Tsanangudzo uye Zviitiko Zvingaita Chiratidzo cheLhermitte
Iwe unogona kunge wakanzwa chiremba wako achitaura chiratidzo chaLhermitte. Chiratidzo ichi chii uye zvinorevei?
Vanhu vakave nekurwadziwa kwemasuru nekuda kwekukuvara chero kupi zvako kana mamiriro ezvinhu vanoziva kushungurudza kunokonzera kunokonzera. Chiratidzo chaLhermitte chinotyisa kune marwadzo europathic ane maitiro akasiyana, zvinokonzera uye kutungamirira.
Chii Chinonzi Lhermitte Chiratidzo?
Chiratidzo chaLhermitte chinoreva simba remagetsi rinobvisa pasi musana kubva kumusoro kusvika kumakumbo, uye kazhinji kuburikidza nemaoko, makumbo uye zvinyorwa.
Inowanzoendeswa mberi nekushongedza mutsipa kuitira kuti chidimbu chiende kumapfupa. Iyo inozivikanwawo sechando chigaro chinoshamisa , inofungidzirwa kuratidza kusagadzikana kwemakumbo emakumbo emumutsipa wepervical cord, iyo inokonzera kutumira ruzivo pamusoro pechiedza chekubata, chizivo (chinangwa chekuti muviri wako uripi mune nzvimbo), uye kunamatira kune ubongo.
Pasinei nokudanwa kuti "chiratidzo chaLhermitte," vanhu vokutanga vakatsanangura ichi chiitiko vaiva Pierre Marie naChatelin muna 1917. Jean Lhermitte akanga ari nyanzvi yezvechirwere cheFrance yakabudisa nyaya pamusoro penyaya iyi muna 1924, izvo zvakaunza ruzivo rwakawanda pamusoro pechiratidzo.
Chii Chinokonzera Chiratidzo chaLhermitte?
Chiratidzo cheLhermitte chakambofungidzirwa sechiratidzo che multiple multiple sclerosis (MS) uye, zvechokwadi, chero murwere anouya nechiratidzo chaLhermitte angangodaro achishanda nesimba kuti asabvisa chirwere ichi. Mune varwere vane MS, maitiro ezvirwere zvekuzvidzivirira anorwisa kupfekwa kwemitsipa, inonzi myelin.
Apo myelin ichibvarura, zvisikwa zvitsvuku zvinogona kuumba, izvo zvinovhara zviratidzo zvemashuga zvinofamba muhupi hwose nemumutsipa wesipinha.
Mukuwedzera kune multiple sclerosis, chiratidzo cheLhermitte chinogona kuva chikonzero chemamwe matambudziko akawanda. Izvi zvinogona kusanganisira:
- Vitamini B12 kukwana ( myelinopathy kubva kuB12 inoshaya )
- Transverse myelitis
- Cervical spinal cord tumors
- Spondylosis
- Nitrous oxide toxicity (ine nitrous oxide toxicity pane kazhinji "inodzokorora chiratidzo chaLhermitte, umo mazwi emagetsi anofamba nenzira yakasiyana, kubva patsoka kusvika kumusoro
Nzira Yokurapa Chiratidzo cheLhermitte
Kunyange zvazvo zvisiri ngozi mukati mazvo, chiratidzo chaLhermitte chinogona kukonzera kusagadzikana. Mishonga inofanira kutanga inotarirwa kugadzirisa chero mamiriro ezvinhu anokonzera kana kuwedzeredza dambudziko. Kune varwere vane MS , kuve nechokwadi kuti havazopfeki kana kuti kupisa simba kunogona kubatsira kudzivisa chiratidzo cheLhermitte.
Mararamiro ehumwe uye nzira dzisiri dzisingabvumirwi dzinogona kudzivirira kudzivisa, kusanganisira
- Mutsara wemutsara kukurudzira - Majekiti emagetsi anogadzirisa anotumira pasi-gasi magetsi kumitsipa, zvichibva kunze kwemuviri kana kuti nesimbi inoshandiswa (TENS units) inogona kubatsira.
- Maitiro ekugadziriswa uye kuenzaniswa - Zvakakosha kuva nemapurisa achikubatsira pakudzidza zviyero izvi sezvo mamwe maitiro angaita kuti zvirwere zviwedzere kuwedzera.
- Neck braces kana collars inodzivirira kufamba kwemusoro kunogona kukonzera marwadzo.
- Kugadzirisa , kushambadza uye dzimwe nzira dzokuzorodza.
- Kudzidzira kuporesa zvakadai sokufema zvakadzika muviri.
- Stretching
Mukuwedzera, kune varwere vane chiratidzo cheLhermitte, mamwe mishonga inogona kubatsira kugadzirisa marwadzo, kusanganisira:
- Antiseizure zvinodhaka (anticonvulsants) - Mishonga yakadai seNeurontin (gabapentin) uye Lyrica (pregabaline) pakati pevamwe ingabatsira nemarwadzo europathic akadai saLhermitte.
- Anodzvinyirira - Chikamu chevarwere vanodzvinyirirwa vanonzi tricyclic vanodzvinyirira dzimwe nguva vanobatsira nekurwadziwa kusingaperi. Izvi hazvishandiswi nokuti marwadzo anonzwika kuva echipiri kune kuora mwoyo asi nekuda kwekusiyana kwemishonga yemishonga iyi.
- Sodium channel blockers.
- Steroids - Mishonga yemakemikari ine mishonga yakakosha iyo inoshandiswa kwenguva yakareba, asi inogona kushandiswa pakurwadza kwakanyanya.
Kutsungirira Chiratidzo chaLhermitte Chero Chinokonzera
Kutsungirira kurwadziwa kusingaperi kwemarudzi ose kunopfuura kwakaoma. Mukuwedzera pane zvinowanzodikanwa maitiro akawanda ekurapa zviratidzo, kurwadziwa kusingaperi kunogona kukonzera kushungurudzika kwepfungwa uye zvehupfumi pamwe chete.
Kuchengeta bhuku rekutambudzika kunobatsira kwazvo pakusarudza kuti chii chingave chiri kushanda uye chingave chisingaiti. Mishonga, yakadai seanticonvulsants inogona kutora nguva yekushanda, uye zvinogona kuva zvakaoma kuziva kana kuchinja kwezviratidzo zvako kunokonzerwa nekurapa kana chimwe chinhu. Magazini inorwadza inogona kunge yakajeka seyokunyora pasi nhamba zuva rimwe nerimwe (somuenzaniso, 1 nokuda kwekutambudzika kwakanyanya uye 10 kune kurwadziwa kwakaipisisa iwe unogona kufungidzira), kuisa mishonga yemishonga yawakashandisa, uye kutsanangura kuti ndezvipi zvawakaita zuva iroro. Kumira shure uye kutarisa pamagazini yako gare gare kunogona kukubatsira iwe kuona mufananidzo mukuru nekuongorora nzira yako yekurapa.
Tsvaga vamwe vari kurarama nemamiriro akafanana mauri. Kana iwe uine chimiro chisingawanzoiti, iwe unogona kutora paIndaneti kuwana vamwe vane chirwere chimwechete. Kuziva kuti kune vamwe kunze kwekutsungirira kwavo nematambudziko akafanana kunogona kuita kuti unzwe uchinge uri muduku zvishoma nezviratidzo zvako uye unopa rupo rwekutsigirwa kune avo vanogona kunyatsonzwisisa zvauri kutarisana nazvo.
Tsvaka rubatsiro rwekuora mwoyo. Pane hukama hwakasimba pakati pemarwadzo asingagumi nekuora mwoyo , uye imwe neimwe yemamiriro aya anogonawo kuwedzera imwe. Haisi chiratidzo chekushaya simba kutsvaka rubatsiro rwekuora mwoyo asi pane chiratidzo chekuita mukuita izvo zvaunoda kuita kuti unzwe zvakanaka sezvinogona.
Dzidzira kusununguka. Kushungurudzika kunogona kuita chimwe chinhu chatinotarisana nacho zvakaoma, uye zvakasiyana-siyana zvekuzorodza zvaratidza kuti kuderedza kushungurudzika muupenyu hwedu. Tarisa mazano aya okuzorodza ekutarisa kurwadziwa kusingaperi .
Sources:
Ko, H., Simba, A., Sheu, R. et al. Chiratidzo cheLhermitte Chichitevera VMAT-Based Head uye Neck Radiation-Insights kuMashini. PLoS One . 2015. 10 (10): e0139448.
Lhermitte JJ, Bollak NM. Les douleurs to type electric discharge resulting from cerebral bleeding in plane sclerosis. Une cas de la sclérose multiple. Revue neurologique 1924; 2: 56-57.
Yakovlev, A., uye A. Parmentier. Kugadziriswa kweChiratidzo cheLhermite neSpinal Cord Kukurudzirwa. Pain Medicine . 2014. 15 (1): 167-9.