Emininzi yemiphumo yempilo yobutywala obunzima, utywala obunxilisayo ngenye yezona zinto ziqhelekileyo, kwaye kaninzi ziyabonakala.
Ukuba unomlando omude wokusetyenziswa kotywala obunzima, unokufumana iingxaki ngeentlungu, ukubetha, okanye ukulinganisela, kwaye kukho amathuba aphezulu kakhulu ukuba ezi ngxaki zibonakalisa izidakamizwa zokusela utywala.
Ukuqaphela iMpawu kunye neZigqirha zoNyango oluNxilisayo
Iimpawu kunye neempawu zokuxhatshazwa kwezidakamizwa zibandakanya nayiphi na inhlanganisela yezi zinto zilandelayo:
- Ubuchule obukhulu bokubona ukuvakalelwa kwizinzwane, inyawo, imilenze, iminwe, izandla okanye iingalo
- Ubuhlungu, ukubetha okanye ezinye iimvakalelo ezingaqhelekanga ezinzwaneni, ezinyaweni, emilenzeni, iminwe, izandla okanye iingalo
- Ubuthathaka beenyawo okanye izandla
- Ukungabi nxu lumano lweenyawo okanye izandla
- Ukulahlekelwa kwe-balance
- Ukungaqiniseki xa uhamba
- Ukugquma, ukusika, izilonda okanye izifo zesikhumba kwizwane, ezinyaweni, okanye iminwe
- Ukunciphisa amandla okuvakalelwa kwintlungu okanye ezandleni
- Uxakeke, ngokukodwa xa umi amehlo akho ivaliwe
- Ingxaki ihamba ngomgca ochanileyo, nokuba ungasayi kusela
- Ukutyunjwa okanye urhudo
- Ukungabikho kwamanzi e-Urinary
- Ukungasebenzi kwezesondo
Iimiphumo zoTywala oluNxilisayo
Ukuphuza ngokwexilongo kuyingozi yesifo esibangelwa ukusela ngokweqile ixesha elide. Iimbilini zakho zidlala indima enkulu ekuveleleni nasekuhambeni kwemisipha yazo zonke iinxalenye zomzimba wakho. Imiphumo yokuxhatshazwa ngokwexilongo kubangelwa yingozi yomonakalo ize iwele kwiindidi ezintathu eziphambili; kunciphisa ukuvakalelwa, intlungu / ukuxhaswa komzimba, kunye nobuthakathaka besifo.
UkuNciphisa
Utywala obunxilisayo kubangela ukuhla kwezandla kunye neenyawo. Oku kungabonakali njengeengxaki ezibuhlungu, kodwa ukunciphisa ukuvakalelwa kwenene kubangela imiphumo emibi kakhulu.
Phakathi kweempembelelo zokunciphisa ukuvakalelwa kubandakanya amandla okunciphisa ukuvakalelwa kwimihla ngemihla, efana nokuvakalelwa okungaqhelekanga okwenzeka ngokuqhelekileyo xa iinzwane zakho okanye iminwe yakho ihlahlela into ethile, kunye nokukwazi ukunciphisa ukugqithisa kwizinto.
Oku kunokuthetha ukuba, xa unesifo sokunxiliswa kotywala, unganakubona iimvakalelo ezibuhlungu ezifana nezicathulo zakho zinzima kakhulu, okanye uzibethe ngobumnene udonga okanye uloba xa uhamba.
Ngenxa yokungabikho kweentlungu eziqhelekileyo kunye nokungahambi kakuhle, akunakwenzeka ukuba ulungise indawo yakho, enokubangela ukulimala okungakumbi. Ekugqibeleni, unokuba utyumle okanye uphephe ngaphandle kokuyiqonda. Ngamanye amaxesha, ukuba unesifo se-alcoholic neuropathy, inxeba elikhulayo linokusuleleka okanye liyinkimbinkimbi, lingabonakali kuze kube yinto eqhubekayo, efuna unyango olunzulu.
Esinye isiphumo sokunciphisa ukuvalelwa kukungakwazi ukulungelelanisa ngokufanelekileyo nokulungelelanisa izakhono zezithuthi ezifanelekileyo, ezifana nokuhamba nokunyuka komunwe. Sithembele kwivalelo ezinyaweni zethu ukuhamba ngokungahambi ngaphandle kokujonga phantsi. Ngeentlupheko ezincinci, imisebenzi eyenziwa ngaphandle kokujonga, njengokuhamba, ukubhala, nokuthayipha, inokukhubazeka. Ngokuqhelekileyo, i-neuropathy ephuzayo yotywala ingenza uzive ukhululekile, ingakumbi xa uvala amehlo akho, njengokuba uza kuhlamba, kwaye oku kunokukhokelela ekuwa kweyingozi.
