I-neuropathy yotywala

Utywala lwe-neuropathy ngumonakalo kwimithambo-luvo ebangelwa kukusela kakhulu utywala.

Oyena nobangela we-neuropathy yotywala awaziwa. Inokubandakanya zombini ityhefu ngqo ye-nerve ngotywala kunye nefuthe lesondlo esifanelekileyo esinxulunyaniswa notywala. Ukuya kuthi ga kwisiqingatha sabasebenzisi botywala obunamandla bexesha elide bayiphuhlisa le meko.

Kwiimeko ezinzima, imithambo-luvo elawula ukusebenza komzimba wangaphakathi (ii-autonomic nerves) inokubandakanyeka.

Iimpawu zale meko zibandakanya nayiphi na kwezi zinto zilandelayo:

• Ubudenge ezingalweni nasemilenzeni
• Iimvakalelo ezingaqhelekanga, ezinje "ngezikhonkwane neenaliti"
• Imvakalelo ebuhlungu kwiingalo nasemilenzeni
• Iingxaki zemisipha, kubandakanya ubuthathaka, iicramps, iaches, okanye spasms
• Ukunyamezelana nobushushu, ngakumbi emva kokuzilolonga
• Iingxaki zokwakhiwa (ukungabi namandla)
• Iingxaki zokuchama, ukungakwazi ukuzibamba (ukuvuza umchamo), ukuziva ungaphelanga isinyi sokukhupha, ubunzima ukuqala ukuchama
• Ukuqunjelwa okanye urhudo
• Isicaphucaphu, ukugabha
• Iingxaki zokuginya okanye ukuthetha
• Ukuhamba okungazinzanga (ukuhamba)

Utshintsho kumandla emisipha okanye imvakalelo zihlala zenzeka kumacala omabini omzimba kwaye zixhaphake kakhulu emilenzeni kuneengalo. Iimpawu zihlala zikhula kancinci kancinci kwaye ziye zisiba mandundu ngokuhamba kwexesha.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu. Ukuvavanywa kwamehlo kunokubonisa iingxaki zamehlo.

Ukusetyenziswa kotywala ngokugqithisileyo kuhlala kwenza ukuba umzimba ungakwazi ukusebenzisa okanye ukugcina iivithamini kunye neeminerali ezithile. Uvavanyo lwegazi luya kuyalelwa ukuba luqwalasele ukusilela (ukusilela) koku:

• I-thiamine (i-vitamin B1)
• IPyridoxine (ivithamini B6)
• I-Pantothenic acid kunye ne-biotin
• Vitamin B12
• Ifolic acid
• I-Niacin (ivithamini B3)
• Vitamin A

Olunye uvavanyo lunokuyalelwa ukuba lukhuphe ezinye izizathu ezinokubangela ukungasebenzi kakuhle kwengqondo. Uvavanyo lunokubandakanya:

• Amanqanaba e-Electrolyte
• I-Electromyography (EMG) yokujonga impilo yezihlunu kunye neerval ezilawula izihlunu
• Uvavanyo lwesibindi kunye nezintso
• Uvavanyo lomsebenzi we-thyroid
• Amanqanaba eevithamini kunye neeminerali emzimbeni
• Uvavanyo lokuqhutywa kwemithambo ukukhangela ukuba ngaba amandla ombane akhawuleza kangakanani na nge-nerve
• I-biopsy yamathambo ukususa iqhekeza elincinci le-nerve yoviwo
• I-GI ephezulu kunye namathumbu amancinci amancinci
• I-Esophagogastroduodenoscopy (i-EGD) yokuvavanya ulungelelwaniso lwe-esophagus, isisu, kunye nenxalenye yokuqala yamathumbu amancinci
• I-cystourethrogram yokuvala, isifundo se-x-ray sesinyi kunye ne-urethra

Nje ukuba kusonjululwe ingxaki yotywala, iinjongo zonyango zibandakanya:

• Ukulawula iimpawu
• Ukwandisa amandla okusebenza ngokuzimeleyo
• Ukuthintela ukwenzakala

Kubalulekile ukongeza ukutya kunye neevithamini, kubandakanya i-thiamine kunye ne-folic acid.

