Neuropathy chirwere chinoratidzirwa nekuvhiringidza kumisungo yemuviri, zvichikonzera marwadzo, kurasikirwa kwezvinhu, nekushaya simba.
Kana iwe uine chirwere chekushaya ropa , iwe ungangodaro wataurirwa kuti chirwere chakaoma kurapa uye kuti chirwere chepfungwa hachigone kurapwa. Iko kune chokwadi, hapana mushonga unowanikwa unogona kuporesa kana kuchinja kusagadzikana kweuropathy. Kune, zvisinei, nzira dzakawanda dzokurapa dzinogona kubatsira kudzivisa chirwere cheuropathy kubva pakuipa.
Uye kune nzira dzinobatsira dzekubatsira kuderedza zviratidzo zveuropathy.
Kushandiswa Kwakawanda kweNeuropathy
Kana zvasvika pakuchengetedza chirwere chepuropayo pachako, mazano ekurapa anowanikwa anoshanda nokudzivirira chirwere ichi kuti chisanyanya kuipa. Kune zvikonzero zvishomanana zvakakonzerwa neuropathy, uye naizvozvo nzira dzezvekurapa dzinoshandiswa kudzivisa chirwere chepfungwa kubva pakuwedzera kuenzaniswa nechikonzero chinokonzerwa neuropathy.
Vitamini B12 Kukwana
Neuropathy ndeimwe yemigumisiro yekushaiwa kwevhitamini B12. Kushayikwa kwezvokudya kunojairika pakati pezvinomera, vegans, vanhu vane rimwe dumbu kana matumbo emukati uye vanhu vanodya doro rakawandisa. Vitamini B12 kushayikwa kunowanzodikanwa kuwedzera kuwedzera nemavhitamisi B12 majekiseni kwete nemapiritsi anotorwa nemuromo nokuti vanhu vazhinji vane vitamini B12 vakashaya havakwanisi kusvika kumazinga akakwana kuburikidza nemapiritsi emuromo.
Chinetso Chinokosha Neuropathy
Kuchengetedza kunetseka neuropathy kunowanzowedzera mukurwara kwakanyanya, kwakanyanya. Haisi kunyatsojekesa kuti chii chinokonzera kukanganisa kurapa kweuropathy, uye inofungidzirwa kuti inokonzerwa nehuwandu hwezvinhu, kusanganisira zvirwere, kuvhiringidzika, kushaya mvura uye electrolyte kusagadzikana uye kusagadzikana (kusimba kwekufamba kwemuviri).
Kazhinji, kunyanya kunetseka neuropathy kunowedzera kana chirwere chekurapa chichivandudza, asi dzimwe nguva zvinogona kutora mwedzi kana makore mushure meimwe zvirwere zvehutano dzigadzirisa zvisati zvaitika kushaya simba uye kurasikirwa kwezvinhu zvinotambudza chirwere chepfungwa chinowedzera zvakakwana.
Kurapa kwekutambudza chirwere chepfungwa kunosanganisira kutarisa kwehutachiona, kushandiswa kwemvura uye electrolyte, uye kurapa kwepanyama.
Guillain-Barré Syndrome (GBS)
Izvi zvinoramba zvichiramba uye zvechisimba zveuropathy zvinorondedzerwa sekukwira kweuropathy iyo inotanga kumakumbo uye zvishoma nezvishoma inofamba muviri kuitira kuti pakupedzisira itadze kuderedza mishonga inodzora kufema.
GBS inonzi neuropathy inobatanidza nekushaya simba kwezvirwere zvemuviri. Kurapa kweGGS kunogona kusanganisira nzira inonzi plasmapheresis (kushandura plasma) kana kurapwa nemishonga ine simba inonzi immunoglobulin (IVIG). Plasmapheresis inzira inosanganisira kuchenesa ropa nekubviswa kwezvinhu zvinokuvadza zvinopesana nezvimwe zvinhu zvinokonzerwa nemasero ezvirwere zvisingawanzo anokanganisa nerve. IVIG ine maitiro ezvirwere zvemumune anopindirana nemasimba ezvirwere kuti zvidzivirire kurwiswa kwemitsipa.
Muzvizhinji zvezviitiko, kurapwa uku kweGGS kunobatsira kudzivirira migumisiro yakaipa, kunyange zvazvo kazhinji, rubatsiro rwekupemesa runodiwa kwechinguva chiduku apo utera hunovhiringidza kufema.
Vanhu vazhinji vane GBS vanowanzoita kuti vagone kupora uye vanogona kuwana zvikamu zvishomanana zvezvikamu zvehutera izvo zvinogona kutarisirwa nehuwandu hweVIG kana chirwere che corticosteroid.
Diabetes Neuropathy
Chirwere cheshuga chirwere chinokonzerwa neuropathy chinogona kuitika semigumisiro yenguva refu yerudzi l kana kuti chirwere cheshuga cheshuga. Nzira yakanakisisa yekugadzirisa chirwere cheshuga chirwere cheropa chirwere chekutapira chirwere cheshuga chekuropa kuti chidzivirire kuwedzerwa kweuropathy uye kumisa kukanganisa kune dzimwe nhengo. Vamwe vanhu vane chirwere cheshuga chirwere cheshuga vanocherechedza kuvandudza kwezviratidzo uye kunyange ruzivo rwekuvandudza kweuropathy pachayo nehutano hwakanaka hwehuga hweropa, kunyanya kana chirwere chepurovhesi chikabatwa kare uye chirwere cheshuga chiri kunyatsochengetedzwa vasati vanyanyisa kuora mwoyo.
Doro Neuropathy
Kurapa kwakanakisisa kunwa doro reuropathy kunorega kunwa doro kuitira kuti utachiona husanyanya kuwedzera. Dzimwe nguva, kurega kunwa doro kunogona kubvumira zviratidzo kuti zvivandudzike uye zvinogona kubvumira kuti chirwere chepfungwa chive chichivandudza. Kazhinji, kukanganiswa kwezvokudya zvine chokuita nekudhakwa kunoshandiswa kunogona kuita kuti uwedzere kunwa doro, uye kururamisa kuperevedza kwezvokudya kunogona kubatsira kubvisa chirwere chepfungwa.
Chemotherapeutic uye Mishonga-Inobatsira Neuropathy
Mishonga yakawanda inobatanidza neuropathy, zvikurukuru mamwe chemotherapeutic mishonga . Hazvibviri kukwana zvachose mishonga inokonzera kuora mwoyo, nokuti vazhinji vavo vanopa rubatsiro runokosha rwezvokurapa, uye havasi nguva dzose vanokonzera neuropathy kune wese anovatora. Zvichienderana nekuoma kweuropathy, kurega mishonga kunogona kubatsira kudzivirira chirwere chepfungwa kuti chirege kuwedzera.
Kutungamira kweNeuropathic Pain
Kune mishonga yakasiyana-siyana yakasiyana-siyana yekurwadziwa kweuropati, uye kurapa kwakanakisisa hakusi nguva dzose kune mumwe nomumwe, sezvo iwe usingave wakatarisana nemigumisiro yakafanana nemigumisiro sevamwe vose. Izvi zvinoreva kuti iwe nevarapi vako vangave vachida kupedza nguva yakawanda vachiedza zvishoma zvisarudzo zvakasiyana musati maziva kuti ndezvipi kwauri. Mishonga inowanzojairika inoshandiswa pakununurwa kwehutano hwepuropiyo inosanganisira:
- Pamusoro pemarwadzo ekurwadziwa
- Zvisikwa zvinopesana nemarwadzo
- Manyorero ekurwadziwa kwepiritsi
- Mishonga yekurwisa mishonga (anti-convulsants): Kunyange zvazvo mishonga iyi isingabvumirwi zvakajeka pakurapa marwadzo europathic, inopa rubatsiro rwevanhu vazhinji, uye naizvozvo vanachiremba vanowanzovataurira dambudziko iri.
- Antidipressants: Sezvine anticonvulsants, mishonga iyi inogona kunge isina kuratidzirwa zvakajeka nokuda kwekutambudzika kwepfungwa, asi nokuti vanhu vazhinji vanoona ruzivo rwehutano hwehutachiona, uye nokuti pane zvishoma zvisarudzo zvekurapa, zvinowanzoonekwa sechinhu chinonyanya kukosha.
Kutarisira Kwekushayiwa
Hapana mishonga inobudirira yekurapa kana kudzorera mishonga yakakanganiswa neuropathy. Asi pane zviitiko zvishomanana umo humwe hutachiona hwehutachiona hwehutachiona hunogona kutarisirwa:
- Kurapa kwepanyama: Kazhinji, kurapwa kwepanyama ndiyo nzira yakanakisisa yekuwana utsi hwakanaka hwemitsipa isingagadzirwi neuropathy, iyo inogona kubatsira kubhadhara kushaya simba kunokonzerwa nemisungo yakakanganiswa iri pedyo.
- Incontinence: Neuropathy inogona kukanganisa kuvhara, uye dzimwe nguva mishonga inoshandiswa kudzora mishonga yeropa inogona kubatsira zvakare kuwana zviri nani kutora bladder control. Kunyange zvazvo mishonga iyi isingarapiki mitsipa yakakanganisika, inogona kubatsira kuburikidza nemigumisiro yadzo kune mitsipa yakasvibira nemisumbu inobatsira kuvhara.
- Erectile dysfunction: Izvi zvinowanzova chimwe chemigumisiro yeuropathy, uye mishonga inoshandiswa mukurapa erectile kusagadzikana kunogona kubatsira kuderedza nyaya iyi.
Kutungamira Kwekuda Kurasikirwa
Sezvo nemasimba asina simba, hazvibviri kugadzirisa mitsipa yakaora iyo inodzora kunzwa. Zvisinei, zvakakosha kuti usateerere dambudziko iri, sezvo kurasikirwa kwemanzwiro ekutsvaga kwepfungwa kunogona kutungamirira kukuvara kwakanyanya uye zvirwere:
- Kuchengetwa kwevanga: Kana iwe uine chirwere chepurovhesi, kukuvadzwa kwako uye maronda zvingasave zvakasuruvara sezvazvaiwanzove zvisina kuva neuropathy. Zvisinei, kusava nekurwadziwa uku ndedambudziko rechokwadi, sezvo iwe usingaone kuti ronda rinowedzera kana kuti rinotapukirwa nekuda kwekushaiwa kwekutambudzika. Nokudaro, kana iwe uine chirwere chepurogiramu, pose paunenge wakuvadzwa kana kukuvadzwa, unofanirwa kunyatsoteerera kuchengeta yakachena uye kutarisa zviratidzo zvehutachiona, kunyange kana usingagoni kunzwa kurwadziwa.
- Kurapa kwepanyama yekuenzanisa: Kurasikirwa kwepfungwa kunopesana nekuenzanisa, uye kurapwa kwepanyama kunogona kukubatsira iwe kudzidza kuwedzera maitiro ako nekubhadhara kukanganisa kwako kuitira kuti iwe ugone kuchengeta zviri nani.
- Kukurudzira magetsi kwakagadziriswa senzira inogona kuitika yekuderedza kurasikirwa kwemanzwiro europathy, uye zvimwe zvidzidzo zvekutsvakurudza zvinotaura nezvekubatsira kwemuitiro uyu.
Kudzivirira kweNeuropathy
Nemhaka yekuti chirwere chepfungwa chinenge chisingaiti kuporesa, kudzivirira kunonyanya kukosha. Pane zvishoma zvaunogona kuita kuti udzivise zvimwe zvemajai evanhu vane chirwere chepfungwa, asi iwe unofanirwa kuwana chirwere chekurapa kana ukacherechedza zviratidzo zvekutanga zvekushaya ropa, izvo zvinowanzobatanidza kurira, kushanduka, uye kunzwa kunopisa. Kana uine zviratidzo zvekare zvekudhakwa kweuropati, chirwere cheshuga chirwere chepurovhesi, kana mishonga-inokonzerwa neuropathy, kune matanho aunogona kutora kuti urege kuti mamiriro acho ave akaipa. Uyezve, kana iwe une chirwere cheshuga kana iwe uri doro rinodhakwa, unogona kudzivirira chirwere chepfungwa nekugadzirisa nyaya idzi kunyange usati watanga nenyonga.
Shoko Rinobva
Kana iwe uine chirwere chepuropathy, iwe unogona kunge watoziva kuti izvi hazviwanzopora. Zvisinei, dzimwe nguva, kutarisa chinokonzerwa neuropathy kunogona kubatsira kudzivirira kuipa uye kunogona kuchinja zvimwe zvechirwere ichi. Zviratidzo hazvisi nguva dzose kune mumwe nomumwe, sezvinonzi vamwe vane chirwere chepurovhesi vanogona kunyanya kurwadziwa, asi vamwe vanowanzova vasina simba. Kazhinji, zviratidzo zvinogona kunge zvishoma nezvishoma zvinotungamirirwa nekubatanidzwa kwemishonga uye kurapa.
> Sources:
> Najafi B, Talal TK, Grewal GS, Menzies R, Armstrong DG, Lavery LA, Kushandisa Plantar Electrical Stimulation Kuti Ivandudze Postural Balance uye Plantar Sensation Pakati Pevarwere vane Chirwere Cheshuga Nechirwere Neuropathy, J Diabetes Sci Technol. 2017 Feb 1.