Doro neuropathy

Doro neuropathy kukuvara kune tsinga dzinoguma nekunyanyisa kunwa doro.

Chikonzero chaicho chechidhakwa neuropathy hachizivikanwe. Zvinogona kunge zvichisanganisira zvese chepfu yakanangana neitsvo nedoro uye mhedzisiro yehutano husina kunaka unobatana nekudhakwa. Kusvika pahafu yenguva refu-inorema vanoshandisa doro vanokudziridza mamiriro aya.

Muzviitiko zvakakomba, tsinga dzinogadzirisa zvemukati memuviri mashandiro (zvionera mitsipa) zvinogona kuve zvinobatanidzwa.

Zviratidzo zveichi chiitiko zvinosanganisira chero cheanotevera:

• Unhu mumaoko nemaoko
• Kunzwa kusanzwisisika, senge "mapini uye tsono"
• Zvinorwadza zvekunzwa mumaoko nemakumbo
• Matambudziko emhasuru, kusanganisira kushaya simba, cramps, aches, kana spasms
• Kusashivirira kwekupisa, kunyanya mushure mekurovedza muviri
• Matambudziko ekumisikidza (kushaya simba)
• Matambudziko kuita weti, kusagadzikana (kuburitsa weti), kunzwa kwekusakwana kwedundira kubvisa, kunetseka kutanga kuita weti
• Kuzvimbirwa kana kuita manyoka
• Nausea, kurutsa
• Zvinetso kumedza kana kutaura
• Kusagadzikana gait (kufamba)

Shanduko musimba remhasuru kana kunzwa kunowanzoitika kumativi ese emuviri uye zvakajairika mumakumbo kupfuura mumaoko. Zviratidzo zvinowanzo kukura zvishoma nezvishoma uye zvichinyanya kukura nekufamba kwenguva.

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve zviratidzo. Kuongorora kwemaziso kunogona kuratidza matambudziko emaziso.

Kunwisa doro kunowanzoita kuti muviri usakwanise kushandisa kana kuchengeta mamwe mavhitaminzi nemamineral. Bvunzo dzeRopa dzinozorairwa kutarisa kushomeka (kushomeka) kwe:

• Thiamine (vitamini B1)
• Pyridoxine (vhitamini B6)
• Pantothenic acid uye biotin
• Vhitamini B12
• Folic acid
• Niacin (vhitamini B3)
• Vhitamini A

Mimwe bvunzo inogona kurairwa kutonga kunze zvimwe zvinokonzeresa zveuropathy. Miedzo inogona kusanganisira:

• Electrolyte mazinga
• Electromyography (EMG) kutarisa hutano hwemhasuru uye tsinga dzinodzora mhasuru
• Chiropa uye itsvo basa bvunzo
• Utachiona hwebasa
• Nhanho dzevhitamini nemaminerari mumuviri
• Tsinga conduction bvunzo kuti uone kumhanya kwemasaini emagetsi kuburikidza nemutsipa
• Tsinga biopsy kubvisa chidimbu chidiki chetsinga kuti chiongororwe
• Kumusoro GI uye mudiki ura akateedzana
• Esophagogastroduodenoscopy (EGD) kuongorora iyo lining yegurokuro, mudumbu, uye chikamu chekutanga chemukati mudumbu
• Voiding cystourethrogram, x-ray yekudzidza chedundira uye urethra

Kana dambudziko redoro rave kugadziriswa, zvinangwa zvekurapa zvinosanganisira:

• Kudzora zviratidzo
• Kukurudzira kugona kushanda zvakazvimiririra
• Kudzivirira kukuvara

Izvo zvakakosha kuti uwedzere chikafu chine mavitamini, kusanganisira thiamine uye folic acid.

Kurapa kwepanyama uye zvigadzirwa zvemapfupa (senge zvimedu) zvinogona kudikanwa kuchengetedza mhasuru mashandiro uye chinzvimbo.

Mishonga inogona kudiwa kuti irape kurwadziwa kana kusagadzikana kusagadzikana. Vanhu vane doro neuropathy vane dambudziko rekushandisa doro. Ivo vanozopihwa iyo diki diki yemushonga inodiwa kudzikisa zviratidzo. Izvi zvinogona kubatsira kudzivirira kutsamira kwezvinodhaka uye mimwe mhedzisiro yekushandisa kusingaperi.

Kumisikidza kana kushandiswa kwemubhedha unochengetera mabutiro kubva pamakumbo zvinogona kubatsira kudzikamisa kurwadziwa.

Vanhu vane hura husina musoro kana dzungu pavanomira (orthostatic hypotension) vangangoda kuyedza akasiyana marapirwo vasati vawana imwe inobudirira kudzora zviratidzo zvavo Mishonga inogona kubatsira inosanganisira:

• Kupfeka kumanikidza masokisi
• Kudya imwe munyu
• Kurara nemusoro wakasimudzwa
• Kushandisa mishonga

Matambudziko edundira anogona kurapwa ne:

• Chinyorwa chirevo cheweti
• Inopindirana catheterization (murume kana mukadzi)
• Mishonga

Kushaya simba, manyoka, kupatira, kana zvimwe zviratidzo zvinorapwa pazvinenge zvichidikanwa. Zviratidzo izvi zvinowanzo pindura zvakashata pakurapwa kune vanhu vane doro reuropathy.

Izvo zvakakosha kuchengetedza nhengo dzemuviri nekudzikisira kunzwa kubva mukukuvara. Izvi zvinogona kusanganisira:

• Kutarisa kudziya kwemvura yekugeza kudzivirira kupisa
• Kuchinja shangu
• Kugara uchiongorora tsoka neshangu kudzikisa kukuvara kunokonzerwa nekumanikidza kana zvinhu zviri mushangu
• Kuchengetedza magumo ekudzivirira kukuvara kubva pakumanikidzwa

Doro rinofanira kumiswa kuitira kudzivirira kukuvara kubva mukuwedzera. Kurapa kwekudhakwa kunogona kusanganisira kuraira, rutsigiro rwemagariro senge Alcoholics Anonymous (AA), kana mishonga.

Kukuvadza kumitsipa kubva kune inodhakwa neuropathy kunowanzo kuve kwechigarire. Izvo zvinogona kuwedzera kana munhu akaramba achinwa doro kana kana matambudziko ezvekudya asina kugadziriswa. Doro neuropathy kazhinji haina kutyisidzira hupenyu, asi inogona kukanganisa hupenyu.

Sheedza musangano pamwe nemupi wako kana iwe uine zviratidzo zvekudhakwa neuropathy.

Nzira chete yekudzivirira kunwa doro neuropathy haisi yekunwa yakawandisa doro.

Neuropathy - chidhakwa; Doro polyneuropathy

• Doro neuropathy
• Mitsipa yemotokari
• Autonomic Mitsipa
• Central nervous system uye yekumusoro tsinga system

Katirji B. Kukanganisika kwemitsipa yekunze. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 107.

Koppel BS. Hutano uye doro-zvine hukama neurologic kusagadzikana. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsuwa 416.