Kodi ululu umene timamva nawo ndi fibromyalgia ndi matenda otopa chifukwa cha mtundu wa mitsempha yotchedwa neuropathy? Ndi lingaliro lomwe lakhalapo kwa zaka zingapo-pambuyo pake, ululu wathu ndi wofanana-koma ukukonza chithandizo chokwanira ngati ofufuza amapeza umboni wochuluka.
Kafukufuku woyamba woperekedwa ku msonkhano wa pachaka wa 2010 ku America Academy of Neurology akusonyeza kuti ambiri a ife tiri ndi mikhalidwe imeneyi, yomwe imatchedwa tizilombo tating'onoting'ono tomwe timakhala ndi ubongo, zomwe zimakhala pafupi ndi khungu lanu, zomwe zimachitika ndi ululu ndi kutentha kumverera.
( Kutentha kutentha ndi chizindikiro chofala kwambiri cha matenda a fibromyalgia ndi matenda otopa aakulu.)
Mu phunziroli, ochita kafukufuku adatenga zikopa za khungu kuchokera kwa anthu 30 omwe anali ndi fibromyalgia, matenda otopa, matenda aakulu, kapena matenda ena, komanso gulu lolamulira. Mwa anthu omwe ali ndi zowawazo, biopsies inasonyeza kuti 13 mwa iwo, kapena 43%, anali ndi umboni wa tizilombo toyambitsa matenda.
(Ndilo kuchulukitsa, ndithudi, koma kupatsidwa kukula kwazing'ono kwa anthu 30 okha, sizitsimikiziranso. Komabe, ndikulonjeza mokwanira kutsogolera maphunziro akuluakulu m'tsogolomu.)
Dr. Devanshi Gupta, wofufuza kafukufuku, akuti madokotala amayenera kufufuza zazing'ono zapiritsi m'mutu mwa odwala omwe ali ndi zizindikiro zotsatirazi:
- Kuwala, kupweteka kwa kuwombera,
- Orthostatic hypotension,
- Zizindikiro za Autonomic,
- Kusintha kwa khungu kumagwirizana ndi kusokonezeka kwa mitsempha,
- Kusuta,
- Kulephera kugonana,
- Kapena zizindikiro zina zokhudzana ndi ubongo.
Komabe, madokotala ena amanena kuti zikopa za khungu sizodalirika mokwanira ndipo zimagwiritsidwa ntchito kuti zitsimikizidwe kuti zimapezeka pambali yofufuza ndi mbiri.
Mutha kuzindikira zozizwitsa zingapo zomwe tazitchula pamwambapa monga matenda a fibromyalgia ndi matenda odwala matenda odwala matenda, kuphatikizapo ululu, kupweteka kwa magazi kapena kupweteka kwa magazi.
Kupezeka kwa zizindikiro kungachititse kuti kukhale kovuta kudziwa kachilombo kazing'ono kamene kachokera ku zizindikiro ndi mayeso okha, kotero kuti chiwopsezo chingakhale chothandiza kwambiri kuti tiwone kuti matendawa ndi otani kusiyana ndi anthu ambiri.
Maganizo
Umboni wochulukirapo ukukwera kutsimikizira lingaliro lakuti izi, kapena gulu lalikulu la iwo, ndizokhalitsa. Kufala kwa ululu wa mitsempha, zozizwitsa za mitsempha zosayembekezereka, ndi mitsempha yosadziwika zimayankha zonse zomwe zikuwatsogolera, monga momwe ambirife timathandizidwira ndi mankhwala okhudza matenda a ubongo, monga Lyrica (pregabalin) ndi Neurontin (gabapentin). Kufufuza za tizilombo toyambitsa matenda tizilombo kungathandize madokotala kudziwa kuti ndi ndani mwa ife amene angayankhe mankhwalawa.
Kotero ngati kufufuza uku kuli kolondola ndipo basi theka la ife tiri ndi mtundu uwu wa matenda a ubongo, kodi izi zikutanthauza chiyani kwa ife tonse? Ichi ndi chinthu chomwe chidzafunikanso kufufuzidwa, koma kufufuzako kumakhala kophweka ngati sangathe kupatula gulu laling'ono lopanda ubongo. Tikudziwa kuti tonsefe sitingagwirizane, ndipo pamene titha kulumikizana molondola, tidzatha kupeza mayankho enieni a mafunso athu ambiri.
Chitsime:
Gupta D, Harney J. Small nthenda ya m'mitsempha ya m'mimba imasonyeza kupweteka kwa syndromes. Chithunzi chojambula pamsonkhano chomwe chinaperekedwa pamsonkhano wapachaka wa American Academy of Neurology; 2010 Apr 10-17; Toronto, Ontario.