Ingabe nawe uzwa ukulunywa nokushiswa okungabekezeleleki eduze kwehlombe lakho langaphandle? Kungenzeka kube (Notalgia Paresthetica)!

Wake waphawula ukuthi abanye abantu baklwebha kanjani izingxenye zabo zangaphandle, ikakhulukazi amahlombe abo, ngaso sonke isikhathi? Noma wake wabhekana nento efana nale wena? Akubekezeleleki, ngezinye izikhathi kuzwakala sengathi kuyasha, njengokuzwa okubuhlungu... Kungaba yinto ecasulayo ngempela. Namuhla sizokhuluma ngokuphazamiseka okunjalo.

Kuyini i-Notalgia Paresthetica?

Kalula nje, i-Notalgia Paresthetica yisimo lapho uzwa khona ukulunywa, ukusha, noma ukuqaqamba okungabekezeleleki emhlane wakho, ngokuvamile ngaphakathi kwehlombe lakho. Uma uyiklwebha kakhulu, abantu abaningi bazoba nebala elimnyama elishintsha umbala esikhumbeni . Lesi simo ngezinye izikhathi singahlala izinyanga noma ngisho neminyaka.

Cabanga ngakho, igama elithi "notalgia" lisho "ubuhlungu emhlane." Igama elithi "Paraesthesia" lisho "ukusha, ukuqaqamba, noma ukulunywa." Ngakho-ke, igama lisikisela ukuthi lokhu kuyini, akunjalo?

Isizathu esiyinhloko salokhu ukuthi imizwa kuleyo ndawo iyathinteka noma yonakale ngandlela thile. Kodwa ungakhathazeki, lesi akusona isifo esisongela impilo noma esiyingozi. Kodwa-ke, ukuhlala nalokhu kungakhululeki kunzima kancane.

Ubani okungenzeka kakhulu ukuthi athole lokhu?

Lesi simo, esibizwa ngokuthi i-notalgia paraesthetica , sivame kakhulu kubantu asebekhulile, ikakhulukazi labo abaneminyaka engaphezu kwengu-50. Sivame kakhulu kwabesifazane kunakwabesilisa.

Kodwa-ke, akuvamile kakhulu, uma lesi simo sivela ezinganeni ezincane, kungaba uphawu lwesifo esingajwayelekile, esizuzwe njengefa esibizwa ngokuthi "Multiple Endocrine Neoplasia 2A." Ngakho-ke, kungcono ukubona udokotela uma ingane encane inesifo esifana nalesi.

Sivame kangakanani lesi simo?

Eqinisweni, azikho izibalo zokuthi i-notalgia paraesthetica isakazeke kangakanani emphakathini. Kodwa-ke, odokotela bakholelwa ukuthi iyisimo esivamile . Siyazi ukuthi i-pruritus engapheli , isimo esihlala isikhathi eside, sithinta cishe ama-20% abantu. I-Notalgia paraesthetica ingenye yalezo zinhlobo zokulunywa okungapheli. Kukholakala ukuthi cishe ama-8% azo zonke lezi zinhlobo zokulunywa okungapheli kubangelwa yi-notalgia paraesthetica.

Ziyini izimpawu zalokhu?

Uphawu oluyinhloko nolukhathaza kakhulu ukulunywa okungabekezeleleki (ukucasuka) emhlane, phakathi kwamahlombe nomgogodla. Lokhu kuvame ukwenzeka ohlangothini olulodwa lomhlane, kodwa ngezinye izikhathi kungenzeka kuzo zombili izinhlangothi.

Ngaphezu kwalokhu kulunywa, ungase uzizwe nezinto ezinjengalezi endaweni:

• Ukuthintitha - njengezintuthwane ezigijimayo, noma njengogesi.
• Ukuba ndikindiki - Kufana nokuthi awukwazi ukukuzwa.
• Ukuvuvukala(Ukusha) - Njengokushaywa yipelepele.
• Ubuhlungu - Abanye abantu bangase babe nokulunywa kanye nobuhlungu obuncane.
• Ubumnene - Kubuhlungu uma kuthintwa noma kucindezelwa.
• Ukushisa - Kuzwakala sengathi leyo ndawo iyashisa.
• Umkhuhlane - Abanye abantu bangase bazizwe bebanda kuleyo ndawo.

Manje, uma uklwebha kangaka, ungayeka yini ukuklwebha? Kunzima kakhulu, akunjalo? Ngenxa yalokho kuklwebha nokuklwebha njalo, isikhumba esikuleyo ndawo sivame ukushintsha umbala, sakhe ibala lesikhumba elishintsha umbala elibukeka njengebala elinsundu noma ngezinye izikhathi elimnyama.

Into ebalulekile ukuthi lesi simo, esibizwa ngokuthi i-notalgia paresthetica, asiqali ngokuqubuka. Kuyinkinga yezinzwa, hhayi isimo sesikhumba. Uma unamaqhubu kanye nokulunywa, kungaba yisimo esihlukile.

