Ngezinye izikhathi uma sima ngemva kokuhlala endaweni efanayo isikhashana, izandla nezinyawo zethu zizwa ukuqaqamba, akunjalo? Kuphela ngemva kwesikhathi. Kodwa ingabe uvame ukuzwa ukuqaqamba ezandleni nasezinyaweni zakho, noma ubuhlungu obufana nezinaliti, noma ngezinye izikhathi umuzwa oshisayo? Khona-ke lokhu kungaba yinto engaphezu nje kokuqaqamba okuvamile. Namuhla sikhuluma ngesimo esibizwa ngokuthi 'i-Peripheral Neuropathy' esibangela lezi zimpawu. Nakuba leli igama elithusayo kancane, uma ulazi, ukuliphatha akunzima njengoba ucabanga.
Kalula nje, kuyini i-Peripheral Neuropathy?
Leli gama liyinkimbinkimbi kancane, ngakho ake siqale siliqonde. Uhlelo lwezinzwa lomzimba wethu luhlukaniswe izingxenye ezimbili eziyinhloko. Eyokuqala uhlelo lwezinzwa oluphakathi . Luhlanganisa ubuchopho bethu kanye nomgogodla (umthambo oyinhloko odlula emgogodleni). Lokhu kufana 'neHhovisi Eliyinhloko' lomzimba wethu.
Enye ingxenye yi -Peripheral Nervous System . Lokhu kufaka phakathi yonke imizwa esukela ehhovisi elikhulu, okungukuthi, ubuchopho kanye nomgogodla, futhi isakazeke emzimbeni wonke. Kufana nohlelo lwezintambo zocingo olusuka ehhovisi elikhulu luye ezweni lonke. Le mizwa ithwala futhi ilethe imizwa kanye nemiyalezo ezandleni zethu, ezinyaweni, ebusweni, nasezintweni zethu zomunwe.
Ngakho-ke, i-Peripheral Neuropathy yisimo noma umonakalo wezinzwa ezingaphandle 'kwehhovisi elikhulu', okungukuthi, izinzwa zesimiso sezinzwa esingaphandle. Njengoba kungaba nezimbangela eziningi zalokhu, izimpawu zingahluka kakhulu kumuntu nomuntu.
Ubani onamathuba amaningi okuthola lesi simo?
I-Peripheral Neuropathy ingathinta noma ubani, kungakhathaliseki ubudala, ubulili, noma uhlanga. Kodwa-ke, abanye abantu basengozini enkulu. Ikakhulukazi,
- Kulabo abanesifo sikashukela i-mellitus .
- Ingozi yokuthola lesi simo iyanda njengoba iminyaka ikhula. Kulinganiselwa ukuthi phakathi kuka-5% no-7% wabantu abangaphezu kweminyaka engu-45 emhlabeni wonke banohlobo oluthile lwe-peripheral neuropathy.
- Kulabo abanezifo ezithile ezizuzwe njengefa.
Lezi zinzwa zonakala kanjani?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngendlela ama-neurons ethu akhiwa ngayo. Cabanga nge-neuron njengentambo kagesi.
- I-Axon: Lena ingxenye efana nentambo yethusi yekhebula likagesi. Yilapho imiyalezo ihamba khona.
- I-Myelin Sheath: Lokhu yisivikelo sepulasitiki esizungeze ucingo lwethusi. Sisiza umyalezo ukuthi uhambe ngokushesha, ngaphandle kokuvuza, futhi sivikele i-axon.
I-Peripheral Neuropathy ingenzeka ngezindlela ezimbili eziyinhloko:
1. Ukuqeda i-myelination ye-Neuropathy: Lokhu kufana nokufakwa kwepulasitiki ekuncibilikeni kwentambo kagesi. Lokhu kunciphisa isivinini lapho imiyalezo ihamba khona, bese imiyalezo ihlangana.
2. Ukonakala kwe-Axonal: Lokhu kufana nomonakalo owenziwe ucingo lwethusi uqobo. Lolu uhlobo oluvame kakhulu. Imizwa emide kakhulu emzimbeni wethu isuka emgogodleni iye ezinzwaneni zethu. Ngakho-ke, lapho kwenzeka lolu hlobo lomonakalo, imilenze nezinyawo yizo eziqala ukuthinteka.
