Wake wazizwa umuzwa wokucasuka ezandleni noma ezinyaweni zakho? Kwabanye abantu, lokhu akuyona nje umuzwa wokucasuka, kodwa kungaba futhi ubuhlungu nokuvuvukala okungabekezeleleki. Imbangela yezinto ezinjalo ingaba inkinga ohlelweni lwakho lwezinzwa. I-Peripheral Neuropathy igama elivamile lezinkinga eziningi ezinjalo zezinzwa. Nakuba leli gama lingase lizwakale lingavamile, lesi simo sivame kakhulu ezweni lakithi. Ngakho-ke ake sixoxe ngakho ngamazwi alula namuhla.
Kalula nje, kuyini i-Peripheral Neuropathy?
Kulungile, ukuze siqonde lokhu, sidinga ukwazi kancane ngohlelo lwethu lwezinzwa. Uhlelo lwethu lwezinzwa lunezingxenye ezimbili eziyinhloko.
1. Isimiso Sezinzwa Esiphakathi: Lokhu kwakhiwe ubuchopho bethu kanye nomgogodla. Cabanga ngakho njengekhompyutha eyinhloko kanye nekhebula eliyinhloko emzimbeni wethu.
2. Uhlelo Lwezinzwa Oluzungezile: Lokhu kubhekisela kuzo zonke izinzwa ezisuka kukhebula eliyinhloko, okungukuthi, intambo yomgogodla kanye nobuchopho, kuze kufike ezingalweni, emilenzeni, nasezintweni zeminwe. Lezi zifana nezintambo ezincane ezisuka kukhebula eliyinhloko ziye kuzo zonke izingxenye zendlu.
Uyaqonda manje? I-Peripheral Neuropathy yisimo esenzeka lapho kunomonakalo noma isifo ohlelweni lwezinzwa oluseceleni , imizwa emincane esakazeka emzimbeni wonke. Uma le mizwa yonakele, ayithumeli imiyalezo eya futhi ibuya ebuchosheni ngendlela efanele. Yingakho siqala ukuzwa izinto ezinjengokungazweli nobuhlungu.
Lesi simo singakhula kunoma ubani wanoma yimuphi ubudala, kodwa ingozi yokusithola iyanda ngokuguga nakubantu abanezimo ezithile zezokwelapha.
Lezi zinzwa zonakala kanjani?
Ukuze siqonde lokhu, ake sibheke ukuthi iyini inzwa. Cabanga ngenzwa njengocingo lukagesi, ucingo oluthwala ugesi.
- I-Axon: Lona umqhubi kagesi ongaphakathi kwentambo. Yilapho imiyalezo yemizwa idluliselwa khona.
- I-Myelin: Lena yi-sheath yepulasitiki ezungeze ucingo. Ivikela i-axon futhi isiza imiyalezo ukuthi ihambe ngokushesha.
Kunezindlela ezimbili eziyinhloko lapho i-peripheral neuropathy ingenzeka khona:
1. Ukususa i-myelination ye-neuropathy: Lokhu kwenzeka lapho i-plastic sheath ye-nerve fibers yonakele. Lokhu kusho ukuthi izimpawu zikagesi, noma imiyalezo ye-nerve, azihambi kahle, futhi imiyalezo ingase "ivuze".
2. I-Axonal Neuropathy: Lolu uhlobo oluvame kakhulu. Yilapho imicu yezinzwa engaphakathi kwenzwa yonakala khona. Njengoba imizwa emide kakhulu emzimbeni wethu isemilenzeni yethu, izimpawu zokuqala zalolu hlobo lwe-neuropathy zivame ukuba semilenzeni nasezinyaweni.
Ukuthi lo monakalo usheshe kangakanani kuncike embangela. Ingozi ingenzeka ngokushesha. Ezinye izifo kanye nokulimala kungenzeka zingakapheli izinsuku noma amasonto. Izifo ezifana nesifo sikashukela zingathatha izinyanga noma iminyaka ukubangela lo monakalo.
Ziyini izimpawu ze-Peripheral Neuropathy?
