Incazelo kanye nemibandela engayenza uphawu lweLhermitte
Kungenzeka ukuthi wezwa udokotela wakho usho uphawu lukaLhermitte. Yisiphi isibonakaliso futhi kusho ukuthini?
Abantu abaye babhekana nobuhlungu benzwa ngenxa yimuphi ukulimala noma isimo bayazi ukuthi ukuhlukunyezwa kwe-jarring kubangela. Isibonakaliso sikaLhermitte sibheke ubuhlungu be-neuropathic obunezici ezihlukile, izimbangela kanye nokuphathwa.
Uyini uphawu lukaLhermitte?
Isibonakaliso sikaLhermitte singumqondo kagesi okhuphulela umgogodla kusukela ekhanda kuya ezinyaweni, futhi ngokuvamile ophuma ngezikhali, emilenzeni nasezinhlobonhlobo.
Kuvame ukulethwa ngokushintsha intamo ukuze i-chinki ihambele esifubeni. Eyaziwa nangokuthi i- barber chair phenomenon , kucatshangwa ukuthi ibonisa ukungasebenzi kwamakholomu e-dorsal wezintambo zomgogodla womlomo wesibeletho, onomthwalo wokudlulisa ulwazi mayelana nokuthinta ukukhanya, ukutholakala kwemvelo (umqondo wokuthi umzimba wakho usekuphi isikhala), nokudlidliza ubuchopho.
Naphezu kokubizwa ngokuthi "isibonakaliso sikaLhermitte," abantu bokuqala abachaze lesi senzakalo kwakunguPerre Marie Marie and Chatelin ngo-1917. UJean Lhermitte wayengumhlengikazi wezezifo waseFrance owashicilela isihloko esilandelayo ngo-1924, okwaholela olwazini olubanzi ngalolu daba.
Yini Ebangelwa Uphawu Lhermitte?
Uphawu lukaLhermitte luye lwacatshangwa ukuthi luyisibonakaliso se- multiple sclerosis (MS) futhi, ngempela, noma yisiphi isiguli esethula ngesibonakaliso sikaLhermitte cishe siyokwazi ukusikhipha ngokucacile ukuze sikhiphe leso sifo. Ezigulini ezine-MS, amasosha omzimba ahlasela ukumbozwa kwezinzwa, okuthiwa i-myelin.
Lapho i-myelin iguqa, izicubu ezibomvu zingakha, ezivimbela izimpawu zesibindi ezihamba kuwo wonke ubuchopho nomgogodla.
Ngaphezu kwesifo se-multiple sclerosis, isibonakaliso sikaLhermitte singabangela ezinye izinkinga eziningi. Lokhu kungafaka:
- Ukwehla kwe-Vitamin B12 (i- myelinopathy evela ebhodini le-B12 )
- I-myelitis eguquguqukayo
- Izicubu zomgogodla womlomo wesibeletho
- I-Spondylosis
- Uketshezi lwe-nitroous oxide (nge-nitrous oxide toxicity ngokuvamile kuwuphawu "oluchasayo uphawu lukaLhermitte, lapho inzwa kagesi ifinyelela khona, kusukela ezinyaweni kuya enhloko
Indlela Yokuphatha Uphawu Lhermitte
Nakuba kungabi yingozi ngaphakathi kwayo, isibonakaliso sikaLhermitte singabangela ukungatholi amandla. Ukwelashwa kumele kuqala kuhloswe ukubhekana nanoma yiziphi izimo ezingezansi ezibangela noma ezikhungathekisa inkinga. Kulezi ziguli ezine- MS , ukuqinisekisa ukuthi aziqedi noma zishiswe ngokweqile kungasiza ekugwemeni ukususa isibonakaliso sikaLhermitte.
Indlela yokuphila ethile kanye nezindlela ezingavumelekile zingasiza ekuvimbeleni ukuhlaselwa, kufaka phakathi
- Ukuvuselela intambo yomgogodla - Amadivaysi okuvuselela kagesi athumela amandla kagesi angaphansi kwamagciwane, noma avela ngaphandle komzimba noma ngokusebenzisa idivaysi engasetshenziswa (TENS amayunithi) angasiza.
- Ukulungiswa kwesikhashana nokulungiswa kwemisebenzi - Kubalulekile ukuba unogula akusize ekufundeni lezi zinyathelo njengoba ezinye izenzo zokuzivocavoca zingase zibe nzima kakhulu.
- Amakhanda emikhanda noma amakollar avimbela ukunyakaza kwekhanda okungabangela ubuhlungu.
- Ukwenza umzimba, ukusikhipha kanye nezinye izindlela zokuphumula.
