Ingabe unalolu hlobo lobuhlungu bemizwa (Ubuhlungu be-Neuropathic)? Ake sixoxe ngakho!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile noma ukuba ndikindiki emzimbeni wakho ngaphandle kwesizathu esicacile? Njengokushaqeka kukagesi, noma umuzwa wokushisa, noma umuzwa wokuhlaba? Lezi akuzona nje izinto ezicatshangwayo. Lokhu kubizwa ngokuthi ubuhlungu bemizwa, noma ubuhlungu be-neuropathic . Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, ngoba kungathinta abantu abaningi.

Kuyini Ubuhlungu Be-Neuropathic?

Kalula nje, ubuhlungu bemizwa ubuhlungu obubangelwa ukungasebenzi kahle noma ukulimala kwesimiso sethu sezinzwa. Ubuwazi ukuthi sinalolu chungechunge lwemizwa emizimbeni yethu yonke? Lufana nezintambo ezithwala ulwazi emizimbeni yethu yonke. Lesi simiso sezinzwa sihlukaniswe izingxenye ezimbili eziyinhloko. Esinye isimiso sezinzwa esiyinhloko . Lokhu kufaka phakathi ubuchopho bethu, intambo yomgogodla, kanye nemizwa. Esinye isimiso sezinzwa esingaphandle . Lezi zinzwa zisakazwa kuyo yonke eminye imizimba yethu, kufaka phakathi amalungu ethu, iminwe, ngisho nezitho zethu zangaphakathi.

Ngakho-ke, uma okuthile kulimaze lezi zinzwa, ziqala ukuthumela izimpawu ezingalungile ezindaweni zethu zobuhlungu. Yilapho-ke sizwa khona lobu buhlungu bemizwa obungabekezeleleki. Ngezinye izikhathi, hhayi nje kuphela indawo lapho izinzwa zonakele khona, kodwa nesimiso sethu sezinzwa esiyinhloko singashintsha. Lokhu kubizwa ngokuthi "ukuzwela okuphakathi" ngokwezokwelapha.

Kungenzeka ukuthi uke wezwa igama elithi `Neuropathies`. Lisho ukuphazamiseka noma ushintsho ekusebenzeni kwenzwa eyodwa noma ngaphezulu. Ubuwazi ukuthi cishe u-30% walezi zimo ze-`neuropathies` zibangelwa yisifo sikashukela . Kodwa-ke, kunezinye izifo eziningi ezingadala lokhu. Isibonelo, izifo ezifana ne-`shingles`, `HIV/AIDS`, kanye nokuphazamiseka kokusebenzisa utshwala nakho kungathinta lokhu.

Ziyini izimpawu zalobu buhlungu bemizwa?

Ubuhlungu bemizwa abuzwakali ngendlela efanayo kuwo wonke umuntu, kodwa kunezimpawu ezivamile:

• Ubuhlungu obungazelelwe: Lokhu ngezinye izikhathi kungazwakala njengokusha, ubuhlungu obuhlabayo, noma ukushaqeka ngogesi. Abanye abantu bangase babe nokungezwani noma umuzwa "wokushaywa yizinaliti".
• I-Allodynia: Lokhu kuyaxaka kancane. Cabanga nje, uma unomoya opholile ovunguza esikhumbeni sakho, noma othile ekuthinta kancane, noma into engavamile ukubangela ubuhlungu, uzwa ubuhlungu obukhulu. Yilokho i-allodynia eyikho. Kuwukuzwela okukhulu ekuthinteni .
• I-Hyperalgesia:Okwenzekayo kulesi simo ukuthi into evame ukulimaza kancane, njengokuhlatshwa yinaliti encane, iba ubuhlungu obungabekezeleleki. Okusho ukuthi, ibuhlungu kakhulu kunalokho okufanele .
• I-Hypoalgesia: Lokhu kuphambene nalokho. Into evame ukulimaza, njengokubhobozwa ngenaliti, ikwenza uzizwe ubuhlungu obuncane , noma mhlawumbe ungezwa nhlobo.
• I-Dysesthesia: Lokhu kusho ukuthi uzwa imizwa engavamile, engathandeki, futhi ngezinye izikhathi ebuhlungu ngaphandle kwesizathu esicacile. Abanye abantu bangase bazizwe sengathi izimpethu ziyakhasa emizimbeni yabo, noma sengathi amaconsi amanzi ayawa.
• Ukungalali: Abantu abaningi banenkinga yokulala ngenxa yalobu buhlungu. Uma ubuthongo buphazamiseka, ubuhlungu bungandisa nokucindezeleka.

