I-peripheral neuropathy inokuba luphawu lwe-lymphoma kwaye sisiphumo esiqhelekileyo sonyango lwe-lymphoma. Ibangelwa ngumonakalo wexeshana okanye osisigxina wemithambo-luvo ye-peripheral nervous system. Lo monakalo unokukhokelela kwiimvakalelo ezitshintshileyo ezifana nezi:
- bhinqa
- ipini kunye neenaliti
- intlungu
- ukutshisa
- utshintsho kubuntununtunu ngokwesondo
- ukuya kwindlu yangasese.
Eli phepha liza kugxininisa kakhulu kwi-peripheral neuropathy ngokubanzi, kodwa ukuba ungathanda ulwazi oluthe kratya malunga nokutshintsha kwezesondo kunye nokusondelana, okanye utshintsho lwezibilini ngelixa unonyango, nceda ucofe kwikhonkco elingezantsi.
Yintoni inkqubo yethu yemithambo-luvo?
Inkqubo yethu yemithambo-luvo isebenza kancinane njengothungelwano lweengcingo zombane.
Iiseli ezikhethekileyo (ii-receptors) kunye nemithambo-luvo ngaphakathi kwinkqubo yethu yemithambo-luvo zithatha kwaye zithwale imiqondiso (imiyalezo) phakathi kwengqondo yethu kunye namalungu ahlukeneyo omzimba wethu. Ezi zibonakaliso, zisebenza ngokuqhubekayo kwaye zivumela umzimba wethu ukuba wazi indlela yokusebenza, kunye nendlela yokuqonda ihlabathi elisingqongileyo, ngeemvakalelo zethu zokungcamla, ukuvumba, isandi, ukuchukumisa, ukulinganisela kunye nokuma kwethu.
Inkqubo yethu ye-nervous nayo inoxanduva lokuhamba kwethu kunye nokunyanzeliswa kwemisipha. Inika ulwazi kwiintliziyo zethu, imiphunga, izibilini kunye nawo onke amalungu ethu ukubazisa ukuba kufuneka bangene kwaye baphumle nini.
Nangona kunjalo, ukuba une-peripheral neuropathy, le miyalezo iyaphazamiseka, ngoko ke iimvakalelo emzimbeni wakho zinokutshintsha.
Inkqubo ye-nervous central kunye ne-Peripheral nervous system
Inkqubo yethu ye-nervous central ibandakanya zonke ii-nerve kunye ne-receptors kwingqondo yethu, intambo yomgogodla kunye nommandla osemva kwamehlo ethu. Inokufumana kwaye ithumele imiyalezo kwinkqubo yethu ye-nervous peripheral ukugcina umzimba wethu usebenza kakuhle.
Inkqubo yeParasympathetic kunye novelwano
Inkqubo yethu ye-nervous peripheral yiyo yonke enye i-receptors kunye nemithambo-luvo ngaphandle kwenkqubo yethu ye-nervous central, efumaneka kanye kuwo wonke umzimba wethu. Bathumela kwaye bamkele imiyalezo evela kunye nesuka engqondweni yethu. sinenkqubo ye-nervous parasympathetic kunye novelwano esebenza kunye ukugcina intshukumo yomzimba wethu isebenza.
Cofa emfanekisweni ukuze ubone indlela abasebenzisana ngayo.
I-Autonomic, i-Motor kunye ne-Sensory Nerves
Ezinye iindawo zesistim yethu yemithambo-luvo zisebenza ngokuzenzekelayo, ezifana nezo zithumela imiqondiso entliziyweni, emiphungeni nasezibilini zethu. Lo msebenzi wemithambo-luvo ozenzekelayo ubizwa ngokuba ukuzimela.
Amanye amalungu enkqubo yethu yemithambo-luvo sinokuyilawula, njengaxa sikhetha ukubaleka, okanye siphakamise into ethile okanye sibe nenye intshukumo esiyaziyo. Le mithambo-luvo silawula phezu kwayo ibizwa ngokuba imithambo-luvo.
yethu ngqondweni imithambo-luvo kunye ne-receptors ithumela kwaye ifumane imiyalezo malunga nobushushu kunye nokuchukumisa. Ezi zisinceda sibone ingozi ukuba sibamba into eshushu kakhulu okanye ebandayo, okanye ebukhali, oh ukuba ibeka uxinzelelo olukhulu kuthi.
Yintoni i-peripheral neuropathy?
I-peripheral neuropathy sisifo se-receptors kunye nemithambo-luvo ngaphandle kwenkqubo yakho ye-nervous central. Kwenzeka xa i-peripheral receptors okanye imithambo-luvo yonakaliswa, kwaye ke imiyalezo ethunyelwa kunye nesuka ebuchotsheni bakho iye yayeka, okanye iyakrweleka.
Ngokuxhomekeke apho umonakalo ukhoyo, unokufumana nayiphi na impawu ezingezantsi.
Iimpawu ze-Peripheral Neuropathy ngokwenkqubo ye-nervous | ||
Imithambo-luvo | I-Motor neuropathy | I-autonomic neuropathy |
Ukutshotshozela, ukutshisa, izikhonkwane kunye neenaliti okanye ukuziva ukothuka kombane ezandleni okanye ezinyaweni zakho.
Ukulahlekelwa yimvakalelo okanye ukuba ndindisholo.
Uvakalelo olutshintshileyo kwi-stimuli. Kukho into eziva ishushu xa kubanda.
Ukulahleka kokulinganisela xa uvala amehlo akho.
Ukulahleka kwengqondo.
Ukukhala okanye ukuncwina ezindlebeni zakho. |
Iicramps ezibuhlungu.
Ukuxhuma kwemisipha.
Ukuncipha kwengqondo.
Ubuthathaka bemisipha.
Ukuhamba ngokungazinzanga xa uhamba.
Ukungakwazi ukwenza amaqhosha ngokulula.
Ingxaki yokubhala.
Imilenze engazinzanga.
Ukutsala, okanye ukungakwazi ukuphakamisa unyawo ngokufanelekileyo xa uhamba.
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Utywala.
Ukutshintsha kwesinyi.
Urhudo.
Nokuqunjelwa.
Ukungakwazi ukuzibamba (ukungangeni kwindlu yangasese ngexesha, okanye ukuziva xa kufuneka uhambe).
Ukuziva uhluthi kwangethuba kunesiqhelo.
Ukungabi namandla okanye ubunzima bokufikelela kwi-orgasm.
Ukubila okungaqhelekanga. |
Kufuneka uxelele ugqirha wakho kunye nabongikazi ukuba ufumana naziphi na iimpawu ezingentla. Unokudinga ukuba idosi yeyeza lakho elifana nekhemotherapy litshintshwe, okanye unokuba noxinzelelo oluchasene nemithambo-luvo evela kwi-lymphoma, efuna olunye unyango. Ezi zinto zifuna ukulungiswa ngokukhawuleza. Kwiimeko ezininzi, i-peripheral neuropathy inokubuyiselwa umva ukuba inyangwe kwangoko ngokwaneleyo.
Izizathu ze-peripheral neuropathy kwi-lymphoma
Unemiba emininzi yomngcipheko we-peripheral neuropathy xa une-lymphoma. Oku kunokubandakanya i-lymphoma ngokwayo, unyango, okanye ezinye izifo onokuthi ube nazo, okanye uphuhlise ngenxa yonyango lwakho.
Iimpawu zeLymphoma
Ayizizo zonke i-lymphomas eziza kubangela i-peripheral neuropathy, nangona kunjalo unako ukuyifumana njengophawu lwe-lymphoma ukuba:
- UneWaldenstroms Macroglobulinemia (WM). Kwi-WM iiparaprotein zinokunamathela kwiiseli zakho zemithambo-luvo kwaye zenze umonakalo kuzo.
- I-lymphoma yakho ikhula malunga neentsholongwane zakho kwaye ibeka uxinzelelo kubo.