Izimpawu zalokhu ziyahlukahluka kakhulu. Lokhu kungenxa yokuthi kungathinta izinhlobo ezahlukene zemizwa emzimbeni wethu. Izimpawu zingahlukaniswa kakhulu zibe izinhlobo ezintathu.
| Uhlobo oluyisici | Kalula nje... | Izimpawu ezingaba khona |
|---|---|---|
| Izimpawu zemoto | Lezi yizici ezihlobene nokunyakaza kwemisipha. |
|
| Izimpawu zokuzwa | Lezi yizici ezihlobene nezinto esizizwayo. | |
| Izimpawu zokuzimela | Lezi izimpawu ezihlobene nemisebenzi yomzimba ezenzakalelayo esingenakukwazi ukuyilawula. |
Iyini imbangela eyinhloko yalokhu?
Kunezimbangela eziningi ze-peripheral neuropathy. Ezinye zivame kakhulu, kanti ezinye azivamile.
- Isifo Sikashukela Esingalawulwa (Isifo Sikashukela Sohlobo 2): Lesi yisona sizathu esiyinhloko se-Peripheral Neuropathy emhlabeni nasezweni lethu. Amazinga aphezulu kashukela egazini isikhathi eside alimaza imizwa, ikakhulukazi imizwa emilenzeni.
- Ukuphuza utshwala ngokweqile: Ukuphuza utshwala ngokweqile isikhathi eside kulimaza ngqo imizwa.
- Ukuntuleka kwamavithamini: Ukuntuleka kwamavithamini, ikakhulukazi i-vitamin B12, i-B1, ne-B6, kungathinta ukusebenza kwezinzwa. Futhi, ukuthatha i-vitamin B6 eningi kakhulu kuyingozi ezinzwa.
- Izimo zokuzivikela komzimba: Ezifweni ezifana ne-Guillain-Barré syndrome, i-Lupus, kanye ne-Rheumatoid arthritis, amasosha omzimba wethu ahlasela imizwa.
- Imithi kanye nobuthi: Eminye imithi ye-chemotherapy kanye neminye imithi esetshenziselwa ukwelapha umdlavuza ingalimaza imizwa. Izinsimbi ezisindayo ezifana ne-lead kanye ne-mercury nazo zingadala umonakalo wemizwa.
- Ukutheleleka: Ukutheleleka ngegciwane njenge-HIV, i-shingles, kanye nokutheleleka ngamagciwane njengesifo se-Lyme kungalimaza imizwa.
- Izingozi noma ukuhlinzwa: Ingozi noma ukuhlinzwa kungabangela umonakalo emsipheni ngokuwusika, ukuwuchoboza, noma ukuwudonsa.
- Izimbangela zofuzo: Ezinye izifo zezinzwa zizuzwa njengefa, isibonelo, isifo sikaCharcot-Marie-Tooth.
- Idiopathic Neuropathy: Kwezinye izimo, naphezu kwazo zonke izivivinyo, akukho sizathu esithile esingatholakala .
Udokotela ukuthola kanjani lokhu?
Uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela. Udokotela uzolandela izinyathelo eziningana ukuze axilonge lesi simo.
1. Ukukubuza imininingwane: Bazokubuza imibuzo eminingi, njengokuthi yiziphi izimpawu zakho, ukuthi usunesikhathi esingakanani unazo, ukuthi unezinye izifo ezifana nesifo sikashukela, ukuthi uthatha miphi imithi, nokuthi uyaphuza yini utshwala.
2. Ukuhlolwa komzimba:Udokotela uzohlola izingalo nemilenze yakho, ikakhulukazi amandla emisipha, ukusabela (njengokushaya idolo lakho ngesando esincane), kanye nomuzwa (ukuthinta isitho sakho nge-cotton swab noma iphini elincane ukuze abone ukuthi uyalizwa yini).
3. Ukuhlolwa okukhethekile: Uma kudingeka, udokotela angakuthumela kwezinye izivivinyo eziningana.
- Ukuhlolwa kwegazi: Thola izimbangela ezifana nesifo sikashukela, ukuntuleka kwamavithamini, kanye nezinkinga zezinso.
- Ucwaningo Lokuqhutshwa Kwezinzwa (i-Electromyogram - EMG): Lolu vivinyo olukhethekile kancane. Lulinganisa ijubane namandla ezignali zikagesi ezihamba ngemizwa yakho. Lokhu kungasiza ekunqumeni ukuthi imizwa yonakele yini, futhi uma kunjalo, kuphi.
