Neuropathy yemaperiferi inoitika kana nerve dziri kunze kweuropi nemutadzi wemuzongoza (maperiferi nerve) dzakuvara. Iyi chirwere kazhinji chinoita kuti munhu ave nekushaya simba, kusanzwa uye kurwadziwa, kazhinji mumaoko nemakumbo. Inogona kukanganisawo mamwe mativi emuviri nebasa remuviri kusanganisira kugaya nekubuda kwemukomana.
System yemaperiferi nerve inotumira mashoko kubva kuuropi nemutadzi wemuzongoza, zvinonziwo central nervous system, kuenda kune mamwe mativi emuviri kuburikidza ne motor nerves. Maperiferi nerve anotumirawo mashoko ekunzwa kuenda ku central nervous system kuburikidza ne sensory nerves.
Neuropathy yemaperiferi inogona kubva kukuvara kwakasimba, hutachiona, matambudziko ekugadzirwa kwemuviri, zvikonzero zvinowanikwa kubva kuvanhu, uye kuiswa kune chepfu. Chimwe chezvikonzero zvakajairika zve neuropathy ndechisukuru.
Vanhu vane neuropathy yemaperiferi kazhinji vanorondedzera kurwadziwa sekuchinya, kupisa kana kupfava. Dzimwe nguva zviratidzo zvinowedzera, kunyanya kana zvakakonzerwa nechirwere chinogona kurapwa. Mishonga inogona kuderedza kurwadziwa kwe neuropathy yemaperiferi.
Tsinga imwe neimwe iri munyika yepereiperal ine basa rayo chaiyo. Zviratidzo zvinoenderana nerudzi rwetsoka dzakabatwa. Tsoka dzinopatsanurwa kuva: Nerves dzinonzwa dzinogamuchira kunzwa, sekunge tembiricha, kurwadziwa, kudedera kana kubata, kubva paganda. Nerves dzinofambisa dzinodzora kufamba kwemhasuru. Nerves dzinodzora dzinodzora mabasa akadai sekumanikidza kweropa, kupererwa, kuomesa kwemoyo, kugaya uye basa rebladder. Zviratidzo zve peripheral neuropathy zvinogona kusanganisira: Kutanga kwenguva refu kwekusanzwa, kupfava, kana kupfava mumakumbo ako kana maoko. Aya manzwiro anogona kupararira kumusoro mumakumbo ako nemaoko. Kurwadziwa kwakanyanya, kukwenya, kukwenya kana kupisa. Kunzwa kwakanyanya pakubata. Kurwadziwa panguva yemabasa asingafanirwe kukonzera kurwadziwa, sekunge kurwadziwa mumakumbo ako kana uchiisa uremu pairi kana vari pasi pebhuranketi. Kushayikwa kwekuwirirana nekudonhedza. Kushaya simba kwemhasuru. Kunzwa sekunge uri kupfeka magorovu kana masokisi kana usiri. Kusakwanisa kufamba kana nerves dzinofambisa dzakabatwa. Kana nerves dzinodzora dzakabatwa, zviratidzo zvinogona kusanganisira: Kusashivirira kupisa. Kupererwa kwakanyanya kana kusakwanisa kupererwa. Matambudziko ematumbo, bladder kana kugaya. Kudonha kweropa, kukonzera dizziness kana lightheadedness. Peripheral neuropathy inogona kukanganisa nerve imwe, inonzi mononeuropathy. Kana ikakanganisa nerves mbiri kana kupfuura munzvimbo dzakasiyana, inonzi multiple mononeuropathy, uye kana ikakanganisa nerves dzakawanda, inonzi polyneuropathy. Carpal tunnel syndrome ndicho chienzaniso chemononeuropathy. Vanhu vazhinji vane peripheral neuropathy vane polyneuropathy. Tsvaka kurapwa nekukurumidza kana ukaona tingling isingawanzoitika, kushaya simba, kana kurwadziwa mumaoko ako kana tsoka. Kuongororwa nekukurumidza nekurapwa zvinokupa mukana wakanakisa wekudzora zviratidzo zvako uye kudzivirira kukuvara kukuru kune peripheral nerves.
