Ukuthintela kunye nokuNyanga i-Peripheral Neuropathy: Indlela ePhambili

Ezinye iziphazamiso ze-neurological zingabangela iziqephu ezibukhali ze-peripheral neuropathy, kwaye kubantu abafunyanwe ukuba bane-peripheral neuropathy engapheliyo, ngaba unyango lomzimba lunokunceda ukuphucula ukukwazi ukuhambahamba ngokukhuselekileyo kunye namayeza, iinkqubo, kunye nohlengahlengiso lokuphila ukunceda ukulawula nokulawula iimpawu?

Unyango lwe-Peripheral Neuropathy

Unyango lwe-peripheral neuropathy lubandakanya unyango lweempawu kunye nolawulo lwezonyango ukunceda ukuthintela ukonakaliswa kwemithambo-luvo.

• Kwiintlobo ezinzima ze-peripheral neuropathy, ukungenelela kwezonyango kunye nonyango kunokunyanga inkqubo ephantsi, ukuphucula imeko.
• Kwiintlobo ezingapheliyo ze-peripheral neuropathy, ukungenelela kwezonyango kunye neendlela zokuphila zinokunceda ukuthintela ukuqhubela phambili kwemeko.
• Unyango olungapheliyo lwe-peripheral neuropathy lugxile ekulawulweni kweempawu zentlungu kunye nokukhusela iindawo ezinciphayo zokuziva kumonakalo okanye usulelo.

Ukuzikhathalela kunye noLungiso lwendlela yokuphila

Kubantu abafunyaniswe ukuba bane-peripheral neuropathy okanye abasemngciphekweni wokuphuhla le meko, iindlela zokuphila zidlala indima ebalulekileyo ekulawuleni iimpawu kunye nokuthintela umonakalo wemithambo-luvo ukuba ungabi mandundu kwaye unokuthintela imeko ekuphuhliseni. (UJonathan Enders et al., 2023)

Ulawulo lwezinhlungu

Abantu ngabanye banokuzama ezi zonyango zokuzikhathalela kwaye babone ukuba kwaye yintoni enokunceda ukunciphisa ukungonwabi kwabo kwaye baphuhlise indlela abanokuthi basebenze ngayo. Ukuzikhathalela ngokwakho kwiimpawu zentlungu kubandakanya:

• Ukubeka indawo yokufudumala efudumeleyo kwiindawo ezibuhlungu.
• Ukubeka i-pad yokupholisa (kungekhona umkhenkce) kwiindawo ezibuhlungu.
• Ukugubungela indawo okanye ukuyishiya ingabonakali, kuxhomekeke kumanqanaba okuthuthuzela.
• Nxiba iimpahla ezikhululekileyo, iikawusi, izihlangu, kunye/okanye iiglavu ezingenziwanga ngezinto ezinokubangela ukucaphuka.
• Kuphephe ukusebenzisa izinto zokuthambisa okanye iisepha ezinokubangela ukucaphuka.
• Sebenzisa i-creams okanye lotions.
• Ukugcina iindawo ezibuhlungu zicocekile.

Ukuthintela Ukwenzakala

Ukuncipha kwemvakalelo yenye yezona ziphumo zixhaphakileyo ezinokukhokelela kwiingxaki ezifana nokukhubeka, ubunzima bokujikeleza, kunye nokwenzakala. Ukuthintela kunye nokujonga rhoqo umonzakalo kunokunceda ukuphepha iingxaki ezifana namanxeba abosulelekileyo. (UNadja Klafke et al., 2023) Uhlengahlengiso lwendlela yokuphila ukulawula nokuthintela ukulimala kubandakanya:

• Nxiba izihlangu ezifakwe kakuhle kunye neekawusi.
• Hlola iinyawo, iinzwane, iminwe nezandla rhoqo ukujonga amanxeba okanye amanxeba ekusenokwenzeka ukuba awuvakalanga.
• Coca kwaye ugqume amanxeba ukuphepha usulelo.
• Sebenzisa inkathalo eyongezelelweyo ngezixhobo ezibukhali ezifana nokupheka kunye nomsebenzi okanye izixhobo zasegadini.

Ulawulo lwezifo

Imiba yokuphila inokunceda ukukhusela ukuqhubela phambili kwesifo kwaye ihambelana ngokusondeleyo nemingcipheko kunye nezizathu ezisisiseko. Ukunceda ukuthintela i-peripheral neuropathy okanye ukuqhubela phambili kwayo kunokwenziwa: (UJonathan Enders et al., 2023)

• Gcina amanqanaba eglucose esempilweni ukuba unesifo seswekile.
• Gwema utywala kuyo nayiphi na i-peripheral neuropathy.
• Gcina ukutya okunokulinganisela, okunokubandakanya izongezelelo zevithamini, ngakumbi kubantu abatya imifuno okanye imifuno.

Unyango olungaphaya kwe-Counter

Iindlela ezimbalwa zonyango zinokunceda kwiimpawu ezibuhlungu kwaye zinokuthathwa njengoko zifuneka. Unyango lweentlungu ezingaphaya kwe-counter ziquka: (UMichael Überall et al., 2022)

• I-topical lidocaine spray, i-patch, okanye i-creams.
• I-Capsaicin creams okanye iipatches.
• Umxholo Umkhenkce oshushu
• Amachiza achasene ne-steroidal anti-inflammatory - Advil/ibuprofen okanye iAleve/naproxen
• Tylenol/acetaminophen

Olu nyango lunokunceda ukukhulula iimpawu ezibuhlungu ze-peripheral neuropathy, kodwa azincedi ekuphuculeni imvakalelo eyanciphayo, ubuthathaka, okanye iingxaki zokulungelelanisa. (UJonathan Enders et al., 2023)

Amayeza kagqirha

Unyango olumiselweyo lokunyanga i-peripheral neuropathy lubandakanya amayeza eentlungu kunye ne-anti-inflammatories. Iintlobo ezingapheliyo ze-peripheral neuropathy ziquka:

• I-Alcohol neuropathy
• I-diabetes neuropathy
• I-Chemotherapy-induced neuropathy

Unyango olumiselweyo lweentlobo ezingapheliyo luyahluka kunyango lweentlobo ezibukhali ze-peripheral neuropathy.

Ulawulo lwezinhlungu

Unyango olumiselweyo lunokunceda ukulawula intlungu kunye nokungonwabi. Amayeza aquka (UMichael Überall et al., 2022)

• Lyrica - pregabalin
• Neurontin - gabapentin
• Elavil - amitriptyline
• Effexor – venlafaxine
• Cymbalta – duloxetine
• Kwiimeko ezinzima, i-intravenous/IV lidocaine ingayimfuneko. (USanja Horvat et al., 2022)

Ngamanye amaxesha, isongezelelo samandla kagqirha okanye i-vitamin B12 enikezelwa ngokutofa inokunceda ukuthintela ukuqhubela phambili xa i-peripheral neuropathy inxulumene nokunqongophala okukhulu kwevithamini. Unyango olumiselweyo lunokunceda ukunyanga inkqubo esisiseko kwezinye iindidi ze-acute peripheral neuropathy. Unyango lwe-acute peripheral neuropathy, efana ne-Miller-Fisher syndrome okanye i-Guillain-Barré syndrome, inokubandakanya:

• Corticosteroids
• I-Immunoglobulins - iiprotheni ze-immune system
• I-Plasmapheresis yinkqubo esusa inxalenye yolwelo yegazi, ibuyisela iiseli zegazi, eziguqula ukusebenza ngokugqithiseleyo kwamajoni omzimba. (USanja Horvat et al., 2022)
• Abaphandi bakholelwa ukuba kukho unxibelelwano phakathi kwezi meko kunye nokudumba umonakalo wesondlo, kunye nokuguqula amajoni omzimba kunenzuzo ekunyangeni iimpawu kunye nesifo esisisiseko.

