Matendawa ndi matenda omwe amachititsa kuti mitsempha ya thupi iwonongeke, zomwe zimabweretsa ululu, kutayika, ndi kufooka.
Ngati muli ndi matenda a ubongo , mwinamwake mwauzidwa kale kuti ndizovuta kuti muzitha kuchiza komanso kuti matendawa ndi osachiritsika. Ndithudi, palibe mankhwala omwe angathe kuchiza kapena kusintha matenda a ubongo. Komabe, pali njira zingapo zamankhwala zomwe zingathandize kuletsa matendawa kuti asapitirire.
Ndipo pali njira zothandiza kuthandizira kuchepetsa zizindikiro za matenda a ubongo.
Kuchiza Kwambiri kwa Neuropathy
Ponena za kuyang'anira matenda a mphutsi yokha, njira zopezera zamankhwala zopezeka zikugwira ntchito poteteza kuti matendawa asapitirire kuwonjezereka. Pali zifukwa zingapo zosiyana siyana za matenda a ubongo, choncho njira zamankhwala zomwe zimagwiritsidwa ntchito pofuna kuteteza matenda a ubongo kuti zifike poipa zimayenderana ndi chifukwa chomwe amachitiramo matendawa.
Vitamini B12 Kulephera
Nthenda ya ubongo ndi imodzi mwa zotsatira za kusowa kwa vitamini B12. Kulephera kwa zakudyazi ndi kofala pakati pa anthu odya zakudya, zitsamba, anthu omwe ali ndi vuto linalake la m'mimba kapena m'mimba komanso anthu omwe amamwa kwambiri mowa. Kulephera kwa Vitamini B12 kumafuna kuwonjezera mavitamini B12 m'malo mwa mapiritsi otengedwa pakamwa chifukwa anthu ambiri omwe alibe vitamini B12 sangakwanitse kufika pamatenda ovomerezeka.
Zovuta Zokhudza Kusamalira Nthenda ya Opaleshoni
Nthaŵi zambiri matendawa amatha kudwala matenda aakulu kwambiri. Sizidziwikiratu chomwe chimayambitsa matenda osokoneza ubongo, ndipo zimakhulupirira kuti zimayambitsidwa ndi zifukwa zingapo, kuphatikizapo matenda, kutupa, kusalinganizana kwa madzi ndi electrolyte komanso kusayenda (kusowa kwa thupi).
Kawirikawiri, chisamaliro chachikulu cha matenda opatsirana m'mimba chimakhala bwino kamodzi kokha mthupi labwino likukula, koma nthawi zina zingatenge miyezi kapena zaka pambuyo poti matenda ena amachiritso musanayambe kufooketsa komanso kutayika kwa chisokonezo cha matenda odwala matendawa.
Chithandizo cha matenda okhudza ubongo odwala matendawa chimaphatikizapo kuyendetsa matenda, matenda amadzimadzi ndi electrolyte, komanso mankhwala opatsirana.
Guillain-Barré Syndrome (GBS)
Mtundu uwu wa kupuma kwa mtima umaphatikizapo kukhala wodwala matenda a ubongo omwe amayamba ku mapazi ndipo pang'onopang'ono amayenda thupi kuti potsirizira pake azifooketsa minofu yomwe imalamulira kupuma.
GBS ndi matenda opatsirana pogonana okhudzana ndi kuwonongeka kwa chitetezo cha mthupi. Mankhwala a GBS angaphatikizepo ndondomeko yotchedwa plasmapheresis (kusinthanitsa kwa plasma) kapena chithandizo ndi mankhwala amphamvu otchedwa immunoglobulin (IVIG). Plasmapheresis ndi ndondomeko yomwe imaphatikizapo kusamba magazi ndi kuchotsa ma antibodies oopsa ndi zinthu zina zomwe zimapangidwa ndi maselo osadziwika omwe amatulutsa mitsempha. IVIG ili ndi mapuloteni a chitetezo cha m'thupi omwe amakhudzana ndi chitetezo cha mthupi kuteteza kusokonezeka kwa mitsempha.
Nthawi zambiri, mankhwalawa kwa GBS amathandiza kupewa mavuto aakulu, ngakhale kuti nthawi zambiri, kuthandizira kupuma kumafunika kwa kanthaŵi kochepa pamene zofooka zimadetsa kupuma.
Anthu ambiri omwe ali ndi GBS amatha kuchira kwathunthu ndipo amatha kupeza zochepa zochepa zomwe zimakhala zofooka zomwe nthawi zambiri zimatha kusamalidwa ndi mankhwala a IVIG kapena mankhwala a corticosteroid.
Matenda a shuga
Matenda a shuga amatha kukhala ngati zotsatira za nthawi yayitali kapena mtundu wa diabetes. Udindo wabwino kwambiri wa matenda a shuga ndi matenda a shuga amachititsa kuti shuga zisawonongeke kwambiri komanso zisokoneze ziwalo zina. Anthu ena omwe ali ndi matenda a shuga akuzindikira kuti zizindikiro zimakhala bwino komanso ngakhale kusintha kwa matendawa kumatulutsa shuga wambiri, makamaka ngati matendawa akugwidwa msanga komanso matenda a shuga amatha kusamalidwa bwino.
Mankhwala Osokoneza Bongo
Chithandizo chabwino cha zakumwa zakumwa zaukali ndi kusiya kumwa mowa kuti zisawonongeke. Nthawi zina, kusiya kumwa mowa kumathandiza kuti zizindikiro zikhale bwino komanso zingalole kuti matendawa asinthe. Kawirikawiri, kuchepa kwa zakudya zokhudzana ndi kumwa mowa mopitirira muyeso kungapangitse kuledzeretsa kwaukali, ndikukonza kuchepa kwa zakudyazi kungathandizenso nthenda ya ubongo.
Chemotherapeutic ndi Mankhwala-Amathandiza Opaleshoni
Mankhwala ambili amathandizidwa ndi matenda a ubongo, makamaka mankhwala enaake a chemotherapeutic . Sizingatheke kupeŵa kumwa mankhwala omwe amachititsa kuti munthu asatengedwe, chifukwa zambiri zimapereka phindu la mankhwala, ndipo sizimayambitsa matenda a ubongo kwa aliyense amene amawatenga. Malingana ndi kuopsa kwa matenda a ubongo, kusiya kumwa mankhwala kungathandize kuti matendawa asapitirire.
Ulamuliro wa ululu wa m'mimba
Pali mankhwala osiyanasiyana osiyana ndi ululu wa ubongo, ndipo chithandizo chabwino sichinali chofanana kwa aliyense, chifukwa simungathe kudziwa momwe zimakhalira ndi zotsatirapo monga wina aliyense. Izi zikutanthauza kuti inu ndi madokotala anu mungafunikire kuthera nthawi yoyesera njira zingapo musanadziwe zomwe ziri zoyenera kwa inu. Mankhwala omwe amagwiritsidwa ntchito populumutsa ululu wa m'magazi ndi awa:
- Pamwamba pa mankhwala opweteka amtundu
- Zikondamoyo ndi zida zotsutsa
- Mankhwala opweteka a mankhwala
- Mankhwala osokoneza bongo (anti-convulsants): Ngakhale kuti mankhwalawa sakuvomerezedwa kuti athetse ululu wamagazi, amapereka chithandizo kwa anthu ambiri, choncho madokotala amawalembera chifukwa cha vutoli.
- Kulimbana ndi vutoli: Monga momwe amagwiritsira ntchito mankhwala osokoneza bongo, mankhwalawa sangawonetsedwe poyera chifukwa cha kupweteka kwa m'mimba, koma chifukwa chakuti anthu ambiri amamva kupweteka kwa ubongo, komanso chifukwa choti pali njira zochepa zothandizira, nthawi zambiri zimakhala zabwino kwambiri.
Kusamalira Zofooka
Palibe mankhwala othandiza kuchiza kapena kubwezeretsa mitsempha yowonongeka ndi ubongo. Koma pali zochitika zingapo zomwe zingathetseretu mitsempha yeniyeni ya ubongo:
- Thandizo la thupi: Kawirikawiri, mankhwala opatsirana ndiwo njira yabwino kwambiri yowonjezera mitsempha yosasokonezeka ndi matenda a ubongo, omwe angathandize kuthetsa zofooka zomwe zimayambitsa mitsempha yowonongeka.
- Incontinence: Kutsekula m'mimba kungakhudze chikhodzodzo, ndipo nthawi zina mankhwala omwe amatha kuteteza minofu ya chikhodzodzo amathandizanso kubwezeretsa chikhodzodzo chabwino. Ngakhale mankhwalawa samachiza mitsempha yowonongeka, akhoza kuthandizira kupweteka kwa mitsempha ndi minofu yomwe imayambitsa chikhodzodzo.
- Kulephera kwa Erectile: Izi nthawi zambiri zimakhala zotsatira za matenda a ubongo, ndipo mankhwala omwe amagwiritsidwa ntchito pochiza matenda osokoneza bongo angathandize kuchepetsa vutoli.
Kusamalira Kuwonongeka Kwambiri
Monga momwe zimakhalira zofooketsa, sizingatheke kukonzanso mitsempha yowonongeka yomwe imayambitsa mphamvu. Komabe, ndikofunika kuti tisanyalanyaze vutoli, popeza kutaya kwa matenda a ubongo kungachititse kuvulala kwakukulu ndi matenda:
- Kusamalidwa kwalonda: Ngati muli ndi matenda a ubongo, kuvulala kwanu ndi zilonda sikungakhale zopweteka monga momwe zikanakhalire opanda ubongo. Komabe, kupweteka uku ndi vuto lenileni, chifukwa simungathe kuona kuti chilonda chikukula kapena chikudwala chifukwa cha kusoŵa kwa ululu. Choncho, ngati muli ndi matenda a ubongo, nthawi zonse mukakhala ndi bala kapena kuvulala, muyenera kuyang'anitsitsa kuti mukhale oyera ndikuyang'ana zizindikiro za matenda, ngakhale simungathe kumva ululu.
- Kuchepetsa thupi: Kuwonongeka kosalephereka kumapangitsa kuti musamakhale oyenera, ndipo mankhwala opatsirana angakuthandizeni kudziŵa momwe mungaphunzitsire maluso anu ndi kubwezeretsa zofooka zanu kuti muthe kukhalabe olimba bwino.
- Kukonzekera kwa magetsi kwatchulidwa ngati njira yothetsera kuchepa kwa maganizo osokoneza ubongo, ndipo kafukufuku wina amapindulitsa phindu la njira iyi.
Kupewa Kachilombo ka Neuropathy
Chifukwa nthenda ya ubongo ndi chikhalidwe chomwe sichitha kuchiza, kupewera ndikofunika kwambiri. Pali zochepa zimene mungachite kuti muteteze zina mwazofala za matenda a ubongo, koma muyenera kuchipatala mukamawona zizindikiro zoyambirira za matenda a mphuno, zomwe zimaphatikizapo kutsekemera, kupweteka, ndi kutentha. Ngati muli ndi zizindikiro zoyambirira za zakumwa zaukali, matenda a shuga, kapena mankhwala opatsirana pogwiritsa ntchito mankhwala, pali zochitika zomwe mungachite kuti mkhalidwewo ukhale woipa kwambiri. Komanso, ngati muli ndi matenda a shuga kapena ngati mumamwa mowa kwambiri, mungathe kupewa matenda a ubongo pogwiritsa ntchito nkhaniyi ngakhale musanayambe kugwiritsira ntchito matendawa.
Mawu Ochokera
Ngati muli ndi matenda a ubongo, mukhoza kudziwa kale kuti vutoli silimachira. Komabe, nthawi zina, kuthana ndi chifukwa cha matendawa kumathandiza kuchepetsa kuwonongeka komanso kungathetserenso matenda ena. Zizindikiro sizili zofanana nthawi zonse kwa anthu onse, monga anthu ena omwe ali ndi matenda a ubongo amatha kumva ululu, pamene ena amavutika kwambiri. Kawirikawiri, zizindikiro zimatha kusamalidwa pang'ono ndi mankhwala ndi mankhwala.
> Zotsatira:
> Najafi B, Talal TK, Grewal GS, Menzies R, Armstrong DG, Lavery LA, Kugwiritsira ntchito Plantar Electrical Kutsitsimula Kulimbitsa Zomwe Zilipo Pamtundu Wathu ndi Plantar Sensation Pakati pa Odwala Matenda Odwala Matenda a Mitsempha, J Diabetes Sci Technol. 2017 Feb 1.