Ngakhale kuti ali ndi matenda a ubongo, pali kusiyana kwakukulu kwakukulu
Pali mitundu yoposa 100 ya mitsempha ya m'mimba, malinga ndi National Institute of Neurological Disorders ndi Stroke, ndipo imagawidwa chifukwa cha kuwonongeka kwa mitsempha yomwe imayambitsa.
Mwachitsanzo, ziwalo zina za m'mimba zimakhudza mitsempha imodzi yokha (yotchedwa mononeuropathies) pamene ena amachititsa mitsempha yambiri (yotchedwa polyneuropathies). Kuonjezera apo, ziwalo zina zokhudzana ndi matenda a mitsempha zimachokera ku kuwonongeka kwa mitsempha ya mitsempha pamene ena amachokera ku kuwonongeka kwa sheel ya myelin (ndi ena onse).
Ngakhale kuti matenda opatsirana m'mimba amatha kufotokozera zizindikiro zochepa zomwe zimapezeka ndi multiple sclerosis (MS), monga ululu ndi zozizwitsa, ndizofunika kumvetsetsa izi ndi matenda osiyana kwambiri.
Tiyeni tiwone bwinobwino kusiyana kwakukulu pakati pa pulogalamu ya ubongo ndi multiple sclerosis.
Kusiyanitsa # 1
Matenda a Mitsempha
Mphuno ya m'mimba imatanthawuza kuwonongeka kwa mitsempha yokhudza mitsempha ya mitsempha, yomwe imakhala ndi mitsempha ya kunja kwa ubongo ndi msana. Mitsempha yowonongeka imakhala yopweteka komanso imapweteka kwambiri, kumva ululu, ndi kupweteka. Zambiri zosaonekazi zimakhudza kwambiri mapazi, miyendo ya pansi, ndi manja. Kufooka kwa mitsempha kungathekanso kupezeka kwa anthu omwe ali ndi matenda aakulu a ubongo.
Multiple Sclerosis
Mosiyana ndi mitsempha ya m'mimba, MS imakhudza dongosolo lalikulu la mitsempha, lomwe lili ndi ubongo, mitsempha ya optic, ndi msana.
Mitsempha ya pakatikati ya mitsempha imayambitsa kuwonongeka kwa nthawi, yomwe imalepheretsa kulankhulana ndi dongosolo la mitsempha lapakati. Zowonongeka izi zingayambitse kupweteka kwapadera, kupweteka, ndi kufooka kosadziwika ndi zomwe zimayambitsa matenda a ubongo.
Kufooka kwa minofu kawirikawiri kumayambira ndi MS.
Ndipotu, kufooka kwa minofu kumafala mobwerezabwereza komanso kumakhala kolimba kwambiri kuposa momwe nthawi zambiri zimawoneratu m'mimba.
Kusiyana # 2: Zomwe Zimayambitsa Zowoneka
Matenda a Mitsempha
Kuwonongeka kwa ubongo kumaphatikizapo gulu la mavuto ndi zifukwa zosiyana zomwe zimayambitsa. Ngakhale kuti matenda a shuga ndi omwe amachititsa kuti anthu azivutika kwambiri ndi matenda a m'mimba pakati pa anthu a ku America, matenda ena ambiri angakhale okhumudwitsa. Zitsanzo zina ndi izi:
- Matenda a impso
- Hypothyroidism
- Matenda ena omwe amadzimadzimadzimodzi (mwachitsanzo, systemic lupus erythematosus kapena nyamakazi ya nyamakazi)
- HIV
- Matenda a herpes simplex
- Zoizoni, monga kutsogolera, mercury, ndi kumwa mowa kwambiri
- Kuwonongeka kwa mitsempha yovulaza
- Mowa mopitirira muyeso
- Mankhwala ena (mwachitsanzo, mankhwala ena a kachilombo ka HIV ndi chemotherapies)
Multiple Sclerosis
Ngakhale pali mitundu yambiri ya pulogalamu ya ubongo, pali mitundu inayi yokha ya MS , yomwe imakhala yowonjezeredwa kwambiri (reRS). Mu RRMS, zilonda zimachitika mu ubongo ndi msana, chifukwa cha kutupa kobwerezabwereza. Kutupa uku kumachokera ku chitetezo cha mthupi cha munthu chomwe chimayambitsa chiwalo cha myelin cha mitsempha ina.
Kusiyana # 3: Kudziwa
Matenda a Mitsempha
Kudziwa chomwe chimayambitsa matenda anu ndikupeza matenda amayamba ndi mbiri yakale ya zachipatala, kuphatikizapo kuyang'anitsitsa mosamala za zizindikiro zonse zomwe mwakhala mukukumana nazo.
Zotsatirazi ndizochitika mwakuthupi ndi kufufuza kwathunthu kwa magazi.
Malingana ndi zotsatira za kuyesa koyambirira, ngati dokotala akudandaula kuti akudwala matenda a ubongo, akhoza kupatsiriza kuyesedwa kwina komwe kungaphatikizepo ntchito ya magazi, MRI, ndi / kapena mayeso a mitsempha, monga electromyography (EMG) ndi / kapena mitsempha yopanga mitsempha (NCV) mayeso.
Multiple Sclerosis
Kuti adziwe kuti ali ndi MS, dokotala wanu adzalanditsanso MRI, ndipo akhoza kupanga lumbar . Ntchito yamagazi imagwiritsidwanso kawirikawiri pofuna kuthetsa mavuto omwe amatha kukhala ngati a MS.
Kusiyana # 4: Chithandizo
Matenda a Mitsempha
Mukachidziwitsidwa, inu ndi dokotala wanu mugwire ntchito limodzi pa dongosolo la mankhwala.
Pochiza matenda opatsirana m'mimba, dokotala wanu adzakambirana chifukwa chake. Mwachitsanzo, ngati matenda a shuga ndi omwe amachititsa kuti munthu asatenge shuga, ndiye kuti cholinga chake chachikulu ndi cholinga chachikulu.
Ngati mankhwala kapena poizoni akuyambitsa zotsatira, kuchotsa kapena kuimitsa wothandizira (ngati n'kotheka) n'kofunika.
Nkhani yabwino ndi yakuti mapaipi a mitsempha m'thupi mwanu amatha kubwerera, kotero kuti kuchiza vutoli likhoza kusintha (ngakhale kuchiza, muzochitika zina) munthu wodwala matenda a ubongo.
Chifukwa cha ululu woopsa wa matenda a ubongo, dokotala wanu angapereke mankhwala amodzi kapena angapo awa:
- Nonsteroidal anti-inflammatories (NSAIDs)
- Ena otetezera maganizo monga Elavil (amitriptyline) kapena Cymbalta (duloxetine)
- Anticonvulsants ena ngati Lyrica (pregabalin) kapena Neurontin (gabapentin)
- Mankhwala opatsirana monga topical lidocaine kapena capsaicin
- Tapentadol (kokha kwa matenda a shuga a m'magazi)
Kuwonjezera pa mankhwala, kupweteka kwina kulimbana ndi mankhwala omwe angathe kulangizidwa, kuphatikizapo:
- Kusintha kwa magetsi kumagetsi (TENS)
- Mankhwala othandizira monga kupopera thupi kapena kusisita
- Zizolowezi za moyo (mwachitsanzo, kusuta fodya, kuchita masewera olimbitsa thupi, ndi kusamalira mapazi nthawi zonse ngati muli ndi shuga)
- Kuchitidwa opaleshoni-chifukwa cha matenda ena am'mimba omwe amachititsa kuti mitsempha imodzi imveke (mwachitsanzo, matenda a carpal tunnel)
Multiple Sclerosis
Mankhwala a multiple sclerosis ndi awiri, kuphatikizapo mankhwala othandizira matenda (kuthana ndi kutupa kwa MS) ndi mankhwala othandiza munthu kusamalira zizindikiro zawo zosiyana.
Chifukwa chodziwika bwino mu MS, dokotala wanu angapangire mankhwala ena omwe amachititsa kuti asakhale ndi vuto lopweteka m'mimba monga Cymbalta (duloxetine) kapena Neurontin (gabapentin).
Ngati nthenda ya ubongo yanu ili mbali ya MS kachiwiri kapena makamaka kukhumudwitsa, dokotala wanu angapereke kochepa ya corticosteroids.
Mawu Ochokera
Ngakhale kuti mungayesedwe kuti muwone kuchepetsa dokotala wanu, zizindikiro za mchitidwe wamanjenje siziyenera kunyalanyazidwa. Ngati muli ndi zizindikiro zomwe zingakhale zogwirizana ndi matenda a ubongo kapena MS, dokotala wanu adzachita zofunikira kuti apeze matenda oyenera.
Pamene mukudikirira tsiku lanu losankhidwa, ndizothandiza kulembera zizindikiro zanu kuti mutha kuwafotokozera mwatsatanetsatane, pamodzi ndi zochitika zilizonse zomwe zikuchitika, ndi zinthu zilizonse zopweteka kapena zopweteka.
> Zotsatira:
> Afialo M, Morlion B. Kuchita bwino kwa tapentadol ER poyang'anira kupweteka kosalekeza kosautsa. Pain Physician . 2013 Jan; 16 (1): 27-40.
> Aminoff MJ, Daroff RB, eds. Encyclopedia of the Neurological Sciences . 2d. Waltham, MA: Maphunziro a Maphunziro; 2014.
> Hersch CM, Fox RJ. (2014). Multiple Sclerosis. Kampani ya Cleveland Clinic ya Maphunziro a Pitirizani Maphunziro.
> Levin MC. Multiple Sclerosis (MS). Mu: Porter RS, Kaplan JL, Lynn RB, et al. Merck Manual Professional Version .
> National Institute of Neurological Diseases ndi Stroke. (2014). Zolemba zapachipatala Zolemba Zolemba.