Inkcazo kunye neemeko ezingayenza uphawu lweLhermitte
Mhlawumbi uvile ugqirha wakho uthetha uphawu lukaLhermitte. Yintoni le nto kwaye ithetha ntoni?
Abantu abaye babhekana nentlungu yesibindi ngenxa yongozi okanye imeko bayazi ukuba ukungahambi kakuhle kwimbangela. Uphawu lukaLhermitte luba lukhuni lweentlungu ezinomdlavuza ezinempawu ezizodwa, izizathu kunye nolawulo.
Uluphi uphawu lweLhermitte?
Uphawu lukaLhermitte luwuvo lombane olususa umlenze ukusuka entloko ukuya ngasezinyaweni, kwaye ngokuphindaphindiweyo ngaphandle kweengalo, imilenze kunye nezixhobo.
Ngokuqhelekileyo iveliswa ngokunyanzeliswa kwentamo ukwenzela ukuba i-chin ishukumisele esifuba. Eyaziwa ngokuba yi- barber phenomenon , kucatshangelwa ukuba ibonakalise ukungasebenzi kwemikholam ye-collar yecervical cord, enoxanduva lokudlulisa ulwazi malunga nomnatha wokukhanya, ukufumanisa umgama (ukuqonda ukuba umzimba wakho usekuphi isikhala), kunye nokunyakaza ngengqondo.
Nangona kuthiwa "uphawu lukaLhermitte," abantu bokuqala abachaze le nto yayinguPerre Marie noChatelin ngowe-1917. UJean Lhermitte wayengumfokazi we-neurologist waseFransi owanyathelisa inqaku ngendaba ngo-1924, eyabangela ulwazi olubanzi malunga nesifo.
Yintoni eyenza uLermitte Usayine?
Uphawu lukaLhermitte luye lwacatshulwa njengesibonakaliso se- multiple sclerosis (MS) kwaye, ngokuqinisekileyo, nasiphi na isigulane esinikeza uphawu lukaLhermitte mhlawumbi siya kubakho ukukhupha ukukhupha eso sifo. Kwizigulane ezine-MS, i-immune system ihlasela iingubo ze-neel, ezibizwa ngokuthi i-myelin.
Xa i-myelin igqoke, i-scarf tissue iyakwenza, ekhusela iimpawu zentsholongwane ezihamba kuyo yonke ingqondo kunye nomgogodla.
Ukongeza kwi-multiple sclerosis, uphawu lukaLhermitte lunokubangelwa ezinye iingxaki ezininzi. Ezi ziquka:
- Ubunzima be- Vitamin B12 (i- myelinopathy evela kwi-B12 i-lack )
- I-myelitis
- Iimvumi zentambo yomlomo wesibeletho
- Spondylosis
- Inetyity toxicity (i-nitrous oxide toxicity) isoloko ithetha "ukutshintsha uphawu lukaLhermitte, apho umbane uhamba ngendlela eyahlukileyo, ukusuka ezinyaweni ukuya entloko
Indlela Yokuphatha Uphawu Lhermitte
Ngelixa aliyingozi kwaye ngokwalo, uphawu lukaLhermitte lunokubangela ukuphazamiseka. Ulwaphulo kufuneka lujoliswe kuqala ekujonganeni nanoma yimiphi imeko echaphazelayo okanye ebangela ingxaki. Kwizigulane ezine- MS , ukuqinisekisa ukuba abagqithisileyo okanye abagqithiseleyo banokukunceda ukuphepha ukuphazamisa uphawu lukaLhermitte.
Indlela ethile yokuphila kunye neendlela ezingabonakaliyo kunokunceda ukukhusela ukuhlaselwa, kuquka
- Ukuvuselela intambo yomgca - Izixhobo zokuvuselela umbane ezithumela umbane ophantsi ophantsi kwamanzi, mhlawumbi ovela ngaphandle komzimba okanye ngokusebenzisa idivaysi enokutsha (ii-TENS units) unokunceda.
- Ukulungiswa kwesigqibo kunye nokulungelelaniswa -Kubalulekile ukuba uncedo lwenzululwazi kukuncedise ekufundeni le miqathango njengokuba ukusetyenziswa komzimba kungonakalisa ngakumbi iimpawu.
- Amakhanda okanye i-collars evimbela ukuhamba kweentloko ezingabangela intlungu.
- Ukwenziwa kwe-Acupuncture , ukuhlaziya kunye nezinye iindlela zokuphucula.
