Zimayambitsa ndi Kulemetsa kwa Kuyamwa Kuchokera M'njira Yanu Yamanjenje
Mlandu wolemekezeka mu 2008, mayi yemwe adayabwa chifukwa cha kumangirira pamutu pake adawopsya kwambiri moti adadutsa mu chigaza chake ndi kulowa mmalo mwake. Ngakhale kuti analibe matenda a ubongo komanso a m'maganizo, adayenera kudziletsa kuti asadzivulaze yekha.
Mwachiwonetsero chowoneka, khungu la khungu la dothi la kuyabwa silinayang'ane pafupifupi mitsempha ya mitsempha m'madera okhudzidwa.
Kodi kunyalala kwakukulu kumeneku kunachokera kuti?
Kodi kwenikweni "itch" kwenikweni ndi chiyani?
Ngakhale kuti dziko lonse lapansili, kuyabwa kwakhala kosafufuzidwa bwino poyerekeza ndi ululu kapena zowawa zina. Kutanthauzira kwabwino koposa kwa chilakolako ndikumverera kokhumudwitsa kumene kumayambitsa yankho loyamba, lomwe nthawi zina limapereka mpumulo wa kanthawi. Tsatanetsatane iyi sichikhutiritsa, komabe, popeza pali zitsulo zomwe kukwatulira sikukupindulitsa.
Cholinga choyambirira cha khwimayi chiyenera kuti chinali kuteteza khungu kwa ovulaza potipangitsa kuti tiwotchedwe. Zinthu zoterezi zimatchedwa pruritogens. Monga zochitika zonse, komabe, zizindikiro zingathenso chifukwa chosokoneza dongosolo la mitsempha. Zikatero, khungu siliyenera kuchitidwa mwachindunji, ndipo kukwatulira sikungathandize pang'ono kuchepetsa kutentha kwachilendo.
The Neurology ya Itch ndi Ubale Wake Pa Chisoni
Ankawakhulupirira kuti nthendayi inali ululu wochepa kwambiri.
Ife tsopano tikudziwa lingaliro ili kuti ndi lolakwika. N'zoona kuti njira yopanda malire imagawidwa ndi zizindikiro zowawa komanso zowawa. Njirayi imayambitsa kuyabwa poyambitsidwa ndi mazenera monga nthendayi, zomera zomwe pranksters zimachokera "ufa wonyezimira." Komabe, monga ululu kapena kukhudza kowala, kutentha kwachitsoku kumayendanso njira zopatulika zopatulira khungu kupita ku ubongo.
Njira yeniyeniyi imayambitsidwa ndi kumasulidwa kwa histamine .
Zonsezi zikunenedwa, mndandanda wa chidziwitso cha ululu ndi zowopsya, pamene ndi osiyana, chitanizanani ndi kulankhulana mumtsempha wa msana. Iwo amachita izi kudzera mu interneurons. Izi zikhoza kufotokoza chilakolako chosayembekezereka chokhalitsa. Komanso, ngati kupweteka kukuwombera, kungalepheretse kapena kusokoneza ntchito yachitsulo. Ubale wochititsa chidwi pakati pa ululu ndi ululu ukhoza kuwonedwa pogwiritsa ntchito opioids , yomwe ingayambitse kuyabwa pamene imaletsa ululu.
Chitsulo Chosavuta Chimene Sichimayankha Pofuna Kupalasa
Nthawi zina zimakhala zovuta kwambiri, zokambirana zapakati pa pakati pa ululu ndi ululu m'mphepete mulibe. Pofotokozera izi, ndizotheka kuti mitsempha yambiri imatha kuyenda kuchokera mu msana kwa khungu ndi ziwalo zina ngati thupi limakhala lovutikira kwambiri. Kapena mwinamwake ubongo umasintha mwanjira yomwe zing'onozing'ono zokhumudwitsa zomwe kawirikawiri sizikuwoneka ngati zovuta zimasokonezedwa. Pali umboni wina wa zotsutsanazi, ndipo chidziwitso chenicheni chomwe sichimayankha kusakaniza ndicho kuphatikizapo njirazi.
Zovuta za Neurological Causes of Itching
Pamene kuyabwa kumaganiziridwa kuti ndi vuto la khungu, mavuto ena a dongosolo lamanjenje adanenedwa kuti akuwopsya.
Nthawi zina, izi zimatha chifukwa cha kuwonongeka kwa mitsempha ya mitsempha yomwe imayambitsa chizindikiro cha mitsempha kapena msana. Zitsanzo monga brachioradial pruritis ndi post-herpetic neuralgia . Nthawi zina, zovuta zazing'ono zingayambitse zizindikiro zomwe ubongo umazilemba molakwika.
Nazi zitsanzo zingapo za ubongo zomwe zimayambitsa kuyabwa:
- Trigeminal trophic syndrome - izi ndizimene zimayambitsa njira yowonongeka ya mitsempha ya trigeminal, yomwe nthawi zambiri imagwiritsa ntchito kumtima kwa ubongo. Zilonda zochepa pang'onopang'ono zimafalikira pamphepete pamphepete mwa mphuno. Chithandizo nthawi zambiri sichimathandiza, makamaka pogwiritsa ntchito magolovesi otetezera kapena zolepheretsa thupi kuti asatuluke.
- Brachioradial pruritis - izi zimawonekera pa mkono, ndipo zimakhala zogwirizana ndi kutuluka kwa dzuwa. Ngakhale kufufuza ndi maphunziro a electrodiagnostic adzakhala achilendo, anthu akhoza kuwombera dzanja lawo mpaka kumagazi. Matendawa angathandizidwe kake ndi ayezi ndi mankhwala ena osokoneza bongo.
- Notalgia paresthetica -matendawa nthawi zambiri amapezeka kumanzere kumunsi kwa mapewa, kumene ambirife sitingathe kufika. Zingatheke chifukwa chotsitsimula mitsempha ya msana. Capsaicin , mankhwala ena osokoneza bongo, mitsempha ya mitsempha, komanso ngakhale jekeseni wa poizoni amatha kukhala othandiza.
- Mitsempha ya m'mimba - Mitundu yambiri ya mitsempha ya m'mimba, kuphatikizapo neurofibroma , chotupa cha mitsempha ya mitsempha ndi cavernous hemangiomas, pamene mitsempha ya mitsempha ya mimba imakhudzidwa ndi kuyabwa. Izi nthawi zambiri zimakhala zosiyana ndi malo a zilondazi.
- Zilonda za ubongo - Kukwapulidwa ndi mavuto ena kumayambitsa kuyabwa komwe kaŵirikaŵiri kuli mbali yotsutsa.
Mmene Mungachitire Nthenda Yamaganizo
Matenda osadziwika a m'maganizo ndi ovuta kuchiza. Njira zowonjezera monga mankhwala a antihistamines (mwachitsanzo Benadryl) kapena steroid zam'mutu sizothandiza. Njira yowonongeka ikhoza kufufuza kapsaicin , mankhwala osokoneza bongo monga gabapentin ndipo ngakhale antchito monga thalidomide kapena botulinum poizoni angaganizidwe. Njira zogwiritsira ntchito njira zogwiritsira ntchito njira zamagetsi zimayambanso kufufuza.
Zotsatira:
MJ Aminoff, ubongo wachitsulo, Maphunziro aposachedwapa mu msonkhano wa Neurology, San Francisco Ritz-Carlton, pa February 13, 2014
A Dhand ndi MJ Aminoff: Nthenda ya ubongo, ubongo 2013119128
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .