Ngakhale muli masokosi obiriwira, ofunda ndi bulange wozizwitsa atakulungidwa miyendo yanu, kodi mukukumana mukukumana ndi mavuto, mazira ozizira? Ngakhale kuti ndi zolemetsa komanso zosasangalatsa, chimodzimodzi ndikuti, monga zizindikiro zina zowawa za multiple sclerosis (MS), pali njira zowonetsera mapazi ozizira.
Kumvetsa Dysesthesia
Ngakhale kuti MS ankatchedwa matenda osokoneza ubongo, akatswiri tsopano akudziwa kuti izi si zoona.
Ndipotu, mpaka theka la anthu onse omwe ali ndi MS amamva kupweteka nthawi zina pa matenda awo, ndikumva ululu wopweteka kwambiri.
Ndipo palinso mitundu yosiyanasiyana ya ululu munthu amene ali ndi MS angakhale ndi ululu, monga ululu wa nkhope ya trigeminal neuralgia kapena ululu wa diso la optic neuritis . Pankhani ya kuzizira, akatswiri a MS amachititsa ululu uwu kukhala dysesthesia .
Kupweteka kwa m'mimba kumatanthauza zozizwitsa zosasangalatsa zomwe zimakhala zosasangalatsa, zomwe zingakhale zopweteka, ndipo zimakhoza kupezeka paliponse m'thupi, ngakhale kuti zimapezeka m'milingo ndi m'mapazi. Dysesthesias ikhoza kuchitika payekha kapena ingayambidwe ndi chinachake kunja, nthawi zambiri mwa kusintha kwa kutentha kapena nyengo. Amakhalanso ovuta usiku ndipo amayamba kuchita masewera olimbitsa thupi.
Zoonadi, izi zokhudzana ndi dysesthesias si malamulo ovuta komanso ofulumira, ndipo mwina sangakhale choncho kwa inu, zomwe ziri bwino. Monga momwe zizindikiro za MS zimasiyanirana ndi munthu aliyense, momwemonso nthawi ndi zizindikiro za zizindikiro zimenezo.
Kuonetsetsa Machitidwe Anu a Mitsempha
Inu kapena wokondedwa wanu mungazindikire kuti mapazi anu ndi ofunda kukhudza, ngakhale kuti akumva ozizira kwa inu. Izi zili choncho chifukwa mu MS chitetezo chozungulira kuzungulira ubongo ndi ubongo, chomwe chimatchedwa "central system", chikuwonongeka. Kuwonongeka kumeneku kumabweretsa zovuta zowonjezera mauthenga omwe angapangitse mauthenga olakwika kuti atumize ku ubongo wanu.
Mwa kuyankhula kwina, mapazi anu ali ofunda kwenikweni, koma inu mukuganiza kuti ndi ozizira chifukwa dongosolo lanu lamanjenje likukuuzani inu kuti mukuzizira.
Kusokonezeka kwa Nervous System Kumayambitsa Mavuto Osautsa
Ndizoyeneranso kutchula kuti ndi dysesthesias ndi mitundu ina ya ululu, kukulitsa kayendedwe kanu ka mitsempha kungapangitse ndipo kungachititse kuvutika kosaneneka mwa anthu ena. Makamaka, polimbikitsa dongosolo la mitsempha, zochitika ziwiri zingapangidwe kukhala allodynia ndi hyperalgesia .
Allodynia amatanthawuza kuti kuyambitsa kowopsa monga kukhudza kowala kapena mphepo yoziziritsa kumayambitsa kupweteka. Hyperalgesia amatanthauza kuwonjezeka kwa mphamvu ya ululu. Mwachitsanzo, pinprick pa phazi lanu, lomwe kawirikawiri limakhala lopweteka kwambiri, lingamve ngati mpeni wodula m'mapazi anu.
Ndikofunika kuzindikira kuti mapazi ozizira ndi zizindikiro zina zozizwitsa nthawi zambiri sizizindikiro kuti MS yanu ikukulirakulira, makamaka ngati zizindikiro zimabwera ndikupita. Koma ngati mumakumana ndi mapazi ozizira kwa nthawi yoyamba, nkofunika kulankhula ndi adokotala chifukwa zingakhale chizindikiro cha kubwezeretsedwa kwa MS kapena matenda ena onse.
Zina Zomwe Zingayambitse Mapazi Ozizira
Zitsanzo za zochitika zina zaumoyo zomwe zingayambitse mapazi ozizira kapena zopweteka ndi awa:
- Chithokomiro chosawonongeka (chotchedwa hypothyroidism )
- Matenda a zitsulo za magazi (mwachitsanzo, matenda opatsirana ammimba )
- Matenda a shuga (ozizira mapazi amachokera kuzigawo zonse ndi zovuta za mitsempha)
- Zochitika za Raynaud
Malangizo Othandizira Mapazi Anu Ozizira
Kuwonjezera pa kutenthetsa mapazi anu ndi mabulangete kapena kugwedeza zala zanu pansi pa mwendo wa mnzanuyo kapena thupi lanu lazinyama, apa pali njira zina, zonse zamankhwala ndi khalidwe, kuti zikuthandizeni kuchepetsa vuto lanu.
Kumbukirani, kuti mukambirane za mankhwala ndi dokotala poyamba. Monga pambali, nayenso, poyesera kutenthetsa mapazi anu, onetsetsani kuti mukuwakakamiza m'madzi otentha kapena pogwiritsa ntchito penti yotentha chifukwa simukufuna kuyatsa.
Kusokoneza
Kukhumudwa ndikutengeka kwambiri m'maganizo poyang'anira ululu pamene kumapangitsa ubongo wanu kuganizira kutali ndi ululu wanu komanso kuntchito yomwe ili pafupi, makamaka ngati ntchitoyi ikufunira.
Ngati mapazi anu akukuvutitsani, ganizirani kuyesera njira imodzi yosokoneza. Kumbukirani, malingana ndi mphamvu kapena chikhalidwe chakumva kwako, uyenera kudutsa njira zingapo musanapeze zomwe zikukugwirani ntchito:
- Kuwerenga bukhu
- Kuitana bwenzi pa foni
- Kusewera masewera a kanema
- Kumvetsera nyimbo kapena podcast
- Kujambula kapena kujambula
- Kumaliza kujambula
- Kulemba
Njira Zothandizira
Njira zochiritsira monga mankhwala opatsirana, kusinkhasinkha-khalidwe labwino, ndi kusinkhasinkha mwalingaliro kungakhale kothandiza makamaka pakuyang'anira ululu wanu, komanso zizindikiro zina za MS yanu monga mavuto otopa kapena malingaliro.
Mankhwala
Zoonadi, ngati mapazi anu ozizira akukhudzani kwambiri moyo wanu kapena kukhumudwitsa ntchito yanu (mwachitsanzo, ngati mukugwa kapena simukupita kukagwira ntchito kapena kuwona anzanu ndi achibale anu), onetsetsani kuti mukuyankhula ndi dokotala wanu.
Pali mankhwala omwe angathe kuchepetsa vuto lanu monga tricyclic chodetsa nkhaŵa Elavil (amitriptyline) kapena serotonin-norepinephrine yobwezeretsa kachilombo koyambitsa Cymbalta (duloxetine). Nthawi zina mankhwala osokoneza bongo amachititsa kupweteka kwa m'mimba amathandizanso monga Neurontin (gabapentin) kapena Lyrica (pregabalin).
Zina mwa mankhwalawa zimakhala ndi zotsatirapo monga kugona, zomwe iwe ndi dokotala muyenera kuchita.
Kapepala kakang'ono ka kapsaicin ndiyowonjezereka kwa mapazi anu, ngakhale mutsimikizire kuti mukambirane ndi dokotalayo musanayambe kugwiritsa ntchito.
Zochiritsira Zina
Kuphatikiza apo, mungafunikire mankhwala othandizira thupi kapena mankhwala opaleshoni ngati mapazi anu ozizira akulepheretsani kuyenda kwanu ndi kuchepetsa. Kuyendera kawirikawiri kwa dokotala wodzichepetsa (dokotala wa mapazi) kuonetsetsa kuti mapazi anu akuwoneka athanzi popanda zilonda, komanso nsapato zapadera zomwe zimatchedwa orthotics zingakhale zovomerezeka. Kuwona wothandizira kapena katswiri wa zamaganizo kungathandizenso ngati kupweteka mu multiple sclerosis kungayambitse kapena kuvutika maganizo kwambiri kapena nkhawa.
Mawu Ochokera
Mafunde ozizira ndi chitsanzo chimodzi chokha cha ululu zomwe zimapezeka mu MS. Pali mitundu yambiri ya ululu, ena amachokera ku ubongo, monga momwe MS imasinthira, ndi zina zomwe sizimachokera ku mitsempha ya mitsempha, koma chifukwa chokhala ndi MS (mwachitsanzo, kupweteka kwakumbuyo chifukwa cha kusagwedezeka kapena kusasunthika kofanana ndi MS).
Zirizonse zomwe ziri, kupweteka mu MS kungakhale kolepheretsa, mwakuthupi ndi m'maganizo. Chonde funsani chitsogozo kwa katswiri wanu wa zamagulu kapena katswiri wa ululu-mukhoza kupeza njira zowonjezera.
> Zosowa
> Drulovic J, Basic-Kes V, Grgic S, et al. Kufala kwa ululu kwa anthu akuluakulu omwe ali ndi matenda osiyanasiyana: Kufufuza kwapadera kwambiri. Kupweteka kwa mankhwala . 2015 Aug; 16 (8): 1597-602.
> Iannitti T, Kerr BJ, Taylor BK. Njira ndi pharmacology za ululu wa m'mimba mwa multiple sclerosis. Mitu Yeniyeni M'makhalidwe Otsutsana ndi Sayansi. 2014; 20: 75-97.
> Jameson E, Trevena J, Swain N. Masewera a pakompyuta monga kusokoneza ululu. Resin Res Res . 2011 Jan-Feb; 16 (1): 27-32.
> National Multiple Sclerosis Society. Zizindikiro Zowoneka Ndi Mavuto.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (2017). Mankhwala a matenda ambiri a sclerosis mwa akuluakulu. Gonzálex-Scarano F, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.