Ingabe ngezinye izikhathi uzizwa ushiswa ezandleni noma ezinyaweni zakho, umuzwa wokuqaqamba, noma ubuhlungu obuhlabayo? Ingabe uzizwa ubuhlungu obungabekezeleleki ngisho noma ishidi lombhede lishaya umlenze wakho? Ngisho noma ucabanga ukuthi lezi zinto ziyizinto ezingahleliwe, kungase kube nesizathu sezokwelapha ngemuva kwalokhu. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Small Fiber Neuropathy (SFN), esibangela lezi zimpawu. Nakuba leli igama elide, masiliqonde kalula.
Kuyini i-Small Fiber Neuropathy (SFN)?
Kalula nje, i-Small Fiber Neuropathy (SFN) iyisimo sesimiso sezinzwa esingaphandle. Kulungile, lokho kuzwakala kuyinkimbinkimbi kancane, akunjalo? Ake sikuchaze.
Cabanga nje ukuthi umzimba wethu umbozwe inethiwekhi yezinzwa, njengohlelo lwezintambo zikagesi. Unemicu emincane kakhulu yezinzwa, engajiyile njengezinwele. Lezi yizo ezithwala imizwa efana nokushisa, ukubanda, kanye nobuhlungu isikhumba sethu esibuzwayo ebuchosheni. I-SFN yilapho leyo micu emincane yezinzwa yonakala ngesizathu esithile.
Uma le mizwa yonakele, ayisebenzi kahle. Iqala ukuthumela izimpawu ezingalungile ebuchosheni. Yingakho uzizwa ubuhlungu obuvuthayo, obuhlabayo, noma obuhlabayo ezingalweni nasemilenzeni yakho ngaphandle kwesizathu.
Lesi simo asithinti nje kuphela imizwa esikhumbeni, kodwa futhi neminye imizwa ebucayi elawula imisebenzi ebalulekile emzimbeni wethu (isibonelo, umfutho wegazi, ukushaya kwenhliziyo). I-SFN ayisongeli impilo, kodwa ngezinye izikhathi ingaba uphawu lwesinye isimo esibi.
Yiziphi izimpawu eziyinhloko zalokhu?
Izimpawu ze-SFN zingahluka kumuntu nomuntu. Kodwa uphawu oluvame kakhulu, ikakhulukazi ezigabeni zokuqala, ubuhlungu ezandleni nasezinyaweni. Lobuhlungu ngezinye izikhathi buyafika budlule, ngezinye izikhathi buhlala njalo. Bungaba bubi nakakhulu ngokuhamba kwesikhathi.
Ake sibone ukuthi yiziphi izimpawu eziyinhloko.
| Isibonakaliso | Incazelo Elula |
|---|---|
| Ubuhlungu obuhlabayo noma obushisayo | Umuzwa ovuthayo nohlabayo ezandleni nasezinyaweni. Lolu uphawu oluvame kakhulu. |
| Isiyezi noma ukuquleka | Ukuzizwa unesizungu noma uzizwa unamahloni uma umi, mhlawumbe uqulekile. Lokhu kungenzeka ikakhulukazi uma usukuma uhleli. |
| Ukushaya kwenhliziyo | Ukuzwa inhliziyo yakho ishaya ngokushesha, noma ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha. |
| Ukuba ndikindiki | Ukuba ndikindiki nokulahlekelwa umuzwa kwezinye izindawo. |
| Ukulahlekelwa ubuhlungu kanye nomuzwa wokushisa | Ukulahlekelwa umuzwa wokushisa, ukubanda, noma ubuhlungu ezindaweni ezincane zomzimba. Isibonelo, ungase ungezwa lutho ngisho noma uthinta into eshisayo. |
| Isisu esibuhlungu | Ubuhlungu besisu noma izinhlungu ngaphandle kwesizathu. |
| Izinguquko ekujulukeni | Ukujuluka kakhulu kunokujwayelekile noma mhlawumbe ukungabi nokujuluka ngokuphelele. |
Kungani kwenzeka i-Small Fiber Neuropathy (SFN)?
Lona umbuzo obaluleke kakhulu. Cishe ingxenye yabantu abane-SFN, akukho sizathu esingatholakala . Odokotela babiza lesi simo ngokuthi "Idiopathic Small Fiber Neuropathy." Lokho kusho ukuthi "i-SFN yembangela engaziwa."
