Tanthauzo ndi Zomwe Zingayambitse Chizindikiro cha Lhermitte
Mwinamwake mwamvapo dokotala wanu akutchula chizindikiro cha Lhermitte. Kodi chizindikiro ichi ndi chiyani?
Anthu amene adamva kupweteka kwa mitsempha chifukwa cha kuvulaza kapena chikhalidwe chilichonse amadziwa kuti vutoli limakhala lovuta. Chizindikiro cha Lhermitte chimasokoneza ululu wokhudzana ndi ubongo umene uli ndi zinthu zosiyana, zomwe zimayambitsa ndi kusamalira.
Kodi Chizindikiro cha Lhermitte N'chiyani?
Chizindikiro cha Lhermitte ndi mphamvu ya magetsi yomwe imatulutsa msana kuchokera kumutu kupita kumapazi, ndipo nthawi zambiri kupyolera mu mikono, miyendo ndi mapulogalamu.
Kaŵirikaŵiri amabweretsedwa ndi kusinthasintha khosi kuti chinsalu chiyende kuchifuwa. Chodziwika bwino monga chophimba cha barber , chimaganiziridwa kusonyeza kusagwirizana kwa zikhomo za khola la msana, zomwe zimayambitsa kutumiza uthenga zokhudzana ndi kuwala, kudziwika kwaumwini (kumvetsetsa kumene thupi lanu liri mu danga), ndi kumamveka kwa ubongo.
Ngakhale kuti akutchedwa "chizindikiro cha Lhermitte," anthu oyambirira omwe anafotokoza chodabwitsa ichi anali Pierre Marie ndi Chatelin mu 1917. Jean Lhermitte anali katswiri wa zamagulu a ku France amene anafalitsa nkhani yokhudza nkhaniyi mu 1924, zomwe zinapangitsa kuti adziŵe zambiri zokhudza chizindikiro.
Nchiyani Chimachititsa Chizindikiro cha Lhermitte?
Chizindikiro cha Lhermitte chinayamba kuganiziridwa ngati chizindikiro cha multiple sclerosis (MS) ndipo ndithudi, wodwalayo aliyense amene akupereka chizindikiro cha Lhermitte adzachita bwino kuti asatenge matendawa. Kwa odwala omwe ali ndi MS, chitetezo cha mthupi chimayambitsa kuzungulira mitsempha, yotchedwa myelin.
Myelin akachoka, zimatha kupanga ziphuphu zoopsa, zomwe zimapangitsa kuti zizindikiro za mitsempha ziziyenda mu ubongo ndi msana.
Kuphatikizana ndi matenda ambirimbiri, chizindikiro cha Lhermitte chikhoza kukhala chifukwa cha mavuto ena ambiri. Izi ziphatikizapo:
- Kulephera kwa Vitamini B12 ( myelinopathy kuvutika kwa B12 )
- Kusintha myelitis
- Matumbo a msana wa m'mimba
- Spondylosis
- Nitrous oxide toxicity (ndi nitrous oxide poizoni nthawi zambiri imakhala "chotsutsana ndi chizindikiro cha Lhermitte, chomwe chimagwidwa ndi magetsi kupita kumbali, kuchokera kumapazi kupita kumutu
Mmene Mungachitire Chizindikiro cha Lhermitte
Ngakhale kuti sizowopsa mwa izo zokha, chizindikiro cha Lhermitte chingayambitse kusokonezeka. Chithandizo choyamba chiyenera kukhazikitsidwa pofuna kuthana ndi mavuto omwe akuyambitsa kapena kukulitsa vutoli. Kwa odwala omwe ali ndi MS , kuonetsetsa kuti asatengeke kapena kutenthedwa kwambiri kungathandize kupeŵa kuyambitsa chizindikiro cha Lhermitte.
Njira zina zamoyo komanso njira zopanda chithandizo zingathandize kupewa nkhondo, kuphatikizaponso
- Zokakamiza zamtsempha - Magetsi oyambitsa magetsi omwe amatumiza magetsi otsika kwambiri ku mitsempha, kaya kuchokera kunja kwa thupi kapena kudzera mu chipangizo chokhazikika (TENS unit) chingathandize.
- Kusintha kwa kayendetsedwe kake ndi kulumikizana - Ndikofunika kuti wothandizira athandizidwe kuphunzirira izi monga momwe zochitika zina zikhoza kuwonongera zizindikiro.
- Nkhono kapena makola omwe amalepheretsa kusuntha pamutu komwe kungayambitse ululu.
- Kujambula , kupaka minofu ndi njira zina zozizira.