- I-lymphoma yakho ikhula malunga nemithambo yegazi enikezela ngegazi kwimithambo-luvo yakho kunye ne-receptors, ukuthintela ukuhamba kwegazi kubo.
I-side-effect yonyango oluqhelekileyo
- Radiotherapy
- Utyando okanye iinkqubo apho imithambo-luvo okanye i-receptors yonakaliswe
- I-alkaloids ye-Vinca (efana ne-vincristine, i-vinblastine kunye ne-vinorelbine) - La mayeza anikezelwa njengenxalenye yeeprothokholi ezininzi ze-chemotherapy ezifana ne: CHOP, CHEOP, Hyper CVAD, CVP, DA-R-EPOCH, BEACOPP, ChIVPP, IGEV, PVAG
- Amayeza asekelwe kwiPlatinum (njenge-cisplatin, carboplatin, oxaliplatin) - Ezi zinokunikwa njengenxalenye ye-DHAP, GDP, DDGP, DHAC, ESHAP, ICE, RICE, R-GemOx, HiDAC MATRix
- I-Brentuximab vedotin – Oku kunokunikwa ngokwayo okanye njengenxalenye ye-BvCHP, okanye nezinye izilwa-buhlungu ze-monoclonal.
- I-Velcade
- Thalidomide.
Olu ayiloluhlu olupheleleyo lonyango lwe-lymphoma olunokubangela i-peripheral neuropathy, kwaye njengoko amayeza amatsha efumaneka olu luhlu lunokwanda. Kubalulekile ukuba ukhankanye naziphi na iimpawu ze-peripheral neuropathy kugqirha wakho kunye nabongikazi ukuze bakwazi ukumisela unobangela kunye nonyango olululo olukhethayo.
Ezinye iimeko okanye izinto ezinokubangela i-peripheral neuropathy
Kukho ezinye iimeko ezinokubangela i-peripheral neuropathy. Oku kunokubandakanya:
- Diabetes
- I-vitamin B12 ephantsi
- Usulelo olufana neeshingles
- Izifo ezikhuselayo
- ukutshaya
- Utywala.
Nceda uyeke okanye unciphise ukutshaya nokusela
Ukulawula ezinye iimeko
Ukuba unesifo seswekile okanye ingxaki ye-autoimmune, kubalulekile ukuqhubeka nonyango lwakho kwezi. Unokufuna ukubona amaqela amaninzi ogqirha ukuqinisekisa ukuba i-lymphoma kunye nezinye iimeko zilawulwa kakuhle.
Infections
Thetha ne-hematologist yakho okanye i-oncologist malunga nomngcipheko wakho wosulelo kunye nogonyo olukhuselekileyo ukuba ube nalo. Kwezinye iimeko, banokucebisa isitofu sokugonya ishingles okanye ezinye iintlobo zosulelo.
Ugonyo oluphilayo lusenokungakhuseleki xa unonyango lwe-lymphoma, ke qiniseka ukuba ubuza ukuba yeyiphi ekufuneka uyifumene.
impatho
Kukho unyango lwendalo kunye nolungaphaya kwekhawuntara olufumanekayo ukunceda ukunciphisa iimpawu ze-peripheral neuropathy. Kwezinye iimeko, utshintsho kwidosi yeyeza lakho lunokwanela ukuphucula iimpawu zakho.
Kubaluleke kakhulu ukuba uxele iimpawu ze-peripheral neuropathy ngokukhawuleza nje ukuba ziqalise. Ngokukhawuleza ukuba utshintsho lwethamo lwenzeka kokukhona kunokwenzeka ukuba i-peripheral neuropathy yakho iphucuke.
Kwikhawuntara amayeza ukunceda ngeperipheral neuropathy
- I-capsaicin cream
- izongezo zevithamini - njengeevithamini B
- amabala esikhumba kunye ne-lignocaine (ekwabizwa ngokuba yi-lidocaine)
- iglutamine.
