Ka Hortagga iyo Daawaynta Neuropathy Peripheral Neuropathy: Habka Guud

Xanuunada neerfaha qaarkood waxay sababi karaan marxalado ba'an oo ah neuropathy peripheral, iyo shakhsiyaadka laga helo neuropathy peripheral neuropathy, daawaynta jireed ma caawin kartaa hagaajinta awoodda si badbaado leh oo ay weheliso daawooyinka, hababka, iyo hab-nololeedka hab-nololeedka si ay u caawiyaan xakamaynta iyo maaraynta calaamadaha?

Daaweynta Neuropathy Peripheral

Daawaynta neerfaha durugsan waxaa ka mid ah daawaynta calaamadaha iyo maareynta caafimaadka si looga hortago dhaawaca dareemayaasha.

• Noocyada ba'an ee neuropathy peripheral, waxqabadyada caafimaadka iyo daawaynta ayaa daweyn kara habka hoose, hagaajinta xaaladda.
• Noocyada daba-dheeraada ee neuropathy durugsan, waxqabadyada caafimaadka iyo arrimaha qaab nololeedka ayaa kaa caawin kara ka hortagga horumarka xaaladda.
• Daawaynta daba-dheeraada ee neuropathy waxay diiradda saartaa xakamaynta calaamadaha xanuunka iyo ilaalinta aagagga dareenka yar ee dhaawaca ama caabuqa.

Is-daryeelka iyo Hab-nololeedka

Shakhsiyaadka laga helay neuropathy peripheral ama halis ugu jira inay ku dhacaan xaaladda, arrimaha hab-nololeedka ayaa door muhiim ah ka ciyaara maareynta calaamadaha iyo ka hortagga dhaawaca dareemayaasha inay ka sii daraan waxayna xitaa ka hortagi karaan in xaaladdu ay soo baxdo. (Jonathan Enders iyo al., 2023)

Management Xanuun

Shakhsiyaadka ayaa isku dayi kara daawayntan is-daryeelka ah oo ay eegaan haddii iyo taas oo gacan ka geysanaysa dhimista raaxo-darradooda ka dibna ay yeeshaan hab joogto ah oo ay ka shaqeyn karaan. Is-daryeelka calaamadaha xanuunka waxaa ka mid ah:

• Dhigista suuf diirran oo kuleyl ah meelaha xanuunka leh.
• Dhigista suufka qaboojinta (maaha baraf) meelaha xanuunka leh.
• Daboolka aagga ama ka tagista iyada oo aan daboolnayn, taas oo ku xidhan heerarka raaxada.
• Xiro dhar dabacsan, sharabaado, kabo, iyo/ama galoofyada aan lagu samayn walxo sababi kara xanaaq.
• Iska ilaali inaad isticmaasho labeen ama saabuun kuwaas oo keeni kara xanaaq.
• Isticmaal kareemyo ama kareemyo dejinaya.
• Nadaafadda meelaha xanuunka leh.

Kahortagga Dhaawacyada

Dareenka oo yaraada waa mid ka mid ah saamaynta ugu badan ee keeni karta dhibaatooyin sida turunturood, dhib u soo dhawaansho, iyo dhaawacyo. Ka hortagga iyo hubinta joogtada ah ee dhaawacyada waxay kaa caawin kartaa inaad iska ilaaliso dhibaatooyinka sida nabarrada cudurka qaba. (Nadja Klafke et al., 2023Hab-nololeedka lagu maareeyo loogana hortago dhaawacyada waxaa ka mid ah:

• Xiro kabo si fiican u daboolan iyo sharabaado.
• Si joogto ah u baadh cagaha, suulasha, faraha, iyo gacmaha si aad u raadiso jeexan ama nabar aan la dareemin.
• Nadiifi oo dabool jeex-jeexyada si aad isaga ilaaliso caabuqyada.
• Si taxaddar leh u isticmaal maacuun fiiqan sida cunto karinta iyo shaqada ama qalabka beerta.

Maareynta Cudurrada

Qodobbada hab-nololeedku waxay kaa caawin karaan ka hortagga horumarka cudurka waxayna si dhow ula xiriiraan khataraha iyo sababaha hoose. Si looga caawiyo ka hortagga neuropathy peripheral ama horumarkeeda waxaa samayn kara: (Jonathan Enders iyo al., 2023)

• Ilaali heerarka gulukoosta caafimaad qaba haddii aad qabto sonkorow.
• Ka fogow aalkolada wax kasta oo neuropathy ah oo ka baxsan.
• Ilaali cunto dheeli tiran, oo ay ku jiri karto fitamiino dheeri ah, gaar ahaan kuwa khudaarta ama vegans-ka.

