngemva kokuthatha lokhu.
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