I-peripheral neuropathy ingaba uphawu lwe-lymphoma futhi iwumphumela ovamile wezinye izindlela zokwelapha ze-lymphoma. Kubangelwa ukulimala kwesikhashana noma unomphela kwemizwa yesimiso sezinzwa esiseduze. Lo monakalo ungaholela emizweni eshintshile efana nale:
- ukungabi namandla
- iphini nezinaliti
- ubuhlungu
- imizwa evuthayo
- izinguquko ekuzweleni kwezocansi
- ukuya endlini yangasese.
Leli khasi lizogxila kakhulu ku-peripheral neuropathy ngokuvamile, kodwa uma ungathanda ulwazi olwengeziwe ngezinguquko zobulili nokusondelana, noma izinguquko zamathumbu ngesikhathi welashwa, sicela uchofoze izixhumanisi ezingezansi.
Siyini isimiso sethu sezinzwa?
Isimiso sethu sezinzwa sisebenza kancane njengenethiwekhi yezintambo zikagesi.
Amaseli akhethekile (ama-receptors) kanye nezinzwa ngaphakathi kwesistimu yethu yezinzwa athatha futhi aphathe amasignali (imiyalezo) phakathi kobuchopho bethu nezingxenye ezahlukene zomzimba wethu. Lezi zimpawu, zisebenza ngokuqhubekayo futhi zenza imizimba yethu yazi ukuthi isebenza kanjani, nokuthi iwuqonda kanjani umhlaba osizungezile, ngezinzwa zethu zokunambitha, ukuhogela, umsindo, ukuthinta, ibhalansi nendawo yethu.
Isimiso sethu sezinzwa sinomthwalo wemfanelo wokunyakaza kwethu nokufinyela kwemisipha. Inikeza ulwazi enhliziyweni yethu, amaphaphu, amathumbu kanye nazo zonke izitho zethu ukuze zazise ukuthi kufanele zifinyele futhi ziphumule nini.
Kodwa-ke, uma une-peripheral neuropathy, le milayezo iyaphazamiseka, ngakho-ke imizwa emzimbeni wakho ingase ishintshe.
Isistimu yezinzwa ezimaphakathi kanye ne-Peripheral nervous
Uhlelo lwethu lwezinzwa olumaphakathi lubandakanya zonke izinzwa zethu nama-receptors ebuchosheni bethu, umgogodla kanye nendawo ngemuva kwamehlo ethu. Ingathola futhi ithumele imilayezo ohlelweni lwethu lwezinzwa oluseduze ukuze igcine umzimba wethu usebenza kahle.
I-Parasympathetic kanye nesistimu yozwela
Isimiso sethu sezinzwa esiseduze yiwo wonke amanye ama-receptors nezinzwa ezingaphandle kwesistimu yethu yezinzwa emaphakathi, ezitholakala kuwo wonke umzimba wethu. Bathumela futhi bamukele imilayezo eya noma evela ebuchosheni bethu. sinesimiso sezinzwa esine-parasympathetic kanye nozwela esisebenza ndawonye ukuze sigcine ukunyakaza komzimba wethu kusebenza.
Chofoza esithombeni ukuze ubone ukuthi basebenzisana kanjani.
I-Autonomic, Motor kanye Nemizwa Yezinzwa
Ezinye izingxenye zesimiso sethu sezinzwa zisebenza ngokuzenzakalelayo, njengalezo ezithumela izimpawu enhliziyweni yethu, emaphashini nasemathunjini. Lo msebenzi wezinzwa ozenzakalelayo ubizwa ngokuthi ezizimele.
Ezinye izingxenye zesimiso sethu sezinzwa singakwazi ukuzilawula, njengalapho sikhetha ukugijima, noma siphakamisa okuthile noma sibe nokunye ukunyakaza okuqaphelayo. Lezi zinzwa esizilawulayo zibizwa ngokuthi motor nerve.
Our izinzwa izinzwa nama-receptors athumela futhi amukele imilayezo mayelana nezinga lokushisa nokuthinta. Lokhu kusisiza ukuba sibone ingozi uma sithinta into eshisa kakhulu noma ebandayo, noma ebukhali, oh uma isicindezela kakhulu.
Iyini i-peripheral neuropathy?
I-peripheral neuropathy ukuphazamiseka kwama-receptors nezinzwa ngaphandle kwesistimu yakho yezinzwa emaphakathi. Kwenzeka lapho ama-peripheral receptors noma izinzwa zilimala, ngakho-ke imilayezo ethunyelwa noma isuka ebuchosheni bakho iyamiswa, noma inyakaze.
Kuya ngokuthi ukuphi umonakalo, ungase ube nanoma yiziphi izimpawu zalezi ezingezansi.
Izimpawu ze-Peripheral Neuropathy ngokusho kwesistimu yezinzwa | ||
I-neuropathy yezinzwa | I-motor neuropathy | I-autonomic neuropathy |
Ukuluma, ukuvutha, izikhonkwane nezinaliti noma umuzwa wokushaqeka kagesi ezandleni noma ezinyaweni zakho.
Ukulahlekelwa ukuzwa noma ukuba ndikindiki.
Umuzwa oshintshile ube yizisusa. Kukhona okuzwakala kushisa uma kubanda.
Ukulahlekelwa ibhalansi uma uvala amehlo akho.
Ukulahlekelwa ingqondo.
Ukukhala noma ukubhuza ezindlebeni zakho. |
Amajaqamba abuhlungu.
Ukudikiza kwemisipha.
Ukuncipha kokukhalipha.
Ubuthakathaka bemisipha.
Ukuhamba okungaqinile lapho uhamba.
Ukungakwazi ukwenza izinkinobho kalula.
Inkinga yokubhala.
Imilenze engaphumuli.
Ukuhudula, noma ukungakwazi ukuphakamisa unyawo kahle lapho uhamba.
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Isizungu.
Isinye sishintsha.
Uhudo.
Ukuqunjelwa.
I-Incontinence (ukungafiki endlini yangasese ngesikhathi, noma ukungezwa lapho udinga ukuya).
Ukuzizwa usuthi ngaphambi kwesikhathi esijwayelekile.
Ukungabi namandla noma ubunzima bokufinyelela i-orgasm.
Ukujuluka okungajwayelekile. |
Kufanele wazise udokotela wakho kanye nabahlengikazi uma uthola noma yiziphi izimpawu zalezi ezingenhla. Ungase udinge ukuthi umthamo womuthi wakho onjengokwelashwa ngamakhemikhali ushintshwe, noma ungase ube nengcindezi ngokumelene nezinzwa ezivela ku-lymphoma, ezidinga ezinye izindlela zokwelapha. Lezi zinto zidinga ukulungiswa ngokushesha. Ezimweni eziningi, i-peripheral neuropathy ingahlehliswa uma ilashwa kusenesikhathi.
Izimbangela ze-peripheral neuropathy ku-lymphoma
Unezici ezimbalwa zobungozi ze-peripheral neuropathy uma une-lymphoma. Lokhu kungabandakanya i-lymphoma ngokwayo, ukwelashwa kwayo, noma ezinye izifo ongase ube nazo, noma uthuthuke ngenxa yokwelashwa kwakho.
Izimpawu zeLymphoma
Akuwona wonke ama-lymphomas azodala i-peripheral neuropathy, kodwa kungenzeka ukuthi uyithole njengophawu lwe-lymphoma uma:
- Unayo i-Waldenstroms Macroglobulinemia (WM). Ku-WM ama-paraprotein anganamathela kumaseli akho ezinzwa futhi abangele ukulimala kuwo.
- I-lymphoma yakho ikhula eduze kwemizwa yakho futhi ibeka ingcindezi kuzo.