Daawooyinka ka-hortagga

Dhawr daawayn oo aan farmashiyaha laga iibsan ayaa kaa caawin kara calaamadaha xanuunka leh waxaana la qaadan karaa hadba sida loo baahdo. Daawooyinka xanuunka ee aan la iibsan karin waxaa ka mid ah:Michael Überall iyo al., 2022)

• buufinta lidocaine ee jirka la mariyo, balastar, ama kiriimyada.
• Kareemada Capsaicin ama balastar.
• Mawduuca baraf kulul
• Daawooyinka anti-bararka ee non-steroidal - Advil/ibuprofen ama Aleve/naproxen
• Tylenol/acetaminophen

Daawayntani waxay kaa caawin kartaa yaraynta calaamadaha xanuunka leh ee neuropathy durugsan, laakiin ma caawiyaan hagaajinta dareenka hoos u dhaca, daciifnimada, ama dhibaatooyinka isuduwidda. (Jonathan Enders iyo al., 2023)

Dawaynta Dawaynta

Daawaynta dhakhtarku qoray ee lagu daaweynayo neuropathy durugsan waxaa ka mid ah dawooyinka xanuunka iyo ka hortagga bararka. Noocyada daba-dheeraada ee neuropathy durugsan waxaa ka mid ah:

• Alcoholic neuropathy
• Cudurka macaanka neuropathy
• Kemotherabi-ku-daaweynta neuropathy

Daawaynta dhakhtarku qoray ee noocyada dabadheeraadku way ka duwan yihiin daawaynta noocyada ba'an ee neuropathy durugsan.

Management Xanuun

Daawaynta dhakhtarku qoray waxay kaa caawin kartaa maaraynta xanuunka iyo raaxo la'aanta. Daawooyinka waxaa ka mid ahMichael Überall iyo al., 2022)

• Lyrica - pregabalin
• Neurontin - gabapentin
• Elavil - amitriptyline
• Effexor - venlafaxine
• Cymbalta - duloxetine
• Xaaladaha daran, lidocaine-ka-xididka/IV ayaa laga yaabaa inay lagama maarmaan noqoto. (Sanja Horvat et al., 2022)

Mararka qaarkood, kabida xoogga rijeetada ama fiitamiin B12 ee lagu bixiyo duritaanka waxay kaa caawin kartaa kahortaga horumarka marka neerfaha durugsan ay la xiriirto fitamiin yaraan daran. Daawaynta dhakhtarku waxa ay kaa caawin kartaa in lagu daweeyo habka hoose ee noocyada qaar ee neuropathy peripheral ba'an. Daawaynta neuropathy durugsan ee ba'an, sida Miller-Fisher syndrome ama Guillain-Barré syndrome, waxaa ku jiri kara:

• Corticosteroids
• Immunoglobulin - borotiinada habka difaaca jirka
• Plasmapheresis waa nidaam ka saara qaybta dareeraha ah ee dhiigga, soo celisa unugyada dhiigga, taas oo wax ka beddesha firfircoonida habka difaaca jirka. (Sanja Horvat et al., 2022)
• Cilmi-baarayaashu waxay rumeysan yihiin inuu jiro xiriir ka dhexeeya xaaladahan iyo bararka dhaawaca dareemaha, iyo wax ka beddelka habka difaaca jirka ayaa faa'iido u leh daaweynta calaamadaha iyo cudurka hoose.

Qalliinka

Xaaladaha qaarkood, hababka qalliinka ayaa ka faa'iideysan kara shakhsiyaadka leh noocyo gaar ah oo ah neuropathy peripheral. Marka xaalad kale ay sii xumayso calaamadaha ama habka neuropathy durugsan, qalliinku wuxuu kaa caawin karaa nafiska calaamadaha iyo ka hortagga horumarka cudurka. Tani waxay caddaysay waxtarka marka xididdada neerfayaasha ama xididada xididada oo ku filnaansho ay yihiin arrimo. (Wenqiang Yang iyo al., 2016)

