Amathiphu Okwelapha Ubuhlungu Bemizwa Yesifo Sikashukela

-Delile

• Ukwelashwa kobuhlungu bezinzwa zesifo sikashukela
• Imithi
• Izidambisi
• Imithi yobuhlungu ye-opioid
• Izidakamizwa ezilwa nokuquleka
• Ukwelashwa ngokomzimba
• Ukhilimu weCapsaicin
• Ukunakekela izandla nezinyawo zakho
• Ukuvimbela ubuhlungu besifo sikashukela

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Isifo sikashukela singadala izinkinga zesikhathi eside kuwo wonke umzimba wakho, ikakhulukazi uma ungalawuli kahle ushukela wegazi lakho, futhi amazinga kashukela ahlala ephezulu iminyaka eminingi. Ushukela wegazi ophakeme ungadala i-neuropathy yesifo sikashukela, elimaza izinzwa ezithumela amasiginali ezandleni nasezinyaweni zakho.

I-neuropathy yesifo sikashukela ingadala ukuba ndikindiki noma ukuncinza eminweni yakho, ezinzwaneni, ezandleni nasezinyaweni. Esinye isibonakaliso ubuhlungu obushisayo, obukhali, noma obuhlungu (ubuhlungu besifo sikashukela). Ubuhlungu bungaba buthambile ekuqaleni, kepha bungaba bubi ngokuhamba kwesikhathi bese bunweba izinyawo noma izingalo zakho. Ukuhamba kungaba buhlungu, futhi ngisho nokuthinta okuthambile kungazizwa kungabekezeleleki.

Kuze kube ngamaphesenti angama-50 abantu abanesifo sikashukela bangathola ubuhlungu bezinzwa. Ukulimala kwemithambo kungathinta amandla akho okulala, kwehle izinga lakho lempilo, futhi kungadala nokudana.

Ukwelashwa kobuhlungu bezinzwa zesifo sikashukela

Izinzwa ezilimele azikwazi ukushintshwa. Kodwa-ke, kunezindlela ongavimba ngazo ukulimala okunye futhi unciphise ubuhlungu bakho.

Okokuqala, lawula ushukela wegazi ukuze umonakalo ungaqhubeki. Khuluma nodokotela wakho ngokubeka umgomo wakho kashukela, futhi ufunde ukukuqapha. Ungacelwa ukuthi wehlise ushukela wegazi ngaphambi kokudla uye kuma-milligram angama-70 kuya kwangu-130 nge-deciliter (mg / dL) kanye noshukela wegazi lakho ngemuva kokudla kube ngaphansi kuka-180 mg / dL.

Sebenzisa ukudla, ukuzivocavoca, kanye nemithi yokwehlisa ushukela wegazi lakho ebangeni eliphilile. Bheka ezinye izingozi zezempilo ezingasibhebhethekisa isifo sikashukela, njengesisindo sakho nokubhema. Buza udokotela wakho ngezindlela ezisebenzayo zokwehlisa isisindo noma ukuyeka ukubhema, uma kunesidingo.

Imithi

Udokotela wakho angase asikisele ukuzama ukudambisa izinhlungu okuthengwa ekhawunteni, njenge-acetaminophen (Tylenol), i-aspirin (iBufferin), noma ibuprofen (i-Motrin IB, i-Advil), etholakala ngaphandle kwemithi kadokotela kodwa ingadala imiphumela emibi. Sebenzisa umthamo ophansi isikhashana ukulawula izimpawu zakho.

Ezinye izinketho zikhona ukukhululeka kobuhlungu obuqinile noma besikhathi eside.

Izidambisi

Ama-anti-depressants avame ukwelapha ukucindezeleka. Kodwa-ke, zingabekelwa izinhlungu zesifo sikashukela ngoba ziphazamisa amakhemikhali asebuchosheni bakho okwenza uzwe ubuhlungu. Udokotela wakho angancoma ama-tricyclic antidepressants, njenge-amitriptyline, imipramine (Tofranil), ne-desipramine (Norpramin). Lokhu kungadala imiphumela engemihle efana nomlomo owomile, ukukhathala nokujuluka.

I-Serotonin ne-norepinephrine reuptake inhibitors (i-SNRIs) efana ne-venlafaxine (i-Effexor XR) ne-duloxetine (i-Cymbalta) iyindlela ehlukile yama-tricyclic futhi ivame ukuba nemiphumela engemihle embalwa.

Imithi yobuhlungu ye-opioid

Izidakamizwa ezinamandla njenge-oxycodone (i-Oxycontin) kanye ne-trio ye-opioid efana ne-tramadol (i-Conzip, i-Ultram) ingalapha ubuhlungu obuqine kakhulu. Kepha lezi zivame ukuba yisinyathelo sokugcina sokuqeda izinhlungu. Ungayisebenzisa le mithi uma ezinye izindlela zokwelapha zingasebenzi. Kodwa-ke, le mithi ayenzelwe ukukhululeka kwesikhathi eside ngenxa yemiphumela emibi kanye namandla okulutha. Sebenza eduze nodokotela wakho futhi uqaphele lapho uthatha imithi ye-opioid.

Izindwangu ze-Lidocaine ziletha izinzwa zendawo ngokusebenzisa isichibi esibekwe esikhunjeni. Lokhu kungadala ukucasuka kwesikhumba okuncane, noma kunjalo.