- Izenzo zokuphefumula ezifana nokuzifumla okuchukumisayo.
- Ukunxibelelana
Ukongezelela, kwizigulane ezinomqondiso kaLhermitte, amayeza athile anokunceda ukuphatha intlungu, kuquka:
- Ukuxhatshazwa kwezidakamizwa (i-anticonvulsants) - Imithi efana ne-Neurontin (gabapentin) kunye neLyrica (pregabaline) phakathi kwabanye inokunceda ngeentlungu ezinomdlavuza ezifana neLhermitte.
- Iingxaki zokuxhatshazwayo - Udidi lwezidakamizwa ezichazwe ngokuba yi-tricyclic antidepressants ngezinye izihlandlo zingamnceda ngeentlungu ezingapheliyo. Ezi zisetyenzisiweyo kungekhona ngenxa yokuba intlungu ibonwa ukuba yisekondari kwixinzelelo kodwa ngenxa yeendlela ezahlukeneyo zamachiza.
- Abagcini bee-sodium.
- I-Steroids - I-Oral steroids inemiphumo ebalulekileyo xa isetyenziswe ixesha elide, kodwa ingasetyenziselwa ukutshatyalaliswa kweentlungu.
Ukujamelana neLhermitte yeSayina nawuphi na isizathu
Ukujamelana nentlungu engapheliyo nayiphi na uhlobo kunzima kunzima. Ukongeza kwixesha elidinga inani leendlela zokuphatha impawu, intlungu engapheliyo ingabangela ukuphazamiseka kwengqondo kunye nentlalo.
Ukugcina iincwadi zentlungu kunceda kakhulu ekunqumeni oko kusebenza kunye noko kungenako. Amanyango, njengama-anticonbulsants angathatha ixesha elithile ukusebenza, kwaye kunokuba nzima ukuba ukwazi ukuba utshintsho kwiimpawu zakho lubangelwa unyango okanye into ethile. Ingxelo yentlungu ingaba yinto elula njengokuba kubhala inombolo nganye imihla (umzekelo, i-1 ngenxa yentlungu engapheliyo kunye ne-10 ngenxa yentlungu ebenzileyo ongayicinga ngayo), uluhlu lwemichiza oyisebenzisayo, kwaye uchaze ngemisebenzi oyenzayo ngaloo mini. Ukuma emva kwaye ujonge iphepha lakho kwiphepha emva koko kunokukunceda ubone umfanekiso omkhulu kwaye uvavanye indlela yakho yokwelapha.
Funa abanye abajongene nemeko efanayo. Ukuba unesimo esingavamile, unokufuna ukuhamba kwi-intanethi ukufumana abanye ngesifo esifanayo. Ukwazi ukuba kukho abanye ngaphandle kokujongana nabo nemingeni efanayo kunokukwenza uzive uncinci kunye neempawu zakho kwaye unikezela umthombo wenkxaso kulabo abanokwazi ukuyiqonda ngokwenene into ejongene nayo.
Funa uncedo lokudandatheka. Kukho unxibelelwano oluqinileyo phakathi kobuhlungu obungapheliyo nokudakumba , kwaye nganye yezi meko zinokunyusa omnye. Akusibonakaliso obuthathaka ukufuna uncedo lokudandatheka kodwa kunokuba ungumqondiso wokwenza ekwenzeni okufuneka uyenze ukuze uzive kakuhle.
Ziqhelise ukuphumla. Ukuxinezeleka kunokukwenza nayiphi na into esijamelana nayo nzima, kwaye ukuzithobela okuhlukeneyo kuye kwaboniswa ukunciphisa uxinzelelo kubomi bethu. Hlola ezi mphulo zokuphucula ukulawula intlungu engapheliyo .
Imithombo:
Ko, H., Amandla, A., Sheu, R. et al. Isalathisi seLhermitte Silandela i-VMAT-Based Head and Meck Radiation-Insights kuManchan. PLoS One . 2015. 10 (10): e0139448.
ULhermitte JJ, uBollak NM. Les douleurs à type de discharge électrique ngokulandelana kwi-flexion céphalique dans la sclérose en plaques. I-cas de la sclérose ezininzi. Revue neurologique 1924; 2: 56-57.
Yakovlev, A., no A. Parmentier. IsiGqibo seLhermite Sign with Spinal Cord Stimulation. Uphulo lweMpilo . 2014. 15 (1): 167-9.