Neuropathie Ya Périphérique

Neuropathie ya phériphérie ibaho iyo imiyoboro y'imbere iri hanze y'ubwonko n'umugongo (imiterere y'imbere) yangiritse. Iyi ndwara ikunze gutera intege nke, ubuzimu n'ububabare, akenshi mu biganza no mu birenge. Ishobora kandi kugira ingaruka ku bindi bice n'imikorere y'umubiri harimo no kugogora ibiryo no kwinjira.

Sisitemu y'imiterere y'imbere ituma amakuru ava mu bwonko n'umugongo, bizwi kandi nka sisitemu y'imiterere yo hagati, ajya mu bindi bice by'umubiri binyuze mu miterere y'imitsi. Imikaya y'imiterere y'imbere ituma amakuru y'ubwenge ajya muri sisitemu y'imiterere yo hagati binyuze mu miterere y'ubwenge.

Neuropathie ya phériphérie ishobora guterwa n'imvune ziterwa n'impanuka, indwara, ibibazo byo guhindura imiterere, impamvu z'umurage no kwandura uburozi. Kimwe mu bintu bikunze gutera neuropathie ni diyabete.

Abantu barwaye neuropathie ya phériphérie bakunze kuvuga ko bababara nk'aho bakubiswe, bakongorwa cyangwa bagira ubuzimu. Rimwe na rimwe ibimenyetso birakira, cyane cyane iyo byatewe n'ikibazo gishobora kuvurwa. Imiti ishobora kugabanya ububabare bwa neuropathie ya phériphérie.

Buri uture mu mutwe w'imbere mu mubiri ifite akazi kayo. Ibimenyetso biterwa n'ubwoko bw'imitsi ikora. Imitsi igabanyijemo: Imitsi yumva yumva ibintu, nko kubura ubushyuhe, kubabara, guhindagurika cyangwa gukora ku ruhu. Imitsi ikora igenzura imitsi. Imitsi yigenga igenzura ibintu nko kugira umuvuduko w'amaraso, gucana ibyuya, umuvuduko w'umutima, gukora kw'igifu no gukora kw'umwijima. Ibimenyetso bya neuropathy y'imbere bishobora kuba birimo: Gutangira gahoro gahoro kubabara, kubabara, cyangwa guhindagurika mu birenge cyangwa mu biganza. Ibi bimenyetso bishobora gukwirakwira hejuru mu maguru no mu maboko. Kubabara cyane, kubabara, kubabara cyangwa gutwika. Kugira uburibwe cyane mugihe ukozweho. Kubabara mugihe ukora ibikorwa bitagomba gutera ububabare, nko kubabara mu birenge igihe ushyiramo ibiro cyangwa igihe biri munsi y'igitambaro. Kubura ubushobozi bwo guhuza no kugwa. Kugira intege nke z'imitsi. Kumva nk'aho wambaye utwo twambara cyangwa amasogisi mugihe utabyambaye. Kubura ubushobozi bwo kugenda niba imitsi ikora ikora. Niba imitsi yigenga ikora, ibimenyetso bishobora kuba birimo: Kubura kwihanganira ubushyuhe. Gusohora ibyuya cyane cyangwa kutamenya gucana ibyuya. Ibibazo by'umwijima, umukaya cyangwa igifu. Kugabanuka kw'umuvuduko w'amaraso, gutera guhindagurika cyangwa gucika intege. Neuropathy y'imbere ishobora kugira ingaruka kumitsi imwe, yitwa mononeuropathy. Niba igira ingaruka kumitsi ebyiri cyangwa nyinshi mu turere dutandukanye, yitwa multiple mononeuropathy, kandi niba igira ingaruka kumitsi myinshi, yitwa polyneuropathy. Syndrome ya carpal tunnel ni urugero rwa mononeuropathy. Abantu benshi bafite neuropathy y'imbere bafite polyneuropathy. Shaka ubufasha bw'abaganga vuba niba ubona guhindagurika bitamenyerewe, intege nke, cyangwa ububabare mu biganza cyangwa mu birenge. Kugirwaho isuzumwa hakiri kare no kuvurwa bizatuma ugira amahirwe meza yo kugenzura ibimenyetso byawe no gukumira ibindi bibazo ku mitsi y'imbere.

Shaka ubufasha bw'abaganga ako kanya nimubona uburibwe butasanzwe, intege nke cyangwa ububabare mu ntoki cyangwa mu birenge. Kumenya hakiri kare no kuvurwa biha amahirwe meza yo kugenzura ibimenyetso byawe no gukumira ibindi byangiza imiyoboro y'imbere y'imitsi.

Neuropathie ya mu mpera ni ukwangirika kw'imiterere y'imishitsi iterwa n'ibintu bitandukanye. Indwara zishobora gutera neuropathie ya mu mpera harimo:

• Indwara ziterwa n'ubudahangarwa bw'umubiri. Izi harimo indwara ya Sjogren, lupus, rhumatoïde arthritis, syndrome ya Guillain-Barre, polyneuropathie ya chronic inflammatory demyelinating na vasculitis. Kandi, bimwe mu bintu bya kanseri bifitanye isano n'ubudahangarwa bw'umubiri bushobora gutera polyneuropathie. Ibi ni uburyo bw'indwara ziterwa n'ubudahangarwa bw'umubiri bita paraneoplastic syndrome.

• Diabete na metabolic syndrome. Iyi ni yo ntandaro ikunze kugaragara. Mu bantu barwaye diabete, abarenga ½ bazagira ubwoko runaka bwa neuropathie.

• Ibiyobyabwenge. Ibi harimo ibyorezo bimwe na bimwe bya virusi cyangwa bagiteri, harimo indwara ya Lyme, imitego, hepatite B na C, ibibembe, diftéri, na VIH.

• Indwara zirakomoka. Indwara nka Charcot-Marie-Tooth ni ubwoko bw'indwara za neuropathie zikomoka ku miryango.

• Uburibwe. Uburibwe bwa kanseri, bita kandi malignant, n'uburibwe budatera kanseri, bita kandi benign, bushobora gukura cyangwa gukanda ku miterere y'imishitsi.

• Indwara z'amasogwe y'igitsina. Ibi harimo proteine iri mu maraso idakunze kubaho, bita monoclonal gammopathies, ubwoko buke bwa myeloma bugira ingaruka ku magufwa, lymphoma n'indwara y'agakoko ka amyloidosis.

• Indwara zindi. Izi harimo ibibazo byo guhindura imiterere y'umubiri nka kidney disease cyangwa liver disease, no kugabanuka kw'imikorere ya thyroid, bizwi kandi nka hypothyroidism. Ibindi bintu biterwa na neuropathie harimo:

  • Ikoreshwa nabi ry'inzoga. Ibyo kurya bidafite ubuzima byakozwe n'abantu bakoresha inzoga nabi, bizwi kandi nka alcoholism, no kudakora neza kw'imirire byatuma umubiri ugira vitamine nke z'ingenzi.
  • Kuhura n'uburozi. Ibintu byangiza harimo ibintu byangiza bikomoka mu nganda n'ibyuma biremereye nka plomb na mercure.
  • Imiti. Imiti imwe, cyane cyane imiti yo kuvura kanseri, ishobora gutera neuropathie ya mu mpera.
  • Umujinya cyangwa igitutu ku miterere y'imishitsi. Imvune, nko mu mpanuka z'imodoka, kugwa cyangwa imvune zo mu mikino, zishobora guca cyangwa kwangiza imiterere y'imishitsi. Igitutu ku miterere y'imishitsi gishobora guterwa no kugira kasti cyangwa gukoresha inkoni cyangwa gusubiramo igikorwa nko kwandika kenshi.
  • Kugira vitamine nke. Vitamine B, harimo B-1, B-6 na B-12, kimwe na cuivre na vitamine E ni ingenzi ku buzima bw'imiterere y'imishitsi. Mu bindi bihe, nta ntandaro ishobora kumenyekana. Ibi bita idiopathic peripheral neuropathy.

Ibintu byongera ibyago byo kwibasirwa na neuropathy ya phériphérie birimo:

• Diabete, cyane cyane niba urwego rwawe rwa sukari rudakurikiranwa neza.
• Gukoresha inzoga nabi.
• Kugira intungamubiri nke mu mubiri, cyane cyane vitamine B-12.
• Ibiyobyabwenge, nka Lyme, imitego, hepatite B na C, na VIH.
• Indwara ziterwa na système immunitaire, nka rhumatoïde arthritis na lupus, aho système immunitaire igaba igitero ku mubiri wawe.
• Indwara z'impyiko, umwijima cyangwa thyroid.
• Kwihanganira uburozi.
• Imitwaro isubiramo, nka bimwe mu bikorwa byakozwe ku mirimo imwe n'imwe.
• Amateka y'umuryango wa neuropathy.

Ingaruka z'indwara y'imitsi yo ku ruhu zirimo:

• Kwikomerekerwa, imvune z'uruhu n'ibikomere ku birenge. Ushobora kutakumva impinduka z'ubushyuhe cyangwa ububabare ku bice by'umubiri wawe byasinziriye.
• Dukurire. Ibirenge byawe n'ibindi bice bidafite ubwenge bishobora gukomereka utazi. Suzuma ibi bice buri gihe, wambare inkweto zifunze, zikwiranye kandi uvure imvune nto mbere yuko zanduye, cyane cyane niba ufite diyabete.
• Kugwa. Kugira intege nke no kubura ubwenge bishobora gufatwa nko kubura umutekano no kugwa. Gushyira ibikoresho byo gufata mu bwiherero, gukoresha inkoni cyangwa amagare iyo bibaye ngombwa, no kwizera ko ugenda gusa mu byumba byose byose bishobora kugabanya ibyago byo kugwa.

Uburyo bwiza bwo kwirinda indwara y'imitsi y'amaguru ni ugukurikirana indwara zishobora kukugiraho ingaruka. Aya mahame afasha ubuzima bw'imitsi yawe:

• Funga indyo yuzuye imbuto, imboga, ibinyamisogwe n'inyama nke kugira ngo imitsi igire ubuzima bwiza. Irinde kutagira vitamine B-12 ihagije mu kurya inyama, amafi, amagi, ibiryo bya foromaje bike, n'ibinyampeke byuzuyemo intungamubiri. Niba uri umudaheranuka inyama cyangwa umudaheranuka ibinyampeke, ibinyampeke byuzuyemo intungamubiri ni byiza kuri vitamine B-12, ariko uganire n'abaganga bawe ku bijyanye n'imiti yuzuza vitamine B-12.
• Kora siporo buri gihe. Hamwe n'ubuvuzi bw'abaganga, gerageza gukora siporo iminota 30 kugeza ku isaha nibura gatatu mu cyumweru.
• Irinde ibintu bishobora kwangiza imitsi. Ibi bintu bishobora kuba harimo imikorere isubiramo, kwibasirwa na chimique mbi, kunywa itabi no kunywa inzoga nyinshi.

Neuropathie ya iperiferi ifite impamvu nyinshi zishoboka. Usibye isuzuma ry'umubiri, rishobora kuba ririmo ibizamini by'amaraso, kubona indwara bisaba ubusanzwe:

• Amateka yose y'ubuzima. Umuganga wawe azareba amateka yawe y'ubuzima. Amateka azaba arimo ibimenyetso byawe, imibereho yawe, kwandura uburozi, imico yo kunywa no kwandura mu muryango wawe indwara z'imitsi, cyangwa iz'ubwonko.
• Isuzuma ry'imitsi. Umuganga wawe ashobora kugenzura imitsi yawe, imbaraga z'imitsi n'imiterere yayo, ubushobozi bwo kumva ibintu bimwe na bimwe, no kubona uko umubiri uhagaze n'uburyo uhuza ibintu.

Umuganga ashobora gutegeka ibizamini, birimo:

• Ibizamini by'amaraso. Ibi bishobora kugaragaza ibipimo bike bya vitamine, diyabete, ibimenyetso by'uburwayi cyangwa ibibazo byo guhindura imiterere bishobora gutera neuropathie ya iperiferi.
• Ibizamini byo gukora kw'imitsi. Electromyography (EMG) ipima kandi yandika ibikorwa by'amashanyarazi mu mitsi yawe kugira ngo ibone uko imitsi yangiritse. Igishishwa gito (electrode) gishyirwa mu mitsi kugira ngo kipime ibikorwa by'amashanyarazi uko imitsi yawe ikora.

Mu gihe cya EMG, ubusanzwe hakorwa kandi isuzuma ry'uburyo imitsi ikora. Electrode zirimbishijwe zishyirwa ku ruhu kandi umuriro muke w'amashanyarazi utera imitsi. Umuganga azandika uko imitsi isubiza umuriro w'amashanyarazi.

• Ibindi bizamini byo gukora kw'imitsi. Ibi bishobora kuba birimo isuzuma ry'uburyo imitsi ikora. Iki kizami kigaragaza uko imisemburo y'imitsi ikora. Ibindi bizamini bishobora kuba birimo ikizamini cy'umusemburo gipima ubushobozi bw'umubiri wawe bwo gucana umusemburo n'ibizamini byo kumva bigaragaza uko wumva ibintu, guhindagurika, gukonjesha no gushyuha.
• Biopsie y'imitsi. Ibi bisobanura gukuraho igice gito cy'umutsi, ubusanzwe umutsi wumva, kugerageza kubona icyateye neuropathie.
• Biopsie y'uruhu. Igice gito cy'uruhu gikurwaho kugira ngo barebe umubare w'imiterere y'imitsi.

Ibizamini byo gukora kw'imitsi. Electromyography (EMG) ipima kandi yandika ibikorwa by'amashanyarazi mu mitsi yawe kugira ngo ibone uko imitsi yangiritse. Igishishwa gito (electrode) gishyirwa mu mitsi kugira ngo kipime ibikorwa by'amashanyarazi uko imitsi yawe ikora.

Mu gihe cya EMG, ubusanzwe hakorwa kandi isuzuma ry'uburyo imitsi ikora. Electrode zirimbishijwe zishyirwa ku ruhu kandi umuriro muke w'amashanyarazi utera imitsi. Umuganga azandika uko imitsi isubiza umuriro w'amashanyarazi.

Intego z’ubuvuzi ni ugukurikirana indwara itera neuropathy yawe no kunoza ibimenyetso. Niba ibizamini byawe byo muri laboratoire bitagaragaza indwara itera neuropathy, umuganga wawe ashobora kugutegeka gutegereza ngo urebe niba neuropathy yawe ikomeza cyangwa igakira. Imiti Imiti ishobora gukoreshwa mu kuvura indwara zijyana na neuropathy ya hano ku ruhu. Hari kandi imiti ikoreshwa mu kunoza ibimenyetso bya neuropathy ya hano ku ruhu. Iyo miti irimo: Imiti igabanya ububabare. Imiti iboneka nta kwandikwa kwa muganga, nka anti-inflammatory drugs, ishobora kunoza ibimenyetso bito. Imiti igabanya ibitero by’indwara zifata ubwonko. Imiti nka gabapentin (Gralise, Neurontin, Horizant) na pregabalin (Lyrica), yakozwe mu kuvura indwara zifata ubwonko, ikunda kunoza ububabare bw’imiterere. Ingaruka mbi zishobora kubaho harimo uburwayi n’izunguzungu. Imiti yo kwisiga. Amavuta ya lidocaine aboneka nta kwandikwa kwa muganga ashobora kwisigwa ku ruhu. Ipaki ya lidocaine ni ubundi buryo bw’ubuvuzi ushyira ku ruhu kugira ngo ugabanye ububabare. Ingaruka mbi zishobora kubaho harimo uburwayi, izunguzungu no kubabara aho ipaki ishyizwe. Imiti yo kuvura ihungabana. Imiti imwe yo kuvura ihungabana, nka amitriptyline na nortriptyline (Pamelor), ishobora gufasha kunoza ububabare. Iyo miti itera imbogamizi mu mikorere y’ibintu mu bwonko no mu mugongo bituma wumva ububabare. Duloxetine (Cymbalta) yo mu bwoko bwa serotonin na norepinephrine reuptake inhibitor ndetse n’imiti yo kuvura ihungabana ifite igihe kirekire cyo gukora venlafaxine (Effexor XR) na desvenlafaxine (Pristiq) ishobora kandi kunoza ububabare bwa neuropathy ya hano ku ruhu iterwa na diyabete. Ingaruka mbi z’imiti yo kuvura ihungabana zishobora kubaho harimo umunwa wumye, isereri, uburwayi, izunguzungu, impinduka mu ishyaka ryo kurya, kwiyongera kw’ibiro n’impatwe. Ubuvuzi Ubuvuzi butandukanye n’uburyo bushobora gufasha mu bimenyetso bya neuropathy ya hano ku ruhu. Ubuvuzi bwa Scrambler. Ubu buvuzi bukoresha amashanyarazi mu kohereza ubutumwa budatera ububabare mu bwonko. Ubutumwa busimbuza ubutumwa bw’ububabare imitsi yohereza mu bwonko. Intego ni ukwongera kumenyereza ubwonko gutekereza ko nta bubabare buhari. Gutera amashanyarazi mu mugongo. Ubwo buvuzi bukorerwa binyuze mu bikoresho bishyirwa mu mubiri. Ibyo bikoresho byitwa neurostimulators. Byohereza amashanyarazi make ashobora kubuza ubutumwa bw’ububabare kugera mu bwonko. Plasma exchange, steroids na intravenous immune globulin. Ibyo bivuriro bikunze gukoreshwa niba ububabare cyangwa indwara zifata umubiri ari zo ziterwa na neuropathy ifite intege nke, kubabara cyangwa kutagira umutekano. Ibyo bivuriro ntibikoresha mu kuvura ububabare gusa. Ubuvuzi ngororamubiri. Niba ufite intege nke z’imikaya cyangwa ibibazo byo kutagira umutekano, ubuvuzi ngororamubiri bushobora gufasha kunoza ubushobozi bwawe bwo kugenda. Ushobora kandi gukenera ibikoresho byo mu ntoki cyangwa mu birenge, inkoni, igiti cyangwa igare. Opération. Neuropathy iterwa no gukanda imitsi, nko ku mitsi, ishobora gusaba kubagwa. Amakuru y’inyongera Kwita kuri neuropathy ya hano ku ruhu muri Mayo Clinic Imiti igabanya ibitero by’indwara zifata ubwonko Acupuncture Biofeedback Reba amakuru afitanye isano menshi Saba gahunda hari ikibazo kuri amakuru yagaragajwe hepfo kandi usubiremo ifishi.Kuva muri Mayo Clinic kugeza muri inbox yawe Kwiyandikisha ubuntu kandi ukomeze ube uzi ibyavuye mu bushakashatsi, inama z’ubuzima, ingingo z’ubuzima zigezweho, n’ubuhanga mu gucunga ubuzima. Kanda hano kugira ngo urebe imeri. Imeri 1 Ikosa Agasanduku k’imeli gasabwa Ikosa Shyiramo aderesi y’imeli ikwiye Menya byinshi ku ikoreshwa ry’amakuru na Mayo Clinic. Kugira ngo tugutange amakuru akwiye kandi afatika, kandi twumve amakuru afatika, dushobora guhuza amakuru yawe y’imeli n’amabanga yawe ya website hamwe n’andi makuru dufite kuri wewe. Niba uri umurwayi wa Mayo Clinic, ibi bishobora kuba birimo amakuru y’ubuzima abitswe. Niba duhuza ayo makuru n’amakuru yawe y’ubuzima abitswe, tuzabyita byose amakuru y’ubuzima abitswe kandi tuzakoresha cyangwa tukahagaragaza ayo makuru nk’uko byagenwe mu itangazo ryacu ry’amabanga. Ushobora guhagarika imenyekanisha ry’imeli igihe icyo ari cyo cyose ukande kuri link yo guhagarika imenyekanisha muri email. Kwiyandikisha! Murakoze kwandikisha! Vuba uzatangira kwakira amakuru agezweho y’ubuzima ya Mayo Clinic wasabye muri inbox yawe. Mbabarira hari ikintu cyapfubye mu kwiyandikisha wawe Nyamuneka, gerageza ukongera nyuma y’iminota mike Ongera