ClickCease
+ 1-915-850-0900 spinedoctors@gmail.com
Select Page

Neuropathy

Gulu la Chithandizo cha Back Clinic Neuropathy. Peripheral neuropathy ndi chifukwa cha kuwonongeka kwa mitsempha yotumphukira. Izi nthawi zambiri zimayambitsa kufooka, dzanzi, ndi ululu, nthawi zambiri m'manja ndi kumapazi. Zingathenso kukhudza mbali zina za thupi lanu. Zotumphukira zamanjenje zimatumiza uthenga kuchokera ku ubongo ndi msana (dongosolo lapakati lamanjenje) kupita ku thupi. Zitha kuchitika chifukwa cha kuvulala koopsa, matenda, zovuta za kagayidwe kachakudya, zobadwa nazo, komanso kukhudzidwa ndi poizoni. Chimodzi mwazomwe zimayambitsa matenda a shuga mellitus.

Nthawi zambiri anthu amalongosola ululuwo ngati kubaya, kuwotcha, kapena kumva kuwawa. Zizindikiro zimatha kusintha, makamaka ngati zitachitika chifukwa cha matenda ochiritsika. Mankhwala amatha kuchepetsa ululu wa peripheral neuropathy. Zitha kukhudza mitsempha imodzi (mononeuropathy), mitsempha iwiri kapena yambiri m'madera osiyanasiyana (mononeuropathies yambiri), kapena mitsempha yambiri (polyneuropathy). Carpal tunnel syndrome ndi chitsanzo cha mononeuropathy. Anthu ambiri omwe ali ndi zotumphukira neuropathy amakhala ndi polyneuropathy. Funsani kuchipatala mwamsanga ngati pali kugwedeza kwachilendo, kufooka, kapena kupweteka m'manja kapena mapazi anu. Kuzindikira koyambirira ndi chithandizo kumapereka mwayi wabwino kwambiri wowongolera zizindikiro zanu ndikupewa kuwonongeka kwina kwa mitsempha yotumphukira. Umboni http://bit.ly/elpasoneuropathy

General Chodzikanira *

Zomwe zili pano sizinapangidwe kuti zilowe m'malo mwa ubale wa munthu ndi m'modzi ndi dokotala wodziwa bwino zachipatala kapena dokotala yemwe ali ndi chilolezo ndipo si malangizo azachipatala. Tikukulimbikitsani kuti mupange zisankho zanu zachipatala potengera kafukufuku wanu komanso mgwirizano ndi katswiri wodziwa zaumoyo. Kuchuluka kwathu kwachidziwitso kumangokhala chiropractic, musculoskeletal, mankhwala akuthupi, thanzi, zovuta zaumoyo, zolemba zamankhwala ogwira ntchito, mitu, ndi zokambirana. Timapereka ndikuwonetsa mgwirizano wazachipatala ndi akatswiri ochokera m'machitidwe osiyanasiyana. Katswiri aliyense amayendetsedwa ndi momwe amagwirira ntchito komanso momwe alili ndi chilolezo. Timagwiritsa ntchito ndondomeko zaumoyo ndi thanzi kuti tithandizire ndikuthandizira kuvulala kapena kusokonezeka kwa minofu ndi mafupa. Makanema athu, zolemba zathu, mitu yathu, mitu, ndi zidziwitso zimakhudza zachipatala, zovuta, ndi mitu yomwe ikukhudzana ndikuthandizira, mwachindunji kapena m'njira zina, momwe timagwirira ntchito pachipatala.* Ofesi yathu yayesetsa kupereka mawu otithandizira ndipo yazindikira. kafukufuku wofunikira kapena maphunziro othandizira ma post athu. Timapereka makope othandizira maphunziro a kafukufuku omwe amapezeka kwa oyang'anira oyang'anira ndi anthu akafunsidwa.

Timamvetsetsa kuti timafotokoza zinthu zomwe zimafunikira kufotokozedwanso momwe zingathandizire mu dongosolo la chisamaliro kapena njira yothandizira; Chifukwa chake, kuti mupitilize kukambirana pamutuwu pamwambapa, chonde lekani kufunsa Dr. Alex Jimenez Kapena tilankhule nafe 915-850-0900.

Dr. Alex Jimenez D.C., MSACP, CCST, Mtengo wa IFMCP*, Mtengo wa CIFM*, ATN*

imelo: makoza@elpasofunctionalmedicine.com

Chilolezo mu: Texas & New Mexico*

 

Pudendal Neuropathy: Kutsegula Ululu Wosatha wa Mchiuno

Pudendal Neuropathy: Kutsegula Ululu Wosatha wa Mchiuno

by | Hip Pain & Disorders, Neuropathy

Kwa anthu omwe ali ndi ululu wa m'chiuno, akhoza kukhala vuto la mitsempha ya pudendal yotchedwa pudendal neuropathy kapena neuralgia yomwe imayambitsa kupweteka kosalekeza. Mkhalidwewu ukhoza kuyambitsidwa ndi kutsekeka kwa mitsempha ya pudendal, komwe mitsempha imakanikizidwa kapena kuwonongeka. Kodi kudziwa zizindikilo zake kungathandize azachipatala kudziwa bwino matendawa ndikupanga dongosolo lothandizira lamankhwala?

Pudendal Neuropathy: Kutsegula Ululu Wosatha wa Mchiuno

Pudendal Neuropathy

Mitsempha ya pudendal ndiyo mitsempha yayikulu yomwe imagwira ntchito pa perineum, yomwe ili pakati pa anus ndi maliseche - scrotum mwa amuna ndi vulva mwa akazi. Mitsempha ya pudendal imadutsa mu minofu ya gluteus / matako ndikupita ku perineum. Imanyamula chidziwitso chomveka kuchokera kumaliseche akunja ndi khungu lozungulira anus ndi perineum ndikutumiza zizindikiro zamagalimoto / kuyenda kumagulu osiyanasiyana a pelvic. (Origoni, M. et al., 2014) Pudendal neuralgia, yomwe imatchedwanso pudendal neuropathy, ndi matenda a mitsempha ya pudendal yomwe ingayambitse kupweteka kwa m'chiuno.

Zimayambitsa

Kupweteka kwa m'chiuno kosatha kuchokera ku pudendal neuropathy kumatha kuyambitsidwa ndi izi:Kaur J. et al., 2024)

  • Kukhala pa malo olimba, mipando, mipando ya njinga, ndi zina zotero. Oyendetsa njinga amatha kukhala ndi mitsempha ya pudendal.
  • Kuvulala kwa matako kapena m'chiuno.
  • Kubadwa.
  • Diabetesic neuropathy.
  • Mafupa omwe amatsutsana ndi mitsempha ya pudendal.
  • Kuchulukitsa kwa mitsempha yozungulira mitsempha ya pudendal.

zizindikiro

Ululu wa mitsempha ya pudendal ukhoza kufotokozedwa ngati kubaya, kuponderezana, kuwotcha, dzanzi, kapena zikhomo ndi singano ndipo zimatha kuwonetsa (Kaur J. et al., 2024)

  • Mu perineum.
  • M'chigawo chakuthako.
  • Mwa amuna, kupweteka kwa scrotum kapena mbolo.
  • Kwa amayi, kupweteka kwa labia kapena maliseche.
  • Pogonana.
  • Pokodza.
  • Pa nthawi ya matumbo.
  • Akakhala ndikuchoka atayimirira.

Chifukwa zizindikiro nthawi zambiri zimakhala zovuta kusiyanitsa, pudendal neuropathy nthawi zambiri imakhala yovuta kusiyanitsa ndi mitundu ina ya ululu wosaneneka wa m'chiuno.

Cyclist's Syndrome

Kukhala pampando wanjinga kwa nthawi yayitali kungayambitse kupsinjika kwa mitsempha ya m'chiuno, zomwe zingayambitse kupweteka kosalekeza. Mafupipafupi a pudendal neuropathy (kupweteka kwa m'chiuno kosatha komwe kumachitika chifukwa cha kutsekeka kapena kupanikizana kwa mitsempha ya pudendal) nthawi zambiri amatchedwa Cyclist's Syndrome. Kukhala pamipando ina ya njinga kwa nthawi yayitali kumapangitsa kuti mitsempha ya pudendal ikhale yovuta kwambiri. Kupanikizika kungayambitse kutupa kuzungulira mitsempha, yomwe imayambitsa kupweteka ndipo, pakapita nthawi, ingayambitse kuvulala kwa mitsempha. Kupanikizika kwa mitsempha ndi kutupa kungayambitse ululu wofotokozedwa ngati kuyaka, kuluma, kapena mapini ndi singano. (Durante, JA, and Macintyre, IG 2010) Kwa anthu omwe ali ndi vuto lotchedwa pudendal neuropathy chifukwa chokwera njinga, zizindikiro zimatha kuonekera pambuyo poyenda nthawi yayitali ndipo nthawi zina pakadutsa miyezi kapena zaka.

Cyclist's Syndrome Prevention

Kuwunikanso kwa kafukufuku kunapereka malingaliro otsatirawa oletsa Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)

Kupumula

  • Pumulani osachepera 20-30 masekondi mutatha mphindi 20 zilizonse mutakwera.
  • Mukamakwera, sinthani malo pafupipafupi.
  • Imirirani popondaponda nthawi ndi nthawi.
  • Tengani nthawi yopuma pakati pa magawo okwera ndi mpikisano kuti mupumule ndikupumula mitsempha ya m'chiuno. Kupuma kwa masiku 3-10 kungathandize kuchira. (Durante, JA, and Macintyre, IG 2010)
  • Ngati zizindikiro za ululu wa m'chiuno zikuyamba kukula, pumulani ndikuwonana ndi dokotala kapena katswiri kuti akamuyeze.

mpando

  • Gwiritsani ntchito mpando wofewa, waukulu wokhala ndi mphuno yaifupi.
  • Khalani ndi mulingo wapampando kapena mupendekere patsogolo pang'ono.
  • Mipando yokhala ndi mabowo odulidwa imayika kwambiri pa perineum.
  • Ngati dzanzi kapena kupweteka kulipo, yesani mpando wopanda mabowo.

Kukonzekera Njinga

  • Sinthani kutalika kwa mpando kuti bondo likhale lopindika pang'ono pansi pa pedal stroke.
  • Kulemera kwa thupi kuyenera kutsamira pa mafupa okhala pansi/ischial tuberosities.
  • Kusunga chogwirizira kutalika pansi pa mpando kungachepetse kupanikizika.
  • Njinga ya Triathlon yopita patsogolo kwambiri iyenera kupewedwa.
  • Kaimidwe kowongoka ndikwabwinoko.
  • Mabasiketi am'mapiri adalumikizidwa ndi chiwopsezo chowonjezereka cha vuto la erectile kuposa njinga zamsewu.

zazifupi

  • Valani akabudula apanjinga.

Kuchiza

Wopereka chithandizo chamankhwala atha kugwiritsa ntchito mankhwala osiyanasiyana.

  • Neuropathy imatha kuchiritsidwa ndikupumula ngati chifukwa chake ndikukhala mopitilira muyeso kapena kupalasa njinga.
  • Chithandizo chamankhwala apansi pa chiuno zingathandize kumasuka ndi kutalikitsa minofu.
  • Mapulogalamu obwezeretsa thupi, kuphatikizapo kutambasula ndi kuchita masewera olimbitsa thupi, amatha kumasula mitsempha.
  • Kusintha kwa chiropractic kumatha kusintha msana ndi pelvis.
  • Njira yotulutsa yogwira ntchito / ART imaphatikizapo kugwiritsa ntchito kukakamiza kwa minofu m'derali pamene mukutambasula ndi kukakamira. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)
  • Mitsempha imatha kuchepetsa ululu wobwera chifukwa cha kutsekeka kwa mitsempha. (Kaur J. et al., 2024)
  • Mankhwala ena otsitsimula minofu, antidepressants, ndi anticonvulsants amatha kuperekedwa, nthawi zina kuphatikiza.
  • Opaleshoni ya mitsempha ya mitsempha ikhoza kulangizidwa ngati njira zonse zochiritsira zowonongeka zatha. (Durante, JA, and Macintyre, IG 2010)

Mapulani a chisamaliro chachipatala cha Chiropractic ndi Functional Medicine Clinic ndi ntchito zachipatala ndizopadera ndipo zimayang'ana kwambiri kuvulala komanso kuchira kwathunthu. Malo athu omwe timachita ndi monga Ubwino ndi zakudya, Ululu Wosatha, Kuvulala Kwawekha, Kusamalira Ngozi Yagalimoto, Kuvulala Kwa Ntchito, Kuvulala Kwambiri, Kupweteka Kwambiri, Kupweteka kwa Pakhosi, Migraine Headaches, Kuvulala Kwamasewera, Kupweteka Kwambiri, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Ululu, Kuvulala Kwambiri, Kuwongolera Kupsinjika, ndi Chithandizo Chamankhwala Ogwira Ntchito. Ngati munthuyo akufuna chithandizo china, adzatumizidwa ku chipatala kapena dokotala yemwe ali woyenera kwambiri pa matenda awo, monga Dr. Jimenez adagwirizana ndi madokotala apamwamba, akatswiri a zachipatala, ofufuza zachipatala, othandizira, ophunzitsa, ndi opereka chithandizo choyamba.

Mimba ndi Sciatica

Zothandizira

Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Njira za Neurobiological za ululu wa m'chiuno. BioMed Research International, 2014, 903848. doi.org/10.1155/2014/903848

Kaur, J., Leslie, SW, & Singh, P. (2024). Pudendal Nerve Entrapment Syndrome. Mu StatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992

Durante, JA, & Macintyre, IG (2010). Kutsekeka kwa mitsempha ya Pudendal mwa wothamanga wa Ironman: lipoti lamilandu. Journal of the Canadian Chiropractic Association, 54 (4), 276-281.

Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Kuzindikira, Kukonzanso ndi Njira Zopewera za Pudendal Neuropathy mu Ma Cyclists, Kubwereza Mwadongosolo. Journal of functional morphology ndi kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042

Kupewa ndi Kuchiza Peripheral Neuropathy: Njira Yophatikiza

Kupewa ndi Kuchiza Peripheral Neuropathy: Njira Yophatikiza

by | Zinthu Zinachitiridwa, Neuropathy

Matenda ena amitsempha amatha kuyambitsa matenda oopsa a peripheral neuropathy, komanso kwa anthu omwe ali ndi vuto la peripheral neuropathy, kodi chithandizo chamankhwala chingathandize kusuntha motetezeka limodzi ndi mankhwala, njira, ndi kusintha kwa moyo kuti zithandizire kuwongolera ndikuwongolera zizindikiro?

Kupewa ndi Kuchiza Peripheral Neuropathy: Njira Yophatikiza

Chithandizo cha Peripheral Neuropathy

Chithandizo cha peripheral neuropathy chimaphatikizapo chithandizo chamankhwala ndi chithandizo chamankhwala kuti ateteze kuwonongeka kwa mitsempha.

  • Kwa mitundu yovuta kwambiri ya peripheral neuropathy, chithandizo chamankhwala ndi mankhwala ochiritsira amatha kuchiza zomwe zikuchitika, kukonza vutoli.
  • Kwa mitundu yosatha ya peripheral neuropathy, chithandizo chamankhwala komanso momwe moyo umakhalira zingathandize kupewa kukula kwa matendawa.
  • Chithandizo cha matenda a peripheral neuropathy chimayang'ana kwambiri kuwongolera zizindikiro zowawa ndikuteteza madera omwe amachepetsa kuchepa kwa kuwonongeka kapena matenda.

Kudzisamalira ndi Kusintha kwa Moyo Wathu

Kwa anthu omwe adapezeka kuti ali ndi vuto la peripheral neuropathy kapena omwe ali pachiwopsezo chokhala ndi vutoli, zomwe zimachitika pa moyo zimathandizira kwambiri pakuwongolera zizindikiro ndikuletsa kuwonongeka kwa mitsempha kuti zisapitirire kuipiraipira ndipo zimatha kuletsa vutoli kuti lisachitike. (Jonathan Enders et al., 2023)

Uphungu Wopweteka

Anthu amatha kuyesa njira zodzisamalirazi ndikuwona ngati ndi zomwe zingathandize kuchepetsa kusapeza kwawo ndikukhazikitsa chizoloŵezi chomwe angathe kuchithetsa. Kudzisamalira pazizindikiro zowawa ndi izi:

  • Kuyika chotenthetsera chotenthetsera pamalo owawa.
  • Kuyika chozizira chozizira (osati ayezi) pamadera opweteka.
  • Kuphimba malo kapena kuwasiya osavundikira, malingana ndi momwe amatonthozera.
  • Valani zovala zotayirira, masokosi, nsapato, ndi/kapena magolovesi osapangidwa ndi zinthu zomwe zingayambitse mkwiyo.
  • Pewani kugwiritsa ntchito mafuta odzola kapena sopo omwe angayambitse mkwiyo.
  • Gwiritsani ntchito mafuta odzola kapena odzola.
  • Kusunga malo opweteka paukhondo.

Kuteteza Kuvulala

Kuchepetsa kutengeka ndi chimodzi mwazotsatira zomwe zingayambitse mavuto monga kupunthwa, kuvutika kuyenda, ndi kuvulala. Kupewa komanso kuyang'ana nthawi zonse kuvulala kungathandize kupewa zovuta monga mabala omwe ali ndi kachilombo. (Nadja Klafke et al., 2023) Kusintha kwa moyo kuti musamalire ndikupewa kuvulala kumaphatikizapo:

  • Valani nsapato zotungidwa bwino ndi masokosi.
  • Yang'anani mapazi, zala, zala, ndi manja nthawi zonse kuti muwone ngati pali mabala kapena mikwingwirima yomwe mwina simunamvepo.
  • Chotsani ndikuphimba mabala kuti mupewe matenda.
  • Samalani kwambiri ndi ziwiya zakuthwa monga zophikira ndi ntchito kapena zolima.

