Zizindikiro zimakhudza thanzi labwino komanso moyo wautali
Kulephera kwa chikhodzodzo ndi chimodzi mwa zizindikiro za multiple sclerosis (MS) zomwe simungathe kuzigawana ndi abwenzi kapena banja lanu. Ndipotu, ndi chinthu chimodzi chodandaulira za ululu wa mitsempha kapena masomphenya ; Ndi wina woti akambirane za kusamba kwa ubweya kapena kumverera ngati mukuyenera kupita nthawi zonse.
Zokhumudwitsa monga zizindikilo zingakhale kwa inu, ndikofunika kuti musanyalanyaze.
Pali njira zamankhwala zamakono zomwe zingathe kusintha ntchito yamakina, pamene zakudya zosavuta komanso zamoyo "fixes" zingakuthandizeni kuthetsa zizindikiro zanu, nthawi zambiri popanda nkhawa kapena zotsatirapo pamoyo wanu.
Mwachidule
Kulephera kwa chikhodzodzo kumapezeka pafupifupi 80 peresenti ya anthu omwe amakhala ndi MS. Komanso, mpaka 96 peresenti omwe akhala ndi matendawa kwa zaka zoposa 10 adzadwala mavuto a umuna chifukwa cha matenda awo.
Matenda ambiri amagwira ntchito yowonongeka yomwe imayambitsa kuwonongeka kwa maselo a mitsempha (yotchedwa myelin sheath ). Kuwonongeka kumeneku kumabweretsa mapangidwe a zilonda m'mimba komanso / kapena msana womwe umasokoneza maganizo a mitsempha yomwe imayendetsa kayendetsedwe kake, masomphenya, zozizwitsa, njira zomwe amaganiza, komanso ntchito za thupi monga chikhodzodzo.
Zimayambitsa
Kulephera kwa chikhodzodzo mu MS kumachitika pamene zizindikiro zamagetsi ku chikhodzodzo ndi mkodzo wam'tsogolo zimachedwetsa kapena zokhotedwa ndi zilonda zomwe zimayambira pamtsempha wa msana.
Kulephera kumachitika chifukwa cha zifukwa zitatu:
- Chikhodzodzo ndizochepa, zomwe zimapangitsa kukhala kosavuta kugwira mkodzo.
- The sphincter ndi spastic, kuteteza chikhodzodzo kuchotsa kuchotsa kwathunthu.
- Chikhodzodzo ndi cholakwika ndipo sichikhoza kugwira ntchito, zomwe zimabweretsa mkodzo wokwanira.
Zizindikiro ndi Zizindikiro
Zizindikiro za kukanika kwa chikhodzodzo zimasiyana mosiyana ndi momwe zimakhalira.
Nthawi zina, zizindikirozo zidzakhala zofatsa komanso zosakhalitsa. Kwa ena, iwo akhoza kukhala olimbikira ndi opitiriza. Zizindikilo za mkodzo zikhoza kufotokozedwa mwa njira imodziyi:
- Kuchita manyazi ndikovuta kukodza pamene mukumva kufunikira. Kwa ena, zingatenge nthawi yaitali kuyamba pomwe ena sangathe kukhazikika nthawi zonse.
- Kufunika kwadzidzidzi ndifunikira mwadzidzidzi, kukakamiza kukodza limodzi ndi kukwanira mwamphamvu mu chikhodzodzo.
- Kusinthasintha ndikofunika kukodza zambiri nthawi zambiri. Izi nthawi zambiri zimachitika usiku, zomwe zimabweretsa chisokonezo cha tulo.
- Kusuta ndi kumene iwe sungathe kulamulira ntchito yamakina.
Ngati kutaya kwa chikhodzodzo sikusamalidwe, zingayambitse kuwonongeka kwazitsulo. Ma miyala a urinary ndi matenda opangira mkodzo (UTIs) amatha kukula ngati chikhodzodzo sichitha. Kuthamanga kwachilendo kungathenso kumatenda kuchipatala. Pa milandu yoopsa, urosepsis yomwe ingawonongeke ikhoza kukulirakulira ngati kachilombo ka mkodzo kakufalikira m'magazi.
Zomwe zimakhumudwitsa ndi zotsatira za kutaya kwa chikhodzodzo pamtendere wa munthu ndi moyo wake. Si zachilendo kwa anthu omwe ali ndi vuto la kutsekula chikhodzodzo kuti azidzipatula okha kapena kulepheretsa miyambo yawo ya tsiku ndi tsiku, nthawi zambiri kuwonjezera kulemetsa kwa maganizo omwe amapezeka nthawi zambiri kwa anthu omwe ali ndi MS.
Kudziwa
Pofufuzira kuchepa kwa chikhodzodzo, madokotala amayamba kawunikira ma UTI. Ngati chithandizo chabwino, mankhwala ophera maantibayotiki adzalangizidwa. Ngati sichoncho, mayesero ena (omwe amadziwika kuti urodynamic) ayenela kuchitidwa kuti aone momwe chikhodzodzo ndi urethra zikuchitira ntchito yawo yosungira ndi kumasula mkodzo.
Kufufuza kwa urodynamic kumatengera mphindi 30 kuti ikwaniritse ndipo ikuphatikizapo kugwiritsa ntchito kanyita kakang'ono kuti mudzaze chikhodzodzo ndi zowerengera zolemba.
Njira Zothandizira
Monga nthawi yowopsya ya chikhodzodzo, nthawi zina zimakhala zosavuta kuti thupi liziyenda bwino ndi mankhwala, kusintha kwa moyo, ndi zina zothandizira.
Zina mwazochiritsira zowonjezereka zimaphatikizapo:
- Kwa odwala omwe ali ndi chikhodzodzo: Zosangalatsa za chikhodzodzo monga Ditropan (oxybutynin), Detrol (tolterodine), Enablex (darefenasin), Toviaz (fesoterodine), Vesicare (solifenacin), Sanctura (trospium chloride) ndi Myrbetriq (mirabegron).
- Odwala omwe ali ndi chikhodzodzo chopitirira mavitamini: Alpha-adrenergic mawonekedwe oteteza, monga Flomax (tamsulosin), Uroxatral (alfuzolin), Cardura (doxazosin) ndi Rapaflo (silodosin), amagwiritsidwa ntchito kulimbikitsa mkodzo kutuluka kudzera mu sphincter. Kuwonjezera pamenepo, mankhwala osokoneza bongo, monga Lioresal (baclofen) ndi Zanaflex (tizanidine), angagwiritsidwe ntchito kupumula minofu ya sphincter.
- Kwa odwala ali ndi chikhodzodzo: Kutsekemera kosadziwika, komwe chubu kakang'ono kamaphatikizidwa mu chikhodzodzo kuti chikhale chololeza kulola kukodza.
Mitundu ina ya mankhwala imaphatikizapo chithandizo chamankhwala chomwe chimaphunzitsa anthu momwe angagwiritsire ntchito chakudya chamadzimadzi ndi mwakukonzekera kukonza kukodza pamene ali kunyumba, ntchito, kapena chikhalidwe.
Njira zowonjezera zakudya zimaphatikizapo kuletsa kwa khofi, mowa, ndi madzi a lalanje (zomwe zimalimbikitsa kukula kwa bakiteriya) komanso kugwiritsa ntchito madzi kapena mapiritsi a cranberry (omwe amachititsa kuti mabakiteriya akule).
Milandu yowopsya ingapangitse opaleshoni, kuphatikizapo kuika magetsi, wotchedwa InterStim, zomwe zimapangitsa kuti mitsempha ya sacral imathandizidwe komanso imathandizira kuti chikhodzodzo chisamangidwe kwambiri. Botox ingagwiritsidwe ntchito pochizira chikhodzodzo chowonjezera.
> Zosowa
> National Multiple Sclerosis Society. " Ntchito Yamakono ndi MS ." Mzinda wa New York; 2016.
> Williams, D. "Kusamalira kukanika kwa chikhodzodzo kwa odwala omwe ali ndi multiple sclerosis." Nursing Stan. 2012; 26 (25): 39-46.