Isifo sikashukela sesifo sikashukela yisifo sohlelo lwezinzwa lomuntu, oluyinkinga yesifo sikashukela. Lesi sifo siqhubeka kancane kancane. Isikhathi eside, umuntu angeke asole ukuba khona kwalesi sifo, futhi anganamatheli ukubaluleka kwezimpawu zokuqala. Kodwa-ke, ngokuthuthukiswa kwe-polyneuropathy yesifo sikashukela, amandla okusebenza ancipha kakhulu, aze alahlekelwe ngokuphelele.
Lesi sifo sithinta amasistimu wezinzwa we-somatic and autonomic. Ukwehluleka kohlelo lwezinzwa lwe-somatic kuholela ebuhlungu obukhulu emaphethelweni aphansi kanye nokulahlekelwa umuzwa wabo. Lokhu kwenza kube nzima ukuhamba futhi kwenza isiguli sikhubazeke. I-Autonomic neuropathy ingaholela ekufeni, ngokwesibonelo, ngenxa yokwephulwa kokushaya kwenhliziyo noma ukuphefumula.
Isizathu esiyinhloko sokuthuthukiswa kwe-neuropathy yesifo sikashukela okuqukethwe okuqukethe ushukela okwandayo emzimbeni. Ukufeza ukuthuthuka ekusebenzeni kohlelo lwezinzwa, unganciphisa amazinga kashukela egazini.
Izimpawu zomuntu zesifo
Izimpawu ze-neuropathy zesifo sikashukela zihlukaniswe izinhlobo ezimbili: ezisebenzayo futhi ezisebenzayo.
Izimpawu ezisebenzayo:
- umuzwa ovuthayo kanye nokugabha kwemisipha yemikhawulo engezansi. Kwesinye isikhathi izinhlungu ziba zinkulu kangangokuba zifane "nokushaqeka kukagesi";
- izicubu zomsipha;
- ukuzwela okukhulu kobuhlungu.
Imvamisa iziguli ezine-neuropathy zinobunzima bokunyakaza, kuba nomuzwa wokuqina noma wokuqina kwamalungu.
Izimpawu zokubonisa
- isifo sohudo
- ukungasebenzi kohlelo lokuzala, kwabesifazane nakwabesilisa;
- ukuncipha kokuqina kwesikhumba sobuso;
- kwehlise i-acuity ebonakalayo;
- izinkinga zokuchama;
- isiyezi esivamile;
- ubunzima bokugwinya nokuhlafuna ukudla;
- ukukhubazeka kwenkulumo.
I-Sensorimotor neuropathy
Lolu hlobo lwesifo lonakalisa imicu yezinzwa elingana nemilenze. Ikakhulu, i-sensorimotor neuropathy ithinta ukuzwela kwamaphethelo aphansi.
Izimpawu zibonakaliswa ngokuncipha kwekhono lesiguli lokuzwa amasignali kusuka emaphethelweni aphansi. Uyayeka ukuzwa izinhlungu, izinga lokushisa, ingcindezi kanye nokushintshashintsha kwalo. Ngokulahlekelwa okuphelele noma okuyingxenye kokuzwela kwezitho, umuntu angalimaza umlenze wakhe noma ashiswe angakuboni nakancane. Njengomphumela walokhu, kwakheka amanxeba nezilonda esikhumbeni semilenze lapho izifo zingangena khona. Lokhu kungaholela ekukhulekeni noma ekukhuleni kwe-gangrene, kanye nokukhula kwesifo - ekuqunjweni kwesitho somzimba.
Izimpawu ezinjalo ziphakamisa ukuthi isifo sikashukela se-polyneuropathy siyakhula futhi kufanele uthintane nodokotela ngokushesha futhi uphumelele izivivinyo ezifanele. Noma isiguli singakhali ngobuhlungu bomlenze, lokhu akubonisi ukuntuleka kwe-neuropathy. Kuyadingeka ukuhlola isikhumba semikhawulo engezansi nezinyawo nezikhala phakathi kweminwe nsuku zonke ukuze kulimale isikhumba. Lesi simo sengqondo sizosiza ukuvikela izinkinga.
I-Autonomic neuropathy
Imisipha elawula umsebenzi wezitho zangaphakathi yakha uhlelo oluzimele lwezinzwa. Isifo sikashukela i-polyneuropathy ingaholela ekwehlulekeni komsebenzi wayo. Izimpawu zokuqala zalokhu isiyezi esihlala sikhona, ikakhulukazi ngokushintsha kwesimo somzimba nokufelwa. Ingozi yokufa ngenxa yokwephulwa kwesigqi senhliziyo yanda cishe amahlandla amane.
Futhi, lesi sifo sithinta ukusebenza kwamapheshana emathunjini. Ukudla okuvela esiswini kuhamba kancane, okuholela ekuthuthukisweni kwe-gastroparesis. Ngokuthuthukiswa kwe-gastroporesis, ubunzima buqhamuka ngokulawula amazinga kashukela egazini, kanye nokugcina izinga lakhona ngokujwayelekile.
I-Autonomic neuropathy ithinta isinye. Isibonakaliso esiyinhloko ukungapheleli komchamo noma ukungasebenzi ngokuphelele. Ukungagcwaliseki ngokuphelele kuholela ekukhuleni kokutheleleka kulesi sitho, okuthi ngemuva kwesikhathi kuthinte izinso.
Izimbangela zesifo
Isizathu esiyinhloko sokuvela kwe-polyneuropathy kubantu yindawo ekhuphukayo kashukela wegazi. Ngaphezu kwalokho, isifo sikashukela asilapheki. Okuqukethwe ushukela emzimbeni womuntu kube sezingeni eliphakeme iminyaka eminingana. Isifo sikashukela se-neuropathy yisifo esidlulayo esibangelwa isifo sikashukela.
Kunezindlela ezimbili eziyinhloko zokuqhubeka kwalesi sifo. Ekuqaleni, ushukela ulimaza imithambo emincane yegazi nama-capillaries, anikeza izakhi zomzimba emaphethelweni wezinzwa. Njengomphumela womonakalo kuma-capillaries, izinzwa ziqala ukuzwela ukuntuleka komoya-mpilo, imizwa yezinzwa iyancishiswa noma ilahlekile ngokuphelele.
Esimweni sesibili sokuthuthukiswa kwalesi sifo, inqubo yokuhlanganisa ushukela namaprotheni kwenzeka. Le nqubo ibizwa ngokuthi i-glycation. Lapho kukhuphuka izinga likashukela egazini, kuzokwakhiwa amakhompiyutha amaningi neproteyini. Inhlanganisela enjalo iholela ekuphuleni umsebenzi wamaprotheni, kubandakanya nohlelo lwezinzwa.
Ukuxilongwa kwalesi sifo
Uma isifo sikashukela se-polyneuropathy sitholakala, okokuqala udokotela uqondiswa izikhalazo zesiguli. Uma isiguli esinesifo sikashukela singenazimpawu ezisobala ze-neuropathy, lokhu akusho ukuthi asinaso lesi sifo.
Ukuze kutholakale lesi sifo, ochwepheshe basebenzisa izibalo eziningi zokuhlolwa kwegazi lesiguli, kanye nokuxilongwa kohlelo lwezinzwa. Izindlela ezinokwethenjelwa kakhulu zokunquma ukusebenza kohlelo lwezinzwa yi-electromyography nokuhlola kwenzwa okwenziwe ngobuningi.
Ezigulini ezinesifo sikashukela, ngaphandle kwezimpawu ze-neuropathy, udokotela unikeza ukuhlolwa okuphoqelekile okungenani kanye ngonyaka. Uma izimpawu zishiwo futhi kunezikhalazo zesiguli, khona-ke ukuhlolwa kunqunywa kanye ezinyangeni eziyisithupha. Ukuxilongwa ngalesi sifo ngalesi sikhathi kukuvumela ukuthi usikhombise zisencane futhi ugweme ezinye izinkinga.
Ukwelashwa kwe-polyneuropathy yesifo sikashukela
Ukwelashwa kwe-neuropathy kuhloswe ukwehlisa ushukela wegazi nokugcina ushukela wegazi ojwayelekile. Ngokujwayelekile ushukela, isimo sesiguli sizothuthuka futhi ukuzwela kwemilenze kuzobuya ngokuhamba kwesikhathi. Kodwa-ke, kufanele kuphawulwe ukuthi ukwelashwa kokuqala kuqalile, kuba nzima ngokwengeziwe ukubuyisa ukuzwela, ngoba iziphetho zezinzwa azibuyiswanga.
Ngesikhathi sokwelashwa, kufanele unamathele ekudleni okuqinile, ukhohlwe ngokudla okumnandi, ufulawa, utshwala nokubhema. Ukulimala nokusika, ikakhulukazi imilenze ephansi, nakho kufanele kugwenywe. Izicucu ezimweni ezinjalo kufanele zibe ntofontofo ngangokunokwenzeka, ngisho ne-microtrauma kufanele iphathwe ne-ejenti elwa namagciwane, yonke le polyneuropathy yesifo sikashukela idinga ukwenziwa ngokuqinile.
Isikhumba semilenze kufanele sigcotshwe nsuku zonke ngo-ayisikhilimu onempilo ukuze kugwemeke ukuqhekeka nokucwilisa isikhumba. Ukulandela ngokuqinile zonke izincomo zikadokotela kunethuba lokubuyela empilweni egcwele.
