Ho lemalla ho noa joala

Tahi ea methapo ea kutlo e lemaletseng joala ke tšenyo ea methapo e bakoang ke ho noa joala haholo.

Ha ho tsejoe hore na hantle-ntle sesosa sa ts'oaetso ea methapo ea joala ke eng. Mohlomong e kenyelletsa chefo e otlolohileng ea methapo ke joala le phello ea phepo e nepahetseng e amanang le botahoa. Ho fihlela halofo ea basebelisi ba joala ba nako e telele ba ba le boemo bona.

Maemong a boima, methapo e laolang ts'ebetso ea mmele ea kahare (methapo e ikemetseng) e ka ameha.

Matšoao a boemo bona a kenyelletsa tse latelang:

• Ho ba bohatsu matsohong le maotong
• Maikutlo a sa tloaelehang, joalo ka "lithakhisa le linalete"
• Maikutlo a bohloko matsohong le maotong
• Mathata a mesifa, ho kenyelletsa bofokoli, cramps, aches, kapa spasms
• Ho se mamellane mocheso, haholo-holo ka mor'a ho ikoetlisa
• Mathata a ho emisa (ho hloka matla)
• Mathata a ho ntša metsi, ho se ts'oarehe (ho ntša metsi), ho ikutloa u sa fella ka senya, ho thatafalloa ho qala ho ntša metsi
• Ho bipetsoa kapa letshollo
• Ho nyekeloa ke pelo, ho hlatsa
• Mathata a ho kwenya kapa ho bua
• Ho tsamaea ho sa tsitsang (ho tsamaea)

Liphetoho matleng a mesifa kapa maikutlong hangata li etsahala mahlakore ka bobeli a 'mele' me li atile haholo maotong ho feta matsohong. Hangata matšoao a hlaha hanyane ka hanyane mme a mpefala ha nako e ntse e tsamaea.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao. Ho hlahlojoa mahlo ho ka bontša mathata a mahlo.

Ho sebelisa joala hampe hangata ho etsa hore 'mele o sitoe ho sebelisa kapa ho boloka livithamini le liminerale tse itseng. Liteko tsa mali li tla laeloa ho lekola khaello ea (

• Thiamine (vithamine B1)
• Pyridoxine (vithamine B6)
• Pantothenic acid le biotin
• Vithamine B12
• Folic acid
• Niacin (vithamine B3)
• Vithamine A

Liteko tse ling li ka laeloa ho hlakola lisosa tse ling tse ka bakoang ke lefu la methapo. Liteko li ka kenyelletsa:

• Methati ea elektrolyte
• Electromyography (EMG) ho lekola bophelo bo botle ba mesifa le methapo e laolang mesifa
• Liteko tsa ts'ebetso ea sebete le liphio
• Liteko tsa mosebetsi oa qoqotho
• Methati ea livithamini le liminerale 'meleng
• Liteko tsa ho tsamaisa methapo ho hlahloba hore na matšoao a motlakase a feta kapele hakae methapong
• Moriana oa biopsy ho tlosa karoloana e nyane ea methapo bakeng sa tlhahlobo
• GI e kaholimo le lihlopha tse nyane tsa mala
• Esophagogastroduodenoscopy (EGD) ho hlahloba lera la 'metso, mpa le karolo ea pele ea mala a manyane
• Voiding cystourethrogram, phuputso ea x-ray ea senya le urethra

Hang ha bothata ba joala bo rarollotsoe, lipheo tsa kalafo li kenyelletsa:

• Ho laola matšoao
• Ho eketsa bokhoni ba ho sebetsa boinotšing
• Ho thibela kotsi

Ho bohlokoa ho tlatselletsa lijo tse nang le livithamini, ho kenyeletsoa thiamine le folic acid.

Phekolo ea 'mele le lisebelisoa tsa masapo (joalo ka likotoana) li ka hlokahala ho boloka ts'ebetso ea mesifa le boemo ba maoto.

Ho ka hlokahala meriana ho alafa bohloko kapa maikutlo a sa phutholoheng. Batho ba nang le ts'oaetso ea methapo ea joala ba na le mathata a ts'ebeliso ea joala. Li tla fuoa tekanyetso e nyane ea meriana e hlokahalang ho fokotsa matšoao. Sena se ka thusa ho thibela ho itšetleha ka lithethefatsi le litla-morao tse ling tsa ts'ebeliso e sa foleng.

Ho beha kapa ho sebelisa foreimi ea bethe e bolokang sekoaelo maotong ho ka thusa ho fokotsa bohloko.

Batho ba nang le hlooho e khanyang kapa ba tsekela ha ba eme (orthostatic hypotension) ba ka hloka ho leka mekhoa e fapaneng ea kalafo pele ba e fumana e atlehang ho fokotsa matšoao a bona. Kalafo e ka thusang e kenyelletsa:

• Ho apara li-stockings
• Ho ja letsoai le lengata
• Ho robala le hlooho e phahame
• Ho sebelisa meriana

Mathata a senya a ka phekoloa ka:

• Polelo ea letsoho ea moroto
• Catheterization e sa khaotseng (e motona kapa e motšehali)
• Meriana

Ho hloka matla, letšollo, ho patoa, kapa matšoao a mang a alafshoa ha ho hlokahala. Hangata matšoao ana a arabela hampe kalafo ho batho ba nang le ts'oaetso ea methapo e tahang.

Ho bohlokoa ho sireletsa likarolo tsa mmele ka phokotso ea maikutlo ho tsoa likotsi. Sena se ka kenyelletsa:

• Ho hlahloba mocheso oa metsi a bate ho thibela ho chesa
• Lieta tse fetohang
• Ho hlahloba maoto le lieta khafetsa ho fokotsa likotsi tse bakoang ke khatello kapa lintho tse lieta
• Ho lebela lipheletso ho thibela likotsi khatellong

Joala bo tlameha ho emisoa ho thibela tšenyo e mpe le ho feta. Kalafo ea botahoa e ka kenyelletsa tlhabollo, ts'ehetso ea sechaba joalo ka Alcoholics Anonymous (AA), kapa meriana.

Tšenyo ea methapo e bakoang ke lefu la methapo ea tahi hangata e ba ea ka mehla. Ho kanna ha mpefala haeba motho a ntse a tsoela pele ho sebelisa joala kapa haeba mathata a phepo a sa lokisoe. Boloetse ba methapo ea pelo bo tahi hangata ha bo behe bophelo kotsing, empa bo ka ama bophelo haholo.

Bitsa kopano le mofani oa hau haeba u na le matšoao a ts'oaetso ea joala.

Mokhoa o le mong feela oa ho thibela methapo ea kutlo ea joala ha se ho noa joala bo bongata.

Neuropathy - joala; Joala polyneuropathy

• Ho lemalla ho noa joala
• Methapo ea likoloi
• Metsing e ikemetseng
• Sisteme ea methapo e bohareng le methapo ea methapo

Katirji B. Mathata a methapo ea kutlo. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 107.

Koppel BS. Mathata a amanang le phepo e nepahetseng le a amanang le joala. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 416.