Kusamalira Matenda

Zinthu za moyo zingathandize kupewa kukula kwa matenda ndipo zimagwirizana kwambiri ndi zoopsa komanso zomwe zimayambitsa. Kuthandizira kupewa zotumphukira neuropathy kapena kupita patsogolo kwake zitha kuchitika ndi:Jonathan Enders et al., 2023)

  • Sungani milingo ya glucose yathanzi ngati muli ndi matenda ashuga.
  • Pewani mowa chifukwa cha zotumphukira zamitsempha.
  • Khalani ndi chakudya chokwanira, chomwe chitha kukhala ndi mavitamini owonjezera, makamaka kwa omwe sadya masamba kapena osadya nyama.

Zochizira Pakauntala

Mankhwala ochepa omwe amagulitsidwa m'masitolo amatha kuthandizira zizindikiro zowawa ndipo akhoza kutengedwa ngati pakufunika. Thandizo lopanda ululu likuphatikizapo: (Michael Überall et al., 2022)

  • Topical lidocaine utsi, chigamba, kapena zonona.
  • Capsaicin creams kapena zigamba.
  • Topical Icy Hot
  • Non-steroidal anti-inflammatory mankhwala - Advil/ibuprofen kapena Aleve/naproxen
  • Tylenol/acetaminophen

Mankhwalawa angathandize kuchepetsa zizindikiro zowawa za peripheral neuropathy, koma sizikuthandizira kuchepetsa kukhudzidwa, kufooka, kapena kugwirizanitsa. (Jonathan Enders et al., 2023)

Mankhwala Othandizira

Mankhwala ochizira matenda a peripheral neuropathy amaphatikizapo mankhwala opweteka komanso anti-inflammatories. Mitundu yosatha ya peripheral neuropathy ndi:

  • Alcohol neuropathy
  • Matenda a diabetes a neuropathy
  • Chemotherapy-induced neuropathy

Thandizo lamankhwala la mitundu yosatha limasiyana ndi mankhwala amtundu wowopsa wa peripheral neuropathy.

Uphungu Wopweteka

Chithandizo choperekedwa ndi dokotala chingathandize kuthana ndi ululu ndi kusapeza bwino. Mankhwalawa akuphatikizapo (Michael Überall et al., 2022)

  • Lyrica - pregabalin
  • Neurontin - gabapentin
  • Elavil - amitriptyline
  • Effexor - venlafaxine
  • Cymbalta - duloxetine
  • Pazovuta kwambiri, intravenous/IV lidocaine wa pangafunike. (Sanja Horvat et al., 2022)

Nthawi zina, mankhwala owonjezera mphamvu kapena vitamini B12 woperekedwa kudzera mu jakisoni angathandize kupewa kupita patsogolo pamene zotumphukira neuropathy zimalumikizidwa ndi kuchepa kwakukulu kwa vitamini. Chithandizo choperekedwa ndi dokotala chingathandize kuchiza zomwe zimachitika mumitundu ina yamtundu wa acute peripheral neuropathy. Chithandizo cha acute peripheral neuropathy, monga Miller-Fisher syndrome kapena Guillain-Barré syndrome, chingaphatikizepo:

  • Corticosteroids
  • Immunoglobulins - mapuloteni a chitetezo cha mthupi
  • Plasmapheresis ndi njira yomwe imachotsa gawo lamadzi lamagazi, ndikubwezeretsa maselo amwazi, zomwe zimasintha mphamvu ya chitetezo chamthupi. (Sanja Horvat et al., 2022)
  • Ochita kafukufuku amakhulupirira kuti pali mgwirizano pakati pa mikhalidwe imeneyi ndi kutupa kuwonongeka kwa mitsempha, ndipo kusintha chitetezo cha m'thupi kumapindulitsa pochiza zizindikiro ndi matenda omwe amayambitsa.

Opaleshoni

Nthawi zina, opaleshoni imatha kuthandiza anthu omwe ali ndi mitundu ina ya zotumphukira neuropathy. Pamene vuto lina likukulitsa zizindikiro kapena ndondomeko ya peripheral neuropathy, opaleshoni ingathandize kuthetsa zizindikiro ndikuletsa kukula kwa matenda. Izi zakhala zogwira mtima ngati kutsekeka kwa minyewa kapena kusakwanira kwa mitsempha ndizomwe zimayambitsa. (Wenqiang Yang et al., 2016)

Mankhwala Othandizira Ndi Osiyanasiyana

Njira zina zowonjezera komanso zina zingathandize anthu kuthana ndi zowawa komanso kusapeza bwino. Mankhwalawa amatha kukhala ngati njira yopitilira kwa iwo omwe ali ndi vuto la peripheral neuropathy. Zosankha zingaphatikizepo: (Nadja Klafke et al., 2023)

  • Kutema mphini kumaphatikizapo kuika singano m’malo enaake a thupi kuti zithandize kuchepetsa ululu.
  • Acupressure imaphatikizapo kukakamiza madera ena a thupi kuti achepetse zizindikiro za ululu.
  • Kupaka minofu kungathandize kuchepetsa kupsinjika kwa minofu.
  • Kusinkhasinkha ndi mankhwala opumula angathandize kuthana ndi zizindikiro.
  • Thandizo lamankhwala litha kukhalanso gawo lofunikira pakukhala ndi vuto la peripheral neuropathy komanso kuchira ku pachimake peripheral neuropathy.
  • Thandizo lolimbitsa thupi lingathandize kulimbikitsa minofu yofooka, kugwirizanitsa bwino, ndi kuphunzira momwe mungasinthire kusintha kwa zomverera ndi zamagalimoto kuti muyende bwino.

Anthu omwe akuganizira chithandizo chowonjezera kapena chithandizo china akulimbikitsidwa kuti alankhule ndi dokotala wawo wamkulu kuti awone ngati kuli kotetezeka ku matenda awo. Chiropractic Medical Chiropractic ndi Functional Medicine Clinic idzagwira ntchito ndi wothandizira zaumoyo wa munthu payekha komanso / kapena akatswiri kuti apange njira yothetsera thanzi labwino komanso thanzi labwino kuti apereke mpumulo ndi kupititsa patsogolo moyo.

Peripheral Neuropathy: Nkhani Yochira Bwino

Zothandizira

Enders, J., Elliott, D., & Wright, DE (2023). Zomwe Zachitika Zopanda Mankhwala Othandizira Kuchiza Matenda a Diabetes Peripheral Neuropathy. Antioxidants & redox signing, 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). Kupewa ndi Kuchiza kwa Chemotherapy-Induced Peripheral Neuropathy (CIPN) ndi Zopanda Mankhwala Othandizira: Malangizo a Zachipatala Kuchokera Kukanika Kwambiri Kukambitsirana ndi Njira Yogwirizana ndi Katswiri. Sayansi ya zamankhwala (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015

Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Zowawa za Diabetes peripheral Neuropathy: Kuyerekeza zenizeni zenizeni pakati pa mankhwala apakhungu ndi lidocaine wa 700 mg pulasitala ndi mankhwala apakamwa. BMJ Open Diabetes Research & Care, 10(6), e003062. doi.org/10.1136/bmjdrc-2022-003062

Horvat, S., Staffhorst, B., & Cobben, JMG (2022). Intravenous Lidocaine for Chithandizo cha Ululu Wosatha: Kafukufuku Wamagulu Obwereza. Journal ya kafukufuku wowawa, 15, 3459-3467. doi.org/10.2147/JPR.S379208

Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Kuchepetsa Ululu ndi Kupititsa patsogolo Umoyo Wokhudzana ndi Umoyo Pambuyo pa Microsurgical Decompression of Entrapped Peripheral nerves mwa Odwala Odwala Matenda a Diabetes Peripheral Neuropathy. The Journal of Phazi ndi Ankle Surgeons: chofalitsidwa chovomerezeka cha American College of Foot and Ankle Surgeons, 55 (6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004

Kumvetsetsa Mitsempha ya Mitsempha: Kuzindikira ndi Kusamalira Zopweteka Zopweteka

Kumvetsetsa Mitsempha ya Mitsempha: Kuzindikira ndi Kusamalira Zopweteka Zopweteka

by | Kuvulaza Mitsempha, Neuropathy

Kwa anthu omwe ali ndi ululu wosatha, kodi kuchitidwa opaleshoni ya mitsempha kungathandize kuchepetsa ndi kuthetsa zizindikiro?

