Pasinei zvose zviri zvirwere zvepfungwa, pane 4 maonero makuru
Iko kune marudzi anopfuura zana emhirizhonga yeuropathy, maererano neNational Institute of Neurological Disorders uye Stroke, uye inorongwa maererano nemhando yehutachiona hunokanganisa iyo inokonzera.
Semuenzaniso, mamwe maitiro europathies anokanganisa nharo imwe chete (inonzi mononeuropathies) asi dzimwe inobata maitiro akawanda (anonzi polyneuropathies). Mukuwedzera, mamwe maitiro europathies anokonzerwa nekukuvadzwa kwehutano hwemitsipa asi dzimwe dzinokonzerwa nekukuvadza kune myelin sheath (uye vamwe vose).
Nepo chirwere chepurogiramu chinonzi neuropathy chinosanganisira zviratidzo zvishoma zvinowanzoonekwa ne multiple sclerosis (MS), sekurwadziwa uye kunzwa kusina kujairika, zvakakosha kunzwisisa izvi zvirwere zvakasiyana zvakasiyana.
Ngatinyatsoongororei kusiyana kwechina kwakakosha pakati pechirwere cheuropathy ne multiple sclerosis.
Kusiyana # 1: Peripheral Nervous System Inoshandisa Central Central Nervous System
Peripheral Neuropathy
Purophraal neuropathy inoreva kukanganiswa kwehutano kunosanganisira purogiramu yeropa, iyo iyo mitsetse kunze kweuropi uye musipinha. Iyo yakakonzerwa nehutachiona hunoita kusagadzikana uye inokonzera kusagadzikana kwekunzwa, kurwadziwa, uye kupera. Aya manzwiro asina kufanana akawanda anowanzobata maziso, makumbo makumbo, nemaoko. Utsi hwakasimba hunogonawo kuitika kune vanhu vane chirwere chakakomba kana chenguva refu chakakanganiswa neuropathy.
Multiple Sclerosis
Kusiyana nehutachiona hweuropathy, MS inokanganisa hutachiona hwehurumende, iyo inoumbwa neuropi, maziso e-optic, uye spinal cord.
Mitsipa iri mukati yenheyo inoshandiswa inogadzirisa kukanganisa kwemazuva, iyo inovhiringidza kukwanisa kwavo kukurukura nehutachiona hwehutachiona hwehurongwa. Izvi zvinogona kukonzera kukanganisa kusingawanisi, kurwadziwa, uye kupera kusinganzwisisiki kubva kune izvo zvinokonzerwa neropa reuropathy.
Utsi hwakasimba hunowanzotanga neMS.
Ichokwadi, kushaya simba kunowedzera kakawanda uye nekuoma kwakanyanya kudarika kazhinji kunowanikwa munharaunda yeuropathy.
Kusiyana # 2: Zvinokonzera Zvinokonzera
Peripheral Neuropathy
Peripheral neuropathy inobatanidza boka rekushungurudzika nezvimwe zvinokonzera zvinokonzera. Kunyange zvazvo chirwere cheshuga chiri chikonzero chinowanzokonzera chirwere chepfungwa pakati pevanhu vokuAmerica, mamwe mimwe mamiriro ezvinhu ehutano angave akadaro. Mimwe mienzaniso inosanganisira:
- Chirwere chisingaperi chepfungwa
- Hypothyroidism
- Zvimwe zvirwere zvinokonzerwa nemagetsi (semuenzaniso, systemic lupus erythematosus kana rheumatoid arthritis)
- HIV utachiona
- Herpes simplex virus infection
- Inotyisa, dzakadai sekutungamirira, mercury, uye kunwisa doro zvakanyanya
- Kushungurudzika kwehutano hunokonzerwa nekukuvara
- Doro rinoshatiswa
- Mamwe mishonga (somuenzaniso, mamwe mishonga yeHIV uye chemotherapies)
Multiple Sclerosis
Nepo kune marudzi akawanda ehutachiona hwehutachiona hwehutachiona, kune mavara mana chete eMS, anewo anowanzova kudzorerazve-kurega MS (RRMS). MuRRMS, zvipembenene zvinowanikwa muuropi nemutsara wemutsva, zvichiguma nekuputika. Izvi zvinokonzerwa nemusikirwo wemunhu unorwisa hutu hwemyelin hwevamwe mitsipa.
Kusiyana # 3: Kuongororwa
Peripheral Neuropathy
Kugadzirisa chinokonzera zviratidzo zvako uye kugadzirisa hutano kunotanga nehuwandu hwehutano hwezvakaitika, kusanganisira kuongorora nekuchenjerera kwezviratidzo zvose zvawave uchiona.
Izvi zvinotevera zvakanyatsojeka uye kuongorora kwakakwana kwepfungwa dzepfungwa.
Zvichienderana nemigumisiro yekuongororwa kwepakutanga, kana chiremba wako achifungidzira chirwere chepurogiramu chepachiviri, anogona kukurudzirazve kuongororwa kunogona kusanganisira basa reropa, MRI, uye / kana nerve test, se electromyography (EMG) uye / kana nerve conduction velocity (NCV) muedzo.
Multiple Sclerosis
Nokuda kwekuongororwa kweMS, chiremba wako achagadzirisawo MRI, uye anogona kuita chikwata chekudzivirira . Basa reropa rinowanzoitwa kuitira kutonga kunze kwemamiriro ezvinhu ehutano anokwanisa kutevedzera iyo ye MS.
Kusiyana # 4: Kurapa
Peripheral Neuropathy
Kana imwe chirwere ichi chikaitwa, iwe nachiremba wako vachashanda pamwe chete pane chirongwa chekurapa.
Kana uchirapa chirwere chepuropathy, chiremba wako achafunga nezvechikonzero chinokonzera. Somuenzaniso, kana chirwere cheshuga chiri chigumbu, zvino kuwana shuga yako yeropa pasi pesimba ndiyo chinangwa chikuru.
Kana mishonga kana tsvina iri kukonzera kudivika kwebato, kubvisa kana kumira mugadziri anokanganisa (kana zvichibvira) zvakakosha.
Nhau dzakanaka ndeyokuti nerve yeganda muhutachiona hwehutachiona hunogona kudzoka, saka kugadzirisa mamiriro ezvinhu akaoma anogona kuvandudza (kunyange kuporesa, pane dzimwe nguva) munhu ane chirwere chepurogiramu yeuropathy.
Nokurwadziwa kwakanyanya kweropa reuropathy, chiremba wako anogona kukurudzira imwe kana kupfuura emishonga inotevera:
- Nonsteroidal anti-inflammatories (NSAIDs)
- Zvimwe zvinotapukisa zvakadai saElavil (amitriptyline) kana Cymbalta (duloxetine)
- Vamwe anticonvulsants vakaita seLyrica (pregabalin) kana Neurontin (gabapentin)
- Mishonga yemasipirini yakadai setipiodic lidocaine kana capsaicin
- Tapentadol (chete nokuda kweshuga yeuropathy)
Kunze kwemishonga, mamwe marwadzo-kuderedza mishonga inogona kurairwa, inosanganisira:
- Transcutaneous magetsi nerve stimulation (TENS)
- Mishonga inobatanidza yakafanana nekugadziriswa kana kuchenesa
- Maitiro emararamiro (somuenzaniso, kusvuta kusvuta, kurovedza muviri, uye kugara uchichengetedza tsoka kana une chirwere cheshuga)
- Kuvhiya-kune dzimwe nzira dzeuropathy dzinosangana neuropathies umo musungo mumwe chete unomanikidzwa (somuenzaniso, carpal tunnel syndrome)
Multiple Sclerosis
Mushonga we multiple multiple sclerosis iviri, iyo inosanganisira mishonga inoshandura zvirwere (kurwisana nekuputika kweSMS) nemishonga yekubatsira munhu kutarisira zviratidzo zvavo zvakasiyana.
Nokuda kwekunzwa kusinganzwisisiki muSMS, chiremba wako anogona kukurudzira imwe yemishonga imwechete iyo inoshandiswa kurapa kusagadzikana muhutachiona hweuropathy seCymbalta (duloxetine) kana Neurontin (gabapentin).
Kana yako yeuropathy iri chikamu cheSMS ichidzoka zvakare kana kunyanya kunetsa, chiremba wako anogona kupa chirongwa chiduku che corticosteroids.
Shoko Rinobva
Kunyangwe iwe unogona kuedzwa kuti unonoke kuona chiremba wako, nervous system zviratidzo hazvifaniri kuregererwa. Kana uri kutarisa zviratidzo zvinogona kuwirirana nehutachiona hweuropathy kana MS, chiremba wako achaita zviongorudzo zvakafanira kuti agone kunyatsoongorora.
Paunenge wakamirira zuva rako rekugadzwa, zvinobatsira kuchengeta gwaro rezviratidzo zvako kuitira kuti ugone kuzvitsanangura zvakadzama, pamwe chete nemhando ipi zvayo pakuitika kwavo, uye chero zvinhu zvinokuvadza kana zvinokonzera.
> Sources:
> Afialo M, Morlion B. Kubudirira kwe tapentadol ER yekugadzirisa kuenzanisa nekurwadziwa kwenguva refu. Pain Physician . 2013 Jan; 16 (1): 27-40.
> Aminoff MJ, Daroff RB, eds. Encyclopedia of the Neurological Sciences . 2nd ed. Waltham, MA: Academic Press; 2014.
> Hersch CM, Fox RJ. (2014). Multiple Sclerosis. Cleveland Clinic Center yekuenderera mberi kweWebsite website.
> Levin MC. Multiple Sclerosis (MS). Mu: Porter RS, Kaplan JL, Lynn RB, et al. Merck Manual Professional Version .
> National Institute of Neurological Diseases and Stroke. (2014). Peripheral Neuropathy Fact Sheet.