Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu emzimbeni wakho ngaphandle kwesizathu, njengokusha, ukushaqeka ngogesi, noma izikhonkwane nezinaliti? Mhlawumbe ngisho nezingubo ozigqokile ziyakukhuhla emzimbeni wakho futhi kubuhlungu kakhulu kangangokuthi awukwazi ukukuthwala? Lezi zinto azizona nje izinto ezingahleliwe. Lezi zingaba yisimo esibuhlungu esikhethekile esibizwa ngokuthi 'Ubuhlungu be-Neuropathic' kwezokwelapha, esibangelwa inkinga ethile ohlelweni lwethu lwezinzwa. Lokhu akufani nekhanda elivamile noma ubuhlungu bomhlane, kuhlukile. Ngakho-ke namuhla, ake sixoxe ngalokhu kalula, njengokungathi sikhuluma nomngane, ngendlela ongayiqonda.
Kalula nje, buyini ubuhlungu be-neuropathic?
Kulungile, ukuze siqonde lokhu, sidinga kuqala ukwazi okuncane ngesimiso sezinzwa emzimbeni wethu. Cabanga ngesimiso sethu sezinzwa njengenethiwekhi yezintambo zocingo ezigijima kulo lonke izwe. Izikhungo ezimbili eziyinhloko zalesi nethiwekhi ubuchopho bethu kanye nentambo yomgogodla . Lokhu sikubiza ngokuthi uhlelo lwezinzwa oluphakathi. Kulezi zikhungo eziyinhloko, kunezintambo eziningi ezincane ezithwala imiyalezo kuwo wonke amagumbi omzimba, okuhlanganisa izingalo, imilenze, iminwe, kanye nezitho zangaphakathi. Lezi yizo esizibiza ngokuthi izinzwa zangaphandle.
Manje cabanga ukuthi kwenzekani uma ezinye zezintambo kule nethiwekhi yocingo zonakele noma zingasebenzi kahle? Imiyalezo ayidluli kahle, akunjalo? Mhlawumbe imilayezo engalungile ithunyelwa. Yilokho okwenzekayo ngobuhlungu be-neuropathic. Lapho imicu yethu yezinzwa yonakele, leyo mizwa eyonakele iqala ukuthumela izimpawu ezingalungile ebuchosheni bethu, umyalezo ongalungile othi "ubuhlungu." Ngisho noma kungekho sizathu sangempela sokuba kube nobuhlungu, ungazizwa ubuhlungu ngenxa yalezi zimpawu ezingalungile.
Elinye igama lalokhu yi- neuropathy . Kuwukushintsha noma ukuphazamiseka kokusebenza kwenzwa eyodwa noma ngaphezulu. Lesi simo singaba khona kubantu abangafika ku-30% abanesifo sikashukela. Ngaphezu kwalokho, ezinye izifo eziningi, isibonelo, i-shingles ngemva kwe-chickenpox, i-HIV/AIDS, kanye nesifo sokusebenzisa utshwala, nazo zingadala lobu buhlungu be-neuropathic.
Uzizwa kanjani lobuhlungu? Ziyini izimpawu?
Ubuhlungu be-neuropathic abuyona uhlobo olulodwa lobuhlungu. Bungazwakala ngezindlela eziningi ezahlukene. Kwabanye abantu, buba bubi kakhulu kuze kube yilapho bungaba nzima ukububekezelela, kanti kwabanye, buyafika budlule. Ukuze kube lula ukuqonda, ake sibheke lezi zimpawu etafuleni.
| Uhlobo lwesibonakaliso (Igama Lezokwelapha) | Kalula nje, yilokhu okuzwakalayo |
|---|---|
| Ubuhlungu obuzenzakalelayo | Ubuhlungu obufika ngokuzumayo ngaphandle kwesizathu esibonakalayo. Bungazwakala njengomuzwa wokushisa , umuzwa wokugwazwa , noma ukushaqeka ngogesi . Bungabuye buhambisane nomuzwa wokuhlaba noma "izikhonkwane nezinaliti" . |
| I-Allodynia | Ngisho nento engavamile ukubangela ubuhlungu ingabangela ubuhlungu obukhulu. Cabanga ngayo njengokukhuhla indwangu yombhede emzimbeni wakho, izingubo ozigqokile zithinta isikhumba sakho , noma ngisho nothile okuthinta kancane. |
| I-Hyperalgesia | Into evame ukubangela ubuhlungu, njengokugwazwa ngameva okuncane, ibuhlungu kakhulu kunalokho obekulindelwe, futhi izwakala sengathi ubuhlungu obukhulu kakhulu. |
| I-Hypoalgesia | Lokhu kungolunye uhlangothi lwemali. Ukuzwa ubuhlungu obuncane ngenxa yento okufanele ibe buhlungu. Isibonelo, ukungazizwa ngempela ubuhlungu bokuhlatshwa ngenaliti. |
| Ukungasebenzi kahle kwemizwa | Imizwa engachazeki, engavamile, engakhululekile, noma ebuhlungu. Ungase uzizwe okuthile kugijima ngaphansi kwesikhumba sakho , njengokudonswa kwamanzi . |
| Ukungalali | Lobuhlungu obungapheli bungenza kube nzima ukulala ebusuku. Ukungalali kahle kungaholela nasekucindezelekeni nasekukhathazekeni kanye nobuhlungu. |
Kungani lolu hlobo lobuhlungu luvela? Yiziphi izimbangela eziyinhloko?
Akukho imbangela eyodwa yalobu buhlungu be-neuropathic. Kungaba nezimbangela eziningi. Ake sibheke izici eziyinhloko ezibangela lokhu.
- Isifo Sikashukela: Njengoba sishilo ngaphambili, imbangela eyinhloko nevame kakhulu yobuhlungu be-neuropathic isifo sikashukela. Amazinga kashukela aphezulu isikhathi eside angalimaza imizwa.
- Ukuphazamiseka kokusebenzisa utshwala: Ukuphuza utshwala ngokweqile isikhathi eside kungalimaza nemizwa futhi kubangele lobu buhlungu.
- Ama-shingles: Lokhu kubangelwa yigciwane elifanayo elibangela i-chickenpox. Ngemva kokuba i-chickenpox isipholile, igciwane lingahlala lilele emangqamuzaneni ethu ezinzwa futhi liphinde lisebenze eminyakeni eminingi kamuva ukuze libangele lobu buhlungu obukhulu.
- I-HIV/AIDS: Igciwane le-HIV ngokwalo lingalimaza imizwa, kanti eminye imithi esetshenziswa ngalo nayo ingabangela lokhu.
- Izifo zesimiso sezinzwa esiyinhloko: Lobuhlungu bungabangelwa nezifo ezithinta ubuchopho kanye nomgogodla, njengesifo sohlangothi, isifo sikaParkinson, kanye ne-multiple sclerosis (MS).
- I-complex regional pain syndrome: Ubuhlungu obukhulu, obungapheli engalweni noma emlenzeni ngemva kwengozi.
- Izimo zezinzwa zobuso: Isibonelo, i-trigeminal neuralgia.
Ngaphezu kwalokhu, kunezinye izizathu:
- Ukwelashwa komdlavuza: Eminye imithi yokulwa nomdlavuza, njenge-cisplatin, i-paclitaxel, ne-vincristine, kanye nokwelashwa ngemisebe kungalimaza imizwa.
- Ukunqunywa kwelungu: Ngemva kokususwa kwesitho noma umlenze ngokuhlinzwa, umuzwa wobuhlungu endaweni lapho isitho sisusiwe khona ubizwa ngokuthi ubuhlungu belungu obungavamile .
- Ukucindezelwa kwemizwa yomgogodla: Ubuhlungu bungabangelwa ukucindezelwa kwemizwa ngenxa yezimo ezifana nokuwa kwediski yomgogodla.
- Ukuhlinzwa noma izingozi: Ukulimala kwemizwa ngesikhathi sokuhlinzwa noma ingozi.
