Ama-neuropathies we-Metabolic

Ama-neuropathies we-Metabolic yizinkinga zemizwa ezenzeka nezifo eziphazamisa izinqubo zamakhemikhali emzimbeni

Ukulimala kwemithambo kungabangelwa izinto eziningi ezahlukene. I-metabolic neuropathy ingabangelwa:

• Inkinga ngokwazi komzimba ukusebenzisa amandla, imvamisa ngenxa yokushoda kwezakhamzimba ezanele (ukuntuleka kokudla okunempilo)
• Izinto eziyingozi (ubuthi) ezakha emzimbeni

Isifo sikashukela singesinye sezimbangela ezivame kakhulu ze-neuropathies ye-metabolic. Abantu abasengozini enkulu yokulimala kwezinzwa (isifo sikashukela se-neuropathy) esivela kwisifo sikashukela kufaka phakathi labo abane:

• Ukulimala kwezinso noma kwamehlo
• Ushukela wegazi olawulwa kabi

Ezinye izimbangela ezivamile ze-neuropathies ye-metabolic zifaka:

• Ukuphazamiseka kokusebenzisa utshwala (i-neuropathy yotshwala)
• Ushukela wegazi ophansi (i-hypoglycemia)
• Ukuhluleka kwezinso
• Izimo ezizuzwe njengefa, njenge-porphyria
• Ukutheleleka okunzima emzimbeni wonke (sepsis)
• Isifo sendlala yegilo
• Ukushoda kwamavithamini (kufaka phakathi amavithamini B12, B6, E, kanye no-B1)

Ezinye izinkinga zomzimba zidluliselwa emindenini (ezuzwe njengefa), kanti ezinye zikhula ngenxa yezifo ezahlukahlukene.

Lezi zimpawu zenzeka ngoba izinzwa azikwazi ukuthumela amasiginali afanele ebuchosheni bakho nakubuya:

• Ubunzima bokuzwa kunoma iyiphi indawo yomzimba
• Kunzima ukusebenzisa izingalo noma izandla
• Kunzima ukusebenzisa imilenze noma izinyawo
• Kunzima ukuhamba
• Ubuhlungu, umuzwa ovuthayo, izikhonkwane nezinaliti ukuzwa noma izinhlungu zokudubula kunoma iyiphi indawo yomzimba (ubuhlungu bezinzwa)
• Ubuthakathaka ebusweni, ezingalweni, emilenzeni, noma kwezinye izindawo zomzimba
• I-Dysautonomia, ethinta uhlelo lwezinzwa oluzimele (olungazibandakanyi), okuholela ezimpawu ezinjengokushaya kwenhliziyo okusheshayo, ukungabekezelelani komzimba, umfutho ophansi wegazi lapho umile, amaphethini ajulukayo angajwayelekile, izinkinga zesisu, ukusebenza okungavamile kwabafundi beso, nokwakhiwa okungalungile

Lezi zimpawu zivame ukuqala ezinzwaneni nasezinyaweni futhi zinyuse imilenze, ekugcineni zithinte izandla nezingalo.

Umhlinzeki wakho wokunakekelwa kwezempilo uzokuhlola abuze ngezimpawu zakho.

Izivivinyo ezinga-odwa zifaka:

• Ukuhlolwa kwegazi
• Ukuhlolwa kukagesi kwemisipha (i-electromyography noma i-EMG)
• Ukuhlolwa kukagesi kokuqhutshwa kwemizwa
• I-biopsy yezicubu zomzimba

Ngama-neuropathies amaningi we-metabolic, ukwelashwa okuhle kakhulu ukulungisa inkinga ye-metabolic.

Ukushoda kwamavithamini kulashwa ngokudla noma ngamavithamini ngomlomo noma ngomjovo. Izinga likashukela egazini elingajwayelekile noma umsebenzi wegilo kungadinga imithi yokulungisa inkinga. Nge-neuropathy yotshwala, ukwelashwa okungcono kakhulu ukuyeka ukuphuza.

Kwezinye izimo, izinhlungu zelashwa ngemithi eyehlisa amasignali obuhlungu angajwayelekile avela emithanjeni. Kwezinye izimo, ama-lotion, okhilimu, noma amabala anezokwelapha anganikeza ukukhululeka.

Ubuthakathaka buvame ukwelashwa ngokwelashwa ngokomzimba. Ungadinga ukuthi ufunde ukusebenzisa umhlanga noma i-walker uma ibhalansi yakho ithintekile. Ungadinga ama-brace brace akhethekile ukukusiza ukuthi uhambe kangcono.

Lawa maqembu anganikeza imininingwane eminingi nge-neuropathy:

• I-Neuropathy Action Foundation - www.neuropathyaction.org
• Isisekelo se-Peripherial Neuropathy - www.foundationforpn.org

Umbono ikakhulu uncike embangela yokuphazamiseka. Kwezinye izimo, inkinga ingalashwa kalula. Kwezinye izimo, inkinga ye-metabolic ayikwazi ukulawulwa, futhi izinzwa zingaqhubeka zonakaliswe.

Izinkinga ezingaba nomphumela zifaka:

• Ukukhubazeka
• Ukulimala ezinyaweni
• Ubuntofontofo noma ubuthaka
• Ubuhlungu
• Ukuhamba kanzima nokuwa

Ukugcina indlela yokuphila enempilo kunganciphisa ubungozi be-neuropathy.

• Gwema ukuphuza ngokweqile.
• Yidla ukudla okunomsoco.
• Yeka ukubhema.
• Vakashela umhlinzeki wakho njalo ukuthola ukuphazamiseka komzimba ngaphambi kokuba i-neuropathy iqale.

Uma une-neuropathy ezinyaweni zakho, udokotela onyawo (udokotela wezinyawo) angakufundisa ukuthi ungazihlola kanjani izinyawo zakho ukuthola izimpawu zokulimala nokutheleleka. Izicathulo ezifanelekayo zinganciphisa ithuba lokonakala kwesikhumba ezindaweni ezizwelayo ezinyaweni.

Neuropathy - umzimba

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo
• Imisipha yangaphandle engaphezulu
• Imisipha yangaphakathi ejulile

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UPatterson MC, uPercy AK. I-peripheral neuropathy ezifweni ze-metabolic ezizuzwe njengefa. Ku: Darras BT, Jones HR, Ryan MM, De Vivo DC, ama-eds. Ukuphazamiseka kweNeuromuscular of Childhood, Ubuntwana, nobusha. Okwesibili. I-Waltham, MA: I-Elsevier Academic Press; 2015: isahluko 19.

URalph JW, u-Aminoff MJ. Izinkinga ze-Neuromuscular of disorders jikelele. Ku: Aminoff MJ, Josephson SA, ama-eds. I-Neurology ne-General Medicine ka-Aminoff. Umhlaka 5. I-Waltham, MA: I-Elsevier Academic Press; 2014: isahluko 59.

USmith G, Nginamahloni ME. I-peripheral neuropathies. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 392.