MS Pain paMuno uye Ribs
Multiple sclerosis pain inogona kunzwika munzvimbo dzisingazivikanwi. Zvichida, chimwe chezviratidzo zvinosuruvarisa-zvinosuruvarisa ndeye MS "hug" kana bhande-band sensation.
Overview
I "MS hug" ndiyo chirwere chinogona kuuya nekufamba pamusoro pemakore mashomanana, uye inotarisana nekumanikidza kunorwadza kunorwadza kwakanyanya. Iko dzimwe nguva inogona kufamba yakakwirira sebhokisi kana kuti yakaderera sewaistline.
Mukuwedzera, nzvimbo yacho inogona kusiyana, dzimwe nguva inonzwa sega kune rumwe rutivi, uye pane dzimwe nguva inogona kuvhara pasi rose torso.
Zvose mune zvose, zvinowanzova chimwe chezvinhu zvinoshungurudza uye zvinorwadza izvo varwere veSMS vanoona.
Kuziva
Kana usina kuonekwa kuti une MS zvakare, kuenda kunechiremba ane zviratidzo zvakafanana ne MS Hug, zvinoda kubhadhara zvakakwana, sezvo mamwe mamiriro ezvinhu ehutano anogona kuzvienzanisa.
Somuenzaniso, MS hug inogona kufanana nekurwadziwa kwepfuva, saka isati yasarudzwa se "MS-yakabatana," chiremba angada kutora zvinokonzera zvakakosha sekurwadziwa kwemoyo.
Zvimwe zvirwere zvehutano izvo zvinoda kubudiswa kunze zvinosanganisira:
- Gallbladder chirwere
- Dumbu kana mumatumbo utachiona
- Chirwere chakaremara
- Kuvhiringidza kwekatekete pakati pembibu (inonzi costochondritis)
- Panic attack
Kana zvimwe zvikonzero zvingave zvisingabvumirwi kunze, nyanzvi yako yezveuropiyo inogona kuda kuronga MRI kuti ione kana iwe uri kuita zveSMS zvakare, sezvo iwe ungada steroid kana zviratidzo zvako zvakakomba kana kuti zvinokanganisa.
Zviratidzo
Kufanana nezviratidzo zvakawanda zveMMS , "MS hug" inonzwa yakasiyana nevanhu vakasiyana. Inonzwawo yakasiyana nevanhu vakadaro mumazuva akasiyana kana panguva dzakasiyana dzezuva.
Semuenzaniso, kurwadziwa kunogona kunge kwakadzika sechiuno kana sepamusoro sebhokisi. Kazhinji, inogona kunzwa yakakwirira semapfudzi nemutsipa.
Mukuwedzera, kurwadziwa kunogona kuiswa munharaunda duku (kazhinji kune rumwe rutivi kana kumashure) kana kuenda kumativi ose kumativi. Inogona kuitika mu "mafungu" anogara kwemaminitsi mashoma, maminitsi, kana maawa kana kuti anogona kugadzikana kwenguva yakareba.
Marwadzo e MS Hug akarondedzerwa nenzira dzakawanda dzakasiyana-siyana pamwe chete, kusanganisira:
- Sharp
- Dull
- Burning
- Kushamwaridzana
- Tingling
- Kupwanya kana kudzivirira
- Kushingaira
Pakupedzisira, kurwadziwa (kufanana nedzimwe zviratidzo zveSMS) kunogona kuwedzera kana kukonzerwa nekuneta kana kushungurudzika. Inogonawo kuenzaniswa nedzimwe zviratidzo zvakadai sekuoma kufema kana kufema kunorwadza, ndicho chikonzero ichi chinogona kuonekwa sekurwadziwa kwemoyo kana kutyisa.
Zvinokonzera
Iko MS Hug inokonzerwa nechiremera kana nzvimbo inoputika mukati memutsipa wepelinha. Izvi zvinoreva kuti myelin sheath (kupfeka iyo inopinza nerve fibers) yave yakanganisa. Mhando yekutambudzika kunokonzerwa ne MS Hug inonyatsorongedzerwa senzira yeuropathic yekutambudzika, iyo inonziwo "dysesthesia," iyo inoreva kushungurudzika kunorwadza.
Iko kunzwisisika pachayo ndeyokukonzera kwemisungo mishoma pakati pebvu rimwe nerimwe (inonzi intercostal muscle) inopinda mumasimba. Iyi mishonga ine basa rekubatanidza nhengo dzedu pamwe chete, pamwe nekudzichengetedza kushanduka uye kubatsira mukufamba, sekumanikidzwa kwekupera.
Asi sezvose zvakabatana neSMS, chikonzero chinokonzera MS Hug chine chokuita nekukuvadza kwe myelin sheath.