Olunye unyango lwendalo
Ezinye izinto onokuzizama eziya kunceda ukunciphisa impembelelo ye-peripheral neuropathy ziquka:
- massage ethambileyo
- ukuzivocavoca ukuphucula ukuhamba kwegazi
- physiotherapy
- yitya usempilweni
- ukufudumala kunokubanceda abanye abantu, ngelixa abanye befumanisa ukuba ukuhlala upholile kuyanceda.
- ukunciphisa icaffeine njengekofu kunye neziselo zamandla. I-caffeine eninzi inokuchaphazela ukuhamba kwegazi kwaye yenza iimpawu zibe zibi nakakhulu. Zama izinto zekofu ezifana neti yeDandelion okanye iti ye-caffeine yasimahla.
Ukutya okunokunceda ekuvuseleleni imithambo-luvo
Intlanzi | Iziqhamo nemifuno | Amandongomane kunye nembewu |
Islamoni Iisardines Imackerel Tuna Cod | Ispinatshi Iponyoponyo Ubhontshisi abamnyama I-peas eluhlaza Lentils Iimbotyi zesoya Amakhowa engonyama ijinja Zonke iziqhamo ezitsha | IAlmond IWalnuts imbewu ithanga
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Gcina amanzi
Ukuphelelwa ngamanzi emzimbeni kunokwenza i-peripheral neuropathy ibe mandundu, kwaye ilibazise ukuphiliswa. Sela ubuncinane iiglasi ezi-6-8 zamanzi ezizeleyo ngosuku ngalunye. Ukuba awuwathandi amanzi ngokwawo, zama ukongeza i-lemon okanye ijusi yekalika okanye i-cordial emanzini.
***Ukuba unikwe isithintelo solwelo ngugqirha wakho, namathela kwelo cebiso kwaye usele kuphela njengoko uyalelwe.
Unyango lwezamayeza
Unokufuna unyango lwezonyango ukuphucula iimpawu ze-peripheral neuropathy. Oku kunokubandakanya:
- amitriptyline, duloxetine, pregabalin okanye gabapentin. Ezi zisebenza ngcono kwiintlungu ze-peripheral neuropathy kune-opioids.
- iinnabinoids
- i-intravenous (kwi-vein yakho) i-lignocaine (i-lidocaine)
- ichemotherapy
- plasmapheresis (Plasma exchange) kuphela ukuba uneWaldenstroms Macroglobulinemia.
isishwankathelo
- I-peripheral neuropathy sisiphumo esiqhelekileyo sonyango lwe-lymphoma, kwaye inokuba luphawu lwezinye ii-lymphomas.
- Ezinye iiperipheral neuropathies zinokutshintshwa ukuba zibanjwe kwaye zilawulwe kwangethuba, ezinye zinokuba sisigxina.
- I-peripheral neuropathy yenzeka xa ii-receptors (iiseli ezikhethekileyo) kunye neziphelo zemithambo-luvo ngaphandle kobuchopho kunye nentambo yomnqonqo zonakele, okanye zithintelwe ukuhamba kwegazi kuzo.
- Ngaphezulu kwe-counter, unyango lwendalo kunye nonyango lunokusetyenziselwa ukuphucula iimpawu ze-peripheral neuropathy.
- Xela zonke iimpawu ze-peripheral neuropathy kwi-hematologist yakho okanye kwi-oncologist phambi konyango lwakho olulandelayo.
- Iimpawu eziqhelekileyo zingabandakanya utshintsho kwiimvakalelo ezandleni nasezinyaweni zakho, ingxaki yokuya kwindlu yangasese, utshintsho kumsebenzi wesondo phakathi kwabanye abadweliswe ngasentla.
- Fowunela umgca wethu wenkxaso yesigulane ukuze uthethe nomnye wabongikazi bethu boNonophelo lweLymphoma ukuba unemibuzo malunga ne-peripheral neuropathy. Cofa uqhagamshelane nathi ezantsi ezantsi kwesikrini ukuze ufumane iinkcukacha zoqhagamshelwano.
