I-neuropathy
Ithimba Lokwelapha I-Back Clinic Neuropathy. I-peripheral neuropathy iwumphumela wokulimala kwemizwa eseceleni. Lokhu kuvame ukudala ubuthakathaka, ukuba ndikindiki, nobuhlungu, ngokuvamile ezandleni nasezinyaweni. Kungase kuthinte nezinye izindawo zomzimba wakho. Isimiso sezinzwa se-peripheral sithumela ulwazi olusuka ebuchosheni kanye nomgogodla (uhlelo lwezinzwa olumaphakathi) luye emzimbeni. Kungaba umphumela wokulimala okudabukisayo, izifo, izinkinga ze-metabolic, izimbangela ezizuzwe njengefa, kanye nokuchayeka ebuthini. Esinye sezimbangela ezivame kakhulu isifo sikashukela i-mellitus.
Abantu ngokuvamile bachaza ubuhlungu njengokugwaza, ukushiswa, noma ukuluma. Izimpawu zingathuthuka, ikakhulukazi uma kubangelwa isimo esilaphekayo. Imithi inganciphisa ubuhlungu be-peripheral neuropathy. Kungathinta inzwa eyodwa (i-mononeuropathy), izinzwa ezimbili noma ngaphezulu ezindaweni ezahlukene (i-mononeuropathies eminingi), noma izinzwa eziningi (i-polyneuropathy). I-Carpal tunnel syndrome iyisibonelo se-mononeuropathy. Iningi labantu abane-peripheral neuropathy bane-polyneuropathy. Thola usizo lwezokwelapha ngokushesha uma kunokuluma okungavamile, ubuthakathaka, noma ubuhlungu ezandleni noma ezinyaweni zakho. Ukuxilongwa kusenesikhathi kanye nokwelashwa kunikeza ithuba elingcono kakhulu lokulawula izimpawu zakho nokuvimbela ukulimala okwengeziwe kwemizwa eseceleni. Ubufakazi http://bit.ly/elpasoneuropathy
Umshwana Wokuzikhipha Emthwalweni Okuvamile *
Ulwazi olulapha alwenzelwe ukumiselela ubudlelwano bomuntu oyedwa nochwepheshe bezempilo abaqeqeshiwe noma udokotela onelayisensi futhi akusona iseluleko sezokwelapha. Sikukhuthaza ukuthi uzenzele izinqumo zokunakekelwa kwezempilo ngokusekelwe ocwaningweni lwakho kanye nobambiswano nochwepheshe bezempilo abaqeqeshiwe. Ububanzi bethu bolwazi bukhawulelwe ku-chiropractic, musculoskeletal, imithi yenyama, impilo enhle, izindaba zezempilo ezibucayi, izihloko zemithi esebenzayo, izihloko, nezingxoxo. Sihlinzeka futhi sethula ukusebenzisana komtholampilo nochwepheshe abavela emikhakheni eminingi eminingi. Uchwepheshe ngamunye ulawulwa ububanzi bomsebenzi wabo kanye negunya labo lelayisense. Sisebenzisa amaphrothokholi asebenzayo ezempilo nempilo ukuze selaphe futhi sisekele ukunakekelwa kokulimala noma ukuphazamiseka kwesistimu ye-musculoskeletal. Amavidiyo ethu, okuthunyelwe, izihloko, izihloko, kanye nemininingwane ihlanganisa izindaba zomtholampilo, izingqinamba, nezihloko ezihlobene futhi zisekela, ngokuqondile noma ngokungaqondile, ububanzi bokusebenza bethu basemtholampilo.* Ihhovisi lethu lenze umzamo ozwakalayo wokuhlinzeka ngezingcaphuno ezisekelayo futhi likhombe ucwaningo olufanele noma izifundo ezisekela okuthunyelwe kwethu. Sihlinzeka ngamakhophi ocwaningo olusekelayo olutholakala kumabhodi alawulayo kanye nomphakathi uma uwacela.
Siyaqonda ukuthi sihlanganisa izindaba ezidinga incazelo eyengeziwe yokuthi ingasiza kanjani kuhlelo oluthile lokunakekelwa noma inqubo yokwelashwa; ngakho-ke, ukuqhubeka nokuxoxa ngendaba engenhla, sicela ukhululeke ukubuza UDkt. Alex Jimenez noma xhumana nathi 915-850-0900 .
UDkt. Alex Jimenez A.D, I-MSACP , I-CCST , I-IFMCP *, I-CIFM *, I-ATN *
imeyili: qeqeshi@elpasofunctionalmedicine.com
Ilayisensi ku: Texas & New Mexico *
by UDkt Alex Jimenez I-Hip Pain & Ukuphazamiseka , I-neuropathy
Kubantu abazwa ubuhlungu be-pelvic, kungase kube ukuphazamiseka kwenzwa ye-pudendal eyaziwa ngokuthi i-pudendal neuropathy noma i-neuralgia eholela ebuhlungu obungapheli. Lesi simo singabangelwa yi-pudendal nerve entrapment, lapho inzwa icindezeleka noma ilimale. Ingabe ukwazi izimpawu kungabasiza abahlinzeki bezokunakekelwa kwempilo ukuthi bahlonze kahle isimo futhi bakhe uhlelo lokwelapha olusebenzayo?
I-Pudendal Neuropathy
I-pudendal nerve iyinzwa eyinhloko esebenzela i-perineum, okuyindawo ephakathi kwe-anus ne-genitalia - i-scrotum emadodeni kanye ne-vulva kwabesifazane. I-pudendal nerve igijima phakathi kwemisipha/izinqe ze-gluteus futhi iye ku-perineum. Ithwala ulwazi lwezinzwa olusuka esithweni sangasese sangaphandle kanye nesikhumba esizungeze ididi ne-perineum futhi idlulisele amasignali emoto/ukunyakaza emisipheni ehlukahlukene ye-pelvic. (Origoni, M. et al., 2014 ) I-Pudendal neuralgia, ebizwa nangokuthi i-pudendal neuropathy, ukuphazamiseka kwenzwa ye-pudendal engabangela ubuhlungu obungapheli be-pelvic.
Izimbangela
Ubuhlungu be-pelvic obungapheli obuvela ku-pudendal neuropathy bungabangelwa noma yikuphi kwalokhu okulandelayo (U-Kaur J. et al., 2024 )
Ukuhlala ngokweqile ezindaweni eziqinile, ezihlalweni, ezihlalweni zamabhayisikili, njll. Abagibeli bamabhayisikili bavamise ukuba ne-pudendal nerve entrapment.
Ukuhlukumezeka ezinqeni noma ezinqeni.
Ukubeletha.
I-diabetesic neuropathy.
Ukwakheka kwamathambo okusunduza ku-pudendal nerve.
Ukuqina kwemigqa ezungeze i-pudendal nerve.
Izimpawu
Ubuhlungu be-Pudendal nerve bungachazwa njengokugwaza, ukuminya, ukushisa, ukuba ndikindiki, noma izikhonkwane nezinaliti futhi bungaveza (U-Kaur J. et al., 2024 )
Ku-perineum.
Esifundeni sangemuva.
Kwabesilisa, ubuhlungu ku-scrotum noma ipipi.
Kwabesifazane, ubuhlungu ku-labia noma i-vulva.
Ngesikhathi socansi.
Lapho echama.
Ngesikhathi sokunyakaza kwamathumbu.
Lapho ehlala futhi ehamba ngemva kokusukuma.
Ngenxa yokuthi izimpawu ngokuvamile kunzima ukuzihlukanisa, i-pudendal neuropathy ngokuvamile ingaba nzima ukuhlukanisa kwezinye izinhlobo zobuhlungu obungapheli be-pelvic.
I-Cyclist's Syndrome
Ukuhlala isikhathi eside esihlalweni sebhayisikili kungabangela ukucindezelwa kwezinzwa ze-pelvic, okungaholela ebuhlungu obungapheli be-pelvic. Imvamisa ye-pudendal neuropathy (ubuhlungu be-pelvic obungapheli obubangelwa ukugoqa noma ukucindezelwa kwe-pudendal nerve) ngokuvamile ibizwa ngokuthi yi-Cyclist's Syndrome. Ukuhlala ezihlalweni ezithile zamabhayisikili isikhathi eside kubeka ingcindezi enkulu ku-pudendal nerve. Ukucindezela kungabangela ukuvuvukala ezungeze inzwa, okubangela ubuhlungu futhi, ngokuhamba kwesikhathi, kungabangela ukuhlukumezeka kwenzwa. Ukucindezelwa kwemizwa nokuvuvukala kungabangela ubuhlungu obuchazwa njengokushiswa, ukuhlaba, noma izikhonkwane nezinaliti. (Durante, JA, and Macintyre, IG 2010 ) Kubantu abane-pudendal neuropathy ebangelwa ukuhamba ngebhayisikili, izimpawu zingavela ngemva kokuhamba ngebhayisikili isikhathi eside futhi ngezinye izikhathi izinyanga noma iminyaka kamuva.