Kumvetsetsa Mitsempha ya Mitsempha: Kuzindikira ndi Kusamalira Zopweteka Zopweteka

Mitsempha Blocks

Mitsempha ya mitsempha ndi njira yomwe imapangidwira kusokoneza / kuletsa zizindikiro za ululu chifukwa cha kusokonezeka kwa mitsempha kapena kuvulala. Zitha kugwiritsidwa ntchito pofuna kufufuza kapena kuchiza, ndipo zotsatira zake zingakhale zazifupi kapena zazitali, malingana ndi mtundu womwe ukugwiritsidwa ntchito.

  • A kwakanthawi minyewa block zingaphatikizepo kugwiritsa ntchito kapena jekeseni yomwe imayimitsa zizindikiro zowawa kuti zisafalitse kwakanthawi kochepa.
  • Mwachitsanzo, pa mimba, jakisoni wa epidural angagwiritsidwe ntchito panthawi yobereka komanso yobereka.
  • Mitsempha yokhazikika kumaphatikizapo kudula/kudula kapena kuchotsa mbali zina za minyewa kuti muyimitse zizindikiro zowawa.
  • Izi zimagwiritsidwa ntchito pazochitika zovulala kwambiri kapena zovuta zina zowawa zomwe sizinasinthe ndi njira zina zothandizira.

Kugwiritsa Ntchito Chithandizo

Othandizira azaumoyo akazindikira kuti pali vuto lopweteka lomwe limayambitsidwa ndi kuvulala kwa mitsempha kapena kusagwira bwino ntchito, amatha kugwiritsa ntchito minyewa kuti apeze malo omwe amatulutsa zizindikiro zowawa. Iwo akhoza kuchita electromyography ndi / kapena a mitsempha conduction velocity / NCV mayeso kuti adziwe chomwe chimayambitsa kupweteka kwa mitsempha yambiri. Mitsempha imathanso kuchiza ululu wosaneneka wa neuropathic, monga ululu wobwera chifukwa cha kuwonongeka kwa mitsempha kapena kupsinjika. Mitsempha ya mitsempha imagwiritsidwa ntchito nthawi zonse pofuna kuchiza kupweteka kwa msana ndi khosi chifukwa cha herniated discs kapena spinal stenosis. (Johns Hopkins Medicine. 2024)

mitundu

Mitundu itatu ili ndi:

  • Local
  • Neurolytic
  • Opaleshoni

Zonse zitatuzi zingagwiritsidwe ntchito pazinthu zomwe zimayambitsa kupweteka kosalekeza. Komabe, ma neurolytic ndi maopaleshoni opangira opaleshoni ndi okhazikika ndipo amangogwiritsidwa ntchito pa ululu waukulu womwe wakula kwambiri ndi mankhwala ena omwe sangathe kupereka mpumulo.

Zotchinga Zosakhalitsa

  • Chida chapafupi chimapangidwa ndi kubaya kapena kugwiritsa ntchito mankhwala oletsa ululu wamba, monga lidocaine, kudera linalake.
  • Epidural ndi mitsempha yam'deralo yomwe imalowetsa steroids kapena analgesics kumalo ozungulira msana.
  • Izi ndizofala pa nthawi ya mimba, yobereka, komanso yobereka.
  • Epidurals ingagwiritsidwenso ntchito pochiza kupweteka kwapakhosi kapena kupweteka kwa msana chifukwa cha mitsempha ya msana.
  • Mipiringidzo yam'deralo nthawi zambiri imakhala yochepa, koma mu ndondomeko ya chithandizo, imatha kubwerezedwa pakapita nthawi kuti athetse ululu wosatha kuchokera ku zinthu monga nyamakazi, sciatica, ndi migraines. (NYU Langone Health. 2023)

Mizinga Yokhazikika

  • Chida cha neurolytic chimagwiritsa ntchito mowa, phenol, kapena matenthedwe othandizira kuti athetse ululu wosaneneka wa mitsempha. (National Institute of Neurological Disorders ndi Stroke. 2023) Njirazi zimawononga mbali zina za minyewa mwadala kotero kuti zizindikiro zowawa sizitha kuperekedwa. Chotchinga cha neurolytic chimagwiritsidwa ntchito makamaka pazochitika zowawa kwambiri, monga kupweteka kwa khansa kapena zovuta zamtundu wa ululu / CRPS. Nthawi zina amagwiritsidwa ntchito pochiza kupweteka kosalekeza kwa kapamba komanso kupweteka pachifuwa pambuyo pa opaleshoni. (Johns Hopkins Medicine. 2024) (Alberto M. Cappellari et al., 2018)
  • Neurosurgeon amachita opaleshoni ya mitsempha yomwe imaphatikizapo kuchotsa kapena kuwononga madera ena a mitsempha. (National Institute of Neurological Disorders ndi Stroke. 2023) Mitsempha yopangira opaleshoni imagwiritsidwa ntchito pazovuta zopweteka kwambiri, monga kupweteka kwa khansa kapena trigeminal neuralgia.
  • Ngakhale kuti mitsempha ya neurolytic ndi opaleshoni ndi njira zokhazikika, zizindikiro zowawa, ndi zomverera zimatha kubwerera ngati mitsempha imatha kukula ndikudzikonza yokha. (Eun Ji Choi et al., 2016) Komabe, zizindikiro ndi zomverera sizingabwerenso patatha miyezi kapena zaka mutachita opaleshoniyo.

Madera Osiyanasiyana a Thupi

Atha kuperekedwa m'malo ambiri amthupi, kuphatikiza: (Chipatala cha Opaleshoni Yapadera. 2023) (Stanford Medicine. 2024)

  • Scalp
  • nkhope
  • Khosi
  • Collarbone
  • mapewa
  • zida
  • Back
  • Chifuwa
  • Nyumba yanthiti
  • Mimba
  • Pelvis
  • Maphwando
  • miyendo
  • kumwendo
  • mapazi

Zotsatira Zotsatira

Njirazi zimatha kukhala ndi chiopsezo cha kuwonongeka kwa minyewa kosatha. (Nyimbo ya BlueCross. 2023) Mitsempha imakhala yokhudzidwa ndipo imapanganso pang'onopang'ono, choncho cholakwika chaching'ono chingayambitse zotsatira zake. (D O'Flaherty et al., 2018) Zotsatira zoyipa zomwe zimachitika kawirikawiri ndi izi:

  • Kupuwala kwa minofu
  • Kufooka
  • Kuchita dzanzi pafupipafupi
  • Nthawi zina, chipikacho chikhoza kukwiyitsa mitsempha ndikuwonjezera ululu.
  • Madokotala aluso komanso ovomerezeka monga madokotala ochita opaleshoni, madotolo owongolera ululu, ogonetsa, ndi madokotala amano amaphunzitsidwa kuchita izi mosamala.
  • Nthawi zonse pamakhala chiwopsezo cha kuwonongeka kwa mitsempha kapena kuvulala, koma minyewa yambiri imatsekeka bwino ndikuchepetsa bwino ndikuthandizira kuthana ndi ululu wosaneneka. (Nyimbo ya BlueCross. 2023)

Zimene muyenera kuyembekezera

  • Anthu amatha kumva dzanzi kapena kumva kuwawa komanso/kapena kuona kufiyira kapena kuyabwa pafupi kapena kuzungulira dera lomwe ndi losakhalitsa.
  • Pakhoza kukhala kutupa, komwe kumapangitsa mitsempha ya mitsempha ndipo imafuna nthawi kuti ikhale yabwino. (Stanford Medicine. 2024)
  • Anthu angapemphedwe kuti apume kwa nthawi yochuluka pambuyo pa ndondomekoyi.
  • Malinga ndi mtundu wa kachitidwe kameneka, anthu amatha kukhala m’chipatala kwa masiku angapo.
  • Ululu wina ungakhalepobe, koma sizikutanthauza kuti njirayi sinagwire ntchito.

Anthu akuyenera kukaonana ndi achipatala za kuopsa ndi ubwino wake kuti atsimikizire kuti ndizolondola mankhwala.

Sciatica, Zomwe Zimayambitsa, Zizindikiro, ndi Malangizo

Zothandizira

Johns Hopkins Medicine. (2024). Mitsempha yotchinga. (Zaumoyo, Nkhani. www.hopkinsmedicine.org/health/conditions-and-diseases/nerve-blocks

NYU Langone Health. (2023). Mitsempha ya Migraine (Maphunziro ndi Kafukufuku, Nkhani. nyulangone.org/conditions/migraine/treatments/nerve-block-for-migraine

National Institute of Neurological Disorders ndi Stroke. (2023). Ululu. Zabwezedwa kuchokera www.ninds.nih.gov/health-information/disorders/pain#3084_9

Johns Hopkins Medicine. (2024). Chithandizo cha pancreatitis yosachiritsika (Thanzi, Nkhani. www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pancreatitis/chronic-pancreatitis-treatment

Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). Intercostal Neurolysis for The Treatment of Postsurgical Thoracic Pain: a Case Series. Minofu & mitsempha, 58 (5), 671-675. doi.org/10.1002/mus.26298

Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Neural Ablation and Regeneration in Pain Practice. Nyuzipepala ya ku Korea ya ululu, 29 (1), 3-11. doi.org/10.3344/kjp.2016.29.1.3

Chipatala cha Opaleshoni Yapadera. (2023). Opaleshoni yachigawo. www.hss.edu/condition-list_regional-anesthesia.asp

Stanford Medicine. (2024). Mitundu ya mitsempha ya mitsempha (Kwa Odwala, Nkhani. med.stanford.edu/ra-apm/for-patients/nerve-block-types.html

Nyimbo ya BlueCross. (2023). Zotumphukira mitsempha midadada kuchiza ululu wa neuropathic. (Medical Policy, Nkhani. www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_c181196.html

O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). Kuvulala kwa mitsempha pambuyo pa kutsekeka kwa mitsempha yotumphukira-kumvetsetsa kwamakono ndi malangizo. Maphunziro a BJA, 18 (12), 384-390. doi.org/10.1016/j.bjae.2018.09.004

Stanford Medicine. (2024). Mafunso wamba odwala okhudza mitsempha. (Kwa Odwala, Nkhani. med.stanford.edu/ra-apm/for-patients/nerve-block-questions.html

Small Fiber Neuropathy: Zomwe Muyenera Kudziwa

Small Fiber Neuropathy: Zomwe Muyenera Kudziwa

by | Kuvulaza Mitsempha, Neuropathy

Anthu opezeka ndi zotumphukira neuropathy, kapena ndi ulusi waung'ono wa neuropathy, angamvetse zizindikiro ndi zomwe zimayambitsa chithandizo chamankhwala omwe angakhalepo?

Small Fiber Neuropathy: Zomwe Muyenera Kudziwa

Small Fiber Neuropathy

Small fiber neuropathy ndi gulu lapadera la minyewa, popeza pali mitundu yosiyanasiyana, yomwe ndi kuvulala kwa mitsempha, kuwonongeka, matenda, ndi / kapena kusagwira ntchito bwino. Zizindikiro zimatha kubweretsa ululu, kutaya chidwi, komanso kugaya chakudya ndi mkodzo. Nthawi zambiri za neuropathy monga peripheral neuropathy imakhudza ulusi wawung'ono komanso waukulu. Zomwe zimayambitsa matenda a shuga a nthawi yayitali, kuperewera kwa zakudya m'thupi, kumwa mowa, ndi mankhwala amphamvu.

  • Tizilombo tating'onoting'ono tating'onoting'ono timadziwikiratu pambuyo poyezetsa matenda akuwonetsa kuti zikuwonekeratu kuti timitsempha tating'onoting'ono timakhudzidwa.
  • Tizilombo tating'onoting'ono timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi tating'ono ting'onoting'ono.
  • Mitsempha yaing'ono yamtundu wa Isolated ndi yosowa, koma kafukufuku akupitilira pa mtundu wa kuwonongeka kwa minyewa ndi chithandizo chomwe chingakhalepo. (Stephen A. Johnson, et al., 2021)
  • Small fiber neuropathy sizowopsa kwenikweni koma ndi chizindikiro/chizindikiro cha zomwe zimayambitsa/mkhalidwe womwe ukuwononga minyewa ya thupi.

zizindikiro

Zizindikiro zake ndi izi: (Heidrun H. Krämer, et al., 2023)

  • Ululu - Zizindikiro zimatha kukhala zowawa pang'ono kapena pang'ono mpaka kupsinjika kwakukulu ndipo zimatha kuchitika nthawi iliyonse.
  • Kutaya chidwi.
  • Chifukwa minyewa yaying'ono ya minyewa imathandizira kugaya chakudya, kuthamanga kwa magazi, komanso kuwongolera chikhodzodzo - zizindikilo za kulephera kwadzidzidzi zimatha kusiyana ndipo zingaphatikizepo:
  • Kudzimbidwa, kutsekula m'mimba, kusadziletsa, kusunga mkodzo - kulephera kutulutsa chikhodzodzo chonse.
  • Ngati pali kuwonongeka kwa mitsempha, kukula kwa ululu kumatha kuchepa, koma kutayika kwachidziwitso chachibadwa ndi zizindikiro za autonomic zikhoza kuwonjezereka. (Josef Finsterer, Fulvio A. Scorza. 2022)
  • Hypersensitivity kukhudza ndi kumva kupweteka kungayambitse ululu popanda choyambitsa.
  • Kutayika kwa kumverera kungapangitse anthu kuti asazindikire molondola kukhudza, kutentha, ndi ululu m'madera okhudzidwa, zomwe zingayambitse mitundu yosiyanasiyana ya kuvulala.
  • Ngakhale kuti kafukufuku wochulukirapo akufunika, zovuta zina zomwe sizinkaganiziridwa kuti ndi neuropathies zingakhale ndi zigawo zing'onozing'ono za fiber neuropathy zomwe zimakhudzidwa.
  • Kafukufuku wina anasonyeza kuti neurogenic rosacea, vuto la khungu, likhoza kukhala ndi zinthu zina zazing'ono za mitsempha ya mitsempha. (Min Li, et al., 2023)

Mitsempha Yaing'ono ya Mitsempha

  • Pali mitundu ingapo ya minyewa yaying'ono; Awiri mwa ang'onoang'ono amtundu wa neuropathy amaphatikizapo A-delta ndi C. (Josef Finsterer, Fulvio A. Scorza. 2022)
  • Mitsempha yaing'ono imeneyi imagawidwa m'thupi lonse kuphatikizapo nsonga za zala ndi zala, thunthu, ndi ziwalo zamkati.
  • Ulusi umenewu nthawi zambiri umakhala m’malo oonekera kwambiri a thupi, monga pafupi ndi pamwamba pa khungu. (Mohammad A. Khoshnoodi, et al., 2016)
  • Mitsempha yaying'ono yomwe imawonongeka imakhudzidwa ndi kutumiza ululu ndi kutentha.
  • Mitsempha yambiri imakhala ndi mtundu wapadera wotsekemera wotchedwa myelin umene umatetezera ndi kuonjezera kuthamanga kwa mitsempha.
  • Mitsempha yaying'ono imatha kukhala ndi mchira wopyapyala, womwe umawapangitsa kukhala osavuta kuvulazidwa ndi kuwonongeka kwakanthawi koyambirira kwa mikhalidwe ndi matenda. (Heidrun H. Krämer, et al., 2023)

Anthu Pawokha Pawokha

Mitundu yambiri ya peripheral neuropathy imayambitsa kuwonongeka kwa timinofu tating'onoting'ono komanso tating'ono tating'onoting'ono. Chifukwa cha izi, ma neuropathies ambiri amakhala osakanikirana ndi ulusi waung'ono ndi ulusi waukulu wa neuropathy. Ziwopsezo zodziwika bwino za kuphatikizika kwa fiber neuropathy ndi monga:Stephen A. Johnson, et al., 2021)

  • shuga
  • Kufooka kwa zakudya
  • Kumwa mowa mopitirira muyeso
  • Matenda osokoneza bongo
  • Mankhwala kawopsedwe

Isolated yaing'ono-fiber neuropathy ndiyosowa, koma pali mikhalidwe yomwe imadziwika kuti imayambitsa zomwe zimayambitsa: (Stephen A. Johnson, et al., 2021)

Sjogren Syndrome

  • Matenda a autoimmunewa amayambitsa maso ndi pakamwa pouma, zovuta zamano, komanso kupweteka m'malo olumikizirana mafupa.
  • Zingathenso kuwononga mitsempha m'thupi lonse.

Matenda Amatenda

  • Matendawa amachititsa kuti mafuta ena / lipids achuluke m'thupi zomwe zingayambitse ubongo.

Amyloidosis

  • Ichi ndi vuto losowa kwambiri lomwe limayambitsa kuchuluka kwa mapuloteni m'thupi.
  • Mapuloteniwa amatha kuwononga minofu monga mtima kapena minyewa.

Lewy Body Matenda

  • Ichi ndi vuto la minyewa lomwe limayambitsa matenda a dementia komanso kusayenda bwino ndipo lingayambitse kuwonongeka kwa mitsempha.

Lupus

  • Ichi ndi matenda a autoimmune omwe amakhudza mafupa, khungu, ndipo nthawi zina mitsempha ya mitsempha.

Matenda a Viral

  • Matendawa nthawi zambiri amayambitsa chimfine kapena m'mimba / GI kukhumudwa.
  • Pang'ono ndi pang'ono angayambitse zotsatira zina monga minyewa yaying'ono.

Izi zawoneka kuti zimayambitsa matenda ang'onoang'ono amtundu wa neuropathy kapena amayamba ngati minyewa yaying'ono isanapitirire ku minyewa yayikulu. Amathanso kuyamba ngati minyewa yosakanikirana, yokhala ndi ulusi wawung'ono komanso waukulu.

kupitilira

Nthawi zambiri kuwonongeka kumakula pang'onopang'ono, zomwe zimapangitsa kuti zizindikiro ziwonjezeke mkati mwa miyezi kapena zaka. Mitsempha ya ulusi yomwe imakhudzidwa ndi zomwe zimachitika nthawi zambiri imawonongeka pang'onopang'ono, mosasamala kanthu komwe ili. (Mohammad A. Khoshnoodi, et al., 2016) Mankhwala angathandize kuchepetsa kuwonongeka kwa mitsempha yozungulira. Kwa anthu omwe apezeka koyambirira, ndizotheka kuyimitsa kupita patsogolo, ndikuletsa kukhudzidwa kwa ulusi waukulu.

Kuchiza

Kuchiza kuti mupewe kudwalako kumafuna kuwongolera matenda omwe ali pansi pake ndi njira zochizira malinga ndi zomwe zimayambitsa. Mankhwala omwe angathandize kuchepetsa kukula kwa matendawa ndi awa:

  • Kuwongolera shuga wamagazi kwa anthu omwe ali ndi matenda ashuga.
  • Zakudya zowonjezera zochizira kusowa kwa vitamini.
  • Kusiya kumwa mowa.
  • Kuponderezedwa kwa chitetezo chamthupi kuwongolera matenda a autoimmune.
  • Plasmapheresis - magazi amatengedwa ndipo madzi a m'magazi amachiritsidwa ndi kubwezeretsedwa kapena kusinthana kuti athe kuchiza matenda a autoimmune.

Chithandizo cha Zizindikiro

Anthu atha kupeza chithandizo chazizindikiro zomwe sizingasinthe kapena kuchiza matendawa koma zingathandize mpumulo kwakanthawi. Chithandizo cha zizindikiro zingaphatikizepo: (Josef Finsterer, Fulvio A. Scorza. 2022)

  • Kusamalira ululu kungaphatikizepo mankhwala ndi/kapena topical analgesics.
  • Physical therapy - kutambasula, kutikita minofu, decompression, ndi kusintha kuti thupi likhale lomasuka komanso losinthika.
  • Kukonzanso kumathandizira kugwirizanitsa, komwe kungasokonezedwe ndi kutayika kwa kumverera.
  • Mankhwala ochepetsa zizindikiro za GI.
  • Kuvala zovala zapadera monga masokosi a neuropathy kuti athandizire ndi zizindikiro za ululu wa phazi.

Chithandizo ndi chithandizo chamankhwala cha neuropathies nthawi zambiri chimaphatikizapo katswiri wamankhwala. Katswiri wa minyewa angapereke mankhwala othandizira kuchepetsa zizindikiro za ululu ndikupereka chithandizo chamankhwala monga immunotherapy ngati pali nkhawa kuti njira ya autoimmune ikhoza kukhala chifukwa. Kuonjezera apo, chithandizo chitha kuphatikizapo chisamaliro cha dokotala wolimbitsa thupi ndi kukonzanso kapena gulu lachipatala kuti apereke matalikidwe ndi masewera olimbitsa thupi kuti athandize kulimbikitsa thupi ndi kusunga kuyenda ndi kusinthasintha.

Peripheral Neuropathy Nthano & Zowona

Zothandizira

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). Kuchepa kwa Fiber Neuropathy, Kuchuluka, Kuwonongeka Kwautali, ndi Kulemala. Neurology, 97(22), e2236–e2247. doi.org/10.1212/WNL.0000000000012894

Finsterer, J., & Scorza, FA (2022). Small fiber neuropathy. 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). Mankhwala osiyanitsa a Gadolinium: dermal deposits ndi zotsatira zake pa epidermal yaying'ono minyewa ulusi. Journal of Neurology, 270 (8), 3981-3991. doi.org/10.1007/s00415-023-11740-z

Li, M., Tao, M., Zhang, Y., Pan, R., Gu, D., & Xu, Y. (2023). Neurogenic rosacea ikhoza kukhala minyewa yaying'ono. Pakatikati pa kafukufuku wowawa (Lausanne, Switzerland), 4, 1122134. doi.org/10.3389/fpain.2023.1122134

Khoshnoodi, MA, Truelove, S., Burakgazi, A., Hoke, A., Mammen, AL, & Polydefkis, M. (2016). Kuwunika Kwanthawi yayitali kwa Neuropathy Yaing'ono ya Fiber: Umboni wa Distal Axonopathy Yopanda Utali. JAMA neurology, 73 (6), 684-690. doi.org/10.1001/jamaneurol.2016.0057

Idiopathic Peripheral Neuropathy Yochepetsedwa Ndi Kuwonongeka Kwa Msana

Idiopathic Peripheral Neuropathy Yochepetsedwa Ndi Kuwonongeka Kwa Msana

by | Chiropractic, aakulu Chisoni, Kuvulaza Mitsempha, Neuropathy, Chithandizo cha Spinal Decompression, Kuchiza, Viscerosomatic Reflex

Introduction

The dongosolo lalikulu la mitsempha ali ndi udindo wotumiza zizindikiro za neuron ku ziwalo zonse ndi minofu m'thupi, zomwe zimalola kuyenda ndi kugwira ntchito moyenera. Zizindikirozi zimasinthidwa nthawi zonse pakati pa ziwalo, minofu, ndi ubongo, kudziwitsa za ntchito zawo. Komabe, zochitika zachilengedwe ndi kuvulala koopsa kungakhudze mizu ya mitsempha, kusokoneza kutuluka kwa zizindikiro ndi kutsogolera matenda a musculoskeletal. Izi zingayambitse kusokonezeka kwa thupi ndi kupweteka kosalekeza ngati sikunatsatidwe. Nkhani ya lero itidziwitsa za peripheral neuropathy, kuvulala kwa minyewa komwe kumayenderana ndi ululu wamsana, komanso momwe kupunduka kwa msana kungathetsere vutoli. Timagwira ntchito ndi akatswiri azachipatala ovomerezeka omwe amagwiritsa ntchito chidziwitso chamtengo wapatali cha odwala athu kuti apereke chithandizo chopanda opaleshoni, kuphatikizapo kupweteka kwa msana, kuti athetse zizindikiro zowawa zomwe zimagwirizanitsidwa ndi peripheral neuropathy. Timalimbikitsa odwala kufunsa mafunso ofunikira ndikufufuza maphunziro okhudza matenda awo. Dr. Jimenez, DC, amapereka chidziwitso ichi ngati ntchito yophunzitsa. chandalama

 

Kodi Peripheral Neuropathy Ndi Chiyani?

 

Peripheral neuropathy imatanthawuza mitundu yosiyanasiyana yomwe imakhudza mizu ya mitsempha ndipo imatha kuyambitsa zizindikiro zosatha mthupi lonse, monga Kafukufuku wofufuza adawululidwa. Mitsempha ya m'thupi lathu imatumiza mauthenga pakati pa ubongo ndi ziwalo zina za thupi. Maselowa akawonongeka, amatha kusokoneza kulankhulana pakati pa dongosolo la mitsempha, zomwe zimayambitsa mavuto a minofu ndi ziwalo. Maphunziro agwirizana peripheral neuropathy ku ululu ndi zizindikiro zina, zomwe zingakhale ndi zotsatira zoipa pa ntchito za tsiku ndi tsiku, khalidwe la moyo, ndi thanzi labwino la maganizo ndi thupi. Kuphatikiza apo, zotumphukira neuropathy zitha kukulitsa chiwopsezo cha kugwa.

 

Momwe Peripheral Neuropathy Imagwirizanirana Ndi Kupweteka Kwamsana

Kodi posachedwapa mwamva kumva kumva kumva kumva kumva kumva kulawa kapena chakuthwa pamene mudaponda kapena kumva kuwawa kosalekeza m'munsi? Zizindikiro izi zitha kukhala zokhudzana ndi zotumphukira za neuropathy, zomwe zingayambitse kupweteka kwa msana. “The Ultimate Spinal Decompression,” buku lolembedwa ndi Dr. Perry Bard, DC ndi Dr. Eric Kaplan, DC, FIAMA, limafotokoza kuti zotumphukira zamitsempha za m’mitsempha ndi kuwonongeka kwa minyewa kumene kumakhudza miyendo, kuchititsa dzanzi, kupweteka, kumva kulasalasa, ndi kukhudzika kwakukulu pamene munthu agwira. zala ndi mapazi. Izi zingayambitse minofu yomwe ili m'munsi mwa msana kuti isunthire kulemera kutali ndi malo opweteka, zomwe zimayambitsa kupweteka kwa msana. Kafukufuku wasonyeza kuti kupweteka kwapweteka kosalekeza kungaphatikizepo njira zowawa za nociceptive ndi neuropathic. Kupweteka kwa nociceptive ndiko kuyankha kuvulala kwa minofu komwe kumayambitsa minofu. Mosiyana ndi zimenezi, ululu wa neuropathic umakhudza mizu ya mitsempha kuchokera ku msana ndi miyendo yapansi, yomwe nthawi zambiri imachokera ku zowonongeka za msana. Mwamwayi, pali njira zothanirana ndi zotumphukira za neuropathy ndi ululu wake wammbuyo.