Ubuhlungu kunye noVimba
Esinye isiphumo esivakalayo sokunxiliswa kotywala ngotywala kuququzelela ukukhathazeka okubuhlungu nokungahambi kakuhle.
Utywala obunxilisayo lunokubangela ukuba i-hypersensitivity ichukumise kunye / okanye ukuphumla intlungu. Ukuthinta ukukhanya kunokuziva kukunyanyisa kwaye kubuhlungu, ngakumbi kwiminwe nasezinzwaneni. Ngokufanayo, intlungu ezandleni nasezinyaweni zinokuba nzima nakubakho ukungabikho komnxeba, kwaye le ngenye yezona nkxalabo ezixhalabisayo zoxinzelelo lwexilongo.
Njengoko imeko iyaqhubeka, intlungu inokuhlukahluka ngamandla, ngamanye amaxesha iyanciphisa iinyanga ngexesha ngaphambi kokuhlaselwa kwakhona.
Ubuthathaka obuthathaka
Utywala obunxilisayo obunxilisayo bungabonakala bubuthathaka obuthathaka, obangelwa ngumonakalo wamantongomane. Iimisipha zethu zifuna ukufumana umyalezo osuka kwiimbilini eziseduze ukuze usebenze.
Xa lo myalezo uphazamiseka ngenxa yeentsholongwane ezonakalisiweyo, izihlunu azikwazi ukusebenza njengoko ziqhelekileyo. Oku kufuthi kubonakalisa ubuthathaka bezandla kunye neenyawo, kunye neengxaki zokulawula isilonda kunye nomsebenzi wesisu kunye nokungasebenzi kwezesondo.
Unyango lwezoNyango
Kukho unyango oluninzi olusenokusetyenziswa ukulawula intlungu yoxinzelelo lwezobisi. Ezi ziquka:
- Iipilisi zempilo
- Amachiza okuxhatshazwayo: Ngona gama bengagunyazisiwe ngokuthe ngqo ukuba unyango lwe-alcoholic neuropathy, bahlala becelwa ukuba bancede ukulawula intlungu.
- Amachiza okuthintela ukulwa neengxaki: Njengoko kunye neengxaki zokuxhatshazwa kwemithi, la mayeza awabonakalwanga ngokuthe ngqo kwonyango lwexilongo, kodwa ngamanye amaxesha anikwa njengendlela yokulawula intlungu.
Akukho zonyango ezinokukunceda ukuphucula ukulahlekelwa kwintlungu, ukubuyisela ubuthathaka obususwini, okanye ukuncedisa ukulungelelanisa kunye neengxaki zokulinganisela ezibangelwa yi-alcoholic neuropathy. Nangona kunjalo, abanye abantu baqaphela ukuphuculwa kweempawu ezimbalwa emva kokuyeka okanye ukunciphisa utywala.
Ngamanye amaxesha utywala lubangela umonakalo omkhulu emzimbeni ukuba ukufakelwa kwesibindi kunokufuneka. Kwimeko apho kukho ukuphuculwa kweempawu zokwaphuza ngokwexilongo emva kokufakelwa kwesibindi, kodwa ngokuqhelekileyo, i-neuropathy iphakame kakhulu kangangokuthi kunokuba kuncinci, ukuba kukho, ukuphucula, nangemva kokutshintshwa.
Ukuxilongwa koxinzelelo lweNxilongo
Ukuxilongwa koxinzelelo lwexilongo kubandakanya ukudibanisa imbali yakho yezonyango, ukuhlolwa kwakho ngokomzimba, kunye nokuhlolwa kwegazi okanye iimvavanyo zesisindo ezifana ne-electromyography (EMG) kunye nezifundo ze-nerv conduction (NCV).
Ngokuqhelekileyo, kuthabatha iminyaka yokuphuza utshwala obunxilisayo, ukwenjenjalo ukuba imbali ebalulekileyo yokusetyenziswa kotywala obunzima kakhulu. Abanye abasebenzisi abasebenzisa utywala obunzima baphuthuma ngokukhawuleza kunye nokuqhubela phambili kokuphuza ngokwexilongo kunokuba abanye, kwaye akucaci isizathu sokuba abanye abantu baxhomekeke ngakumbi kule nkinga.