I-Cyclist's Syndrome Prevention
Ukubuyekezwa kocwaningo kunikeze izincomo ezilandelayo zokuvimbela i-Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Ukuphumula
Thatha ikhefu okungenani imizuzwana engu-20-30 ngemva kwemizuzu engama-20 yokugibela.
Ngenkathi ugibele, shintsha izindawo njalo.
Yima u-pedal ngezikhathi ezithile.
Thatha ikhefu phakathi kwamaseshini okugibela kanye nemijaho ukuze uphumule futhi ukhulule imizwa ye-pelvic. Ukuphumula kwezinsuku ezingu-3-10 kungasiza ekululameni. (Durante, JA, and Macintyre, IG 2010 )
Uma izimpawu zobuhlungu be-pelvic zingakaqali ukukhula, phumula futhi ubone umhlinzeki wezempilo noma uchwepheshe ukuze uhlolwe.
isihlalo
Sebenzisa isihlalo esithambile, esibanzi esinekhala elifushane.
Yiba nezinga lesihlalo noma utshekisele phambili kancane.
Izihlalo ezinezimbobo zokusika zibeka ingcindezi eyengeziwe ku-perineum.
Uma ukuba ndikindiki noma ubuhlungu bukhona, zama isihlalo esingenazimbobo.
Ukufakwa Kwebhayisikili
Lungisa ubude besihlalo ukuze idolo ligobe kancane ngaphansi kwe-pedal stroke.
Isisindo somzimba kufanele sincike emathanjeni ahlezi/ischial tuberosities.
Ukugcina i-handlebar ukuphakama ngaphansi kwesihlalo kunganciphisa ingcindezi.
Indawo yebhayisikili ye-Triathlon yokuya phambili ngokwedlulele kufanele igwenywe.
Ukuma okuqondile kungcono.
Amabhayisikili asezintabeni ahlotshaniswa nengozi eyengeziwe yokungasebenzi kahle kwe-erectile kunamabhayisikili omgwaqo.
izikhindi
Gqoka izikhindi zebhayisikili ezinamaphedi.
Ukwelashwa
Umhlinzeki wokunakekelwa kwezempilo angase asebenzise inhlanganisela yokwelashwa.
I-neuropathy ingelashwa ngokuphumula uma imbangela ingukuhlala ngokweqile noma ukuhamba ngebhayisikili.
Ukwelashwa ngokomzimba phansi kwe-Pelvic kungasiza ukuphumula nokwandisa imisipha.Izinhlelo zokuvuselela umzimba, okuhlanganisa ukunwebeka nokuzivocavoca okuhlosiwe, kungakhulula ukuboshwa kwemizwa.
Ukulungiswa kwe-Chiropractic kungalungisa kabusha umgogodla kanye ne-pelvis.
Indlela yokukhululwa esebenzayo/i-ART ihlanganisa ukufaka ingcindezi emisipha endaweni ngenkathi inwebeka futhi iqinisa. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Ama-nerve blocks angasiza ekudambiseni ubuhlungu obubangelwa ukuvaleka kwezinzwa. (U-Kaur J. et al., 2024 )
Ezinye iziphumuli zemisipha, ama-antidepressants, nama-anticonvulsants angase anqunywe, ngezinye izikhathi ahlanganiswe.
Ukuhlinzwa kokunciphisa imizwa kungase kunconywe uma zonke izindlela zokwelapha ezilondolozayo seziphelile. (Durante, JA, and Macintyre, IG 2010 )
Izinhlelo zokunakekelwa kwe-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic kanye nezinsizakalo zomtholampilo zikhethekile futhi zigxile ekulimaleni kanye nenqubo yokutakula ephelele. Izindawo zethu zokuzijwayeza zihlanganisa Wellness kanye nokudla, Ubuhlungu obungapheli, Ukulimala Komuntu, Ukunakekelwa Kwengozi Okuzenzakalelayo, Ukulimala Umsebenzi, Ukulimala Emhlane, Ubuhlungu Obuphansi, Ubuhlungu Bentamo, Ikhanda Elibuhlungu, Ukulimala Kwezemidlalo, I-sciatica Enzima, I-Scoliosis, I-Complex Herniated Discs, Fibromyalgia, Chronic Ubuhlungu, Ukulimala Okuyinkimbinkimbi, Ukulawulwa Kwengcindezi, kanye Nokwelashwa Kwemithi Esebenzayo. Uma lowo muntu edinga okunye ukwelashwa, uzothunyelwa emtholampilo noma kudokotela ofaneleka kakhulu ngesimo sakhe, njengoba uDkt Jimenez ehlangene nodokotela abahlinzayo abaphezulu, ochwepheshe bezokwelapha, abacwaningi bezokwelapha, abelaphi, abaqeqeshi, nabahlinzeki bokuvuselela i-premiere.
Ukukhulelwa kanye ne-Sciatica
VIDEO
Okubhekwayo
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Izindlela ze-Neurobiological zobuhlungu be-pelvic. Ucwaningo lwamazwe ngamazwe lwe-BioMed, 2014, 903848. doi.org/10.1155/2014/903848
Kaur, J., Leslie, SW, & Singh, P. (2024). I-Pudendal Nerve Entrapment Syndrome. Ku-StatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992
Durante, JA, & Macintyre, IG (2010). I-Pudendal nerve entrapment kumdlali we-Ironman: umbiko wecala. I-Journal ye-Canadian Chiropractic Association, i-54 (4), i-276-281.
U-Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Ukuxilongwa, Ukuvuselela kanye Namasu Okuvimbela I-Pudendal Neuropathy kuma-Cyclists, Ukubuyekezwa Okuhlelekile. Ijenali ye-Functional morphology kanye ne-kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
by UDkt Alex Jimenez Izimo zenziwe , I-neuropathy
Ukuphazamiseka okuthile kwemizwa kungabangela iziqephu ezinzima ze-peripheral neuropathy, futhi kubantu abatholakala bene-peripheral neuropathy, ingabe ukwelashwa ngokomzimba kungasiza ukuthuthukisa ikhono lokuhamba ngokuphepha kanye nemithi, izinqubo, kanye nokulungiswa kwendlela yokuphila ukusiza ukulawula nokulawula izimpawu?
Ukwelashwa Kwe-peripheral Neuropathy
Ukwelashwa kwe-peripheral neuropathy kufaka phakathi izindlela zokwelapha eziyizimpawu kanye nokuphathwa kwezokwelapha ukusiza ukuvimbela ukulimala kwezinzwa okuwohlokayo.
Ngezinhlobo ezinzima ze-peripheral neuropathy, ukungenelela kwezokwelapha kanye nokwelapha kungaphatha inqubo eyisisekelo, ukuthuthukisa isimo.
Ezinhlotsheni ezingapheli ze-peripheral neuropathy, ukungenelela kwezokwelapha nezici zendlela yokuphila kungasiza ukuvimbela ukuqhubeka kwesimo.
Ukwelashwa kwe-peripheral neuropathy okungapheli kugxile ekulawuleni izimpawu zobuhlungu nokuvikela izindawo zokuzwa okunciphile ekulimaleni noma ekuthelelekeni.
Ukulungiswa Kokuzinakekela kanye Nendlela Yokuphila
Kubantu okutholwe ukuthi bane-peripheral neuropathy noma abasengcupheni yokuba nalesi simo, izici zendlela yokuphila zidlala indima enkulu ekulawuleni izimpawu kanye nokuvimbela ukulimala kwezinzwa ukuba zibe zimbi futhi zingavimbela ngisho nokuthi isimo singathuthuki. (UJonathan Enders et al., 2023 )
Ukuphathwa kobuhlungu
Abantu bangazama lezi zindlela zokwelapha zokuzinakekela futhi babone ukuthi noma yikuphi ukusiza ekunciphiseni ukungaphatheki kahle kwabo bese benza isimiso abangase basebenze ngaso. Ukuzinakekela ngokwakho izimpawu zobuhlungu zihlanganisa:
Ukubeka indawo yokushisa efudumele ezindaweni ezibuhlungu.
Ukubeka iphedi lokupholisa (hhayi iqhwa) ezindaweni ezibuhlungu.
Ukumboza indawo noma ukuyishiya ingamboziwe, kuye ngezinga lokunethezeka.
Gqoka izingubo ezixegayo, amasokisi, izicathulo, kanye/noma amagilavu angenziwanga ngezinto ezingabangela ukucasuka.
Gwema ukusebenzisa izinto zokuthambisa noma insipho ezingadala ukucasuka.
Sebenzisa ama-creams noma ama-lotions apholile.
Ukugcina izindawo ezibuhlungu zihlanzekile.
Ukuvimbela Ukulimala
Ukuncipha kokuzwa kungomunye wemiphumela evame kakhulu engaholela ezinkingeni ezifana nokukhubeka, ubunzima bokuzulazula, nokulimala. Ukuvimbela nokuhlola ukulimala njalo kungasiza ekugwemeni izinkinga ezifana namanxeba angenwe yileli gciwane. (UNadja Klafke et al., 2023 ) Ukulungiswa kwendlela yokuphila ukuphatha nokuvimbela ukulimala kufaka:
Gqoka izicathulo ezifakwe kahle namasokisi.
