Sensorimotor polyneuropathy

Sensorimotor polyneuropathy chiitiko chinokonzeresa kudzikira kwesimba rekufamba kana kunzwa (kunzwa) nekuda kwekukuvara kwetsinga.

Neuropathy zvinoreva chirwere che, kana kukuvara kwemitsipa. Kana zvikaitika kunze kwenzvimbo yepakati yenzira (CNS), ndiko kuti, huropi uye musana, inonzi peripheral neuropathy. Mononeuropathy inoreva kuti tsinga imwe inobatanidzwa. Polyneuropathy inoreva kuti tsinga dzakawanda munzvimbo dzakasiyana dzemuviri dzinobatanidzwa.

Neuropathy inogona kukanganisa tsinga dzinopa kunzwa (sensory neuropathy) kana kukonzera kufamba (mota neuropathy). Iyo inogona zvakare kukanganisa ese ari maviri, mune iyo mamiriro iyo inonzi sensorimotor neuropathy.

Sensorimotor polyneuropathy chiitiko chemuviri (systemic) chinokuvadza maseru etsinga, tsinga dzemagetsi (axon), uye kufukidza tsinga (myelin sheath). Kukuvara kwekuvharwa kwenzara yesero kunokonzeresa kuti tsinga dzinonoka kana kumira. Kukuvara kweiyo nerve fiber kana iyo yese tsinga maseru kunogona kuita kuti tsinga imire kushanda. Mamwe mauropathies anokura pamusoro pemakore, nepo mamwe anogona kutanga nekukura mukati memaawa kusvika mazuva.

Kukuvara kwemutsipa kunogona kukonzerwa ne:

• Autoimmune (kana muviri uchizvirwisa pachawo) kusagadzikana
• Mamiriro ezvinhu anoisa kumanikidza pamitsipa
• Kuderera kweropa kuyerera kune nerve
• Zvirwere zvinoparadza guruu (inobatanidza nyama) inobata maseru nematukisi pamwechete
• Kuzvimba (kuzvimba) kwetsinga

Zvimwe zvirwere zvinotungamira kune polyneuropathy iyo inonyanya kunzwa kana kunyanya mota. Zvimwe zvinogona kukonzera sensorimotor polyneuropathy zvinosanganisira:

• Doro neuropathy
• Amyloid polyneuropathy
• Autoimmune kusagadzikana, senge Sjögren syndrome
• Kenza (inonzi paraneoplastic neuropathy)
• Yenguva refu (isingaperi) inokanganisa neuropathy
• Chirwere cheshuga neuropathy
• Neuropathy inosangana nezvinodhaka, kusanganisira chemotherapy
• Guillain-Barré chirwere
• Nhaka yeuropathy
• HIV / AIDS
  
• Utachiona hwakaderera
  
• Parkinson chirwere
  
• Vitamin kushomeka (mavitamini B12, B1, uye E)
• Zika hutachiona hutachiona

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kupera kwekunzwa mune chero nzvimbo yemuviri
• Zvakaoma kumedza kana kufema
• Zvakaoma kushandisa maoko kana maoko
• Zvakaoma kushandisa makumbo kana tsoka
• Kunetsa kufamba
• Marwadzo, kupisa, kurira, kana kunzwa kusanzwisisika mune chero nzvimbo yemuviri (inonzi neuralgia)
• Kushaya simba kwechiso, maoko, kana makumbo, kana chero nzvimbo yemuviri
• Dzimwe nguva kudonha nekuda kwekushaikwa kwechiyero uye kusanzwa pasi petsoka dzako

Zviratidzo zvinogona kukura nekukurumidza (senge kuGuillain-Barre syndrome) kana zvishoma nezvishoma kwemavhiki kusvika kumakore. Zviratidzo zvinowanzoitika kumativi ese emuviri. Kazhinji kazhinji, ivo vanotanga kumagumo ezvigunwe kutanga.

Anopa hutano anozokuongorora obvunza nezve zviratidzo zvako. Bvunzo inogona kuratidza:

• Kuderera kwekunzwa (kunogona kukanganisa kubata, kurwadziwa, kudengenyeka, kana kumira kwekunzwa)
• Kupera kwekufungisisa (kazhinji kacho ankle)
• Tsvina atrophy
• Tsvina dzinokakama
• Tsvina kushaya simba
• Kuoma mitezo

Miedzo inogona kusanganisira:

• Biopsy yemitsipa yakakanganiswa
• Kuongororwa kweropa
• Magetsi bvunzo yemhasuru (EMG)
• Magetsi bvunzo yetsinga conduction
• X-ray kana imwe bvunzo yekufungidzira, senge MRI

Zvinangwa zvekurapa zvinosanganisira:

• Kuwana chikonzero
• Kudzora zviratidzo
• Kukurudzira kuzvitarisira kwemunhu uye kuzvimiririra

Zvichienderana nechakakonzera, kurapwa kunogona kusanganisira:

