Ululu pamwamba pa phazi lanu kapena kupyolera mu chingwe chanu ukhoza kukhala wokhudzana ndi mitsempha. Ngakhale kuti ululu wa maulendo ambiri amachokera m'magulu ndi mavitoni, nthawi zina chitsime cha ululu wa phazi ndi mitsempha yomwe imakhumudwitsidwa mwachindunji kapena imakhudzidwa ndi thanzi labwino lomwe limayambitsa mitsempha.
Pamene mitsempha imakwiyitsa kapena kuonongeka, pamakhala kupweteka, kuwombera, kapena kupweteka.
Kupweteka kumachitika nthawi zonse, ngakhale panthawi yopumula. Nthawi zina dera lomwe lili ndi mitsempha limakhala lovuta kwambiri kukhudza. Nazi zina mwazovuta zomwe zimayambitsa mavuto a mitsempha.
Morton's Neuroma
Neonoma ya Morton ndi yoopsa kwambiri ya mitsempha yomwe imayenda pakati pa chachitatu ndi chachinayi.
Zizindikiro zapadera zimaphatikizapo kupweteka kwa moto kapena kupweteka pakati pa gawo lachitatu ndi lachinayi, nthawi zambiri ndi kuyenda. Chizindikiro china chofala ndikumveka kosavuta kwazitsulo pansi pa zala zakumwa zazing'ono ngati kuti chowombera chimakhala pansi.
Neuroma ya Morton imapezeka kawirikawiri mwa amayi, mwinamwake chifukwa chafupipafupi yavala nsapato zazing'ono kapena zapamwamba . Mankhwala ochiritsira amagwiritsa ntchito nsapato zosinthika, matabwa othandizira, komanso majekeshoni a cortisone kuti achepetse kutupa kwa mitsempha.
Matenda a Pinched ndi Tarsal Tunnel Syndrome
Amatchedwanso kuti mitsempha ya mitsempha, mitsempha yotsetsereka ikhoza kuchitika m'madera osiyanasiyana a phazi.
Mitsempha ya m'mitsempha imayesedwa ndi kupsyinjika, monga kupanikizika komwe kumakhala ndi kutupa, kupanikizika kwakukulu kuchokera ku nsapato yolimba, kapena kupweteka kosautsa.
Mitsempha ya mitsempha imayambitsa kuwombera, kupsya mtima, kapena kukhudzidwa pamwamba pa phazi. Nsonga yokhala ndi mitsempha pamwamba pa phazi ingakhale chifukwa cha kupanikizika kwakukulu kwa mitsempha kuchokera ku nsapato yolimba.
Mtundu wina wamtundu wambiri wa mitsempha ndi matenda a tarsal tunnel . Matenda a tarsal ndipamene mitsempha ya m'mbuyo imakhala ikugwera pansi pomwe mkati mwake imalowa mkati mwazitali ndipo imalowa pansi pamtunda kudzera mumalo otchedwa tarsal. Kuwotcha, kupweteka, kapena kupweteka, kungatuluke kuchokera ku instep (chingwe) ndi zidendene kumalo a mapazi. Kuphwanyidwa ndi phazi kungapangidwe ndipo zizindikiro zimatha kuwonjezereka usiku pamene akupumula kapena kugona.
Chithandizo cha matenda a tarsal amayamba nthawi zambiri pozindikira ndi kuchepetsa vutoli, lomwe lingakhale chirichonse kuchokera ku vuto ndi phazi la ntchito, monga mapazi apansi kapena minofu kutupa . Zizindikiro za Cortisone ndi mankhwala odana ndi kutupa angapangidwe kuti azichiza matenda a tarsal ndi matenda ena a mitsempha.
Zitsanzo za mitundu ina yothandizira mankhwalawa ndi awa: padding nsapato kumalo kumene phazi likugwedezeka (nthawi zambiri pamwamba pa nsapato) kapena mafupa kuti akonze kayendedwe kakang'ono ka mapazi kapena ntchito yomwe imayambitsa chisokonezo cha mitsempha. Ngati zovuta zowonongeka sizilephera, opaleshoni mungafunikire kumasula mitsempha.
Matenda a Chilombo Amagazi
Matenda ambiri a shuga (shuga) omwe amapezeka ndi matenda a shuga angapangitse mtundu wina wa mitsempha yotchedwa " peripheral neuropathy" .
Akuti munthu mmodzi mwa anthu anayi ali ndi matenda a shuga adzamva kupweteka kwa m'mimba.
Monga mitundu ina ya kuwonongeka kwa mitsempha, kupweteka kwa mphuno kumadziwika ndi kuyaka moto kapena kupweteka m'mapazi. Nthawi zambiri zimachitika usiku pamene akugona. Kupweteka kwa matenda a ubongo kungabwere ndikuyendetsa matendawo ndipo kungakhale kuperewera pang'ono kumverera kumapazi omwe akuyamba kumapazi ndikupitirirabe.
Mankhwala odwala matenda a shuga amayambitsa mphamvu ya shuga, mankhwala monga antidepressants kapena anti-seizure mankhwala, ndi mavitamini owonjezera monga vitamini B ndi alpha lipoic acid .
Zifukwa Zina Zopweteka Mphuno
Kuwonongeka kwa mitsempha ndi zizindikiro zomwe zimapweteka zimatha kuchitika ndi zina zambiri. Zitsanzo zina ndi izi:
- Zoopsa za thupi, monga opaleshoni kapena ngozi
- Mankhwala monga mankhwala ena a khansa, mankhwala osokoneza bongo, kapena antibiotic
- Matenda opweteka a m'deralo
- Mamimba omwe amachititsa kuti mitsempha ikhale yambiri
- Matenda a chiwindi kapena impso
- Vitamini zoperewera
- Dothi la herniated mu msana wam'mimba
- Matenda opatsirana, monga mavuto a matenda a Lyme kapena matenda opatsirana
> Zotsatira:
> Hovaguimian A, Gibbons CH. Njira yachipatala ndi chithandizo cha matenda odwala matenda a shuga. Kupititsa patsogolo kwachipatala m'zaka zotchedwa Endocrinology ndi Metabolism . 2011; 2 (1): 27-38
> Pulogalamu Yophatikiza Nthenda Mapepala. National Institute of Neurological Disorders ndi Stroke. NIH. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Peripheral-Neuropathy-Fact-Sheet.