Unyango lomzimba kunye nezixhobo zamathambo (ezinje ngeziqholo) kunokufuneka ukugcina ukusebenza kwemisipha kunye nokuma kwamalungu.

Amayeza anokufuneka ukunyanga iintlungu okanye uvakalelo olungonwabisiyo. Abantu abane-neuropathy yotywala banengxaki yokusebenzisa utywala. Baya kumiselwa idosi encinci yeyeza efunekayo ukunciphisa iimpawu. Oku kunokunceda ukuthintela ukuxhomekeka kwiziyobisi kunye nezinye iziphumo ebezingalindelekanga zokusetyenziswa okungapheliyo.

Ukubeka indawo okanye ukusetyenziswa kwesakhelo sebhedi esigcina iziciko kwimilenze kunokunceda ukunciphisa iintlungu.

Abantu abanentloko elula okanye abanesiyezi xa bemi (i-orthostatic hypotension) banokufuna ukuzama iindlela ezahlukeneyo zonyango ngaphambi kokuba bafumane enye ephumelela ukunciphisa iimpawu zabo. Unyango olunokukunceda lubandakanya:

• Ukunxiba isitokhwe esincinci
• Ukutya ityuwa eyongezelelweyo
• Ukulala nentloko iphakanyisiwe
• Sebenzisa amayeza

Iingxaki zesinyi zinokunyangwa nge:

• Inkcazo yesandla yomchamo
• I-catheterization engapheliyo (indoda okanye ibhinqa)
• Amayeza

Ukungabi namandla, urhudo, ukuqhina, okanye ezinye iimpawu zonyango xa kunyanzelekile. Ezi mpawu zihlala ziphendula kakubi kunyango kubantu abane-neuropathy yotywala.

Kubalulekile ukukhusela amalungu omzimba ngokunciphisa imvakalelo ekonzakaleni. Oku kunokubandakanya:

• Ukujonga ubushushu bamanzi okuhlamba ukuthintela ukutsha
• Ukutshintsha izihlangu
• Ukuhlola rhoqo iinyawo kunye nezihlangu ukunciphisa ukonzakala okubangelwa luxinzelelo okanye izinto ezisezihlangu
• Ukugcina iziphelo ukuthintela ukwenzakala koxinzelelo

Utywala kufuneka bumiswe ukuthintela ukuba umonakalo ungabi mandundu. Unyango lotywala lunokubandakanya ukucebisa, inkxaso yezentlalo enje ngeziTywala ezingaziwayo (AA), okanye amayeza.

Ukonakaliswa kwemithambo-luvo evela kwi-neuropathy yotywala kuhlala kusisigxina. Kungenzeka ukuba mandundu ukuba umntu uyaqhubeka nokusebenzisa utywala okanye ukuba iingxaki zesondlo azilungiswa. Utywala lwe-neuropathy akusoloko busongela ubomi, kodwa bunokuchaphazela kakubi umgangatho wobomi.

Tsalela umnxeba kwindibano kunye nomboneleli wakho ukuba uneempawu zokuphazamiseka kwemithambo-luvo.

Olona hlobo kuphela lwendlela yokuthintela i-neuropathy yotywala ayikokusela utywala kakhulu.

Neuropathy - utywala; I-polyneuropathy yotywala

• I-neuropathy yotywala
• Imithambo-luvo yeemoto
• Iimpawu ezizimeleyo
• Inkqubo ye-nervous central kunye ne-peripheral system

Katirji B.Ukuphazamiseka kwemithambo yoluvo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 107.

IKoppel BS. Iziphazamiso ezinxulumene nesondlo kunye notywala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 416.