I-neuropathy yisifo esibonakaliswe umonakalo emithanjeni yomzimba, okuholela ebuhlungu, ukulahlekelwa izinzwa, nobuthakathaka.
Uma une- neuropathy , kungenzeka ukuthi usutshelwe kakade ukuthi kuyinkinga enzima yokwelapha nokuthi le-neuropathy ayilulapheki. Kukhona ngempela, akukho ukwelashwa okukhona okungaphulukisa noma ukuguqula izinzwa ze-neuropathy. Kodwa-ke, kunezinqubo ezimbalwa zezokwelapha ezingasiza ukuyeka ukungasebenzi kwegazi ukuba kungabi nakakhulu.
Futhi kunezindlela eziphumelelayo zokusiza ukwehlisa izimpawu ze-neuropathy.
Ukwelashwa Okuvamile Kwenhliziyo Neuropathy
Uma kuziwa ekuphatheni i-neuropathy ngokwayo, ukungenelela kwezokwelapha ezitholakalayo kusebenza ngokuvimbela lesi sifo ukuba singabi nakakhulu. Kunezimbangela ezimbalwa ezihlukahlukene ze-neuropathy, ngakho-ke izindlela zokwelapha ezisetshenziselwa ukuvimbela i-neuropathy ukuba ziqhubeke zibi kakhulu zihambisana nombangela othize we-neuropathy.
I-Vitamin B12 Ukuntuleka
I-neuropathy ingenye yemiphumela yokuntuleka kwe-vitamin B12. Lokhu kudla okunomsoco kuvamile kubantu abadla imifino, izifo, abantu abanezinkinga ezithile zesisu noma emathunjini nabantu abasebenzisa utshwala obuningi. Ukuntula kwe-Vitamin B12 kuvame ukudinga ukwesekwa nge-vitamin B12 injections kunokuba ngamaphilisi athathwa ngomlomo ngoba abantu abaningi abanamakhono e-vitamin B12 abakwazi ukufinyelela amazinga afanele ngokusebenzisa amaphilisi omlomo.
Ukunakekelwa Okunzima Kwe-Neuropathy
Ukunakekelwa okubuhlungu kwe-neuropathy kuvame ukuqala ekubhekaneni nokugula okunzima, okunzima. Akucaci kahle ukuthi yini ebangelwa ukwelashwa okubucayi ukwelashwa, futhi kukholelwa ukuthi kubangelwa izici eziningana, kuhlanganise nezifo, ukuvuvukala, ukungalingani kwamanzi nezimo ze-electrolyte nokungahambi kahle (ukungabi nokunyakaza komzimba).
Ngokuvamile, ukunakekelwa okubucayi kwe-neuropathy kuthuthukisa uma isimo sezokwelapha sithuthuka, kodwa ngezinye izikhathi kungathatha izinyanga noma eminyakeni ngemuva kokunye ukugula kwezempilo ukuxazulula ngaphambi kokuba ukulahlekelwa nokusilahla kokukhathazeka kwe-neuropathy kuthuthuke ngokuphelele.
Ukwelashwa kwe-neuropathy yokunakekelwa okubucayi kuhlanganisa ukuphathwa kwezifo, ukuguqula uketshezi kanye ne-electrolyte, kanye nokwelapha ngokomzimba.
I-Guillain-Barré Syndrome (i-GBS)
Lolu hlobo lwe-neuropathy oluqhubekayo nolaka oluchazwayo luchazwa njenge-neuropathy ekhuphukayo eqala ezinyaweni futhi kancane kancane ihambela umzimba ukuze igcine ifinyelela imisipha elawula ukuphefumula.
I-GBS yi-neuropathy ehlotshaniswa nokungasebenzi kwamasosha omzimba. Ukwelashwa kwe-GBS kungabandakanya inqubo ebizwa nge-plasmapheresis (ukushintshaniswa kwe-plasma) noma ukwelashwa ngemithi enamandla okuthiwa i-immunoglobulin (IVIG). I-Plasmapheresis yinkqubo efaka ukuhlunga kwegazi ngokususwa kwe-antibodies eziyingozi kanye nezinye izinto ezikhiqizwa amasosha omzimba angavamile abonakalisa imizwa. I-IVIG iqukethe ama-proteine omzimba asebenzisana nesistimu yomzimba ukuvimbela ukuhlaselwa kwemizwa.
Ezimweni eziningi, lezi zindlela zokwelashwa ze-GBS zisiza ukuvimbela imiphumela emibi, nakuba ngokuvamile, ukusekelwa kokuphefumula kuyadingeka okwesikhashana lapho ubuthakathaka buphazamisa ukuphefumula.
Abantu abaningi abane-GBS bahlangabezana nokululama okuphelele futhi bangase bahlangabezane neziqephu ezimbalwa zobuthakathaka eziphindaphindiwe ezingasetshenziswa ngokuphathwa ngokwe-IVIG noma nge-corticosteroid.
I-Neuropathy yesifo sikashukela
I-neuropathy yesifo sikashukela ingenzeka njengomphumela wesikhathi eside wohlobo l noma uhlobo lwe-diabetes. Ukuphathwa kahle kwe-neuropathy yesifo sikashukela kukulawula izinga lokushukela egazini ukuvimbela ukuwohloka kwe-neuropathy nokumisa ukulimala kwezinye izitho. Abanye abantu abane-neuropathy yesifo sikashukela bayabona ukuthuthukiswa kwezimpawu ngisho nokuzwa ngcono kwe-neuropathy ngokwayo ngokulawula kahle ushukela wegazi, ikakhulukazi uma i-neuropathy ibanjwa ngokushesha futhi isifo sikashukela iphathwa kahle ngaphambi kokuba i-neuropathy iqhubekele phambili.
Ukuphuza ngokweqile kwe-Alcoholic Neuropathy
Ukwelashwa okungcono kakhulu kokuphuza ngokweqile ukuphuza utshwala ukuvimbela utshwala ukuze kuvinjelwe ukuthi i-neuropathy ingabi nakakhulu. Ngezinye izikhathi, ukuyeka ukuphuza utshwala kungavumela izimpawu ukuba zithuthuke futhi zingavumela ngisho neuropathy ngokwayo ukuba ithuthukise. Ngokuvamile, ukwehluleka kokudla okunomsoco okuhlobene nokusetshenziswa kotshwala obunzima kungasiza ekwenzeni ukwelapha ngokweqile, futhi kulungiswe lezi zinsalela zokudla okunomsoco kungasiza futhi neuropathy.
I-Chemotherapeutic kanye Nezokwelapha-Ezithintekayo Neuropathy
Imithi eminingi ihlotshaniswa neuropathy, ikakhulukazi imithi ethile ye- chemotherapeutic . Akunakwenzeka ukuba ugweme ngokuphelele imishanguzo ebangela ukuphelelwa yisifo senhliziyo, ngoba eziningi zazo zinikeza izinzuzo ezibalulekile zezokwelapha, futhi azibangeli ngaso sonke isikhathi i-neuropathy kuwo wonke umuntu ozithathayo. Ngokuya ngobukhulu be-neuropathy, ukuyeka imithi kungasiza ekuvimbeleni i-neuropathy ukuba ingabe iyanda.
Ukuphathwa Kwezinhlungu Ze-Neuropathic
Kunezokwelapha eziningana ezihlukahlukene ngenxa yobuhlungu be-neuropathic, futhi ukwelashwa okungcono akufani ngaso sonke isikhathi kuwo wonke umuntu, njengoba ungase ungaboni umphumela ofanayo kanye nemiphumela emibi njengawo wonke umuntu. Lokhu kusho ukuthi wena nodokotela bakho kungadingeka ukuthi uchithe isikhathi esithile uzama izinketho ezimbalwa ngaphambi kokuthola ukuthi yini okulungile kuwe. Imithi ejwayelekile kakhulu esetshenziselwa ukusiza ubuhlungu be-neuropathic ihlanganisa:
- Ngaphezu kwemithi yokuhlunguphazwa kwamakholi
- I-Creams enezingxenye zokulwa nobuhlungu
- Imithi yezinhlungu zesidakamizwa
- Imishanguzo yokulwa ne-anti-convulsants: Nakuba le mithi ingavunyelwe ngokuqondile ukuphathwa ubuhlungu be-neuropathy, inikeza abantu abaningi usizo, ngakho-ke odokotela bawabeka njalo ngale nkinga.
- Ama-anti-depressants: Njengama-anticonvulsants, le mithi ingase ingabonakaliswa ngokucacile ngenxa yobuhlungu be-neuropathic, kodwa ngoba abantu abaningi bazwa ukukhululeka kobuhlungu be-neuropathic, futhi ngenxa yokuthi kunezinketho ezimbalwa zokwelashwa, ngokuvamile kubhekwa njengento ewusizo kakhulu.
Ukuphathwa kobuthakathaka
Ayikho imithi ephumelelayo yokuphulukisa noma yokuvuselela izinzwa ezonakele yi-neuropathy. Kodwa kunezimo ezimbalwa lapho ubunzima obuthakathaka be-muscular neuropathic bungaphathwa khona:
- Ukwelapha ngokomzimba: Ngokuvamile, ukwelashwa ngokomzimba kuyindlela ephumelela kakhulu yokuthola ukulawula okungcono kwemizwa engathinteki yi-neuropathy, engasiza ukukhokhela ubuthakathaka obangelwa yizinzwa eziseduze.