Tsvaga kurapwa kwemishonga nekukurumidza kana ukaona kupenya kusina kujairika, kushaya simba, kana kurwadziwa mumaoko kana tsoka dzako. Kuongororwa pakutanga nekurapwa zvinokupa mukana wakanakisa wekudzora zviratidzo zvako uye kudzivirira kukuvara kuri kuwedzera kune tsinga dzako dze peripheral.
Neuropathy yemaperiferi chirwere chekuvadza kwetwoma, chinokonzerwa nemamiriro akawanda akasiyana. Zvirwere zvinogona kukonzera neuropathy yemaperiferi zvinosanganisira: Zvirwere zve autoimmune. Izvi zvinosanganisira syndrome yeSjogren, lupus, rheumatoid arthritis, Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy uye vasculitis. Uyewo, mamwe macancer ane chekuita nehurongwa hwekuzvidzivirira kwemuviri anogona kukonzera polyneuropathy. Izvi imhando ye chirwere che autoimmune inonzi paraneoplastic syndrome.
Diabetes ne metabolic syndrome. Iyi ndiyo inonyanya kukonzera. Pakati pevanhu vane chirwere cheshuga, kupfuura hafu vachange vaine rudzi rwe neuropathy.
Kutapukirwa. Izvi zvinosanganisira mamwe mavirusi kana mabhakitiriya anokonzera zvirwere, kusanganisira chirwere cheLyme, shingles, hepatitis B ne C, tsetse, diphtheria, uye HIV.
Zvirwere zvinowanikwa kubva kuvanhu. Zvirwere zvakaita seCharcot-Marie-Tooth chirwere ndizvo zvirwere zve hereditary zve neuropathy zvinofamba mumhuri.
Zvipembenene. Kukura kwekenza, kunonziwo malignant, uye kukura kwete kenza, kunonziwo benign, kunogona kukura kana kudzvanya pamatwoma.
Zvirwere zve bone marrow. Izvi zvinosanganisira puroteni iri muropa risiripo kazhinji, rinonzi monoclonal gammopathies, rudzi rwakasiyana rwe myeloma rinotambudza mapfupa, lymphoma uye chirwere chisina kujairika che amyloidosis.
Zvimwe zvirwere. Izvi zvinosanganisira mamiriro ezvinhu e metabolic akadai sechirema cheitsvo kana chiropa, uye thyroid isina basa, inozivikanwawo se hypothyroidism. Zvimwe zvinokonzera neuropathy zvinosanganisira: Dambudziko rekushandisa doro. Kusarudza kwakaipa kwezvokudya kunoita vanhu vane dambudziko rekushandisa doro, kunonziwo alcoholism, uye kushomeka kwekugamuchira mavhitamini kunogona kukonzera huwandu hushoma hwemavhitamini akakosha mumuviri.
Kuonekwa nezvinhu zvinouraya. Zvinhu zvinouraya zvinosanganisira kemikari dzezvirimwa uye zvinhu zvakarema zvakaita se lead ne mercury.
Mishonga. Mishonga yakati, kunyanya chemotherapy inoshandiswa kurapa kenza, inogona kukonzera neuropathy yemaperiferi.
Kuvara kana kumanikidzwa pamatwoma. Kuvara, sekubva mumhosva dzemotokari, kudonha kana kukuvara kwemitambo, kunogona kukamura kana kukuvadza matwoma emaperiferi. Kumanikidzwa kwetwoma kunogona kubva pakukanda kana kushandisa ma crutch kana kudzokorora chiito sekutypa kakawanda.
Kushomeka kwemavhitamini. Mavhitamini B, kusanganisira B-1, B-6 ne B-12, pamwe chete nekoppa ne vitamin E zvakakosha pakutarisira kwetwoma. Muzvimwe zviitiko, hapana chikonzero chinogona kuwanikwa. Izvi zvinonzi idiopathic peripheral neuropathy.
Zvinokonzera peripheral neuropathy zvinosanganisira:
Zvinetso zve peripheral neuropathy zvinogona kusanganisira:
Nzira yakanakisa yekudzivirira peripheral neuropathy ndeyekutonga zvirwere zvinokurisa njodzi. Aya mararamire anobatsira hutano hwemashura ako:
Neuropathy ye peripheral ine zvikonzero zvizhinji zvinobvira. Kunze kwekutarisa kwemuviri, kunogona kusanganisira bvunzo dzeropa, kuongororwa kazhinji kunoda:
Munhu ane hutano anogona kuraira bvunzo, kusanganisira:
Bvunzo dzeropa. Idzi dzinogona kuona mazinga akaderera evhitamini, chirwere cheshuga, zviratidzo zvekuzvimba kana matambudziko emetabolic anogona kukonzera neuropathy ye peripheral.
Bvunzo dzebasa renerve. Electromyography (EMG) inoyeresa uye inotora basa remagetsi mutsandanyama yako kuti uwane kukuvara kwenerve. Sono ine gobvu (electrode) inoiswa mutsandanyama kuti iyerese basa remagetsi sezvaunokwevera tsandanyama.
Panguva ye EMG, kudzidza kwekuita kwenerve kazhinji kunoitikawo. Ma electrodes akati sandara anoiswa paganda uye simba remagetsi rakaderera rinokurudzira matumbo. Munyanzvi wehutano acharayira kuti matumbo apindure sei kune simba remagetsi.
Bvunzo dzimwe dzebasa renerve. Idzi dzinogona kusanganisira skrini ye autonomic reflex. Bvunzo iyi inotora kuti ma fiber e autonomic nerve anoshanda sei. Bvunzo dzimwe dzinogona kusanganisira bvunzo yekubuda kwemukaka inoyeresa kugona kwemuviri wako kubuda mukaka uye bvunzo dzinonzwa dzinotora kuti unonzwa sei kubata, kudedera, kutonhora nekupisa.
Biopsy yenheve. Izvi zvinosanganisira kubvisa chikamu chidiki chenheve, kazhinji nerve inonzwa, kuti edze kuwana chikonzero che neuropathy.
Biopsy yeganda. Chikamu chidiki cheganda chinobviswa kuti chitarisise nhamba yekuguma kwenerve.
Bvunzo dzebasa renerve. Electromyography (EMG) inoyeresa uye inotora basa remagetsi mutsandanyama yako kuti uwane kukuvara kwenerve. Sono ine gobvu (electrode) inoiswa mutsandanyama kuti iyerese basa remagetsi sezvaunokwevera tsandanyama.
Panguva ye EMG, kudzidza kwekuita kwenerve kazhinji kunoitikawo. Ma electrodes akati sandara anoiswa paganda uye simba remagetsi rakaderera rinokurudzira matumbo. Munyanzvi wehutano acharayira kuti matumbo apindure sei kune simba remagetsi.
'Zvinangwa zvekurapa ndekutonga mamiriro anoita kuti uve neNeuropathy uye kuvandudza zviratidzo. Kana bvunzo dzemabhora dzako dzikaratidza kuti hapana mamiriro anoita kuti uve neNeuropathy, mushandi wehutano wako angakurudzira kumirira kuti uone kana Neuropathy yako ichigara yakafanana kana kuti iri kuvanduka. Mishonga Mishonga inogona kushandiswa kurapa mamiriro anoenderana nePeripheral Neuropathy. Kunewo mishonga inoshandiswa kuvandudza zviratidzo zvePeripheral Neuropathy. Mishonga iyi inosanganisira: Zvinodzima kurwadziwa. Mishonga inowanikwa pasina chinyorwa, senge nonsteroidal anti-inflammatory drugs, inogona kuvandudza zviratidzo zvishoma. Mishonga inorwisa kuita seizure. Mishonga yakadai seGabapentin (Gralise, Neurontin, Horizant) uye Pregabalin (Lyrica), yakagadzirwa kurapa epilepsy, kazhinji inovandudza kurwadziwa kwematumbu. Zvinokonzerwa nezvinhu zvinogona kusanganisira hope uye kuzvidza. Kurapa kwepamusoro. Cream yeLidocaine inowanikwa pasina chinyorwa inogona kuiswa paganda. Mapatches eLidocaine imwe kurapa kwaunoisa paganda kuti uvandudze kurwadziwa. Zvinokonzerwa nezvinhu zvinogona kusanganisira hope, kuzvidza uye kusanzwa panzvimbo yepatchi. Antidepressants. Zvimwe zvinodzora kuora mwoyo, senge Amitriptyline uye Nortriptyline (Pamelor), zvinogona kubatsira kuvandudza kurwadziwa. Mishonga iyi inokanganisa maitiro emakemikari mubongo nemuchidya chinoita kuti unzwe kurwadziwa. Serotonin uye norepinephrine reuptake inhibitor duloxetine (Cymbalta) uye extended-release antidepressants venlafaxine (Effexor XR) uye desvenlafaxine (Pristiq) zvinogonawo kuvandudza kurwadziwa kwePeripheral Neuropathy kunokonzerwa nechirwere cheshuga. Zvinokonzerwa nezvinhu zveAntidepressants zvinogona kusanganisira muromo wakaoma, kusvotwa, hope, kuzvidza, kuchinja kwechido chekudya, kuwedzera uremu uye kuvimbiswa. Kurapa Kurapa kwakasiyana-siyana uye maitiro anogona kubatsira nezviratidzo zvePeripheral Neuropathy. Scrambler therapy. Kurapa uku kunoshandisa magetsi kuti utumire mashoko asina kurwadziwa kubongo. Mashoko aya anochengetedza mashoko ekurwadziwa aneutumwa nemitsipa kubongo. Chinangwa ndechekudzidzisa bongo kuti rifunge kuti hapana kurwadziwa. Spinal cord stimulation. Rudzi urwu rwekurapa rwunoshanda kuburikidza nezvishandiso zvinopihwa mumuviri. Zvishandiso izvi zvinonzi neurostimulators. Zvinotumira magetsi mashoma anogona kudzivirira mashoko ekurwadziwa kubva kusvika kubongo. Plasma exchange, steroids uye intravenous immune globulin. Kurapa uku kunowanzo shandiswa kana kuzvimba kana autoimmune conditions zviri kuita kuti uve neNeuropathy ine simba, kusanzwa kana kusawirirana. Kurapa uku hakusi kushandiswa kurapa kurwadziwa chete. Physical therapy. Kana uine simba risina simba kana matambudziko ekururamisira, physical therapy inogona kubatsira kuvandudza kugona kwako kufamba. Unogona zvakare kuda mabhureki emuoko kana tsoka, cane, walker, kana wheelchair. Kuita opisheni. Neuropathy inokonzerwa nekunetseka kwemitsipa, senge kubva kumatunhu, inogona kuda kuita opisheni. Rumwe ruzivo Peripheral neuropathy care paMayo Clinic Mishonga inorwisa kuita seizure Acupuncture Biofeedback Ratidza rumwe ruzivo rwakabatana Kumbira musangano Pane dambudziko neruzivo rwakasimbwa pazasi uye tumira fomu. Kubva kuMayo Clinic kuenda mubhokisi rako Saina mahara uye gara uchiziva nezvekuvandudzwa kweongororo, mazano ehutano, nyaya dzehutsano dzazvino, uye hunyanzvi pakutonga hutano. Dzvanya pano kuti uone email preview. Kero yeEmail 1 Chikanganiso Munda weEmail unoda Chikanganiso Isa kero yeEmail yakakodzera Dzidza zvakawanda nezvekushandisa data reMayo Clinic. Kuti tikupe ruzivo rwakakodzera uye rwakabatsira, uye kunzwisisa kuti ndeipi ruzivo rwakakosha, tinogona kusanganisa ruzivo rweemail yako uye kushandiswa kwewebsite nerumwe ruzivo rwatinazvo nezvako. Kana uri murwere weMayo Clinic, izvi zvinogona kusanganisira ruzivo rwakachengetedzwa rehutsano. Kana tikagadzira ruzivo urwu neruzivo rwako rwakachengetedzwa rehutsano, tichafambisa ruzivo urwo se ruzivo rwakachengetedzwa rehutsano uye tichashandisa kana kuzivisa ruzivo urwo sezvakataurwa mune zvatinozivisa nezvekuita kweprivasi. Unogona kusarudza kubva pakukurukurirana kweemail chero nguva nekudzvanya pane unsubscription link mu email. Nyorera! Ndatenda nekubatanidza! Uchakurumidza kutanga kugamuchira ruzivo rwehutano rweMayo Clinic rwakakumbirwa mubhokisi rako. Zvinosuruvarisa chimwe chinhu chakaipa nekunyorera kwako Ndokumbirawo, edza zvakare mumaminitsi mashoma Edza zvakare'
Zvimwe zvaunotanga kuita ndekushanyira nyanzvi yehutano hwako. Ipapo unogona kutumirwa kuna chiremba akadzidziswa zvirwere zvehurongwa hwematumbu, anonziwo neurologist. Heino ruzivo rwekukubatsira kugadzirira musangano wako. Zvaunogona kuita Kana uchiita musangano, bvunza kana paine chimwe chinhu chaunofanira kuita usati watanga, sekutsanya kwekuyedzwa kwakati. Gadzira runyorwa rwe: Zviratidzo zvako, kusanganisira chero zvingaita sekunge hazvina chekuita nechikonzero chako chekuronga musangano. Ruzivo rwakakosha rwega, kusanganisira kushushikana kwenguva pfupi kana kuchinja kukuru muhupenyu, nhoroondo yemhuri yezvechiremba nekushandisa doro. Mishonga yose, mavhitaminzi kana zvimwe zvinowedzerwa zvaunotora, kusanganisira zvikamu. Mibvunzo yekubvunza nyanzvi yehutano hwako. Tora nhengo yemhuri kana shamwari pamwe chete, kana zvichibvira, kukubatsira kuyeuka ruzivo rwaunopiwa. Kune peripheral neuropathy, mibvunzo yekubvunza inosanganisira: Chii chinonyanya kukonzera zviratidzo zvangu? Kune mamwe makondisheni anogona kuitika here? Ndeapi miedzo yandinoda? Iyi mamiriro acho arienguva pfupi here kana kuti aripo kwenguva refu? Ndeapi kurapwa kuripo, uye ndechipi raunokurudzira? Ndeapi mativi andinogona kutarisira kubva pakurapwa? Kune mamwe maitiro ekutsiva nzira yaunokurudzira here? Ndine mamwe mamiriro ezvehutano. Ndingazvitarisira sei zviri nani pamwe chete? Ndinofanira kudzora mabasa here? Kune mabhurocha kana mamwe mapepa andinogona kutora here? Ndeapi mawebsite aunokurudzira? Usambotya kubvunza mimwe mibvunzo. Zvokutarisira kubva kuchiremba wako Nyanzvi yehutano hwako inogona kukubvunza mibvunzo, yakadai se: Une mamiriro ezvehutano here, akadai sedayabeti kana chirwere cheitsvo? Zviratidzo zvako zvakavamba rinhi? Zviratidzo zvako zvaive zvakaramba zvichiitika here kana kuti dzimwe nguva? Zviratidzo zvako zvakakomba sei? Pane chimwe chinhu chinoita sekunatsa zviratidzo zvako here? Chii, kana chiripo, chinoita sekunyanya kuipa zviratidzo zvako? Munhu aripi wemhuri yako ane zviratidzo zvakafanana nezvako? Wakawira here gore rapfuura? Wakambokuvadzwa pamakumbo here? NaMayo Clinic Staff
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