- I-Neva Biopsy: Akuvamile kakhulu ukuthi kuthathwe ingxenye encane yenzwa futhi ihlolwe ngaphansi kwe-microscope.
Yiziphi izindlela zokwelapha? Ingabe lokhu kungelapheka?
Ukwelashwa kwe-peripheral neuropathy kuncike embangela.
Into ebaluleke kakhulu ukwelapha imbangela eyinhloko. Ukwelapha imbangela kungamisa noma kunciphise umonakalo owengeziwe ezinzwa.
- Ukwelapha imbangela: Isibonelo, uma une-neuropathy ngenxa yesifo sikashukela, ukwelashwa okubaluleke kakhulu ukulawula amazinga kashukela egazini lakho . Uma kuwukuntuleka kwamavithamini, uzonikezwa amavithamini.
- Imithi yokulawula ubuhlungu nokuvuvukala: Ubuhlungu bemizwa abuqedwa ngamaphilisi obuhlungu avamile. Kunemithi ethile yalo. Udokotela wakho uzokunikeza imithi efanele.
- Ukwelashwa Komzimba: Uma imisipha ibuthakathaka, ukwelashwa ngokomzimba kungaba usizo kakhulu ekuqiniseni imisipha, ekuthuthukiseni ubunzima bokuhamba, kanye nokuthuthukisa ibhalansi.
- Ukunakekelwa okukhethekile kwezinyawo: Ikakhulukazi abantu abanesifo sikashukela, banemizwa enciphile ezinyaweni zabo, ngakho-ke bangase bangazizwa ukulimala. Ngakho-ke, kubalulekile ukuhlola izinyawo zakho nsuku zonke, ukugqoka izicathulo ezifanele, nokubona udokotela wezinyawo.
Kwezinye izimo, ikakhulukazi uma imbangela itholakala futhi yelashwa kusenesikhathi, omunye umonakalo wezinzwa ungabuyiselwa emuva. Kodwa-ke, i-neuropathy ebangelwa yizimo ezingamahlalakhona njengesifo sikashukela ivame ukuba yinto ehlala njalo. Kodwa-ke, ngokwelashwa okufanele, kungenzeka ukulawula izimpawu nokuphila impilo evamile .
Kunini lapho udinga ukubonana nodokotela noma ukuya e-ETU uma kunesimo esiphuthumayo?
I-Peripheral Neuropathy ngokuvamile ayisona isimo esiphuthumayo esisongela ukuphila. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe:Okubalulekile.
- Ubuthakathaka obungazelelwe ohlangothini olulodwa lomzimba, umlomo ugobile ohlangothini olulodwa, ubunzima bokukhuluma: Lokhu kungaba izimpawu zesifo sohlangothi .
- Ubuthakathaka noma ukuba ndikindiki okuqala ezinyaweni bese kusakazeka ngokushesha emzimbeni, ubunzima bokuphefumula noma ukugwinya: Lokhu kungaba izimpawu zesimo esiyingozi njenge- Guillain-Barré syndrome .
- Uma uvame ukuzizwa unesizungu futhi ulahlekelwa ukwazi lapho umile noma uvuka (ikakhulukazi uma ukuwa kuholele ekulimaleni ekhanda, entanyeni, noma emhlane).
- Ukushaya kwenhliziyo okungajwayelekile (okusheshayo noma okuhamba kancane kakhulu).
Esimweni esiphuthumayo esinjengalesi, ungahlali ekhaya futhi ufune iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Peripheral Neuropathy iwukulimala kwemizwa egijima kuwo wonke umzimba, ngaphandle kobuchopho bethu kanye nomgogodla.
- Izimpawu eziyinhloko ukungazweli ezithweni zomzimba, umuzwa wokucasuka, ukuvuvukala, ubuhlungu obungabekezeleleki, kanye nobuthakathaka bemisipha.
- Imbangela eyinhloko yalesi simo ezweni lethu isifo sikashukela esingalawuleki. Ngaphezu kwalokho, izici ezifana nokuphuza utshwala ngokweqile kanye nokuntuleka kwamavithamini nazo ziyabangela.
- Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekulawuleni ukulimala kwemizwa.
- Unganciphisa futhi le ngozi ngokudla ukudla okunempilo, ukuzivocavoca njalo , kanye nokulawula izifo ezifana nesifo sikashukela.
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