I-Peripheral Neuropathy Noma Ubuthakathaka Bezinzwa: Izimbangela, Izimpawu Nokuvimbela

I-peripheral neuropathy, noma ukulimala kwezinzwa, kuyinkinga eyenzeka ohlelweni lwezinzwa futhi ibangele ukuba ndikindiki, ukuluma, ubuthakathaka, nobuhlungu endaweni ethintekile. Kwenzeka lapho amangqamuzana ezinzwa (ama-neurons) alimala noma abhujiswa. Lokhu kubangela ukuphazamiseka kokuxhumana phakathi kobuchopho nama-neurons.

Yini ebangela i-peripheral neuropathy/nerve weak?

Izimo eziningi zingaba negalelo peripheral neuropathy/ izimbangela zobuthakathaka bemizwa, okungasukela ezimeni zempilo kuye emikhubeni yokuphila. Funa isiqondiso odokotela besibhedlela esingcono kakhulu se-neurology eBhubaneswar ukuze uthole ukuqonda kangcono ukuthi yini ebangela ubuthakathaka bezinzwa.

Ithinta bani i-peripheral neuropathy?

I-peripheral neuropathy ingaba nomthelela kubantu ngaphandle kokubandlulula ngokusekelwe ezicini ezifana neminyaka, ubulili, uhlanga, izimo zomuntu siqu, isizinda sezokwelapha, nokuningi. Noma kunjalo, abantu abathile bangase babe sengozini enkulu yokuba nezinhlobo ezithile ze-peripheral neuropathy, njengoba kuxoxwe ngazo esigabeni sezimbangela nezimpawu ngezansi.

Ngaphezu kwalokho, i-peripheral neuropathy ivame ukuhlotshaniswa nezimo zezempilo ezihlobene nobudala. Lokhu kusho ukuthi amathuba okuba ne-peripheral neuropathy akhuphuka ngokukhula.

Yini ebangela i-peripheral neuropathy?

I-peripheral neuropathy ingenzeka ngenxa yezizathu ezahlukahlukene, kufaka phakathi:

1. Isifo sikashukela sohlobo loku-2: Isifo sikashukela sohlobo 2 esingalawuleki siyimbangela ehamba phambili, njengoba amazinga kashukela egazi ahlala isikhathi eside angalimaza izinzwa eziseduze, ngokuvamile okuholela ekulahlekelweni kokuzwa ezinyaweni nasemilenzeni engezansi.
2. Ukushoda kwamavithamini kanye nezakhamzimba: Ukuntula okuthile kwamavithamini, njengethusi, B1, B6, B9, B12, folic acid, no-E, kungaholela ekulimaleni kwezinzwa. Ukudla kwe-vitamin B6 ngokweqile nakho kungaba nalo mphumela.
3. I-Autoimmune Nezimo Zokuvuvukala: Izimo ezifana ne-Guillain-Barré syndrome, i-CIDP, i-lupus, i-rheumatoid arthritis, i-Sjögren syndrome, i-vasculitis, nezinye zingaholela ku-neuropathy.
4. Imithi kanye Nobuthi: Eminye imithi (njengama-antibiotics, izidakamizwa ze-arrhythmia, ne-gout) kanye nokuchayeka kumakhemikhali athile kungabangela i-peripheral neuropathy.
5. Izimila: Zombili izimila eziyingozi neziyingozi zingaphazamisa isimiso sezinzwa esiseceleni.
6. Izimo Zofuzo: Izimo ezizuzwe njengefa njenge-amyloidosis, isifo se-Fabry, nesifo sikaCharcot-Marie-Tooth zingaholela ekuguleni kwemizwa.
7. Amagciwane: Ukutheleleka ngegciwane njenge-HIV, izifo ezibangelwa amagciwane njenge-Lyme disease, nezimo ezinjenge-shingles zingalimaza imizwa.
8. Isifo sikaHansen (Uchoko): Lesi sifo esiyivelakancane silimaza imizwa eseceleni futhi sivame kakhulu emazweni asathuthuka.
9. Ukuhlukumezeka Nokuhlinzwa: Ukulimala kwemizwa kungabangelwa ukuhlukumezeka ngokomzimba noma izinqubo zezokwelapha, ngokuvamile okubangela ukulimala kwendawo noma unomphela.
10. Izinkinga ze-Vascular: Izinkinga zokujikeleza kwegazi zingaholela ku-neuropathy, izimo ezinzima ezidala ukulimala okuhlala njalo kwenzwa.
11. I-Idiopathic Neuropathy: Kwezinye izimo, i-neuropathy yenzeka ngezizathu ezingaziwa, ezibizwa ngokuthi i-idiopathic noma i-cryptogenic neuropathy.

