Nangona zombini izifo zengqondo, kukho ukungafani okona-4
Kukho iintlobo ezingaphezu kwe-100 ze-peripheral neuropathy, ngokweNational Institute of Neurological Disorders and Stroke, kwaye zihlelwe ngokubhekiselele kuhlobo lomonakalo wentsholongwane abangelayo.
Ngokomzekelo, ezinye iingxaki ze-neuropathies zithintela enye imbilini (ebizwa ngokuba yi-mononeuropathies) kanti ezinye zichaphazela amaninzi amaninzi (okubizwa ngokuba yi-polyneuropathies). Ukongezelela, ezinye iingxaki ze-neuropathies zibangelwa umonakalo kwimfudu yamanzi kodwa ezinye zibangelwa umonakalo kwi-myelin sheath (kunye nabanye bobabini).
Nangona i-peripheral neuropathy inokwabelana ngempawu ezimbalwa eziqhelekileyo nge- multiple sclerosis (MS), njengentlungu kunye neengqondo ezingavamile, kubalulekile ukuqonda ezi zifo ezihluke ngokupheleleyo.
Masiqwalasele ngokuthe kancinane ukuhlukana kwezinto ezine phakathi kwe-peripheral neuropathy kunye ne-multiple sclerosis.
Ukwahlukana # 1: Inkqubo yeNeripheral yeNervous Versus System Central Nervous System
I-Peripheral Neuropathy
I-peripheral neuropathy ibhekisela kumonakalo wentsholongwane obandakanya inkqubo ye-nervous system, eyona mivoyi ngaphandle kwengqondo kunye nomgudu womgogodla. Ukuphazamiseka kwemizwa ye-peripheral kunye nokuvusa ukuvakalelwa okungaqhelekanga, intlungu, kunye ne-numbness. Ezi zinto ezingaqhelekanga zixhaphaze iinyawo, imilenze ephantsi kunye nezandla. Ubuthakathaka obuthathaka buya kwenzeka nakubantu abanesifo esibi okanye sexesha elide lokungazinzi.
Isifo sokugubhuka
Ngokungafani ne-peripheral neuropathy, i-MS ithintela inkqubo ye-nervous central, equlethwe yingqondo, i-optic nererve, kunye nomtya womthambo.
Izisongelo ezisemgangathweni inkqubo ye-nervous zigcina umonakalo ngokuhamba kwesikhathi, eziphazamisa ukukwazi kwabo ukuthetha kunye nenkqubo ye-nervous system. Lo monakalo unokubangela ukuvelelwa okungavamile, intlungu, kunye nokungafihli nto engabonakaliyo kwizinto ezibangelwa yi-peripheral neuropathy.
Ubuthakathaka obuthathaka buhlala bukhula kunye ne-MS.
Enyanisweni, ubuthathaka obuthathaka bukhula ngokuphindaphindiweyo kwaye bunzima kakhulu kunokuba babonwe kwi-peripheral neuropathy.
Ukwahlukana # 2: Izizathu eziphantsi
I-Peripheral Neuropathy
I-peripheral neuropathy iquka iqela leengxaki ngezizathu ezicacileyo ezibangela. Nangona isifo sikashukela sisona sizathu esivakalayo se-peripheral neuropathy phakathi kwabantu baseMelika, ezinye iimeko zezempilo zingabakho. Ezinye imizekelo ziquka:
- Izifo zesifo esingapheliyo
- Hypothyroidism
- Ezinye izifo ezizimele (umzekelo, i-systemic lupus erythematosus okanye i-rheumatoid arthritis)
- Usulelo lweHIV
- Intsholongwane yeHerpes simplex isifo
- Iifomsi, ezinjengokukhokela, i-mercury, kunye nokuxilisa utywala
- Umonakalo onobungozi obunobungozi
- Ukusetyenziswa kakubi kotywala
- Amanye amayeza (umzekelo, imithi ethile ye-HIV kunye ne-chemotherapies)
Isifo sokugubhuka
Nangona kukho iindidi ezininzi ze-peripheral neuropathy, zikhona ezine iintlobo ze-MS , kunye neyona ndawo ixhaphakileyo-ukubuyiselwa kwe-MS (RRMS). Kwi-RRMS, izilonda zenzeka kwingqondo nangomtya womgudu, ngenxa yesibindi sokuvuvukala. Olu kuvutha luvela kumzimba womzimba wokuhlaselwa kwe-myelin sheath of certain nerves.
Ukwahlukana # 3: Ukuxilongwa
I-Peripheral Neuropathy
Ukuqaphela imbangela yeempawu zakho kunye nokwenza ukuxilongwa kuqala ngembali epheleleyo yezobugqirha, kuquka ukuhlaziywa ngenyameko kwazo zonke iimpawu oye wazifumana.
Oku kulandelelaniswa kakuhle kunye novavanyo olupheleleyo lweeuroloki.
Ngokuxhomekeka kwiziphumo zolu vavanyo lokuqala, ukuba ugqirha wakho ugxeka i-neuropathy ye-peripheral, angancoma uvavanyo olongezelelweyo olunokubandakanya umsebenzi wegazi, i-MRI, kunye / okanye iimvavanyo zesisindo, njenge-electromyography (EMG) kunye / okanye i- nerve conduction velocity (NCV) .
