Chosankha kwa iwo omwe sangathe kutenga kapena kupeza mpumulo ku mankhwala
Matenda a chikhodzodzo m'matenda ambiri amapezeka, amawononga pafupifupi 80 peresenti ya anthu. Iwo ali ndi zotsatira zachipatala ndi zamalingaliro, motero, chifukwa zingayambitse matenda opatsirana m'makina, mavuto a impso, kudzipatula, komanso kuchepetsa kudzidalira komanso / kapena moyo wabwino.
Uthenga wabwino ndi wakuti pali njira zothandiza zothetsera chizindikiro cha MS chovutitsa komanso chosasangalatsa.
Mankhwalawa akuphatikizapo miyambo monga njira za moyo ndi mankhwala, komanso osati zachikhalidwe monga jekeseni wa Botox .
Musanayambe kuganizira za Botox ngati chithandizo cha mavuto anu a chikhodzodzo cha MS , ndi zomveka kuyamba kumvetsetsa momwe zikhodzodzo zimagwirira ntchito komanso momwe zimakhudzira MS.
Ntchito Yopatsa Chikhodzodzo
Mu munthu wathanzi, mkodzo umayenda kuchokera pa impso kupita ku ziboda kudzera m'machubu iwiri yotchedwa ureters. Kachilombo kamene kamanyamula mazira oposa anayi mphambu asanu ndi atatu a mkodzo, amawonjezereka, amachititsa mitsempha kutumiza zizindikiro kumsana wa msana (zomwe zimatanthawuza ubongo) kuti chikhodzodzo chiyenera kutaya. Ndondomekoyi ndi yomwe imakupatsani inu kumverera kuti muyenera kukodza.
Ndiye, mutapeza bafa, mitsempha mu ubongo imatumiza zizindikiro kumtsempha wamtsempha kuti ayambe kugwedeza. Panthawi imeneyi, mavitamini anu amatha kutulutsa mkodzo kuchokera pachikhodzodzo.
Pa nthawi yomweyi, mitsempha yanu ya kunja imatulutsa mkodzo kutuluka m'chikhodzodzo, kudzera mu urethra, ndi kunja kwa thupi.
Kuchotsa Chikhodzodzo mu Multiple Sclerosis
Mu multiple sclerosis, mitsempha imatulutsa mitsempha mu ubongo ndi msana umene umayendetsa minofu ya detrusor ndi mitsempha ya kunja.
Izi zingayambitse mavuto atatu a chikhodzodzo:
- Chikhodzodzo chikusunga mavuto
- Chikhodzodzo chotulutsa mavuto
- Chikhodzodzo chophatikizidwa kusunga ndi kuthetsa mavuto
Chikhodzodzo Chosunga Mavuto (Chikhodzodzo Chakudya Chachikulu)
Kwa anthu ena omwe ali ndi MS, mitsempha yotchedwa detrusor imatha kugwira ntchito (kapena kufinya) pamene siyeneranso kuti (pamene chikhodzodzo chako chimanyamula mkodzo pang'ono) ndikukupangitsani kuti muzimva nthawi zonse. Zizindikiro izi zimatchedwa kuti changu chakumidzi komanso nthawi zambiri. Mwinanso mungazindikire kuti mukudzuka usiku kuti mugwiritse ntchito bafa, kapena mungathenso kutaya mkodzo.
Chikhodzodzo Chotsitsa Mavuto (Chikhodzodzo Chokwanira)
Kwa ena, kugwedezeka kosavuta kumakhala kosavuta kotero kuti chikhodzodzo chimawonjezereka popanda kuzindikiritsa ubongo ndi msana zomwe munthu ayenera kuvota. Izi zingachititse kuti mkodzo ukhazikike, kukayikira poyambitsa kukodza, kapena kutayika kwa mkodzo wosadzitetezedwa wotchedwa kukhutura kusadziletsa.
Chophatikiza Chosungiramo Chikhodzodzo ndi Mavuto Okutulutsa
Komabe anthu ena amakumana ndi mitundu iwiri ya mavuto a chikhodzodzo. Pachifukwa ichi, MS zilonda mu ubongo ndi msana zimayambitsa kusagwirizana pakati pa mitsempha ya minofu ndi minofu ya kunja, kuwapangitsa mgwirizanowo panthaŵi yomweyo.
Matendawa mumsampha wa chikhodzodzo mukuyambitsa msanga (monga mukufunikira kuti mubwereke mwadzidzidzi), kukayikira kuyamba kuyamba kukopa, kukopa mkodzo (anthu ambiri amavala padothi), kapena kutaya mkodzo.
Chithandizo Chachizolowezi cha Chikhodzodzo Chachilendo Kapena Chachikazi mu MS
Ngati muli ndi MS ndipo mukukumana ndi zizindikiro za chikhodzodzo chopitirira muyeso (monga kukumana mwadzidzidzi kukodza ndi kukodza nthawi zambiri) katswiri wanu wa matenda a ubongo angayambe kulangiza njira zamoyo ndi mankhwala oletsa anticholinergic.
Njira zamakhalidwe abwino zimaphatikizapo kuchepetsa kumwa khofi ndi kumwa mowa komanso kupeŵa madzi atatha kudya komanso asanagone.
Katswiri wanu wa ubongo angalimbikitsenso kuti amai amavala padothi kapena amuna omwe amavala katheter kondomu kuti athetse nkhawa za kutayika kwa mkodzo patsiku.
Mankhwala a anticholinergic monga Detrol (tolterodine) kapena Vesicare (solifenacin succinate) angathandize kuthandizira kuchepetsa mavota, kuthamanga, ndi kusadziletsa-ngakhale kuti zingayambitse zotsatira zoyipa monga kudzimbidwa, kugona, ndi pakamwa. Musadabwe ngakhale ngati muyenera kuyesa anthu awiri musanapeze mankhwala omwe akukuthandizani.
Mankhwala atsopano otchedwa Myrbetriq (mirabegron) amagwira ntchito posangalala ndi minofu yomwe imayandikira chikhodzodzo, zomwe zimapangitsa kukhala ndi mkodzo wambiri. Kafukufuku amasonyeza kuti ndi othandiza monga anicholinergics pofuna kuchepetsa kusamba kwa ubweya (kupatula osati ngati Vesicare).
Kafukufuku amasonyeza kuti zingakhale bwino kulekerera, chifukwa sizimayambitsa pakamwa youma, zotsatira zochepa za zotsatira za anticholinergics. Izi zikunenedwa kuti, zotsatira zowopsa za Myrbetriq zimaphatikizapo mutu, zizindikiro zozizira, kuwonjezeka kwa magazi, ndi matenda a mkodzo.
Botox Mayi akhale Njira Yotsatira Ngati Mankhwala Osagwira Ntchito
Ngati mukupitiriza kuwona vuto la chikhodzodzo kutulutsa mavuto okhudzana ndi MS wanu ngakhale muli mankhwala oletsa anticholinergic, katswiri wanu wa zamagetsi angapangitse onabotulinumtoxin A (BOTOX) - mankhwala omwe amavomerezedwa ndi United States Food and Drug Administration (FDA) kuti athetse chikhodzodzo chosagwira ntchito.
Kodi Botox Imagwira Ntchito Pochiza Chikhodzodzo Chachilendo ku MS?
Kuphunzira kwakukulu ku European Urology kunayang'ana zotsatira za Botox pochepetsa kuchepa kwa anthu omwe ali ndi chikhodzodzo chopitirira mphamvu kuchokera ku MS kapena kuvulala kwa msana. Zotsatira za phunziroli zatha kuti patapita masabata 12, ophunzira omwe ali ndi MS omwe anachitidwa ndi Botox adamva kusakanizidwa kosakaniza katatu patsiku kuposa omwe ali ndi MS omwe anadwala jekeseni wa placebo.
Kuonjezerapo, phunzirolo linapezanso kuti anthu omwe ali ndi MS omwe anachitidwa ndi BOTOX anaphimba mitsuko pafupifupi 86 milliliters iliyonse kusiyana ndi anthu omwe anali ndi placebo.