 

Peripheral Neuropathy Relief & Chithandizo- Kanema

Peripheral neuropathy ndi kuvulala kwa mitsempha komwe kumakhudza anthu mosiyana ndipo kungayambitse zizindikiro zomveka m'mwamba ndi pansi pa thupi. Anthu omwe ali ndi zotumphukira za neuropathy amatha kumva kupweteka kosalekeza m'miyendo yawo, zomwe zingayambitse kubweza kwa minofu ina ndi kusayenda bwino kwa msana. Izi zingayambitse matenda aakulu a musculoskeletal. Zofufuza zimasonyeza kuti peripheral neuropathy, makamaka ngati ululu wochepa wa msana, ungayambitse kusagwira bwino ntchito kwa ubongo, zomwe zimapangitsa kuti pakhale ngozi zambiri komanso kusagwira ntchito bwino. Komabe, mankhwala osiyanasiyana amapezeka kuti abwezeretse thupi ndi kuchepetsa ululu wa neuropathic, kuphatikizapo chisamaliro cha chiropractic ndi kupweteka kwa msana. Vidiyo yomwe ili pamwambayi ikufotokoza zambiri za momwe mankhwalawa angathandizire kuchepetsa ululu wa neuropathic ndikumasula thupi ku subluxation.

Kusokonezeka kwa Msana Kumachepetsa Peripheral Neuropathy

 

Peripheral neuropathy imatha kubweretsa zowawa zambiri, ndipo anthu ambiri amawona kuti opaleshoni imathandizira. Komabe, izi zitha kukhala zodula, kotero anthu ena amasankha chithandizo chosapanga opaleshoni monga kupsinjika kwa msana ndi chisamaliro cha chiropractic. Kafukufuku wasonyeza kuti kupsinjika kwa msana kumatha kukhala kothandiza kwambiri pakuchepetsa kutsekeka kwa mitsempha ndikuwongolera zizindikiro zowawa kwambiri. Ndi chithandizo chotetezeka komanso chofatsa chomwe chimagwiritsa ntchito kukoka kuti msana ubwerere kumalo ake ndikulola kuti madzi ndi zakudya zibwererenso mkati. Kuphatikiza kusokonezeka kwa msana ndi mankhwala ena kungathandizenso kuchepetsa zizindikiro za peripheral neuropathy, kusintha moyo wa anthu ndi kuwathandiza kukhala osamala kwambiri matupi awo.

 

Kutsiliza

Peripheral neuropathy ndi matenda omwe amayamba chifukwa cha kuvulala kwa mitsempha ndipo amatha kukhudza mbali zonse zakumwamba ndi zapansi za thupi. Matendawa angayambitse zizindikiro zamaganizo zomwe zingayambitse matenda a musculoskeletal, kusokonezeka kwa msana, ndi kulemala. Ululu ndi kusapeza bwino ndizochitika zofala kwa omwe ali ndi vutoli, zomwe zingasokoneze moyo wawo watsiku ndi tsiku. Mwamwayi, kuwonongeka kwa msana kungathandize kuchepetsa zotsatira za peripheral neuropathy mwa kutambasula pang'onopang'ono msana, kumasula mitsempha yotsekedwa, ndi kukonza kugwedezeka. Mankhwalawa ndi otetezeka, osasokoneza, ndipo akhoza kuphatikizidwa mu dongosolo la thanzi ndi thanzi la munthu.

 

Zothandizira

Baron, R., Binder, A., Attal, N., Casale, R., Dickenson, AH, & Treede, RD. (2016). Kupweteka kwapang'ono kwa Neuropathic m'machitidwe azachipatala. European Journal of Pain, 20(6), 861–873. doi.org/10.1002/ejp.838

Hammi, C., & Yeung, B. (2020). Neuropathy. PubMed; Kusindikiza kwa StatPearls. www.ncbi.nlm.nih.gov/books/NBK542220/

Hicks, CW, & Selvin, E. (2019). Epidemiology of Peripheral Neuropathy ndi Matenda Otsika Kwambiri mu Matenda a Shuga. Malipoti Aposachedwa a Diabetes, 19(10). doi.org/10.1007/s11892-019-1212-8

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Li, W., Gong, Y., Liu, J., Guo, Y., Tang, H., Qin, S., Zhao, Y., Wang, S., Xu, Z., & Chen, B. (2021). Njira Zozungulira ndi Pakati Pathological Pathological Pain Chronic Low Back Back: Ndemanga Yofotokozera. Journal of Pain Research, 14, 1483–1494. doi.org/10.2147/JPR.S306280

Ma, F., Wang, G., Wu, Y., Xie, B., & Zhang, W. (2023). Kupititsa patsogolo Zotsatira za Peripheral Nerve Decompression Microsurgery of Lower Limbs mwa Odwala omwe ali ndi Diabetic Peripheral Neuropathy. 13(4), 558–558. doi.org/10.3390/brainsci13040558

chandalama

Chifukwa Chake Msana Umachoka Mogwirizana: El Paso Back Clinic

Chifukwa Chake Msana Umachoka Mogwirizana: El Paso Back Clinic

by | Neuropathy, Care Care

Monga anthu, pali zovuta zosiyanasiyana zomwe zimachitika tsiku ndi tsiku. Kupsyinjika kumachitika m'madera osiyanasiyana a thupi, makamaka kumtunda, nsagwada, ndi minofu ya m'khosi. Kupsyinjika kumayambitsa kukangana kwa minofu. Kuthamanga kokhazikika kungayambitse mafupa a msana kuti asasunthike, kukhumudwitsa mitsempha pakati pa mafupa a msana. Kuzungulira kumayamba pamene kuwonjezereka kwa mitsempha kumapangitsa kuti minofu ipitirire kugwirizanitsa / kumangirira. Kuthamanga kwa minofu yowonjezereka kumapitiriza kukoka mafupa a msana kuti asagwirizane, kupangitsa kuti msana ukhale wolimba komanso wosasinthasintha womwe umakhudza kaimidwe, kulinganiza, kugwirizana, ndi kuyenda, zomwe zimapangitsa kuti msana ukhale wosakhazikika. Chithandizo cha chiropractic nthawi ndi nthawi chimalimbikitsidwa kuti chithandizire kukonza ndikusunga malo oyenera.

Chifukwa Chake Msana Umachoka Mogwirizana: EP Chiropractic ClinicChifukwa Chimene Msana Umatuluka Mosiyana

Mitsempha ya m'thupi imakhala yogwirizana kwambiri ndi msana, ndipo kusokonezeka kwazing'ono pamayendedwe kungayambitse mitsempha kuti isawonongeke komanso iwonongeke. Pamene msana umachoka, dongosolo lamanjenje / ubongo ndi mitsempha zimakhazikika muzovuta kapena zovuta. Ngakhale kusokoneza pang'ono kungayambitse mndandanda wa zizindikiro zosasangalatsa kuyenda m'thupi lonse.

Zimayambitsa

Zomwe zimayambitsa kusalumikizana bwino komwe kumayambitsa kupsinjika kwa mitsempha ndi minofu ndi monga:

  • Zovulala zam'mbuyomu.
  • Kugona kopanda thanzi.
  • Kupsyinjika - maganizo ndi thupi.
  • Ntchito zolemetsa mwakuthupi.
  • Kuphunzitsa mopambanitsa.
  • Makhalidwe ongokhala.
  • Matenda a mapazi ndi mavuto.
  • Zakudya zosayenera.
  • Kukhala wonenepa kwambiri.
  • Zosatha kutukusira.
  • Arthritis.

Kuchiza Mankhwala

Njira zowunikira chiropractic:

Mgwirizano

  • Katswiri wa zachipatala amamva / kugwedeza msana kuti awone ngati mafupa akugwirizana, kusuntha bwino, kapena kusagwirizana komanso kusayenda bwino kapena kusuntha konse.

Mayeso a Posture

  • Ngati mutu, mapewa, ndi chiuno sizili zofanana kapena mapewa ndi mutu zikukwera kutsogolo, mafupa a msana sali ogwirizana / subluxations.

Kulinganiza ndi Kugwirizana

  • Kusagwira bwino ntchito komanso kugwirizana kungasonyeze kuti ubongo, minyewa, ndi minofu sizikuyenda bwino chifukwa cha kusayenda bwino kwa msana.

Mitundu Yoyenda

  • Kutayika kwa kusinthasintha kwa kayendetsedwe ka msana kumatha kusonyeza kusokonezeka kwa mitsempha, minofu, ndi kusamvana.

Mayeso a Minofu

  • Kutaya mphamvu mu minofu kungasonyeze kuti zizindikiro za mitsempha ndizofooka.

Mayeso a Orthopaedic

  • Mayesero omwe amaika thupi m'malo opsinjika amangoyang'ana minofu yomwe ingavulale komanso zomwe zimayambitsa.

X-ray

  • Ma X-ray amayang'ana zolakwika, kusuntha, kuchuluka kwa mafupa, kusweka, kuvulala kobisika / kosawoneka, komanso matenda.

Chiropractic Medical Chiropractic ndi Functional Medicine Clinic perekani ndondomeko ya chithandizo chamunthu payekha. Mankhwala enieniwa amapangidwa kuti apange phindu la msana wautali. Kuwongolera msana, kutikita minofu yakuya, MET, ndi njira zina zothandizira pamanja, kuphatikizapo kuchita masewera olimbitsa thupi, zimathandiza kuti mafupa aziyenda bwino, minofu ikugwira ntchito bwino, ndipo msana ubwerere mu mawonekedwe oyenera. Kuchiza kumachepetsa kugundana kwa minofu, kukangana, ndi kusokonekera kwa mafupa, kumawonjezera kugunda kwa mtima, ndipo kumapangitsanso minofu kukhala yomasuka.

Njira Yachilengedwe Yochiritsira

Zothandizira

Ando, ​​Kei et al. "Kusayenda bwino kwa msana mwa akazi omwe ali ndi kunenepa kwambiri: Phunziro la Yakumo." Journal of Orthopedics vol. 21 512-516. 16 Sep. 2020, doi:10.1016/j.jor.2020.09.006

Le Huec, JC et al. "Sagittal balance of the spine." Magazini ya European spine: kufalitsidwa kovomerezeka kwa European Spine Society, European Spinal Deformity Society, ndi European Section of the Cervical Spine Research Society vol. 28,9 (2019): 1889-1905. doi:10.1007/s00586-019-06083-1

Meeker, William C, ndi Scott Haldeman. "Chiropractic: ntchito pamphambano zamankhwala wamba komanso njira zina." Annals of internal medicine vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010

Oakley, Paul A et al. "Kujambula kwa X-Ray N'kofunika Kwambiri pa Chiropractic ndi Manual Therapy Spinal Rehabilitation: Radiography Imawonjezera Mapindu ndi Kuchepetsa Kuopsa." Kuyankha kwa Mlingo: chofalitsidwa cha International Hormesis Society vol. 16,2 1559325818781437. 19 Jun. 2018, doi:10.1177/1559325818781437

Shah, Anoli A, et al. "Spinal Balance / Alignment - Clinical Relevance and Biomechanics." Journal of biomechanical engineering, 10.1115 / 1.4043650. 2 Meyi. 2019, doi:10.1115/1.4043650

Knee Neuropathy: El Paso Back Clinic

Knee Neuropathy: El Paso Back Clinic

by | Kusamalira Ovulala, Neuropathy

Anthu omwe amadwala mawondo opweteka ndi amodzi mwa mavuto omwe amapezeka kwambiri paumoyo komanso amakhudza anthu azaka zonse. Bondo ndilo gawo lalikulu kwambiri m'thupi, lomwe limapangidwa ndi minofu, tendon, ligaments, cartilage, ndi mafupa. Mawondo amathandizira kuyenda, kuyimirira, kuthamanga, ngakhale kukhala. Kugwiritsa ntchito nthawi zonse kumapangitsa kuti azitha kuvulala komanso kuvulala. Mawondo nawonso akuzunguliridwa ndi makina ovuta a mitsempha zomwe zimatumiza mauthenga kuchokera ku ubongo. Kuwonongeka kwa mitsempha kuchokera kuvulala kapena matenda kungapangitse zizindikiro zosiyanasiyana za kusapeza bwino mkati ndi kuzungulira bondo.

Knee Neuropathy: Gulu la Chiropractic la EP

Knee Neuropathy

Zimayambitsa

Zizindikiro za kupweteka kwa bondo zimatha kubweretsedwa ndi kuvulala, matenda osachiritsika, nyamakazi, matenda, ndi zifukwa zina, kuphatikizapo:

nyamakazi

  • Ichi ndi matenda otupa omwe amachititsa kuti mawondo afufuze komanso amachititsa kuwonongeka kwa cartilage.

Osteoarthritis

  • Mtundu uwu wa nyamakazi umapangitsa kuti chichereŵechereŵe chiziyenda pang'onopang'ono, kuwononga mafupa ndi zizindikiro zosiyanasiyana.

Mavuto a Cartilage

  • Kugwiritsa ntchito mopitirira muyeso, kufooka kwa minofu, kuvulala, ndi kusalinganika molakwika kungayambitse kubweza kaimidwe ndi kayendedwe kamene kangathe kufooketsa ndi kufewetsa chichereŵechereŵe, kutulutsa zizindikiro.

Pali zinthu zingapo zomwe zingapangitse chiopsezo chokhala ndi neuropathy ya mawondo, kuphatikizapo:

  • Kuvulala kwam'mbuyo kwa bondo
  • Kuvulala kwa bondo kosazindikirika komanso kosachiritsika
  • Kunenepa Kwabwino
  • Gout
  • Kusokoneza mphamvu ya minofu ya mwendo ndi/kapena kusinthasintha

zizindikiro

Zizindikiro zomwe zimagwirizanitsidwa ndi kuvulala kwa bondo kapena kusokonezeka kungasinthe, malingana ndi kuopsa kwake ndi kuwonongeka. Zizindikiro zingaphatikizepo:

  • Kuuma pamodzi
  • Kutupa kwa olowa.
  • Kuchepetsa kuyenda / kusinthasintha mu mgwirizano.
  • Kuchulukitsa kusakhazikika / kumva kufooka kwa bondo.
  • Kusintha kwa mtundu wa khungu kuzungulira bondo, monga kuchuluka kwa redness kapena mtundu wotumbululuka.
  • Kumva dzanzi, kuzizira, kapena kumva kulasalasa mkati ndi/kapena mozungulira cholumikizira.
  • Zizindikiro za ululu zimatha kukhala kupweteka kwapang'onopang'ono kapena kugunda komwe kumamveka pabondo lonse.
  • Kukuthwa, kubaya kusapeza bwino mdera linalake.

Ngati sichitsatiridwa, minyewa ya mawondo imatha kusokoneza kuthekera koyenda ndikupangitsa kuti mawondo awonongeke pang'ono kapena kutayika kwathunthu. Madokotala amalimbikitsa kutsatira zotsatirazi:

  • Ndi ntchito/zotani zomwe zimabweretsa zizindikiro?
  • Kodi zizindikiro zili kuti?
  • Kodi ululu umakhala wotani?

Thandizo lopezeka pa ululu wa mawondo

Kuchiza mankhwala amapereka njira zosiyanasiyana zothetsera ululu umene umabwera chifukwa cha kuwonongeka kwa mitsempha. Thandizo lokhazikika limaphatikizapo kusintha kwa chiropractic, kutikita minofu, kuponderezana kosapanga opaleshoni, kutambasula, kaimidwe ndi maphunziro oyendayenda, ndi mapulani oletsa kutupa. Gulu lathu lachipatala limakhazikika pazamankhwala osachita opaleshoni omwe amachepetsa zizindikiro ndikuwonjezera mphamvu, kusinthasintha, kuyenda, ndi kubwezeretsa ntchito.

Kusintha kwa Kuvulala kwa Bondo

Zothandizira

Edmonds, Michael, et al. "Katundu waposachedwa wa matenda a shuga mellitus." Journal of Clinical Orthopedics and Trauma Vol. 17 88-93. 8 Feb. 2021, doi:10.1016/j.jcot.2021.01.017

Hawk, Cheryl, et al. "Zochita Zabwino Kwambiri pa Chiropractic Management of Patients of Chronic Musculoskeletal Pain: A Clinical Practice Guideline." Journal of alternative and complementary medicine (New York, NY) vol. 26,10 (2020): 884-901. doi:10.1089/cm.2020.0181

Hunter, David J et al. "Kugwira ntchito kwachitsanzo chatsopano cha chisamaliro choyambirira pa ululu wa mawondo ndi ntchito kwa odwala osteoarthritis a knee: Protocol for THE PARTNER STUDY." BMC musculoskeletal disorders vol. 19,1 132. 30 Apr. 2018, doi:10.1186/s12891-018-2048-0

Kidd, Vasco Deon, et al. "Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: Chifukwa ndi Motani." Njira zopangira opaleshoni za JBJS vol. 9,1 e10. 13 Mar. 2019, doi:10.2106/JBJS.ST.18.00016

Krishnan, Yamini, and Alan J Grodzinsky. "Matenda a Cartilage." Matrix biology: magazini ya International Society for Matrix Biology vol. 71-72 (2018): 51-69. doi:10.1016/j.matbio.2018.05.005

Speelziek, Scott JA, et al. "Chiwerengero chamankhwala a neuropathy pambuyo pa mawondo oyambira arthroplasty: mndandanda wamilandu 54." Minofu & mitsempha vol. 59,6 (2019): 679-682. doi:10.1002/mus.26473