Ziyini izimpawu zalokhu?
Kungaba nezimpawu eziningi. Kuya ngohlobo lwenzwa eyonakele. Ngezinye izikhathi kungathinta inzwa eyodwa nje, noma kungathinta imizwa eminingi ngesikhathi esisodwa. Kunezinhlobo ezintathu zezimpawu ngokuyinhloko.
| Uhlobo lwesibonakaliso | Kalula nje... | Kuthinta kanjani? |
|---|---|---|
| Izimpawu Zemoto | Lezo ezihlobene nokunyakaza kwemisipha |
|
| Izimpawu Zezinzwa | Lezo ezihlobene nokuzizwa |
|
| Izimpawu Zokuzimela | Lezo ezihlobene nezinqubo ezizenzakalelayo esingenakuzilawula. |
|
Yini engabangela lokhu?
Kungaba nezimbangela eziningi ze-Peripheral Neuropathy. Ngezinye izikhathi, akukho sizathu esingatholakala. Lokhu sikubiza ngokuthi 'i-Idiopathic Neuropathy'. Izimbangela ezivame kakhulu yilezi:
- Isifo Sikashukela (Uhlobo 2 Lwesifo Sikashukela): Imbangela eyinhloko nevame kakhulu ye-peripheral neuropathy eSri Lanka nasemhlabeni wonke isifo sikashukela esingalawuleki. Amazinga aphezulu kashukela egazini isikhathi eside alimaza imizwa ebucayi.
- Ukuntuleka kwamavithamini: Ukuntuleka kwamavithamini athile, ikakhulukazi amavithamini B12, B1, B6, B9 (folic acid), kanye nevithamini E, kungalimaza imizwa. Ukudla ivithamini B6 ngokweqile nakho kuyingozi emizwa.
- Ukuphuza utshwala ngokweqile: Ukuphuza utshwala ngokweqile isikhathi eside kulimaza ngqo imizwa.
- Ukutheleleka: Amanye amagciwane (isib. i-HIV, i-herpes zoster) kanye nokutheleleka ngamagciwane kungalimaza imizwa.
- Izifo Ezizimele: Ezifweni ezifana ne-Guillain-Barré syndrome, i-lupus, kanye ne-rheumatoid arthritis, amasosha omzimba wethu ahlasela imizwa.
- Imithi ethile kanye nobuthi: Eminye imithi ye-chemotherapy yomdlavuza, eminye imithi elwa namagciwane, kanye nokuchayeka ebuthini obufana namakhemikhali ezolimo kanye nezinsimbi ezisindayo (umthofu, i-mercury).
- Ukulimala: Ukulimala okuqondile kwemizwa ngenxa yengozi noma ukuhlinzwa.
- Izimo Zezakhi Zofuzo: Izifo ezizuzwe njengesifo sikaCharcot-Marie-Tooth.
- Ezinye izimo zezokwelapha: isifo sezinso, isifo sesibindi, umdlavuza (ukucindezela kwesimila emthanjeni), kanye nezinkinga zemithambo yegazi.
Into ebaluleke kakhulu ukuthi uma unalezi zimpawu, kufanele ubonane nodokotela ukuze akunike iseluleko, kunokuba uzame ukuthola imbangela ngokwakho.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela, uzoqala ngokukubuza imibuzo eminingi mayelana nezimpawu zakho, umlando wezokwelapha, nokuthi ngabe kukhona yini emndenini wakho oke waba nezifo ezifanayo. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba futhi ahlole ukusebenza kwezinzwa zakho (imizwa, amandla emisipha, ukusabela okubonakalayo).
Ngaphezu kwalokho, izivivinyo ezinjengalezi zingasetshenziswa ukuthola imbangela:
- Ukuhlolwa kwegazi: Ukuthola izinto ezifana nesifo sikashukela, ukuntuleka kwamavithamini, ukusebenza kwezinso, kanye nezinkinga zesimiso somzimba sokuzivikela.
