Imetabolic neuropathies

I-metabolic neuropathies kukuphazamiseka kwemithambo-luvo okwenzeka ngezifo eziphazamisa iinkqubo zeekhemikhali emzimbeni

Ukonakala kwamathambo kunokubangelwa zizinto ezininzi ezahlukeneyo. I-metabolic neuropathy inokubangelwa:

• Ingxaki ngokwazi komzimba ukusebenzisa amandla, amaxesha amaninzi ngenxa yokunqongophala kwezakhamzimba ezaneleyo (ukunqongophala kwesondlo)
• Izinto eziyingozi (iityhefu) ezakhayo emzimbeni

Isifo seswekile sesinye sezona zinto zixhaphakileyo kwimetabolic neuropathies. Abantu abasemngciphekweni omkhulu wokonakaliswa kwemithambo-luvo (isifo seswekile seswekile) kwisifo seswekile kubandakanya abo:

• Umonakalo kwizintso okanye emehlweni
• Iswekile yegazi elawulwa kakubi

Ezinye izizathu eziqhelekileyo ze-metabolic neuropathies zibandakanya:

• Ukusetyenziswa kotywala kotywala (i-alcohol alcohol)
• Iswekile esezantsi yegazi (hypoglycemia)
• Ukungaphumeleli kwezintso
• Iimeko ezizuze njengelifa, njenge porphyria
• Usulelo olunzima emzimbeni wonke (sepsis)
• Isifo se-thyroid
• Ukusilela kweVitamin (kubandakanya iivithamini B12, B6, E, kunye neB1)

Ezinye iingxaki zemetabolism zidluliselwa kwiintsapho (ezizuzwe njengelifa), ngelixa ezinye zikhula ngenxa yezifo ezahlukeneyo.

Ezi mpawu zenzeka ngenxa yokuba imithambo-luvo ayinakuthumela imiqondiso efanelekileyo kunye nasengqondweni yakho:

• Ubunzima bokuziva kuyo nayiphi na indawo yomzimba
• Kunzima ukusebenzisa iingalo okanye izandla
• Kunzima ukusebenzisa imilenze okanye iinyawo
• Kunzima ukuhamba
• Ubuhlungu, imvakalelo evuthayo, izikhonkwane kunye neenaliti ukuziva okanye iintlungu zokudubula nakweyiphi na indawo yomzimba (iintlungu zentliziyo)
• Ubuthathaka ebusweni, iingalo, imilenze, okanye ezinye iindawo zomzimba
• I-Dysautonomia, echaphazela inkqubo ye-autonomic (engazibandakanyi) yenkqubo yemithambo-luvo, ekhokelela kwiimpawu ezinje ngesantya sentliziyo esikhawulezayo, ukunganyamezelani, uxinzelelo lwegazi xa umile, ukubila okungaqhelekanga, iingxaki zesisu, ukusebenza ngokungaqhelekanga kwabafundi beliso, kunye nolwakhiwo olubi

Ezi mpawu zihlala ziqala ezinzwaneni nasezinyaweni kwaye inyusa imilenze, ekugqibeleni ichaphazela izandla neengalo.

Umboneleli wakho wezempilo uya kukuvavanya kwaye akubuze malunga neempawu zakho.

Uvavanyo olunoku-odolwa lubandakanya:

• Uvavanyo lwegazi
• Uvavanyo lombane lwezihlunu (i-electromyography okanye i-EMG)
• Uvavanyo lombane lokuqhutywa kwentliziyo
• I-biopsy yamathambo

Uninzi lwee-neuropathies ze-metabolic, olona nyango lulungileyo kukulungisa ingxaki ye-metabolic.

Ukusilela kweVitamin kunyangwa ngokutya okanye ngeevithamini ngomlomo okanye ngenaliti. Inqanaba leswekile yegazi engaqhelekanga okanye umsebenzi we-thyroid unokufuna amayeza ukulungisa ingxaki. Unyango lwe-neuropathy, unyango olungcono kukuyeka ukusela.

Ngamanye amaxesha, iintlungu ziyanyangwa ngamayeza anciphisa imiqondiso yeentlungu ezingaqhelekanga ezivela kwimithambo-luvo. Ngamanye amaxesha, i-lotions, i-creams, okanye ii-patches ezinyangiweyo zinokubonelela ngoncedo.

Ubuthathaka buhlala bunyangwa ngonyango lomzimba. Kuya kufuneka ufunde ukuba ungayisebenzisa njani i-cane okanye i-walker ukuba ibhalansi yakho ichaphazelekayo. Unokufuna ii-brace ezikhethekileyo zokukunceda uhambe ngcono.

La maqela anokubonelela ngolwazi oluthe kratya kwi-neuropathy:

• Isiseko seNeuropathy Action - www.neuropathyaction.org
• Isiseko sePheripherial Neuropathy- www.foundationforpn.org

Imbonakalo ikakhulu ixhomekeke kwisizathu sokuphazamiseka. Ngamanye amaxesha, ingxaki inokunyangwa ngokulula. Ngamanye amaxesha, ingxaki ye-metabolic ayinakulawulwa, kwaye imithambo-luvo inokuqhubeka nokonakala.

Iingxaki ezinokubangela zibandakanya:

• Ukukhubazeka
• Ukwenzakala ngeenyawo
• Ubudenge okanye ubuthathaka
• Intlungu
• Inkathazo yokuhamba kunye nokuwa

Ukugcina indlela yokuphila esempilweni kunokunciphisa umngcipheko we-neuropathy.

• Kuphephe ukusebenzisa utywala ngokugqithisileyo.
• Yitya ukutya okunezondlo.
• Yeka ukutshaya.
• Ndwendwela umboneleli wakho rhoqo ukufumana ukuphazamiseka komzimba ngaphambi kokuba i-neuropathy ikhule.

Ukuba une-neuropathy ezinyaweni zakho, ugqirha wonyawo (podiatrist) angakufundisa ukuba uzihlole njani iinyawo zakho xa unempawu zokulimala kunye nosulelo. Izicathulo ezifanelekileyo ezifanelekileyo zinokunciphisa amathuba okonakala kolusu kwiindawo ezibuthathaka ezinyaweni.

Neuropathy - imetabolism

• Inkqubo ye-nervous central kunye ne-peripheral system
• Imisipha yangaphandle yangaphandle
• Izihlunu zangaphakathi ezinzulu

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UPatterson MC, uPercy AK. Umda we-peripheral neuropathy kwisifo se-metabolic. Ku: Darras BT, Jones HR, Ryan MM, De Vivo DC, ii-eds. Ukuphazamiseka kwi-Neuromuscular of Childhood, Ubuntwana, kunye nokufikisa. Ngomhla wesi-2. I-Waltham, MA: I-Elsevier yezeMfundo; 2015: isahluko 19.

URalph JW, uAminoff MJ. Iingxaki ze-Neuromuscular zokuphazamiseka kwezonyango ngokubanzi. Ku: Aminoff MJ, Josephson SA, ii-eds. I-Aminoff's Neurology kunye noNyango Jikelele. Umhla we-5. I-Waltham, MA: I-Elsevier yezeMfundo; 2014: isahluko 59.

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