MS Pain pa Waist ndi Ribs
Mavuto ambiri a sclerosis angamveke m'malo osadziwika. Mwinamwake, chimodzi mwa zizindikiro zowononga zopweteka kwambiri ndi MS "kukumbatira" kapena kumangirira kumagulu.
Mwachidule
"Nkhoswe ya MS" ndi mtundu wa ululu umene ukhoza kubwera ndikupita kumapeto kwa masabata angapo, ndipo umakhala wovuta chifukwa cha kupweteka kosautsa. Nthawi zina amatha kupita kumtunda ngati chifuwa kapena ngati waistline.
Kuwonjezera pamenepo, malo ake amasiyana, nthawi zina amamverera mbali imodzi, ndipo nthawi zina amatha kuzungulira miyendo yonse.
Zonsezi, zimakhala zizindikiro zowawa kwambiri komanso zowawa zomwe odwala a MS amakumana nazo.
Kudziwa
Ngati simunayambe mwapezeka ndi MS pano, kupita kwa dokotala ndi zizindikiro zofanana ndi MS Hug, kumafuna kudwalitsa bwino, monga momwe matenda ena angayesere.
Mwachitsanzo, MS hug ingakhale yofanana ndi ululu wamtima, kotero kuti isanatengere kukhala "wokhudzana ndi MS," dokotala angafune kuthetsa zifukwa zazikulu monga matenda a mtima.
Mavuto ena azaumoyo omwe akuyenera kutulutsidwa ndi awa:
- Matenda a Gallbladder
- Matenda a m'mimba kapena m'mimba
- Matenda a zilonda
- Kutupa kwa karoti pakati pa nthiti (yotchedwa costochondritis)
- Kupanikizika
Ngati zifukwa zina zatulutsidwa, katswiri wanu wamagulu angafune kuitanitsa MRI kuti muwone ngati muli ndi kachilombo ka MS, ngati mungafunike steroids ngati zizindikiro zanu ziri zovuta kapena zofooketsa.
Zizindikiro
Monga zizindikiro zambiri za MS , "kukumbatirana kwa MS" kumamva mosiyana kwa anthu osiyanasiyana. Zimakhalanso zosiyana pakati pa anthu omwewo masiku osiyana kapena nthawi zosiyanasiyana.
Mwachitsanzo, ululu ukhoza kukhala wochepa kwambiri kuposa chiuno. Kawirikawiri, imatha kumveka ngati mapewa ndi khosi.
Kuonjezerapo, kupweteka kumatha kumalo amodzi (kawirikawiri kumbali imodzi kapena kumbuyo) kapena kupita kumbali ya torso. Zitha kuchitika mu "mafunde" omwe amatha masekondi, mphindi, kapena maola kapena akhoza kukhala okhazikika kwa nthawi yaitali.
Chisoni cha MS Hug chafotokozedwa m'njira zosiyanasiyana, kuphatikizapo:
- Kuwala
- Zosasangalatsa
- Kupsa
- Kusinthanitsa
- Kugwiritsa ntchito
- Kusweka kapena constricting
- Kuthamanga
Pomalizira, ululu (monga zizindikiro zina za MS) ukhoza kuwonjezeka kapena kuyambitsidwa ndi kutopa kapena kupanikizika. Zitha kuyanjananso ndi zizindikiro zina monga kupuma kupuma kapena kupuma kupweteka, chifukwa chake zimawoneka ngati matenda a mtima kapena mantha.
Zimayambitsa
MS Hug imayambitsidwa ndi zilonda kapena malo otupa kwambiri mkati mwa msana. Izi zikutanthauza kuti chikho cha myelin (chophimba chomwe chimayambitsa matenda a mitsempha) chawonongeka. Mtundu wa ululu wa MS Hug umatchulidwa kuti ndi ululu wa ubongo, womwe umatchedwanso "dysesthesia," umene umatanthawuza kumverera kulikonse kowawa.
Kutengeka komweko ndi chifukwa cha minofu ing'onoing'ono pakati pa nthiti iliyonse (yotchedwa intercostal minofu) ikupita kumalo osokoneza. Minofu imeneyi ili ndi ntchito yothandizira nthiti zathu pamodzi, ndikuzisunga zowonongeka ndikuthandizira kuyenda, ngati kuthamangitsidwa.
Koma monga chirichonse chokhudzana ndi MS, chomwe chimayambitsa MS Hug chikukhudzana ndi kuwonongeka kwa shemale ya myelin.
Chithandizo
Choyamba, ululu uliwonse wa chifuwa umayenera kutengedwa mozama. Onetsetsani kuti mupeze chithandizo chamankhwala mwamsanga ngati mukumva ululu wamfuwa kapena zizindikiro zina za matenda a mtima .