- Ucwaningo Lokuqhutshwa Kwezinzwa (NCS) kanye ne-Electromyogram (EMG): Lokhu kulinganisa isivinini lapho imiyalezo ihamba khona ezinzwa kanye nomsebenzi kagesi wemisipha. Lokhu kubaluleke kakhulu ekunqumeni ukuthi kukhona yini umonakalo wezinzwa nokuthi utholakala kuphi.
- I-Neva Biopsy: Ngezinye izikhathi, kuthathwa ingxenye encane yesikhumba, kanye nengxenye encane yezicubu zemizwa, bese kuhlolwa ngaphansi kwe-microscope.
- Ukuskena kwe-MRI.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike embangela ye-peripheral neuropathy yakho.
1. Ukwelapha imbangela eyisisekelo:
- Uma unesifo sikashukela: Into ebaluleke kakhulu ukulawula amazinga kashukela egazini lakho kahle.
- Uma kungenxa yokuntuleka kwamavithamini: Nikeza amavithamini afanele.
- Uma kubangelwa yisifo sokuzivikela komzimba: Nikeza imithi ebhalwe ngudokotela.
- Uma kungenxa yomuthi: Udokotela wakho uzonquma ukuthi uzowushintsha noma awuyeke yini umuthi, uma kungenzeka.
2. Ukulawula izimpawu:
- Imithi yobuhlungu: Ubuhlungu bemizwa abuqedwa yimithi yobuhlungu evamile. Kunemithi ethile yalo. Eminye imithi esetshenziselwa isifo sokuwa kanye nokucindezeleka inganikezwa ngemithamo ephansi ukulawula ubuhlungu bemizwa ngezinga elikhulu.
- Amafutha Nama-Patches: Kukhona ama-cream nama-patches athile angasetshenziswa endaweni yobuhlungu.
- Ukwelashwa Komzimba: Ukuzivocavoca kanye nezinye izindlela zokwelapha kusiza ukuqinisa imisipha, ukuthuthukisa ibhalansi, kanye nokunciphisa ubuhlungu.
- Izicathulo nemishini ekhethekile: Udokotela wakho angase ancome izicathulo ezikhethekile ukusiza ukuvimbela ukulimala kwabantu abanomuzwa ophansi ezinyaweni zabo. Abantu abanenkinga yokuhamba kungadingeka basebenzise ithuluzi elifana nenduku.
Kunini lapho kufanele sifune khona iseluleko sezokwelapha ngokushesha? (Kunini lapho kufanele siye khona ku-ETU)
Nakuba i-peripheral neuropathy ingavamile ukusongela impilo ngokushesha, ezinye izimpawu zingaba uphawu lwesimo esibucayi. Uma wena noma othile omaziyo enezimpawu ezilandelayo, hamba ngokushesha emnyangweni wezimo eziphuthumayo esibhedlela (ETU) .
| Izimpawu okufanele uziqaphele | Isimo esingaba sibi kakhulu |
|---|---|
| Isifo sohlangothi |
| I-Guillain-Barré Syndrome (isimo esibi lapho amasosha omzimba ehlasela khona imizwa) |
| Izimpawu Ezinzima Zokuzimela |
Umlayezo Wokuya Nawe Ekhaya
- I-Peripheral Neuropathy ukulimala kwemizwa engaphandle kobuchopho kanye nomgogodla.
- Ukuba ndikindiki, ukusha, izinzipho nezinaliti, kanye nobuhlungu yizimpawu ezivame kakhulu.
- Imbangela eyinhloko yalokhu eSri Lanka isifo sikashukela esingalawuleki. Ngakho-ke, uma unesifo sikashukela, kubalulekile ukulawula amazinga akho kashukela kahle.
- Uma unalezi zimpawu, ungalindi bese ubona udokotela ngokushesha. Uma uqala ukwelashwa kusenesikhathi, unganciphisa ukulimala kwemizwa.
- Ukwelashwa kuyahlukahluka kuye ngembangela. Manje kunezindlela eziningi zokwelapha ezitholakalayo zokulawula ubuhlungu, ukuqinisa imisipha, nokuthuthukisa ikhwalithi yokuphila.
- Uma unemizwa enciphile ezinyaweni zakho, hlola izinyawo zakho njalo ukuze ugweme ukulimala futhi ugqoke izicathulo ezifanele. Buza udokotela wakho ngolwazi olwengeziwe ngalokhu.
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