Ululu wa Neuropathic: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zake ndi ziti
• Zomwe zimayambitsa kupweteka kwamitsempha
• Momwe matendawa amapangidwira
• Chithandizo chake ndi chiyani

Kupweteka kwa m'mitsempha ndi mtundu wa zowawa zomwe zimadza chifukwa chovulala pamanjenje, zomwe zimatha kuyambitsidwa ndi matenda, monga herpes kapena matenda monga matenda ashuga, mwachitsanzo, kapena chifukwa cha kusokonekera kwamanjenje. Kuphatikiza apo, kupweteka kumatha kutsagana ndi edema ndi thukuta, kusintha kwa magazi am'deralo kapena kusintha kwaminyewa, monga atrophy kapena osteoporosis.

Kupweteka kwamtunduwu kumachitika "kanthawi kochepa" akasintha maimidwe amitsempha omwe amatanthauziridwa mosazolowereka muubongo, zomwe zimatha kuyambitsa zotentha ndi zowawa zina zopweteka kwambiri, ndikumva kuwawa kwa mitsempha kukhala mtundu umodzi mwa mitundu yayikulu ya kupweteka kosalekeza. Dziwani zomwe ndizopweteka kwakanthawi ndi mitundu yayikulu.

Matendawa sagwirizana bwino ndi mankhwala omwe amamva kupweteka, ndipo m'pofunika kutengera ma analgesics apakati, ma anticonvulsants kapena antidepressants.

Zizindikiro zake ndi ziti

Kupweteka kwa m'mitsempha ndikumva kuwawa kwambiri m'mitsempha ya thupi komwe kumatha kutsagana ndi kuyaka, singano, kugwedezeka ndi hypersensitivity kukhudza, ndipo kumatha kutsagana ndi kumva kulira kapena dzanzi m'dera la thupi lomwe njira yake yamanjenje imasokonekera. Komabe, mitsempha yopitilira imodzi imatha kutenga nawo mbali, zomwe zimabweretsa ululu wofalikira, womwe ungakhudze thunthu, miyendo ndi mikono.

Zowawa zimatha kuphatikizidwanso ndikumangokokomeza chidwi pazomwe zimapangitsa kuti zisamapweteke, monga kukhudzana ndi zovala kapena zinthu zina, ndipo zimatha kupitilirabe ngakhale mutachotsa chopwetekacho.

Kupweteka kumatha kukhala kwapakatikati kapena kosalekeza ndipo kukula kwake kumatha kukhala kofatsa kufikira kwakukulu, kutengera chifukwa ndi mitsempha yomwe imakhudzidwa.

Zomwe zimayambitsa kupweteka kwamitsempha

Kupweteka kwa m'mitsempha kumatha chifukwa cha zinthu zingapo monga:

• Kuledzera kapena kuperewera kwa zakudya, zomwe zimakhudza kwambiri kugwira ntchito kwa mitsempha;
• Matenda a shuga mellitus, zomwe zimakhudza kwambiri miyendo, kuchititsa zotumphukira za matenda ashuga neuropathy;
• Nkhope mavuto a mitsempha;
• Mavuto a chithokomiro;
• Matenda obwera chifukwa cha mabakiteriya kapena mavairasi, monga syphilis, herpes kapena Edzi mwachitsanzo, zomwe zimatha kukhudza mitsempha potulutsa poizoni;
• Matenda a msana amayamba chifukwa cha ngozi, mafupa kapena maopaleshoni;
• Kudulidwa kwa chiwalo, momwe ululu womwe umatchulidwira nthambi yomwe ikusoweka umawoneka, wotchedwa kupweteka kwamiyendo ya phantom.

Kuphatikiza apo, chemotherapy ndi matenda monga multiple myeloma ndi multiple sclerosis amathanso kupweteketsa mtima. Dziwani zambiri za multiple sclerosis.

Momwe matendawa amapangidwira

Zizindikiro zimathandizira kusiyanitsa kupweteka kwa mitsempha kuchokera ku mitundu ina ya zowawa, koma sikokwanira kutsimikizira kuti ali ndi vutoli. Chifukwa chake ndikofunikira kuti mulankhule ndi adotolo, omwe athe kufunsa mafunso kuti adziwe momwe ululu umakhalira, ukachitika bwanji komanso mwamphamvu bwanji, ndikuwunika thupi kapena mayeso a neuromuscular, kuti kudziwa madera amitsempha omwe amakhudzidwa.

Chithandizo chake ndi chiyani

Ululu wa neuropathic nthawi zambiri umachiritsidwa, koma ngati sizingatheke, pali mankhwala omwe angathandize kuchepetsa mavuto omwe amabwera chifukwa cha matendawa. Chithandizo chimadalira matenda omwe amayambitsa kupweteka kwa m'mitsempha, ndipo amaphatikizapo kuchiza matendawa kapena mitsempha, ndikuthana ndi ululu.

Pachifukwa ichi, mankhwala a anticonvulsant, monga Carbamazepine, Gabapentin kapena Pregabalin, atha kugwiritsidwa ntchito, omwe amagwiritsidwa ntchito pochepetsa mphamvu zamagetsi zamitsempha kapena kuletsa kupitilira kwa ululu kudzera munjira zina zamitsempha, ma analgesics apakati monga Tramadol ndi Tapentadol, zomwe zimachepetsa ululu ndikuchepetsa magwiridwe antchito amagetsi amitsempha, kapena mankhwala opondereza monga Amitriptyline ndi Nortriptyline, omwe kupatula kupwetekako, amachitanso kukhumudwa, pafupipafupi mwa anthu omwe ali ndi ululu wopitilira muyeso.

Physiotherapy, chithandizo chantchito komanso kugwiritsa ntchito zamagetsi ndi zotenthetsera zimathandizanso kuti thupi lizigwira bwino ntchito ndikuthandizira munthu kuchita bwino. M'mavuto ovuta kwambiri am'mimba, zimatha kuchitidwa opaleshoni.