Kungani sithola lolu hlobo lobuhlungu bemizwa? Ziyini izimbangela?

Kungaba nezizathu eziningana zalobu buhlungu bemizwa. Ake sibheke eziyinhloko:

• Ukuphazamiseka kokusebenzisa utshwala: Abantu abaphuza utshwala obuningi bangathola ukulimala kwemizwa kanye nobuhlungu obufana nalokhu.
• Isifo Sikashukela: Isifo sikashukela siyinkinga abantu abaningi eSri Lanka abanayo. Ubuwazi ukuthi uma singalawulwa kahle, isifo sikashukela singadala umonakalo wezinzwa futhi siholele ebuhlungwini obunje? Yingakho abantu abanesifo sikashukela kufanele bahlale beqaphela amazinga kashukela egazini labo, ikakhulukazi izinyawo zabo.
• Izimo zezinzwa zobuso: Ngezinye izikhathi lobu buhlungu bungabangelwa yizifo ezithinta izinzwa zobuso.
• I-HIV/AIDS: Lesi sifo singathinta nesimiso sezinzwa futhi sibangele ubuhlungu.
• Izinkinga zesimiso sezinzwa esiyinhloko: Isibonelo, izifo ezifana nesifo sohlangothi, isifo sikaParkinson, kanye ne-multiple sclerosis (MS) nazo zingabangela ubuhlungu bemizwa.
• I-complex regional pain syndrome: Lokhu futhi kuyimbangela yobuhlungu bemizwa.
• Ama-shingles: Isimungumungwane singenye imbangela evamile. Sivela kubantu ababene-chickenpox besebancane. Lokhu kuqubuka okubuhlungu, okuhambisana nama-blister, ngezinye izikhathi kungahlala izinyanga noma ngisho neminyaka.

Ngaphezu kwalokhu, kunezinye izizathu:

• Imithi yokwelapha ngamakhemikhali: Eminye imithi yomdlavuza, njenge-cisplatin, i-paclitaxel, ne-vincristine, ingabangela nokulimala kwemizwa.
• Ukwelashwa ngemisebe: Ukwelashwa ngemisebe yomdlavuza nakho kungabangela ubuhlungu bemizwa.
• Ukulahlekelwa yilungu `(Ukunqunywa kwelungu):`Uma umlenze ususwa ngokuhlinzwa, ubuhlungu obungavamile bungaba khona. Lokhu futhi ubuhlungu bemizwa.
• Ukucindezelwa kwemizwa yomgogodla noma ukuvuvukala: Lobuhlungu bungenzeka futhi uma imizwa yomgogodla wethu icindezelwa.
• Ukulimala noma ukuhlinzwa okubangela ukulimala kwemizwa: Ukulimala kwemizwa kungenzeka ngemva kwengozi enkulu noma ukuhlinzwa.
• Izimila ezicindezela imizwa: Uma isimila sakheka endaweni ethile emzimbeni bese sicindezela imizwa, lokho kungadala nobuhlungu.

Odokotela bakubona kanjani lokhu?

Uma ubona udokotela, bazoqala ngokukubuza ngomlando wakho wezokwelapha bese benza ukuhlolwa ngokomzimba. Uma udokotela esola ukuthi unomonakalo wezinzwa, bazobheka izimpawu ezihlobene nobuhlungu bezinzwa. Bazobe sebezama ukuthola imbangela eyisisekelo. Ngezinye izikhathi kungadingeka benze ukuhlolwa kwegazi kanye nokuskena.

Yiziphi izindlela zokwelapha lokhu?

Manje ake sibheke izindlela zokwelapha lobu buhlungu bemizwa. Empeleni, ukwelashwa kwalokhu kuncike embangela eyinhloko kanye nezimpawu zakho. Udokotela wakho uzokwakha uhlelo lokwelapha olusebenza kahle kakhulu kuwe.