Izimo Zezempilo Eziholela Ebuthakatheni Bemizwa

Ezinye izimo zempilo ezingase ziholele ebuthakathakeni bezinzwa,

• Diabetes: Lesi yisona sizathu esivame kakhulu sobuthakathaka bezinzwa.
• Izifo ze-Autoimmune: Lokhu kuhlanganisa i-Sjogren's syndrome, i-lupus, i-rheumatoid arthritis, i-Guillain-Barre syndrome, ukuvuvukala okungapheli kwe-polyneuropathy, kanye ne-vasculitis.
• Ukuphazamiseka okuzuzwe njengefa: Njengesifo sikaCharcot-Marie-Tooth.
• Izinkinga ze-Vascular: Njengokuvuvukala, amahlule egazi, noma ukuphazamiseka kwemithambo yegazi.
• Ukuphazamiseka komnkantsha: Okufana namaprotheni angavamile egazini (i-monoclonal gammopathies), uhlobo lomdlavuza wamathambo (i-myeloma), i-lymphoma, nesifo esingavamile i-amyloidosis.

Imikhuba Yendlela Yokuphila Eholela Ebuthakathakeni Bezinzwa

Eminye imikhuba yempilo engase iholele ebuthakathakeni bezinzwa yilezi,

• I-Alcoholism: Kungaholela ku Ukuntuleka kwamavithamini.
• Izinto ezinobuthi: Ukuchayeka kumakhemikhali anobuthi njengomthofu ne-merc
• ury.
• Ukushoda kwamavithamini: Ungase uqaphele uvithamini B-1, B-6, B-12, noVithamini E. Ukulimala kwemizwa ngokuvamile kwenzeka kancane, futhi izimpawu ezibonisayo zingabonisa ubukhulu bomonakalo.

Izimpawu Zokulimala Kwezinzwa

Ezinye izimpawu zokulimala kwezinzwa zihlanganisa,

1. Ukuzwa ukuba ndikindiki, ukuluma, noma ukushisa: Lesi esinye sezibonakaliso zokuqala zokulimala kwezinzwa ezingase ziphume ezandleni noma ezinyaweni futhi zisakaze ezingalweni nasemilenzeni.
2. Ukulahlekelwa nomuzwa: Izinzwa zezinzwa zingase zingasebenzi kahle, ngaleyo ndlela zikwenze uthambekele ezingozini ngenxa yokungakwazi ukuzwa ukungakhululeki okubangelwa ubuhlungu, ukushisa, njll.
3. Ubunzima bokunyakaza izingxenye zomzimba: Ubuthakathaka bemisipha noma ukukhubazeka kungase kwenzeke uma imizwa yemoto ilimele. Umuntu angase futhi ngesikhathi esifanayo adideke kungazelelwe, angaboni kahle, aphathwe yikhanda elinzima, noma abe nenkinga yokuhamba.
4. Ubuhlungu obuwela emlenzeni owodwa: Lokhu kubhekisela ebuhlungu obungapheli obusuka emhlane ophansi futhi buhamba phansi emlenzeni. Kwenzeka lapho i-nerve ye-sciatic ilimala noma icindezelwe.
5. Ubunzima bokuxhumanisa: Okungase kubonakale njengokuxaka ngenkathi uhamba empeleni ukuntula ukusebenzisana phakathi kwengqondo nomzimba ngenxa yemizwa emikhulu ethinta umuzwa olimele. Ezinye izinkinga ezingase zihambisane nalokhu zihlanganisa ukundindizela, imisipha eqinile, nokushintsha kwenkulumo.
6. Ukuchama njalo: Izinzwa ezilimele zingase zidlulisele izimpawu ezingamanga zokugcwala kwesinye ebuchosheni, okubangele ukuthi uvakashele indlu yangasese kaningi kunokuvamile.
7. Ukujuluka ngokweqile: Izinga lokushisa lomzimba lingase lishintshe njalo, libangele ukujuluka okukhulu. Lokhu kungase kube uphawu lwemizwa edlulisela ulwazi ebuchosheni bezindlala zomjuluko ezisengozini.
8. Kafushane, izinhlungu zekhanda ezinzima: I-Occipital neuralgia yisimo esingase sibe umphumela wokumpintshwa kwenzwa esentanyeni. Olunye lwezimpawu zalo ezivelele ubuhlungu bekhanda obufushane, obuvamile, obubuhlungu obuzwakala sengathi ushaywe ugesi.

Uma ubona noma yiziphi izimpawu zokulimala kwezinzwa, thintana nochwepheshe we-neurology e-Bhubaneswar.

