Ukuba "izikhonkwane kunye neenaliti" ukuvakalelwa ezinyaweni zakho kunokuba neuropathy
I-neuropathy, ebizwa ngokuthethileyo "isifo seentsholongwane" yinto engafana nengxaki kwizigulane ezinesifo esiphezulu sezintso okanye izigulane zezifo zesifo sokuphela kwesigulane esine-dialysis . Usenokuba uqhelana nesigxina se- diabetes neuropathy , esiyi-tyling, kunye ne-numbness eyenzeka ezandleni nasezinyaweni kwisigulane esilawulwa yisifo sikashukela.
Nangona kunjalo, isifo sikashukela asiyena kuphela isizathu sokuba neuropathy.
Ngokuxhomekeke kwintsholongwane echaphazelekayo, iimpawu ziyahlukahluka kakhulu. Ngokomzekelo, i-carpal tunnel syndrome eyaziwa kakhulu yinto eqhelekileyo ye-neuropathy kwizigulana ze-dialysis. Masizame ukuqonda le ngxaki.
KUNGANI UKUBA UKUBA UKUFUNA UKUPHATHWA KWABANTU ABANTU ABAKHULULEYO UKUTHUTHUKISWA KUNYAKA
Izigulane ezinezifo ezintsobileyo okanye abo ba dialysis banomngcipheko ophezulu we-neuropathy. Nangona kunjalo, isizathu esona siyaziwa ngokucacileyo. Nazi izicatshulwa ezimbalwa:
- Siyazi ukuba iimbulunga zivame ukuhlaselwa yintsholongwane yezintso. Kukho ukucinga ukuba ukungaphumeleli kwezondlo eziyimfuneko ezifana ne-thymine okanye i-zinc kunokufaka isandla kulo.
- Esinye isifo esiphilayo sithetha kwizigulane ze-dialysis, njenge-hyperparathyroidism (imveliso engaphezu kwe-hormone ye-parathyroid), ityala.
- Ngokuthakazelisayo, iintlobo ezithile ze-neuropathy zibonisa ngathi i-carpal tunnel syndrome ibonakala ihamba ngokuphindaphindiweyo kwingalo ene- dialysis yokufikelela (i-fistula okanye i-graft) , kwizigulane ze-hemodialysis. Izizathu ze-neuropathy kwizo meko nazo aziqondwanga kakuhle. Nangona kunjalo, kucatshulwa ukuba ukugalelwa kwegazi kwiinkonzo ezongezelelekileyo ngenxa yokufikelela kwe-dialysis esebenza njenge-"shunt" eyenza igazi lingene esandleni, inokuba yinto enobangela.
- Ukongezelela, ukwanda kwexinzelelo kwi-dialysis ukufikelela kungakhokelela ekungeneni kwamanzi okanye igazi kwiimfom ejikelezileyo ezinokunyanzelisa iimbilini.
- Izigulane ezithatha i-phosphorus ephakamileyo ziyakwazi ukubona i-calcium phosphate ifomu engabangela ukuba neuropathy.
- Ukungamkeli i-dose eyaneleyo ye-dialysis yimbangela yezihlandlo (ezinokuthi zonakalise ezinye zezinto ezikhankanyiweyo ngasentla). Ewe, njengawo nawaphi na amanye amayeza, kukho umthamo we-dialysis kunye, kwaye ukuba awufumani ubuncinci obunqunyiwe, umngcipheko wokuphucula i-neuropathy ingaba phezulu.
INDLELA OKUQHELEKILEYO NGOKUBA NGO
Kakhulu. I-half-half of dialysis izigulane zinokuba nempawu zentsholongwane kwimeko yokuvavanya kodwa akukho wonke umntu uya kuba neempawu. Izigulane nazo akudingeki ukuba zibe kwi-dialysis. Izigulane ezinezifo zesifo eziphambili ezingekafiki kwi-dialysis ziye zafunyanwa ukuphuhlisa i-neuropathy ngenxa yesifo sezintso.
YINTONI ABANTU ABANTU ABANTU
Xa i-neuropathy ihamba ngokukhawuleza, ezininzi izigulane ziyakukhalaza ukubetha okanye ukuphazamiseka, okanye ukuvakalelwa kwezandla okanye iinyawo. Ngamanye amaxesha ubuhlungu buchazwa ngokuba "ukutshisa", okanye kwincwadi ethi "izikhonkwane kunye neenaliti". Akunjalo nje ngeengxaki zengqondo nangona kunjalo. Njengoko eso sifo siphumelele, singakhokelela ekubuthathaka kwamasipha kunye nokulahleka kwimizimba yesisipha kwiimisipha ezixhaswa yi-nerve echaphazelekayo. Oku kubizwa ngokuthi "i-muscle atrophy".
INDLELA UYAZISWA NGAYO NGOKUKHONA KUNYE NABANTU ABANTU ABANTU ABANTU ABANTU ABANTU ABANTU ABANTU ABANTU ABANTU ABANTU ABAKHULU KUNYE NABANTU
Indlela yokuqinisekisa ingxaki ifana kakhulu nokuba iya kubakho nawuphi na umntu. Ngokuqhelekileyo isekelwe nje "kwisigqibo seklinikhi" se- nephrologist yakho. Nangona kunjalo, ukuba ukuxilongwa kukungathandabuzeki, into ebizwa ngokuthi "izifundo zokuqhuba iimbilini" ingafuneka ukuba yenziwe.
INDLELA UKUBHALA NGAYO UKUBHALA KUNYE NOKUPHATHWA KWE-KIDNEY DISEASE PATIENTS
Ekubeni i-neuropathy ingaba ngumqondiso wokungafuneki kwe-dialysis kwizigulane ezingaphumeleli zintliziyo, isinyathelo sokuqala sisona sakho se-nephrologist ukuqinisekisa ukuba ufumana i-dose efanelekileyo. Kukho iimvavanyo ezenziwayo xa usesilungiselelo se-dialysis ukuqinisekisa ukuba. Ukuba idosi ayinelisekanga, ingqalelo inganikwa ukwandisa ukuba, mhlawumbi ngokunyusa ixesha elichithwe kwi-dialysis. Ezinye izinto ezinobungozi ezinokuthi zichongwe, njengezinga eliphezulu le-hormone ye-parathyroid okanye izinga eliphezulu le-phosphorus, kufuneka lijongiswe. Ukuba le miqathango ihluleka, amayeza enjengegabapentin anokuba luncedo.