Pezani chomwe chimayambitsa chizindikiro ichi cha MS ndi momwe mungachizindikire
Aliyense amakhala ndi mutu nthawi zina. Komabe, kafukufuku wina akusonyeza kuti anthu omwe ali ndi multiple sclerosis (MS) akhoza kukhala ovuta kwambiri ku migraines ndipo mwinamwake matenda ena ammutu, monga kupweteka kwa mutu kapena ngakhale kawirikawiri, mutu wa masango .
Mitundu ya kumutu kwa mutu wa MS
Pali mitundu itatu ya mitu yoyamba yamutu yomwe imayesedwa ngati yomwe ingagwirizanitsidwe ndi multiple sclerosis:
Migraines
Migraines ndi wamba mwa anthu omwe ali ndi MS obwezeretsanso. Amatha pakati pa maola anayi ndi 72 ndikukhala ndi zina zotsatirazi:
- Kukonzedweratu ndi ma aura (zolakwitsa kapena zolakwika zomwe zikuwonetsa kuti mutu uli pafupi kuyamba) kapena zizindikiro za prodrome (kuphatikiza kutopa, njala, kapena nkhawa)
- Kugunda pa mbali imodzi kapena zonse ziwiri za mutu
- Kutsogoleredwa ndi kuzindikila kuunika kapena phokoso
- Kutsogoleredwa ndi kunyoza, kusanza, kapena kusowa kwa njala
- Zimatsatiridwa ndi kupweteka kochepetsetsa komanso kusokonezeka
Anthu ena amapeza kuti kupuma kwapatali kumathandiza kuthetsa zizindikiro zina zotsalira.
Mutu wamutu wa Cluster
Kumutu kwa mutu kumayamba ngati kutentha kwakukulu kumbali imodzi ya mphuno kapena mkati mwa diso limodzi. Amakonda kukhala ndi mphindi 15 kapena maola atatu okha. Makhalidwe, ululu:
- Zimamveka mofulumira
- Amamva ngati kusokonezeka kwa magetsi kapena "kupasuka" mkati kapena kumbuyo kwa diso
- Zimangokhala pa mbali imodzi ya nkhope
- Amadza popanda chenjezo (mosiyana ndi ambiri migraines)
- Amayamba kubwereza nthawi yomweyo tsiku lililonse (nthawi zambiri atangogona tulo), kawirikawiri kwa nthawi ya masabata angapo
- Zingapangitse maso kumadzi, mphuno kuthamanga, kapena maso ake kuti ayambe kugwa
- Kutsimikiza kwathunthu (mpaka mutu wotsatira wa masango)
Mutu wamutu wamtunduwu
Mutu wamtundu wamtunduwu ndiwo mtundu wofala kwambiri wa mutu pakati pa anthu ambiri.
Nthawi yawo ingakhale mphindi 30 tsiku lonse (kapena ngakhale sabata imodzi). Mutu wamutu umapanganso:
- Nthawi zambiri zimakhala zowawa, nthawi zambiri zochepa kapena zofatsa
- Mvetserani ngati kumangomva kulira, kuthamanga kwapagulu komwe kumakhala pambali pa nsidze kapena kuzungulira mutu
- Bwerani pang'onopang'ono
- Zitha kuchitika nthawi iliyonse ya tsikulo, koma zimapezeka kumapeto kwa tsikulo
N'chiyani Chimachititsa Mutu Kumutu kwa Anthu Omwe Ali ndi MS?
Zinthu zambiri zingayambitse mutu kwa anthu omwe ali ndi MS, ena amalingana kwambiri ndi matenda omwewo kuposa ena.
Izi zimayambitsa:
Mitundu Yambiri Yokhayokha
Kafukufuku wina mwa anthu omwe ali ndi MS akusonyeza kusonkhana pakati pa MS zilonda mu ubongo ndi kuwonjezeka kwa chiwerengero cha migraines ndi / kapena mutu wa mutu. Kuonjezera apo, pali malipoti a mutu kapena migraine kukhala chizindikiro chachikulu cha munthu amene akudwala kachilombo ka MS. Potsirizira pake, lipoti lina linanena kuti kuipa kwa migraine kumakhala koopsa monga momwe MS alili poyamba.
Mosiyana ndi zimenezi, kafukufuku wina akusonyeza kuti palibe kugwirizana pakati pa migraines ndi mutu wa mutu wachisokonezo ndi MS. Mwachitsanzo, phunziro lina la ku Norway loyendetsera kafukufuku linapereka mafunso kwa anthu oposa 750 omwe ali ndi MS komanso olamulira 1000.
Zotsatira zimasonyeza kuti palibe kugwirizana pakati pa mutu wa mutu wa migraines kapena mutu wa mavutowo.