Izidakamizwa ezilwa nokuquleka

Izidakamizwa ezisetshenziselwa ukuvimbela ukuquleka kwesithuthwane nazo zingasiza ngobuhlungu bezinzwa. Le mithi ifaka i-pregabalin (Lyrica), i-gabapentin (i-Gabarone, i-Neurontin), ne-oxcarbazepine noma i-carbamazepine (i-Carbatrol, i-Tegretol). I-Pregabalin nayo ingakuthuthukisa ukulala kwakho. Imiphumela emibi ifaka ukozela, ukuvuvukala nesiyezi.

Ukwelashwa ngokomzimba

Ezinye izindlela zokwelapha ngokomzimba, ezinjengokubhukuda, zingasiza ekwelapheni isifo sikashukela sokuzwela ngokweqile. Ukuzivocavoca okunomthelela ophansi yikhona okuphumelela kakhulu, njengoba izivivinyo ezinomthelela omkhulu zingashesha zenze izinzwa ziphele amandla.

Qiniseka ukuthi ukhetha owelapha ngokomzimba othembekile oqonda i-neuropathy, isifo sikashukela noma okunye, ukukusiza ukuthi usebenze ngezindlela zokwelapha ngokomzimba ukuze uvikele ukulimala okwengeziwe kwemizwa. Ukunaka okufanele ekusebenzeni ngokomzimba ngochwepheshe kungavimbela noma yiziphi izingqinamba ukuthi zivele. Futhi khumbula ukuthi ukwelashwa ngokomzimba kungadambisa izinhlungu zesifo sikashukela, kepha kungabuphulukisi.

Ukhilimu weCapsaicin

Ukhilimu weCapsaicin (Arthricare, Zostrix) ungavimba amasiginali ezinhlungu usebenzisa isithako esitholakala kupelepele oshisayo. Izifundo azikhombisanga ukuthi lokhu kuyasiza ekuzameni kwemizwa yesifo sikashukela. Imikhiqizo yeCapsaicin ibangela ukucasuka kwesikhumba kwabanye abantu. Ukhilimu weCapsaicin, obuye utholakale njenge-lotion, i-jelly, noma i-patch, ungasetshenziswa esikhumbeni lapho ubuhlungu bezinzwa zesifo sikashukela buqinile futhi buqeda ubuhlungu okwesikhashana.

Khuluma nodokotela wakho ngaphambi kokusebenzisa ukwelashwa okususelwa ku-capsaicin. Kungadala ukungezwani komzimba, kuhlanganyele nezinye izidakamizwa, noma kubangele imiphumela emibi eyingozi ezilondeni ezivulekile nakulusu olucasukile noma olubucayi. Kungase futhi kukwenze uzwele kakhulu elangeni nakweminye imithombo yokushisa. Gwema ukuchayeka ngokweqile elangeni noma ekushiseni lapho usebenzisa okhilimu be-capsaicin noma ama-lotion.

Thenga imikhiqizo ye-capsaicin.

Ukunakekela izandla nezinyawo zakho

Ukulimala kwezinzwa zesifo sikashukela kubangela ubuhlungu futhi kungathinta namandla akho okuzwa ubuhlungu, ngakho-ke kubalulekile ukugcina unyawo lwakho luphila.

Ukuze unakekele kangcono izinyawo zakho, hlola izinyawo zakho nsuku zonke ukusikeka, izilonda, ukuvuvukala, nezinye izinkinga, noma ngabe ungezwa buhlungu lapho. Bangatheleleka, futhi izifo ezingalashwa zingaholela ezinkingeni ezinkulu, ezibandakanya ukunqunywa.

Geza izinyawo zakho nsuku zonke ngamanzi afudumele, bese uzomisa ngokuphelele ngemuva kwalokho. Bese ugcoba umuthi wokugcoba ukuze uwagcine enomswakama. Gwema ukuthola i-lotion phakathi kwezinzwani zakho.

Gqoka izicathulo ezintofontofo, ezinikeza izinyawo zakho igumbi lokuhamba. Phula izicathulo ezintsha kancane ukuze zingalimazi izinyawo zakho. Buza udokotela wakho ngezicathulo ezenziwe ngezifiso uma izicathulo ezijwayelekile zingalingani kahle.

Hlala umboza izinyawo zakho ngezicathulo, amasiliphu, noma amasokisi aminyene ukuzivikela nokuvikela ukulimala.

Thenga izicathulo ezilungele isifo sikashukela.

Ukuvimbela ubuhlungu besifo sikashukela

Ukugcina ushukela wegazi lakho ulawulwa ukuvimbela ukulimala kwezinzwa kuyindlela engcono yokugwema ubuhlungu bezinzwa. Landela iseluleko sikadokotela wakho ngokudla, ukuzivocavoca umzimba, kanye nokwelashwa uma usuvele uhlangabezana nobuhlungu bezinzwa zesifo sikashukela. I-diabetes neuropathy ayinakho ukwelashwa okwaziwayo. Kodwa-ke, izindlela eziningi zokwelapha zingasiza ekunciphiseni ukungakhululeki nobuhlungu obudalwa wubuhlungu bezinzwa zesifo sikashukela, futhi udokotela wakho angakusiza ekukhetheni okukusebenzela okuhle kakhulu.