Ngati dokotala wanu atsimikiza kuti muli ndi ululu wokhudzana ndi MS, pali mfundo zina za MS Hug zomwe zingathandize kuchepetsa vuto lanu.
Mankhwala
Chimodzi chenicheni chomwe chimayambitsa kupweteka mu multiple sclerosis sichidziwika bwinobwino. Momwemo, mankhwala ochiritsira amatha kulunjika nambala iliyonse ya zowawa, zomwe zimaphatikizapo:
- Zosangalatsa za minofu monga Lioresal (baclofen) ndi Zanaflex (tizanidine)
- Mankhwala osokoneza bongo monga Valium (diazepam) ndi Ativan (lorazepam)
- Mankhwala osokoneza bongo monga Lyrica (pregabalin) ndi Neurontin (gabapentin)
- Matenda opatsirana monga Cymbalta (duloxetine) kapena Elavil (amitriptyline)
Komanso, madokotala ena agwiritsira ntchito majeremusi a Botox (botulinum poizoni) pofuna kuchepetsa kuchepa kwa minofu. Botox imatseka mankhwala osokoneza bongo otchedwa acetylcholine omwe amalola kuti minofu ikhale yopuma. Chithandizo chikuwonetsedwa kwa omwe ali ndi ululu waukulu ndipo amatha miyezi isanu ndi umodzi ndi zotsatira zochepa (makamaka kupweteka kwajambulidwa tsamba kapena kupukuta).
Botox imagwiritsidwanso ntchito pochiza matenda osokoneza bongo omwe amagwirizana ndi MS .
Ngati zizindikirozo zikuwopsa kwambiri kuti zipangitse kupuma, dokotala wanu angaganizire kuti izi ndizobwezera kachilombo ka MS komanso akulamula kuti corticosteroid yapamwamba imadziwika ngati Solu-Medrol .
Kusintha kwa miyoyo ndi zochiritsira kunyumba
Ululu ndi wamba wamba wa multiple sclerosis. Zingasinthe mosiyanasiyana ndipo zikhale zotsalira ndi zina mwa ena.
Ngakhale zingakhale zabwino kuganiza kuti mungathe kuthetsa ululu ndi mapiritsi osavuta, kawirikawiri sizingatheke. M'malo mwake, anthu ambiri amayesetsa kuthetsa ululu mwa kupanga zochepa, kusintha kosintha moyo kapena kuvomereza mankhwala oyambirira omwe akuyesa-ndi-enieni ogwiritsidwa ntchito ndi ena mofanana. Izi ziphatikizapo:
- Kugwiritsa ntchito kutsogolo kwachindunji ku ululu ndi pogona la dzanja lanu
- Kukulunga malo okhudzidwa molimba ndi zotchinga Ace bandage
- Phunzitsani kupuma kwakukulu kuti mukulitse chifuwa ndi kuchepetsa mpweya
- Kuvala zovala zopepuka, zonyansa
- Kugwiritsa ntchito phukusi lakuda likulumikizidwa mu thaulo lochepa kwambiri ku ululu (kupatula kupweteka kunayambitsidwa ndi chimfine )
- Kusamba madzi ofunda kapena kugwiritsa ntchito magetsi kapena microwaveable pad pad (kupatula kupweteka kunayambitsidwa ndi chinyezi kapena kutentha)
- Kugwiritsira ntchito mankhwala opangira mafilimu monga IcyHot kapena lidocaine creams
- Kutenga mankhwala osagwiritsa ntchito mankhwala opweteka ( NSAID ) monga Advil (ibuprofen)
Mawu Ochokera
Ndizosangalatsa kuzindikira kuti zaka zapitazo, anthu amaganiza kuti MS ndi matenda osapweteka, ngakhale madokotala. Tsopano tikudziwa kuti izi si zoona. Ndipotu kafukufuku amasonyeza kuti pafupifupi theka la anthu omwe ali ndi MS amakumana ndi ululu panthawi ina. Kuwonjezera pa kukumbatirana kwa MS, mitundu ina ya ululu imaphatikizapo trigeminal neuralgia , zozizwitsa m'milendo ndi mapazi, ndi chizindikiro cha Lhermitte .
> Zosowa
> Drulovic J et al. Kufala kwa ululu kwa anthu akuluakulu omwe ali ndi matenda osiyanasiyana: Kufufuza kwapadera kwambiri. Chisoni Med . 2015 Aug; 16 (8): 1597-602.
> National MS Society. Ululu: Mwachidule.