Metabolic neuropathies

Metabolic neuropathies kusagadzikana kwetsinga kunoitika nezvirwere zvinokanganisa maitiro emakemikari mumuviri

Tsinga kukuvara kunogona kukonzerwa nezvinhu zvakawanda zvakasiyana. Metabolic neuropathy inogona kukonzerwa ne:

• Dambudziko nekugona kwemuviri kushandisa simba, kazhinji nekuda kwekushaikwa kwezvakakwana zvinovaka muviri (kushomeka kwehutano)
• Zvinhu zvine njodzi (chepfu) inovaka mumuviri

Chirwere cheshuga ndechimwe chezvakanyanya kukonzera metabolic neuropathies. Vanhu vari panjodzi yepamusoro yekukuvara kwetsinga (chirwere cheshuga neuropathy) kubva kuchirwere cheshuga vanosanganisira avo vane:

• Kukuvadza kune itsvo kana maziso
• Yakashata inodzorwa shuga yeropa

Zvimwe zvinowanzoitika zvinokonzera metabolic neuropathies zvinosanganisira:

• Doro kushandisa kusagadzikana (doro neuropathy)
• Shuga shoma yeropa (hypoglycemia)
• Itsvo kutadza
• Mamiriro ezvinhu enhaka, senge porphyria
• Utachiona hwakanyanya mumuviri wese (sepsis)
• Utachiona chirwere
• Vitamin kushomeka (kusanganisira mavitamini B12, B6, E, uye B1)

Zvimwe zvinokanganisa metabolic zvinopfuudzwa kuburikidza nemhuri (nhaka), nepo zvimwe zvichikura nekuda kwezvirwere zvakasiyana siyana.

Zviratidzo izvi zvinoitika nekuti tsinga hadzigone kutumira masaini akakodzera kuenda uye kubva kuuropi hwako:

• Kunetseka kunzwa mune chero nzvimbo yemuviri
• Zvakaoma kushandisa maoko kana maoko
• Zvakaoma kushandisa makumbo kana tsoka
• Kunetsa kufamba
• Marwadzo, kupisa kunzwa, pini uye tsono kunzwa kana kupfura marwadzo munzvimbo ipi neipi yemuviri (kurwadziwa kweshungu)
• Kushaya simba kumeso, maoko, makumbo, kana zvimwewo zvikamu zvemuviri
• Dysautonomia, iyo inokanganisa kuzvitonga (kusazvipira) kwehurongwa hwemitsipa, zvichikonzera zviratidzo sekumhanyisa kwemoyo, kurovera muviri, kushomeka kweropa paumire, ziya dikita maitiro, matambudziko emudumbu, kushanda zvisina kujairika kwevadzidzi veziso, uye kusamira zvakanaka

Zviratidzo izvi zvinowanzotanga muzvigunwe netsoka uye zvinokwira kumusoro makumbo, zvichizopedzisira zvave kukanganisa maoko nemaoko.

Anokupa hutano anozokuongorora obvunza nezvezviratidzo zvako.

Miedzo inogona kurairwa inosanganisira:

• Kuongororwa kweropa
• Magetsi bvunzo yemhasuru (electromyography kana EMG)
• Magetsi bvunzo yetsinga conduction
• Tsinga dzemaviri biopsy

Kune mazhinji metabolic neuropathies, kurapwa kwakanyanya kugadzirisa dambudziko remetabolic.

Vitamin kushomeka kunorapwa nekudya kana nemavitamini nemuromo kana nejekiseni. Chikamu chisina kujairika cheshuga muropa kana thyroid basa chingangoda mishonga kugadzirisa dambudziko. Kune inodhakwa neuropathy, kurapa kwakanyanya kuregera kunwa.

Mune zvimwe zviitiko, kurwadziwa kunorapwa nemishonga inoderedza marwadzo asina kujairika kubva kumitsipa. Mune zvimwe zviitiko, mafuta ekuzora, kana marashi ane mishonga anogona kupa zororo.

Kushaya simba kunowanzo kurapwa nehutano hwepanyama. Iwe ungangoda kudzidza kudzidzira kushandisa tsvimbo kana kufamba kana bhalanzi rako rakakanganiswa. Iwe unogona kuda akakosha mabhureki mabhureki kuti akubatsire iwe kufamba zviri nani.

Aya mapoka anogona kupa rumwe ruzivo nezve neuropathy:

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

Maonero acho anoenderana zvakanyanya nechakakonzera kusagadzikana. Mune zvimwe zviitiko, dambudziko rinogona kurapwa nyore. Mune zvimwe zviitiko, dambudziko remagetsi harigone kudzorwa, uye tsinga dzinogona kuramba dzichikuvara.

Matambudziko anogona kuguma anosanganisira:

• Kuremara
• Kukuvara kutsoka
• Unhu kana kushaya simba
• Kurwadziwa
• Kunetseka kufamba uye kudonha

Kuchengetedza mararamiro ane hutano kunogona kudzora njodzi yeuropathy.

• Dzivisa kunyanya kushandisa doro.
• Idya kudya kwakaringana.
• Regedza kusvuta.
• Shanyira wako mupi wenguva dzose kuti uwane kusagadzikana kwemetabolism neuropathy isati yakura.

Kana iwe uine neuropathy mutsoka dzako, chiremba anetsoka (podiatrist) anogona kukudzidzisa maitiro ako ekuongorora tsoka dzako kuona zviratidzo zvekukuvara uye hutachiona. Shangu dzakakodzera dzinokodzera dzinogona kudzikisira mukana wekuparara kweganda munzvimbo dzinotsika dzetsoka.

Neuropathy - metabolic

• Central nervous system uye yekumusoro tsinga system
• Mashura epamberi epamusoro
• Yakadzika anterior mhasuru

Dhawan PS, Goodman BP. Neurologic kuratidzwa kwehutano hwehutano. Mune: Aminoff MJ, Josephson SA, eds. Aminoff's Neurology uye General Medicine. 5 ed. Waltham, MA: Elsevier Dzidzo Press; 2014: chits.

Patterson MC, Percy AK. Peripheral neuropathy mune yakagamuchirwa metabolic chirwere. Mune: Darras BT, Jones HR, Ryan MM, De Vivo DC, eds. Neuromuscular Dambudziko reUcheche, Udiki, uye Kuyaruka. 2nd ed. Waltham, MA: Elsevier Dzidzo Press; 2015: chits. 19.

Ralph JW, Aminoff MJ. Neuromuscular matambudziko ezvinetso zvekurapa. Mune: Aminoff MJ, Josephson SA, eds. Aminoff's Neurology uye General Medicine. 5 ed. Waltham, MA: Elsevier Dzidzo Press; 2014: chits. 59.

Smith G, Anonyara INI. Peripheral neuropathies. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 392.