- Zochita zofewa monga kupuma kwakukulu.
- Kutambasula
Kuonjezera apo, kwa odwala omwe ali ndi chizindikiro cha Lhermitte, mankhwala ena amathandiza kuthetsa ululu, kuphatikizapo:
- Mankhwala osokoneza bongo (antiticonvulsants) - Mankhwala monga Neurontin (gabapentin) ndi Lyrica (pregabaline) pakati pa ena angathandize ndi ululu wa m'mimba monga chizindikiro cha Lhermitte.
- Kudetsa nkhaŵa - Gawo la antidepressants lomwe limatchedwa tricyclic antidepressants nthawi zina limathandiza kupweteka kosatha. Izi sizigwiritsidwa ntchito chifukwa zopweteka zimamveka kukhala chachiwiri mpaka kuvutika maganizo koma chifukwa chosiyana ndi mankhwalawa.
- Okhazikitsa njira zowonjezera.
- Steroids - Mankhwala otchedwa steroids amatha kukhala ndi zotsatira zoyipa pamene amagwiritsidwa ntchito kwa nthawi yayitali, koma angagwiritsidwe ntchito powawa kwambiri.
Kulimbana ndi Chizindikiro cha Lhermitte Kaya Chifukwa Chiti
Kulimbana ndi kupweteka kosatha kwa mtundu uliwonse kuli kovuta kwambiri. Kuphatikiza pa kawirikawiri kumafuna njira zingapo zothandizira zizindikiro, kupweteka kosalekeza kungayambitse mavuto aumaganizo ndi chikhalidwe.
Kusunga magazini yopweteka kumathandiza kwambiri pakudziwa zomwe zingakhale zikugwira ntchito ndi zomwe sizingatheke. Mankhwala, monga anticonvulsants akhoza kutenga nthawi kuti agwire ntchito, ndipo zingakhale zovuta kudziwa ngati kusintha kwa zizindikiro zanu ndi chifukwa cha mankhwala kapena china. Buku lopweteka lingakhale losavuta monga kulemba nambala tsiku lililonse (mwachitsanzo, 1 chifukwa cha ululu wochepa ndi 10 chifukwa cha ululu wovuta kwambiri womwe mungaganizire), kulemba mndandanda wa mankhwala omwe mumagwiritsira ntchito, ndi kufotokoza zomwe mwachita tsiku limenelo. Kuima kumbuyo ndikuyang'ana pamagazini yanu kenako kumakuthandizani kuona chithunzi chachikulu ndikuyang'ana njira yanu ya mankhwala.
Funani ena omwe akukumana ndi chikhalidwe chomwecho. Ngati muli ndi chizoloŵezi chosavuta, mungafunike kupita pa intaneti kuti mupeze ena omwe ali ndi matenda omwewo. Kudziwa kuti pali ena omwe akulimbana ndi mavuto omwewo angakuchititseni kudzimva kuti ndinu ochepa kwambiri ndi zizindikiro zanu ndipo mumapereka chithandizo kuchokera kwa iwo omwe angamvetsetse zomwe mukukumana nazo.
Fufuzani thandizo kuvutika maganizo. Pali mgwirizano wolimba pakati pa kupweteka kosalekeza ndi kupsinjika maganizo , ndipo chimodzimodzi mwazimenezi chingapangitsenso mowonjezereka. Sizizindikiro zofooka kufunafuna thandizo la kuvutika maganizo koma kukhala chizindikiro cha mphamvu pakuchita zomwe muyenera kuchita kuti mukumverera bwino.
Yesetsani kumasuka. Kupsinjika maganizo kungapangitse chirichonse chomwe ife tikukumana nacho chovuta kwambiri, ndipo zochitika zosiyanasiyana zozizira zasonyezedwa kuti zichepetse nkhawa mu miyoyo yathu. Onani zothandizira izi kuti muthetse ululu wosatha .
Zotsatira:
Ko, H., Mphamvu, A., Sheu, R. et al. Chizindikiro cha Lhermitte Chikutsatira VMAT-Based Head and Neck Radiation-Insights mu Njira. PLoS One . 2015. 10 (10): e0139448.
Lhermitte JJ, Bollak NM. Les douleurs à type discharge electrique chifukwa cha calaphalake m'mapapolase. Mmodzi wa multiple scserose. Revue neurologique 1924; 2: 56-57.
Yakovlev, A., ndi A. Parmentier. Kusintha kwa Chizindikiro cha Lhermite ndi Spinal Cord Kukhudzidwa. Kupweteka kwa mankhwala . 2014. 15 (1): 167-9.