Zizindikiro Zambiri za Sclerosis

Zizindikiro Zambiri za Sclerosis

Multiple sclerosis (MS) ndi matenda ovuta omwe angakhale ovuta kudziwa, makamaka chifukwa cha kusiyana kwa zizindikiro zomwe zimayambitsa. Mwa kuyankhula kwina, MS amadziwonetsera yekha mwa munthu aliyense amene akukhudzidwa ndi izo. Ichi ndi chifukwa chake bwenzi lina la MS lingamawoneke kuti likugwira bwino ntchito, ndipo mnzanu wina yemwe ali ndi MS sangathe kugwira ntchito chifukwa cha kulemala kwake kwa MS.

Kuphatikiza pa mitundu yapadera ya zizindikiro zomwe zimapezeka mu MS, zizindikiro zimasiyanitsa nthawi; ena amabwera ndikupita, ena amakhala osatha.

Komanso, zizindikiro zimasiyana mosiyanasiyana-zina ndi zofewa komanso zimapirika, ndipo zina ndizoopsa komanso zolepheretsa.

Ngakhale pali zizindikiro zosiyanasiyana za MS, pali zina zomwe zimakhala zofala kwambiri kuposa zina, monga zovuta zachilendo, kutopa, mavuto a chikhodzodzo, ndi kuvutika maganizo.

Zizindikiro Zowonjezereka Zambiri za Mipiritsi

> Onetsetsani kuti zonsezi zikhale zovuta komanso zovuta.

Mu ubongo ndi msana, mitsempha ya mitsempha (axons) imayenera kutumiza mpweya kuchokera ku selo limodzi la mitsempha kupita ku lina.

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Mkanda wa myelin, womwe umakhala wozungulira ndi kuvala mitsempha imeneyi, imalola kuti izi ziziyenda mofulumira komanso mofulumira.

Mu MS, chitetezo cha mthupi cha munthu chimagonjetsa chidutswa cha myelin, kaya chiwonongeke kapena kuchiwononga. Izi zimachepetsa chizindikiro cha mitsempha, zomwe zimachititsa kuti zizindikiro za MS ziwonetsedwe. Zizindikiro, choncho, zidzasiyana malinga ndi njira zomwe zizindikiro zimagwirira ntchito.

Zizindikiro Zogwirizana ndi Mitsempha

Mitsempha mumthambo wa msana umayendetsa minofu m'thupi lanu. Kotero pamene kulankhulana kwa mitsempha kuli kovuta, zizindikiro zokhudzana ndi minofu zingabwere. Chimodzi mwa zizindikiro zokhudzana ndi minofu mu MS ndifooka .

Monga momwe mungaganizire, kufooka m'manja kapena manja kungachititse kuti zikhale zovuta kuti munthu akwaniritse zinthu zofunika monga kuphika, kutsuka mano, kapena kunyamula mwana. Kufooka kwa miyendo, mitsempha, ndi mapazi kungapangitse kugwa ndi kuvutika kuyenda. Ndikofunika kumvetsetsa kuti kufooka sikuli chizindikiro chowonekera nthawi zonse, ndipo kungakhale kovuta kwa munthu amene akukumana nawo.

Kupweteka (kumangirira mwakachetechete) ndi chizindikiro china cha minofu mu MS. Amakonda kwambiri miyendo, koma amatha kuika m'manja, m'magulu, ndi kumbuyo. Anthu ambiri amatha kufotokoza mofatsa kapena kulimbika, pamene ena amakhala ndi minofu yowawa, yopweteka kwambiri imene imapweteka kayendetsedwe kake kapena ngakhale kuyima.

Kudandaula (kugwedeza zomwe sizikulamulirani) kungathenso kuchitika mu MS ndipo kungakhudze mikono, miyendo, mutu, thupi, kapena minofu yomwe imayankhula kulankhula kapena kugonana.

Pali mitundu iwiri ikuluikulu ya chivomezi mu MS.

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Nkhani yabwino ndi yakuti mankhwala opangira thupi ndi othandizira angakuthandizeni kuthana ndi mavuto anu a minofu pogwiritsa ntchito masewera olimbitsa thupi, kupaka minofu, ndi zipangizo zothandizira.

Kutopa

Kwa anthu ambiri omwe ali ndi MS, kutopa ndiko kudandaula kwawo kolepheretsa-ndipo kawirikawiri kumamvetsedwa bwino, kuwonjezera kukhumudwa kwakumva chizindikiro ichi. Chinthu chokhudzana ndi kutopa ndikuti sikutopa kokha kumene kungathe kuchepetsedwa ndi katchi kapena kupumula. Kutaya thupi kwa MS ndiko kufooka, thupi lonse lofooka lomwe lingakhoze kupanga zinthu zofunika monga kuwonetsa, kudya, kapena ngakhale kuyankhula kosasamvetseka.

Anthu ambiri omwe ali ndi MS amafotokozanso kuti kutopa kwaumtima, komwe kumatchedwa ubongo wa ubongo , komwe ntchito za tsiku ndi tsiku monga kuyang'ana kukambirana kapena kuwonera kanema zingakhale zovuta kwambiri komanso zosasangalatsa.

Mbali yovuta yokhudzana ndi kutopa mu MS ndikuti ingayambitsidwe ndi matenda omwe (kutaya thupi komwe kumachitika mu ubongo ndi msana) kapena zinthu zina monga:

• Mankhwala okhudzana ndi MS (onse ochiritsira matenda ndi omwe amagwiritsidwa ntchito kuti athetse zizindikiro zina)
• Matenda oyambirira a kugona (mwachitsanzo, kusowa tulo ndi matenda osagwira ntchito mwamwayi amapezeka mu MS)
• Matenda ogona akukhudzana ndi zizindikiro zina za MS (monga chikhodzodzo chopitirira mphamvu kapena mitsempha yambiri yomwe imakusunga usiku)
• Kutenthetsa mphamvu
• Kusokonezeka maganizo

Ichi ndi chifukwa chake kusokoneza zomwe zimayambitsa kutopa ndi katswiri wanu wa ubongo ndizofunikira. Zingakhale zovuta, koma ndizofunikira.

Ndipotu, pali njira zingapo zothana ndi kutopa kwa MS . Imodzi mwa njira zabwino kwambiri ndi kudzera mu masewero olimbitsa thupi kapena yoga. Musayambe mitu yanu pano, monga pali maphunziro a sayansi kumbuyo izi, ngakhale kuti zikuwoneka zosagwirizana.

Zizindikiro Zowoneka Ndi Mavuto

MS nthawi zambiri imayambitsa zovuta zachilendo monga kupweteka ndi kupopera , kuyaka, kupweteka, kupweteka, kupweteka, kupweteka, kuyabwa, kukwapula, kuvulaza, kapena kupanikizika-ndipo zimachitika kulikonse m'thupi. Ngakhale zina mwazisokonezozo zimakhala zovuta kuposa zovuta, zina zimakhala zopweteka komanso zowonongeka.

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Palibenso chifukwa chabwino chomwe anthu ena amavutikira mu MS ndipo ena samatero.

Chizindikiro chimodzi chokhudzana ndi zizindikiro nthawi zina chimapezeka mwa anthu omwe ali ndi MS amatchedwa chizindikiro cha Lhermitte . Izi zimachitika pamene munthu agwira chingwe chawo pachifuwa, chomwe chimayambitsa kumva mwadzidzidzi, kamagetsi komwe kumachokera pamutu pake mpaka msana. Sichikuwoneka kwa aliyense amene ali ndi MS, koma pakakhala pano, zimasonyeza kuti MS wa munthu wakhudza mitsempha ina mkati mwa msana.

Chomwe chimatchedwa MS kukumbatirana ndi chizindikiro china chachizindikiro ndipo chimadziwika ndi zolimba pamfuwa kapena m'mimba (zikhonza kukhudza manja ndi miyendo).

Thandizo lingagwirizane ndi mtundu wa zizindikiro zowoneka bwino zomwe munthu akukumana nazo. Mwachitsanzo, kupaka minofu, kutambasula, minofu yotsitsimula, ndi chipangizo chothandizira kuyenda chingathandize munthu wodwala miyendo yamapazi chifukwa cha kupatsirana, pamene mankhwala ena osokoneza bongo amathandiza munthu amene akuvutika kwambiri ndi "mapepala ndi singano."

Zizindikiro Zoganizira

Kusokonezeka maganizo kumakhudza pafupifupi theka la anthu onse omwe ali ndi MS ndipo kawirikawiri kumakhala ndi mavuto ndi kukumbukira, kusamala, kusinkhasinkha, kupeza mawu, ndi kukonza mfundo kuchokera kumalo anu.

Mavuto ndi kuzindikira akhoza kukhala ndi zotsatira zamaganizo ndi zaumphawi, monga momwe munthu angamveke wosasangalatsa kuyanjana ndi ena. Iwo akhoza kudandaula kuti sangathe kupeza mawu awo pokambirana kapena kutenga nawo mbali pazochita zowonetsera kapena ntchito monga asanamvetsetse MS.

Nkhani yabwino ndi yakuti zizindikiro za chidziwitso nthawi zambiri zimakhala zosaoneka bwino. Ndipotu, kaŵirikaŵiri amadziwika kwambiri ndi munthu amene akukumana nawo kuposa ena. Komanso, pali njira zothandiza komanso zosavuta zothetsera mavuto amalingaliro , kotero mutha kukhala omasuka ndi okhulupiliranso pogwiritsa ntchito ubongo wanu.