Ukuhlinzwa

Kwezinye iimeko, iinkqubo zotyando zinokunceda abantu abaneentlobo ezithile ze-peripheral neuropathy. Xa enye imeko ikhulisa iimpawu okanye inkqubo ye-peripheral neuropathy, utyando lunokunceda ukukhulula iimpawu kunye nokuthintela ukuqhubela phambili kwesifo. Oku kuye kwabonakala kusebenza xa i-nerve entrapment okanye ukusilela kwemithambo zizinto. (Wenqiang Yang et al., 2016)

Unyango olongezelelweyo nolunye

Ezinye iindlela ezincedisayo nezizezinye zinokunceda abantu bajamelane neentlungu kunye nokungonwabi. Olu nyango lunokusebenza njengokhetho oluqhubekayo kwabo bane-peripheral neuropathy engapheliyo. Ukhetho lungabandakanya: (UNadja Klafke et al., 2023)

• I-acupuncture ibandakanya ukubekwa kweenaliti kwiindawo ezithile zomzimba ukunceda ukunciphisa iimpawu zentlungu.
• I-Acupressure ibandakanya ukufaka uxinzelelo kwiindawo ezithile zomzimba ukunceda ukunciphisa iimpawu zentlungu.
• Unyango lwe-massage lunokunceda ukukhulula uxinzelelo lwemisipha.
• Ukucamngca kunye nonyango lokuphumla lunokunceda ukulawula iimpawu.
• Unyango ngokwasemzimbeni lusenokusebenza njengenxalenye ebalulekileyo yokuphila ne-peripheral neuropathy engapheliyo kunye nokuchacha kwi-acute peripheral neuropathy.
• Unyango lomzimba lunokunceda ukomeleza izihlunu ezibuthathaka, ukuphucula ulungelelwaniso, kwaye ufunde ukuziqhelanisa notshintsho lweemvakalelo kunye neemoto ukuhamba ngokukhuselekileyo.

Abantu abacinga ngonyango lokuncedisana okanye olulolunye bayakhuthazwa ukuba bathethe nomboneleli wabo wezempilo ukuze baqinisekise ukuba ngaba ikhuselekile na kwimeko yabo. I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo womntu kunye / okanye iingcali ukuphuhlisa isisombululo esifanelekileyo sonyango lwezempilo kunye nempilo ukubonelela intlungu kunye nokuphucula umgangatho wobomi.

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I-Peripheral Neuropathy: Ibali eliPhumelelayo lokuBuyisa kwakhona

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Ucaphulo

Enders, J., Elliott, D., & Wright, DE (2023). Ungenelelo olusakhulayo lwe-Nonpharmacologic lokuNyanga i-Diabetic Peripheral Neuropathy. I-Antioxidants kunye nokubonakaliswa kwe-redox, i-38 (13-15), i-989-1000. doi.org/10.1089/ars.2022.0158

Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , ... Stolz, R. (2023). UThintelo kunye noNyango lwe-Chemotherapy-Induced Peripheral Neuropathy (CIPN) kunye ne-Non-Pharmacological Interventions: Iingcebiso zeklinikhi ezivela kwiNkqubo yokuHlola iNkqubo kunye neNkqubo yeNgcali yokuVumelana. Inzululwazi yezoNyango (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015

Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Isifo seswekile esibuhlungu se-peripheral neuropathy: uthelekiso lwehlabathi lokwenyani phakathi konyango lwe-topical kunye ne-lidocaine 700 mg udaka lwe-medicated kunye nonyango lomlomo. I-BMJ ivula uphando lwesifo sikashukela kunye nokunyamekela, i-10 (6), e003062. doi.org/10.1136/bmjdrc-2022-003062

Horvat, S., Staffhorst, B., & Cobben, JMG (2022). I-Lidocaine ye-Intravenous yoNyango lwentlungu engapheliyo: i-Retrospective Cohort Study. Ijenali yophando lwentlungu, i-15, i-3459-3467. doi.org/10.2147/JPR.S379208

Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Uncedo lweentlungu kunye nokuPhuculwa koMgangatho woBomi oNxulumene neMpilo emva koKuthotywa kweMicrosurgical yeNerves eziBanjelwe ePeripheral kwiZigulana ezinePainful Diabetic Peripheral Neuropathy. Ijenali yotyando lweenyawo kunye ne-ankle: upapasho olusemthethweni lweKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons, i-55 (6), i-1185-1189. doi.org/10.1053/j.jfas.2016.07.004