Isifo sokugubhuka
Ukuxilongwa kwe-MS, ugqirha wakho uya ku-oda i-MRI, kwaye angenza i- lumbar puncture . Umsebenzi wegazi udla ngokuphindaphindiweyo ukulawula izimo zempilo ezinokulinganisa i-MS.
Ukwahlukana # 4: unyango
I-Peripheral Neuropathy
Emva kokuxilongwa, wena nodokotela wakho baya kusebenza kunye kwiplani yokonyango.
Xa unyango lwe-peripheral neuropathy, ugqirha wakho uya kuqwalasela imbangela. Ngokomzekelo, ukuba isifo sikashukela siyi-culprit, ukufumana ishukela egazini lakho phantsi kolawulo yinjongo ephambili.
Ukuba iyeza okanye i-toxin ibangela umphumo wesigxina, ukususa okanye ukumisa i-arhente ecasulayo (ukuba kunokwenzeka) kubalulekile.
Iindaba ezilungileyo kukuba i-nerve fibers kwinkqubo ye-nervous system ingabhalisa, ngoko ukuphatha imeko enokuthi iphuculwe (nokuba yonyango, kwezinye iimeko) kwimeko ye-peripheral neuropathy yomntu.
Ngenxa yosizi olunzulu lwe-peripheral neuropathy, ugqirha wakho unokuncoma enye okanye ngaphezulu kwala mayeza:
- Ukulwa ne-inflammatory nonsteroidal (i-NSAID)
- Ezinye izidandathelisi ezifana ne-Elavil (amitriptyline) okanye i-Cymbalta (duloxetine)
- Ezinye i-anticonvulsants ezifana neLyrica (pregabalin) okanye i-Neurontin (gabapentin)
- Iimithi zemibuzo njenge-lidocaine okanye i-capsaicin
- I-Tapentadol (kuphela yentsholongwane ye-diabetes neuropathy)
Ngaphandle kwamachiza, ezinye iintlungu-ukunciphisa iindlela zokwelapha ezingacetyiswa, zibandakanya:
- Ukuvuselelwa kwamagudu okusebenza kombane (TENS)
- Iinkqubo eziqhotyoshelweyo ezifana ne-acupuncture okanye massage
- Imikhuba yokuphila (umzekelo, ukuyeka ukutshaya, ukuzivocavoca kunye nokunyamekela unyawo xa unesifo sikashukela)
- Ugqirha-kwiindawo ezithile ze-peripheral neuropathies apho i-nervous single compressed (umzekelo, i-carpal tunnel syndrome)
Isifo sokugubhuka
Unyango lwe-multiple sclerosis luphindwe kabini, olubandakanya zombini imishanguzo yokuguqula isifo (ukulwa nokuvuvukala kwe-MS) kunye nemichiza yokunceda umntu aphathe iimpawu zabo ezizodwa.
Ukuba unomdla ongaqhelekanga kwi-MS, ugqirha wakho unokuncoma amanye amachiza afanayo asetyenziswe ukuphathwa kakubi kwi-peripheral neuropathy njengeCymbalta (duloxetine) okanye i-Neurontin (gabapentin).
Ukuba i-neuropathy yakho inxalenye ye-MS iphinda iphinde iphinde ibe yinto enzima, ugqirha wakho unokumisela ikhosi emfutshane ye-corticosteroids.
ILizwi
Nangona ungalingeka ukuba ubalekele ukubona ugqirha wakho, iimpawu zesistim seentsholongwane akufanele zinyanzeliswe. Ukuba ufumana iimpawu ezinokudityaniswa nentsholongwane ye-neuropathy okanye i-MS, ugqirha wakho uya kwenza uvavanyo oluyimfuneko ukuze wenze uvavanyo oluchanekileyo.
Ngoxa ulindele usuku lwakho lokuqokwa, kunceda ukugcina uphawu lweempawu zakho ukuze ubenokuzichaza ngokubanzi, kunye nawaphi na amaphetheni ekungeneni kwazo, kunye naluphi na izinto ezihlaselayo okanye ezikhuphayo.
> Imithombo:
> Afialo M, Morlion B. Ukusebenza kwe-tapentadol ER ukwenzela ukulawula imodareyitha ukuya kwintlungu engapheliyo. Ugqirha wezinhlungu . 2013 Jan; 16 (1): 27-40.
> Aminoff MJ, iDaroff RB, i-eds. I-Encyclopedia yeSayensi zeNzululwazi . Wesi-2. UWaltham, MA: I-Press Press; 2014.
> Hersch CM, Fox RJ. (2014). Isifo sokugubhuka . Isiko leKlinikhi yeCleveland yewebhusayithi yeMfundo eqhubekayo.
> Levin MC. Multiple Sclerosis (MS). Ku: Porter RS, Kaplan JL, Lynn RB, et al. I-Merck Manual Professional Professional Version .
> Iziko leSizwe leZifo zeNyrological and Stroke. (2014). I-Peripheral Neuropathy Fact Sheet.