Kusokonezeka maganizo

Kupsinjika maganizo ndi gwero lalikulu la mazunzo mwa anthu omwe ali ndi MS, ndipo akhoza kuchitika panthawi iliyonse. Kawirikawiri ndi chizindikiro chosaoneka ngati kutopa, nkhawa, kapena kupweteka, choncho zimakhala zovuta kuzizindikira mwa okondedwa anu komanso ngakhale nokha.

Monga kutopa, chifukwa cha kupsinjika maganizo chikhoza kukhala kuchokera ku chiwonongeko chomwe chimapezeka mu ubongo, kuchokera ku mankhwala okhudza MS (makamaka mankhwala omwe amachititsa matenda a interferon monga Avonex , Betaseron , kapena Rebif ), ndi / kapena nkhawa ya kukhala ndi matenda aakulu .

Zizindikiro za kuvutika maganizo zimakhala zosiyana kwambiri, koma nthawi zambiri zimakhala kukhumudwa ndi / kapena kukumana ndi zosangalatsa kapena chidwi pazochita zomwe mwakhala mukuchita kwa masabata awiri. (Tonse tiri ndi masiku otsika, koma kuvutika maganizo kukupitirira.)

Zizindikiro zina zingakhalepo:

• Kukhumudwa ndi tsiku ndi tsiku maganizo osowa chiyembekezo ndi / kapena kudziimba mlandu
• Kutaya njala (ndipo mocheperako, kuwonjezeka kwa njala)
• Kusokoneza tulo (kugona mocheperapo kuposa mwachizolowezi)
• Kutaya chidwi pa kugonana
• Zozizwitsa za thupi ndi zopweteka
• Kutaya mphamvu
• Maganizo a kudzipha

Ngati mukukumana ndi zizindikirozi, kapena mukudandaula za thanzi lanu kapena thanzi la wokondedwa, chonde lezani nkhawa zanu ndi dokotala wa zaumoyo . Komanso, onetsetsani kuti mwapeza chithandizo chamankhwala mwamsanga ngati muli ndi maganizo odzipha kapena mwachita kudzipha.

Zizindikiro za Chikhodzodzo ndi Zamagazi

Musamadzimva nokha kapena manyazi ngati muli ndi vuto la chikhodzodzo- amapezeka pafupifupi 80 peresenti ya anthu omwe ali ndi MS ndipo angaphatikizepo:

• Kukopa mobwerezabwereza
• Kufulumira kapena kukayikira pamene mukukodza
• Kutaya kuyendetsa kukodza

Matendawa amtundu wa urinary amapezeka mu MS, ndipo nthawi zina zimakhala zovuta kusiyanitsa zomwe zili ndi matenda motsutsana ndi MS wanu. Nthawi zina zonsezi, monga matenda angayambe kubwezeretsa MS . Ngati vuto lanu la chikhodzodzo cha mthupi la MS liwonjezeka kapena likuwoneka mosiyana, onetsetsani kuti mukumana ndi katswiri wanu wa sayansi ya ubongo, kuti muthe kulandira chisamaliro choyenera.

Matenda a ubweya, makamaka kudzimbidwa , amakhalanso wamba mu MS. Kutsekula m'mimba kungathenso kuchitika. Cholinga cha mavuto a m'mimba mwa MS chikhoza kukhala chifukwa cha imfa ya myelin yomwe imayandikana ndi mitsempha ya mitsempha yomwe imayambitsa kutumiza mauthenga pakati pa ubongo ndi matumbo. Mankhwala, kusowa kuyenda, kupanikizika, ndi kutopa kungathandizenso kuthetsa vuto la m'mimba, makamaka kudzimbidwa.

Kuteteza mavuto a m'magazi kuti asachitike pamalo oyambirira ndiko kupambana kwanu. Izi zikhoza kupyolera mwa kudya kokwanira kwa madzi ndi zamadzimadzi, ndi kuchita masewera olimbitsa thupi tsiku ndi tsiku.

Anthu ena amafunika ochepetsetsa kapena odzola kuti azikhala ndi thupi labwino, koma izi ziyenera kuchitika motsogoleredwa ndi dokotala.

Kulephera Kugonana

Izi zikhoza kukhala nkhani yovuta kwambiri komanso yovuta kukambirana ndi mnzanuyo ndi dokotala, koma chonde-kusagwirizana ndi kugonana ndi vuto lalikulu pa MS, ndipo pali mankhwala ambiri omwe alipo.

Zitsanzo zowononga za mavuto a kugonana mu MS ndi awa:

• Kuvuta kumakhala wokonzeka
• Zovuta kuthetsa zolaula
• Kutaya kwa libido
• Kuchepetsa kapena kuwonjezeka (zovuta) m'mimba
• Vuma lakuya

Masomphenya Mavuto

Mavuto a masomphenya amapezeka, koma nthawi zambiri amachititsa khungu (mantha omveka pakati pa omwe ali ndi MS).

Nystagmus - kuyendayenda kwa diso losavomerezeka - kumachitika mu MS, nthawi zina mochenjera komanso nthawi zina kwambiri moti imasokoneza masomphenya.

Wina masomphenya omwe angakhale chizindikiro ndi diplopia , kapena masomphenya awiri . Izi zikhoza kukhala chizindikiro chowopsya chimene chimapezeka pamene minofu yomwe imayendetsa kayendetsedwe ka diso imafooka ndi MS. Komabe uthenga wabwino ndi wakuti diplopia nthawi zambiri amakhala ochepa.

Optic neuritis imatha kupezeka mu MS, makamaka m'mayambiriro oyambirira. Nthenda yotsekemera imachitika pamene pali kutupa kwa mitsempha yomwe imanyamula zizindikiro kuchokera ku diso kupita ku ubongo. Zingayambitse masomphenya ophwanyika, ululu wa diso, kapena ngakhale khungu m'maso amodzi, koma kawirikawiri nthawi zambiri.

Vertigo

Pali zifukwa zingapo zomwe zimayambitsa vertigo (momwe mumasinthira) mwa munthu yemwe ali ndi MS. Vertigo ikhoza kukhala ndi zotsatira zoyipa kuchokera kwa mankhwala kapena vuto la khutu lamkati. Zingakhalenso chifukwa chotsitsimula mu ubongo (phesi lomwe limagwirizanitsa ubongo kumphepete mwa msana).

Ngakhale kuti si lamulo lolimba komanso lachangu, vertigo kuchokera ku MS nthawi zambiri imakhala yoipa kwambiri ndi kayendedwe kena ka mutu. Zimayanjananso ndi kayendetsedwe kake ka maso, komwe dokotala angakhoze kuwona pakufufuza. Ngati muli ndi vertigo, dokotala wanu angadzifunse za zizindikiro zina zomwe zimapezeka pamene MS imakhudza ubongo, monga mavuto a kulankhula (kusuntha mawu kapena kulankhula pang'onopang'ono) kapena masomphenya awiri.

Matenda Omwe Amatha Kuwoneka Ngati Mipiringi Yambiri

Palibe magazi amodzi kapena ma chithunzi omwe angatsimikizire kuti ali ndi MS . M'malo mwake, dokotala wanu wa m'maganizo ayenera kuyesa zizindikiro zanu, kuyeza thupi lanu, ndikuganizirani mayesero monga MRI mu ubongo wanu / kapena msana .

Mwa kuyankhula kwina, matenda a MS ndi ntchito yovuta, osati chinthu chomwe mungachite nokha. Choncho musadandaule ngati mukukumana ndi zizindikiro za MS. Sungitsani malingaliro anu ndipo muwone dokotala wanu. Musanyamule katunduwo.

MS ndi matenda opatsirana kwambiri, ndipo pali zina zambiri zaumoyo (zochepa kwambiri kuposa zina) kuposa momwe mungatsanzire MS. Dokotala wanu akufuna kuti aziwalamulira iwo poyamba. Zitsanzo za otsanzira MS zikuphatikizapo:

• Vitamini B12 imalephera
• Kutsegula matenda monga Lupus Erythematosus kapena Sjogren's Syndrome
• Matenda opatsirana monga matenda a Lyme
• Makhalidwe a chikhalidwe monga disk ya herniated

Mawu Ochokera

Palibe mankhwala a MS komabe, koma pali mankhwala ambiri othandizira odwala omwe alipo. Mankhwalawa athandizidwa kuti achepetse chiwerengero cha MS kachiwiri ndi kuchepetsa ntchito yonse ya MS matenda.

Izi zikunenedwa, chifukwa chakuti mukutopa, kupweteka, ndi / kapena kuvutika maganizo sikukutanthauza kuti muli ndi MS. Kuwona dokotala pofuna kufufuza bwino ndi kuganizira bwino n'kofunika ngati mukukumana ndi zizindikiro za MS. Mwayenera mayankho chifukwa chake mumamva momwe mulili.

> Zotsatira:

> Birnbaum, MD George. (2013). Multiple Sclerosis: Buku la Clinician la Kufufuza ndi Chithandizo, 2 Edition. New York, New York. Oxford University Press.

> National MS Society: MS Zizindikiro. Zapezeka: July 16, 2016.

> Ziemssen T. Symptom Management kwa Odwala Amene Ali ndi Matenda Ambiri. J Neurol Sci . 2011 Dec; 311 Suppl 1: S48-52.