Umlobi: John Stephens
Usuku Lokudalwa: 27 Ujanuwari 2021
Ukuvuselela Usuku: 20 Unovemba 2024
Anonim
Konke Odinga Ukukwazi Nge-Dysesthesia - Impilo
Konke Odinga Ukukwazi Nge-Dysesthesia - Impilo

-Delile

I-Dysesthesia uhlobo lobuhlungu obungapheli obubangelwa uhlelo oluphakathi lwezinzwa (CNS). Ngokuvamile kuhlotshaniswa ne-multiple sclerosis (MS), isifo esidala ukulimala kwe-CNS.

Ubuhlungu abungeni ngaso sonke isikhathi engxoxweni lapho kukhulunywa nge-MS, kodwa empeleni kuyimpawu ejwayelekile.

I-Dysesthesia ivame ukufaka imizwa njengokushisa, ukushaqeka kukagesi, noma ukuqinisa okujwayelekile emzimbeni. Ngokuvamile kwenzeka emilenzeni, ezinyaweni, ezingalweni, nasezandleni, kepha kungathinta noma iyiphi ingxenye yomzimba.

Izinhlobo

Izinhlobo ze-dysesthesia zifaka isikhumba sasekhanda, esinqunyiwe, kanye ne-occlusal.

I-scalp dysesthesia

I-Scalp dysesthesia, ebizwa nangokuthi i-scalp syndrome evuthayo, ifaka phakathi ubuhlungu, ukushisa, ukuhlabana, noma ukulunywa noma ngaphansi kwesikhumba. Ngokuvamile akukho ukuqubuka, ukuqhuma, noma okunye ukucasuka okubonakalayo.


Ukusikisela ukuthi i-scalp dysesthesia ingahle ihlobane nesifo somgogodla womlomo wesibeletho.

I-dysesthesia enqamulelayo

I-dysesthesia enqamulelayo ibonakala ngomuzwa wokungakhululeki lapho kuthintwa isikhumba sakho.

Izimpawu, ezingasukela ekushosheni okuncane kuya ebuhlungwini obukhulu, zingadalwa yinoma yini kusuka ezingutsheni kuya komoya opholile.

I-Occlusal dysesthesia

I-Occlusal dysesthesia (OD), ebizwa nangokuthi i-phantom bite syndrome, ayijabulisi emlonyeni lapho iluma, imvamisa ayinasizathu esisobala.

Yize ekuqaleni i-OD bekukholelwa ukuthi iyisifo sokuphazamiseka kwengqondo, isiphakamiso singahle sihlotshaniswe nesimo lapho amazinyo emihlathi ephansi nangaphezulu engahambelani, okuholela ekulunyweni okungalingani.

I-Dysesthesia vs. paresthesia vs. hyperalgesia

Kulula ukudida i-dysesthesia ne-paresthesia noma i-hyperalgesia, kokubili okungenzeka futhi nge-MS.

I-Paresthesia ichaza izimpawu zezinzwa ezifana nokuba ndikindiki nokushosholoza, “ukukhasa kwesikhumba,” noma lowo muzwa “wezikhonkwane nezinaliti”. Kuyaphazamisa futhi kungakhululeki, kepha ngokuvamile akubhekwa njengokubuhlungu.


I-Hyperalgesia ukukhuphuka kokuzwela ezintweni ezibuhlungu.

I-Dysesthesia inzima kakhulu kune-paresthesia futhi ayinayo into ebonakalayo.

Izimpawu

I-Dysesthesia ingaba ngezikhathi ezithile noma iqhubeke. Izinzwa zingaba mnene kakhulu futhi zingafaka:

  • ukuqaqamba noma ukushaywa
  • ukukhasa kwesikhumba
  • ukushisa noma ukuluma
  • ukudubula, ukugwaza, noma ukudwengula ubuhlungu
  • imizwa kagesi yokushaqeka

Izimbangela

Ubuhlungu nokuzizwa okungajwayelekile okuhlobene ne-dysesthesia kungahle kube ngenxa yomonakalo wezinzwa ozwayo. Izimpawu ezingalungile ezivela emithanjeni yakho zingadala ukuthi ubuchopho bakho bukhuthaze imizwa engajwayelekile.

Isibonelo, ungaba nemizwa ebuhlungu emlenzeni wakho noma kungekho lutho olungahambi kahle emlenzeni wakho. Kuyinkinga yokuxhumana phakathi kobuchopho bakho nezinzwa emlenzeni wakho, okuvuselela impendulo yobuhlungu. Futhi ubuhlungu bungokoqobo.

Ukwelashwa

Uma ushisa noma uluma, ungahle ufinyelele ukuthola ukwelashwa okunezihloko. Kodwa ngoba ayikho inkinga yangempela ngesikhumba sakho noma ekhanda, lokho ngeke kusize nge-dysesthesia.


Ukwelashwa kwehlukile kuwo wonke umuntu. Kungathatha ukulingwa nephutha elithile ukuthola isisombululo esingcono kakhulu kuwe.

Ukudambisa izinhlungu zasesithenjini njenge-acetaminophen (Tylenol) ne-ibuprofen (Motrin) imvamisa akusebenzi ukwelapha ubuhlungu be-neuropathic njenge-dysesthesia, ngokusho kweNational Multiple Sclerosis Society. Futhi akuzona izidakamizwa noma ama-opioid.

I-Dysesthesia ivame ukwelashwa ngemithi elandelayo:

  • ama-antiseizure agents, afana ne-gabapentin (Neurontin), i-pregabalin (i-Lyrica), i-carbamazepine (i-Tegretol) ne-phenytoin (i-Dilantin), ukudambisa izinzwa
  • ama-antidepressants athile, njenge-amitriptyline (Elavil), nortriptyline (Pamelor), ne-desipramine (Norpramin), ukushintsha impendulo yomzimba wakho ebuhlungwini
  • okhilimu bokuqeda ubuhlungu obuqukethe izihloko ze-lidocaine noma i-capsaicin
  • i-opioid tramadol (i-Ultram, i-ConZip, i-Ryzolt), engavamisile ukunikezwa futhi imvamisa kuphela kubantu abathola ubuhlungu obukhulu
  • i-antihistamine hydroxyzine (Atarax), yabantu abane-MS, ukuqeda ukulunywa nokushisa

Udokotela wakho uzokuqalisa ngomthamo ophansi kakhulu futhi ahlele phezulu uma kudingeka.

Ngaphambi kokuqala imithi emisha, buza udokotela wakho ngayo yonke imiphumela emibi engaba khona yesikhathi esifushane neyesikhathi eside. Ukugwema ukuhlangana kwezidakamizwa okuyingozi, tshela udokotela wakho ngayo yonke imithi oyiphuzayo.

Noma kungenxa ye-dysesthesia, ukunwaya esikhunjeni noma ekhanda lakho kungaphula isikhumba. Ukwelapha indawo nokugwema ukutheleleka, ungadinga ukwelashwa ngezihloko ezithile.

Ku-MS

Ngaphezu kwesigamu sabantu abane-MS bezwa ubuhlungu njengesifo esibalulekile. Cishe umuntu oyedwa kwabangu-5 one-MS obika ubuhlungu obungapheli buchaza njengobuhlungu obuvuthayo obuthinta kakhulu imilenze nezinyawo zabo.

I-MS ibangela ukwakheka kwezicubu ezibomvu, noma izilonda, ebuchosheni nasemgogodleni. Lezi zilonda ziphazamisa amasiginali phakathi kobuchopho nawo wonke umzimba.

Uhlobo olulodwa olujwayelekile lwe-dysesthesia olutholwa ngabantu abane-MS ukwangana kwe-MS, okubizwa kanjalo ngoba kuzwakala sengathi ucindezelwa esifubeni sakho. Kungachazwa njengokuchoboza noma ukubamba okufana nobubi okudala ubuhlungu nokuqina esifubeni sakho nasezimbanjeni.

Nazi ezinye izizathu umuntu one-MS angaba nokuzwa okungajwayelekile noma ubuhlungu:

  • ukuqina (ukuqina kwemisipha)
  • ukusabela kwendawo yomjovo noma imiphumela emibi yemithi, kufaka phakathi izidakamizwa eziguqula izifo
  • ukutheleleka kwesinye

Vele, izimpawu zakho zingahlobene ngokuphelele ne-MS. Kungenzeka ngenxa yokulimala noma esinye isimo esingaphansi.

Njengezinye izimpawu ze-MS, i-dysesthesia ingafika ihambe. Ingabuye inyamalale ngokuphelele ngaphandle kokwelashwa. Futhi njengezinye izimpawu eziningi ze-MS, lapho wena nodokotela wakho nithola ukwelashwa okulungile, uzothola i-dysesthesia kaningi.

Ukuxhuma kwezinye izimo

I-Dysesthesia ayigcini nge-MS. Phakathi kwezinye izimo ezithinta uhlelo lwezinzwa futhi ezingadala i-dysesthesia yilezi:

  • isifo sikashukela, ngenxa yokulimala kwezinzwa okubangelwa amazinga eglucose aphezulu okungapheli
  • I-Guillain-Barré syndrome, isimo esingavamile sezinzwa lapho amasosha omzimba ehlasela futhi alimaze ingxenye yohlelo lwemizwa
  • Isifo seLyme, esingadala izimpawu ezifana ne-neurologic MS-like, kufaka phakathi ukulunywa nokushisa
  • Igciwane lesandulela ngculaza, ngenxa yokuphazamiseka kwemizwa yezinzwa nemisipha yezinzwa
  • ama-shingles, lapho ukuqaqamba nobuhlungu kwenzeka eduze kwezilonda

Amakhambi emvelo

Kunobufakazi obukhulayo bokuthi ukwelashwa kwemvelo kusondela ebuhlungwini obungapheli, njenge-acupuncture, hypnosis, nokubhucunga umzimba, kungasiza.

Izindlela ezilandelayo zemvelo zingasiza ekunciphiseni ubuhlungu obungapheli obuhambisana ne-dysesthesia:

  • ukusebenzisa i-compress efudumele noma ebandayo endaweni ethintekile
  • ukugqoka amasokisi wokucindezela, amasokisi, noma amagilavu
  • ukwenza izivivinyo zokuzelula
  • usebenzisa i-lotion equkethe i-aloe noma i-calamine
  • ukugeza ngaphambi kokulala ngosawoti be-Epsom nama-oats e-colloidal
  • usebenzisa amakhambi athile, njenge I-Acorus calamus (ifulegi elimnandi), Crocus sativus (liqhakaze), futhi UGinkgo biloba

Ukubonana nodokotela nini

I-dysesthesia eqhubekayo ingaphazamisa impilo yakho ngezindlela eziningi, njenge:

  • ukucasuka kwesikhumba noma isikhumba sasekhanda noma ukutheleleka ngenxa yokuklwebha noma ukukhuhla
  • ukukhathala kwasemini ngenxa yokungalali kahle
  • ukungakwazi ukwenza imisebenzi yansuku zonke
  • ukuhlukaniswa nokugwema ukuphuma kwezenhlalo
  • ukucasuka, ukukhathazeka, noma ukucindezeleka

Uma izimpawu zakho ze-dysesthesia ziphazamisa impilo yakho, kufanele ubone udokotela wakho wokunakekelwa oyinhloko noma i-neurologist. Ezinye izimbangela zobuhlungu bakho kufanele zihlolwe futhi zikhishwe.

I-Dysesthesia ayidingi ukwelashwa ngaso sonke isikhathi. Kepha uma ufuna usizo, kunezinketho ezahlukahlukene zokuluphatha nokuthuthukisa ikhwalithi yakho yonke yokuphila.

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