Iimbangela kunye nomthwalo wokuThula kwiNkqubo yeNervous Your
Kwimeko eyaziwayo ngo-2008, ibhinqa elalibangela ukubetha ekhanda lakhe yancinciza ngokukhawuleza kangangokuthi yayidabula i-crake yayo kwaye yangena kwi-forebrain yayo. Nangona ecaleni kwinqwelo ebenempilo kunye neengqondo, wayedinga ukukhuseleka ngokwenyama ukuze akhusele.
Kwimeko ebonakala ngathi yi-paradox, i-biopsy yolusu yendawo ebethayo yayingabikho mithombo ye-nerve kwindawo echaphazelekayo.
Uvela phi le ngqumbo elibi?
Yintoni eyiyo "itch"?
Nangona i-universality, ukubetheka kuye kwacatshungulwa kakubi xa kuthelekiswa nentlungu okanye ezinye iimvakalelo. Enye yeengcaciso ezicacileyo zentsimbi yintswelo ephazamisayo eyenza impendulo yokuqala, edla ngezinye iimeko zonikezelo lwexeshana. Le ncazelo ayinelisekanga ngokupheleleyo, nangona kunjalo, kuba kukho iitshizi apho ukukhangela kunganiki nzuzo.
Injongo yokuqala ye-intshi kungenzeka ukuba yayikukhusela ulusu kwi-agent enobungozi ngokusibangela ukuba sitshitshise. Izinto ezinjalo zokunciphisa izinto zibizwa ngokuba yi-pruritogens. Njengazo zonke iimvakalelo, nangona kunjalo, i-itch ingabangela ukuba ungasebenzi kakubi kwinkqubo yeentlanzi. Kwiimeko ezinjalo, ulusu alufuneki ukuba lubandakanyeke ngqo, kwaye ukutshitshiswa kungenzi nto yokunciphisa i-itch engapheliyo.
I-Neurology ye-Itch kunye nobudlelwano bayo nobuhlungu
Kwakuqhele ukukholelwa ukuba i-intshi yayiyintlungu ephantsi.
Ngoku siyazi ukuba le ngcamango ayilunganga. Kuyinyaniso ukuba umzila ongeyodwa ulwabelane ngamagqabantshintshi kunye nentsimbi. Le ndlela ibangela ukubetheka xa kuchukunyiswa yi-pruritogens efana ne-cowgege, isityalo apho i-pranksters ithola "ipilisi yokuvumba." Nangona kunjalo, njengentlungu okanye ukukhanya okuchukumisayo, uvakalelo lwentsimbi luhamba ngeendlela ezahlukileyo ezahlukileyo ukusuka kwilusu ukuya kwingqondo.
Le ndlela ekhethekileyo ibangelwa ukukhululwa kwe- histamine .
Okokutsho konke, imigca yolwazi ngeentlungu kunye neengxube, ngelixa lihlukileyo, zithintana kwaye uxhumane kwintambo yomthambo. Benza oku nge-interneurons. Oku kungachaza umnqweno ongenakunqwenelekayo wokukhangela isitshixo. Kwakhona, ukuba intlungu idubula, ingavimbela okanye ifake umsetyenzana womsebenzi wendlela. Ubu budlelwane obangelisayo phakathi kwe-itch kunye nentlungu buyabonakala ekusebenziseni ezinye i- opioids , ezinokubangela ukubetha xa kuphazamisa intlungu.
I-Itch engapheliyo engayiphenduliyo ekutshekeni
Kwezinye iimeko zentsholongwane engapheliyo, intetho yesiphambano esivamile phakathi kweentlungu kunye neendlela zokuhamba emgodini akazikho. Ukuchazela oku, kunokwenzeka ukuba iimbilini zepheripher , okanye iimbilini ezihamba ukusuka kwintambo yomgogodla ukuya kwesikhumba nakwezinye iindawo ukuba umzimba, ube novalo. Okanye mhlawumbi ubuchopho buguquka ngendlela enokuthi iincinci ezinokuthi zingabonakali ukuba zihlaziyiweyo. Kukho ubungqina kulowo nalowo mpikiswano, kwaye uqobo lwe-itch esingapheliyo engaphenduliyo ekutshitshiseni mhlawumbi inxulumene nalezo ndlela.
Iingxaki ze-Neurological of Itching
Nangona ukubetha kuthathwa njengengxaki yesikhumba, ezinye iingxaki zesistim se-nervous ziye zachazwa njengezinto ezibangele itchki.
Kwezinye iimeko, oku kungabangela umonakalo wentsholongwane yomnxeba obangela ukubonakaliswa ngokukhawuleza kwimbilini okanye intambo yomgudu. Imizekelo ibandakanya i-brachioradial pruritis kunye ne -postural herpetic neuralgia . Kwezinye iimeko, iinzingo ezincinci zingakhokelela kumzekelo weempawu ezichanekileyo ngokuchanekileyo ngengqondo.
Nazi imimiselo embalwa yeemeko ze-neurological ezibangelwa ukubetha:
- I-Tripleinal trophic syndrome - le yimeko ebangelwa yindlela yokuphazamiseka kwemizila ye-nerve trigeminal, edla ngokudlulela isisu ebusweni. Isilonda esandiswe ngokukhawuleza sisasazeka kwi-cartilage emaphethelweni angaphandle. Uphulo luvame ukungaxhasi, olubandakanya ngokusebenzisa iiglavu ezikhuselekileyo okanye ezinye izithintelo zomzimba ukukhusela isigulane ukuba singakhangeli.
- I-Brachioradial pruritis - le nto ihlala iyingalo , kwaye inokuthi ihambelane nokukhanya kwelanga. Nangona uvavanyo kunye ne-electrodiagnostic ziza kuba ziqhelekileyo, abantu banokukhangela ingalo yabo ukuya kwindawo yokuphuma. Le meko inokuncedwa ngandlela yeqhwa kunye nezinye izigulane.
- I-Notalgia paresthetica-le ngxaki idlalwa kwicala lasekhohlo ngaphantsi kwegxala, apho ininzi yethu ayikwazi ukufikelela khona. Kungabangela ukunyanzelwa kwamagundane. I-Capsaicin , ezinye iziyobisi ezinokuxhatshazwayo , iintsholongwane zentsholongwane, kunye ne-botulinum injection injini.
- Izilonda zentambo yomthambo - Zininzi iintlobo zezilonda zomgulane, eziquka i- neurofibroma , i-tumor ye-nervous fibers kunye ne-cavernous hemangiomas, xa imilambo yegazi iqhuma, idibaniswe nokubamba. Oku kudla ngokungahambelani nesayithi lesilonda.
- Izilonda zesibindi - I-Stroke kunye nezinye iingxaki zingabangela ukubetha okuqhelekileyo kwicala elichasene nesilonda.
Indlela yokuPhatha i-Neurological Itch
Iingxaki ezingapheliyo ze-neurological itches kunzima ukunyanga. Izindlela ezinje ezifana ne-antihistamines yomlomo (umzekelo, uBenryryl) okanye i-steroid ye-topical ayikho ncedo. Indlela ehambelana neendlela eziqhelekileyo ingahlola i-capsaicin , iyeza zokuxhatshazwa njenge- gabapentin kunye nama-agents afana ne-thalidomide okanye i-toxin ye-botulin ingacingwa. Izakhono ze-Neurostimulation nazo zihlolisiswa.
Imithombo:
I-MJ Aminoff, i-neurology ye-itch, i-Incent Developments kwiNkomfa ye-Neurology, iSan Francisco Ritz-Carlton, ngoFebruwari 13, 2014
I-Dhand ne-MJ Aminoff: I-neurology ye-intshi, Ubunjongo 2013119128
INKCAZELO: Ulwazi olukule ndawo lusezinjongo zemfundo kuphela. Akufanele isetyenziswe njengendawo yokunyamekelwa ngumntu ogqirha. Nceda ubone ugqirha wakho ukuze ufumane unyango kunye nonyango malunga nayiphi na impawu okanye imeko yonyango .