Njira Zamankhwala ndi Opaleshoni pa Chikhalidwe Chachikhalidwe Ichi
Kusokonezeka kwakukulu kumakhudza anthu mmodzi mwa anthu 20 ku United States ndipo amakula kwambiri pamene ife tikulamba. Ngakhale kuti matendawa sakuwopsyeza moyo, kuwopsya kungakhale kokhumudwitsa komanso kukhumudwitsa anthu ena.
Chifukwa chiwopsezo chimawonjezeka pamene anthu ayesera kugwiritsa ntchito manja awo, akhoza kusintha ntchito za tsiku ndi tsiku, monga kumwa mowa kapena kulembera kalata, kukhala vuto.
Kuphatikizanso apo, ambiri amapeza mantha ndi manyazi.
Kulimbana ndi Kukoma Kofunikira
Anthu ambiri amasankha kusagwedezeka kwambili ndi mankhwala kapena opaleshoni. Ngati kusokonezeka kumangoyambitsa zochepa zokhazokha, zoopsa za zotsatirapo zingapitirire kukhumudwa kwa chivomezicho. Muzochitika izi, anthu amaphunzira momwe angasinthire miyoyo yawo kuti athetseretu chivomezicho. Malangizo ena ndi awa:
- Gwiritsani ntchito dzanja lanu mopepuka ngati momwe mungathere, kapena gwiritsani ntchito manja awiri kuti mukhale nokha.
- Gwiritsani ntchito zivindikiro ndi mitsempha kuti musamamwe zakumwa.
- Samalani ndi zomwe zimapangitsa kuti mantha anu azikulirakulira (nkhawa, caffeine, kutopa) ndipo chitani zomwe mungathe kuti mupewe zinthu zoterezi.
- Gwiritsani ntchito makola olemera komanso zida zodyera.
- Ngati mudyera, funsani nyama kuti idulidwe ku khitchini, kapena muyitanitse zakudya zala zapadera kuti muteteze ziwiya. Taganizirani kupempha kuti magalasi akhale ochepa chabe.
- Sinthani dongosolo lanu lakummawa pogwiritsa ntchito lumo lamagetsi kuti mumeta ndevu, ndi bulusi wamagetsi kuti muwongolere kayendedwe kanu.
- Yambani manja anu mwa kupumula zitsulo zanu pa pepala kapena kutsogolera dzanja limodzi ndi wina mukamachita zithunzithunzi zabwino, monga kugwiritsa ntchito makeup.
- Yesetsani kulembera pamtunda, monga magazini, kuti muthe kulemba. Sinthani mmalo mwa kulembera.
- Sankhani matelefoni ndi mabatani akuluakulu. Ganizirani kugwiritsa ntchito mutu wa makutu kapena foni yamakatulo, komanso kujambula kotchulidwa ndi mawu.
- Ikani makompyuta anu kuti musanyalanyaze kugwedeza kawiri pa keyboard. Ganizirani zamakono zamakono.
Kuchiza kwa Zofunika Kwambiri
Ngati kunjenjemera kuli kovuta kwambiri, mungasankhe kumwa mankhwala kuti achepetse zizindikiro. Mankhwala omwe amapezeka kwambiri ndi beta-blockers , monga propranolol. Kupindulitsa kwa mankhwalawa kumasiyana pakati pa munthu ndi munthu, koma kungakhale kothandiza kuthetsa kusokonezeka kwa dzanja, komanso kukhala ndi zotsatira zowopsa kwa mutu, mawu, ndi lirime.
Mabeta-blockers amakhalanso ndi mankhwala opatsirana, choncho ndizotheka kuti magazi anu amalephereke kwambiri, zomwe zimachititsa kuti musamakhale ndi mankhwalawa. Beta-blockers imathandizanso kuchepetsa mtima kwa kuchepetsa mtima, zomwe zingakhale zovuta ngati mtima wanu uli kale pang'ono. Anthu omwe ali ndi mphumu ayenera kusamala kuti agwiritse ntchito beta-blockers, chifukwa mankhwalawa akhoza kupweteka kwambiri . Ndiponso, kwa anthu omwe ali ndi shuga, propranolol akhoza kusokoneza zizindikiro za hypoglycemia , zomwe zimapangitsa kuti odwala athe kudziwa ngati shuga lawo la magazi liri lotsika.
Primidone ndi mankhwala ena othandiza omwe amawopsa kwambiri. Mankhwalawa ndi anticonvulsant koma amasonyezanso kuti nthawi zina amachititsa kuthetsa kofunikira kwambiri.
Zotsatira zofala kwambiri za primidone zimaphatikizapo kunyoza, chizungulire, kusokonezeka, ndi kugona. Mankhwala ena ambiri amathandiza kwambiri phokoso lalikulu koma samakhala othandiza kuposa propranolol kapena primidone. Mankhwalawa akuphatikizapo
- Atenolol
- Sotalol
- Topamax (topiramate)
- Neurontin (gabapentin)
- Xanax (alprazolam)
Mankhwala omwe amawonekeratu amatengedwa ndi pakamwa, ndipo amathandiza kuwongolera manja kusiyana ndi kunjenjemera kwa mutu kapena mawu. Majekeseni a poizoni wa botulinum A (Botox) awonetsa ntchito zina pochitira mutu kapena kunjenjemera kwa mawu. Majekeseni m'mikono ayesedwa ndi kupambana.
Botox imagwira ntchito yofooketsa minofu, choncho imayesedwa mwatcheru kuti mupewe kufooka komwe kumakhala kolepheretsa kusiyana ndi kunjenjemera kokha.
Kuchiza Opaleshoni ya Zofunika Kwambiri
Pamene kunjenjemera kuli kovuta kwenikweni, ndipo mankhwala sakugwira ntchito, mankhwala opaleshoni angaganizidwe. Izi zimaphatikizapo njira zomwe zimatchedwa stereotaxic thalamotomy kapena thalamic zokopa ubongo.
Thalamotomy yamtunduwu imaphatikizapo kupanga opaleshoni ya opaleshoni m'gulu la thalamus. Ndondomekoyi ndi yosasinthika koma posachedwa inasonyeza kuwonjezeka kopindulitsa ndi zochepa zovuta chifukwa cha kupita patsogolo kwa njira zamaganizo.
Kulimbikitsidwa kwa ubongo kumaphatikizapo ma electrodes poikidwa mu zigawo zina za ubongo zomwe zimachita mantha. Pamene stimulator yatembenuzidwa, zotsatira zake ndikutonthoza ziwalo za ubongo, zomwe zimapangitsa kuti phokoso lichepetse. Izi ndizosinthika komanso zotsatira zabwino kuposa thalamotomy, koma ndizofunika kwambiri ndipo zimafuna nthawi ndi khama kuti zitha kusintha ndi kusintha. Malingana ndi kumene magetsi amayikidwa, mukhoza kukhala ndi zotsatira zoyipa monga kulankhula kosasunthika, paresthesias, kapena zolakwika zapakhosi.
Njira zopangira opaleshoni ziyenera kuganiziridwa ngati mankhwala osagwedezeka ndi kusokonezeka. Kuwonjezera apo, anthu omwe ali ndi vuto lakumvetsetsa ndi matenda osakhazikika akulangizidwa kuti asakhale ndi njira izi.
Zotsatira:
Mayiko Ofunika Kwambiri Pamtengo. Za Zofunikira Kwambiri.
Zesiewicz, TA, ndi al. (2011). Mndandanda wazitsogozo wotsogoleredwa: chithandizo cha zoopsa zofunika: lipoti la Quality Standards subcommittee ya American Academy of Neurology. Neurology, Nov 8; 77 (19): 1752-5. Epub 2011 Oct 19. Ganizirani.
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .