Peripheral neuropathy inogona kuva chiratidzo che lymphoma uye inowanzoitika-mhedzisiro yemamwe marapirwo e-lymphoma. Inokonzerwa nekukuvara kwechinguva kana kusingaperi kwetsinga dzeperipheral nervous system. Kukuvadzwa uku kunogona kukonzera manzwiro akachinjwa akadai se:
- kupera
- pini netsono
- marwadzo
- kutsva kunzwa
- kuchinja kumanzwiro epabonde
- kuenda kuchimbuzi.
Iri peji rinonyanya kutarisisa nezve peripheral neuropathy mune zvese, asi kana iwe uchida rumwe ruzivo nezve shanduko yepabonde uye kushamwaridzana, kana kuchinja ura uchirapwa, ndapota tinya pane zvinongedzo pazasi.
Chii chinonzi tsinga dzedu?
Tsika yedu yetsinga inoshanda zvishoma senge network yewaya dzemagetsi.
Masero akasarudzika (mareceptors) uye tsinga mukati mehurongwa hwedu hwetsinga dzinotora uye dzinotakura masaini (mameseji) pakati pehuropi hwedu nenzvimbo dzakasiyana dzemuviri wedu. Aya masaini, anoshanda nguva dzose uye anoita kuti muviri wedu uzive mashandire, uye manzwisisiro enyika yakatitenderedza, kuburikidza nemanzwiro edu ekuravira, kunhuwa, ruzha, kubata, kuenzanisa uye chinzvimbo chedu.
Sisitimu yedu yetsinga inewo mutoro wekufamba kwedu uye kuputika kwemhasuru. Inopa ruzivo kumoyo yedu, mapapu, ura uye nenhengo dzedu dzese kuti vazive nguva yekubatira pamwe nekuzorora.
Nekudaro, kana uine peripheral neuropathy, mameseji aya anokanganiswa, saka manzwiro ari mumuviri wako anogona kuchinja.
Central nervous uye Peripheral nervous system
Yedu yepakati tsinga sisitimu inosanganisira yedu yese tsinga uye zvinogamuchira muuropi hwedu, musana uye nzvimbo kuseri kwemaziso edu. Inogona kugamuchira uye kutumira mameseji kune yedu peripheral nervous system kuchengetedza muviri wedu uchishanda zvakanaka.
Parasympathetic uye Tsitsi System
Yedu yeperipheral nervous system ndeye ese mamwe ma receptors uye tsinga dziri kunze kweyepakati tsinga sisitimu, iyo inowanikwa mumuviri wedu wese. Vanotumira uye kugamuchira meseji kuenda uye kubva kuuropi hwedu. isu tine parasympathetic uye inonzwira tsitsi tsinga system inoshanda pamwe chete kuchengetedza kufamba kwemuviri wedu kushanda.
Dzvanya pamufananidzo kuti uone mashandiro avanoita pamwe chete.
Autonomic, Mota uye Sensory Nurves
Dzimwe nhengo dzetsinga dzedu dzinoshanda dzoga, sedziya dzinotumira masaini kumwoyo yedu, mapapu nemuura. Izvi otomatiki tsinga kuita kunonzi autonomic.
Zvimwe zvikamu zvetsinga dzedu tinogona kudzora, sepatinosarudza kumhanya, kana kusimudza chimwe chinhu kana kuita kumwe kufamba tichiziva. Tsinga dzatinodzora idzi dzinonzi mota tsinga.
Our sensory tsinga uye zvinogamuchira zvinotumira uye kugamuchira meseji nezve tembiricha uye kubata. Izvi zvinotibatsira kuziva njodzi kana tikabata chinhu chinopisa kana kuti chinotonhora zvakanyanya, kana chakapinza, haiwa kana chichiisa dzvinyiriro yakawandisa patiri.
Chii chinonzi peripheral neuropathy?
Peripheral neuropathy ihosha yezvinogamuchirwa uye tsinga dziri kunze kweiyo central nerve system. Zvinoitika kana peripheral receptors kana tsinga dzakuvadzwa, uye saka mameseji anotumirwa uye kubva kuhuropi hwako anomiswa, kana kukweshwa.
Zvichienderana nekuti kukuvara kwacho kuri kupi, unogona kusangana nezviratidzo zviri pasi apa.
Zviratidzo zvePeripheral Neuropathy maererano nenheyo system | ||
Kunzwa kweuropathy | Motor neuropathy | Autonomic neuropathy |
Kudzvova, kupisa, mapini netsono kana kunzwa kuvhundutsa kwemagetsi mumaoko ako kana tsoka.
Kurasikirwa nekunzwa kana kuti chiveve.
Altered sensation to stimuli. Chinhu chirikunzwa kupisa kana kuchitonhora.
Kurasikirwa kwekuenzanisa paunovhara maziso ako.