Pamapeto pake, kumutu kwa anthu omwe ali ndi MS kunathandizidwa ndi zilonda mu ubongo, makamaka m'madera a ubongo, kumene mitsempha ya trigeminal, yomwe imatchedwanso mitsempha yachisanu, imayambira. Iyi ndi mitsempha yomwe imakhudzidwa ndi "chizindikiro china cha MS kwambiri" - trigeminal neuralgia kapena tic doloureux .
Optic Neuritis
Mutu umatulukiranso pa nthawi ya optic neuritis . Mutuwu umakhala pambali imodzi ndipo umakhala woipitsitsa pamene diso lokhudzidwa likusuntha.
Kusokonezeka maganizo
Kusokonezeka maganizo , chizindikiro chofala cha MS, chagwirizananso ndi mutu pakati pa anthu omwe ali ndi MS.
Kusokonezeka maganizo ndi mutu wa mutu wa migraine zimagwirizanitsidwa ndi zotsika za serotonin.
Mankhwala Otsatira Mankhwala
Mankhwala othandizira matenda a interferon (monga Rebif , Betaseron , ndi Avonex ) amatha kupweteka mutu kapena kupweteka mutu. Gilenya nayenso, mankhwala ena opatsirana ndi matenda a MS, angayambitse mutu. Pomalizira, Provigil , Symmetrel, ndi mankhwala ena omwe amagwiritsidwa ntchito pa kutopa amakhalanso ndi mutu ngati choyamba.
Kodi Misozi Imatha Bwanji?
Mutu wa mutu wa migraine ukhoza kukhala wopweteka kwambiri, ndipo kumvetsetsa ndi kumveka komwe kumayendera kungachititse anthu kuchoka ku malo amdima, maola ambiri pa nthawi. Ngakhale pamene migraine yadutsa, anthu nthawi zambiri amakhala ndi zizindikiro zotsalira-zotchedwa postdrome phase-zomwe zimaphatikizapo kutopa, kukwiya, mavuto, komanso chizungulire.
Matenda a khungu amatchulidwa kawirikawiri ndi anthu ngati ululu woopsa omwe angaganizire, mofanana ndi "kutentha kwakukulu kofiira m'maso mwawo." Kupweteka kumutu kumapangitsa anthu ambiri kugwa pansi, kukoka tsitsi lawo mitu yawo pa khoma, kugwedezeka mmbuyo ndi mtsogolo, kufuula, ndi kulira. Ngakhale kupwetekedwa kwa mutu wa masana kumathetsa-sikukhala ndi zotsatira zofanana ndi migraines-anthu nthawi zambiri amamva kutopa atatha mutu uliwonse.
Monga kulekerera monga mutu ndi mantha ndi mantha omwe anthu amamva, podziwa kuti pali mwayi woti wina akubwera mkati mwa maola kapena tsiku lotsatira. Kuda nkhawa kumeneku kungasokoneze ntchito za tsiku ndi tsiku kapena kukhudzana ndi anthu, komanso kumayambitsa kugona , pamene anthu amapewa kugona.
Mawu Ochokera
Muyenera kuonana ndi dokotala wanu chifukwa cha mtundu uliwonse wa mutu wopanda mutu, mutu umene umapitirizabe, kapena umene umakhalapo nthawi yaitali.
Musanamuwone, lembani za mutu wanu. Ndizothandiza kusunga chizindikiro chazomwe mumalembapo za mutu wanu, kuphatikizapo nthawi yomwe adayambira, atakhala nthawi yaitali bwanji, zovuta zomwe mungathe kuziwona, ndi chilichonse chimene mwachita (kuphatikizapo mankhwala) omwe anathandiza.
Izi zidzakuthandizani dokotala kudziwa zomwe zingayambitse mutu, ndi mtundu wanji, ndi mtundu wanji wa mankhwala kuyesa.
> Zotsatira:
> Applebee A. Kudwala matenda ambiri a sclerosis ndi mutu. Mutu . 2012 Oct; 52 Suppl 2: 111-6.
> Kister I, Caminero AB, Herbet J. Kuthetsa mutu ndi mutu wa migraine mu multiple sclerosis. Kupweteka kwakumutu Kumutu Mutu 2010: 14: 441-48.
> Gustavsen MW et al. Migraine ndi kupwetekedwa mtima kwafupipafupi sizimagwirizanitsa ndi multiple sclerosis mu Norwegian case control control. Mult Scler J Exp Wamasulira Kliniki . 2016 Dec 12; 2: 2055217316682976.
> Pelikan JB, McCombe JA, Kotylak T, Becker WJ. Mutu wa Cluster monga chochitika cha mndandanda wa MS: Nkhani ya mlandu. Adache . 2016 Feb; 56 (2): 392-6.
> Tabby D, Majeed MH, Youngman B, Wilcox J. Zomwe zimakhudzidwa ndi kuyang'anira matenda. Int J MS Care. 2013 Chilimwe; 15 (2): 73-80.