Kodwa-ke, kunezici eziningana ezingaba nomthelela engxenyeni esele.
Ngenxa yezinye izimo zezokwelapha
Ngokuvamile, i-SFN iwumphumela wesinye isifo.
- Isifo Sikashukela: Imbangela eyinhloko nevame kakhulu ye-SFN isifo sikashukela. Amazinga kashukela egazini angalawulwa isikhathi eside angalimaza lezi zinzwa ezibuthakathaka.
- Ukungabekezelelani ushukela: Lokhu kuyisandulela sesifo sikashukela. Nalapha futhi, imizwa ingalimala.
- Izinkinga zesimiso somzimba:Izifo ezifana nesifo se-Celiac, i-Sjögren's syndrome, kanye ne-Sarcoidosis zingabangela ukuthi amasosha omzimba ahlasele lezi zinzwa.
- Ukutheleleka: Ukutheleleka okufana ne-Hepatitis C noma i-HIV nakho kungabangela i-SFN.
- Ukuntuleka kwevithamini B: Ukuntuleka kwevithamini B12 ikakhulukazi kungalimaza imizwa.
- Inkinga yokusebenzisa utshwala
- Isifo se-thyroid
- I-Metabolic syndrome
Izinkinga ezizuzwe njengefa
Ngezinye izikhathi lesi simo singabangelwa izici zofuzo. Lokhu kusho ukuthi othile emndenini wakho unaso futhi nawe ungasithola. I-'Fabry disease' kanye ne-'Familial amyloidosis' ezinye zezibonelo ezinjalo.
Ngenxa yemithi ethile kanye nobuthi
Lezi zinzwa zingalimala futhi njengomphumela ongemuhle weminye yemithi esiyithathayo.
- Eminye imithi ye-chemotherapy yomdlavuza
- Amanye ama-antibiotic (isib. i-metronidazole, i-nitrofurantoin)
- Imithi efana ne-'tumor necrosis factor inhibitors'
Yiziphi izinkinga zalokhu?
Kunezinkinga ezimbili eziyinhloko ezibangelwa yi-SFN.
1. Ukulahlekelwa umuzwa wobuhlungu: Enye yezingozi ezinkulu zalokhu ukulahlekelwa umuzwa wobuhlungu. Zicabange uthinta ibhodwe elishisayo esitofini, kodwa uma ungakuzwa ukushisa, ungashisa isandla sakho. Amathuba okuba izingozi ezinjalo zenzeke aphezulu. Ngakho-ke, kubalulekile ukuthi umuntu one-SFN ahlole njalo izitho zakhe ukuze athole ukulimala.
2. Ukuwa: Isiyezi, ubunzima bokuhamba, kanye nokulahlekelwa yibhalansi kwandisa ingozi yokuwa.
Udokotela ukuthola kanjani lokhu?
Uma usuzichazile izimpawu zakho, udokotela wakho uzokuxilonga futhi akubuze imibuzo. Akukho kuhlolwa okukodwa okuqinisekisa i-SFN, ngakho-ke kungadingeka ukuthi wenze izivivinyo eziningana.
- I-biopsy yesikhumba: Lesi isivivinyo esibaluleke kakhulu sokuxilonga lesi sifo. Lapha, kuthathwa ingxenye encane kakhulu yesikhumba (cishe amamilimitha amathathu) bese ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi imicu emincane yemizwa iqine kangakanani.
- Ukuhlolwa kwe-axon reflex ye-sudomotor eningi (i-QSART): Lokhu kuhlola ukuthi imizwa ehilelekile ekujulukeni isebenza kanjani.
- Izifundo ze-Electromyography (EMG) kanye nokuqhuba imizwa: Lezi zivivinyo zivame ukubheka umsebenzi wemicu emikhulu yemizwa. Lezi zivivinyo zivame ukuvamile ku-SFN. Kodwa-ke, ziyasiza ekuvimbeleni ezinye izimo zemizwa.
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuze kubhekwe izimbangela eziyisisekelo, njengesifo sikashukela, ukuntuleka kwamavithamini, kanye nezinkinga ze-thyroid.