Kurasikirwa nemafungiro.
Kurira kana kurira munzeve dzako. |
Marwadzo anorwadza.
Tsvina inodedera.
Decreased reflexes.
Tsvina kushaya simba.
Kufamba kusina kugadzikana pakufamba.
Kusakwanisa kuita mabhatani nyore nyore.
Dambudziko kunyora.
Makumbo asina kugadzikana.
Kukweva, kana kusakwanisa kusimudza tsoka zvakanaka pakufamba.
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Chizutu.
Dundira rinoshanduka.
Manyoka.
Kuzvimbirwa.
Incontinence (kusasvika kuchimbuzi nenguva, kana kusanzwa paunoda kuenda).
Kunzwa kuguta kare kupfuura zvakajairika.
Kushaya simba kana kutadza kusvika orgasm.
Kudikitira kusina kujairika. |
Unofanira kuzivisa chiremba wako uye vanamukoti kana ukawana chimwe chezviratidzo zviri pamusoro. Iwe unogona kunge uchida kuva nemupi wemushonga wako wakadai sekemotherapy uchinje, kana kuti unogona kuva nekumanikidzwa kurwisana nemitsipa kubva kune lymphoma, inoda mamwe marapirwo. Zvinhu izvi zvinoda kugadziriswa nekukurumidza. Muzviitiko zvakawanda, peripheral neuropathy inogona kudzoserwa kana ikarapwa nekukurumidza.
Zvikonzero zveperipheral neuropathy mu lymphoma
Iwe une akati wandei engozi zvinhu zveperipheral neuropathy kana uine lymphoma. Izvi zvinogona kusanganisira lymphoma pachayo, marapirwo ayo, kana zvimwe zvirwere zvaungave nazvo, kana kukura nekuda kwemishonga yako.
Zviratidzo zveLymphoma
Haasi ese ma lymphomas anokonzeresa peripheral neuropathy, zvisinei iwe unogona kuiwana sechiratidzo che lymphoma kana:
- Iwe une Waldenstroms Macroglobulinemia (WM). MuWM paraprotein inogona kunamatira kumasero ako etsinga uye kukonzera kukuvara kwazviri.
- Yako lymphoma iri kukura yakakomberedza mitsipa yako uye ichiisa kumanikidza pavari.
- Yako lymphoma iri kukura yakatenderedza tsinga dzeropa dzinopa ropa kune yako tsinga uye ma receptors, kudzivirira kuyerera kweropa kwavari.
Side-effect yezvakajairwa marapirwo
- Radiotherapy
- Kuvhiya kana maitirwo apo tsinga kana mareceptor akakuvadzwa
- Vinca alkaloids (yakadai sevincristine, vinblastine uye vinorelbine) - Mishonga iyi inopiwa sechikamu chemishonga yakawanda yechemotherapy yakadai se: CHOP, CHEOP, Hyper CVAD, CVP, DA-R-EPOCH, BEACOPP, ChIVPP, IGEV, PVAG
- Platinamu yakavakirwa mishonga (senge cisplatin, carboplatin, oxaliplatin) - Izvi zvinogona kupihwa sechikamu cheDHAP, GDP, DDGP, DHAC, ESHAP, ICE, RICE, R-GemOx, HiDAC MATRix
- Brentuximab vedotin – Izvi zvinogona kupihwa pachazvo kana sechikamu cheBvCHP, kana nemamwe masoja ekudzivirira chirwere.
- Velcade
- Thalidomide.
Iyi haisi rondedzero yakazara yekurapa lymphoma iyo inogona kukonzera peripheral neuropathy, uye sezvo mishonga mitsva inowanikwa iyi runyorwa runogona kuwedzera. Zvakakosha kuti utaure chero zviratidzo zveperipheral neuropathy kuna chiremba wako uye vanamukoti kuti vaone chikonzero uye nzira dzekurapa dzakakunakira iwe.
Mamwe mamiriro kana zvinhu zvinogona kukonzera peripheral neuropathy
Kune mamwe mamiriro ezvinhu anogona kukonzera peripheral neuropathy. Izvi zvinogona kusanganisira:
- chirwere cheshuga
- Low vitamin B12
- Zvirwere zvakadai seshingles
- Auto-immune zvirwere
- kusvuta
- Kudhakwa.
Batsira kurega kana kuderedza kusvuta uye kunwa
Kugadzirisa mamwe mamiriro
Kana uine chirwere cheshuga kana autoimmune disorder, zvakakosha kuti uenderere mberi nemishonga yako yeizvi. Iwe unogona kudikanwa kuona zvikwata zvakawanda zvevanachiremba kuti uone kuti lymphoma yako nemamwe mamiriro ezvinhu anodzorwa zvakanaka.
zvirwere
Taura nehematologist yako kana oncologist nezve njodzi yako yekutapukirwa uye kuti ndeapi majekiseni akachengeteka kwauri kuti uve nawo. Mune zvimwe zviitiko, vanogona kukurudzira vaccine ye shingles kana mamwe marudzi ezvirwere.
Mishonga yekurarama inogona kunge isina kuchengetedzeka paunenge uchirapwa lymphoma, saka ita shuwa kubvunza kuti ndeipi yaunofanira kuwana.
mabatiro
Kune mamwe echisikigo uye pamusoro pekaunda marapirwo anowanikwa kubatsira kuderedza zviratidzo zveperipheral neuropathy. Mune zvimwe zviitiko, shanduko yepimo yemishonga yako inogona kukwana kuti uvandudze zviratidzo zvako.
Izvo zvakakosha kuti utaure zviratidzo zveperipheral neuropathy pazvinongotanga. Nekukurumidza kuchinja kwedosi kunoitika ndipo mukana wako weperipheral neuropathy uchavandudza.
Pamusoro pemishonga yekubatsira neperipheral neuropathy
- capsaicin kirimu
- mavitamini ekuwedzera - senge B mavhitaminzi
- dermal patches ne lignocaine (inonziwo lidocaine)
- glutamine.
Mimwe mishonga yechisikigo
Zvimwe zvinhu zvaunogona kuedza izvo zvinozobatsira kuderedza kukanganiswa kweperipheral neuropathy zvinosanganisira:
- massage nyoro
- kurovedza muviri kuvandudza kuyerera kweropa
- physiotherapy
- idya zvine utano
- kudziya kunogona kubatsira kune vamwe vanhu, nepo vamwe vachiwana kutonhorera kunobetsera.
- kuderedza caffeine yakadai semukofi uye zvinwiwa zvine simba. Yakawandisa caffeine inogona kukanganisa kuyerera kweropa uye kuita kuti zviratidzo zviwedzere. Edza zvinotsiva kofi senge Dandelion tii kana caffeine isina green teas.
Zvokudya zvinogona kubatsira nekuvandudza tsinga
hove | Zvibereko nemiriwo | Nzungu & Mbeu |
Salmon Sardines Mackerel Tuna Code | sipinachi Kuchengetedza Black bean Pizi dzakasvibirira Taa Soybeans Shumba mamane howa Ginger Michero mitsva yese | maarumondi Walnuts nhanga mbeu
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Ramba uine hydrated
Kupera mvura mumuviri kunogona kuita kuti peripheral neuropathy iwedzere, uye kunonoka kupora. Inwa zvinokwana 6-8 magirazi akazara emvura zuva rega rega. Kana iwe usingade mvura yega, edza kuwedzera lemon kana lime juice kana cordial kumvura.
***Kana wapihwa mvura yekudzivirirwa nachiremba, rambira pazano iroro wongonwa zvaunenge warairwa.
Kurapwa
Iwe unogona kuda kurapwa kwemishonga kuti uvandudze zviratidzo zveperipheral neuropathy. Izvi zvinogona kusanganisira:
- amitriptyline, duloxetine, pregabalin kana gabapentin. Izvi zvinowanzoshanda zvirinani kune peripheral neuropathy kurwadziwa kupfuura maopioid.
- cannabinoids
- intravenous (mutsinga yako) lignocaine (lidocaine)
- cryotherapy
- plasmapheresis (Plasma exchange) chete kana uine Waldenstroms Macroglobulinemia.
pfupiso
- Peripheral neuropathy yakajairika mhedzisiro yekurapa lymphoma, uye inogona kuve chiratidzo chemamwe lymphomas.
- Mamwe maperipheral neuropathies anogona kudzoserwa kumashure kana akabatwa uye akagadziriswa nekukurumidza, mamwe anogona kunge ari zvachose.
- Peripheral neuropathy inoitika kana ma receptors (specialized cells) uye magumo etsinga ari kunze kwehuropi nemuzongoza zvinokuvara, kana kuti kuyerera kweropa kwadziri kurambidzwa.
- Pamusoro pekaunda, kurapwa kwechisikigo uye kwekurapa zvese zvinogona kushandiswa kuvandudza zviratidzo zveperipheral neuropathy.
- Taura zviratidzo zvese zveperipheral neuropathy kune wako haematologist kana oncologist usati watevera kurapwa.
- Zviratidzo zvakajairika zvinogona kusanganisira kuchinja kwekunzwa mumaoko ako netsoka, kunetseka kuenda kuchimbuzi, kuchinja kuita zvepabonde pakati pezvimwe zvakanyorwa pamusoro apa.
- Fonera mutsara wedu werutsigiro wevarwere kuti utaure kune mumwe wedu Lymphoma Care Nurses kana uine uye mibvunzo nezve peripheral neuropathy. Dzvanya iyo inotibata pazasi pazasi pescreen kuti uwane ruzivo.
