Kusiyanitsa Pakati pa Zochitika Zopweteka ndi Zowawa
Ululu ndi chimodzi mwa zodandaula zomwe anthu amapita kwa dokotala. Ku US yokha, anthu oposa 100 miliyoni akukhala ndi ululu wosatha.
Kupweteka kosautsa kumasiyana kwambiri ndi ululu waukulu. Kumva kupweteka kwambiri ndi zomwe mumakumana nazo mukamva kupwetekedwa-mutero, mukathyola fupa kapena kutentha dzanja lanu-kapena ngati chinachake chikulakwika m'thupi lanu, monga kunjenjemera, kupatsirana, kapena mwala wamphongo.
Ululu wowawa uli ngati dongosolo la alamu. Ikukuuzani kuti thupi lanu likukhala kapena lawonongeka posachedwa kuti muthe kuchita chinachake pa izo. Uthenga ukhoza kukhala, "Wotentha ndi wotentha, choncho chonde funsani kuugwira," kapena "Thangono yomwe ili m'kamwa mwanu yowonongeka ndipo kuyenda pa iyo kudzakhala ndi zotsatirapo zoipa." Ndizo zomwe mukufunikira ndipo zingagwiritsidwe ntchito.
Kupweteka kosautsa kumakhala ngati alamu omwe sagwira ntchito kapena imachoka pamene sikufunikira, monga alasi ya utsi ndi betri yakufa. Tonsefe takhala ndi woyandikana naye amene galimoto yake imachoka nthawi iliyonse pamene mphaka ikuyenda kapena mphepo ikuwomba, kukudzutsa pakati pa usiku ndikupitirira. Aliyense mumsewu amadziwa kuti safunikira kuitanitsa 911 kapena kubwera kuchokera pabedi kukathamangitsa wakuba, komabe kuchenjezabe kumakhudza moyo wanu.
Pamene Kupweteka Kwambiri Kumakhala Kosayembekezereka
Kupweteka kovuta kumapweteka kwambiri. Madokotala osiyana ali ndi zizindikiro zosiyana za momwe zimatengera nthawi yaitali kuti akhale odwala.
Ena amanena miyezi itatu, ena amati miyezi isanu ndi umodzi kapena chaka. Komabe, ena amaona kuti n'zosatheka ngati kupweteka kwapitirirabe kuposa momwe zikanakhudzira chilichonse.
Sayansi ya zamankhwala sinkagwiritsidwa ntchito kumvetsa chifukwa chake ululu ukanatha pakatha chinachake kuchiritsidwa. Kawirikawiri, iwo amatha kunena kuti ululuwo unali "zonse m'mutu mwanu."
Posachedwapa, ofufuza apeza kuti ululu waukulu nthawi zina umasintha momwe ubongo wathu umapangidwira.
Mukamamva kupweteka, zomwe zikuchitika ndikuti mitsempha yanu ikuzindikira vuto ndikukutumiza ku ubongo wanu. Ubongo wanu umatumiza zizindikiro ku thupi lanu pofuna kuthetsa ngozi ndikutsogolera njira yakuchiritsira.
Pamene zizindikiro zimangobwerera mobwerezabwereza, zimakhala ngati ndondomeko yanu yamanjenje imakhala ndi chizoloŵezi chowatumizira, ndipo nthawi zina, imasiya ngakhale nthawi yomwe imafunika. Zinthu zomwe zimanyamula zizindikirozi zasintha, mofananamo momwe ubongo wanu umasinthira mukamaphunzira luso latsopano.
Pamene Kupweteka Kwambiri Kumayambira Pazokha
Nthawi zina, kupweteka kosalekeza kumafera pamene palibe chinthu chonga kuvulala kapena opaleshoni kuyambitsa. Kawirikawiri, izi ndi chifukwa cha matenda.
Zambiri za zinthu zingayambitse ululu wosaneneka, mwina m'madera ena kapena thupi lonse. Zina mwazofala zikuphatikizapo:
- Arthritis
- Fibromyalgia
- Lupus
- Multiple sclerosis
- Khansa
- Kupweteka kwa mitsempha (ie, sciatica , carpal tunnel syndrome )
- Neuropathy (ululu wa kuwonongeka kwa mitsempha)
- Migraine
- Kuphatikizana kophatikiza (ie, TMJ )
- Chikhalidwe chilichonse chodzipiritsa / zotupa
Izi zimayambitsidwa ndi zinthu zosiyanasiyana ndipo sangathe kuchitidwa chimodzimodzi.