Kungani kwenzeka lokhu kuphazamiseka kobuhlungu besisu? Ziyini izimbangela?

Uma ngikhuluma iqiniso, abacwaningi abakakatholi ukuthi yini ngempela ebangela i-noctalgia paresthetica. Kodwa-ke, bacabanga ukuthi kungenzeka ukuthi kungenxa yohlobo oluthile lokucasuka kwemizwa noma ukungahambi kahle kwendlela yokulawula ukulunywa ohlelweni lwethu lwezinzwa .

Iningi labacwaningi liyavuma ukuthi lesi yisimo sezinzwa esibizwa ngokuthi "i-Neuropathies." Kodwa-ke, akukabikho mbono ocacile ngokuthi sibangelwa yini ukucindezelwa kwezinzwa ezivela emgogodleni (lokhu kubizwa ngokuthi "i-Radiculopathy" ) noma ukungasebenzi kahle noma ukulimala kwezinzwa esikhumbeni ("i-Neuropathies").

Cabanga nje, kunezizathu ezahlukahlukene zokuthi kungani izinzwa zomzimba wethu zingalimala noma zithinteke. Isibonelo:

• Isifo Sediski Esiwohlokayo - Njengoba sikhula, ama-spinal disc ethu ayawohloka, okungabangela ukucindezelwa kwemizwa.
• I-Herniated Disk - Sithi "i-herniated diski." Lokhu kungathinta nezinzwa.
• Izilonda ze-Osteoarthritis emgogodleni wakho - Lolu futhi uhlobo lwe-arthritis oluhambisana nokuguga.
• Izimo ezithile ze-metabolic, isibonelo, isifo sikashukela - Abantu abanesifo sikashukela banamathuba amaningi okulimala kwemizwa.
• Ezinye izifo, isibonelo, i-shingles (i-herpes zoster) - lokhu futhi kuyisifo esithinta imizwa.

Ngakho-ke, ngenxa yezizathu ezinjengalezi, imizwa iyathinteka, futhi izimpawu ezifana nokulunywa nokuvuvukala okukhulumile zingavela.

Udokotela ukubona kanjani lokhu?

Ngokuvamile, udokotela uxilonga lesi simo esibizwa ngokuthi i-notalgia paresthetica ngokwenza ukuhlolwa ngokomzimba nangokuthatha umlando wakho wezokwelapha.

Uma uya kudokotela, uzokubuza ngalezi zinto:

• Ziyini izimpawu zakho? (Yeka ukuthi kuyaluma kangakanani, kunini lapho kubi kakhulu, yini enye oyizwayo?)
• Ziyini izimo zakho zezokwelapha zangaphambilini? (Umlando wezokwelapha)
• Yimiphi imithi oyithathayo njengamanje? (Imithi yamanje)

Ngemuva kwalokho, udokotela noma umhlengikazi uzokuxilonga, ikakhulukazi umhlane wakho.

Ezimweni eziningi , akudingeki ukuhlolwa okukhulu kwezokwelapha ukuze kutholakale lesi simo. Okusho ukuthi, ukuhlolwa kwezithombe noma ukuhlolwa kwegazi akuvamile ukwenziwa. Kwenziwa kuphela uma, ngaphezu kwezimpawu ezishiwo ngenhla, kukhona ukusola ukuthi unesifo sezinzwa noma sezinzwa.

Yiziphi izindlela zokwelapha lokhu?

Nakhu okufanele ucabange ngakho. Ukwelapha i-notalgia paresthetica kungaba nzima. Kunezindlela zokwelapha eziningi ezitholakalayo, kodwa akuzona zonke ezisebenzela wonke umuntu. Okusebenza komunye umuntu kungase kungasebenzeli omunye. Izindlela zokwelapha zihloselwe kakhulu ukunciphisa okwesikhashana izimpawu ezifana nokulunywa. Akukho ukwelashwa kwakho okwamanje.

Nazi ezinye zezindlela zokwelapha zamanje:

Imithi Yomlomo

• I-Gabapentin: Lona umuthi osetshenziswa kakhulu we-notalgia paresthetica. Phakathi kwemithi ephuzwayo, ubonise imiphumela emihle ekunciphiseni ukulunywa.
• Ama-Antihistamine: Lawa ngezinye izikhathi angasiza ekunciphiseni ukulunywa ebusuku.

Imithi Yokwelapha

Lokhu kungafika ngesimo sama-creams, ama-lotion, nama-gel.

• Amafutha aqukethe i-Capsaicin: Lena yingxenye enikeza upelepele ophuzi ukuba nokunambitheka kwawo. Lena amafutha asetshenziswa kakhulu kulesi simo. Ungase uzizwe ushisa kancane ekuqaleni, kodwa ukulunywa kungase kuphele kamuva.
• Amafutha aqukethe ama-steroid: Lawa anganciphisa ukuvuvukala nokulunywa.
• Amafutha aqukethe izibulala-zinhlungu (isb. i-lidocaine): Lawa aqeda indawo okwesikhashana futhi anciphise ukulunywa.

