I-neuropathy yotshwala

I-neuropathy yotshwala ilimaza izinzwa ezibangelwa ukuphuza ngokweqile utshwala.

Imbangela ngqo ye-neuropathy yotshwala ayaziwa. Kungenzeka kufaka phakathi kokubili ubuthi obuqondile bezinzwa ngotshwala nomphumela wokungondleki kahle okuhlobene nokulutha kotshwala. Kuze kube uhhafu wabasebenzisi botshwala obunzima besikhathi eside baba nalesi simo.

Ezimweni ezinzima, izinzwa ezilawula ukusebenza komzimba wangaphakathi (izinzwa ezizimele) zingabandakanyeka.

Izimpawu zalesi simo zifaka noma yikuphi okulandelayo:

• Ukuba ndikindiki ezingalweni nasemilenzeni
• Ukuzwa okungavamile, okufana "nezikhonkwane nezinaliti"
• Izinzwa ezibuhlungu ezingalweni nasemilenzeni
• Izinkinga zemisipha, kufaka phakathi ubuthakathaka, amajaqamba, ama-aches, noma ama-spasms
• Ukungabekezelelani kokushisa, ikakhulukazi ngemuva kokuzivocavoca umzimba
• Izinkinga zokwakhiwa (ukungabi namandla)
• Izinkinga zokuchama, ukungakwazi ukubamba (umchamo ovuzayo), ukuzwa ukukhipha isinye okungaphelele, ubunzima bokuqala ukuchama
• Ukuqunjelwa noma uhudo
• Isicanucanu, ukuhlanza
• Izinkinga ukugwinya noma ukukhuluma
• Ukuhamba okungazinzile (ukuhamba)

Izinguquko emandleni emisipha noma emizweni zivame ukwenzeka ezinhlangothini zombili zomzimba futhi zivame kakhulu emilenzeni kunezingalo. Izimpawu zivame ukukhula kancane kancane futhi ziba zimbi ngokuhamba kwesikhathi.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu. Ukuhlolwa kwamehlo kungakhombisa izinkinga zamehlo.

Ukuphuza ngokweqile imvamisa kwenza umzimba ungakwazi ukusebenzisa noma ukugcina amavithamini namaminerali athile. Ukuhlolwa kwegazi kuzoyalelwa ukuthi kubhekwe ukuntuleka (kokuntuleka) kwe:

• I-thiamine (i-vitamin B1)
• I-Pyridoxine (uvithamini B6)
• I-Pantothenic acid ne-biotin
• Uvithamini B12
• I-folic acid
• I-Niacin (uvithamini B3)
• Uvithamini A

Olunye uvivinyo lunga-oda ukukhipha ezinye izimbangela ze-neuropathy. Ukuhlolwa kungafaka:

• Amazinga e-Electrolyte
• I-Electromyography (EMG) yokuhlola impilo yemisipha nezinzwa ezilawula imisipha
• Ukuhlolwa kokusebenza kwesibindi nezinso
• Ukuhlolwa komsebenzi we-thyroid
• Izinga lamavithamini namaminerali emzimbeni
• Ukuhlolwa kwemithambo yemithambo ukuhlola ukuthi amasiginali kagesi ashesha kangakanani ukudlula enzwini
• I-nerve biopsy ukususa ucezu oluncane lwe-nerve ukuze luhlolwe
• I-Upper GI nochungechunge lwamathumbu amancane
• I-Esophagogastroduodenoscopy (EGD) yokuhlola ulwelwesi lwe-esophagus, isisu, nengxenye yokuqala yamathumbu amancane
• I-Voiding cystourethrogram, isifundo se-x-ray sesinye kanye ne-urethra

Uma inkinga yotshwala isibhekiwe, izinhloso zokwelashwa zifaka:

• Izimpawu zokulawula
• Ukukhulisa ikhono lokusebenza ngokuzimela
• Ukuvimbela ukulimala

Kubalulekile ukwengeza ukudla ngamavithamini, kufaka phakathi i-thiamine ne-folic acid.

Ukwelashwa ngokomzimba kanye nemishini yamathambo (njengama-splints) kungadingeka ukugcina ukusebenza kwemisipha nokuma kwezitho.

Imithi ingadingeka ukwelapha izinhlungu noma imizwa engakhululekile. Abantu abane-neuropathy yotshwala banezinkinga zokusebenzisa utshwala. Bazonikezwa umthamo omncane kakhulu womuthi odingekayo ukunciphisa izimpawu. Lokhu kungasiza ukuvimbela ukuncika kwezidakamizwa neminye imiphumela emibi yokusetshenziswa okungapheli.

Ukubeka noma ukusebenzisa uhlaka lombhede olugcina izembozo zemilenze kungasiza ekwehliseni ubuhlungu.

Abantu abanekhanda elikhanyayo noma isiyezi lapho bemi (i-orthostatic hypotension) bangadinga ukuzama izindlela zokwelashwa ezahlukahlukene ngaphambi kokuthola eyodwa eyehlisa ngempumelelo izimpawu zabo. Ukwelashwa okungasiza kufaka phakathi:

• Ukugqoka amasokisi aminyene
• Ukudla usawoti owengeziwe
• Ukulala nekhanda kuphakanyisiwe
• Kusetshenziswa imithi

Izinkinga zesinye kungenziwa ziphathwe nge:

• Inkulumo yesandla yomchamo
• I-catheterization engapheli (owesilisa noma owesifazane)
• Imithi

Ukungabi namandla, isifo sohudo, ukuqunjelwa, noma ezinye izimpawu kuyelashwa lapho kunesidingo. Lezi zimpawu zivame ukusabela kabi ekwelashweni kwabantu abane-neuropathy yotshwala.

Kubalulekile ukuvikela izingxenye zomzimba ngokuncipha kokuzwa ekulimaleni. Lokhu kungafaka:

• Ukuhlola izinga lokushisa lamanzi okugeza ukuvimbela ukusha
• Ukushintsha izicathulo
• Ukuhlola kaningi izinyawo nezicathulo ukunciphisa ukulimala okubangelwa ingcindezi noma izinto ezicathulweni
• Ukuqapha imikhawulo ukuvimbela ukulimala ekucindezelweni

Utshwala kumele bumiswe ukuvimbela ukuthi umonakalo ungabi mubi kakhulu. Ukwelashwa kokuphuza ngokweqile kungabandakanya ukwelulekwa, ukusekelwa komphakathi njenge-Alcoholics Anonymous (AA), noma imithi.

Ukulimala kwezinzwa zemizwa ye-neuropathy yotshwala kuvame ukuba unomphela. Kungahle kube kubi kakhulu uma umuntu eqhubeka nokusebenzisa utshwala noma uma izinkinga zokudla okunempilo zingalungiswa. I-neuropathy yotshwala imvamisa ayibeki engcupheni impilo, kepha ingathinta kakhulu izinga lempilo.

Shayela i-aphoyintimenti nomhlinzeki wakho uma unezimpawu ze-neuropathy yotshwala.

Ukuphela kwendlela yokuvimbela i-neuropathy yotshwala ukungaphuzi ngokweqile utshwala.

Neuropathy - utshwala; I-polyneuropathy yotshwala

• I-neuropathy yotshwala
• Izinzwa zezimoto
• Imithambo Yokuzimela
• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

I-Katirji B. Ukuphazamiseka kwemizwa yangaphakathi. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 107.

I-Koppel BS. Izinkinga ze-neurologic ezihlobene nokudla okunempilo kanye notshwala. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 416.