I-neuropathy ephansi yomzimba kungenye yezinkinga ezivamile zesifo sikashukela. Lesi simo sivezwa yizilonda eziningi zemizwa yengozi.
Ukuxilongwa kwe-neuropathy, njengomthetho, akunzima. Ukwelashwa, kuqalwe esigabeni esingabonakali sokubonakaliswa, ngobuningi bamacala kuyasebenza futhi kuholela ekululameni ngokuphelele. Izindlela ezisezingeni eliphakeme ze-neuropathy kunzima ukuzelapha, ngakho-ke akuzona zonke izinkomba ezingasuswa.
Izimbangela ze-neuropathy yemilenze ephansi
Ukuvela kwezinguquko ze-pathological kwenzeka ngenxa yezizathu ezahlukahlukene ezibangela ukuphazamiseka ekusebenzeni kokuphela kwezinzwa.
Izici ezingabangela i-neuropathy:
- ukuchayeka kanobuthi isikhathi eside;
- ukuphazamiseka kwe-metabolic, kufaka phakathi isifo sikashukela i-mellitus, ushintsho lwe-pathological ezinso noma ekusebenzeni kwe-gland yegilo;
- ukusweleka kwamavithamini;
- ukulimala
- ukusetshenziswa kwezidakamizwa ezithile (ngokwesibonelo, antitumor);
- izifo ezahlukahlukene ezithathelwanayo nezomuntu;
- izinqubo ze-autoimmune pathological, njengomphumela wentuthuko lapho amaseli ezinzwa abhujiswa ngaphansi kwethonya lomzimba womzimba;
- isiphetho sofuzo;
- ukusebenzisa kabi utshwala noma ukubhema;
- ukudakwa okungamahlalakhona okubangelwa ukusebenza nomthofu, i-arsenic, ne-mercury;
- hypothermia.
I-Neuropathy iqala ngomonakalo ekuphethweni kwezinzwa ezinde. Leli qiniso lichaza ukwenzeka kokubonakaliswa kokuqala emilenzeni, okuthi emva kwalokho kusabalale kwezinye izindawo.
Izimpawu ze-pathology
Ukuboniswa kwe-neuropathy kuncike ohlotsheni lwayo. Ukuba khona kwezinhlobo eziningana kuchazwa ngokunqotshwa ngokuqondile kwemicu ethile yezinzwa.
Ukuhlukaniswa:
- buthaka;
- i-autonomic neuropathy;
- motor;
- kuxutshwe (kuthinta zonke izinhlobo zemicu yezinzwa).
Izimpawu zingahluka, njengoba zincike emthonjeni wokuvela, futhi zinqunywa nangobukhulu bezinzwa ezibandakanya inqubo. Isibonelo, i-neuropathy yesifo sikashukela kanye ne-pathology ebangelwa ubuthi bokuhola kunezimpawu ezihlukile komunye nomunye.
Izigaba zokugcina zalesi sifo zibonakaliswa yi-atrophic eshiwo kakhulu yemisipha yemisipha nokwakheka kwezilonda zezimpawu zomzimba. Imvamisa, izimpawu zivame ukubonakala emilenzeni yomibili.
Iziguli ezisencane ezinenkinga enjalo kungenzeka zisheshe zilulame ngenxa yokuya kudokotela ezigabeni zokuqala zokukhula kwayo. Abantu asebekhulile bavame ukungazinaki izimpawu zesifo, ngokubheka kwabo njengezinguquko zemvelo emilenzeni ngenxa yokuguga komzimba, ngakho-ke, imishini yezokwelapha ayinawo umthelela omncane.
Ukuphazamiseka kwengqondo
Izinguquko ezifanayo zenzeka ngenxa yokulimala kwemicu yezinzwa ebucayi.
Zihambisana nalezi zimpawu ezilandelayo:
- Ubuhlungu bokuba nomlingiswa ohlabayo, osontekile noma wokudubula. Ukwenza kwawo kwasendaweni kwenzeka emcabangweni wezinzwa ezithintekile.
- Ukubuyiselwa kwama-goosebumps noma ukuba khona komzimba wangaphandle ngaphansi kobuso besikhumba. Imizwa enjalo izinzile futhi iqhubeka hhayi ngesikhathi sokunyakaza kuphela, kepha futhi nasekuphumuleni. Abantu abaningi bathola lezi zimpawu zibuhlungu ukwedlula imizwa ejwayelekile yobuhlungu.
- Ukuphazamiseka kwezinhlobo ezithile zokuzwela (ukungakwazi ukwahlukanisa phakathi kokushisa nokubanda, ukwehla noma ukukhuphuka kobuhlungu, ukulahleka kokuqashelwa kwezimpawu zobuso bomhlaba lapho uhamba). Ukubonakaliswa okunjalo kuyinkimbinkimbi ukuhamba kweziguli, ngakho-ke zivame ukukhubeka noma zingaze ziwe, zikhuphuka ngamatshe amatshe amancane.
Abantu abanale nkinga kufanele bahlale bebheka ngaphansi kwezinyawo zabo lapho behamba. Ubunzima obukhulu kakhulu abanabo ukunyakaza ebusuku.
Ukulimazeka Kwezimoto
Ukushintshwa okunjalo kwe-pathological kwenzeka ngenxa yomonakalo wezinzwa zemicu yemisipha ye-motor.
Ukuboniswa kwemitholampilo:
- Kunciphise ukukhalipha, ikakhulukazi idolo ne-Achilles. Lokhu kwephula umthetho kunqunywa kuphela lapho kuhlolwa udokotela oyi-neurologist, ngoba empilweni ejwayelekile abonakali. Uma ukwelashwa kuqalwa kulesi sigaba se-pathology, khona-ke amathuba okukhuphuka okuphelele kokululama. Ukuqhubeka kokuphula umthetho kungaholela ekuqothulweni kokugcina nokungaphenduleki kwezimpawu.
- Ukuqunjelwa kanye nokuminyanisa emisipha ethintekile.
- Ubuthakathaka bemisipha. Lolu hlobo lwesibonakaliso luziveza esikhathini esizayo ngokuqhathaniswa nokwehla kwezikhombisi. Ekuqaleni, ubuthakathaka buba besikhashana futhi buvela kuphela ngesikhathi sokuzikhandla, bese buqina futhi buzwakala busesimweni esizolile. Izinhlobo ezinganakwa zalolu hlobo lwe-neuropathy zihambisana nokungakwazi ukwenza noma yikuphi ukunyakaza. Ubuthakathaka emisipha kuvame ukuba yisikhathi sokuhamba ngomhlanga.
- Ukuthuthukiswa kwe-atrophy, ukuthambisa izicubu. Inqubo iyaqhubeka kancane futhi ingathatha iminyaka eminingana (kuya ngomthombo wokuvela kwe-pathology).
Izinguquko trophic yemifino
Lolu hlobo lokuphazamiseka lubangelwa ukulimala kwemicu yemifino yezinzwa.
Ukuboniswa okuyinhloko:
- isikhumba esomile;
- ukulahlekelwa izinwele
- ukubonakala kwamabala amabala amboze isikhumba;
- ukwephulwa kokujuluka;
- ukuphulukiswa okuhamba kancane kwe-abrasions;
- ukusekelwa kwamanxeba owakhekile;
- ukuvuvukala kwemilenze;
- Izilonda ze-trophic ezibangela i-gangrene.
Izimpawu zokunqotshwa kwenhliziyo ye-peroneal nerve:
- ukulahleka okuyingxenye kwemizwa ohlangothini lomlenze, nangemuva lonyawo;
- izinhlungu
- ubuthakathaka bemisipha onyaweni kanye neminwe;
- ubunzima bezama ukuncika esithendeni.
Izimpawu zomonakalo kuzinzwa zangaphandle:
- izinhlungu
- ukulahleka kokuzwela eceleni kwangaphandle kwamathanga ngaphandle kokubonakaliswa kobuthakathaka bemisipha, kanye noshintsho kuma-reflexes.
I-Neuropathy yemilenze esigulini ngasinye iba nokubonakaliswa okuhlukahlukene, ngakho-ke, ayihlali ihambisana nazo zonke izimpawu ezifakiwe.
Ukuxilongwa kwalesi sifo
Izindlela zokucwaninga zanamuhla zenza kube lula ukuthola i-neuropathy. Izinguquko ekubonisweni, ukulahleka kokuzwela, kanye nezilonda eziyinqaba kunqunywa ngudokotela wezengqondo ngesikhathi sokuhlolwa kokuqala. Ukuqinisekisa ukutholakala kwale sifo, kudingeka ezinye izivivinyo.
Izindlela Zokuxilonga:
- I-Electroneuromyography. Ucwaningo lukuvumela ukuthi usungule izinga lomonakalo ohlelweni lwezinzwa kanye neminyango elimele.
- Izikhombo zocwaningo.
Ngemuva kokuqinisekisa ukutholakala kwesifo, kubalulekile ukuthola umthombo wokulimala kwezinzwa.
Lokhu kuzodinga izifundo ezilandelayo:
- i-biochemistry yegazi;
- ukuhlolwa kwe-ultrasound kwe-pelvis, kanye nezitho zangaphakathi;
- ukuthatha i-biopsy yezicubu noma ukubhoboza intambo yomgogodla;
- I-X-ray yomgogodla.
Uhlu oluphelele lwezinqubo ezinconyelwe isiguli lusungulwa udokotela ngokuya ngemiphumela yokuhlolwa etholwe ngaphambilini. Ngemuva kwezinqubo eziphelele zokuxilonga, udokotela angaqinisekisa noma aphike ukuthuthukiswa kwe-neuropathy.
Ukwelashwa nokuqunjelwa yisifo
Izindlela zokwelapha zinomkhuba ojwayelekile ngenxa yokufana kwezimpawu zezinhlobo ezahlukene ze-neuropathy.
Izinhloso zokukhwabanisa ngezokwelapha:
- ukubuyiselwa kwemicu yezinzwa;
- ukuvuselelwa kokuziphatha okudingekayo kubo;
- Ukuqedwa kokujikeleza kwegazi okungenampilo ezindaweni ezithintekile.
Izindlela zokwelapha i-pathology:
- ukuthatha imishanguzo;
- ukwenza izinqubo zomzimba.
Ukusetshenziswa kwenhlanganisela yezindlela zokwelashwa nezinqubo zomzimba kungasusa izimpawu ze-neuropathy kwiziguli eziningi.
Izidakamizwa eziphambili:
- izindlela zokwenza ngcono ukudlula kwama-pulses ngokusebenzisa imicu;
- izidakamizwa ze-hormonal ezakha iqembu lama-glucocorticosteroids;
- Amavithamini we-B - la ma-ejenti asiza ukuthuthukisa ukwenziwa kwe-fiber, ukuphulukisa ulwelwesi lwawo, futhi futhi kube nomphumela we-analgesic;
- imali yokwelashwa kwe-antidepressant;
- ama-anticonvulsants;
- ama-analgesics asetshenziselwa ukudambisa izinhlungu;
- izidakamizwa ze-vasoactive (buyisela umsoco wemicu yezinzwa);
- ama-antioxidants, kufaka phakathi zonke izidakamizwa eziqukethe i-thioctic acid;
- izidakamizwa ze-anticholinesterase, ziyahambelana nezidakamizwa eziningi, ngakho-ke zinconywa kalula ngodokotela njengezidakamizwa eziphambili;
- izidakamizwa ze-narcotic ezisetshenziswa kuphela ngendlela ethuthukile ye-pathology, lapho ama-analgesics ezivamile engasasizi ukudambisa izinhlungu.
I-anesthesia ingenziwa hhayi kuphela ngezidakamizwa ezihlelekile, kodwa futhi nangokusebenzisa ukhilimu noma amafutha okugcoba ezindaweni ezilimele zemilenze.
Zifaka nezinto ezine-anesthetic, anti-inflammatory. Umphumela ofanayo wamafutha okugcotshwa womzimba usetshenziswa ngama-plasters (iVoltaren, iVersatis), ethelwa ushukela amahora ayi-12. Zisiza ukungena kwezakhi ezisebenzayo zomkhiqizo ezingxenyeni ezitholakala nxazonke, ngaphandle kokufaka umphumela ohlelekile emzimbeni.
Izindlela zokwelapha:
- i-electrophoresis;
- i-magnetotherapy;
- ukusetshenziswa kokwenza udaka ukuhlanganisa imiphumela;
- izinhlobo ezahlukahlukene zokugcoba;
- i-acupuncture;
- izivivinyo zokuzivocavoca umzimba (igcina ithoni kwezicubu zomzimba).
Ngaphezu kwezinyathelo zokwelapha, kubalulekile nangendlela efanayo ukuthi iziguli zinake ukudla kwazo.
Isisekelo Sezondlo:
- imenyu kufanele ibe nemifino, izithelo, kanye nemikhiqizo yobisi;
- imikhiqizo yotshwala nogwayi kufanele ishiywe;
- nge-neuropathy yesifo sikashukela, isiguli kufanele silandele indlela yokudla ngokuhambisana nesifo esiyisisekelo futhi kufanele siqaphe izinga le-glycemia, sizama ukukhulisa ukuletha amanani alo kokujwayelekile;
- uma ukuthuthukiswa kwe-neuropathy kwaqala njengomphumela ubuthi ngezidakamizwa, utshwala noma ubuthi, khona-ke isiguli kudingeka ukuthatha uketshezi olwengeziwe, kanye nemikhiqizo yobisi;
- faka ukudla okune-fiber ecebile ekudleni.
Ukwelashwa kwalesi sifo, njengezindlela ezisizayo, ungasebenzisa amakhambi abantu - dill, izimpande ze-burdock, i-hazel - badinga ukulungiselela ama-decoctions kanye ne-infusions. Amafutha ama-mustard ne-castor anomphumela omuhle, kumele afakwe esikhunjeni bese uwahlikihla.
Izinto zevidiyo mayelana nezinye izindlela zokwelapha i-neuropathy:
Izindlela zokwelashwa eziqaliswe ngesikhathi kanye nokubambelela embhalweni wezokwelapha zandisa ithuba lokuthola umphumela omuhle, futhi kwezinye izimo kuvumela isiguli ukuthi silulame.
Uma isiguli sine-pathologies eyindlalifa, ukwelashwa akwenzeki ngokuphelele, kepha ukuqhubeka kwe-neuropathy kuyehla. Ukungazinaki izindlela zokwelapha kuholela ekukhubazekeni, kanye nakwezinye izinkinga ezinkulu ezinkulu.