Zimene Muyenera Kuyembekezera Panthawi Yanu Yopangidwira Botox
Dokotala wanu ayamba kuyang'ana mkati mwa chikhodzodzo chanu pogwiritsira ntchito cystoscope-chubu lochepa ndi kamera pamapeto.
Dokotala adzalowamo mankhwala osokoneza bongo m'malo osiyanasiyana (pafupi ndi 30) ndi Botox, zomwe zimapangitsa kuti azisangalala. Izi zimathandiza kuti chikhodzodzo chikhale ndi mkodzo kwambiri kuti minofu isagwirizane kapena kutseketsa nthawi zonse, motero kuchepetsa zizindikiro za kufulumira kwa mkodzo, nthawi zambiri, ndi kusadziletsa.
Zotsatira ziwiri zofala kwambiri za BOTOX ndi izi:
- matenda oyambitsa mkodzo
- Kusunga mkodzo mu chikhodzodzo
Pofuna kuteteza matenda a chikhodzodzo kuti asadzachitike chifukwa cha ndondomekoyi, dokotala wanu akhoza kupereka mankhwala omwe amachititsa kale, nthawi, ndi masiku ochepa chithandizo cha BOTOX.
Komanso, chifukwa cha chiopsezo chotsitsa mkodzo pambuyo pa mankhwala a Botox, dokotala wanu akufuna kuonetsetsa kuti mumakhala omasuka kuchita zozizwitsa zokhazokha musanayambe kuchipatala, chifukwa izi ndizovuta.
Ndipotu, mu phunziro lachipatala lomwe talitchula pamwamba pa Urology ya Ulaya, pafupifupi 30 peresenti ya ophunzira omwe sankayenera kudzipangira chithandizo pamaso pa Botox (ndipo ambiri anali nawo MS), anafunikira kudzipatula kuti azisungira mkodzo pambuyo pa mankhwala a Botox .
Botox imakhalanso ndi chenjezo loti likhoza kuchititsa mavuto aakulu, ngakhale kuopsa kwa moyo monga mavuto akumeza, kulankhula, kapena kupuma chifukwa cha kufooka kwa minofu. Poizoni amatha kufalikira kumadera ena a thupi ndipo amachititsa zizindikiro zoopsa ngati zofooka za thupi kapena masomphenya. Ngakhale kuti ndizodziwika, machenjezo awa akutsindika kufunika kokambirana ndi dokotala mosamala komanso mosamala musanakumane ndi Botox.
Mawu Ochokera
Matenda a mitsempha mu MS ndi ofanana, choncho musamade nkhawa kapena manyazi kuti mukambirane ndi dokotala wanu. Nkhani yabwino ndi yakuti pali njira zambiri zamaganizo komanso zamankhwala zomwe zingakuthandizeni kuthana ndi zizindikiro komanso mavuto omwe angakumane nawo-ndipo Botox ndi njira yabwino ngati mankhwala ena samagwira ntchito.
> Zotsatira:
> Zonse. (January 2016). Yavomerezedwa ndi US Food and Drug Administration Administration. Malangizo a Mankhwala: Botox.
> Cruz F et al. Zogwira Mtima ndi Chitetezo cha OnabotulinumtoxinA Odwala Odwala Opaleshoni Yachivundi Chifukwa cha Kuthamanga kwa Neurogenic Kuchita Zopitirira Ntchito: Mlandu Wosasinthika, Wachiwiri-Wachibwana, Wokonzedwa ndi Placebo. Eur Urol. 2011 Oct; 60 (4): 742-50.
> Maman K et al. Kufananitsa kwabwino ndi chitetezo cha chithandizo chamankhwala kwa kayendetsedwe ka chikhodzodzo chochulukirapo: Kufotokozera Zolemba Zowonongeka ndi Kuyerekezera Zokwanira. Eur Urol . 2014 Apr; 65 (4): 755-65.
> National MS Society. (2016). Kulephera kwa Urinary ndi MS .
> Weckx F, Matenda M, De Ridder D, Van der A F. F. Udindo wa Botulinum Toxin A Pochiza Chikhodzodzo cha Neurogenic. Tanthauzirani Androl Urol . 2016 Feb; 5 (1): 63-71.