- Ukuhlolwa kofuzo: Lokhu kuhlolwa kungenziwa uma kukhona okusolakala ukuthi kunembangela yofuzo.
Yiziphi izindlela zokwelapha?
Odokotela bagxila emigomweni emibili eyinhloko ngesikhathi sokwelashwa.
1. Yelapha imbangela eyinhloko: Lena yinto ebaluleke kakhulu. Uma kungenxa yesifo sikashukela, khona-ke isifo sikashukela silawulwa kahle. Uma kuwukuntuleka kwamavithamini, khona-ke kunikezwa amavithamini adingekayo. Uma imbangela yelashwa kahle, umonakalo wemizwa ungamiswa noma uncishiswe.
2. Ukulawula ubuhlungu nezinye izimpawu: Kunemithi ekhethekile yokulawula ubuhlungu bemizwa.
Okubalulekile: Imithi yokubulala izinhlungu evamile (njengeParacetamol ne-Ibuprofen) ayisebenzi kahle kulolu hlobo lobuhlungu bemizwa. Ngakho-ke, kubalulekile ukusebenzisa kuphela imithi enqunywe udokotela wakho.
Ezinye zezinhlobo eziyinhloko zemithi esetshenziswayo zibalwe ngezansi.
| Isigaba Semithi | Izibonelo namanothi |
|---|---|
| Imithi yokulwa nokuquleka | Nakuba lezi ziyimithi esetshenziselwa isifo sokuwa, ziyasebenza kakhulu ekulawuleni ubuhlungu bemizwa. Isibonelo: `Gabapentin`, `Pregabalin` |
| Imithi yokucindezeleka | Nakuba lezi ziyimithi enikezwa ukucindezeleka, zisetshenziswa ngempumelelo kakhulu ukulawula ubuhlungu obubangelwa ukulimala kwemizwa. Isibonelo: `Amitriptyline`, `Nortriptyline`, `Desipramine` |
| Izinzwa zokubulala izinzwa ezisetshenziswa endaweni ethile | Amakhrimu, amajeli, noma amaplasta asetshenziswa esikhumbeni. Lokhu kunciphisa ubuhlungu futhi kunciphisa ubuhlungu. Isibonelo: `Lidocaine`, `Capsaicin` |
Kufanele ngimbone nini udokotela?
Uma unezimpawu ezishiwo kulesi sihloko, ikakhulukazi ukushisa, ukungazweli, noma ukuqaqamba kwamalungu akho, ungazinaki nje njengento eyenzeka nje, kodwa nakanjani bonana nodokotela. Ngoba kungaba uphawu lwesifo esibucayi, esingelapheka njengesifo sikashukela.
Uma usuvele utholakale une-SFN ngudokotela, bona udokotela wakho futhi uma ubona izinguquko ezilandelayo:
- Kuthiwani uma ubuhlungu ezinyaweni zami manje sebusakazekela ezandleni zami?
- Uma ukuvama noma ubunzima bobuhlungu bukhula.
- Uma kuvela izimpawu ezintsha, njengesiyezi noma ubunzima bokuhamba.
Uma ubona udokotela wakho, ungabuza imibuzo elandelayo.
- "Kungani nginalezi zimpawu?"
- "Ingabe lezi zimpawu zizoqhubeka ziba zimbi kakhulu?"
- "Yiziphi izindlela zokwelapha ezingcono kakhulu engingazithola?"
- "Ingabe ngizoba nalesi simo kuze kube phakade?"
Umlayezo Wokuya Nawe Ekhaya
- I-Small Fiber Neuropathy (SFN) yisimo esibangelwa ukulimala kwemicu yezinzwa emincane kakhulu esikhumbeni sethu.
- Izimpawu eziyinhloko ukushisa, ukungazweli, kanye nobuhlungu obuhlabayo ezandleni nasezinyaweni.
- Ngokuvamile imbangela eyinhloko yalesi simo isifo sikashukela esingalawuleki, ngakho-ke ukunganaki lezi zimpawu kungaba yingozi.
- Uma unalezi zimpawu, bona udokotela wakho ngokushesha okukhulu ukuze uthole imbangela futhi uthole ukwelashwa okufanele.
- Kokubili ukwelapha imbangela eyinhloko kanye nokulawula ubuhlungu kubaluleke kakhulu ekwelapheni.
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