Ndibwino kwambiri, mavutowa angapeweke
Anthu omwe ali ndi multiple sclerosis (MS) omwe amakhala kapena kugona kwa nthawi yaitali chifukwa cha kuchepa kwao amakhala pa chiopsezo chachikulu chokhala ndi mavuto monga zilonda zapanikizi, mgwirizano (pamene mgwirizano umakhala wozizira), ndi kufooka kwa mafupa (otchedwa osteoporosis).
Ngakhale kusokoneza maganizo kumvetsera, vutoli ndiloti mavutowa angathe kutetezedwa ndi chisamaliro ndi thandizo la okondedwa kapena osamalidwa.
Zilonda Zopweteka
Zilonda zolimbitsa thupi (zomwe zimatchedwanso zilonda zamabedi, kuvulala, kapena zilonda zam'mimba) ndizo zowonongeka khungu zomwe zimachitika chifukwa cha kupanikizika kwa nthawi yayitali. Kupsyinjika kwakukulu kumapangitsa magazi kuyenda mpaka khungu ndi minofu pansi pake. Popanda oxygenation yokwanira, mawonekedwe opweteka.
Thupi lopweteka pambali ya thupi, makamaka mchira, chiuno, ndi sacrum, yomwe ndi malo otsika kwambiri pamtunda wanu pamwamba pa matako. Zitsanzo zina za malo omwe zilonda zopanikizika zingapangidwe monga chidendene, mapewa, bondo lamkati, chigoba, ndi kumbuyo kwa mutu.
Chinthu chokhwima pa zilonda zopanikizika ndikuti sayamba kuyang'ana moyipa (nthawi zambiri malo ochepa a khungu lofiira), koma amatha kupita patsogolo kwambiri kuti asakhale ovuta kwambiri ngati sakulandira chithandizo msanga.
Chimodzi mwa zizindikiro zomwe zimayambitsa kupweteka kwambiri ndi khungu lofiira kapena lopanda khungu lomwe limakhala lofiira, m'malo mobwereranso ku mtundu wake (izi zimatchedwa sitepe imodzi yodwala zilonda).
Pamene kupweteka kumakula, dera lofiira la khungu lingayambe kuphulika, kuthamanga, ndikumapeto. Nthendayo ikhoza kuwonjezeka, kupitirira mpaka kumtambo wonenepa pansi pa khungu, ndipo pamapeto pake pamakhala minofu, ndipo mwinamwake fupa (izi zimatchedwa siteji yachinayi ya ulonda ).
Chomwe chimadetsa nkhaŵa kwambiri ndi zilonda zapanikizi ndi chiopsezo chotenga matenda, chomwe chingakhale chowopsya.
Zizindikiro za matenda omwe amachititsa kuti mankhwala asamangidwe nthawi yomweyo ndi awa:
- Fever
- Fungo loipa lochokera ku zilondazo
- Kuonjezera kufiira, kutupa, kapena kutentha
- Mdima woyera / wachikasu / zobiriwira
Pomalizira, ndikofunika kunena kuti pambali pake, pali zifukwa zina zomwe zimapangitsa munthu kutenga chiopsezo chotenga zilonda. Ena mwa awa ndi awa:
- Zakudya zoperewera
- Kutaya madzi m'thupi
- Kukhala ndi matenda ena monga shuga kapena matenda a mtima
- Kukhala wokhutira mmalo mwa thupi lomwe likuwonekera ku chipsinjo
- Kukhala wochuluka (kuwonjezerapo kulemera kuikidwa pa khungu lomwe lakhala likupsinjika kale)
- Kukhala wochepetsetsa (mbali zina zowonongeka za thupi lomwe limawonekera kuti likhale lovutitsidwa)
Kupewa
Kupewa ndikofunikira pa zilonda zopanikizika. Izi zikutanthawuza kukhala ndi mafoni momwe mungathere (ngati mungathe), kukhala ndi hydrated, ndi kudya zakudya zopatsa thanzi, zomwe zimakhala ndi zipatso, ndiwo zamasamba, mbewu zonse, ndi mapuloteni a thanzi (nsomba zamtundu, nyama zowonda, nyemba, ndi nyemba).
Kwa anthu omwe alibe kusowa zakudya, kuyerekezera osowa zakudya, n'kofunika, popeza akhoza kukupatsani inu (kapena wokondedwa wanu) pakukulitsa mapuloteni ndi zakudya za kalori.
Ngati mukuyenda bwino, mukufunika mateti apadera pa bedi lanu ndi / kapena kukwera pa chikuku chanu chomwe chingathandize kupewa zilonda zapanikizi (zotchedwa zipangizo zothandizira kupatsirana).
Kuti muwone kuti mumalandira zipangizo zoyenera, ndibwino kuti mupange msonkhano ndi physiatrist (dokotala wokonzanso ntchito amene akudziletsa ndikuletsa zotsatira zokhudzana ndi kusokonezeka).
Ngati simungathe kusunga chilichonse, (muli pabedi kapena womangidwa), ndikofunika kusintha malo anu osachepera maola awiri. Izi zingafunike kusamalira thandizo la azamwino kapena wosamalira.
Mikangano
Ndi kuchepa kwa kuyenda, pali kutayika kwa zotupa m'matumba omwe amagwirizana ndi mafupa kapena minofu mkati mwa mgwirizano. Kutayika kwa kutayika kumayambitsa kuuma kwa minofu ndi kulekanitsidwa mwa kuyenda kofanana.
Kuphatikizidwa ndi kutayika mu multiple sclerosis, mgwirizano ukhoza kuchitika minofu (pamene minofu imachepa m'litali ndi kuyimitsa). Maselo osokoneza bongo mu MS amapezeka chifukwa cha kusalankhula -chizindikiro chomwe chimayambitsa chifukwa cha mitsempha yosautsika.
Pazifukwa zoopsa, munthu akhoza kukhala ndi minofu yopweteka komanso yosasinthasintha. Mwamwayi, mofulumira kwambiri, zimayambitsa mavuto, zomwe zimapangitsa munthu kukhala ndi mwayi wopanga mgwirizano.
Kupewa
Kukhalitsa kuthamangitsidwa ndizofunika kwambiri pofuna kupewa mikangano. Izi zikuphatikizapo njira zazikulu ziwiri:
- Mankhwala othandiza kuchita zolimbitsa thupi
- Mankhwala kuti atulutse minofu, ngati minofu yopumula (mwachitsanzo, baclofen). Majekesiti a Botox mu minofu yokhudzana ndi mitsempha ingathandizenso kuchepetsa kuthamanga, kuwonjezetsa kayendetsedwe kake, motero, kuletsa mgwirizano.
Kawirikawiri, opaleshoni amafunika kuti achepetse minofu ndi tendon ndikupangitsanso kusintha.
Kugwedeza kwa mafupa
Kukhala wodalirika-wosakhudzidwa kapena wodwala chifukwa cha mavuto okhudzana ndi MS, monga ululu kapena kutopa, kungathandizire kuti chitukuko cha matenda a mitsempha chikhale chonchi-kufooka kwa mafupa ndi kuwonongeka kumene kumawonjezera pangozi ya munthu yopuma kapena fupa.
Gawo lachinyengo pa matenda a kutupa kwa matenda ndikuti ndi matenda osalankhula, kutanthauza kuti sizimayambitsa zizindikiro zirizonse, monga ululu wamphongo kapena mavitamini. Ndipotu nthawi zambiri matenda a osteoporosis sapezeka mpaka munthu atagwa ndipo kenako amathyoledwa, monga chiuno, msana, kapena dzanja.
Kuwonjezera pa kusagwedezeka, zifukwa zina zomwe zimayambitsa matenda odwala matenda a m'mimba zimakhala ndi mbiri yakale ya banja, zaka zambiri, kufika kwa kusamba, kukhala ndi mbiri ya kusuta kapena kumwa mowa mopitirira muyeso, komanso kukhala woonda. Mankhwala ena, monga corticosteroids (omwe anthu ambiri omwe ali ndi MS atenga nthawi zina) akhoza kuonjezeranso chiopsezo chanu chokhala ndi matenda odwala matenda a m'mimba.
Kupewa
Kusunthira ndi kulimbitsa mafupa anu kupyolera muzochita zolemetsa ndi njira yabwino yothetsera osteoporosis, makamaka mafupa osweka.
Musanayambe kugwiritsira ntchito mphamvu zolimbitsa mafupa, ndibwino kuti muwone wochiritsira thupi yemwe ali ndi ntchito yogwira ntchito ndi anthu otsika. Mwanjira imeneyi akhoza kupanga pulogalamu yolimbitsa thupi yomwe ili yoyenera kwa inu, monga momwe mukuyenera kuganizira mavuto ena omwe mungathe nawo a MS, monga kufooka kwa minofu, kutopa , ndi kusalidwa.
Zitsanzo za zochitika zolemetsa zimaphatikizapo tenisi, kuvina, kunyamula zolemera, kuyenda mofulumira, ndi kukwera (pamene kusambira ndi njinga ndizosalemetsa).
Ngati muli pa njinga ya olumala, musamadziwe kuchepa-mungayese yoga ya olumala, Tai chi, basketball, kapena track ndi field. Ngati izi ziri zovuta kapena osati kapu yanu ya tiyi, yesetsani kuchita masewera olimbitsa thupi mukakhala pa chikuku chanu ndi gulu lokaniza kapena kupopera.
Pamapeto pake, pang'ono akhoza kupita kutali, koma yesetsani kugwira ntchito mpaka maminiti makumi atatu patsiku kuti mukhale ndi thanzi labwino.
Kuwonjezera pa kuchita masewero olimbitsa thupi, kudya bwino n'kofunika kuti musunge mafupa amphamvu. Mofanana ndi kupewa zowononga, izi zikutanthauza kudya zakudya zomwe zili ndi zipatso, ndiwo zamasamba, komanso zoperewera.
Calcium imathandizanso mafupa anu, ngakhale funsani dokotala kuti ngati mulibe kashiamu kapena ayi. Anthu ena amatha kupeza calcium yokwanira pa zakudya zawo, pamene ena amafunika kuthandizira pokhapokha ngati akudya chakudya chamchere cha calcium.
Pomalizira, kuonetsetsa kuti mlingo wa vitamini D wokwanira ndi gawo lofunikira kumanga mafupa amphamvu. Uthenga wabwino ndi wakuti anthu ambiri omwe ali ndi MS akhala ndi mavitamini awo a mavitamini D oyang'anitsitsa ndi / kapena akuwonjezera vitamini D. Ngakhale mulibe malangizo okhudza vitamini D kwa anthu omwe ali ndi MS, kafukufuku akuwonetseratu zapindulitsa zake.
Mawu Ochokera
Ngakhale kuti mukuwerenga zovuta zokhudzana ndi mavutowa, nkhani yabwino ndi yakuti, posamalira bwino komanso kuchepetsa mavuto anu, mavutowa angapewe-ndipo pamene njira zothandizira zingakhale zolemetsa, zimalipira.
Pitirizani kuchita khama pophunzira za MS ndipo pitirizani kuona katswiri wanu wamagulu (komanso mwina physiatrist ndi / kapena mankhwala).
Kukhala ndi MS ndi ulendo mkati, choncho mutenge tsiku lililonse panthawi imodzi, khalani okoma mtima panthawi yochepa, phunzirani zomwe mungathe, pitirizani, ndipo muzisunga zonse.
> Zotsatira:
> Berlowitz D. (2017). Kuchita masewera olimbitsa thupi ndi kuyang'anira vuto lopweteka kwambiri la khungu ndi lofewa. Berman RS, Schmader KE, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Bethoux F, Bennett S. Kuyamba: Kupititsa patsogolo maulendo ambiri m'mapiritsi. Int J MS Care. 2011; 13 (1): 1-3.
> Obadwa CT, Gil JA, Goodman AD. Ma mgwirizano ogwirizana chifukwa cha kuchepa kwa nthawi yaitali: Etiology, kupewa, ndi kasamalidwe. J Am Acad Kupatula Opaleshoni . 2017 Feb; 25 (2): 110-16.
> National MS Society. (nd). Zilonda Zopweteka.