Onetsetsani kuti ululu wanu wam'mbuyo umachotsedwa, chifukwa sizingatheke kuchokera kwa MS
Kodi muli ndi kupweteka kwapweteka kwapang'ono ndi kukafunsa ngati mukugwirizana ndi multiple multiple sclerosis ? Ngati ndi choncho, simuli nokha, popeza munthu mmodzi mwa anthu asanu alionse omwe ali ndi MS amamva ululu.
Ngakhale kuti ululu wanu wam'munsi umakhala ngati thanthwe lina pamapiri anu omwe ali ndi zovuta zowononga za MS, dziwani kuti pali njira zothetsera vuto lanu.
Tiyeni tiwone bwinobwino "chifukwa chake" kumbuyo kwa ululu wanu wam'munsi mu MS, ndi momwe mungayendetsere bwino.
Zimayambitsa ndi Chithandizo cha Kumva Kwambiri Kumbuyo ku MS
Pali ochepa omwe angakhale okhudzidwa ndi MS omwe amachititsa kupweteka kwa msana komanso kudandaula chifukwa chomwe chingayambitse nthawi.
Pamapeto pake, kuyeserera bwino ndikofunika, kotero mukhoza kupita patsogolo ndi ndondomeko yabwino ya mankhwala.
Kuthamanga
Kuthamanga ndi chizindikiro chofala ku MS ndipo makamaka chimayambitsidwa ndi kutaya thupi , kumene mitsempha imasonyeza kuti minofu imachepetsanso kapena imasokonezedwa. Ngakhale kuperewera kwachinsinsi kumatanthawuza kuwonjezeka kwa minofu ndi misampha yosalamulirika, anthu omwe ali ndi tsankho nthawi zambiri amafotokoza zosiyana siyana monga:
- Kuuma
- Kugwedeza
- Kukoka
- Kutseka
- Kupina
- Kulimbitsa
Kupusa kumakhala kosiyana pakati pa munthu ndi munthu, monga zizindikiro zina za MS. Mwachitsanzo, munthu akhoza kuwona kuti miyendo yake imakhala yosavuta yomwe imakhudza ntchito yawo ya tsiku ndi tsiku. Ena akhoza kukhala ndi vuto lalikulu la mwendo lomwe limayambitsa kupweteka kopweteka komwe kumalepheretsa kuyenda.
Kodi kupweteka kumagwirizana bwanji ndi ululu wam'munsi? Ngakhale kuti nthawi zambiri anthu amatha kusokoneza ana a ng'ombe, ntchafu, kubuula, ndi matako, zimayambitsanso kumangiriza ndi kuzungulira.
Chithandizo cha kupatsirana komwe kumakhudza kumbuyo kwanu kawirikawiri chimaphatikizapo kuphatikiza mankhwala onse ndi mankhwala.
Mankhwalawa angaphatikizepo:
- Kutentha mankhwala
- Kuchiza
- Thandizo la thupi kuphatikizapo kutambasula ndi kayendedwe ka kayendedwe ka kuyenda
- Zosangalatsa zamtundu monga Zanaflex (tizanidine)
- Mankhwala osokoneza bongo monga Neurontin (gabapentin)
- Benzodiazepine
- Nthendayi yamlomo
Anthu omwe sagwirizane ndi mankhwala omwe ali pamwambawa angafunike mankhwala kapena mankhwala ambiri omwe akutsatira:
- Botox jekeseni
- Bungwe la intrathecal baclofen pump (baclofen ndi minofu yotsitsimula)
Pomalizira, kupeĊµa zokopa ndi njira ina yowonjezera kuwononga kwanu mwapang'ono. Zitsanzo za zovuta zomwe zingakukhumudwitseni ndikuphatikizapo kutentha kwa moto (kutchedwa kuti Uthoff phenomenon ), matenda, kusintha kwadzidzidzi pamalo kapena kuyenda, zovala zolimba kapena zovuta, kapena chikhodzodzo chonse.
Chizindikiro cha Lhermitte
Chinthu chimodzi chomwe chimayambitsa kupweteka kwa m'mbuyo mu multiple sclerosis ndi chodabwitsa chotchedwa Lhermitte chizindikiro , chomwe chimatanthawuza kumverera kochititsa mantha kapena "magetsi amphamvu" omwe amayenda mofulumira kumbuyo kwa mutu wa munthu kupyola msana wawo.
Chisoni ichi chimachitika pamene munthu agwedeza khosi lawo patsogolo (mwachitsanzo, kuchotsa mkanda kapena kumanga nsapato zawo). Kumverera kumakhala kanthawi kochepa ndipo kumachoka kamodzi pamene munthu amasunthira mutu wawo.
Choyambitsa chizindikiro cha Lhermitte ndicho chifukwa cha MS zilonda m'kati mwa msana (pamwamba pa msana wanu womwe uli ndi khosi lanu). Zomwe zimakhala zovuta komanso zosazolowereka ndizakuti mankhwala ena ndi njira zomwe zingathandize kuchepetsa ululu kuti usachitike. Chitsanzo chimodzi cha mankhwala omwe dokotala wanu angakupatseni ndi mankhwala oletsa kupweteka otchedwa Neurontin (gabapentin).
Sikuti nthawi zonse mumayenera kumwa mankhwala kuti muwone chizindikiro cha Lhermitte. Mwa kuyankhula kwina, mankhwala monga Neurontin kawirikawiri amasungidwa kwa omwe amapeza chizindikiro cha Lhermitte kuti chiwonongeke, kutanthauza kuti kukhumudwa kumakhudza umoyo wawo ndi / kapena ntchito tsiku ndi tsiku.
Matenda Osokonezeka
Chinthu chinanso chimene chimayambitsa kupweteka kwa m'mbuyo ku MS chikugwirizana ndi mavuto omwe amachokera ku kusayima. Mwachitsanzo, ngati munthu amene ali ndi MS akugwiritsa ntchito ndodo yake kapena zipangizo zina zothandizira molakwika, kupweteka kwa msana kumatha.
Pofuna kuthetsa vuto lomwe lili ndi MS, ngati mwendo wathanzi kapena phazi, munthu akhoza kuyenda mozizwitsa kapena kugawira zolemera zawo, ndipo izi zingawonongeke m'mbuyo. Kukhala pansi pa olumala tsiku lonse kungayikenso kupanikizika kosavuta kumbuyo kwa munthu.
Mofananamo, zizindikiro zosiyanasiyana za MS zingayambitse kuika maliro olakwika. Tangoganizani ngati munthu ali ndi vuto la miyendo. Izi zikhoza kupsinjika pamaganizo a munthu ndi ziwalo kumbuyo kwake kumapweteka-kuyankhula kovuta, kumapweteka, kumapweteka kwambiri.
Njira zothetsera kapena kuthana ndi izi zimayambitsa zowawa za m'mimba zimaphatikizapo:
- Maphunziro abwino pogwiritsa ntchito chipangizo chanu chothandizira
- Kuchiza thupi
- Kutentha mankhwala
- Kuchiza
Nonsteroidal anti-inflammatories (NSAIDs) ingathandizenso pakanthawi kochepa kuti athetse kutupa kovuta. Izi zati, onetsetsani kuti mutenge kwa dokotala musanatenge imodzi. NSAID zingayambitse matenda a impso, chiwindi, mtima, kapena m'mimba ndipo sizikhala zotetezeka kapena zoyenera kwa aliyense, ngakhale zina zilipo pompano (mwachitsanzo, ibuprofen).
Mavuto Ochepa Amene Sali Ochokera ku MS
Ndikofunika kuzindikira kuti kupweteka kwa m'mbuyo kumakhala kofala kwa anthu ambiri, kutanthauza kuti anthu ambiri amachiwona, mosasamala kaya ali ndi MS kapena ayi. Ichi ndichifukwa chake ndi kofunika kuti mupeze matenda opweteka kwambiri, osati kungoganiza kuti ndi ochokera ku MS.
Zitsanzo za zomwe zimayambitsa zowawa za m'mimba mwa anthu ambiri zimaphatikizapo:
- Sciatica kapena m'munsi mwa msana
- Mimba ya msana
- Matenda osokoneza bongo / osokonezeka chifukwa cha zoopsa kapena zovulaza
Inde, pali zambiri zochepa, koma zifukwa zazikulu zowononga kupweteka kwa m'mbuyo kuphatikizapo:
- Khansara yomwe yafalikira ku msana (wotchedwa kansa ya metastatic)
- Matenda a Cauda equina
- Kutenga (mwachitsanzo, vertebral osteomyelitis kapena kupweteka kwa msana)
- Kupwetekedwa kwapopedwe mu vertebrae (kupumphuka m'fupa komwe kumathandiza kupanga msana wako)
Ngakhale zili choncho, anthu ena omwe ali ndi MS angathe kukhala ovuta kwambiri pazifukwa zingapo. Mwachitsanzo, kutenga corticosteroids kumapangitsa munthu kutenga chiopsezo chotenga kachilombo ka HIV, komanso kupweteka kwa matenda a mitsempha.
Pomalizira, nthawi zina munthu amaganiza kuti ululu wawo umachokera kumbuyo kwawo pamene kwenikweni akutchulidwa kumeneko.
Zitsanzo zowononga zopweteka zimaphatikizapo:
- Mafinya ngati matenda opweteka m'mimba
- Prostatitis
- Matenda a impso
- Herpes zoster
- Mimba ya aortic aneurysm
- Matenda opatsirana monga kupweteka kwa matenda kapena chilonda cha zilonda
Mawu Ochokera
Pamapeto pake, ndikofunika kunena kuti ngakhale kupweteka kwapweteka kwapadera ndi matenda amodzi opweteka a MS, anthu omwe ali ndi multiple sclerosis angawononge mitundu ina ya ululu, monga:
- Matenda a m'mimba, miyendo, manja, ndi manja
- Mutu
- Trigeminal neuralgia
- MS Hug
Kuti amvetsetse nkhani, anthu ena amamva kupweteka kwapweteka komwe kumachokera ku chitsime chimodzi (mwachitsanzo, MS ndi vuto lina la matenda monga minofu yotuluka kuvulala kapena sciatica). Kapena amawona zomwe madokotala amachitcha kuti "ululu wosakanikirana," kutanthauza kuti njira zambiri za MS zimayambitsa vuto lawo.
Zonsezi, mutsimikizidwe kuti pamodzi ndi adokotala anu mungapeze njira zothandizira kuti mukhale bwino, mthupi komanso m'maganizo. Zingatenge kuleza mtima pang'ono ndi zina mwazovuta, koma njira yabwino yochizira ndi yopaleshoni ingapangidwe.
> Zotsatira:
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> Foley et 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.
> Maloni H. (2016). National MS Society: Ululu mu Multiple Sclerosis.
> Truini A, Barbant P, Pozzilli C, Cruccu G. Njira yothetsera ululu mu multiple sclerosis. J Neurol. 2013 Feb; 260 (2): 351-67.