Ingabe ubuhlungu esibuzwayo nge- fibromyalgia nesifo esingapheliyo ukukhathala kusuka enhlobonhlobo yomonakalo wezinzwa okuthiwa i-neuropathy? Umqondo oye waba khona iminyaka eminingana-ngemuva kwakho konke, ubuhlungu bethu bufana kakhulu-kodwa buhlanganisa ukwesekwa okubanzi njengoba abacwaningi bethola ubufakazi obengeziwe.
Ucwaningo lokuqala olwethulwa emhlanganweni we-2010 we-American Academy of Neurology eToronto lubonisa ukuthi abaningi bethu nalezi zimo banezinto ezibizwa ngokuthi i-fiber encane ye-neuropathy-engavamile emagqabeni amancane omzimba, aseduze kwesikhumba sakho ukubhekana nobuhlungu nokushisa ukuzwa.
( Ukuzwela kokushisa kuyisifo esivamile kakhulu se-fibromyalgia nesifo esingapheliyo sokukhathala.)
Kulesi sifundo, abacwaningi bathatha ama-biopsies esikhumba avela kubantu abangu-30 abanesifo se-fibromyalgia, isifo esingapheli syndrome, isifo esibuhlungu esingapheli, noma ukuhlanganiswa kwezifo, kanye neqembu elilawulayo. Kubantu abanezimo ezibuhlungu, ama-biopsies abonisa ukuthi abangu-13 kubo, noma 43%, babe nobufakazi be-fiber neuropathy encane.
(Leli phesenti elikhulu, ngokuqinisekile, kodwa linikezwa isayizi encane yesampula labantu abangaba ngu-30 kuphela, akusikho okucacile. Nokho, kuyathembisa ngokwanele ukuholela kwizifundo ezinkulu esikhathini esizayo.)
UDkt. Devanshi Gupta, umcwaningi oholayo, uthi odokotela kufanele bahlole i-fiber neuropathy encane nge-biopsies yesikhumba kwiziguli ezinezimpawu ezilandelayo:
- Ciza, ubuhlungu bokudubula,
- I-Orthostatic hypotension,
- Izimpawu ze-Autonomic,
- Izinguquko zesikhumba zihlobene nokunikezwa kwezinzwa zesisindo,
- Incontinence,
- Ukukhubazeka ngokocansi,
- Noma ezinye izimpawu ze-neuropathic.
Kodwa-ke, abanye odokotela bathi izidakamizwa zesikhumba azithembeki ngokwanele kuphela futhi kufanele zisetshenziswe kuphela ukuqinisekisa ukuxilongwa okusekelwe ekuhlolweni nasekulandeni umlando.
Mhlawumbe uzobona izimpawu eziningana ezibalwe ngenhla njengezimpawu ze-fibromyalgia nezifo ezingapheliyo zokukhathala, kuhlanganise nezinhlungu, i-orthostatic hypotension (ukucindezelwa kwegazi kwehla ekumeni okwenza uhlaziye), kanye nezimpawu zokuzimela.
Ukuqoqwa kwezibonakaliso kungenza kube nzima ukuhlolisisa i-fiber encane ye-neuropathy esekelwe ezimpawu kanye nokuhlolwa yedwa, ngakho-ke i-biopsy ingase ibe usizo kakhulu ekuqinisekiseni ukuthi kutholakala yini kithi kunabantu abaningi.
Okubhekayo
Ubufakazi obengeziwe buyakhula ukusekela inkolelo yokuthi le mibandela, noma okungenani ingxenye enkulu yayo, i-neuropathic. Ukusabalala kobuhlungu obukhulu bezinzwa, ukuzwa kwemizwa engavamile, nokuphendula okungavamile kwezinzwa konke okukhomba ukuthi isiqondiso, njengokuthi abaningi bethu basizwa ngemithi ehloswe nge-neuropathy, njengeLyrica (pregabalin) neNeurontin (gabapentin). Ukuhlola i-fibre neuropathy encane kungasiza odokotela ukuba banqume ukuthi ngubani kithi ongasabela kulezi zinhlobo zokwelashwa.
Ngakho uma lolu cwaningo lunembile futhi nje ngaphansi kwesigamu sethu sinalo hlobo lwe-neuropathy, lokho kusho ukuthini kithi sonke? Yilokho okuzodinga ukuhlolisiswa okunye, kodwa lokho kuhlola kuzoba lula uma bengakwazi ukukhipha i-subgroup ene-neuropathy encane. Siyazi ukuthi asikho konke okufanayo, futhi uma singaphinde sakhiwe ngokunembile, ngokushesha sizokwazi ukuthola izimpendulo zangempela kwimibuto yethu eminingi.
Umthombo:
I-Gupta D, i-Harney J. Small fiber neuropathy yaboniswa ebuhlungu besifo. I-Poster session eyethulwa eMhlanganweni Wonyaka we-American Academy of Neurology; 2010 Apr 10-17; EToronto, e-Ontario.