Ngati mukumva kupweteka kosalekeza, ndikofunika kwambiri kuti muwone dokotala ndikupeza matenda oyenera. Izi zimakupatsani mpata wabwino kwambiri wopezera njira zothandizira komanso njira zothandizira.
Mitundu Yopweteka Kwambiri
Sikuti ululu wonse umamva chimodzimodzi. Ngati mwadula, kuvulaza, kuwotchedwa, ndi kuthamanga, mukudziwa kuti onse ndi osiyana. Kupweteka kwanthawi yaitali kumasiyanso ndi chifukwa.
Nthawi zambiri ululu wopweteka umafotokozedwa monga:
- Kuwombera
- Kupsa
- Magetsi (zingy, prickly)
- Kumenya
- Zosasangalatsa
- Achy
- Kudula
- Chikondi
- Kukhumudwa
Malingaliro osazolowereka angaphatikizepo mawu monga "zakuya" kapena "otentha."
Dokotala akhoza kudziwa zambiri kuchokera momwe mukufotokozera ululu wanu.
Mwachitsanzo, kutseketsa ululu wa magetsi kumabwera kuchokera ku mitsempha.
Mitundu Yabwino Yopweteka
Mitundu ina ya ululu ndi yochepa kwambiri kuposa ena ndipo ingakhale yogwirizana ndi zikhalidwe zina.
Hyperalgesia amamva kupweteka kwambiri-kumangomva kupweteka kwapakati. Akazindikira zowawa, mitsempha imatumiza zizindikiro zambiri kuposa momwe ayenera, ndipo ubongo umayankha. Zotsatira zake ndikuti mumamva kupweteka kwambiri kuposa momwe mungakhalire.
Hyperalgesia ikugwirizana ndi:
- Sitiroko
- Kuwonongeka kwa mitsempha
- Kutupa
- Kugwiritsa ntchito kwa nthawi yaitali opha ululu (ie, Vicodin, oxycodone)
- Matenda, makamaka fibromyalgia ndi zina zofunikira kwambiri
Chinthu china chosautsa chachilendo ndi mtundu wa allodynia , chomwe chimatanthauza ululu kuchokera ku chinthu chomwe sichimapweteka kwambiri. Izi zikhonza kuphatikizapo kugwirana, kuwala nsalu pamutu, kapena kutentha pang'ono kapena kutentha.
Allodynia ndi mbali ya:
- Migraine
- Fibromyalgia
- Zinthu zina zovuta kumva
Anthu ena nthawi zambiri amaweruza anthu omwe ali ndi hyperalgesia ndi allydynia mwaukali, akukhulupirira kuti akupangitsa kuti azipwetekedwa kwambiri, kapena kuti aziwanyengerera, kapena kuti amalephera kuganiza bwino. Kupweteka kwa iwo, komabe, ndi koona ndipo nthawi zambiri kumafooketsa.
Zowawa Zoyambitsa
Nthawi zina ululu umatha nthawi zonse, koma suyenera kukhala. Kupweteka kwa chikhalidwe monga matenda opweteka a m'mimba kungakhalepo pakatha kudya zakudya zina, komabe zikhoza kuonedwa kuti ndizosalekeza. Zomwezo zimapweteka maondo omwe amayamba chifukwa cha kuzizira kapena kumwa mopitirira muyeso koma palibe nthawi zonse.
Zowawa zanu zimayambitsanso dokotala zambiri za zomwe zikuchitika m'thupi lanu. Nthawi zina, zimatha kuwonetsa njira zowonetsera.
Zizindikiro Zogwirizana ndi Mavuto Osautsa
Ngakhale kupweteka ndi chizindikiro chachikulu, zizindikiro zina zimaphatikizapo ululu wopweteka. Izi nthawi zambiri zimaphatikizapo:
- Kutopa
- Kugona kosauka
- Kusokonezeka maganizo
- Nkhawa
- Kuchepetsa kudya
- Kulephera maganizo
- Nausea
- Kusamalidwa kolakwika
Sikuti aliyense amene ali ndi ululu wosatha adzawona zizindikiro zonsezi. Komanso, zinthu zina zopweteka kwambiri zimaphatikizaponso zizindikiro zina zambiri, komanso.