Ukwelashwa kwe-Peripheral Neuropathy   

Indlela yokwelapha ye-peripheral neuropathy ingahluka kuye ngembangela ewumsuka, kucatshangelwa izici ezifana nomlando wezokwelapha kanye nezinto ezithandwa nguwe. Umhlinzeki wakho wokunakekelwa kwezempilo ungumthombo ongcono kakhulu wolwazi olumayelana nokwelashwa okunconyiwe kanye nezikhathi zokululama ezilindelekile. Ngokuvamile, izindlela ezilandelayo zivame ukusetshenziselwa i-peripheral neuropathy:

• Imithi: Imithi eyahlukene iyatholakala yokwelapha izinkinga zesistimu yezinzwa. Lezi zingase zinikezwe ngemijovo, amaphilisi omlomo, amabala esikhumba, izithako ezikhipha kancane, nezinye izinhlobo.
• Ukuhlinzwa: Ukungenelela kokuhlinzwa kungaba nenzuzo ekuxhumaniseni kabusha imizwa enqanyuliwe noma ekudambiseni ubuhlungu obubangelwa izinzwa ezivaleleke. Kwezinye izimo, ukuhlinzwa kungase kuhlanganise ukusika noma ukususa izinzwa ezilimele noma ezingasebenzi kahle ukuze kuphazamise amasignali azo.
• Ukwelapha ngokomzimba: Ukwelashwa ngokomzimba kudlala indima ebalulekile ekululameni ekulimaleni, ezinkambisweni zezokwelapha, noma ekulawuleni izimpawu zobuhlungu. Kuphinde kusize abantu ukuthi bazivumelanise nezinguquko ohlelweni lwezinzwa, kuthuthukise ibhalansi nokunciphisa ingozi yokuwa.
• Amadivayisi Nezisetshenziswa Ezigqokekayo: Imishini yezokwelapha enqunyiwe njengezisekelo, izinduku, izihambi, nezicathulo ezikhethekile zingasetshenziswa ukuvimbela izinkinga ezihlobene ne-peripheral neuropathy. Isibonelo, abantu abanesifo sikashukela sohlobo 2 olubangelwa yi-peripheral neuropathy bangase bazuze ezicathulweni ezikhethekile.
• I-Podiatry nokunakekelwa kwezinyawo: Njengoba kunikezwe ukuthi i-peripheral neuropathy ngokuvamile ithinta izinyawo, ukufuna ubuchwepheshe bukadokotela wezinyawo kuvamile. Lokhu kunakekelwa okukhethekile kubhekana nokushintsha kwezicubu ezithambile kanye namathambo, kunciphisa ingozi yezilonda nezifo, ikakhulukazi kubantu abanesifo sikashukela sohlobo 2.
• Okunye Ukwelashwa Kwezinhlungu: Uma imithi ejwayelekile yehluleka ukudambisa izinhlungu, ochwepheshe bezinhlungu bangase bahlole ezinye izindlela zokwelapha ezifana nokutshopa, i-transcutaneous electrical nerve stimulation, imijovo, noma ukufakwa ngokuhlinzwa kwesistimu somgogodla womgogodla.

Yiziphi izinkinga ezingaba khona noma imiphumela emibi ye-Peripheral Neuropathy Treatments?

Imiphumela engemihle engaba khona kanye nezinkinga zokwelashwa kwe-peripheral neuropathy ingahluka ngokusekelwe ezicini ezimbalwa. Lezi zici zihlanganisa imbangela ethile ye-neuropathy, izimo zempilo ezikhona, ukwelashwa okuqondile okunikezwayo, nokunye okucatshangelwayo. Ukuze uthole ulwazi oluningiliziwe mayelana nemiphumela engemihle engaba khona kanye nezinkinga ongahlangabezana nazo, ukubonisana nomhlinzeki wakho wokunakekelwa kwezempilo kuyanconywa.

Ukuvimbela ubuthakathaka bezinzwa ngokukhetha indlela yokuphila enempilo

Izici ezingagwemeka zinomthelela kwezinye izimbangela ezingase zibe khona ze-peripheral neuropathy, futhi ukuthatha izinyathelo ezithile kungehlisa ingozi yokuba nalesi simo. Izinyathelo zokuvimbela eziphumelela kakhulu zihlanganisa:

• Ukugcina Ukudla Okunempilo: Izinkinga zesistimu yezinzwa, ezifana ne-peripheral neuropathy ebangelwa ukushoda kwevithamini (ikakhulukazi uvithamini B12), zingancishiswa ngokuqinisekisa ukudla okugcwele. Kubalulekile ukuqaphela amazinga kavithamini, njengoba ukudla ngokweqile amavithamini athile, ikakhulukazi i-B6, kungaholela ekuguleni kwemizwa. Ukufaka izinhlobonhlobo zokudla okunempilo okunempilo ekudleni kwakho kubalulekile empilweni yakho yonke yezinzwa.
• Ukukhuthaza Umsebenzi Womzimba Nesisindo Esinempilo: Ukuzivivinya okuvamile, okuhambisana nokulawula isisindo, kudlala indima ebalulekile ekuvimbeleni noma ekubambezeleni ukuqala kwezimo ezifana nesifo sikashukela sohlobo 2. Lokhu kubalulekile njengoba isifo sikashukela singalimaza kancane kancane imizwa eseceleni ngokuhamba kwesikhathi.
• Ukusebenzisa Izisetshenziswa Zokuphepha: Ukulimala kwezinzwa ngenxa yokulimala kungancishiswa ngokusebenzisa okokusebenza okufanele kokuphepha phakathi nemisebenzi ehlukahlukene, kungaba semsebenzini noma ngesikhathi sokuzilibazisa.
• Ukuphatha Izimo Ezingamahlalakhona: Kubantu abanezimo ezingalapheki ezingase zibe nomthelela ezinzwa eziseduze, ikakhulukazi uhlobo lwesifo sikashukela sohlobo 2, ukulandela izincomo zomhlinzeki wezempilo kubalulekile. Ukuphatha ngendlela efanele kungasiza ukukhawulela imiphumela yesimo noma kubambezele ukuqhubeka kwaso.
• Ukulinganisa Ukuphuza Utshwala: I-peripheral neuropathy ingumphumela owaziwayo wokuphuza utshwala ngokweqile. Ngokugwema noma ngokulinganisela ukuphuza utshwala, abantu banganciphisa ingozi ye-neuropathy nezinye izinkinga zezokwelapha ezihambisanayo.
• Ukuvimbela Ukuchayeka Kubuthi, Ubuthi, Nezinsimbi Ezisindayo: Ubuthi obunjengomthofu ne-mercury buyingozi enkulu ohlelweni lwezinzwa. Nakuba ukuchayeka kwe-mercury manje kuyivelakancane ngenxa yemithetho yemvelo, izinyathelo zokuphepha kusafanele zithathwe ngezinto ezindala ezifana nama-thermometer noma ama-thermostat. Ukwengeza, abantu abasebenza ngezinto ezinjalo kufanele bathobele imithetho yokuphepha, basebenzise izinto zokuzivikela ezinconyiwe, futhi baqaphele izinsiza ezihlinzekwa ama-ejensi wendawo, wesifunda, kanye nokazwelonke ukuvimbela ukuchayeka ezinsimbi ezinobuthi namakhemikhali.

Imibuzo Evame Ukubuzwa

1. Ingabe i-peripheral neuropathy ingahlehliswa?

Ukuguqulwa okungenzeka kwe-peripheral neuropathy kuyehluka kuye ngezinto eziningi. Ngakho-ke, kubalulekile ukuthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukuhlolwa okunembile nokomuntu siqu. Isiqondiso sabo sizoba esinembe kakhulu futhi sisebenza esimweni sakho ngasinye kanye nezimo.

2. Yikuphi ukwelashwa okuvame kakhulu kwe-peripheral neuropathy?

Akukho ukwelashwa okukodwa okugxilile kwe-peripheral neuropathy. Indlela yokwelashwa iyehluka ngokuya ngembangela ethile kanye nezimpawu onazo. Ngezizathu ezithile, ukwelashwa okuqondile kungenzeka, kanti kwabanye, indlela engcono kakhulu yokuphatha nokunciphisa izimpawu nomthelela wazo.

3. Itholakala kanjani i-peripheral neuropathy?

Ukuxilongwa ngokuvamile kuhilela ukubuyekezwa komlando wezokwelapha okuphelele, ukuhlolwa ngokomzimba, ukuhlolwa kokusebenza kwezinzwa, ukuhlolwa kwegazi, futhi ngezinye izikhathi izifundo zokucabanga ezifana ne-CT scan noma i-MRIs.

4. Ingabe izinguquko zendlela yokuphila zingasiza ekulawuleni i-peripheral neuropathy? 

Yebo, izinguquko zendlela yokuphila njengokugcina ukudla okunempilo, ukuvivinya umzimba njalo, nokunakekelwa okufanele kwezinyawo kungasiza ekulawuleni i-peripheral neuropathy kanye nokunciphisa umthelela wayo ekuphileni kwansuku zonke.

5. Kufanele ngifune nini usizo lwezokwelapha ngezimpawu ze-peripheral neuropathy? 

Uma uba nezimpawu ze-peripheral neuropathy, ikakhulukazi ubuhlungu obungapheli, ukuba ndikindiki, noma ubuthakathaka, kubalulekile ukuthintana nomhlinzeki wezempilo ukuze uthole ukuhlolwa okufanele kanye nokuxilongwa. Ukungenelela kusenesikhathi kungaholela emiphumeleni engcono.