Daaweyn Dheeraad ah iyo Mid Kale

Qaar ka mid ah hababka dhamaystirka iyo beddelka ah ayaa ka caawin kara shakhsiyaadka inay la qabsadaan xanuunka iyo raaxo-darrada. Daawayntani waxay u adeegi kartaa sidii ikhtiyaar joogto ah kuwa qaba neuropathy peripheral neuropathy. Ikhtiyaarada waxaa ka mid noqon kara: (Nadja Klafke et al., 2023)

• Acupuncture waxay ku lug leedahay meelaynta cirbadaha meelo gaar ah oo jirka ah si loo yareeyo calaamadaha xanuunka.
• Acupressure waxay ku lug leedahay cadaadiska meelaha gaarka ah ee jirka si loo yareeyo calaamadaha xanuunka.
• Daaweynta duugista waxay kaa caawin kartaa inaad dejiso xiisadda muruqa.
• Daawaynta fekerka iyo nasashada ayaa kaa caawin kara maareynta calaamadaha.
• Daaweynta jireed waxay sidoo kale u adeegi kartaa sidii qayb muhiim ah oo la noolaanshaha neuropathy peripheral neuropathy oo daba-dheeraaday iyo ka soo kabashada neuropathy durugsan ee ba'an.
• Daaweynta jireed waxay kaa caawin kartaa xoojinta murqaha daciifka ah, hagaajinta isuduwidda, oo ay bartaan sida loola qabsado isbeddellada dareenka iyo dhaqdhaqaaqa si aad si badbaado leh ugu ag dhawaato.

Shakhsiyaadka tixgelinaya daaweynta dhammaystirka ah ama beddelka ah waxaa lagu dhiirigelinayaa inay la hadlaan bixiyehooda daryeel caafimaad si ay u go'aamiyaan inay badbaado u tahay xaaladdooda. Dhaawaca Caafimaadka Chiropractic and Functional Medicine Clinic waxay la shaqayn doontaa bixiyaha daryeelka caafimaadka shakhsiga iyo/ama khabiirada takhasuska leh si ay u horumariyaan daaweynta ugu fiican ee caafimaadka iyo fayoobaanta si ay u bixiyaan xanuun joojinta iyo hagaajinta tayada nolosha.

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Peripheral Neuropathy: Sheekada Soo kabashada ee Guulaysata

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tixraacyada

Enders, J., Elliott, D., & Wright, DE (2023). Soo ifbaxaya faragalin aan dawooyin ahayn oo lagu daweynayo xanuunka neerfayaasha ee sokorowga. Antioxidants & calaamadaynta 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). Ka-hortagga iyo Daaweynta Kiimikada-ku-daaweynta Dareemaha Dareemayaasha (CIPN) oo leh faragelin aan dawooyin ahayn: Talooyin Caafimaad oo ka yimid Dib-u-eegis Nidaamsanaaneed iyo Hannaanka Oggolaanshaha Khabiirka. Cilmiga caafimaadka (Basel, Switzerland), 11(1), 15. doi.org/10.3390/medsci11010015

Überall, M., Bösl, I., Hollanders, E., Sabatschus, I., & Eerdekens, M. (2022). Xanuunka macaanka ee neuropathy peripheral neuropathy: isbarbardhigga adduunka dhabta ah ee u dhexeeya daawaynta jirka la mariyo ee lidocaine 700 mg balastar dawo ah iyo daawaynta afka. BMJ furan cilmi-baarista iyo daryeelka sonkorowga, 10(6), e003062. doi.org/10.1136/bmjdrc-2022-003062

Horvat, S., Staffhorst, B., & Cobben, JMG (2022). Lidocaine-ka-xididdada ee loogu talagalay daawaynta xanuunka daba-dheeraada: Daraasad kooxeed oo dib-u-eegis ah. Joornaalka cilmi-baarista xanuunka, 15, 3459-3467. doi.org/10.2147/JPR.S379208

Yang, W., Guo, Z., Yu, Y., Xu, J., & Zhang, L. (2016). Nasinta Xanuunka iyo Horumarka Tayada-Nolosha ee Caafimaadka La Xidhiidha Ka dib Kala-baxa Microsurgical ee Dareemayaasha Dareemaha Xiran ee Bukaanka Qaba Xanuunka Sonkorowga Peripheral Neuropathy. Joornaalka qaliinka cagaha iyo anqawga: daabacaadda rasmiga ah ee Kulliyada Maraykanka ee Dhakhaatiirta Cagaha iyo Anqawga, 55(6), 1185-1189. doi.org/10.1053/j.jfas.2016.07.004