- Izenzo zokuphefumula ezifana nokuzivocavoca okujulile.
- Ukwehlisa
Ngaphezu kwalokho, ngeziguli ezinezibonakaliso zikaLhermitte, imithi ethile ingasiza ekuphatheni ubuhlungu, kufaka phakathi:
- Izidakamizwa (antiticonvulsants) - Imithi efana ne-Neurontin (gabapentin) ne-Lyrica (pregabaline) phakathi kwabanye ingasiza ngosizi lwe-neuropathic njengesibonakaliso sikaLhermitte.
- Izidakamizwa - Isigaba sama-antidepressants okuthiwa i-tricyclic anti-depressants ngezinye izikhathi angasiza ngobuhlungu obungapheliyo. Lezi zisetshenzisiwe hhayi ngoba ubuhlungu buzwa sengathi buyinto yesibili ekucindezelekeni kodwa ngenxa yendlela ehlukile yalezi zidakamizwa.
- Abavimbela isiteshi se-sodium.
- I-Steroids - I- steroid ye- Oral inemiphumela emibi kakhulu uma isetshenziswe isikhathi eside, kodwa ingasetshenziselwa ukuhlukumeza okukhulu.
Ukubhekana nesibonakaliso sikaLhermitte Noma ngabe yisiphi isizathu
Ukubhekana nobuhlungu obungapheli kwanoma yiluphi uhlobo lungaphezu kanzima. Ngaphandle kokuvame ukudinga inani lemigomo yokwelapha izimpawu, ubuhlungu obungapheli bungabangela ukuhlukunyezwa kwengqondo nokuzenhlalo.
Ukugcina umagazini wezinhlungu kuyasiza kakhulu ekunqumeni ukuthi yini engase isebenze nokuthi yini engase ingabi nayo. Ukwelapha, njenge-anticonvulsants kungathatha isikhashana ukusebenza, futhi kungaba nzima ukwazi ukuthi ushintsho ezinkomba zakho lungenxa yokwelashwa noma okunye okunye. Umagazini wezinhlungu ungaba lula njengokubhala inombolo nsuku zonke (isibonelo, i-1 ngenxa yobuhlungu obuncane kanye no-10 ubuhlungu obunzima kakhulu ongacabanga), ubeke uhlu lwemithi oyisebenzisayo, futhi uchaze ukuthi yimiphi imisebenzi oyenzile ngalolo suku. Ukuma emuva bese ubheka iphepha lakho ngokuhamba kwesikhathi kungakusiza ubone isithombe esikhulu uphinde uhlole izindlela zakho zokwelashwa.
Funa abanye ababhekana nesimo esifanayo. Uma unesimo esingavamile, kungase kudingeke uhambe ku-intanethi ukuthola abanye ngesifo esifanayo. Ukwazi ukuthi kukhona abanye ngaphandle kokubhekana nabo nezinselele ezifanayo kungenza uzizwe ungancane kakhulu nezimpawu zakho futhi unikeza umthombo wenkxaso kulabo abangakwazi ukuqonda ngempela ukuthi ubhekene nani.
Funa usizo lokucindezeleka. Kunesixhumanisi esinamandla phakathi kokubuhlungu okungapheli nokucindezeleka , futhi ngayinye yalezi zimo ingaphinde ikhulise enye. Akuyona isibonakaliso sobuthakathaka ukufuna usizo lokucindezeleka kodwa kunesibonakaliso samandla ekwenzeni lokho okudingeka ukwenze ukuze uzizwe kangcono ngangokunokwenzeka.
Zenza ukuphumula. Ukucindezeleka kungenza noma yini esiyibhekene nayo kunzima kakhulu, futhi izivivinyo eziningi zokuzilibazisa ziye zaboniswa ukunciphisa ukucindezeleka empilweni yethu. Hlola lezi zeluleko zokuphumula zokuphatha ubuhlungu obungapheli .
Imithombo:
Ko, H., Amandla, A., Sheu, R. et al. Uphawu lweLhermitte Landela i-VMAT-Based Head and Neck Radiation-Insights kuManchan. PLoS One . 2015. 10 (10): e0139448.
ULhermitte JJ, uBollak NM. Ama-oda wami Isitolo Amadivayisi Isitolo Isitolo Uhlu lwezifiso zami Sebenzisa Thenga ikhadi lesipho Thenga isikweletu se-Google Play Kuvele iphutha elingalindelekile. I-cas de la sclérose multiple. I-Revue neurologique 1924; 2: 56-57.
Yakovlev, A., no-A. Parmentier. Isixazululo sesibonakaliso seLhermite nge-Spinal Cord Ukukhuthazwa. Imithi Yezinhlungu . 2014. 15 (1): 167-9.