Kurapa
Chokutanga pane zvose, kurwadziwa kwepfupa kunofanira kutorwa zvakanyanya. Iva nechokwadi chekutsvaga kurapwa kwenguva pfupi kana uine kurwadziwa kwepfupa kana zvimwe zviratidzo zvekurwadziwa kwemoyo .
Kana chiremba wako achisarudza kuti uri kunyatsova nemarwadzo akafanana nee MS, kune mamwe mazano emu MS Hug anogona kubatsira kuti usanyanya kunetseka kwako.
Mishonga
Iyo chaiyo inokonzera marwadzo mu multiple sclerosis haisi pachena zvachose. Sezvo zvakadaro, kurapwa kwemishonga kunogona kutarisa nhamba ipi neipi yehurombo hunotangira, mishonga iyo inosanganisira:
- Tsvina inofara seLioresal (baclofen) uye Zanaflex (tizanidine)
- Antispastic zvinodhaka seValium (diazepam) uye Ativan (lorazepam)
- Anticonvulsive zvinodhaka seLyrica (pregabalin) neNeurontin (gabapentin)
- Anodzvinyirira seCymbalta (duloxetine) kana Elavil (amitriptyline)
Mukuwedzera, vamwe vanachiremba vakashandisa majojekiti eBotox (botulinum toxin) kuti vasarudze kuderedza mishonga. Botox inodzivirira neurotransmitting chemicals inonzi acetylcholine iyo inobvumira musuru kuti udzoke. Mishonga inowanzoonekwa kune avo vane kurwadziwa kwakanyanya uye inogona kupedza kusvika kumwedzi mitanhatu ine zvishoma madhara (zvikurukuru injection site pain or redness).
Botox inowanzoshandiswa kurapa zvakanyanya MS-yakabatana bladder dysfunction .
Kana zviratidzo izvi zvakakomba zvakakonzera kukonzera matambudziko ekufema, chiremba wako angatora chirwere ichi sechokwadi chechokwadi cheM MS uye anopa maitiro e-corticosteroid yepamusoro inonzi Solu-Medrol .
Lifestyle Adjustments uye Home Treatments
Marwadzo anowanzoonekwa ne multiple multiple sclerosis. Inogona kusiyanisa zvakasimba uye inoramba iripo mune imwe uye inopindirana mune vamwe.
Kunyange zvazvo zvingava zvakanaka kufunga kuti iwe unogona kubvisa marwadzo nepiritsi isina nyore, iyo kazhinji haisi iyo nyaya. Pane kudaro, vanhu vazhinji vacharonga kugadzirisa marwadzo kuburikidza nekuita zvishomanana, kururamisa mararamiro ekugadzirisa kana kugamuchira mishonga yakaitwa-uye-yechokwadi mishonga yemusha inoshandiswa nevamwe mune imwe nzvimbo. Izvi zvinogona kusanganisira:
- Kushandisa zvakananga kumanikidzwa kune marwadzo nehwendefa roruoko rwenyu
- Kuvhara nzvimbo yakapoteredzwa zvakasimba pamwe nekunamatira Ace bandage
- Kuita kufema kwakadzika kuwedzera chifukidzo uye kuderedza zvishoma
- Kupfeka zvishoma, zvisingasviki zvipfeko
- Kushandisa jira rakaputirwa mucheriri tetepa zvakananga kumarwadzo (kunze kwekuti marwadzo aitonhorera nekutonhora )
- Kutora bhaji inotonhorera kana kushandisa magetsi kana microwaveable kupisa pad (kunze kwekuti marwadzo aikonzerwa nemumvuri kana kupisa)
- Kushandisa zvipikisa zvemasheji zvakadai se IcyHot kana lidocaine creams
- Kutora nonsteroidal anti-inflammatory drug ( NSAID ) seAppil (ibuprofen)
Shoko Rinobva
Zvinonakidza kuziva kuti makore apfuura, vanhu vaifunga kuti MS yaiva chirwere chisina kurwadza, kunyange vanachiremba. Iye zvino tinoziva kuti izvi hazvisi chokwadi. Ichokwadi, kutsvakurudza kunoratidza kuti inenge hafu yevanhu vane MS vanorwadziwa pane imwe nguva muhutano hwavo hwezvirwere. Kunze kwekunyorera MS, mamwe marwadzo anosanganisira trigeminal neuralgia , kusanzwisisika kwakanyanya mumakumbo netsoka, uye chiratidzo cheLhermitte .
> Sources
> Drulovic J et al. Kuwanda kwekutambudzika kwevanhu vakuru vane multiple sclerosis: Kuongorora kwakawanda kwepakati pezvikamu. Pain Med . 2015 Aug; 16 (8): 1597-602.
> National MS Society. Pain: Overview.