- I-incontinence: I-neuropathy ingathinta ukulawula kwesisu, futhi ngezinye izikhathi imithi esetshenziselwa ukulawula imisipha yesikhumba ingasiza ekuvuseleleni ukulawula kwesinye isisu. Nakuba le mithi ingelapheki izinzwa ezonakalisiwe, zingasiza ngokusebenzisa umphumela wazo emisongweni kanye nemisipha eseduze efaka isandla ekulawuleni isisu.
- Ukungasebenzi kahle kwe-Erectile: Lokhu kuvame ukuyingxenye yemiphumela ye-neuropathy, futhi imithi esetshenziselwa ukwelashwa kwe-erectile ukungasebenzi kungasiza ekunciphiseni le nkinga.
Ukuphathwa Kwezinto Ezilahlekelwa Ngokwemvelo
Njengawebuthakathaka bemisipha, akunakwenzeka ukulungisa izinzwa ezonakele ezilawula ukuzwa. Kodwa-ke, kubalulekile ukuba ungayinaki le nkinga, njengoba ukulahlekelwa okuzwakalayo kwe-neuropathy kungaholela ekulimaleni okukhulu kanye nezifo:
- Ukunakekelwa kwesilonda: Uma une-neuropathy, ukulimala kwakho kanye namanxeba angeke kube buhlungu njengokungathi ngokuvamile bebengenayo i-neuropathy. Kodwa-ke, lokhu kungabikho ubuhlungu kuyinkinga yangempela, njengoba ungase ungaboni ukuthi isilonda sibe sikhulu noma sithatheleleke ngenxa yokuntuleka kobuhlungu. Ngakho-ke, uma une-neuropathy, noma kunini lapho unesilonda noma ukulimala, kudingeka uqaphele ukugcina uhlanzekile futhi ubukele izimpawu zokutheleleka, noma ngabe awukwazi ukuzwa ubuhlungu.
- Ukwelapha ngokwemvelo ukulinganisela: Ukulahleka okukhululekile kuphazamisa ukulinganisela, futhi ukwelashwa ngokomzimba kungakusiza ufunde indlela yokwandisa amakhono akho futhi ukhokhele ukulahlekelwa kwakho ukuze ukwazi ukulondoloza ukulinganisela okungcono.
- Ukukhuthazwa kagesi kuye kwaphakanyiswa njengendlela ekhona yokunciphisa ukulahlekelwa kwezinzwa ze-neuropathy, kanti ezinye izifundo zocwaningo zikhomba izinzuzo zalendlela.
Ukuvimbela I-Neuropathy
Ngenxa yokuthi i-neuropathy yinkinga engapheli, ukuvimbela kubaluleke kakhulu. Kuncane ongakwenza ukuze uvimbele ezinye zezinhlobo ezivamile ze-neuropathy, kodwa kufanele uthole ukunakekelwa kwezokwelapha uma ubona izimpawu zokuqala ze-neuropathy, okuvame ukuhlanganisa ukugubha, ukuphazamiseka, nokuzwa okuvuthayo. Uma unesibonakaliso sokuqala sokuphuza ngokweqile ngokweqile, isifo sikashukela se-diabetes, noma i-neuropathy eyenziwe ngemithi, kunezinyathelo ongazithatha ukuze uvikele isimo sibe sibi nakakhulu. Ngaphezu kwalokho, uma unesifo sikashukela noma uma uphuzo oludakayo, ungavimbela i-neuropathy ngokuphatha lezi zinkinga ngisho nangaphambi kokuba i-neuropathy iqale.
Izwi elivela
Uma une-neuropathy, kungenzeka usuvele wazi ukuthi lesi simo asivame ukwelashwa. Kodwa-ke, ngezinye izikhathi, ukubhekana nesibindi se-neuropathy kungasiza ekuvimbeleni ukuwohloka futhi kungase kubuye kuguquke nesinye isifo. Izimpawu azifani ngaso sonke isikhathi kuwo wonke umuntu, njengoba abanye abantu abane-neuropathy bangase babhekane nobuhlungu ikakhulukazi, kanti abanye babhekana nobuthakathaka. Ngokuvamile, izimpawu zingakwazi ukuphathwa kancane ngokuhlanganiswa kwemithi kanye nokwelapha.
> Imithombo:
> Najafi B, Talal TK, Grewal GS, Menzies R, Armstrong DG, Lavery LA, Ukusebenzisa ukukhuthazwa kwe-Plantar kagesi ukuze kuthuthukiswe ukulinganisela kwesimo se-postural kanye ne-Plantar Sensation Phakathi kweziguli ezine-Diabetes Peripheral Neuropathy, J Diabetes Sci Technol. 2017 Feb 1.