Imigomo eyinhloko yokwelashwa yile:

• Ukwelapha isifo esiyisisekelo: Isibonelo, uma kukhona isimila esicindezelwa emthanjeni, ukwelashwa ngemisebe noma ukuhlinzwa kungasetshenziswa ukunciphisa isimila.
• Ukuqeda ubuhlungu .
• Gcina ukusebenza .
• Thuthukisa ikhwalithi yempilo yakho .

Ngokuvamile, kudingeka inhlanganisela yezindlela zokwelapha ukulawula lobu buhlungu bemizwa, kunokwelashwa okukodwa nje. Lezi zindlela zokwelapha zingafaka:

Imithi

• Imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kwemithi kadokotela (OTC): Imithi efana ne-acetaminophen kanye ne-ibuprofen ingasiza ngobuhlungu obuncane.
• Imithi yokuvimbela ukuqunjelwa: Akwaziwa kahle ukuthi kungani le mithi isebenza kahle kangaka ebuhlungu bezinzwa, kodwa abanye abantu bayithola iwusizo kakhulu. Kucatshangwa ukuthi le mithi iphazamisa izimpawu zobuhlungu zomzimba.
• Imithi yokucindezeleka:Manje ungase ucabange, 'O, nginobuhlungu bemizwa, kungani nginikwa imithi yokucindezeleka?' Eqinisweni, ukukhathazeka nokucindezeleka kungenza ubuhlungu bemizwa bube bubi nakakhulu. Futhi, eminye imithi yokucindezeleka itholakale isiza ekunciphiseni ubuhlungu bemizwa. Lokhu kusho ukuthi le mithi inikeza impumuzo kokubili ebuhlungwini nasekucindezelekeni ngesikhathi esisodwa.
• Ukwelashwa ngesikhumba: Okhilimu, amafutha okugcoba, noma ama-patches aqukethe i-lidocaine noma i-capsaicin angafakwa ngqo endaweni ebuhlungu. Lokhu kunikeza ukukhululeka kobuhlungu okwesikhashana.

Ezinye izindlela zokwelapha

• Ukuvimba kwemizwa: Lokhu ukwelashwa okunikezwa njengomjovo. Kunikezwa eduze kwemizwa ebuhlungu noma iqembu lemizwa. Lokhu kunganciphisa nobuhlungu okwesikhashana.
• Ukwelashwa ngokomzimba: Lokhu kungasiza ekunciphiseni ukuqina nokungakhululeki okubangelwa ubuhlungu bemizwa. Kungasiza futhi umzimba ukuthi ukhiqize amakhemikhali emvelo okuqeda ubuhlungu. Lokhu kuhlanganisa amasu ahlukahlukene okubhucunga kanye nokuzivocavoca.
• Ukuhlinzwa: Kwezinye izimo, ukuhlinzwa kungasiza ekunciphiseni ubuhlungu bemizwa. Udokotela ohlinzayo angakhulula, alungise, noma asuse eminye imizwa.
• Ukwelulekwa ngokwengqondo: Ngaphezu kokwelashwa kwezokwelapha, ungase uzuze nokwelulekwa ngokwengqondo. Lokhu kungakusiza ukuthi ubhekane nokucindezeleka okubangelwa ubuhlungu bemizwa.

Uma lokhu kwelashwa kungaqedi ubuhlungu bezinzwa zakho, udokotela wakho angase ancome ukwelashwa okufana nokuvuselelwa komgogodla, ukuvuselelwa kwezinzwa ezingaphandle, noma ukuvuselelwa kobuchopho. Udokotela wakho uzokhuluma nawe ngezinzuzo kanye nokungalungi kwalokhu kwelashwa.

Zikhona yini izindlela zokugwema ubuhlungu bemizwa?

Nakuba singeke sikwazi ukuvimbela ubuhlungu bezinzwa njalo, kunezinto ezimbalwa esingazenza ukunciphisa ingozi:

• Uma ubhema, yeka. Lena yinto engcono kakhulu ongayenza.
• Dala isimiso sokuzivocavoca esivumelana nawe njalo .
• Faka izithelo ezintsha eziningi, imifino, ubhontshisi, okusanhlamvu okuphelele, kanye namaprotheni angenamafutha (njengenhlanzi nenkukhu) ekudleni kwakho.
• Uma uphuza utshwala, bunciphise.
• Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo, futhi unakekele izinyawo zakho ngokukhethekile. Ngisho nesilonda esincane singaba yinkinga enkulu.

Sibi kangakanani lesi simo? Kuzokwenzekani esikhathini esizayo?

Ukwelapha ubuhlungu bemizwa kungaba nzima ngezinye izikhathi, kodwa ngokuvamile akusona ingozi empilweni.Imiphumela emihle kakhulu itholakala ngokusekela inhlalakahle yakho yengqondo, yezenhlalo, neyemizwa kanye nokuvuselelwa. Isihluthulelo lapha ukulawula ubuhlungu nokuthuthukisa ikhwalithi yokuphila kwakho, ngosizo lochwepheshe bezinhlungu, besebenzisa izindlela ezishiwo ngenhla.

Kufanele simbone nini udokotela?

Uma unezimpawu ezibonisa ukuthi unomonakalo wezinzwa, bheka udokotela:

• Ukuba ndikindiki
• Ukudlidliza
• Ubuthakathaka bemisipha
• Ukuzizwa sengathi umzimba wakho uyanyakaza ngokungalawuleki (Ukunyakaza okungalawuleki)
• Uma izinto esandleni sakho ziwela phansi njalo `(Izinto ezivame ukuwiswa)`

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma ubuhlungu obukhulu, ukungazweli, noma ubuthakathaka, futhi kubonakala sengathi buya bukhula ngokushesha, kufanele uye ekamelweni lezimo eziphuthumayo eliseduze ngokushesha. Lokhu kungaba izimpawu zokulimala okukhulu kwemizwa. Ezinye izimpawu ezinkulu zifaka:

• Isilinganiso senhliziyo esisheshayo noma esingajwayelekile
• Izinguquko emikhubeni yakho yokugezela (isb., ubunzima bokuchama)
• Isiyezi noma ukuquleka

Buzwakala kanjani lobu buhlungu ngokujwayelekile?

Abantu abaningi bachaza ubuhlungu bemizwa njengokugwazwa, ukugwazwa, noma ukusha . Abanye bangase bazizwe sengathi bashaywe ugesi.

Yiluphi uhlobo oluvame kakhulu lobuhlungu bemizwa?

Nakuba kunezinhlobo eziningi zobuhlungu bemizwa, i-neuropathy ehlobene nesifo sikashukela ibangela u-30% kuphela wazo zonke izimo.

Ubuhlungu bemizwa bungafika budlule, noma bungaba ubuhlungu obungapheli, obungabekezeleleki. Bungaba buncane noma bube bukhulu. Bungathinta noma iyiphi ingxenye yomzimba. Nakuba ubuhlungu bemizwa bungavamile ukuba yingozi, bungaba nomthelela omkhulu ezingeni lempilo yakho. Uma ubuhlungu bemizwa bukhulu, noma uma ubuhlungu bungapheli, qiniseka ukuthi ubona udokotela. Angathola imbangela futhi akutshele ukuthi yikuphi ukwelashwa okufanele wena.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho namuhla, ngithemba ukuthi usuqonde kangcono ubuhlungu be-neuropathic.

Into ebaluleke kakhulu ukubona udokotela uma unalezi zimpawu, hhayi ukuzishaya indiva nje. Ngezinye izikhathi, lokhu kungaba uphawu lwesinye isimo esiyisisekelo. Ngakho-ke, kubaluleke kakhulu ukuthola imbangela eqondile bese uqala ukwelashwa ngokushesha okukhulu.

Khumbula, awuwedwa. Kunodokotela abaningi kanye nezindlela zokwelapha ezingasiza kulezi zimo. Ungesabi, hlala uqinile, futhi ubhekane nalokhu.

Ubuhlungu bezinzwa, ubuhlungu be-neuropathic, Ubuhlungu be-Neuropathic, Izinkinga zezinzwa, Isifo sikashukela, Ukuba ndikindiki, Ukuvuvukala