Hlola izinyawo, izinzwane, iminwe nezandla njalo ukuze ubheke ukusikeka noma imihuzuko okungenzeka ukuthi ayizange izwakale.
Hlanza futhi uvale ukusikeka ukuze ugweme izifo.
Sebenzisa ukuqapha okwengeziwe ngezitsha ezicijile njengokupheka kanye namathuluzi okusebenza noma angadi.
Ukuphathwa Kwezifo
Izici zendlela yokuphila zingasiza ekuvimbeleni ukuqhubeka kwesifo futhi zihlotshaniswa eduze nezingozi nezimbangela eziyisisekelo. Ukusiza ukuvimbela i-peripheral neuropathy noma ukuqhubeka kwayo kungenziwa:UJonathan Enders et al., 2023 )
Gcina amazinga eglucose enempilo uma unesifo sikashukela.
Gwema utshwala kunoma iyiphi i-peripheral neuropathy.
Gcina ukudla okunomsoco, okungafaka izithasiselo zamavithamini, ikakhulukazi kwabadla imifino noma abadla inyama.
Imithi Yokwelapha Engaphezu Kwe-Counter
Izindlela zokwelapha ezimbalwa ezitholakala ngaphandle kwe-counter zingasiza ngezimpawu ezibuhlungu futhi zingathathwa njengoba kudingeka. Izindlela zokwelapha ubuhlungu ezitholakala ngaphandle kwe-counter zihlanganisa: (UMichael Überall et al., 2022 )
I-topical lidocaine spray, patch, noma okhilimu.
I-Capsaicin creams noma ama-patches.
I-Topical Icy Hot
Imithi engeyona i-steroidal eqeda ukuvuvukala - i-Advil/ibuprofen noma i-Aleve/naproxen
I-Tylenol/acetaminophen
Lezi zindlela zokwelapha zingasiza ekudambiseni izimpawu ezibuhlungu ze-peripheral neuropathy, kodwa azisizi ukuthuthukisa umuzwa onciphile, ubuthakathaka, noma izinkinga zokusebenzisana. (UJonathan Enders et al., 2023 )
Imithi Yokwelapha Kadokotela
Imithi yokwelapha kadokotela yokwelapha i-peripheral neuropathy ihlanganisa imithi yobuhlungu kanye nama-anti-inflammatories. Izinhlobo ezingapheli ze-peripheral neuropathy zihlanganisa:
I-Alcohol neuropathy
I-diabetesic neuropathy
I-Chemotherapy-induced neuropathy
Imithi yokwelapha yezinhlobo ezingamahlalakhona ihlukile ekwelashweni kwezinhlobo ezinzima ze-peripheral neuropathy.
Ukuphathwa kobuhlungu
Imithi yokwelashwa ingasiza ekulawuleni ubuhlungu nokungakhululeki. Imithi ihlanganisa (UMichael Überall et al., 2022 )
I-Lyrica - i-pregabalin
I-Neurontin - i-gabapentin
Elavil - amitriptyline
I-Effexor - i-venlafaxine
I-Cymbalta - i-duloxetine
Ezimweni ezimbi kakhulu, i-intravenous/IV lidocaine ingadingeka. (USanja Horvat et al., 2022 )
Kwesinye isikhathi, isithasiselo samandla kadokotela noma i-vitamin B12 enikezwa ngomjovo ingasiza ekuvimbeleni ukuqhubeka lapho i-peripheral neuropathy ihlotshaniswa nokuntuleka okukhulu kwamavithamini. Ukwelashwa okubhalwe udokotela kungasiza ekwelapheni inqubo ewumsuka kwezinye izinhlobo ze-acute peripheral neuropathy. Ukwelashwa kwe-acute peripheral neuropathy, njenge-Miller-Fisher syndrome noma i-Guillain-Barré syndrome, kungabandakanya:
Corticosteroids
Immunoglobulins - amaprotheni amasosha omzimba
I-Plasmapheresis iyinqubo esusa ingxenye yoketshezi yegazi, ibuyisele amangqamuzana egazi, eguqula ukusebenza ngokweqile kwamasosha omzimba. (USanja Horvat et al., 2022 )
Abacwaningi bakholelwa ukuthi kukhona ukuhlobana phakathi kwalezi zimo nokuvuvukala umonakalo wezinzwa , futhi ukuguqula amasosha omzimba kunenzuzo ekwelapheni izimpawu kanye nesifo esiwumsuka.
Ukuhlinzwa
Kwezinye izimo, izinqubo zokuhlinzwa zingazuzisa abantu abanezinhlobo ezithile ze-peripheral neuropathy. Uma esinye isimo sibhebhethekisa izimpawu noma inqubo ye-peripheral neuropathy, ukuhlinzwa kungasiza ukukhulula izimpawu futhi kuvimbele ukuqhubeka kwesifo. Lokhu kuye kwabonakala kuphumelela lapho ukuboshwa kwemizwa noma ukungasebenzi kahle kwemithambo kuyizici. (Wenqiang Yang et al., 2016 )
Imithi Ehambisanayo Nenye
Ezinye izindlela ezihambisanayo nezihlukile zingasiza abantu ukuthi babhekane nobuhlungu nokungakhululeki. Lezi zindlela zokwelapha zingasebenza njengenketho eqhubekayo kulabo abane-peripheral neuropathy engapheli. Izinketho zingabandakanya: (UNadja Klafke et al., 2023 )
I-acupuncture ihlanganisa ukubekwa kwezinaliti ezindaweni ezithile zomzimba ukusiza ukunciphisa izimpawu zobuhlungu.
I-Acupressure ihilela ukusebenzisa ingcindezi ezindaweni ezithile zomzimba ukusiza ukunciphisa izimpawu zobuhlungu.
Ukwelashwa kwe-massage kungasiza ukukhulula ukungezwani kwemisipha.
Izindlela zokwelapha zokuzindla nokuziphumuza zingasiza ekulawuleni izimpawu.
Ukwelashwa ngokomzimba kungase futhi kusebenze njengengxenye ebalulekile yokuphila ne-peripheral neuropathy kanye nokululama ku-acute peripheral neuropathy.
Ukwelapha ngokomzimba kungasiza ukuqinisa imisipha ebuthaka, kuthuthukise ukusebenzisana, nokufunda ukuzivumelanisa nezinzwa nezinguquko zemoto ukuze uhambe ngokuphepha.
Abantu abacabangela ukwelashwa okuhambisanayo noma okunye bayakhuthazwa ukuthi bakhulume nomhlinzeki wabo wezempilo oyinhloko ukuze banqume ukuthi ingabe iphephile yini esimweni sabo. I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic izosebenzisana nomhlinzeki wokunakekelwa kwezempilo kanye/noma ochwepheshe ukuze kuthuthukiswe isixazululo esiphelele sokwelashwa kwezempilo nempilo ukuze kuhlinzekwe ukudambisa izinhlungu nokwenza ngcono izinga lokuphila.
I-Peripheral Neuropathy: Indaba Ephumelelayo Yokubuyisela
VIDEO
Okubhekwayo
Enders, J., Elliott, D., & Wright, DE (2023). Ukungenelela Okusafufusa Kwe-Nonpharmacologic Ukwelapha I-Diabetic Peripheral Neuropathy. Ama-Antioxidants nokusayina kabusha kwe-redox, 38(13-15), 989–1000. doi.org/10.1089/ars.2022.0158
Klafke, N., Bossert, J., Kröger, B., Neuberger, P., Heyder, U., Layer, M., Winkler, M., Idler, C., Kaschdailewitsch, E., Heine, R., John, H., Zielke, T., Schmeling, B., Joy, S., Mertens, I., Babadag-Savas, B., Kohler, S., Mahler, C., Witt, CM, Steinmann, D. , … Stolz, R. (2023). Ukuvimbela Nokwelashwa Kwe-Chemotherapy-Induced Peripheral Neuropathy (CIPN) Nokungenelela Okungekona Okwemithi: Izincomo Zomtholampilo ezivela Ekubuyekezweni Kwesikophu Esihlelekile kanye Nenqubo Yokuvumelana Ngochwepheshe. Isayensi yezokwelapha (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015
Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). I-diabetic peripheral neuropathy ebuhlungu: ukuqhathanisa komhlaba wangempela phakathi kokwelashwa kwe-topical ne-lidocaine 700 mg ukhonkolo oluyimithi kanye nokwelashwa ngomlomo. I-BMJ ivula ucwaningo lwesifo sikashukela nokunakekelwa, 10(6), e003062. doi.org/10.1136/bmjdrc-2022-003062
Horvat, S., Staffhorst, B., & Cobben, JMG (2022). I-Lidocaine ye-Intravenous yokwelashwa kobuhlungu obungapheli: Ucwaningo lwe-Retrospective Cohort. Ijenali yocwaningo lobuhlungu, i-15, 3459-3467. doi.org/10.2147/JPR.S379208
U-Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Ukunciphisa Ubuhlungu kanye Nokuthuthukiswa Kwekhwalithi-Yokuphila Okuhlobene Nempilo Ngemva Kokuncibilika Kwe-Microsurgical Yezinzwa Zomngcele Ebanjelwe Ezigulini Ezinobuhlungu Besifo Se-Diabetic Peripheral Neuropathy. I-Journal yokuhlinzwa kwezinyawo neqakala: ukushicilelwa okusemthethweni kwe-American College of Foot and Ankle Surgeons, 55 (6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004
by UDkt Alex Jimenez Inhlekelele Yokulimala , I-neuropathy
Kubantu ababhekene nobuhlungu obungapheli, ingabe ukwenza inqubo ye-nerve block kungasiza ekunciphiseni nasekulawuleni izimpawu?
