Multiple sclerosis (MS) ingakhale yopweteka kwambiri. Kotero kwa anthu ambiri omwe ali ndi MS, zimakhala zovuta kukhulupirira kuti posachedwapa m'ma 1980, MS ankawoneka ngati wopanda vuto. Ndipotu, akuti anthu pafupifupi 80 peresenti ya anthu omwe ali ndi MS amakumana ndi ululu wokhudzana ndi matenda awo panthawi inayake pamoyo wawo.
Ululu mu MS ndi wovuta. Kuti timvetse bwino, tiyeni tigawikane m'magulu atatu awa:
- Kupweteka kwa mtima
- Kupweteka kwa musculoskeletal kapena yachiwiri
- Kupweteka kwa paroxysmal
Zowawa za Neuropathic
Kupweteka kwa m'mimba ndi mtundu wambiri wa ululu mu MS ndipo umayambitsidwa ndi kutaya thupi , komwe kumataya chitetezo choteteza mitsempha. Mu thupi lathu, pali mapeto a mitsempha otchedwa nociceptors omwe amawonekeratu zovuta zowopsya. Pamene kutayika kwa thupi kumachitika, mitsempha imasonyeza kuti kuyendayenda m'maselo a mitsempha kumalo osokoneza bongo kumalo osungirako, omwe amalankhulana molakwika malingaliro opweteka ku ubongo.
Allodynia imachitika pamene munthu akumva kupweteka chifukwa cha zovuta zomwe sizimapweteka, monga kumakhudza munthu kapena zovala kapena nsalu zapamwamba zogwira khungu. Ndizodalira kwambiri, choncho zimangokhalapo ngati zowonjezera zilipo (pamene zovala zimachotsedwa, zowawa zimachoka). Uthenga wabwino kwa anthu omwe ali ndi MS ndikuti chipatala chimakhala vuto lalifupi.
Tic Doloreux: Trigeminal neuralgia , yomwe nthawi zambiri imatchedwa tic doloureux (French chifukwa cha "zopweteka zopweteka"), mwina ndizowawa kwambiri zokhudzana ndi MS.
Kawirikawiri amafotokozedwa ngati ululu waukulu, wowawa kwambiri womwe umapezeka m'munsi mwa nkhope (nthawi zambiri zimayambitsa kusaka, kumwa kapena kuswa mano). Mavuto aakulu ndi ochepa (kuyambira mphindi zochepa mpaka mphindi ziwiri), koma munthu akhoza kuwonanso kutentha komanso kupweteka kwamuyaya.
MS Hug: Mofanana ndi zizindikiro zambiri za MS, MS hug imamva mosiyana kwa anthu osiyanasiyana. Zingakhalenso zosiyana ndi munthu yemweyo masiku osiyana kapena nthawi zosiyanasiyana. Mwachitsanzo, anthu ena amafotokoza kuti MS Hug ndi ululu wowawa koma ena amafotokoza kuti ndi zovuta kapena zokhudzana ndi ubongo kwambiri, monga kuyaka, kuphika, kapena kuyimba. Komabe, ena amatha kuzindikira kutengeka kapena kusokoneza maganizo.
Malinga ndi malo, MS Hug ikhoza kumveka paliponse pamtambo, kuyambira m'chiuno kufikira pamapewa, ndipo ikhoza kukhala malo amodzi (kapena malo amodzi) kapena kuzungulira thupi lonse. Komanso, kupweteka kungabwere kapena kumakhala kosalekeza komanso kolepheretsa.
Paresthesia: Izi zimamveka ngati ndodo , mapepala ndi singano, kuyaka, kutentha kwakukulu, kuyimba, kupweteka kapena kuzunzika. Ngakhale nthawi zambiri izi zikunenedwa kukhala zokhumudwitsa kwambiri komanso zosasangalatsa, nthawi zina zimakhala zowawa kwambiri, zowopsya.
Mutu: Anthu omwe ali ndi multiple sclerosis amavutika ndi mutu komanso migraines.
Optic Neuritis: Anthu ambiri okhala ndi optic neuritis amamva kupweteka pamene akusuntha maso awo. Kupweteka kumeneku kumachepa pakapita masiku angapo, ngakhale masomphenya akadakalipo.
Musculoskeletal kapena Secondary Secondary Pain
Amatchedwanso ululu wa nociceptive, kawirikawiri izi zimakhala chifukwa cha zizindikiro za MS , monga kupatsirana, kufooka, kusayenda kapena mavuto akuyenda, osati matenda omwe amachititsa.
Zitsanzo zina za izi ndi izi:
Mavuto Ophatikizana: Anthu ambiri omwe ali ndi MS amamva kupweteka m'maganizo a m'chiuno ndi mawondo chifukwa chosasintha ndi kusintha kwache.
Kukhumudwa: Munthu yemwe ali ndi MS angakumane ndi kuuma pamilomo, mikono, ndi m'chiuno chifukwa chosasunthika.
Kubwezeretsa Kumbuyo: Kupweteka kumbuyo kungakhale chifukwa cha kusakhazikika, kusasunthika, kuyesayesa kusinthasintha maganizo okhumudwitsa a MS, kukhala nthawi yaitali mu mipando ya olumala kapena kusintha kwina kulikonse chifukwa cha zizindikiro za MS.
Kupweteka kochokera kumalo othamanga: Zomwe zimapangitsa kuti thupi likhale lopweteka limapangitsa kuti thupi lilowe mgwirizano, kapena kupindika, kumbali. Izi zingachititse kuti thupi lizimva ngati liri ndi vuto losasunthika kapena lopweteka.
Paroxysmal Pain
Izi zikutanthauza kupweteka kumene kumakhala kovuta (kapena mwadzidzidzi) kumakhala, kumakhala kwa mphindi zingapo, kenako kumafalikira mofulumira kapena kutha. Komabe, pangakhale kupweteka kapena kupweteka pambuyo panthawiyi. Zizindikiro zoopsa za poizoni zimaphatikizapo:
Tic Doloreux: Onani pamwambapa.
Zowonjezereka Zowonjezereka: Kuthamanga kwazitali ndi pamene chiwalo, kawirikawiri mwendo, chimapuma ndipo munthuyo sangathe kuigwedeza. Izi zimayambitsa chiwalo kuti chichoke pa thupi. Mafupa otentha sakhala opweteka kwambiri koma amatha kukhala olimba mokwanira kuti anthu atuluke pa zikopa zawo kapena mabedi.
Chizindikiro cha Hermitte: Ichi ndi mtundu wamagetsi wokhudzidwa womwe umatsikira msana pamene mutu ukuweramitsa.
Zochitika Zanga Ndi MS Pain
Kuchokera ku matenda anga a MS, ndazindikira:
- Zowawa "zowawa zanga zowawa" kuchokera ku MS hug
- Zovuta, zopweteka zopweteka m'miyendo yanga poyesera kusintha ndondomeko yanga ndi ataxia
- Malo okongola kwambiri, kuphatikizapo ma episodes kumene zovala zanga zimakhudza miyendo yanga, zimamverera ngati tizilombo toledzera
- "Kufuula mokweza" (kwenikweni) kupweteka ndikamasuntha maso anga panthawi ya optic neuritis
Mndandanda uwu suphatikizapo zomwe ndikuganiza kuti zikhoza kutchedwa "maphunziro apamwamba" MS kupweteka-chifukwa cha MS, ndagwera, ndikuyendetsa pakhomo ndikudumpha m'chiuno changa. Ndadzidula ndekha ndipo ndinataya khofi pandekha pamene manja anga akugwedezeka.
Ndikulingalira kuti zingakhale zovuta kuphatikizapo kupweteka kwa jekeseni ndi matenda osokoneza bongo, kutsekedwa m'matope a MRI, kapena zotsatira za Solu-Medrol mndandandawu, koma zonsezi zimapweteka, ndipo ndikudziwa kuti ambiri a inu mungawonjezere mndandanda uwu.
Mawu Ochokera
Siinu nokha ngati mukudwala ululu wokhudzana ndi MS. Nkhani yabwino ndi yakuti pali njira zothandizira, nthawi zambiri pogwiritsa ntchito mankhwala, kusintha kwa moyo, ndi njira zina zothandizira monga yoga ndi kusinkhasinkha. Lankhulani ndi dokotala wanu ngati muli ndi ululu, monga mukuyenera kupumula.
> Zotsatira:
> Foley PL ndi al. Mbiri ndi mbiri ya chilengedwe cha ululu kwa anthu akuluakulu omwe ali ndi matenda osiyanasiyana: Kuwongolera mwatsatanetsatane ndi kusanthula meta. Ululu . 2013 May; 154 (5): 632-42.
National MS Society. (2016). Ululu: Mfundo Zenizeni: Multiple Sclerosis .