Kudzivirira uye Kurapa Peripheral Neuropathy: A Holistic Nzira

Zvimwe zvirwere zvetsinga zvinogona kukonzera acute episodes of peripheral neuropathy, uye kune vanhu vanoonekwa kuti vane chirwere chisingaperi cheuropathy, chirwere chemuviri chinogona kubatsira kuvandudza kukwanisa kufamba zvakachengeteka pamwe chete nemishonga, maitiro, uye mararamiro ekugadzirisa kuti abatsire kudzora nekugadzirisa zviratidzo?

Peripheral Neuropathy Kurapa

Peripheral neuropathy kurapwa kunosanganisira zviratidzo zvekurapa uye manejimendi ekurapa kubatsira kudzivirira kuwedzera kukuvara kwetsinga.

• Kune acute mhando dzeperipheral neuropathy, kupindira kwekurapa uye marapirwo anogona kurapa ari pasi pemaitiro, kugadzirisa mamiriro.
• Kune zvisingaperi marudzi eperipheral neuropathy, kupindira kwekurapa uye mararamiro ehupenyu zvinogona kubatsira kudzivirira kufambira mberi kwemamiriro.
• Chronic peripheral neuropathy kurapwa inotarisa pakudzora zviratidzo zvekurwadziwa uye kudzivirira nzvimbo dzekunzwa kuderera kubva mukukuvadzwa kana kutapukirwa.

Kuzvitarisira uye Kugadzirisa Mararamiro

Kune vanhu vakaonekwa kuti vane peripheral neuropathy kana kuti vari panjodzi yekuvandudza mamiriro acho, mararamiro anoita basa rakakosha mukugadzirisa zviratidzo uye kudzivirira kukuvara kwetsinga kubva pakuipa uye zvinogona kutodzivirira mamiriro acho kukura. (Jonathan Enders et al., 2023)

Pain Management

Vanhu vanokwanisa kuedza marapirwo ekuzvitarisira aya voona kuti uye ndeapi anobatsira kuderedza kusagadzikana kwavo vobva vagadzira muitiro wavanogona kushanda nawo. Kuzvitarisira kwezviratidzo zvekurwadziwa kunosanganisira:

• Kuisa pedhi yekudziya inodziya panzvimbo dzinorwadza.
• Kuisa pedhi yekutonhora (kwete ice) panzvimbo dzinorwadza.
• Kuvhara nzvimbo kana kuisiya isina kufukidzwa, zvichienderana nekunyaradza mazinga.
• Pfeka mbatya dzisina kusimba, masokisi, shangu, uye/kana magirovhosi asina kugadzirwa nezvinhu zvinogona kukonzera kushatirwa.
• Rega kushandisa mafuta ekuzora kana sipo zvinogona kukonzera kusvotwa.
• Shandisa mafuta anozorodza kana lotions.
• Kuchengeta nzvimbo dzinorwadza dzakachena.

Kudzivirira Kukuvara

Kunzwa kuderera ndeimwe yeanowanzo mhedzisiro inogona kutungamirira kumatambudziko akaita sekugumburwa, kunetseka kutenderera, uye kukuvara. Kudzivirira uye kugara uchitarisa kukuvara kunogona kubatsira kudzivirira matambudziko senge maronda ane hutachiona. (Nadja Klafke et al., 2023) Kugadziriswa kwehupenyu hwekugadzirisa nekudzivirira kukuvara kunosanganisira:

• Pfeka bhutsu dzakakwenenzverwa uye masokisi.
• Ongorora tsoka, zvigunwe, zvigunwe, uye maoko nguva nenguva kuti utarise mavanga kana mavanga asina kumbonzwa.
• Kuchenesa uye kuvhara macheka kudzivirira zvirwere.
• Chenjerera zvakanyanya nemidziyo inopinza senge yekubikira nebasa kana maturusi ekurima.

Kutarisira Zvirwere

Mararamiro ehupenyu anogona kubatsira kudzivirira kufambira mberi kwechirwere uye anonyatso kuenderana nenjodzi uye zvinokonzeresa. Kubatsira kudzivirira peripheral neuropathy kana kufambira mberi kwayo kunogona kuitwa ne: (Jonathan Enders et al., 2023)

• Chengetedza hutano hwakanaka hweglucose kana uine chirwere cheshuga.
• Dzivisa doro kune chero peripheral neuropathy.
• Chengetedza kudya kwakakwana, izvo zvinogona kusanganisira mavitamini ekuwedzera, kunyanya kune vanodya miriwo kana vegans.

Over-the-Counter Therapies

Mishonga shomanana yemishonga inogona kubatsira nezviratidzo zvinorwadza uye inogona kutorwa sezvinodiwa. Over-the-counter pain therapies inosanganisira: (Michael Überall et al., 2022)

• Topical lidocaine spray, chigamba, kana makirimu.
• Capsaicin creams kana zvigamba.
• Topical Icy Hot
• Non-steroidal anti-inflammatory medication - Advil/ibuprofen kana Aleve/naproxen
• Tylenol/acetaminophen

Mishonga iyi inogona kubatsira kubvisa zviratidzo zvinorwadza zveperipheral neuropathy, asi hazvibatsire kuvandudza kuderera kwekunzwa, kushaya simba, kana kurongeka kwematambudziko. (Jonathan Enders et al., 2023)

Prescription Therapies

Mishonga yekurapa yekurapa peripheral neuropathy inosanganisira mishonga yemarwadzo uye anti-inflammatories. Mhando dzisingaperi dzeperipheral neuropathy dzinosanganisira:

• Doro neuropathy
• Diabetes neuropathy
• Chemotherapy-induced neuropathy

Mishonga yemishonga yemhando dzisingaperi inosiyana nekurapa kweacute mhando dzeperipheral neuropathy.

