Iva nechokwadi chekutora marwadzo ako kumashure akaongororwa, sezvo zvisingagari nguva dzose kubva ku MS
Iwe unonzwa kurwadziwa kwakaperera uye unobvunza here kana yakabatanidzwa na multiple multiple sclerosis ? Kana zvakadaro, iwe hausi woga, sezvo anenge munhu mumwe chete pavashanu vane MS vanorondedzera kurwadziwa shure.
Nepo marwadzo ako epasi pasi angaratidzika seimwe dombo riri pagomo rako rezviratidzo zveM MS rinorema, ziva kuti kune nzira dzokugadzirisa kusasuruvara kwako.
Ngatinyatsoongororai "nei" mushure mekutambudzika kwemuzasi kwemu MS, uye kuti iwe unokwanisa sei kunyatsogadzirisa.
Zvinokonzera uye Kurapwa Kwekudzoka Kwakarereka mu MS
Kune vashomanana vanogona kunge vane maitiro anokonzerwa neM MS mushure mekutambudzika kwenyu kwepashure uye kucheka kunze kwechikonzero chinogona kutora nguva.
Mukuguma, kuongorora kwakakosha kunokosha, saka unogona kufambira mberi nerongwa hwekurapa.
Spasticity
Kunyanya kuonekwa chiratidzo chinowanikwa muSM uye chinonyanya kukonzerwa nokudzimwa , apo nerve inoratidza kuve musimba kunonoka kana kuvharwa. Kunyange zvazvo kuparidzika kwepachokwadi kunoreva kuwedzera kwekutaura kwemaviri uye kutadza kusadzora mutsara, vanhu vane tsvina vanowanzotsanangurira zvakasiyana siyana manzwiro akadai se:
- Kushushikana
- Tugging
- Kukwezva
- Aching
- Kunyanya
- Kutsigira
Kufarira kunowanzosiyana kubva kumunhu kusvika kune mumwe munhu, sekumwe zviratidzo zve MS. Semuenzaniso, munhu angaona kuomeswa kwemakumbo ake kusingabatsiri kushanda kwezuva nezuva. Vamwe vanogona kuve nemakumbo akaremara anokonzera kukanganisa kunokonzera kushungurudza kunokanganisa kufamba.
Kutarisa kunobatanidza sei nekurwadziwa kunorwadza shure? Nepo kusarura kunowanzokonzera mhuru dzemunhu, mahudyu, kugomera, uye mabheti, zvinogona kukonzera kuomesa uye kuputika mukati uye kumativi ose mafundo uye pasi.
Kurapa kwepasticity iyo inobata chikamu chako chepasi kazhinji chinowanzobatanidza kusanganiswa kwemishonga nemishonga.
Aya mazano anogona kusanganisira:
- Heat therapy
- Massage
- Kurapa kwepanyama kunosanganisira kutambanudza uye kutakura maitiro ekufambisa
- Tsvina inosununguka seZanaflex (tizanidine)
- Mishonga yekurwisa-gwayisa seNeurontin (gabapentin)
- A benzodiazepine
- Oral cannabis
Vanhu avo vane tsvina havatauri kune zvakataurwa pamusoro apa vangada imwe kana kupfuura yezvirapa zvinotevera:
- Botox injections
- Intrathecal baclofen pump (baclofen musimba unozorodza)
Pakupedzisira, kudzivisa zvinokonzera ndeimwe nzira yekudzivisa kuipa kwepasticity yako mukati mako kumashure. Mienzaniso yezvinhu zvinogona kukugumisa kupisa kwako kunosanganisira kupisa kupisa (zvinonzi Uthoff phenomenon ), hutachiwana, kamwe kamwe kuchinja muchinzvimbo kana kufamba, zvipfeko zvakasimba kana zvinotsamwisa, kana chidzara chakazara kana maronda.
Lhermitte's Sign
Chimwe chiitiko chinokonzera marwadzo kumashure mu multiple sclerosis chinhu chinonzi Lhermitte chiratidzo , icho chinoreva kushungurudzika-kufanana-kana "magetsi emagetsi" inofamba nokukurumidza kubva kumashure kwomusoro wemunhu pasi nepakati pemumumvu.
Izvi zvinowanzoitika kana munhu achichera mutsipa mberi (somuenzaniso, kana abvisa mhete kana kusunga shangu dzavo). Ikunzwa kuri kurarama kwenguva pfupi uye kunoenda kamwe kana munhu achifambisa musoro wavo kumashure.
Chikonzero chechiratidzo chaLhermitte chinokonzerwa nemasvoswe emu MS mumutsara wemukati (chikamu chepamusoro pemutsara wako chinosanganisira mutsipa wako). Icho chiri kumativi echinetso chisingafadzi uye chinoshamisa chisina kujairika ndechokuti mamwe mishonga uye mazano anogona kubatsira kudzivirira kurwadziwa kusati kwaitika panzvimbo yekutanga. Mumwe muenzaniso wemishonga chiremba wako anogona kupa chirwere chinorwisa-seizure chinonzi Neurontin (gabapentin).
Iwe hausi nguva dzose kutora mushonga unobata chiratidzo cheLhermitte. Mune mamwe mazwi, mushonga wakafanana neNeurontin unowanzochengetwa kune avo vanoona chiratidzo chaLhermitte kuti chichikuvadza, zvichireva kusuruvara kunobata hupenyu hwavo uye / kana kushanda kwezuva nezuva.
Tsvina uye Kutama Matambudziko
Chimwe chinokonzerwa nekurwadziwa kwepamusoro kumashure muSMS kunobatanidza nenyaya dzinokonzerwa nekusimuka. Somuenzaniso, kana munhu ane MS achishandisa mota wake kana zvimwe zvigadziriro- zvigadzirwa zvisingabatsiri, kurwadziwa kwepashure kunogona kukura.
Kuti zvikwanise kubhadhara nyaya yakabatana neMS-MS semakumbo kana gumbo kana gumbo, munhu angangodaro achifamba achinyatsonyorera kana kugovera uremu hwavo unnaturally, uye izvi zvinogona kuisa dambudziko kumucheto wavo wezasi. Kugara muwiricheya zuva rose kunogonawo kuisa dambudziko risina kukodzera kumunhu.
Saizvozvowo, zviratidzo zvakasiyana-siyana zveMMS zvinogona kutungamirira kumusana usingaoneki. Fungidzira kana munhu aine ruzivo mumakumbo avo. Izvi zvinogona kuisa dambudziko pamagetsi emunhu uye manotsi kumusana kwavo zvichikonzera marwadzo-kushungurudza kunotyisa, kureva, kwekutambudzika, kuumba marwadzo akawanda.
Nzira dzekudzivirira kana kudzivirira izvi zvinokonzera kushungurudzika zvinokonzera kurwadziwa kwepamusoro kunosanganisira:
- Kudzidzisa kwakakodzera pakushandisa unofamba-chipangizo chekubatsira
- Physical therapy
- Heat therapy
- Massage
Nonsteroidal anti-inflammatories (NSAIDs) inogonawo kubatsira munguva shomanana yekudzivirira kuputika kukuru. Izvozvo zvakati, iva nechokwadi chokuti utore kuna chiremba wako usati watora imwe. NSAID dzinogona kukonzera zvinetso zvepfungwa, chiropa, mwoyo, kana mudumbu uye hazvina kuchengeteka kana zvakakodzera kune munhu wese, kunyange zvazvo zvimwe zviripo pane-the-counter (somuenzaniso, ibuprofen).
Low Back Pain That Is not From MS
Zvakakosha kucherechedza kuti kurwadziwa kunorwadza kwakanyanya kune vanhu vakawanda, zvinoreva kuti vanhu vazhinji vanozviona, zvisinei pasinei kana vasina MS. Ndokusaka zvakakosha kuti uwane hutano hwakanaka hwehutambudzo hwako huri shure, uye kwete kungofunga kuti ndeweM MS yako.
Mienzaniso yezvikonzero zvinokonzerwa nekurwadziwa kwepamusoro kwevanhu vazhinji inosanganisira:
- Sciatica kana imwe yakaderera musana wenyonganyonga
- Spinal stenosis
- Nonspecific musculoskeletal sprain / kushungurudzika kubva pakurwadziwa kana kukuvara
Ichokwadi kuti pane zvakawanda zvishoma, asi zvimwe zvinokonzera kukonzera kurwadziwa kunorwadza zvakare kusanganisira:
- Kanzera yakapararira kumucheto (inonzi mastrasetic metastatic)
- Cauda equina syndrome
- Utachiona (somuenzaniso, vertebral osteomyelitis kana chipfupa chepinini chipfu)
- Kunyanya kuputika mukati me vertebrae (kuputika mune pfupa rinobatsira kuumba musana wako)
Kunyangwe zvakadaro, vamwe vanhu vane MS vanogona kunge vakanyatsotarisana nezvikonzero izvi zvakakosha. Semuenzaniso, kutora corticosteroids kunowedzera mukana wehutachiona hwekurwara, pamwe nekudzvinyirira kuputika kubva kune osteoporosis .
Pakupedzisira, pane dzimwe nguva munhu anofunga kurwadziwa kwavo kunobva kumucheto wavo wepamusoro kana zvichinyatsotumidzwa ikoko.
Muenzaniso wezvinhu zvinoshungurudzwa zvinosanganisira:
- Zvirwere zvepelvic sezvakaita chirwere chinoputika
- Prostatitis
- Kukohwa kwepyoyo
- Herpes zoster
- Abdominal aortic aneurysm
- Kugadzikana kwepakiti zvinetso zvakadai sepancreatitis kana peptic ulcer chirwere
Shoko Rinobva
Pamusoro pekupedzisira, zvakakosha kutaura kuti kunyange kurwadziwa kwakanyanya kwepamusoro kune imwe inowanzobatwa ne-MS-pain syndrome, vanhu vane multiple sclerosis vangasangana nedzimwe mhando dzemarwadzo, akadai:
- Neuropathy mumakumbo, tsoka, maoko, uye maoko
- Headaches
- Trigeminal neuralgia
- MS Hug
Kunyanya kunetsa nyaya, vamwe vanhu vanonzwa kurwadziwa kunorwadza kwepamusoro kunobva kune zvinopfuura imwechete (semuenzaniso, MS uye imwe dambudziko rehutano semusana unomira kubva mukukuvara kana sciatica). Kana kuti vanoona izvo vanachiremba vanoshevedza "marwadzo akavhenganiswa," zvinoreva zvinodarika kumwe kweMMS zvinokonzera kusafara kwavo.
Kakawanda, iva nechokwadi chokuti pamwe chete iwe nachiremba wako vanogona kuwana nzira dzekubatsira kuti unzwe zviri nani, zvose mumuviri nepfungwa. Zvinogona kutora kushivirira zvishoma uye kumwe kuedza uye kukanganisa pane yako, asi chirongwa chakarurama uye chirongwa chinogadzirisa kurapwa chinogona kuitwa.
> Sources:
> Casazza BA. Kuongororwa uye kurapwa kwemarwadzo anorwadza. Ndiye Chiremba weNzara. 2012 Feb 15; 85 (4): 343-50.
> Foley et al. Kuwandisa uye nhoroondo yepanyama yekurwadziwa kune vanhu vakuru vane multiple sclerosis: kurongeka nekuongorora uye meta-analysis. Pain . 2013 May; 154 (5): 632-42.
> Maloni H. (2016). National MS Society: Pain in Multiple Sclerosis.
> Truini A, Barbant P, Pozzilli C, Cruccu G. A mechanism-based classification of pain in multiple sclerosis. J Neurol. 2013 Feb; 260 (2): 351-67.