- Izimila: Lobuhlungu bungabangelwa futhi yisimila esinomdlavuza noma esivamile esicindezela imizwa.
Udokotela usithola kanjani lesi simo?
Uma ukhuluma ngezimpawu ezinjengalezi, into yokuqala udokotela wakho azokwenza ukukucela incazelo eningiliziwe.
- Buza ngomlando wakho wezokwelapha.
- Uzohlolwa kahle (ukuhlolwa ngokomzimba).
- Kuye ngohlobo lobuhlungu obuchazayo (njengokusha, ukugwaza, noma ukuba ndikindiki), udokotela angathola umbono wokuthi lobu ubuhlungu be-neuropathic.
Ngemuva kwalokho, udokotela uzozama ukuthola imbangela eyisisekelo yobuhlungu. Lokhu kusho ukuthi angenza izivivinyo ukuze athole ukuthi kungenxa yesifo sikashukela, esinye isifo, noma imithi.
Yiziphi izindlela zokwelapha lokhu?
Ukwelapha ubuhlungu be-neuropathic kuyinkimbinkimbi kakhulu ngoba akufani nobuhlungu obuvamile. Ukwelashwa kuncike embangela eyisisekelo yobuhlungu bakho kanye nohlobo lwezimpawu zakho. Izinhloso eziyinhloko zokwelashwa yilezi:
- Ukwelapha isimo esiyisisekelo: Isibonelo, ukususa ngokuhlinzwa isimila esicindezela imizwa. Endabeni yesifo sikashukela, ukulawula amazinga kashukela egazini.
- Ukuqeda ubuhlungu: Ukunciphisa ubuhlungu nokukunikeza impumuzo.
- Ukusiza ukuqhubeka nemisebenzi yansuku zonke: Ukusiza ukuqhubeka nemisebenzi ephazanyisiwe ngenxa yobuhlungu.
- Ukuthuthukisa ikhwalithi yokuphila: Ukuzilungiselela ukuphila kahle nobuhlungu.
Ngokuvamile, kunzima ukulawula lobu buhlungu ngendlela eyodwa yokwelapha, ngakho-ke inhlanganisela yezindlela eziningana zokwelapha ivame ukusetshenziswa.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Imithi yokunciphisa izinhlungu etholakala ngaphandle kwemithi kadokotela (imithi yokunciphisa izinhlungu etholakala ngaphandle kwemithi kadokotela) | Imithi efana ne-acetaminophen kanye ne-ibuprofen ayisebenzi njalo ekwelapheni ubuhlungu be-neuropathic. |
| Imithi yokulwa nokuquleka | Le mithi kukholakala ukuthi inciphisa ubuhlungu ngokuphazamisa izimpawu zobuhlungu ezihamba ngemizwa. Isebenza kahle kakhulu ebuhlungu be-neuropathic. |
| Imithi yokucindezeleka | Ukukhathazeka nokucindezeleka kungenza ubuhlungu bube bubi nakakhulu. Le mithi inciphisa ubuhlungu futhi ikhuthaze inhlalakahle yengqondo. |
| Ukwelashwa ngezihloko | Ama-cream, amafutha okugcoba, noma ama-patches aqukethe i-lidocaine noma i-capsaicin angafakwa ngqo endaweni ebuhlungu. |
| Ukuvimba kwemizwa | Umjovo eduze kwe-nerve noma impande ye-nerve obangela ubuhlungu ungadambisa ubuhlungu okwesikhashana. |
| Ukwelashwa ngokomzimba | Ukuzivocavoca umzimba kanye nokuhlikihla kungasiza ekunciphiseni ubuhlungu, ukuqina, kanye nokungakhululeki. Lokhu kuvuselela nemithi yokubulala izinhlungu yemvelo yomzimba. |
| Ukuhlinzwa | Kwezinye izimo, ubuhlungu bungancishiswa ngokulungisa, ukukhulula, noma ukususa imizwa eyonakele. |
| Ukwelulekwa kwengqondo | Ukwelulekwa kungaba usizo olukhulu ekubhekaneni nokucindezeleka okuhambisana nokuphila nobuhlungu obungapheli. |
Into ebaluleke kakhulu ukuthi udokotela wakho kufanele anqume ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe . Ungamane nje uyothenga imithi ngokusekelwe kumahemuhemu.