Ukuba ugqirha wakho ucinga ukuba unokuba ne-alcoholic neuropathy, uvavanyo olupheleleyo lomzimba nolunempilo olubandakanya iingcamango zakho, amandla omzimba, uvavanyo olunzulu lweemvakalelo zakho (kubandakanye ukuchukumisa ukukhanya, i-pinprick, ukuzulazula kunye nesimo sengqondo), kwaye ukuvavanywa kokucwangciswa kwakho kuya kuba igqityiwe kwiofisi yakho ugqirha.
Ukongezelela, kuxhomekeke kwimeko yakho yezobugulane kunye nezinye izifo, unokufuna ukuhlolwa kwegazi, iimvavanyo zomchamo, i-EMG kunye ne-NCV okanye uphando lweengcinga zobuchopho okanye umthambo womgudu. Iipateni zobume kule mvavanyo zibonisa okanye zixhase ukuxilongwa kwe-alcoholic neuropathy, nangona kungekho vavanyo oluchanekileyo oluqinisekisa le meko, kwaye ugqirha wakho wenza ukuba ukuxilongwa kusetyenziswa ukudibanisa zonke ezi ziphumo.
Ezinye iimeko ezinokuthi zenze i-Neuropathy yobunxilisayo
Kukho ezinye zeemeko zonyango ezinokudideka kunye neuropathy yotywala. Okuqhelekileyo kwezi ziquka:
- I-diabetes neuropathy
- Isifo se-vascular disease
- Izifo zesibetho
- Isifo sesisu
- Isifo sokugubhuka
- I-Guillain-Barre syndrome
- Isifo se-neuron, njenge-ALS
Yintoni Edala Ubunxilongwane Bokudakisa?
Ukuxhatshazwa ngokwexilongo kubangelwa kukuntuleka kokutya okunxulumene nexesha elide lokusetyenziswa kotywala oludakayo, kunye neetekisi ezakha emzimbeni ngenxa yokusetyenziswa kotywala obude.
Utywala unempembelelo ekutyeni izondlo, njengeprotheyini kunye ne-vitamin B12, kwaye kubangela ukulahleka okuninzi kwezondlo ezithintela indawo ezininzi zomzimba, kuquka neentsholongwane. Ukongezelela, utywala utshintsha isakhiwo kunye nomsebenzi wesisu, isibindi kunye neentso ngeendlela ezithintela umzimba ukuba uchithe ngokufanelekileyo izinto eziphathekayo, oko kwakha kunye nokulimaza imimandla emininzi yomzimba, kubandakanywa nemizwa.
Umonakalo wesondlo obangelwa yimali enkulu yobutywala kunokubanokwaneleyo ukuba kubangele iimpawu ezinkulu, ezifana nokulahlekelwa kwintlungu, ubuthathaka kunye neengxaki zokulinganisela. Amagulane aphakathi kwamalungu omzimba angenawo amandla okuvuselela ukuba ahlaziywe xa awonakaliswe kakhulu, kwaye umonakalo wesondlo ungasigxina ukuba umonakalo usetyenziswe ixesha elide okanye ukuba liqhubeka.
ILizwi
Utywala luyisifo esinzima. Uninzi lwabantu abaphumelele ukulawula utywala aluzange lwenze lunye. Uluntu lwezonyango luye lwaqonda ukuba ukutshaya izidakamizwa sisifo kwaye abanye abantu bazalwa benomdla wokuba ngumlutha. Ngaloo ndlela, kubakho imfuneko ukufumana uncedo lwezokwelapha xa ulawula umlutha njengobunxila.
Ezinye zeempawu zoxinzelelo lweengxubevange ezinxilisayo zingaphinde zitshintshwe, kodwa ukuba i-neuropathy iya phambili, ingenakuguqulwa. Kukho imithi enokukunceda ekunciphiseni ezinye iimpawu zoxinzelelo lwexilongo. Isicwangciso esibalulekileyo kunxamnye nokuphuza ngokwexilongo kubunokuthintela ukuba iimpawu zibe zibi kakhulu ngokunciphisa ukusetyenziswa kotywala ngangokunokwenzeka.
> Umthombo:
> IMellion ML, uSilbermann E, i-Gilchrist JM, uMachan JT, i-Leggio L, i-Monte S, ukuchithwa kwe-Small-fiber kwi-peripheral neuropathy, kunye ne-Alcohol Clin Exp. 2014 Julayi; 38 (7): 1965-72