Imijovo ye-Botulinum toxin (Botox®)

Imijovo yeBotox® (Botulinum Toxin Injections) nayo isetshenziselwa lokhu. Le mijovo itholakale ivimba izimpawu zemizwa, iphumuze imisipha, futhi inciphise ubuhlungu nokulunywa. Kodwa-ke, ayisebenzi kuwo wonke umuntu.

Ukwelashwa kwe-Transcutaneous Electrical Nerve Stimulation (TENS)

Nakuba lokhu kungase kubonakale njengegama eliyinkimbinkimbi,I-Transcutaneous Electrical Nerve Stimulation (TENS) iyindlela yokwelapha esebenzisa ugesi wamandla aphansi ukuze kuncishiswe ubuhlungu. Ucwaningo olulodwa luthole ukuthi lapho i-TENS isetshenziswa imizuzu engama-20 ngosuku, izinsuku ezinhlanu ngesonto, yehlisa ukulunywa ngo-60% cishe kwengxenye yesithathu yabahlanganyeli besifundo.

Ukuvinjwa Kwezinzwa Zomgogodla

Lokhu kuhilela ukufaka inhlanganisela yomuthi wokubulala izinhlungu kanye nomuthi wokulwa nokuvuvukala emthanjeni othintekile noma eqenjini lezinzwa. Lolu hlobo lomjovo lusetshenziselwa ukwelapha i-notalgia paresthetica ngokufaka i-nerve block emithanjeni enikeza ihlombe.

Ukwelashwa Komzimba

Abanye abantu bathole nemiphumela emihle ngokwelashwa ngokomzimba . Ikakhulukazi, ukuvivinya umzimba okuqinisa imisipha ephezulu yomgogodla kanye nokwelula imisipha yesifuba kungasiza.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Ngeshwa, okwamanje ayikho indlela eyaziwayo yokuvimbela ukuthuthukiswa kwe-nodalgia paraesthetica, njengoba imbangela eqondile ingakacaci.

Iyini inkomba yokubikezela lesi sifo?

Indlela ye-notalgia paresthetica ingahluka kuye ngomuntu nomuntu. Kwabanye abantu, ingase iphele ezinyangeni ezimbalwa, kanti kwabanye ingase ihlale iminyaka. Ukwelashwa kungasiza ekunciphiseni izimpawu. Ngezinye izikhathi, lesi simo singase siphele sodwa ngokuhamba kwesikhathi (lokhu kubizwa ngokuthi ukuthethelelwa) .

Nakuba kungesona isimo esisongela impilo, ukungakhululeki okubangelayo kungathinta izinga lempilo yakho. Kwenzeka uma uklwebha njalo, lapho ungakwazi ukulala ebusuku, nalapho unenkinga yokwenza umsebenzi, akunjalo?

Kufanele simbone nini udokotela?

Uma udokotela ekuxilongile ukuthi une-notalgia paresthetica, futhi ukwelashwa okutholile akukusizi, noma uma uhlangabezana nemiphumela emibi evela ekwelashweni, qiniseka ukuthi ubona udokotela futhi ukuze uxoxe ngezinye izindlela zokwelapha.

Nakuba i-notalgia paresthetica ingeyona inkinga yezempilo engathi sína, izimpawu zayo zingaba zimbi kakhulu futhi zikhathaze. Uma lesi simo siphazamisa ikhwalithi yempilo yakho, kubalulekile ukukhuluma nodokotela. Angancoma uhlelo lokwelashwa olufanele wena. Kungathatha isikhathi ukuthola ukwelashwa okufanele kuwe, kodwa kufanelekile ukuzama.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, ngakho-ke nazi ezinye izinto okudingeka uzikhumbule kulokho esikhulume ngakho:

• I-Notalgia paraesthetica yisimo esenzeka emhlane nasemahlombe.Ukuluma okukhulu, ukushisa, noma ukuba ndikindiki.
• Lokhu kuyinkinga yezinzwa , akusona isifo sesikhumba. Ngakho-ke, akukho ukuqubuka ekuqaleni.
• Ukuklwebha njalo kungabangela isikhumba esikuleyo ndawo ukuthi sishintshe umbala.
• Nakuba kungekho ikhambi eliphelele lalokhu, kunezindlela zokwelapha zokulawula izimpawu.
• Uma unalezi zimpawu, ungabi namahloni noma ucabange ukuthi kuyinkinga, kodwa bona udokotela ukuze akunike iseluleko. Akudingeki uphile nalokhu kungakhululeki.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uke waba nokuhlangenwe nakho okufanayo, ungakhohlwa ukukhuluma nodokotela ngakho.

I- Notalgia Paresthetica, Ukulunywa Emhlane, Ukulunywa Ehlombe, Ukulunywa Kwezinzwa, Ukuqhuma Kwesikhumba, Ukuvuvukala, I-Notalgia Paresthetica Sinhala