• Kuchinja mishonga, kana iri kukonzera dambudziko
• Kudzora huwandu hweshuga yeropa, kana iyo neuropathy ichibva kuchirwere cheshuga
• Kwete kunwa doro
• Kutora zvekudya zvinovaka muviri zvezuva nezuva
• Mishonga yekurapa iyo yakakonzera iyo polyneuropathy

KUKURUDZIRA KUZVIGWARIRA UYE KUZVISUNGIRA

• Exercises uye kudzidzisazve kuti kuwedzere mashandiro emitsipa yakakanganiswa
• Jobho (yekosi) kurapa
• Kurapa pabasa
• Orthopedic mishonga
• Kurapa kwepanyama
• Mawiricheya, brace, kana zvimedu

KUDZORA ZVIRATIDZO

Kuchengetedza kwakakosha kune vanhu vane neuropathy. Kusava nemhasuru kudzora uye kudzikira kwekunzwa kunogona kuwedzera njodzi yekudonha kana zvimwe kukuvara.

Kana iwe uine dambudziko rekufamba, matanho aya anogona kubatsira kukuchengetedza iwe:

• Siya marambi akabatidzwa.
• Bvisa zvipingamupinyi (zvakadai sematagi akasununguka anogona kutsvedza pasi).
• Kwayedza tembiricha yemvura usati washamba.
• Shandisa njanji.
• Pfeka shangu dzinodzivirira (senge dziya dzine zvigunwe zvakavharwa uye zvitsitsinho zvakaderera).
• Pfeka shangu dzine tsoka dzinotsvedza.

Mamwe matipi anosanganisira:

• Tarisa tsoka dzako (kana imwe nzvimbo yakakanganisika) zuva nezuva kuti uwane maronda, nzvimbo dzakavhurika dzeganda, kana zvimwe zvinokuvadza, izvo zvaungasazviona uye zvinogona kutapukirwa.
• Tarisa mukati mehombodo kazhinji kuti uwane grit kana nzvimbo dzakashata dzinogona kukuvadza tsoka dzako.
• Shanyira chiremba wetsoka (podiatrist) kuti uongorore uye udzikise njodzi yekukuvara kutsoka dzako.
• Dzivisa kusendamira pamaoko ako, kuyambuka mabvi ako, kana kuve mune dzimwe nzvimbo dzinoisa kumanikidza kwenguva yakareba pane dzimwe nzvimbo dzemuviri.

Mishonga inoshandiswa kurapa iyi mamiriro:

• Over-the-counter uye mushonga wekurapa unodzora kudzikamisa marwadzo ekubaya (neuralgia)
• Anticonvulsants kana mishonga yekudzvinyirira
• Mafuta, mafuta, kana mishonga ine mishonga

Shandisa mushonga wekurwadziwa chete pazvinenge zvakakodzera. Kuchengeta muviri wako munzvimbo yakakodzera kana kuchengeta machira emubhedha kubva pane nyoro chikamu chemuviri kunogona kubatsira kudzora kurwadziwa.

Aya mapoka anogona kupa rumwe ruzivo nezve neuropathy.

• Neuropathy Action Foundation - www.neuropathyaction.org
• Iyo Foundation yePeripherial Neuropathy - www.foundationforpn.org

Mune zvimwe zviitiko, iwe unogona kupora zvizere kubva paheripheral neuropathy kana mupi wako akagona kuwana chikonzero uye achibudirira kuchirapa, uye kana kukanganisa kwacho kusinga gunze iyo yese nerve sero.

Huwandu hwehurema hunosiyana. Vamwe vanhu havana urema. Vamwe vane kukwana kana kukwana kurasikirwa kwekufamba, basa, kana kunzwa. Kushungurudzika kwemitsipa kunogona kusagadzikana uye kunogona kugara kwenguva refu.

Mune zvimwe zviitiko, sensorimotor polyneuropathy inokonzeresa, kutyisidzira hupenyu zviratidzo.

Matambudziko anogona kuguma anosanganisira:

• Kuremara
• Kukuvara kumakumbo (kunokonzerwa neshangu dzakaipa kana mvura inopisa kana uchipinda mubhavhu)
• Unhu
• Kurwadziwa
• Kunetseka kufamba
• Kushaya simba
• Kunetseka kufema kana kumedza (mune zvakakomba zviitiko)
• Kuwa nekuda kwekushaikwa kwechiyero

Fonera mupiki wako kana iwe uine kurasikirwa kwekufamba kana kunzwa mune chimwe chikamu chemuviri wako. Kutanga kuongororwa uye kurapwa kunowedzera mukana wekudzora zviratidzo.

Polyneuropathy - sensorimotor

• Central nervous system uye yekumusoro tsinga system
• Kutya system

Craig A, Richardson JK, Ayyangar R. Kugadziriswa kwevarwere vane neuropathies. Mune: Cifu DX, ed. Braddom's Panyama Mushonga & Rehabilitation. 5 ed. Philadelphia, PA: Elsevier; 2016: chits. 41.

Endrizzi SA, Rathmell JP, Hurley RW. Zvinorwadza zvenguva neuropathies. Mune: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Zvakakosha zvePain Mushonga. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 32.

Katitji 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.