Uma lezi zindlela zokwelapha zingalawuli ubuhlungu bakho, udokotela wakho uzophinde akuchazele izindlela zokwelapha ezithuthuke kakhulu, njengokuvuselela umgogodla.
Ingabe lobu buhlungu bungavinjelwa?
Nakuba lokhu kungenakuvinjelwa njalo, kunezinto eziningana esingazenza ukuze sinciphise ingozi.
- Yeka ukubhema. Ukubhema konakalisa imithambo yegazi, okunganciphisa ukuphakelwa kwegazi ezinzwa.
- Yakha isimiso sokuzivocavoca esikufanele. Ukuzivocavoca nsuku zonke kuthuthukisa ukujikeleza kwegazi.
- Yidla ukudla okunempilo. Yidla ukudla okucebile ngezithelo ezintsha, imifino, ubhontshisi, okusanhlamvu okuphelele kanye namaprotheni angenamafutha.
- Nciphisa ukusetshenziswa kotshwala.
- Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo futhi uwanakekele kahle. Nakekela izinyawo zakho ngokukhethekile.
Kufanele ubonane nini nodokotela?
Uma unezinye zezimpawu ezingezansi, qiniseka ukuthi ubona udokotela.
- Uma ezinye izingxenye zomzimba wakho zingasasebenzi kahle
- Uma uhlala uzizwa sengathi ugwazwa yinaliti
- Uma uzizwa sengathi imisipha yakho iyaba buthakathaka
- Uma unemisipha engalawuleki enyakazayo (ukunyakazisa)
- Uma izinto esandleni sakho ziqhubeka nokuwa phansi
Kufanele uye nini e-Emergency Treatment Unit (ETU)?
Uma ubuhlungu obukhulu, ukungazweli, noma ubuthakathaka obuya bukhula ngokushesha, kungaba uphawu lokulimala okukhulu kwemizwa. Esimweni esinjalo, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe. Lezi zimpawu nazo zimbi kakhulu:
- Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
- Izinguquko emikhubeni yokugeza, njengobunzima bokuchama .
- Ukuzizwa unesizungu noma ukulahlekelwa ukwazi.
Ekuphetheni, ubuhlungu be-neuropathic buyisimo esisongela impilo esingenza kube nzima ukwenza imisebenzi yansuku zonke. Kodwa ungacabangi ukuthi awukwazi ukuphila nabo. Ngokwelashwa okufanele nokuphathwa kobuhlungu, ungalawula ubuhlungu futhi uphile impilo enhle. Into ebaluleke kakhulu ukubona udokotela ngokushesha okukhulu hhayi ukubekezelela ubuhlungu nje kuphela.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu be-neuropathic ubuhlungu obungabangelwa ukulimala endaweni lapho ubuhlungu buzwakala khona, kodwa kunalokho bubangelwa umonakalo noma ukungasebenzi kahle kwesimiso sezinzwa.
- Lobuhlungu bungazwakala ngezindlela ezahlukene, njengokusha, ukugwaza, noma ukuqaqamba. Ngezinye izikhathi, ngisho nomuzwa wokukhuhla izingubo emzimbeni ungaba mkhulu.
- Isifo sikashukela siyimbangela eyinhloko yalokhu, kodwa i-shingles, izingozi, kanye nezinye izifo eziningi nazo zingabangela lesi simo.
- Akukho ikhambi elilodwa 'lomlingo' lalokhu. Ukuze uthole imiphumela ephumelelayo, udinga ukuhlanganisa imithi, ukwelashwa ngokomzimba, kanye nokwelulekwa kwengqondo.
- Uma unezinhlungu zemizwa eziqhubekayo noma ezinzima, ungalokothi uzishaye indiva. Qiniseka ukuthi ukhuluma nodokotela wakho ngazo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho