Kusokonezeka maganizo sikuyenera kuchita manyazi ndipo sikuti ndiwe wolakwa. Kwa anthu omwe ali ndi MS, kuvutika maganizo kumachitika ndi machitidwe ovuta, thupi, ndi / kapena machitidwe omwe ngakhale madokotala ndi ochita kafukufuku samvetsa bwino. Nkhani yabwino ndi yakuti kuvutika maganizo kumachiritsidwa m'manja mwa dokotala woyenera.
Kodi Ndi Dokotala Wotani Amene Ndiyenera Kuwona Chifukwa cha Kuvutika Maganizo Ngati Ndili ndi MS?
Ngakhale kuti madokotala onse amatha kupereka mankhwala opatsirana maganizo, katswiri wapadera kwambiri wa zamaganizo ndi katswiri wa zamaganizo.
Chithandizo cha kuvutika maganizo kumafuna kuyang'anitsitsa mosamala komanso njira zothandizira anthu omwe ali ndi matendawa.
Kusokonezeka maganizo mu MS kuli kovuta. Mwachitsanzo, zizindikiro zambiri za MS monga kutopa, mavuto amalingaliro, kuchepa kwa thupi, ndi mavuto ogona akufanizira zizindikiro za kuvutika maganizo komanso mosiyana.
Kuonjezerapo, zina mwa mankhwala ochiritsira matenda a MS, monga mankhwala opatsirana a Avonex ndi Betaseron, ali ndi kupsinjika maganizo ngati zotsatira. Dokotala yemwe ali ndi vuto lonse la MS ndi kuvutika maganizo akhoza "kutsegula" mndandanda wa zizindikiro zanu ndikupeza njira yabwino kwambiri yothandizira.
Njira yabwino yopezera katswiri wa zamaganizo amene ali ndi vuto la MS ndi kufunsa katswiri wanu wa zamagetsi kuti atumizidwe. Mukhozanso kulankhulana ndi ofesi yaikulu kapena chaputala chanu cha National Multiple Sclerosis Society kwa mayina a madokotala omwe ali ndi vutoli komanso MS pamudzi wanu.
Kodi Kuvutika Maganizo Kumadziŵika Motani?
Popeza palibe mayeso a magazi kapena mayesero ena a "biomarker" ovutika maganizo, dokotala wanu adzafika pozindikira za nkhani yanu chifukwa chake mwafuna chithandizo, ndikukufunsani mafunso angapo, ndikuwona khalidwe lanu panthawi yomwe mwasankha. Izi zikunenedwa, madokotala amachita kawirikawiri kufufuza ntchito yanu ya magazi kuti athetse matenda omwe angayesere kuvutika maganizo monga matenda a chithokomiro kapena kuchepa kwa magazi m'thupi .
Kuphatikizanso apo, mwina mudzafunsidwa za mndandanda wa zizindikiro zanu monga chisoni, kutopa, kukhumudwa, mavuto ogona, ndi kudziimba mlandu kapena kusowa chiyembekezo. Dokotala wanu adzafunsanso za momwe mwakhala ndi chizindikiro chilichonse, ndi momwe zizindikiro zanu zimakhalira. Dokotala adzakufunsani za mbiri iliyonse ya kupsinjika maganizo ndi chithandizo, mankhwala aliwonse ndi mowa, mankhwala omwe alipo, achibale omwe ali ndi mbiri ya kuvutika maganizo, ndipo ngati munayamba mwaganizapo kuti mudzipweteke nokha kapena kudzipha. Ngakhale ambiri a mafunsowa sangakhale omasuka, nkofunika kuti muyankhe moona mtima.
Mankhwala Ovutika Maganizo
Pali magulu angapo a mankhwala ovutika maganizo. Zomwe amagwiritsidwa ntchito lero ndi izi:
- Sewerotinin Reuptake Inhibitors (SSRIs): SSRIs ndiwo omwe amalembedwa kwambiri ndi mankhwalawa ndipo amaphatikizapo Prozac (fluoxetine), Zoloft (sertraline), Celexa (citalopram), Paxil (paroxetine), ndi Lexapro (escitalopram).
- Serotonin yosankha ndi Norepinephrine Reuptake Inhibitors (SSNRIs): Effexor (venlafaxine) ndi Cymbalta (duloxetine hydrochloride) ndi ma SSNRI awiri omwe nthawi zina amagwiritsidwa ntchito pochiza matenda. Cymbalta imagwiritsidwanso ntchito pochiza ululu wa m'magazi ndipo ikhoza kukhala njira yabwino kwa anthu omwe ali ndi ululu ndi kupsinjika maganizo.
- Matenda a Tricyclic Operewera Maganizo : Tricyclic antidepressants, monga Elavil® (amitriptyline) ndi Pamelor® (nortriptyline), amakhala ndi zotsatira zoyipa monga kugona, kudzimbidwa kapena kusowa kwa mkodzo. Izi zingachititse kuti zizindikiro zanu za MS zimveke moipa kwambiri. Choncho sizimagwiritsidwa ntchito ngati chithandizo choyamba cha kuvutika maganizo mu MS. Komabe, pofuna kupanikizika kwa mankhwala, akhoza kugwiritsidwa ntchito okha kapena kuphatikiza ndi mankhwala ena.
Momwe dokotala wanu amasankhira matenda anu opatsirana pogonana amachokera ku zinthu zingapo monga zotsatira za mankhwala, nthawi zambiri zomwe zimatengedwa, zizindikiro zanu zovuta kwambiri kapena zodetsa nkhawa, ndalama, ndi zomwe mumakonda monga wodwala.
Zimene Mukuyenera Kudziwa Zokhudza Kusokonezeka Maganizo Anu
Ndikofunika kudziwa kuti odwala matenda opatsirana amatha kutenga masabata asanu ndi limodzi kapena asanu ndi atatu kuti akwaniritse zotsatira zake. Muyenera kuyembekezera kukhala ndi maimidwe a nthawi zonse ndi dokotala wanu, makamaka mukayambanso mankhwala atsopano, kotero amatha kuyang'ana momwe mukuyankhira pa mankhwalawa ndi kudziwa ngati kusintha kwa mlingo kuyenera kuchitidwa.
Kumbukirani, ndizosavuta kuti mankhwala abwino kwambiri muyezo wangwiro amalembedwa nthawi yoyamba, chifukwa aliyense ali wapadera poyankha. Kuchita bwino kupanikizika kumafuna kuleza mtima ndi mgwirizano kuchokera kwa dokotala ndi wodwala, koma mphotho ndiyothandiza khama.
Komanso, kafukufuku wasonyeza kuti njira yabwino kwambiri yothandizira kuvutika maganizo mu MS ndi kuphatikiza mankhwala omwe ali ndi mankhwala opatsirana pogonana ndi "kulankhula mankhwala" kapena psychotherapy. Katswiri wanu wamaganizo angapereke psychotherapy yekha kapena kugwira ntchito limodzi ndi katswiri wa maganizo omwe angakulozereni. Komanso, chaputala chanu cha MS Society chingakupatseni mndandanda wa magulu othandizira a MS kumudzi kwanu kapena odwala omwe akugwira ntchito ndi anthu omwe ali ndi MS.
Zotsatira
Goldman Consensus Group. Nyuzipepala ya Goldman Consensus yonena za kuvutika maganizo mu multiple sclerosis. Gulu lachigulu r. 2005 Jun; 11 (3): 328-37.
National Multiple Sclerosis Society. (2016). Kusokonezeka maganizo.