Kodi mapazi anu kapena miyendo yanu ndi moto, makamaka usiku kapena mutatha kuyenda? Kodi mumachepetsa bwanji vutoli loyaka moto komanso molimbika kwambiri, momwe mukulimbana ndi vutoli?
Zowawa sizinsinsi mwa multiple sclerosis (MS) -ndizofala ndipo zingathe kulepheretsa kwambiri komanso kudzipatula. Ndipotu, kafukufuku akusonyeza kuti pafupifupi 55 peresenti ya anthu omwe ali ndi MS amakumana ndi ululu waukulu panthawi yomwe akudwala matendawa.
Izi zikuti, ngakhale pali mitundu yosiyanasiyana komanso malo ovutika mu MS, kupweteka kosautsa kumapazi ndi mapazi ndi chimodzi mwazodziwika bwino.
Mapazi Otentha: Chitsanzo cha Kupweteka kwa Dysthesthetic
Chimodzi mwa zizindikiro zoyamba kwambiri za MS ndizovuta kusokonezeka, zomwe zimatchulidwa kuti ndizopanda kanthu, kumangirira, kapena "zikhomo ndi singano."
Kwenikweni makamaka, pamene ululu wosadziwika ndi wowopsya (monga kuwotcha kapena mapazi otentha), chisokonezo chimatchedwa dysesthesia. Anthu omwe amamva kupweteka kwa m'mimba amatha kufotokozera m'njira zosiyanasiyana, malinga ndi zomwe amamva, monga kutentha, kuyimba, kupweteka, kapena kuyabwa.
Dysesthesias ikhoza kuchitika payekha ("mwachisawawa") kapena kukwiya ndi zokopa (mwachitsanzo, mukaika nsapato kapena pamene zitseko zakhudza mapazi anu). Kuwonjezera apo, ndizofunikira kuzindikira kuti ngakhale dysesthesias mu multiple sclerosis ndizovuta kuchitika miyendo kapena mapazi, zikhoza kuchitika paliponse m'thupi.
Ndipotu, chizindikiro chodziwika bwino cha MS chimatchedwa MS hug , chomwe chimayambitsa kugwedezeka kapena kolimba, kumverera ngati bulu kuzungulira thunthu la munthu.
Pomaliza, kuwotcha mapazi kapena dysesthesia kungakhale koopsa usiku komanso pambuyo pochita masewera olimbitsa thupi kapena zochitika zina kapena chilengedwe chomwe chimapangitsa kutentha kwa thupi la munthu-izi zimatchedwa kuti Uhthoff .
Chifukwa cha Mapazi Anu Otentha
Monga zizindikiro zina zokhudzana ndi MS, chifukwa cha kutentha kwa mapazi anu chikukhudzana ndi kuwonongeka kwa myelin m'katikatikati mwa mitsempha yamkati, ndipo panopa, mwinamwake, chingwe cha msana.
Chimake cha myelin ndi chophimba chozungulira chozungulira mitsempha ya mitsempha. Popeza chiwalo cha myelin chimalola kuti zizindikiro za mitsempha zizifalikira mofulumira komanso mwaluso, kamodzi kowonongeka, kulankhulana kwa mitsempha kumasokonezeka, kotero zizindikiro sizikutumizidwa bwino. Izi zingachititse mauthenga olakwika komanso m'njira yovuta, chifukwa ubongo umamasula zizindikiro zopweteka ngati palibe chifukwa chowawa.
Ndizosangalatsa kuzindikira kuti ululu wokhudzana ndi MS wosagwirizana ndi chiwerengero cha zilonda za MS zomwe munthu ali nazo pa MRI kapena ngakhale zilondazo zilipo. Mwa kuyankhula kwina, iwe uli ndi ululu mwina si chizindikiro chakuti MS yako ikuipiraipira. M'malo mwake, ndizochepa kapena zocheperanso za matenda osadziwika.
Kuchitira Mapazi Anu Otsatsa
Kupweteka ngati kutenthedwa kapena mapazi otentha n'kofunika kuti muthe kukambirana ndi dokotala wanu. Sikuti mukuyenera kuti mumve bwino, koma mukuyenera kukhala ndi zofunikira, tsiku ndi tsiku zofunikira ndi zotsitsimula za moyo monga kugona, kudya, ndi kuyanjana ndi ena, ululu umene ukhoza kusokoneza.
Dziwitseni Nokha
Palibe njira yabwino yothetsera mapazi otentha kapena zowawa zina zokhudzana ndi MS. Ndipotu, nthawi zambiri munthu amafunika kuchita njira zosiyanasiyana mpaka atapeza zomwe zimagwira ntchito, ndondomeko yoyesera komanso yolakwika.