Izivimba Zemizwa
I-nerve block inqubo eyenziwa ukuphazamisa/ukuvimba izimpawu zobuhlungu ngenxa yokungasebenzi kahle kwezinzwa noma ukulimala. Zingasetshenziselwa izinjongo zokuxilonga noma zokwelashwa, futhi imiphumela yazo ingaba mfushane noma yesikhathi eside, kuye ngohlobo olusetshenziswayo.
A i-nerve block yesikhashana kungase kubandakanye ukufakwa noma umjovo ovimba izimpawu zobuhlungu ukuthi zingadlulisi isikhathi esifushane.
Isibonelo, ekukhulelweni, umjovo we-epidural ungasetshenziswa ngesikhathi sokubeletha nokubeletha.
Izinzwa ezihlala njalo kubandakanya ukusika/ukusika noma ukususa izingxenye ezithile zemizwa ukuze kumiswe izimpawu zobuhlungu.Lezi zisetshenziswa ezimweni ezinokulimala kanzima noma ezinye izimo ezibuhlungu ezingapheli ezingathuthukanga nezinye izindlela zokwelapha.
Ukusetshenziswa Kokwelashwa
Lapho abahlinzeki bezempilo behlola isimo sobuhlungu obungapheli obubangelwa ukulimala kwenzwa noma ukungasebenzi kahle, bangasebenzisa i-nerve block ukuze bathole indawo ekhiqiza izimpawu zobuhlungu. Bangase benze i-electromyography kanye/noma a I-nerve conduction velocity/ukuhlolwa kwe-NCV ukukhomba imbangela yobuhlungu bezinzwa obungapheli. Ama-nerve blocks angakwazi futhi ukwelapha ubuhlungu be-neuropathic obungapheli, njengobuhlungu obubangelwa ukulimala kwenzwa noma ukucindezelwa. Ama-nerve blocks asetshenziselwa njalo ukwelapha ubuhlungu beqolo nentamo obubangelwa ama-disc herniated noma i-spinal stenosis. (Johns Hopkins Medicine. 2024 )
izinhlobo
Izinhlobo ezintathu zihlanganisa:
Local
I-Neurolytic
Ukuhlinzwa
Zontathu zingasetshenziselwa izimo ezibangela ubuhlungu obungapheli. Kodwa-ke, amabhulokhi e-neurolytic kanye nokuhlinzwa ahlala unomphela futhi asetshenziselwa kuphela ubuhlungu obunzima obuye baba bubi kakhulu ezinye izindlela zokwelapha ezingakwazi ukunikeza ukukhululeka.
Amabhulokhi Esikhashana
Ibhulokhi yendawo yenziwa ngokujova noma ngokufaka izinzwa zendawo, njenge-lidocaine, endaweni ethile.
I-epidural iyi-nerve block yendawo ejova ama-steroid noma ama-analgesics endaweni ezungeze umgogodla.
Lezi zivamile ngesikhathi sokukhulelwa, ukusikwa, kanye nokubeletha.
Ama-Epidurals angasetshenziswa futhi ukwelapha intamo engapheli noma ubuhlungu beqolo ngenxa yenzwa yomgogodla ecindezelwe.
Amabhulokhi wendawo ngokuvamile angokwesikhashana, kodwa ohlelweni lokwelapha, angaphinda aphindwe ngokuhamba kwesikhathi ukuze alawule ubuhlungu obungapheli obuvela ezimeni ezifana nesifo samathambo, i-sciatica, ne-migraines. (I-NYU Langone Health. 2023 )
Amabhulokhi Angunaphakade
I-neurolytic block isebenzisa utshwala, i-phenol, noma ama-thermal agents ukwelapha ubuhlungu bemizwa obungapheli. (I-National Institute of Neurological Disorders and Stroke. 2023 ) Lezi zinqubo zilimaza izindawo ezithile zomzila wezinzwa ngamabomu ukuze izimpawu zobuhlungu zingakwazi ukudluliselwa. I-neurolytic block isetshenziselwa kakhulu izimo zobuhlungu obungapheli, njengobuhlungu obuvela kumdlavuza noma i-syndrome yobuhlungu besifunda/i-CRPS. Ngezinye izikhathi zisetshenziselwa ukwelapha ubuhlungu obuqhubekayo be-pancreatitis engapheli kanye nobuhlungu odongeni lwesifuba ngemva kokuhlinzwa. (Johns Hopkins Medicine. 2024 ) (U-Alberto M. Cappellari et al., 2018 )
I-neurosurgeon yenza i-nerve block yokuhlinzwa ehilela ukususa ngokuhlinzwa noma ukulimaza izindawo ezithile zenzwa. (I-National Institute of Neurological Disorders and Stroke. 2023 ) I-nerve block block isetshenziswa kuphela ezimweni zobuhlungu obukhulu, njengobuhlungu bomdlavuza noma i-trigeminal neuralgia.
Nakuba i-neurolytic kanye ne-surgery nerve blocks kuyizinqubo ezihlala njalo, izimpawu zobuhlungu, nemizwa ingabuya uma imizwa ikwazi ukukhula futhi izilungise. (U-Eun Ji Choi et al., 2016 ) Nokho, izimpawu nemizwa ingase ingabuyi ezinyangeni noma iminyaka ngemva kwenqubo.
Izindawo Ezihlukene Zomzimba
Zingalawulwa ezindaweni eziningi zomzimba, okuhlanganisa: (Isibhedlela Sokuhlinzwa Okukhethekile. 2023 ) (I-Stanford Medicine. 2024 )
Scalp
Face
Neck
I-collarbone
Amahlombe
Izikhali
Emuva
Chest
Ingxenye engezansi yezimbambo
esiswini
Pelvis
Izintambo
Imilenze
iqakala
Feet
Okuqhamuka uma udla imishanguzo
Lezi zinqubo zingaba nengozi engaba khona yokulimala kwezinzwa unomphela. (Iculo le-BlueCross. 2023 ) Imizwa iyazwela futhi ivuselela kancane, ngakho iphutha elincane lingabangela imiphumela engemihle. (D O'Flaherty et al., 2018 ) Imiphumela emibi evamile ihlanganisa:
Ukukhubazeka kwemisipha
Ukungabi namandla
Ukuba ndikindiki njalo
Ezimweni ezingavamile, i-block ingacasula i-nerve futhi ibangele ubuhlungu obengeziwe.
Odokotela abanekhono nabanelayisensi njengodokotela abahlinzayo, odokotela abalawula izinhlungu, odokotela ababulala izinzwa, nodokotela bamazinyo baqeqeshelwe ukwenza lezi zinqubo ngokucophelela.
Kuhlale kunengozi yokulimala kwenzwa noma ukulimala, kodwa iningi lezinzwa ezivimba ngokuphepha nangempumelelo liyehla futhi lisize ukuphatha ubuhlungu obungapheli. (Iculo le-BlueCross. 2023 )
Ongakulindela
Abantu bangazizwa bendikindiki noma bebuhlungu futhi/noma baqaphele ububomvu noma ukucasuka eduze noma endaweni yesikhashana.
Kungase futhi kube nokuvuvukala, okucindezela inzwa futhi kudinga isikhathi sokuthuthuka. (I-Stanford Medicine. 2024 )
Abantu bangacelwa ukuthi baphumule isikhathi esithile ngemva kwenqubo.
Kuye ngohlobo lwenqubo, abantu kungase kudingeke bachithe izinsuku ezimbalwa esibhedlela.
Obunye ubuhlungu kungenzeka busekhona, kodwa lokho akusho ukuthi inqubo ayizange isebenze.
Abantu kufanele baxhumane nomhlinzeki wezokunakekelwa kwempilo mayelana nezingozi nezinzuzo ukuze baqinisekise ukuthi ilungile ukwelashwa .
I-Sciatica, Izimbangela, Izimpawu, Namathiphu
VIDEO
Okubhekwayo
Johns Hopkins Medicine. (2024). Izinzwa ezivimbayo. (Impilo, Indaba. www.hopkinsmedicine.org/health/conditions-and-diseases/nerve-blocks
I-NYU Langone Health. (2023). I-nerve block ye-migraine (Imfundo Nocwaningo, Indaba. nyulangone.org/conditions/migraine/treatments/nerve-block-for-migraine
I-National Institute of Neurological Disorders and Stroke. (2023). Ubuhlungu. Kubuyiswe kusuka www.ninds.nih.gov/health-information/disorders/pain#3084_9
Johns Hopkins Medicine. (2024). Ukwelashwa kwe-pancreatitis engapheli (Impilo, Indaba. www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pancreatitis/chronic-pancreatitis-treatment
U-Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). Intercostal Neurolysis for The Treatment of Postsurgical Thoracic Pain: a Case Series. Imisipha nezinzwa, 58(5), 671-675. doi.org/10.1002/mus.26298
U-Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). I-Neural Ablation kanye Nokuvuselelwa Kokuzijwayeza Kobuhlungu. Iphephabhuku laseKorea lobuhlungu, i-29 (1), i-3-11. doi.org/10.3344/kjp.2016.29.1.3
Isibhedlela Sokuhlinzwa Okukhethekile. (2023). Izinzwa zesifunda. www.hss.edu/condition-list_regional-anesthesia.asp
I-Stanford Medicine. (2024). Izinhlobo zamabhlogo ezinzwa (Ezigulini, Udaba. med.stanford.edu/ra-apm/for-patients/nerve-block-types.html
Anthem BlueCross. (2023). I-peripheral nerve blocks yokwelashwa kobuhlungu be-neuropathic. (Inqubomgomo Yezokwelapha, Indaba. www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_c181196.html
O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). Ukulimala kwezinzwa ngemva kokuvinjelwa kwenzwa ye-peripheral-ukuqonda kwamanje nemihlahlandlela. Imfundo ye-BJA, 18(12), 384–390. doi.org/10.1016/j.bjae.2018.09.004
I-Stanford Medicine. (2024). Imibuzo evamile yesiguli mayelana nezinzwa. (Okweziguli, ukukhishwa. med.stanford.edu/ra-apm/for-patients/nerve-block-questions.html
by UDkt Alex Jimenez Inhlekelele Yokulimala , I-neuropathy
Abantu okutholwe ukuthi bane-peripheral neuropathy, noma abane-fiber neuropathy encane, bangakwazi ukuqonda izimpawu futhi babangele usizo ngokwelashwa okungenzeka?
I-Fiber Neuropathy Encane
I-fiber neuropathy encane iyisigaba esithile se-neuropathy, njengoba kunezinhlobo ezahlukene, okuwukulimala kwenzwa, ukulimala, izifo, kanye/noma ukungasebenzi kahle. Izimpawu zingabangela ubuhlungu, ukulahlekelwa ukuzwa, kanye nezimpawu zokugaya nomchamo. Izimo eziningi ze-neuropathy njenge-peripheral neuropathy zibandakanya imicu emincane nemikhulu . Izimbangela ezivamile zihlanganisa isifo sikashukela isikhathi eside, ukuntula ukudla okunomsoco, ukuphuza utshwala, kanye nokwelashwa ngamakhemikhali.
I-fiber neuropathy encane itholwa ngemva kokuhlolwa kokuxilonga okubonisa kusobala ukuthi kuhileleke imicu emincane yezinzwa.
Imicu emincane yezinzwa ithola ukuzwa, izinga lokushisa, nobuhlungu futhi isize ukulawula imisebenzi ezenzakalelayo.
I-neuropathy ye-fiber encane ehlukanisiwe ayivamile, kodwa ucwaningo lusaqhubeka mayelana nohlobo lokulimala kwezinzwa kanye nokwelashwa okungenzeka. (U-Stephen A. Johnson, et al., 2021 )
I-fiber neuropathy encane ayiyona ingozi ngokuqondile kodwa iwuphawu/uphawu lwembangela/isimo esilimaza imizwa yomzimba.
Izimpawu
Izimpawu zihlanganisa: (U-Heidrun H. Krämer, et al., 2023 )
Ubuhlungu - izimpawu zingasukela ekuphathekeni kabi okuncane noma okumaphakathi kuye ekucindezelekeni okukhulu futhi kungenzeka noma nini.
Ukulahlekelwa umuzwa.
Ngenxa yokuthi imicu emincane yezinzwa isiza ekugayeni ukudla, umfutho wegazi, nokulawula esinyeni - izimpawu zokungasebenzi kahle kwe-autonomic zingahluka futhi zingabandakanya:
Ukuqunjelwa, isifo sohudo, ukungakwazi ukuzibamba, ukugcinwa komchamo - ukungakwazi ukusikhipha ngokuphelele esinyeni.
Uma kukhona ukulimala kwezinzwa okuqhubekayo, ubukhulu bobuhlungu bungancipha, kodwa ukulahlekelwa ukuzwa okuvamile kanye nezimpawu zokuzimela kungaba kubi kakhulu. (Josef Finsterer, Fulvio A. Scorza. 2022 )
I-Hypersensitivity ekuthinteni kanye nemizwa yobuhlungu ingabangela ubuhlungu ngaphandle kwe-trigger.
Ukulahlekelwa ukuzwa kungenza abantu bangakwazi ukubona ngokunembile ukuzwa kokuthinta, izinga lokushisa, nobuhlungu ezindaweni ezithintekile, okungaholela ezinhlotsheni ezihlukahlukene zokulimala.
Nakuba ucwaningo olwengeziwe ludingeka, ukuphazamiseka okuthile okwakungabhekwa njenge-neuropathies kungase kube nezingxenye ezincane ze-fiber neuropathy ezihilelekile.
Ucwaningo luphakamise ukuthi i-neurogenic rosacea, isimo sesikhumba, ingaba nezakhi ezithile ze-fiber neuropathy encane. (UMin Li, et al., 2023 )
Ama-Nerve Fibers Amancane
Kunezinhlobo eziningana zemicu emincane yezinzwa; ezimbili ku-fiber neuropathy ezincane zihlanganisa i-A-delta ne-C. (Josef Finsterer, Fulvio A. Scorza. 2022 )
Le micu emincane yezinzwa isakazwa kuwo wonke umzimba kuhlanganise neziqongo zeminwe nezinzwane, isiqu, nezitho zangaphakathi.
Le micu ngokuvamile itholakala ezindaweni ezikha phezulu zomzimba, njengendawo eseduze nendawo yesikhumba. (Mohammad A. Khoshnoodi, et al., 2016 )
Imicu emincane yezinzwa ezilimalayo ibandakanyeka ekudluliseleni ubuhlungu nezinzwa zokushisa.
Imizwa eminingi inohlobo olukhethekile lokuvala izinzwa olubizwa ngokuthi i-myelin oluyivikelayo futhi lukhulise isivinini semizwa.
Imicu emincane yezinzwa ingase ibe nomgodla omncane, okuyenza ibe lula ekulimaleni nasekulimaleni ezigabeni zangaphambili zezimo nezifo. (U-Heidrun H. Krämer, et al., 2023 )
Abantu Abasengozini
Izinhlobo eziningi ze-peripheral neuropathy zidala ukulimala emicu emincane nemikhulu ye-peripheral nerve. Ngenxa yalokhu, ama-neuropathy amaningi ayingxube ye-fiber encane ne-fiber neuropathy enkulu. Izici ezivamile zobungozi ze-mix fiber neuropathy zihlanganisa: (U-Stephen A. Johnson, et al., 2021 )
Diabetes
Ukuntuleka kokudla okunomsoco
Ukusetshenziswa ngokweqile kotshwala
iziyaluyalu sokuhlasela kwamasosha omzimba
Ubuthi bemithi
I-small-fiber neuropathy ehlukanisiwe ayivamile, kodwa kunezimo ezaziwa ngokuba nomthelela kumbangela futhi zihlanganisa: (U-Stephen A. Johnson, et al., 2021 )
I-Sjogren Syndrome
Lokhu kuphazamiseka kwe-autoimmune kubangela amehlo omile nomlomo, izinkinga zamazinyo, nobuhlungu bamalunga.
Kungase futhi kubangele ukulimala kwezinzwa kuwo wonke umzimba.
Isifo sikaFabry
Lesi simo sidala ukunqwabelana kwamafutha/ama-lipids athile emzimbeni okungaholela emiphumeleni yezinzwa.
Ama-Amyloidosis
Lesi yisifo esingavamile esidala ukunqwabelana kwamaprotheni emzimbeni.
Amaprotheni angalimaza izicubu ezinjengenhliziyo noma izinzwa.
I-Lewy Body Disease
Lesi yisifo sezinzwa esidala ukuwohloka komqondo nokukhubazeka kokunyakaza futhi singaholela ekulimaleni kwezinzwa.
Lupus
Lesi yisifo se-autoimmune esithinta amalunga, isikhumba, futhi kwesinye isikhathi izicubu zezinzwa.
Ukutheleleka Ngegciwane
Lezi zifo ngokuvamile zibangela umkhuhlane noma i-gastrointestinal/GI ukucasuka.
Kancane kancane angabangela eminye imiphumela efana ne-fiber neuropathy encane.
Lezi zimo ziye zabonakala zidala i-neuropathy ye-fiber encane ehlukanisiwe noma iqala njenge-neuropathy ye-fiber encane ngaphambi kokudlulela emithanjeni emikhulu yezinzwa. Angase futhi aqale njenge-neuropathy exubile, enemicu emincane nemikhulu.
inchubekelembili
Ngokuvamile umonakalo uthuthuka ngezinga elilinganiselwe, okuholela ezimpawu ezengeziwe phakathi nezinyanga noma iminyaka. Izinzwa ze-fiber ezithintwa isimo esingaphansi ngokuvamile ziwohloka kancane kancane, kungakhathaliseki ukuthi zikuphi. (Mohammad A. Khoshnoodi, et al., 2016 ) Imithi ingasiza ekudambiseni umonakalo emithanjeni ye-peripheral. Kubantu abatholakala besaqala, kungenzeka ukuthi kumiswe ukuqhubeka, futhi kuvimbele ukubandakanyeka kwemicu emikhulu.
Ukwelashwa
Ukwelashwa okubheke ekuvimbeleni ukuqhubeka kudinga ukulawula isimo sezempilo esiwumsuka ngezinketho zokwelapha kuye ngembangela. Ukwelashwa okungasiza ukuvimbela ukuqhubeka kuhlanganisa:
Ukulawula ushukela wegazi kubantu abanesifo sikashukela.
Ukwengeza okunomsoco ekwelapheni ukuntula kwamavithamini.Ukuyeka ukuphuza utshwala.
Ukucindezelwa kwamasosha omzimba ukulawula izifo ze-autoimmune.
I-Plasmapheresis - igazi liyathathwa bese i-plasma iphathwa futhi ibuyiselwe noma ishintshwe ukuze zelaphe izifo ezizimele.
Ukwelashwa Kwezimpawu
Abantu ngabanye bangathola ukwelashwa kwezimpawu ezingeke zihlehlise noma zelaphe isimo kodwa ezingasiza ngokukhululeka kwesikhashana. Ukwelashwa kwezimpawu kungabandakanya: (Josef Finsterer, Fulvio A. Scorza. 2022 )
Ukuphathwa kobuhlungu kungabandakanya imithi kanye/noma ama-topical analgesics.
Ukwelapha ngokomzimba - ukwelula, ukubhucunga, ukuwohloka, nokulungiswa ukuze ugcine umzimba ukhululekile futhi uvumelana nezimo.
Ukuvuselela ukusiza ukuthuthukisa ukusebenzisana, okungase kuphazamiseke ngokulahlekelwa ukuzwa.
Imithi yokunciphisa izimpawu ze-GI.
Ukugqoka izingubo ezikhethekile ezifana namasokisi e-neuropathy ukusiza ngezimpawu zobuhlungu bezinyawo.
Ukwelashwa nokuphathwa kwezokwelapha kwe-neuropathy ngokuvamile kuhilela udokotela wezinzwa. Udokotela wezinzwa angase anikeze imithi yokusiza ekudambiseni izimpawu zobuhlungu futhi anikeze ukungenelela kwezokwelapha okufana ne-immunotherapy uma kunokukhathazeka ngokuthi inqubo yokuzivikela komzimba ingaba imbangela. Ukwengeza, ukwelashwa kungabandakanya ukunakekelwa kwemithi yokwelapha kanye nodokotela wokuvuselela noma ithimba lokwelapha ngokomzimba ukuze linikeze izeluleko nokuzivocavoca ukusiza ukuqinisa umzimba nokugcina ukuhamba nokuvumelana nezimo.
VIDEO
Okubhekwayo
Johnson, SA, Shouman, K., Shelly, S., Sandroni, P., Berini, SE, Dyck, PJB, Hoffman, EM, Mandrekar, J., Niu, Z., Lamb, CJ, Low, PA, Singer , W., Mauermann, ML, Mills, J., Dubey, D., Staff, NP, & Klein, CJ (2021). I-Fiber Neuropathy Encane Isigameko, Ukuvama, Ukukhubazeka Kwesikhathi Eside, Nokukhubazeka. I-Neurology, 97(22), e2236–e2247. doi.org/10.1212/WNL.0000000000012894
Finsterer, J., & Scorza, FA (2022). I-fiber neuropathy encane. I-Acta neurologica Scandinavica, 145(5), 493-503. doi.org/10.1111/ane.13591
Krämer, HH, Bücker, P., Jeibmann, A., Richter, H., Rosenbohm, A., Jeske, J., Baka, P., Geber, C., Wassenberg, M., Fangerau, T., Karst , U., Schänzer, A., & van Thriel, C. (2023). Ama-agent wokuqhathanisa we-Gadolinium: ama-dermal deposits kanye nemiphumela engaba khona ku-epidermal nerve fibers. Ijenali ye-neurology, 270 (8), 3981-3991. doi.org/10.1007/s00415-023-11740-z
U-Li, M., Tao, M., Zhang, Y., Pan, R., Gu, D., & Xu, Y. (2023). I-neurogenic rosacea ingaba i-fiber neuropathy encane. Imingcele ocwaningweni lobuhlungu (Lausanne, Switzerland), 4, 1122134. doi.org/10.3389/fpain.2023.1122134
Khoshnoodi, MA, Truelove, S., Burakgazi, A., Hoke, A., Mammen, AL, & Polydefkis, M. (2016). Ukuhlolwa Okude Kwe-Fiber Neuropathy Encane: Ubufakazi Be-Distal Axonopathy Engancike Ebudeni. I-JAMA neurology, 73(6), 684-690. doi.org/10.1001/jamaneurol.2016.0057
by UDkt Alex Jimenez I-Chiropractic , Ubuhlungu obungapheliyo , Inhlekelele Yokulimala , I-neuropathy , Ukwelashwa Kokucindezeleka Komgogodla , Ukwelashwa , I-Viscerosomatic Reflex
Isingeniso
The uhlelo oluyisisekelo senzwa unesibopho sokuthumela amasignali e-neuron kuzo zonke izitho nemisipha emzimbeni, okuvumela ukuhamba nokusebenza ngendlela efanele. Lezi zimpawu zishintshana njalo phakathi kwezitho, imisipha, kanye Ubuchopho , ukwazisa ngemisebenzi yabo. Kodwa-ke, izici zemvelo kanye nokulimala okudabukisayo kungathinta izimpande zezinzwa, kuphazamise ukugeleza kwezimpawu nokuholela izifo ze-musculoskeletal . Lokhu kungabangela ukungahambi kahle emzimbeni kanye nobuhlungu obungapheli uma kungelashwa. Isihloko sanamuhla sizosazisa mayelana ne-peripheral neuropathy, ukulimala kwenzwa okuhlobene nobuhlungu beqolo, nokuthi ukuwohloka komgogodla kungasikhulula kanjani lesi simo. Sisebenza nabahlinzeki bezokwelapha abanezitifiketi abasebenzisa ulwazi olubalulekile lweziguli zethu ukuze banikeze ukwelashwa okungahlinzeki, okuhlanganisa ukuwohloka komgogodla, ukukhulula izimpawu ezifana nobuhlungu ezihambisana ne-peripheral neuropathy. Sikhuthaza iziguli ukuthi zibuze imibuzo ebalulekile futhi zifune imfundo ngesimo sazo. UDkt. Jimenez, DC, unikeza lolu lwazi njengesevisi yezemfundo. Disclaimer
Iyini i-Peripheral Neuropathy?
I-peripheral neuropathy ibhekisela ezinhlobonhlobo zezimo ezithinta izimpande zemizwa futhi zingadala izimpawu ezingapheli kuwo wonke umzimba, njengoba ucwaningo lwembula . Amangqamuzana ezinzwa emizimbeni yethu adlulisa imiyalezo phakathi kobuchopho nezinye izitho zomzimba. Uma la maseli alimele, angaphazamisa ukuxhumana phakathi kwesimiso sezinzwa esiyinhloko, okuholela ezinkingeni zemisipha nezitho zomzimba. Izifundo zixhumene i-peripheral neuropathy kuya ebuhlungu nezinye izimpawu, ezingaba nomthelela omubi emisebenzini yansuku zonke, izinga lempilo, kanye nempilo engokwengqondo nengokwenyama. Ukwengeza, i-peripheral neuropathy ingase inyuse ingozi yokuwa.
Ukuthi I-Peripheral Neuropathy Ihlobana kanjani Nobuhlungu Basemuva
Ingabe muva nje uke wezwa ukuntweza noma ukuzwa okubukhali lapho unyathela noma uzwa ubuhlungu obungapheli obuseqolo? Lezi zimpawu zingase zihlobane ne-peripheral neuropathy, engabangela ubuhlungu beqolo. Incwadi kaDkt. Perry Bard, DC noDkt. Eric Kaplan, DC, FIAMA, ethi “The Ultimate Spinal Decompression,” ichaza ukuthi i-peripheral neuropathy iwukulimala kwezinzwa ezithinta imilenze, okubangela ukuba ndikindiki, ubuhlungu, ukushoshozela nokuzwela ngokweqile lapho uthinta imilenze. izinzwane nezinyawo. Lokhu kungabangela imisipha emhlane ophansi ukushintsha isisindo kude nezindawo ezibuhlungu, okuholela ebuhlungu obuphansi emuva. Ucwaningo locwaningo luye lwembula ukuthi ubuhlungu obungapheli obuphansi emuva bungabandakanya kokubili izindlela zobuhlungu be-nociceptive kanye ne-neuropathic. Ubuhlungu be-nociceptive yimpendulo yokulimala kwezicubu okusebenza imisipha. Ngokuphambene nalokho, ubuhlungu be-neuropathic buthinta izimpande zezinzwa ezisuka emgogodleni nasezithweni ezingezansi, ngokuvamile ezibangelwa ama-spinal discs awonakele. Ngenhlanhla, kunezindlela zokuphatha i-peripheral neuropathy kanye nobuhlungu bayo obuhlobene nomhlane.
