I-Neuralgia

I-Neuralgia ubuhlungu obubukhali, obushaqisayo obulandela indlela ye-nerve futhi kungenxa yokucasuka noma ukulimala kwenzwa.

Ama-neuralgias ajwayelekile afaka:

• I-postherpetic neuralgia (ubuhlungu obuqhubeka ngemuva kokuqubuka kwezinsini)
• I-trigeminal neuralgia (ubuhlungu bokugwaza noma bokushaqeka kagesi ezingxenyeni zobuso)
• I-neuropathy yotshwala
• I-peripheral neuropathy

Izimbangela ze-neuralgia zifaka:

• Ukucasuka kwamakhemikhali
• Isifo sezinso esingalapheki
• Isifo sikashukela
• Ukutheleleka, njenge-herpes zoster (shingles), i-HIV / AIDS, isifo se-Lyme, nogcunsula
• Imithi efana ne-cisplatin, paclitaxel, noma i-vincristine
• I-Porphyria (ukuphazamiseka kwegazi)
• Ukucindezela emithanjeni ngamathambo aseduze, imigqa, imithambo yegazi, noma izicubu
• Ukuhlukumezeka (kufaka phakathi ukuhlinzwa)

Ezimweni eziningi, imbangela ayaziwa.

I-postherpetic neuralgia ne-trigeminal neuralgia yizinhlobo ezimbili ezivame kakhulu ze-neuralgia. I-neuralgia ehlobene kepha engajwayelekile ithinta imizwa ye-glossopharyngeal, enikeza umuzwa emphinjeni.

I-Neuralgia ivame kakhulu kubantu asebekhulile, kepha kungenzeka nganoma yisiphi isikhathi.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ukuzwela okwandisiwe kwesikhumba endleleni yezinzwa ezilimele, ukuze noma yikuphi ukuthinta noma ingcindezi izwakale njengobuhlungu
• Ubuhlungu obusendleleni yenzwa ebukhali noma egwazayo, endaweni efanayo isiqephu ngasinye, iza futhi ihambe (ngezikhathi ezithile) noma ihlala njalo futhi isha, futhi ingase ibe yimbi kakhulu lapho indawo inyakaziswa
• Ubuthakathaka noma ukukhubazeka okuphelele kwemisipha okuhlinzekwa yi-nerve efanayo

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba, abuze ngezimpawu.

Ukuhlolwa kungakhombisa:

• Ukuzwa okungavamile esikhumbeni
• Izinkinga ze-Reflex
• Ukulahleka kwemisipha
• Ukungabi nokujuluka (ukujuluka kulawulwa izinzwa)
• Ubumnene kanye nomsipha
• Amaphuzu we-Trigger (izindawo lapho ukuthinta okuncane kubangela khona ubuhlungu)

Ungadinga futhi ukubona udokotela wamazinyo uma ubuhlungu busebusweni noma emhlathini wakho. Ukuhlolwa kwamazinyo kungakhipha ukuphazamiseka kwamazinyo okungadala izinhlungu ebusweni (njenge-abscess yamazinyo).

Ezinye izimpawu (njengokubomvu noma ukuvuvukala) zingasiza ukukhipha izimo ezifana nokutheleleka, ukuphuka kwamathambo, noma isifo samathambo.

Azikho izivivinyo ezithile ze-neuralgia. Kepha, izivivinyo ezilandelayo zingenziwa ukuthola imbangela yobuhlungu:

• Ukuhlolwa kwegazi ukuhlola ushukela wegazi, ukusebenza kwezinso, nezinye izimbangela ze-neuralgia
• Ukucabanga kwe-Magnetic resonance (MRI)
• Ucwaningo lokuqhuba imizwa nge-electromyography
• I-Ultrasound
• Thepha umgogodla (ukubhoboza i-lumbar)

Ukwelashwa kuya ngesizathu, indawo nobukhulu bezinhlungu.

Imithi yokulawula ubuhlungu ingafaka:

• Izidambisi
• Imithi yokwelapha umuthi
• Imithi yezinhlungu ezithengiswa ekhawunteni noma kadokotela
• Imithi yezinhlungu ngendlela yamachashazi esikhumba noma okhilimu

Ezinye izindlela zokwelashwa zingafaka:

• Ukudubula ngezidakamizwa zokudambisa izinhlungu (izinzwa)
• Izinzwa zivimba
• Ukwelashwa ngokomzimba (kwezinye izinhlobo ze-neuralgia, ikakhulukazi i-postherpetic neuralgia)
• Izinqubo zokunciphisa umuzwa ku-nerve (njengokukhishwa kwe-nerve usebenzisa i-radiofrequency, ukushisa, ukucindezelwa kwebhaluni, noma umjovo wamakhemikhali)
• Ukuhlinzwa ukukhipha ingcindezi emthanjeni
• Ukwelashwa okuhlukile, njengokukhishwa kwesikhumba noma i-biofeedback

Izinqubo zingahle zingazithuthukisi izimpawu futhi zingadala ukulahleka kwemizwa noma imizwa engajwayelekile.

Lapho ezinye izindlela zokwelashwa zehluleka, odokotela bangazama ukuvuselela imizwa noma umgogodla. Ezimweni ezingavamile, inqubo ebizwa nge-motor cortex stimulation (MCS) iyazama. I-electrode ibekwa ngaphezulu kwengxenye yezinzwa, umgogodla, noma ubuchopho futhi ixhunywe kumshini wokushaya kwenhliziyo ngaphansi kwesikhumba. Lokhu kuguqula indlela izinzwa zakho ezitshengisa ngayo futhi kunganciphisa ubuhlungu.

Iningi lama-neuralgias alisongeli impilo futhi alizona izimpawu zokunye ukuphazamiseka okusongela impilo. Ukuze uthole ubuhlungu obukhulu obungathuthuki, bheka uchwepheshe wezinhlungu ukuze ukwazi ukuhlola zonke izindlela zokwelashwa.

Iningi lama-neuralgias liphendula ekwelashweni. Ukuhlaselwa kobuhlungu kuvame ukufika kudlule. Kepha, ukuhlaselwa kungahlala kuvame kakhulu kwabanye abantu njengoba bekhula.

Kwesinye isikhathi, isimo singathuthuka sodwa noma sinyamalale ngokuhamba kwesikhathi, noma ngabe imbangela ingatholakali.

Izinkinga zingafaka:

• Izinkinga ezivela ekuhlinzweni
• Ukukhubazeka okubangelwa ubuhlungu
• Imiphumela emibi yezidakamizwa ezisetshenziselwa ukulawula ubuhlungu
• Izinqubo zamazinyo ezingadingeki ngaphambi kokutholakala kwe-neuralgia

Xhumana nomhlinzeki wakho uma:

• Uthuthukisa ama-shingles
• Unezimpawu ze-neuralgia, ikakhulukazi uma imishanguzo yezinhlungu ezithengiswa e-counter ayibuqedi ubuhlungu bakho
• Unobuhlungu obukhulu (bheka uchwepheshe wezobuhlungu)

Ukulawulwa okuqinile koshukela wegazi kungavimbela ukulimala kwemizwa kubantu abanesifo sikashukela. Endabeni yama-shingles, imithi elwa namagciwane kanye nomuthi wokugomela igciwane le-herpes zoster kungavimbela i-neuralgia.

Ubuhlungu bemizwa; I-neuropathy ebuhlungu; Ubuhlungu be-Neuropathic

• 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-Scadding JW, i-Koltzenburg M. I-neuropathies ebuhlungu ebusayo. Ku: McMahon SB, Koltzenburg M, Tracey I, Turk DC, ama-eds. I-Wall and Melzack's Textbook of Pain. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2013: isahluko 65.

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.