Ingabe unesifo sokulunywa, ukusha ngemuva kwengalo yakho, ikakhulukazi engalweni, ongakwazi ukuthola isizathu saso? Ingabe ngezinye izikhathi uzizwa umuzwa wokuthuthumela, njengokukhafula, noma ukushaqeka? Kungakhathaliseki ukuthi uziklwebha kangakanani, ngeke kuphele? Khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sizokhuluma ngesimo abantu abaningi abangasazi, kodwa esingabacasula kakhulu kwabanye. Leso yi-'Brachioradial Pruritus'.
Kalula nje, iyini i-Brachioradial Pruritus?
Leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa masiligcine lilula. `I-Brachioradial` ibhekisela emsipheni osuka endololwaneni yakho uye phansi futhi ikusize ugobe ingalo yakho (`umsiphe we-brachioradialis`). `I-Pruritus` yigama lezokwelapha elisho "ukuluma."
Ngakho-ke igama elithi `Brachioradial Pruritus` lisho umuzwa wokuluma, ukusha, noma ukuqaqamba ngemuva kwengalo yakho (ingalo engalweni). Into ebalulekile ukuthi lokhu akulona ukuqhuma kwesikhumba, futhi akuthelelani. Empeleni kuyinkinga yemizwa. Lesi simo sivame ukuthinta izingalo zombili, kodwa ngezinye izikhathi singavela engalweni eyodwa kuphela.
Yini ebangela lokhu kucasuka okucasulayo?
Odokotela bakholelwa ukuthi lokhu kungenxa yenhlanganisela yezizathu ezimbili eziyinhloko.
1. I-Cervical Radiculopathy
2. Ukuchayeka elangeni (Ukukhanya Kwe-Ultraviolet - UV)
Ake sibheke ngayinye yalezi ngokwehlukana.
1. Ukuxhumana phakathi kwemizwa entanyeni nalokhu kuluma
Kunezinzwa eziyisishiyagalombili, ezibizwa ngokuthi i-C1 kuya ku-C8, eziphuma entanyeni yakho (ingxenye yomgogodla wakho wesibeletho ebizwa ngokuthi umgogodla wakho). Lezi zinzwa zithwala imizwa entanyeni yakho, emahlombe, ezingalweni, naseminweni yakho. Uma noma iyiphi yalezi zinzwa eziphakathi kwe-C5 ne-C8 icindezelwa noma yonakele, ingabangela imizwa ehlukahlukene engavamile (i-paresthesia) ezandleni zakho. Lokhu kufaka phakathi ukuqaqamba, ukungazweli, ukusha, nobuhlungu.
Njengoba nje lapho ipayipi lamanzi livalekile, amanzi ashintsha indlela yawo yokugeleza, lapho inzwa icindezelwa, izimpawu ezithumelayo ziyaphazamiseka bese ulwazi olungalungile luthunyelwa ebuchosheni bethu. Yingakho sizizwa sengathi siklwebha izandla zethu ngaphandle kwesizathu.
Kunezizathu ezahlukahlukene zokuthi kungani umthambo entanyeni ungacindezelwa:
- Idiski ene-Herniated: Ingcezu yezicubu efana nejeli phakathi kwamathambo omgogodla evuvukala futhi icindezela inzwa.
- I-Osteoarthritis: Njengoba iminyaka ikhula, amathambo ayaguga futhi izikhala lapho imizwa idlula khona ziyancipha.
- Isifo sediski esiwohlokayo
- Ukuncipha kwendlela yezinzwa (i-foraminal stenosis)
Izikhathi eziningi, abantu abane-'Brachioradial Pruritus' abazizwa ubuhlungu entanyeni yabo. Ngakho-ke, abazi nokuthi banenkinga yemizwa entanyeni yabo. Kodwa-ke, lapho abantu abanalesi simo behlolwa njengezikena ze-'MRI' entanyeni yabo, abaningi batholakale benenkinga ethile emhlane wabo.
2. Ukukhanya kwelanga (imisebe ye-UV) kukuthinta kanjani lokhu?
Nakuba imbangela eqondile ingakacaci, abacwaningi bakholelwa ukuthi imisebe ye-UV, noma ukukhanya kwelanga, kuyisici esiyinhloko ekwandiseni lezi zimpawu. Kunezizathu eziningana zalokhu:
- Abantu abaningi bathi ukulunywa kuyanda uma kuvezwa elangeni .
- Lesi sifo sivame kakhulu phakathi nezinyanga zasehlobo.
- Abantu abaningi baye babhekana nokuncipha kwezimpawu ebusika nalapho bezivikela elangeni (begqoke izingubo ezinemikhono emide, besebenzisa isithako sokuvikela ilanga).
Kalula nje, imizwa entanyeni isiye yaba nomuzwa omncane ngenxa yenkinga yemizwa. Lapho imisebe yelanga ethi 'UV' ishaya isikhumba, leyo mizwa ezwelayo ingase ikhuthazwe kakhulu, okubangela ukulunywa.
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko nolusobala kakhulu lwalesi sifo ukulunywa ngemuva kwesandla (ebunzini). Kodwa-ke, ezinye izimpawu eziningana zingabonakala.
| Isici / Umphumela | Incazelo |
|---|---|
| Uphawu oluyinhloko | Ukulunywa okukhulu ngemuva kwengalo. |
| Ezinye izindawo ezingase zithinteke | Izingalo, amahlombe kanye nentamo engenhla. |
| Eminye imizwa | Ngaphezu kokuluma, ungase uzwe ubuhlungu, ukuhlaba, kanye nokuthuthumela. |
| Izinguquko zesikhumba | Lesi sifo asibangeli ukuqubuka kwesikhumba, kodwa ukuklwebheka njalo kungabangela ukuklwebheka kwesikhumba, izilonda, kanye nokushintsha kombala wesikhumba (amabala amnyama noma amhlophe). |
Okubalulekile: Ezimweni ezingaba ngu-75%, lezi zimpawu zenzeka ezandleni zombili. Kodwa-ke, kungenzeka ukuthi zingase zenzeke ngesandla esisodwa kuphela.
Ubani okungenzeka kakhulu ukuthi athole lesi simo? (Izici Eziyingozi)
- Ubulili: Abesifazane banamathuba aphindwe kathathu okuthola lesi sifo kunabesilisa. Lokhu kungenzeka ngoba abesifazane bathambekele kakhulu ezinkingeni zomgogodla womlomo wesibeletho kanye nemizwa ngenxa yezici zabo zomzimba.
- Ubudala: Kuvame ukutholakala ukuthi umuntu unesifo esiphakathi kweminyaka, phakathi kweminyaka engu-50-60, kodwa singatholakala kunoma yimuphi ubudala.
- Umbala wesikhumba: Lesi simo sivame kakhulu kubantu abanesikhumba esikhanyayo (esimhlophe) .
- Indlela Yokuphila: Abantu abachitha isikhathi esiningi bengaphandle, njengokugibela ibhayisikili, ukuhamba ngezinyawo, noma ukuchitha isikhathi ebhishi, basengozini enkulu yokuthola lesi sifo.
Ukuthola kanjani lokhu, Dokotela?
Uma uvakashela udokotela wakho, uzokubuza ngezimpawu zakho, umlando wakho wezokwelapha, kanye nendlela yakho yokuphila. Ngemuva kwalokho, bazohlola izandla zakho ukuze babone ukuthi kukhona yini esinye isimo sesikhumba (njengokuqubuka) okubangela ukulunywa.
Ukuhlolwa okulula nokuphumelelayo okuvame ukusetshenziswa ukuxilonga lesi sifo ukuhlolwa kwe-ice pack.
Udokotela uzobeka iphakethe leqhwa endaweni elumayo engalweni yakho. Uma ukulunywa kwakho kuyeka ngokuphelele ngokushesha, bese ukulunywa kuqala futhi ngemva kokususa iphakethe leqhwa, kungenzeka kakhulu ukuthi `i-Brachioradial Pruritus`.
Akuvamile kakhulu, udokotela wakho angase ancome ukuthi ahlolwe i-MRI noma i-X-ray ukuze ahlole umgogodla wakho kanye nemizwa entanyeni yakho.
Yiziphi izindlela zokwelapha lokhu?
Kunezindlela eziningana zokwelapha i-'Brachioradial Pruritus'. Ngokuvamile, eyodwa noma ngaphezulu yalezi zindlela zokwelapha zingasetshenziswa ndawonye ukulawula izimpawu.
| Indlela yokwelapha | Incazelo nezibonelo |
|---|---|
| Ukugwema imisebe ye-UV | Lena into ebaluleke kakhulu. Ukunciphisa isikhathi sakho elangeni, njalo usebenzise isithako esihle sokuvikela ilanga (i-SPF 30 noma ngaphezulu) , kanye nokugqoka izingubo ezinemikhono emide kunganciphisa kakhulu izimpawu. |
| Imithi Yomlomo | Eminye imithi yokwelapha ubuhlungu bemizwa nezinkinga nayo iyasebenza kakhulu. Izibonelo: Imithi efana ne -`Amitriptyline`, `Gabapentin` . Le mithi kufanele inqunywe udokotela wakho. |
| Imithi Yokwelapha | Amakhrimu nama-lotion asetshenziswa endaweni elumayo anganikeza impumuzo yesikhashana. Izibonelo zifaka phakathi amakhrimu e-'Capsaicin', amakhrimu e-'Corticosteroid', kanye namakhrimu e-'Antihistamine'. |
| Ukusebenzisa amaphakethe eqhwa | Uma ukulunywa nokuvuvukala kukhulu, ukusebenzisa iphakethe leqhwa kunganikeza impumuzo ngokushesha. |
Akuvamile kakhulu, uma inkinga yomgogodla womlomo wesibeletho ingathi sína, kungase kunconywe ukuhlinzwa.
Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?
Lesi sifo asibeki impilo yakho engcupheni enkulu. Kodwa-ke, ukuklwebheka njalo kwesikhumba ngenxa yokulunywa okungabekezeleleki kungaholela ezinkingeni ezahlukahlukene.
- Ukuklwebheka kwesikhumba kanye namanxeba.
- Ukuqina kwesikhumba kanye nokubukeka okufana nesikhumba (`Lichenification`).
- Amaqhubu esikhumba aqinile (`amaqhubu e-Prurigo`).
- Ukushintsha kombala wesikhumba (amabala amnyama - `Ukwanda kombala` noma amabala amhlophe - `Ukwanda kombala`).
- Izimo ezifana ne-eczema.
Ngakho-ke, kubaluleke kakhulu ukulawula ukulunywa.
Kufanele ubonane nini nodokotela?
Uma une-lust engapheli, engachazeki esandleni sakho ephazamisa imisebenzi yakho yansuku zonke, qiniseka ukuthi ubona udokotela wakho. Ungazinyangi.
Futhi, uma izimpawu zakho zingathuthuki ngemva kokuqala ukwelashwa, yazisa udokotela wakho. Angase akwazi ukuncoma enye indlela yokwelapha ekufanelekela kangcono.
Umlayezo Wokuya Nawe Ekhaya
- I-'Brachioradial Pruritus' akuyona i-rash yesikhumba, iyinkinga yezinzwa.
- Lokhu kubangelwa kakhulu inkinga yemizwa entanyeni kanye nokuchayeka elangeni.
- Ukuvikela ilanga (ikakhulukazi i-sunscreen kanye nezingubo ezinemikhono emide) kuyindlela engcono kakhulu yokulawula lezi zimpawu.
- Uma une-lunch engapheli, engachazeki ezandleni zakho, qiniseka ukuthi ufuna iseluleko sezokwelapha.
- Lezi zimpawu ezikhathazayo zingalawulwa ngempumelelo ngokwelashwa okufanele.
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