Ukuhlukanisa ubuhlungu obusuka ku-Nociceptive kusuka ebuhlungu be-neuropathy
Abantu abangaphezu kwezigidi ezingu-15 e-United States naseYurophu banezinhlungu ze- neuropathy , noma ubuhlungu be-nerve. Uma kwenzeka, ubuhlungu bezinzwa bungase budideke. Okubi nakakhulu, ubuhlungu bezinzwa bukhulu kakhulu. Ngcono kakhulu, kuyamcasula.
Ngokuvamile abantu abazi ukuthi kwenzekani ubuhlungu. Kungase kube nzima ukuchaza lokho abakubhekene nakho (ubuhlungu obunzima, ukugwaza, ukugubha, ukukhipha, ukuphazamiseka).
Ukuqonda okuyisisekelo ukuthi ukusebenza kwamagciwane kungasiza kanjani.
Sibutsetelo
Isimiso sezinzwa esiyinhloko sakhiwa ubuchopho nomgogodla. Umthambo womgogodla usebenza njengendlunkulu yezinzwa ezihanjiswe ezivela kwezinye izingxenye zomzimba. Izinzwa eziphuma kwezinye izingxenye zomzimba zibhekwa njengezimbilini zomzimba . Umthambo womgogodla kanye nezimpande zaso zomzimba zihlala ngaphakathi kwamathambo, eyaziwa ngokuthi ikholomu ye-vertebral. I-disc enjenge-cushion (ene-gelatinous center) ihlala phakathi kwama-vertebrae.
Amapulangwe angamashumi amathathu nanye avela emthonjeni womgogodla ngokusebenzisa ukuvuleka phakathi kwama-vertebrae bese ephuma eya kwezinye izingxenye zomzimba. Iphuzu lokuphuma kwe-nerve libizwa ngokuthi izimpande zesisindo . Izinzwa zomzimba ziqukethe izinzwa ezithinta izinzwa nezithuthuthu. Izinzwa ezizwayo zihlotshaniswa nokuthi into ethile izwa kanjani (isb., Eshisayo, ebanda, ebuhlungu). Izimboni zamanzi (eziholela emisipha) zihambisana nokunyakaza.
Ukuze uphumule ngisho nangaphezulu, amaseli womuntu ngamunye ahlanganisa i-axon (indlela yangaphakathi lapho ulwazi ludluliselwa khona) kanye nomgogodla we-myelin (isembozo sangaphandle esiphezulu esivikela isisindo somzimba futhi kusiza ukuhambisa ulwazi). Ukulimala noma ukucasula kunoma iyiphi ingxenye yesakhiwo sezinzwa kungabangela ubuhlungu benzwa.
Izinhlobo
Empeleni kunezigaba ezimbili zobuhlungu benzwa- nociceptive nobuhlungu be- neuropathy (ie, neuropathy). Ngezinhlungu zesifo se-nociceptive, izinzwa zithumela izimpendulo ukuze zibonise ukuthi ingxenye yomzimba ilimaze noma iwonakele. Njengoba ubuhlungu be-neuropathic, le nerve ngokwayo yalimala eyenza ukuhanjiswa okungavamile kwemizwa.
Izimpawu
Ubuhlungu bezinzwa bungabonakalisa ngezindlela ezimbalwa ezihlukene, kuye ngokuthi indawo nokuthi imbangela yengozi noma umonakalo.
- Kungase kube nokwanda komzwelo esikhaleni sesikhumba, endaweni ehlinzekwa yi-nerve eyonakalisiwe. Uma kunjalo, ukuthinta ngomusa kule ndawo kubonakala sengathi ubuhlungu-ngezinye izikhathi ubuhlungu obukhulu .
- Kungase kube khona ukuphazamiseka endleleni yomjovo owonakele. Ngokujwayelekile, uma lokhu kunjalo, ama-numbness ahlala njalo endaweni efanayo (isb., Unyawo oluhambisana nesibindi esonakalisiwe). Kungaba njalo noma okuphakathi. Kungenzeka ngenzwa yokuhlaba noma ukuzwa okuvuthayo. Kungase kukhule kakhulu ngokunyakaza.
- Imisipha ehlinzekwa yizinzwa ezimele zingase zibe buthakathaka, noma kwezinye izimo, zikhubazeke.
Izimbangela
Ubuhlungu bezinzwa bungase buxhunywe nezimo ezihlukahlukene zezokwelapha noma ukuvezwa kwamakhemikhali athile, kanye nokulimala okubuhlungu. Izimbangela ezikhona zingabandakanya:
- Isifo sikashukela
- Ukutheleleka
- Lupus
- Multiple sclerosis
- I-HIV
- Isifo sezinhlungu zesifundazwe esiyinkimbinkimbi
- Ukufaka ukuhola
- Ukwehluleka kwe-Vitamin
- Sciatica
- I-disc ye-Herniated
- Ukuvuvukala kwesibindi
- Ukucindezeleka kwezinzwa noma izinzwa ezincibilikisiwe
- Izikhwama
- I-Cancer
- Ukuhlinzwa
- Imithi ethile
Kunobunye ubufakazi bokuthi okungavamile kuzo zonke izinhlelo ezisemkhatsini kanye nezinhlangothi zomhlaba zidlala indima ebalulekile ku-fibromyalgia, nakuba imbangela ye-fibromyalgia isaziwa. Izidakamizwa ezisebenzayo ekwelapheni i-fibromyalgia nazo ziyasebenza ekwelapheni ubuhlungu bezinzwa.
Ukuxilongwa Nokunakekelwa
Ukuze kuhlolwe ubuhlungu be-nerve, ngokuvamile, iziguli zihlolwa ngokuvivinya umzimba, i-MRI yokuhlola isakhiwo sezinzwa, kanye ne-EMG (electromyelography) ukuhlola ukuqhutshwa kwesisindo .
Uma kunesidingo, ithempini lomgogodla linganikeza ulwazi oluthe xaxa.
Kunezinketho eziningi zokwelapha ubuhlungu benzwa. Kuncike endaweni kanye nohlobo lwezinhlungu zesisindo, kanye nesibanga uma kwaziwa, imithi, izijovo, izifo ze-epidurals, ukwelashwa okunye, ukuvuselela umgogodla , ukukhishwa kwemisipha, futhi ukuhlinzeka ngezinye izikhathi kungase kuhlinzeke ukukhululeka ebuhlungu besibindi.
Okubalulekile
Ngombhalo womuntu siqu, ngisanda kuhlangenwe nakho okubuhlungu ngo-December 2012 noJanuwari 2013. I-MRI yembula i-disc herniated kanye ne- facet arthropathy . Ngingathi, kwaba ubuhlungu obukhulu kakhulu, obukhungathekile engake ngibhekana nawo, ngenhla nangaphezulu kwengcindezi yami evamile yokudla kwamathambo e-rheumatoid arthritis . Ngingasincoma ukuthi abantu abanezinzwa zesifo bafunde ukuthi yini ebangela ubuhlungu babo futhi bafunde ngezinketho zokwelapha. Qonda izinketho zakho. Nginezinhlu ezintathu zamabhuloki omzimba futhi ngakwazi ukuthola ukukhululeka kuka-85%. Qinisekisa ukuthi une-neurologist ehlonishwa kahle futhi nodokotela wokuphatha ubuhlungu eqenjini lakho, futhi. Ngonyaka we-2016, ngine-laminectomy esilungile.
Imithombo:
I-Anatomy ye-Nerve Pain. URalph F. Rashbaum, MD. Impilo ye-spine. 6/27/2001.
I-Nerve Pain. I-University of Michigan Neurosciences.