Ngakhale zili choncho, pali zina zomwe zingathandize kuchepetsa vuto lanu:
- Valani kukakamiza kapena kutsekemera kolimba-izi zimasintha momwe ubongo wanu umadziwira zovuta kuchokera ku "kutentha" kumodzi kwa "kukakamizidwa."
- Ikani compress ozizira pa khungu la mapazi anu kapena mutenge mapazi anu mu poto la madzi ozizira, izi zimasintha momwe ubongo wanu umadziwira kutentha.
- Pitani kusambira kapena kutenga kusamba kofunda kapena kusamba.
- Imani nsapato pazirala yozizira.
- Ikani fanesi pafupi ndi mapazi anu.
Njira zina zomwe zingachepetse kupweteka (nthawi zambiri kuphatikiza ndi mankhwala kapena mankhwala omwe ali pamwambapa) ndi awa:
- Zosokoneza (mwachitsanzo, kugona, kutambasula, kupita ku kuyenda, kapena kuyang'ana kanema)
- Kuchiza
- Manyala
- Nyimbo
Mankhwala
Mavuto owoneka ngati mapazi otentha nthawi zambiri amafika, koma mwa anthu ena, amasintha kukhala odwala matenda aakulu. Izi zikhoza kukhala zovuta ngati dongosolo la manjenje la munthu limakhala lolimbikitsidwa ndi ululu, kutanthauza ngakhale kuyenda pamwala pang'ono kapena kukhala ndi munthu wonyamula phazi lanu kungathe kumasuliridwa ndi ubongo wanu ngati ululu waukulu.
Apa ndi pamene kumwa mankhwala kungakhale kothandiza. Mankhwala amene akatswiri a zachipatala amagwiritsa ntchito nthawi zina kuti amve zowawa ngati moto kapena mapazi otentha ndi awa:
- Mankhwala osokoneza bongo monga Neurontin (gabapentin) kapena Lyrica (pregabalin)
- Wopanikizika monga Elavil (amitriptyline) kapena Cymbalta (duloxetine)
- Mzere wa benzodiazepine Klonopin (clonazepam) kapena Valium (diazepam)
Zovuta za mankhwalawa ndizoti zimakhala ndi zotsatirapo. Mwachitsanzo, mankhwala ambiriwa amabweretsa kutopa. Nthawi zina, njira yowonjezera ikhoza kuchepetsa zotsatira zake (mwachitsanzo, kumwa mankhwala usiku); koma nthawi zina, zotsatira zamkati zimatha kukhala zolemetsa kuposa vuto.
Komabe, musataye mtima, khalani otsimikiza kuti mutayang'anitsitsa, inu ndi dokotala mukhoza kupeza mankhwala abwino pa mlingo woyenera womwe umakuthandizani kuti mukhale bwino.
Njira Zochiritsira Zina
Nthaŵi zambiri, kumwa mankhwala pamodzi ndi kutenga mankhwala othandizira kungakhale kothandiza kuthana ndi ululu wokhudzana ndi MS. Zitsanzo za mankhwala othandizira omwe angakuthandizeni kuchepetsa ululu wanu ndi awa:
- Biofeedback
- Hypnosis
- Yoga
- Kusinkhasinkha mwalingaliro
Psychological Therapies
Ndikofunika kukumbukira kuti kupweteka ngati kutentha, mapazi otentha angayambe kuwononga thanzi lanu labwino. Mukhoza kukhala ndi zizindikiro za kupsinjika maganizo kapena / kapena kumverera makamaka mantha kapena nkhawa panthawi yomwe mudzamva mpumulo ku ululu kapena zomwe zikutanthauza tsogolo lanu ndi MS.
Kuphatikiza pa kufunafuna njira zothetsera mavuto anu, chonde funani njira zothetsera vuto lanu la maganizo. Izi zingatanthawuze kupeza gulu lothandizira kapena kuwona wothandizira yemwe ali mwapadera pa matenda okhudzana ndi umoyo.
Mawu Ochokera
Kumva ululu wa MS kuli kwenikweni, kotero chonde dzivomerezeni, ndipo musalole kuti ena akuuzeni mosiyana. Kupweteka kwanu sikuli pamutu mwanu, malingaliro anu, kapena njira zomwe mukufuna kuti muzisamala. Mukachivomereza, khalanibe olimbikira muyeso lanu kuti muzisamalira nokha.
Kumbukiraninso kuti ululu wanu umayang'aniridwa ndi dokotala musanamve ngati wokhudzana ndi wanu MS. Mwa kuyankhula kwina, ululu wanu ukhoza kukhala chifukwa cha matenda ena-choncho khalani otetezeka ndipo muwoneke.
> Zotsatira:
> 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. (nd). Ululu.
> Seixas D, Foley P, Nyumba J, Lima D, Ramos I, Tracey I. Kupweteka kwa matenda ambiri: Kuwongolera mwatsatanetsatane kafukufuku wamakono. Chipatala cha Neuroimage . 2014; 5: 322-31.