VIDEO
I-peripheral neuropathy ukulimala kwenzwa okuthinta abantu ngendlela ehlukile futhi kungabangela izimpawu zezinzwa emzimbeni ophezulu nangaphansi. Labo abane-peripheral neuropathy bangase babe nobuhlungu obuqhubekayo emaphethelweni abo, okungaholela ekunxephezelweni kweminye imisipha nokungahambi kahle komgogodla. Lokhu kungaholela ezimweni ezingapheli ze-musculoskeletal. Izifundo zibonisa ukuthi i-peripheral neuropathy, ikakhulukazi ezimeni zobuhlungu obuphansi emhlane, ingabangela ukungasebenzi kahle ohlelweni lokuqondisa izinhlungu zobuchopho, okuholela ezingozini ezeqa kanye nokungasebenzi kahle. Kodwa-ke, ukwelashwa okuhlukahlukene kuyatholakala ukuze kubuyiselwe umzimba futhi kunciphise ubuhlungu be-neuropathic, okuhlanganisa ukunakekelwa kwe-chiropractic kanye nokuwohloka komgogodla. Ividiyo engenhla ichaza ulwazi olwengeziwe mayelana nokuthi lezi zindlela zokwelapha zingasiza kanjani ekudambiseni ubuhlungu be-neuropathic futhi zikhulule umzimba ekuhlanganiseni.
Ukuwohloka komgogodla Kwehlisa I-peripheral Neuropathy
I-peripheral neuropathy ingabangela ubuhlungu obukhulu, futhi abantu abaningi bacabangela ukuhlinzwa ukuze belaphe. Kodwa-ke, lokhu kungase kubize, ngakho-ke abanye abantu bakhetha ukwelashwa okungezona ukuhlinzwa njengokuwohloka komgogodla nokunakekelwa kwe-chiropractic. Izifundo zibonisiwe ukuthi ukuwohloka komgogodla kungaba usizo kakhulu ekudambiseni ukuboshwa kwezinzwa nokuthuthukisa izimpawu zobuhlungu obuphansi emuva. Ukwelashwa okuphephile nokumnene okusebenzisa ukudonsa ukusiza umgogodla ubuyele endaweni yawo futhi uvumele uketshezi nezakhi zibuyele ngaphakathi. Ukuhlanganisa ukuwohloka komgogodla nezinye izindlela zokwelapha nakho kungasiza ekwehliseni izimpawu ze-peripheral neuropathy, ukuthuthukisa ikhwalithi yokuphila yabantu nokubasiza babe ukuqaphela kakhulu imizimba yabo.
Isiphetho
I-peripheral neuropathy yisimo esibangelwa ukulimala kwezinzwa futhi singathinta zombili izingxenye zomzimba ezingenhla nezingezansi. Lokhu kuphazamiseka kungabangela izimpawu zezinzwa ezingase ziholele ezimweni ze-musculoskeletal, ukungahambi kahle komgogodla, nokukhubazeka. Ubuhlungu nokungaphatheki kahle kuyizinto ezijwayelekile kulabo abanalesi simo, okungaba nomthelela omubi empilweni yabo yansuku zonke. Ngenhlanhla, ukuwohloka komgogodla kungasiza ekunciphiseni imiphumela ye-peripheral neuropathy ngokwelula kancane umgogodla, ukukhulula izinzwa eziboshiwe, nokulungisa i-subluxation. Lezi zindlela zokwelapha ziphephile, azihlaseli, futhi zingafakwa ohlelweni lwezempilo nempilo yomuntu ngamunye.
Okubhekwayo
Baron, R., Binder, A., Attal, N., Casale, R., Dickenson, AH, & Treede, RD. (2016). Ubuhlungu be-Neuropathic obuphansi emuva ekusebenzeni komtholampilo. I-European Journal of Pain , 20 (6), 861–873. doi.org/10.1002/ejp.838
U-Hammi, C., & Yeung, B. (2020). I-neuropathy . I-PubMed; I-StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK542220/
Hicks, CW, & Selvin, E. (2019). I-Epidemiology ye-Peripheral Neuropathy kanye ne-Lower Extremity Disease ku-Diabetes. Imibiko Yamanje Yesifo Sikashukela , 19 (10). doi.org/10.1007/s11892-019-1212-8
U-Kaplan, E., & Bard, P. (2023). I-Ultimate Spinal Decompression . I-JETLAUNCH.
Li, W., Gong, Y., Liu, J., Guo, Y., Tang, H., Qin, S., Zhao, Y., Wang, S., Xu, Z., & Chen, B. (2021). I-Peripheral and Central Pathological Mechanisms of Chronic Low Back Pain: Ukubuyekezwa Okulandisayo. Journal of Pain Research , 14 , 1483–1494. doi.org/10.2147/JPR.S306280
Ma, F., Wang, G., Wu, Y., Xie, B., & Zhang, W. (2023). Imiphumela Engcono Ye-Peripheral Neerve Decompression Microsurgery of Lower Limbs Ezigulini ezineDiabetic Peripheral Neuropathy . 13 (4), 558–558. doi.org/10.3390/brainsci13040558
Disclaimer
by UDkt Alex Jimenez I-neuropathy , Care Spine
Njengabantu, kunezinhlobonhlobo zezingcindezi ezitholwa nsuku zonke. Ukucindezeleka kuqoqa ezindaweni ezihlukahlukene zomzimba, ngokuvamile emhlane ongaphezulu, umhlathi, nemisipha yentamo. Ukucindezeleka kuholela ekucindezelekeni emisipha. Ukucindezeleka okwakhiwe kungabangela ukuthi amathambo omgogodla asuke ekuqondaneni, acasule izinzwa phakathi kwamathambo omgogodla. Umjikelezo uqala njengoba ukushuba kwezinzwa okwenyuka kubangela imisipha ukuthi iqhubeke nokufinyela/ukuqina. Ukungezwani kwemisipha eyengeziwe kuyaqhubeka nokudonsa amathambo omgogodla ngaphandle kokuqondanisa, okwenza umgogodla uqine futhi ungaguquguquki kancane othinta ukuma, ibhalansi, ukusebenzisana, nokuhamba, okwenza umgogodla uqhubeke ungaqiniseki. Ukwelashwa kwe-Chiropractic ngezikhathi ezithile kunconywa ukusiza ukulungisa kabusha nokugcina isikhundla esifanele.
Izinzwa emzimbeni zixhumene ngokuyinkimbinkimbi nomgogodla, futhi ukuhlanekezela okuncane ekuhleleni kungabangela imizwa ukuba ingasebenzi kahle futhi ingasebenzi kahle. Lapho umgogodla uphuma ekuqondeni, isimiso sezinzwa/ubuchopho nezinzwa zibambeka esimweni sokucindezeleka noma esishubile. Ngisho nokungahambi kahle okuncane kungabangela uchungechunge lwezimpawu zokungakhululeki ukuhamba kuwo wonke umzimba.
Izimbangela
Izimbangela zokungahambi kahle ezidala ukungezwani emithanjeni nasemisipha zihlanganisa:
Ukulimala kwangaphambilini.
Ukulala okungenampilo.
Ukucindezeleka - ngokwengqondo nangokomzimba.
Imisebenzi enzima ngokomzimba.
Ukuqeqeshwa ngokweqile.
Imikhuba yokunganyakazi.
Izimo zezinyawo nezinkinga.
Imikhuba yokudla engenampilo.
Ukukhuluphala ngokweqile.
Okungapheliyo ukuvuvukala .
I-arthritis.
Ukwelashwa kwe-Chiropractic
Izinqubo zokuhlolwa kwe-Chiropractic:
Ukubamba
Isazi se-chiropractor sizozwa / sishaye umgogodla ukuze sibone ukuthi amathambo ahambisana yini, ahamba kahle, noma awahambisani kahle futhi awanyakazi kahle noma anyakaze nhlobo.
Ukuhlolwa Kwesimo
Uma ikhanda, amahlombe, nezinqulu zingalingani noma amahlombe nekhanda kudonsela phambili, amathambo omgogodla awahambisani / ama-subluxations.
Ibhalansi Nokuxhumana
Ukulinganisela okungenampilo nokuxhumana kungabonisa ubuchopho, izinzwa, nemisipha ukungasebenzi kahle ngokungahambi kahle komgogodla.
Ibanga Lokunyakaza
Ukulahlekelwa ukuguquguquka kokunyakaza komgogodla kungabonisa ukungezwani kwemizwa, imisipha, nokungahambi kahle.
Ukuhlolwa Kwemisipha
Ukuphelelwa amandla emsipha kungabonisa ukuthi izimpawu zemizwa zibuthakathaka.
Ukuhlolwa Kwamathambo
Ukuhlola okubeka umzimba esimweni esicindezelayo kugxile ekutheni yiziphi izicubu/izitho ezingalimala kanye nezimbangela.
X-ray
Ama-X-ray abheka izinto ezingavamile, ukugudluka, ukuminyana kwamathambo, ukuphuka, ukulimala okufihliwe/okungabonakali, kanye nezifo.
I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic hlinzeka ngezinhlelo zokwelashwa eziqondene nawe. Lezi zindlela zokwelapha ezithile zenzelwe ukukhiqiza izinzuzo zesikhathi eside zomgogodla. Ukuxhashazwa komgogodla, ukubhucungwa kwezicubu ezijulile, MET , nezinye izindlela zokwelapha ezenziwa ngesandla, ezihlangene nokuzivocavoca, zisiza ukwenza amathambo anyakaze kahle, imisipha isebenze ngendlela efanele, nomgogodla ubuyele esimweni esifanele. Ukwelashwa kuqeda ukugogeka kwemisipha, ukushuba, nokungasebenzi kahle kwamalunga, kwandisa ukujikeleza kwegazi, futhi kuqeqesha kabusha imisipha ukuze ihlale ikhululekile.
Indlela Yemvelo Yokuphulukisa
VIDEO
Okubhekwayo
Ando, Kei et al. "Ukungezwani okungalungile komgogodla kwabesifazane abanokukhuluphala ngokweqile: Ucwaningo lwe-Yakumo." Ijenali ye-Orthopedics vol. 21 512-516. 16 Sep. 2020, doi:10.1016/j.jor.2020.09.006
Le Huec, JC et al. "Ibhalansi ye-Sagittal yomgogodla." Ijenali yaseYurophu yomgogodla: ukushicilelwa okusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kanye ne-European Section yeCervical Spine Research Society vol. 28,9 (2019): 1889-1905. doi:10.1007/s00586-019-06083-1
Meeker, uWilliam C, noScott Haldeman. "I-Chiropractic: umsebenzi osempambanweni yemithi evamile kanye neminye imithi." Annals of internal medicine vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010
Oakley, uPaul A et al. "I-X-Ray imaging ibalulekile ku-Contemporary Chiropractic kanye ne-Manual Therapy Spinal Rehabilitation: I-Radiography Ikhulisa Izinzuzo futhi Yehlisa Izingozi." Impendulo yomthamo: ukushicilelwa kwe-International Hormesis Society vol. 16,2 1559325818781437. 19 Jun. 2018, doi:10.1177/1559325818781437
U-Shah, u-Anoli A, et al. "Ibhalansi Yomgogodla / Ukuqondanisa - Ukufaneleka Komtholampilo kanye ne-Biomechanics." Ijenali yobunjiniyela be-biomechanical, 10.1115/1.4043650. 2 Meyi. 2019, doi:10.1115/1.4043650
by UDkt Alex Jimenez Ukunakekelwa kokulimala , I-neuropathy
Abantu ababhekene namadolo abuhlungu ingenye yezinkinga zempilo ezivame kakhulu futhi ithinta abantu babo bonke ubudala. Idolo liyilunga elikhulu kunawo wonke emzimbeni, elihlanganisa imisipha, imisipha, imisipha, uqwanga namathambo. Amadolo asekela ukuhamba, ukuma, ukugijima, ngisho nokuhlala. Ukusetshenziswa njalo kubenza babe sengozini enkulu yokulimala nezimo. Amadolo nawo azungezwe inethiwekhi eyinkimbinkimbi ye izinzwa edlulisa imiyalezo iye noma ibuye ebuchosheni. Ukulimala kwemizwa yokulimala noma isifo kungadala izimpawu ezihlukahlukene zokungakhululeki ngaphakathi naseduze kwamadolo.
I-Neuropathy yedolo
Izimbangela
Izimpawu zokungakhululeki edolweni zingalethwa ukulimala, ukuphazamiseka kwe-degenerative , isifo samathambo, ukutheleleka, nezinye izimbangela, kuhlanganise:
rheumatoid arthritis
Lesi yisifo esingapheli sokuvuvukala okubangela ukuthi amadolo avuvuke futhi abangele ukulimala ku-cartilage.
I-osteoarthritis
Lolu hlobo lwe-arthritis lubangela ukuba uqwanga luguge kancane kancane, lubangele ukulimala kwamalunga kanye nezimpawu ezihlukahlukene.
Izinkinga ze-Cartilage
Ukusebenzisa ngokweqile, ubuthakathaka bemisipha, ukulimala, nokungahambi kahle kungabangela ukunxeshezelwa kokuma nokunyakaza okungaguga futhi kudambise uqwanga, okudala izimpawu.
Kunezici eziningana ezingandisa ingozi yokuthuthukisa i-neuropathy yamadolo, kuhlanganise:
Ukulimala kwedolo kwangaphambilini
Ukulimala kwedolo okungakahlonzwa futhi okungelashiwe
Isisindo Esingenampilo
sifo
Amandla emisipha yomlenze engcupheni kanye/noma nokuvumelana nezimo
Izimpawu
Izimpawu ezihambisana nokulimala kwamadolo noma ukuphazamiseka zingahluka, kuye ngobukhulu nomonakalo. Izimpawu zingabandakanya:
Ukuqina okuhlangene
Ukuvuvukala ejoyintini.
Ukunyakaza okuncishisiwe/ukuguquguquka ekuhlanganyeleni.
Ukwanda kokungazinzi/umuzwa wobuthakathaka edolweni.
Ukushintsha kombala wesikhumba endaweni ehlangene yamadolo, njengokukhuphuka kobomvu noma ukuguga okuphaphathekile.
Ukuba ndikindiki, ukubanda, noma ukuluma kanye/noma eduze kwelunga.
Izimpawu zobuhlungu zingaba ukuqaqamba okufiphele noma ukushaywa okuzwakala edolweni lonke.
Ukungakhululeki okubukhali, ukugwaza endaweni ethile.
Uma ingelashwa, i-neuropathy yamadolo ingase ithinte unomphela ikhono lokuhamba futhi iholele ekulahlekelweni okuyingxenye noma okuphelele kokusebenza kwamadolo nokuhamba. Odokotela batusa ukuthi uqaphele lokhu okulandelayo:
Yimuphi umsebenzi/imisebenzi eyenza izimpawu?
Zitholakala kuphi izimpawu?
Bunjani ubuhlungu?
Ukwelashwa okutholakalayo kobuhlungu bamadolo
Ukwelashwa kwe-chiropractic inikeza izindlela ezihlukahlukene zokubhekana nobuhlungu obubangelwa ukulimala kwezinzwa.
Ukulungiswa Kokulimala Kwamadolo
VIDEO
Okubhekwayo
Edmonds, Michael, et al. "Umthwalo wamanje wesifo sikashukela sonyawo." Ijenali ye-clinical orthopedics and trauma vol. 17 88-93. 8 Feb. 2021, doi:10.1016/j.jcot.2021.01.017
Hawk, Cheryl, et al. "Imikhuba Engcono Kakhulu Yokuphathwa Kwe-Chiropractic yeziguli ezinezinhlungu ezingapheli ze-Musculoskeletal: Isiqondiso Sokuzilolonga Komtholampilo." Ijenali yemithi ehlukile nehambisanayo (New York, NY) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181
Hunter, David J et al. "Ukuphumelela kwemodeli entsha yokuphathwa kokunakekelwa okuyisisekelo ebuhlungu bamadolo nokusebenza ezigulini ezine-knee osteoarthritis: I-Protocol for THE PARTNER STUDY." Izinkinga ze-BMC musculoskeletal vol. 19,1 132. 30 Apr. 2018, doi:10.1186/s12891-018-2048-0
Kidd, Vasco Deon, et al. "I-Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: Kungani Futhi Kanjani." Amasu okuhlinza abalulekile e-JBJS vol. 9,1, 10 e13. 2019 Mar. 10.2106, doi:18.00016/JBJS.ST.XNUMX
Krishnan, Yamini, and Alan J Grodzinsky. "Izifo ze-cartilage." I-Matrix biology: iphephabhuku le-International Society for Matrix Biology vol. 71-72 (2018): 51-69. doi:10.1016/j.matbio.2018.05.005
Speelziek, Scott JA, et al. "Umtholampilo we-neuropathy ngemuva kwe-arthroplasty eyinhloko yamadolo: Uchungechunge lwamacala angama-54." Imisipha nezinzwa vol. 59,6 (2019): 679-682. doi:10.1002/mus.26473
Kungani Umgogodla Uphuma Ekuqondeni