Kuzindikira Matenda Osatha
Mofanana ndi ululu waukulu, ngati mupita kwa dokotala ndikumuuza kuti, "Ndili ndi ululu wosaneneka," mwina angafunse kuti, "Kumapweteka kuti?"
Ngati mungathe kuwonetsa malo (kapena malo ocheperako,) nthawi zambiri ndiwothandiza kwambiri pakudziwa. Dokotala akhoza kuyang'ana malowa ndipo akhoza kupeza x-ray kapena sewero lina kuti awone zomwe zikuchitika mkati.
Ngati akufunsa "kuti" ndikuti "kulikonse," njirayi idzapita mosiyana. Yembekezerani kuyeza magazi kuti muwone zizindikiro za kutupa kapena matenda ena. Dokotala wanu akhoza kuitaniranso zowerengera, malingana ndi zizindikiro zanu ndi mbiri yachipatala.
Mukamavutika kwambiri ululu wanu, ndipamenenso zingakuthandizeni kusunga magazini opweteka. Zomwe zingakuthandizeni kudziwa zoyambitsa, yankhani mafunso okhudza nthawi ndi nthawi yanji yomwe mumapweteka, komanso kukula ndi khalidwe (ie, kuyaka, kugwa) kwa ululu wanu. (Magazini yopweteka ndi chida kwa inu, kotero mutha kumvetsa kupweteka kwanu bwino Musapereke kwa dokotala ndikuyembekezera kuti akuchidwalitseni.)
Kuchiza Mavuto Osautsa
Mankhwala opweteka aakulu amasiyana kwambiri malingana ndi momwe mumadziwira.
Mankhwala opweteka angaphatikizepo:
- Opioid painkillers
- Anti-inflammatories
- Corticosteroids
- Anti-rheumatic drugs
- Matenda a khunyu
- Kudetsa nkhaŵa
- Zosangalatsa zamagazi
Malingana ndi zizindikiro zanu ndi zinthu zomwe zikugwedezeka, dokotala wanu angalimbikitse mankhwala ena monga:
- Kuchiza thupi
- Kuchiza mankhwala
- Kusamalira tizilombo
- Kupangidwanso
- Zakudya zowonjezera
- Psychotherapy
Kusintha kwa moyo kungathandizenso kuti mukhale bwino. Izi zingaphatikizepo:
- Zakudya zimasintha
- Zosintha zosinthidwa
- Malo osungirako apadera kusukulu kapena ntchito
- Kusiya sukulu kapena ntchito
- Kusiya kusuta
- Kuletsa kapena kuthetsa mowa
- Kusamalira maganizo
- Zida zothandizira
Moyo wa Tsiku Lililonse Wopweteka Kwambiri
Kukhala ndi ululu wosatha ndi kovuta. Nthaŵi zina, mumakhala opanda chiyembekezo kapena mukusowa mtendere.
Ndi matenda opatsirana komanso mankhwala oyenera, ululu wina umatha nthawi yaitali. Ena samatero. Ngakhale kuti palibe mankhwala amodzi-ofanana-onse, muli ndi njira zambiri zomwe mungapeze kuti muchepetse ululu wanu, zomwe zingasinthe ntchito yanu ndi umoyo wanu.
Pogwira ntchito ndi dokotala kuti mupeze chithandizo choyenera cha mankhwala, komanso pochita kusankha mwanzeru, mutha kusintha kwambiri.
Zotsatira:
Blackburn-Munro G, Blackburn-Munro RE. Kupweteka kosautsa, kupanikizika kosalekeza ndi kupanikizika: mwangozi zotsatira zake? Journal of neuroendocrinology
National Academy of Science. Kuchepetsa Mavuto ku America: Ndondomeko Yosintha Kupewa, Kusamalira, Maphunziro, ndi Kafukufuku.
Ren W, Centeno MV, Berger S, et al. Njira yosayimila ya nucleus accumbens chipolopolo imapweteka mtima. Nature Neuroscience. 2016 Feb; 19 (2): 220-2.
Yunus MB. Matenda a mphamvu ya pakati: kachilombo katsopano ndi kagulu kake ka tizilombo toyambitsa matenda ndi fibromyalgia, ndi matenda okhudzana ndi matenda. Masemina a nyamakazi ndi nyamakazi. 2008 Jun; 37 (6): 339-52.