Kuora mwoyo hakuna chinhu chokunyara nacho uye haisi mhosva yako. Mune vanhu vane MS, kushushikana kunokonzerwa nehutano hwemviri, chemakemikari uye / kana maitiro uye kushamwaridzana uko kunyange kunyange vanachiremba nevatsvakurudzi vanonzwisisa zvizere. Mashoko akanaka ndeokuti kuora mwoyo kunorapwa mumaoko echiremba akanaka.
Ndeupi Mhando Yechiremba Ndinofanira Kuona Nokuora Mwoyo Kana ndine MS?
Kunyange zvazvo vanachiremba vose vanogona kupa mishonga inopesana nemishonga, mushandi wepamusoro wehutano hwepfungwa mupfungwa yepfungwa.
Kurapa kwekuora mwoyo kunoda kuongorora nekuchenjerera uye zvirongwa zvehutano zvakasiyana-siyana kuitira kuti zvakanaka kana ukawana chiremba anobata vamwe varwere vane MS.
Kushungurudzika muSMS kwakaoma. Semuenzaniso, zvizhinji zvezviratidzo zveSMS zvakadai sekuneta, zvinetso zvekuziva, kutadza mumuviri, uye zvinetso kurara zvinofananidzira zviratidzo zvekuora mwoyo uye zvakasiyana.
Mukuwedzera, zvimwe zvechirwere-chinoshandiswa kurapwa kweMS, zvakadai se interferon therapies Avonex neBetaseron, vane kuora mwoyo semagumisiro emativi. Chiremba uyo ane ruzivo rweMF uye kuora mwoyo kuchakwanisa "kusunungura" zviratidzo zvako uye kuronga nzira yakanakisisa yekurapa kwako.
Nzira yakanakisisa yokuwana chiremba wepfungwa uyo ane ruzivo neMS ndekukumbira nyanzvi yako yeurourogistri kuti iendeswe. Iwe unogonawo kutaura nehofisi huru kana chitsauko chenyu cheNational Multiple Sclerosis Society nokuda kwemazita echiremba anoziva pamwe nekudengenyeka uye MS munharaunda yako.
Kuora Mwoyo Kunowanikwa Sei?
Sezvo pasina kuongororwa kweropa kana chimwe chiitiko che "biomarker" chekuodzwa mwoyo, chiremba wako achasvika pakutsvakurudza nekuteerera nyaya yako pamusoro pekutsvaga kutsvaga kurapwa, kukukumbira mhando dzemibvunzo, nekucherechedza maitiro ako panguva yekugadzwa. Izvo zvinotaurwa, vanachiremba vanowanzotarisa basa renyu reropa kuti vatonge kunze kwemamiriro ezvinhu ehutano anokwanisa kutevedzera kuora mwoyo sechirwere chetachiona kana chirwere chekushaya ropa .
Mukuwedzera, iwe uchada kubvunzwa pamusoro pezvirongwa zvezviratidzo zvako zvakadai sekusuruvara, kuneta, kusava netariro, zvinetso zvekurara, uye kunzwa manzwiro kana kusava netariro. Chiremba wako achabvunza zvakare nezvekuti wakave nechiratidzo chei nguva yakareba, uye kuti zviratidzo zvako zvakanyanya sei. Chiremba achakubvunzawo nezvemhando ipi neipi yekuora mwoyo uye kurapwa, chero mishonga uye doro kushandiswa, mishonga yemazuva ano, hama dzine nhoroondo yekuora mwoyo, uye kana iwe wakambofunga nezvekuzvikuvadza kana kuzviuraya. Kunyange zvazvo mimwe yemibvunzo iyi ingave isinganzwisisiki, zvakakosha kuti iwe upindure zvakatendeseka.
Mishonga yekudengenyeka
Kune makirasi akawanda emishonga yekuderedza. Izvo zvinowanzoshandiswa mazuva ano ndezvi:
- Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs): SSRIs ndiyo inonyanya kutaurwa zvinorwisa zvinodhaka uye inosanganisira Prozac (fluoxetine), Zoloft (sertraline), Celexa (citalopram), Paxil (paroxetine), uye Lexapro (escitalopram).
- Sarudzo yeSerotonin uye Norepinephrine Reuptake Inhibitors (SSNRIs): Effexor (venlafaxine) uye Cymbalta (duloxetine hydrochloride) maviri SSNRIs dzimwe nguva anoshandiswa kupedza kuora mwoyo. Cymbalta inoshandiswawo kurapa marwadzo europathic saka inogona kunge yakasarudzwa zvakanaka kune vanhu vane marwadzo uye kuora mwoyo.
- Tricyclic Anodzvinyirira: Inonzi tricyclic inodzvinyirira, yakadai seElavil® (amitriptyline) uye Pamelor® (nortriptyline), inowanzova nemigumisiro yakadai sehope, kuvhiringidzika kana kuoma kukwira urini. Izvi zvinogona kuita kuti zviratidzo zveMMS zvirunge zvakanyanya. Nokudaro hazviwanzoshandiswa seyero yekutanga yekurasikirwa muSMS. Zvisinei, nokuda kwekurapa-kusagadzikana kuora mwoyo, inogona kushandiswa yoga kana kusanganiswa nemimwe mishonga.
Kuti chiremba wako anosarudza sei kuora mwoyo kwako kunobva pane zvimwe zvinhu zvakadai semigumisiro yemishonga, nguva yakawanda inotorwa, iwe unonyanya kukosha kana kuora mwoyo zviratidzo zvekuora mwoyo, mari, uye iwe unofarira somurwere.
Zvaunofanira Kuziva Nezvekuora Mwoyo Kurapa
Zvakakosha kuziva kuti vanodzvinyirira vanogona kutora vhiki masere kusvika masere kuti vaite basa ravo rose. Iwe unofanirwa kutarisira kuva nekugadza nguva dzose nachiremba wako, kunyanya kana uchitanga mushonga mutsva, saka anogona kutarisa mhinduro yako kunerapi uye oona kana kuchinja kwemaji kudikanwa kuitwa.
Yeuka, hazvishamisi kuti mishonga yakakwana muyero yakakwana inorayirwa yekutanga, sezvo munhu wose akasiyana mune zvaanoita. Kubudirira kurapwa kwepfungwa kunoda kushivirira nekubatsirana kubva kuna chiremba uye murwere, asi mubayiro unokosha.
Uyewo, kutsvakurudza kwakaratidza kuti kurapa kwakanyanya kunokonzera kuora mwoyo muSMS ndiko kusanganiswa kwerapa nemishonga inorwisa antidipressant uye "kutaura therapy" kana kuti psychotherapy. Mudzidzisi wako wepfungwa anogona kupa psychotherapy iye pachake kana kushanda pamwe chete nemunhu wepfungwa anokwanisa kukutaridzira iwe. Uyewo, chitsauko chenyu cheS MS Society chinogona kukupa mazita emapoka ekutsigira MS munharaunda yako kana vanachiremba vanoona mukushanda nevanhu vane MS.
Sources
Goldman Consensus Group. Gwaro reGoldman Consensus pamusoro pekuora mwoyo mune multiple sclerosis. Mhuri Scle r. 2005 Jun; 11 (3): 328-37.
National Multiple Sclerosis Society. (2016). Kuora mwoyo.