Ingabe izinyawo zakho zizizwa sengathi ziyasha? (Isifo Sezinyawo Ezishisayo) - Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzizwa sengathi izinyawo zakho ziyasha, ziyahlaba, noma ziyaluma uma ulala ebusuku, noma ngisho nasemini? Kwabanye, lobu buhlungu buwumuzwa nje wokushisa okuncane, kodwa kwabanye, bungaba nzima ukuwubekezelela. Lokhu akusikho nje ukukhathala okulula. Kungase kube nezizathu ezinkulu zezokwelapha ngemuva kwalokhu. Namuhla, ake sixoxe ngalesi sifo sezinyawo ezisha, noma njengoba odokotela besibiza kanjalo, 'iSifo Sezinyawo Ezisha'.

Kungani izinyawo zami zishisa kanje? Yiziphi izizathu eziyinhloko?

Esikhathini esiningi, isizathu esiyinhloko salolu hlobo lokuvuvukala ezinyaweni ukulimala kwezinzwa zethu. Lokhu sikubiza ngokuthi i-neuropathy . Kalula nje, lapho imicu yezinzwa zethu yonakele, ayisebenzi kahle. Ngakho-ke noma ngabe akukho ukulimala, iqala ukuthumela izimpawu zobuhlungu ezingalungile ebuchosheni. Kufana nentambo ephukile ethumela isignali engalungile. Lo monakalo uvame ukuqala emilenzeni, yingakho izinto ezifana nokuvuvukala kanye nokuba ndikindiki ezinyaweni kuzwakala kuqala.

Ngakho-ke, kunezizathu ezahlukahlukene zokuthi kungani lezi zinzwa zingalimala.

1. Isifo Sikashukela (Isifo Se-Diabetic Neuropathy)

Lena yimbangela evame kakhulu futhi ehamba phambili yobuhlungu bezinyawo. Uma umuntu onesifo sikashukela enamazinga aphezulu kashukela egazini angalawuleki isikhathi eside, lo shukela owengeziwe ulimaza kancane kancane imicu yezinzwa ethambile emzimbeni wethu. Cishe abantu abangu-50% abanesifo sikashukela bangahlakulela lolu hlobo lomonakalo wezinzwa (i-Peripheral Neuropathy).

2. Ukusebenzisa utshwala ngokweqile (i-Alcoholic Neuropathy)

Lesi simo singase senzeke nakubantu abaphuza utshwala ngokweqile isikhathi eside. Utshwala bufana nobuthi ohlelweni lwezinzwa. Futhi, abantu abaningi abalutha utshwala abatholi ukudla okunempilo, okungalimaza nezinzwa.

3. Isifo Semithambo Engasogwini (i-PAD)

Lokhu kwenzeka lapho imithambo yegazi ethwala igazi iye emilenzeni nasezinyaweni incipha. Lokhu kunciphisa ukugeleza kwegazi elinomoya-mpilo omningi. Lokhu kuphuca imizwa izakhamzimba ezidingayo futhi kubangele umonakalo. Uma lesi simo siba sibi kakhulu, singabangela umuzwa wokusha ongabekezeleleki phansi kwezinyawo, ikakhulukazi ebusuku uma ulele .

4. Unyawo Lomdlali

Lokhu kuyisifo sefungus. Indawo efudumele nemanzi ngaphakathi kwezicathulo ezijulukayo kanye namasokisi ilungele ukukhula kwefungus. Uma, ngaphezu kokuvuvukala, kukhona ukulunywa nokuqhekeka kwesikhumba phakathi kwezinzwane , kungenzeka kakhulu ukuthi kube yinyawo lomdlali.

5. Ukuntuleka kwama-hormone e-thyroid (i-Hypothyroidism)

Uma indlala yethu yegilo ingasebenzi kahle futhi ukukhiqizwa kwamahomoni kuncipha (i-Hypothyroidism), uma ingelashwa kahle, ezimweni ezingavamile, ingalimaza imizwa futhi ibangele ukuvuvukala ezinyaweni.

6. Ukuntuleka Kokudla Okunomsoco

Ikakhulukazi ukuntuleka kwe-vitamin B12Lokhu kungaholela ekulimaleni kwemizwa kanye nokuvuvukala ezinyaweni. Lesi simo sivame kakhulu njengoba abantu bekhula futhi bephakathi kwalabo abadla ukudla kwemifino kuphela.

Ingabe ezinye izifo kanye nemithi kungaba imbangela?

Yebo, impela. Kunezinye izifo eziningana kanye nemithi engabangela ukuvuvukala kwezinyawo.

Udokotela ukuthole kanjani lokhu ngempela?

Ezimweni eziningi, uma unesifo esifana nesifo sikashukela, udokotela angaqagela kalula imbangela yobuhlungu bezinyawo zakho. Abantu abanjalo abadingi ukuhlolwa okubanzi.

Kodwa-ke, uma kunzima ukuthola imbangela, noma uma isimo siqale ngokuzumayo futhi saba sibi kakhulu, udokotela wakho angase asikisele ukuhlolwa okuthile, okufana nalokhu:

• Ukuhlolwa kwe-EMG (i-Electromyography):Lokhu kulinganisa umsebenzi kagesi wemisipha yakho.
• Ucwaningo Lokuqhutshwa Kwezinzwa (NCS): Lokhu kuhlola isivinini lapho izimpawu zihamba khona ezinzwa. Kungasiza ekunqumeni ukuthi inzwa yonakele yini.
• Ukuhlolwa kwegazi nomchamo: Lokhu kuhlolwa kusiza ukuhlola izinto ezifana namazinga kashukela egazini, amazinga e-vitamin B12, kanye namazinga e-thyroid hormone.
• I-Neva Biopsy: Lena inqubo engavamile kakhulu ehilela ukuthatha ingxenye encane kakhulu yezicubu emsipheni bese uyihlola ngaphansi kwesibonakhulu.

Kulungile, manje ake sibone ukuthi ukwelashwa kwalokhu kuyini.

Ukwelashwa kuncike embangeni yobuhlungu bezinyawo zakho.

• Uma unesifo sikashukela: Into ebaluleke kakhulu ukugcina amazinga kashukela egazini lakho esezingeni elifanele. Lokhu kungadinga ukudla, imithi, kanye nokujova nge-insulin.
• Uma kubangelwa utshwala: Ukuyeka ngokuphelele ukuphuza utshwala kungamisa umonakalo ezinzwa futhi kuvumele izinzwa ezonakele ukuba zelaphe ngezinga elithile.
• Uma kungenxa yokuntuleka kwe-vitamin B12: Ungathatha amaphilisi noma imijovo ye-vitamin B12 ngokweseluleko sikadokotela wakho. Ungangeza nokudla okucebile ku-B12 njengenyama ebomvu, ubisi, amaqanda, nenhlanzi ekudleni kwakho.
• Uma kungenxa ye-ringworm: Lesi simo singalapheka ngokuphelele ngokusebenzisa okhilimu abalwa ne-antifungal.

Ngaphezu kwalokho, udokotela wakho angase akunikeze imithi ethile yokulawula ukuvuvukala nobuhlungu obubangelwa ukulimala kwemizwa. Isibonelo, imithi efana neGabapentin, iPregabalin, ne-Amitriptyline . Le mithi kufanele ithathwe kuphela ngaphansi kokuqashwa ngudokotela.

Izinto eziwusizo ongazenza ekhaya

Ngaphezu kokwelashwa udokotela wakho akunikeza kona, kunezinto ezilula ongazenza ekhaya ukuze uthole impumuzo kulokhu kuvuvukala.

• Pholisa izinyawo zakho: Faka izinyawo zakho esitsheni samanzi abandayo (hhayi abandayo) imizuzu engaba ngu-15. Lokhu kuzokunikeza impumuzo yesikhashana. Ungalokothi usebenzise amanzi eqhwa.
• Gqoka amasokisi nezicathulo ezikhululekile: Gqoka amasokisi enziwe ngokotini amunca umjuluko. Khetha izicathulo ezikhululekile eziphefumulayo futhi ezingaqini.
• Amafutha okugcoba asetshenziswa endaweni yokwelapha: Uma udokotela wakho evuma, ungasebenzisa izinhlobo ezithile zamafutha aqukethe amaphilisi okudambisa ubuhlungu (isib. i-Lidocaine noma i-Capsaicin).
• Lala ekamelweni elipholile:Ukugcina ikamelo lokulala lipholile kancane nakho kunganikeza impumuzo.