- I-lymphoma yakho ikhula eduze kwemithambo yegazi ehlinzeka ngegazi emithanjeni yakho nama-receptors, ivimbela ukugeleza kwegazi kuyo.
Umphumela omubi wezokwelapha ezivamile
- Radiotherapy
- Ukuhlinzwa noma izinqubo lapho izinzwa noma ama-receptors alimele
- I-Vinca alkaloids (njenge-vincristine, i-vinblastine ne-vinorelbine) – Le mithi inikezwa njengengxenye yezivumelwano eziningi ze-chemotherapy ezifana nalezi: CHOP, CHEOP, Hyper CVAD, CVP, DA-R-EPOCH, BEACOPP, ChIVPP, IGEV, PVAG
- Imithi esekwe kwiplatinamu (njenge-cisplatin, i-carboplatin, i-oxaliplatin) - Lena inganikezwa njengengxenye ye-DHAP, GDP, DDGP, DHAC, ESHAP, ICE, RICE, R-GemOx, HiDAC MATRix
- I-Brentuximab vedotin – Lokhu kunganikezwa yona ngokwayo noma njengengxenye ye-BvCHP, noma namanye amasosha omzimba e-monoclonal.
- I-Velcade
- I-Thalidomide.
Lolu akulona uhlu olugcwele lwemithi yokwelapha i-lymphoma engabangela i-peripheral neuropathy, futhi njengoba imithi emisha itholakala lolu hlu lungase lwande. Kubalulekile ukuthi usho noma yiziphi izimpawu ze-peripheral neuropathy kudokotela wakho nakubahlengikazi ukuze bathole imbangela kanye nezinketho zokwelashwa ezingcono kakhulu kuwe.
Ezinye izimo noma izici ezingabangela i-peripheral neuropathy
Kunezinye izimo ezingabangela i-peripheral neuropathy. Lokhu kungafaka:
- Diabetes
- I-vitamin B12 ephansi
- Amagciwane afana nama-shingles
- Izifo ze-auto-immune
- Ukubhema
- Utshwala.
Siza ukuyeka noma ukunciphisa ukubhema nokuphuza
Ukuphatha ezinye izimo
Uma unesifo sikashukela noma i-autoimmune disorder, kubalulekile ukuqhubeka nokwelashwa kwakho kulokhu. Ungase udinge ukubona amaqembu amaningana odokotela ukuze uqiniseke ukuthi i-lymphoma nezinye izimo zilawulwa kahle.
Izifo
Khuluma ne-hematologist yakho noma i-oncologist mayelana nobungozi bakho bokutheleleka nokuthi yimiphi imigomo ephephile ukuthi ube nayo. Kwezinye izimo, bangancoma umuthi wokugomela ama-shingles noma ezinye izinhlobo zezifo.
Imithi yokugoma ebukhoma ingase ingaphephile uma welashelwa i-lymphoma, ngakho qiniseka ukuthi uyabuza ukuthi yimuphi okufanele uwuthole.
Ukwelashwa
Kukhona ezinye izindlela zokwelapha zemvelo nezingaphezu kwekhawunta ezitholakalayo ukusiza ukwehlisa izimpawu ze-peripheral neuropathy. Kwezinye izimo, ukushintsha umthamo wemithi yakho kungase kube ngokwanele ukuthuthukisa izimpawu zakho.
Kubaluleke kakhulu ukuthi ubike izimpawu ze-peripheral neuropathy ngokushesha nje lapho ziqala. Ngokushesha ushintsho lwethamo lwenzeka maningi amathuba okuthi i-peripheral neuropathy yakho izothuthuka.
Ngaphandle kwemithi yokwelapha ukusiza nge-peripheral neuropathy
- ukhilimu we-capsaicin
- amavithamini - njengamavithamini B
- ama-dermal patches ane-lignocaine (ebizwa nangokuthi i-lidocaine)
- i-glutamine.
Amanye amakhambi emvelo
Ezinye izinto ongazizama ezizosiza ukwehlisa umthelela we-peripheral neuropathy zihlanganisa:
- massage emnene
- ukuzivocavoca ukuthuthukisa ukugeleza kwegazi
- physiotherapy
- udle uphilile
- ukufudumala kungasiza abanye abantu, kanti abanye bathola ukuthi ukuzigcina upholile kuyasiza.
- yehlisa i-caffeine njengasekhofini naseziphuzweni zamandla. I-caffeine eningi ingathinta ukugeleza kwegazi futhi yenze izimpawu zibe zimbi nakakhulu. Zama okunye esikhundleni sekhofi njengetiye le-Dandelion noma itiye eliluhlaza elingena-caffeine.
Ukudla okungasiza ekuvuseleleni izinzwa
Fish | Izithelo nemifino | Amantongomane & Imbewu |
Uhlobo lwenhlanzi AmaSardines Mackerel Tuna I-Cod | Isipinashi Ukwatapheya Ubhontshisi omnyama Peas oluhlaza Udali AmaSoybe Amakhowe ebhubesi Ginger Zonke izithelo ezintsha | Ama-alimondi Ama-Walnuts Imbewu yethanga
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Gcina amanzi
Ukuphelelwa amanzi emzimbeni kungenza i-peripheral neuropathy ibe yimbi kakhulu, futhi ibambezele ukuphulukiswa. Phuza okungenani izingilazi ezinde zamanzi ezigcwele eziyi-6-8 ngosuku. Uma ungawathandi amanzi ewodwa, zama ukufaka ulamula noma ujusi we-lime noma ubumnandi emanzini.
***Uma udokotela wakho ekuvimbele uketshezi, namathela kuleso seluleko futhi uphuze kuphela njengoba uyaliwe.
Imithi yokwelashwa
Ungase udinge ukwelashwa ukuze uthuthukise izimpawu ze-peripheral neuropathy. Lokhu kungafaka:
- I-amitriptyline, i-duloxetine, i-pregabalin noma i-gabapentin. Lezi ngokuvamile zisebenza kangcono ebuhlungu be-peripheral neuropathy kunama-opioid.
- ama-cannabinoids
- i-intravenous (emthanjeni wakho) i-lignocaine (i-lidocaine)
- i-cryotherapy
- i-plasmapheresis (i-Plasma exchange) kuphela uma une-Waldenstroms Macroglobulinemia.
Isifinyezo
- I-peripheral neuropathy iwumphumela omubi ovamile we-lymphoma, futhi ingaba uphawu lwama-lymphomas athile.
- Amanye ama-peripheral neuropathies angahlehliswa uma ebanjwa futhi alawulwe kusenesikhathi, amanye angase ahlale unomphela.
- I-peripheral neuropathy yenzeka lapho ama-receptors (amangqamuzana akhethekile) kanye neziphetho zemizwa ngaphandle kobuchopho nomgogodla zilimale, noma ukugeleza kwegazi kuye kukhawulelwe.
- Ngaphandle kwekhawunta, ukwelashwa kwemvelo kanye nokwelashwa konke kungasetshenziswa ukuthuthukisa izimpawu ze-peripheral neuropathy.
- Bika zonke izimpawu ze-peripheral neuropathy ku-hematologist yakho noma i-oncologist ngaphambi kokwelashwa kwakho okulandelayo.
- Izimpawu ezijwayelekile zingabandakanya izinguquko emizweni ezandleni nasezinyaweni zakho, inkinga yokuya endlini yangasese, izinguquko ekusebenzeni kocansi phakathi kwezinye ezibalwe ngenhla.
- Shayela ulayini wethu wokwesekwa kwesiguli ukuze ukhulume nomunye wabahlengikazi bethu Be-Lymphoma Care uma unemibuzo mayelana ne-peripheral neuropathy. Chofoza okuthi thintana nathi ngezansi ezansi kwesikrini ukuze uthole imininingwane yokuxhumana.
