Ukwelashwa kwe-neuropathy nobuhlungu be-neuropathic

Ukwelashwa kwe-neuropathy kubandakanya ukubhekana nembangela noma ukudambisa izinhlungu uma lokho kungenzeki.

Endabeni ye-diabetesic neuropathy:

• Yehlisa amazinga kashukela aphezulu egazini (ngokujova i-insulin ngokwesibonelo) ukuze uvimbele ukulimala kwezinzwa.
• Ukulawula izinyawo njalo ukuvimbela izinkinga ezinkulu. Lokhu kungenxa yokuthi i-diabetesic neuropathy ingaholela ekulimaleni onyaweni okungabonakali ngenxa yokulahlekelwa umuzwa.

Ngokuphathelene ne-neuropathies yemvelaphi enobuthi, kwanele ukususa ukuchayeka ku-toxin okusolwayo noma ukumisa umuthi okukhulunywa ngawo, okuzomisa ukulimala kwezinzwa.

Izidakamizwa zokwelapha

• Izidakamizwa ezilwa nesithuthwane (isb. i-gabapentin ne-carbamazepine).
• Ama-antidepressants avela ekilasini le-serotonin ne-norepinephrine reuptake inhibitors (isb. i-duloxetine ne-venlafaxine) nama-tricyclics (isb. nortriptyline ne-desipramine).
• Ama-analgesics e-opioid (isb. i-morphine). Le mithi ithwala izingozi.
• I-anesthetic yendawo yesikhashana, ukudambisa izinhlungu zasendaweni.
• Lapho isifo sikashukela silimaza izinzwa ezizimele, imisebenzi ezenzakalelayo yomzimba ingathinteka. Kukhona kokubili amathuluzi nezidakamizwa (izidakamizwa ze-anticholinergic noma i-antispasmodic) ukusiza ngezinkinga zomchamo.
• Khipha ku upelepele we-cayenne equkethe i-capsaicin futhi etholakala kumakhilimu, ingase idambise ubuhlungu obungase bulandele ukuqubuka (bheka ngezansi). Kukhona namakhilimu aqukethe isibulali-zinzwa esibizwa nge-lidocaine.
• Izinkinga zokugaya ukudla - i-gastroparesis (ukubambezeleka kokukhipha isisu) ingancishiswa ngokwenza izinguquko zokudla kanye nokuthatha imithi yokuvimbela isifo sohudo, ukuqunjelwa kanye nesicanucanu.
• Ingozi ye-postural hypotension (umfutho wegazi ophansi lapho umile) ingancishiswa ngokugwema utshwala nokuphuza amanzi amaningi.
• Ukungasebenzi kahle kwezocansi: Ukwelashwa kwezidakamizwa okufanelekile kwamanye amadoda yi-sildenafil (Viagra), i-tadalafil (Cialis), ne-vardenafil (Levitra).

Izingubo zikakotini ziyanconywa ngoba zibangela ukucasuka okuncane,

Izindlela zokwelapha eziphumuzayo nezokuphumuza (isb. izindlela zokuphumula, ukubhucungwa,ukutshopa, transcutaneous neurostimulation) iphinde isize abanye abantu ukuthi babhekane kangcono nobuhlungu futhi basebenze kangcono.

Ukwelashwa kwe-mononeuropathy

Uma i-neuropathy ibangelwa ukucindezelwa kwenzwa eyodwa, ukwelashwa kuyefana kungakhathaliseki ukuthi iyiphi inzwa ehilelekile, futhi kuncike ekutheni ukucindezela kungokwesikhashana noma unomphela.

Ukwelashwa kuhlanganisa ukuphumula, ukushisa, nemithi enciphisa ukuvuvukala.

In the i-carpal tunnel syndrome, ukwelapha kuhlanganisa izidakamizwa zomlomo noma ezijovwe ze-corticosteroid, kanye ne-ultrasound (isu lokudlidliza kwe-acoustic).

Uma i-mononeuropathy iba yimbi naphezu kwezinyathelo ezijwayelekile ezithathiwe, ukuhlinzwa kungase kudingeke. Uma ukucindezelwa kwezinzwa kulungiswa, isibonelo uma kubangelwa isisu, ukwelashwa kusekelwe ekuhlinzeni.

Izindlela ezihambisanayo

Izindlela ezilandelayo zibhekwa njengezinokwenzeka noma ezisebenzayo ekwelapheni i-neuropathy. i upelepele we-cayenne ibonakala iphumelela kakhulu.

• Umcibisholo capsicum ama-frutescens, noma upelepele we-cayenne. Olunye ucwaningo lubonisa ukuthi ukugcoba ukhilimu esikhumbeni noma ukusebenzisa isiqephu esine-capsaicin (0,075%), ikhemikhali esebenzayo ku-capsicum, kunciphisa ubuhlungu kubantu abane-neuropathy ebangelwa isifo sikashukela.
• I-Acetyl-L-carnitine. I-Acetyl-L-carnitine (i-2000-3000 mg) ikholelwa ukuthi inciphisa ubuhlungu kubantu abanesifo sikashukela sakamuva abaye balawula kabi uhlobo lwe-2 yesifo sikashukela ngemva kwezinyanga ze-6 zokwelashwa.
• I-Alpha lipoic acid. Olunye ucwaningo lubonisa ukuthi i-alpha-lipoic acid (600 kuya ku-1800 mg ngosuku) inganciphisa izimpawu (ukuvutha, ubuhlungu kanye nokuba ndikindiki emilenzeni nasezingalweni) ze-peripheral neuropathy ezigulini ezinesifo sikashukela.
• I-Co-enzyme Q-10. Ucwaningo lubonisa ukuthi ukuthatha i-coenzyme Q10 kunciphisa ubuhlungu kubantu abane-neuropathy yesifo sikashukela.