Zomwe Zimayambira ndi Zapamwamba za Kutopa Kwambiri kwa MS
Anthu ambiri amaona kuti kutopa ndi mbali yovuta kwambiri ya matenda a multiple sclerosis , ndipo mwatsoka, amakhudza ambiri omwe ali ndi MS. Zoonadi, pa "masiku otopa oipa," zimakhala zovuta kuti munthu akwaniritse zofunikira zake, chifukwa cha kutopa kwakukulu komwe kumapangitsa zonse kukhala zovuta. Pamene zikuchitika, kutopa kwa MS kumakhala kawirikawiri zomwe zimagwirira ntchito palimodzi.
Kutopa Kwambiri
Kutopa kwakukulu ndizo zotsatira za matenda omwe amachititsa matendawa ndipo zimayambitsidwa ndi kutaya thupi m'katikati mwa manjenje. "Kumvera" nthawi zambiri kumagwiritsidwa ntchito pofotokoza kutopa uku, kutanthauza kuti kutopa kwakukulu kumagwirizana kwambiri ndi ntchito yowonjezera ndipo sichitha bwino ndi kupuma kapena kugona. Kutopa kumatha kufotokozedwa ngati kufooka thupi kapena kufooka maganizo - monga "ubongo wa ubongo."
Kufooka uku kumafala kwambiri pamene kutentha kwa thupi lanu kumatuluka - monga kutentha kapena pamene mukuchita masewera olimbitsa thupi, kukhala ndi malungo, kapena kusamba. Mawu omwe amagwiritsidwa ntchito kufotokoza zochitikazi amatchedwa chinthu cha Uhthoff - koma musadandaule kwambiri ngati izi zikuchitika. Pamene kutentha kumakulepheretsani kutopa kwanu, si chizindikiro cha kubwezeretsedwa kwatsopano ndipo kumasinthidwa pamene kutentha kwacho kuchotsedwa.
Palinso chinthu chotchedwa "kuthamanga kwafupipafupi" kapena kutopa "komweko," kumene mitsempha yokhudzana ndi minofu yomwe imakhudzidwa imatha kugwiritsa ntchito, monga miyendo yanu mutayenda kapena dzanja lanu litalemba.
Kutopa Kwambiri
Kutopa kwachiwiri sikunayambitse mwachindunji ndi MS wokha koma kawirikawiri zimachokera ku zizindikiro za MS kapena kuyesa kulipira iwo.
- Kusokoneza tulo ndi kofala kwa anthu omwe ali ndi MS, chifukwa cha minofu ya minofu, kupsinjika maganizo kapena nkhawa, ululu, kawirikawiri amayenera kukodza usiku (nocturia) kapena chifukwa cha zotsatira za mankhwala. Mwachitsanzo, corticosteroids ngati Solu-Medrol - amagwiritsidwa ntchito pochiza mobwerezabwereza MS - omwe amadziwika kwambiri chifukwa chosocheretsa tulo. Matenda ogona, monga kusowa tulo ndi matenda osabisala, amakhalanso ofala m'matenda ambiri.
- Kulimbika kumayambitsa kutopa kwa anthu omwe ali ndi MS pamene akufunika kulipira zizindikiro monga zofooka kapena zofooka za minofu, zomwe zingachititse kuti kukhale kovuta kuyenda, kusunga mwambo kapena ntchito zodzaza pakhomo.
- Mankhwala ena amachititsanso kuti kutopa kukhale ndi zotsatira zoyipa, kuphatikizapo zomwe zimagwiritsidwa ntchito pa MS. Izi zikuphatikizapo mankhwala othandizira matenda omwe amapangidwa kuchokera ku beta-interferon (Avonex, Betaseron, ndi Rebif), Tysabri, ndi Novantrone. Kuwonjezera apo, kutopa ndi zotsatira za mankhwala ena omwe amatengedwa ndi MS zizindikiro monga kupatsirana, kuphatikizapo Baclofen, Valium (diazepam), ndi Zanaflex. Mankhwala okhudza kupweteka kwa m'mimba, monga Neurontin (gabapentin), kapena kuponderezedwa, komanso mankhwala omwe si a MS, monga omwe amawopsa kwambiri, kuthamanga, kapena nkhawa, angathandizenso kutopa.
- Kuvutika maganizo nthawi zambiri kumapangitsa anthu kumva kutopa kwambiri. Kwa anthu ena, kutopa kumabweretsa mavuto. Mankhwala ena omwe amachititsa kuti matenda a maganizo asokonezeke, amachititsanso kuti kutopa kukhale kovuta.
- Kuperewera kwa zakudya zoyenera kumayambitsanso shuga m'magazi omwe amabweretsa kutopa kwathunthu.
- Matenda , monga chimfine, matenda a chimfine, kapena matenda a mkodzo angayambitse kutopa.
- Kupanda thanzi la thupi kumathandizira kwambiri kutopa.
Kulimbana ndi Kutopa mu Multiple Sclerosis
Kutopa kungakhale chinthu chokhumudwitsa ndi chokhumudwitsa kwa inu kapena wokondedwa wanu. Uthenga wabwino ndi wakuti ndi gulu lanu la thanzi la MS, mukhoza kulimbana ndi kutopa kwanu ndikupeza mpumulo, ngakhale kuti simungachiritse, ndi njira zowonongeka za moyo. Izi zimaphatikizapo zochitika za tsiku ndi tsiku - monga maulendo afupikitsidwe kapena kayendetsedwe ka manja - kudziyendetsa bwino ndikuchita njira zowonongeka. Mwachitsanzo, onetsetsani kuti mukugona nthawi yomweyo usiku uliwonse ndikugona m'chipinda chozizira komanso chakuda.
Zochiritsira zina monga mankhwala opatsirana, chidziwitso-chithandizo cha khalidwe kuti achepetse kupsinjika maganizo, kapena chithandizo chantchito kukuthandizani kukonza ntchito zanu zapanyumba ndi ntchito zingathandizenso kuchepa.
Anthu ena amasankha kumwa mankhwala othandiza tsiku lililonse, monga Provigil (modafinil). Kapena mungathe kutenga izo monga momwe mukufunira, monga pamene mukufuna kukhala ndi mphamvu ndikusangalala ndi malonda anu.
Zotsatira:
Birnbaum, MD George. (2013). Multiple Sclerosis: Buku la Clinician la Kuzindikira ndi Chithandizo, Zolemba 2. New York, New York. Oxford University Press.
Multiple Sclerosis International Foundation. (2003). MS mu Focus: Kutopa . Volume I.