Pain Management

Mishonga yemishonga inogona kubatsira kugadzirisa marwadzo uye kusagadzikana. Mishonga inosanganisira (Michael Überall et al., 2022)

• Lyrica - pregabalin
• Neurontin - gabapentin
• Elavil - amitriptyline
• Effexor - venlafaxine
• Cymbalta - duloxetine
• Muzviitiko zvakakomba, intravenous/IV lidocaine inogona kudikanwa. (Sanja Horvat et al., 2022)

Dzimwe nguva, mushonga wekuwedzera simba kana vhitamini B12 inopiwa kuburikidza nejekiseni inogona kubatsira kudzivirira kufambira mberi apo peripheral neuropathy inobatanidzwa nekushayikwa kwakanyanya kwevhitamini. Mishonga yekurapa inogona kubatsira kubata maitiro ari pasi pemamwe marudzi eacute peripheral neuropathy. Kurapa kweacute peripheral neuropathy, senge Miller-Fisher syndrome kana Guillain-Barré syndrome, inogona kusanganisira:

• Corticosteroids
• Immunoglobulins - immune system mapuroteni
• Plasmapheresis inzira inobvisa chikamu chemvura yeropa, ichidzosa masero eropa, ayo anogadzirisa kuwanda kwesimba remuviri. (Sanja Horvat et al., 2022)
• Vatsvagiri vanotenda kuti pane hukama pakati pemamiriro aya uye kuzvimba nerve kukuvara, uye kushandura immune system kunobatsira pakurapa zviratidzo uye chirwere chiripo.

Surgery

Mune zvimwe zviitiko, maitiro ekuvhiya anogona kubatsira vanhu vane mamwe marudzi eperipheral neuropathy. Kana imwe mamiriro ari kuwedzera zviratidzo kana nzira yeperipheral neuropathy, kuvhiyiwa kunogona kubatsira kubvisa zviratidzo uye kudzivirira kufambira mberi kwechirwere. Izvi zvakaratidza kushanda kana tsinga dzakasungwa kana vascular insufficiency zviri zvinhu. (Wenqiang Yang et al., 2016)

Anowirirana uye Anotsiva Mushonga

Dzimwe nzira dzinopindirana uye dzimwe nzira dzinogona kubatsira vanhu kurarama nemarwadzo uye kusagadzikana. Mishonga iyi inogona kushanda senzira inoenderera kune avo vane chronic peripheral neuropathy. Sarudzo dzinogona kusanganisira: (Nadja Klafke et al., 2023)

• Acupuncture inosanganisira kuiswa kwetsono munzvimbo dzakananga dzemuviri kubatsira kuderedza zviratidzo zvemarwadzo.
• Acupressure inosanganisira kushandisa kumanikidza kune dzimwe nzvimbo dzemuviri kubatsira kuderedza zviratidzo zvinorwadza.
• Massage therapy inogona kubatsira kuzorodza tsandanyama.
• Kufungisisa uye kurapwa kwekuzorora kunogona kubatsira kubata zviratidzo.
• Kurapa kwepanyama kunogonawo kushanda sechikamu chakakosha chekurarama nekusingaperi peripheral neuropathy uye kupora kubva kune acute peripheral neuropathy.
• Kurapa kwepanyama kunogona kubatsira kusimbisa mhasuru dzisina kusimba, kuvandudza kurongeka, uye kudzidza maitiro ekuchinja kune kunzwa uye mota shanduko kuti ufambe zvakachengeteka.

Vanhu vari kufunga nezvekuwedzera kana kumwe kurapwa vanokurudzirwa kuti vataure nevanovapa vekutanga vehutano kuti vaone kana kwakachengeteka kumamiriro avo. Injury Medical Chiropractic uye Functional Medicine Clinic ichashanda nemupi wehutano hwemunhu uye / kana nyanzvi kugadzira hutano hwakakwana uye hutano hwekugadzirisa mhinduro yekupa marwadzo nekuvandudza hupenyu.

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Peripheral Neuropathy: Yakabudirira Kudzoreredza Nyaya

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References

Enders, J., Elliott, D., & Wright, DE (2023). Emerging Nonpharmacologic Interventions Kurapa Diabetic Peripheral Neuropathy. Antioxidants & redox kusaina, 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). Kudzivirira uye Kurapa kweChemotherapy-Induced Peripheral Neuropathy (CIPN) neNon-Pharmacological Interventions: Clinical Recommendations kubva kuSystematic Scoping Review uye Nyanzvi Yekubvumirana. Sainzi dzekurapa (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015

Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Inorwadza chirwere cheshuga peripheral neuropathy: chaiyo-nyika kuenzanisa pakati pekurapwa kwepamusoro ne lidocaine 700 mg medicated plaster uye nemuromo kurapwa. BMJ yakavhura tsvagiridzo yechirwere cheshuga & nehanya, 10 (6), e003062. doi.org/10.1136/bmjdrc-2022-003062

Horvat, S., Staffhorst, B., & Cobben, JMG (2022). Intravenous Lidocaine Yekurapa Kwekurwara Kusingaperi: A Retrospective Cohort Study. Nyaya yekutsvakurudza kurwadziwa, 15, 3459-3467. doi.org/10.2147/JPR.S379208

Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Kunyaradza Kurwadziwa uye Utano Hunoenderana Nehutano-hwe-Hupenyu Kuvandudza Mushure meMicrosurgical Decompression yeEntrapped Peripheral Nerves muVarwere Vane Painful Diabetic Peripheral Neuropathy. Iyo Journal yekuvhiya tsoka uye ankle: kuburitswa kwepamutemo kweAmerican College of Foot uye Ankle Surgeons, 55 (6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004