Pasinei nemasokisi akaoma, akashambidzika uye girazi rinoputika rakaputirwa pamakumbo ako, unozviwana uchirwa nekunetseka, mazaya echando-inotonhora here? Kunyange zvazvo uine mutoro uye usinganzwisisiki, imwe yepamusoro ndeyokuti, semamwe zviratidzo zvinorwadza zve multiple multiple sclerosis (MS), kune nzira dzekurwisana nehutso hwemakumbo.
Kunzwisisa Dysesthesia
Kunyange zvazvo MS yakashandiswa kunyoreswa chirwere chisina njodzi chirwere chepfungwa, nyanzvi iye zvino vanoziva izvi zviri kure nechokwadi.
Kutaura zvazviri, kusvika hafu yevanhu vose vane MS vanorwadziwa pane imwe nguva muhutano hwavo hwezvirwere, nevakawanda vachiri kurwadziwa kusingaperi.
Uye kune marudzi akasiyana-siyana ekurwadziwa munhu ane MS angave akawana, sekurwadziwa kwepamusoro kwetaturiki neuralgia kana kurwadziwa kweziso kweziso re optic neuritis . Apo zvinosvika kumakumbo ekutonhora, vadzidzisi veSMS vanodana kuchema uku dysesthesia .
Dambudziko rekushaya muviri rinoreva kusanzwisisika kusinganzwisisiki kusingafadzi, kunogona kunorwadza, uye kunogona kuitika chero kupi kwomuviri, kunyange zvazvo vachiwanzoziva mumakumbo netsoka. Dysesthesias inogona kuitika pachavo kana kuti inogona kukonzerwa nechinhu chiri kunze kwenyika, kazhinji nekushandurwa kwekushisa kana mamiriro okunze. Vanowanzova vakaipa usiku uye vanowedzera nekurovedza muviri.
Zvechokwadi, izvi zvinyorwa pamusoro pe dysesthesias haisi mitemo yakaoma uye inokurumidza, uye saka vangave vasiri ivo iwe, izvo zvakanaka. Kungofanana nezviratidzo zveSMS zvakasiyana nemunhu mumwe nomumwe, ndizvo zvakaita nguva uye maitiro ezviratidzo izvozvo.
Kuziva Shanduro Yenyu Yenheyo
Iwe kana mudiwa wako unogona kuona kuti tsoka dzako dzinodziya kubata, pasinei nokuti dzinonzwa dzichitonhora kwauri. Izvi ndechokuti mu MS mavharo ekudzivirira akapoteredza tsvina yehutano muhupfungwa dzako uye musana wemugero, unonzi yako central nervous system, yakakuvara. Izvi zvinokonzera kukanganisa kunyanzvi kutaurirana kunogona kukonzera kushata kwemashoko kunotumirwa kuuropi yako.
Mune mamwe mazwi, tsoka dzako dziri kupisa, asi unofunga kuti dziri kutonhora nokuti hurongwa hwako hwemitsipa hukuudza iwe kuti inotonhora.
Nervous System Sensitization Inogona Kutungamirira Mukurwara Kusingaperi
Zvakakodzera kutaura zvakare kuti ne dysesthesias nedzimwe mhando dzemarwadzo, kukurudzirwa kwenheyo yenyu inogona kukura uye kunogona kutungamirira mukurwadziwa kusingaperi kune vamwe vanhu. Kunyanya kunyanya, nekukurudzira sangano remagetsi, zviitiko zviviri zvinogona kukura zvinonzi allodynia uye hyperalgesia .
Allodynia zvinoreva kuti kuora mwoyo kunoita sechiedza chakanaka kana kuti kupisa kwemahepo kunokonzera marwadzo. Hyperalgesia inoreva kuwedzera kwekunzwa kunorwadza. Somuenzaniso, pinprick patsoka dzako, iyo inowanzova inorwadza zvishoma, inogona kunzwa seinopinza rakadzika mumakumbo ako.
Zvakakosha kuziva kuti maziso echando nemamwe zviratidzo zvekunzwa kazhinji hazvisi zviratidzo zvekuti MS yako iri kukura, kunyanya kana zviratidzo zvichiuya uye zvichienda. Asi kana iwe uchinge uine tsoka dzakananga kwekutanga, zvakakosha kutaurirana nachiremba wako nokuti zvinogona kuva chiratidzo chekudzoka kweSMS kana imwe dambudziko rezvechiremba zvachose.
Zvimwe Mamiriro Ezvinhu Anogona Kubatsira Mavara Akaoma
Mienzaniso yehumwe hutano hunogona kukonzera kupisa kana kumarwadza maziso kunosanganisira:
- Chirwere chetachiona chisingaitiki (chinonzi hypothyroidism )
- Matambudziko emidziyo yeRopa (somuenzaniso, peripheral arterial disease )
- Chirwere cheshuga (inotonhorera inogona kukonzerwa nekupararira uye kusangana nematambudziko)
- Raynaud's phenomenon
Mazano Okutarisira Maziso Ako Akakomba
Kunze kwokudziya tsoka dzako nezvipfeko kana kubata zvigunwe zvako pasi pegumbo romumwe wako kana mutumbi wemuviri wako, pano mamwe maitiro, zvose zvokurapa uye maitiro, kuti akubatsire kutarisira kusagadzikana kwako.
Yeuka, kuti ukurukure kurapwa nachiremba wako kutanga. Sezvakanakira, zvakare, kana uchiedza kushambidza tsoka dzako, chenjerera nekudzikandira mumvura inopisa kana kushandisa pombi yekudziya sezvo usingadi kukonzera chero kupisa.
Kuvhiringidzika
Kuvhiringidza kunopindira kwepfungwa mukugadzirisa kurwadziwa sezvo kunomanikidza ubongo hwako kutarisa kure nemarwadzo ako uye kuenda kune basa riri pedo, kunyanya kana basa iroro ririkutsvaga kukumbira.
Kana tsoka dzako dzikukuvhundutsa, funga kuedza chimwe chezvinhu izvi zvinokanganisa. Yeuka, zvakadaro, zvichienderana nehukuru kana chimiro chekunetseka kwako, iwe unofanirwa kupfuura nenzira dzakasiyana siyana usati wawana iyo inoshanda kwauri:
- Kuverenga bhuku
- Kudana shamwari pafoni
- Kutamba mutambo wemavhidhiyo
- Kuteerera kumimhanzi kana podcast
- Kupenya kana kupora
- Kuzadza pikicha
- Kufamba
Complementary Therapies
Mishonga inobatanidza yakafanana nehutachiona, kugadzirisa-maitiro ekurapa, nekufungisisa kwepfungwa kunogona kunyanya kubatsira pakugadzirisa marwadzo ako, uye pamwe nezvimwe zviratidzo zve MS yako sekunetseka kana zvinetso zvekufunga.
Mishonga
Zvechokwadi, kana tsoka dzako dzinotonhora dzichikanganisa hupenyu hwehupenyu hwako kana kuti kutadza kushanda kwako (somuenzaniso, kana uchiwa kana kuti usingaendi kubasa kana kuona shamwari dzako nemhuri), iva nechokwadi chokuti utaure nachiremba wako.
Kune mishonga inogona kugadzirisa kusagadzikana kwako sezvinoita tricyclic inodzvinyirira Elavil (amitriptyline) kana serotonin-norepinephrine reuptake inhibitor Cymbalta (duloxetine). Dzimwe nguva mishonga inoshandiswa kurwisa marwadzo europathic inogona kubatsira zvakare seNeurontin (gabapentin) kana Lyrica (pregabalin).
Mimwe yemishonga iyi, kunyange zvakadaro, ine migumisiro yakadai sehope, icho chinhu iwe uye chiremba wako achazoshanda.
Nyaya yepamusoro inonzi capsaicin cream ndeimwe imwe nzira inogona kushandiswa pamakumbo ako, kunyange uine chokwadi chekukurukurirana pakutanga nechiremba wako usati wasarudza.
Zvimwe Zvokurapa
Mukuwedzera, iwe unogona kurapwa mumuviri kana kurapwa kwebasa kana tsoka dzako dzinotonhora dzichikuvadza kufamba kwako uye kuenzanisa. Nguva dzose kushanyirwa kune chiremba (chirwere chetsoka) kuti uone kuti tsoka dzako dzichiita sehutano pasina zvipembenene, pamwe neshangu dzakadanwa dzinonzi orthotics zvinogonawo kutenderwa. Kuona mumwe chiremba kana chiremba wepfungwa kunogonawo kubatsira kana kurwadziwa mune multiple sclerosis kunogona kukonzera kana kuwedzera kuora mwoyo kana kufunganya.
Shoko Rinobva
Huru dzomoto inongova muenzaniso mumwechete wekutambudzika unowanikwa muSMS. Kune dzimwe dzakawanda dzemhando dzemarwadzo, mamwe maitiro ehupfungwa, sezvakaitwa MS spasticity, nezvimwe zvisingaiti zvinobva mumatambudziko emagunha, asi kubva pakuva neSMS (semuenzaniso, marwadzo emvura kubva pakusagadzikana kana kusagadzikana kwakabatana neWMS).
Chero zvazviri, kurwadziwa mu MS kunogona kukanganisa, zvose mumuviri nepfungwa. Ndapota tsvaka rubatsiro kubva kunyanzvi yako yezveuropi kana nyanzvi yekurwadza-unogona kuwana nzira dzekunzwa zviri nani.
> Sources
> Drulovic J, Basic-Kes V, Grgic S, et al. Kuwanda kwekutambudzika kwevanhu vakuru vane multiple sclerosis: Kuongorora kwakawanda kwepakati pezvikamu. Pain Medicine . 2015 Aug; 16 (8): 1597-602.
> Iannitti T, Kerr BJ, Taylor BK. Nzira uye pharmacology yemarwadzo europathic mune multiple sclerosis. Misoro Yemazuva Ano Mukurarama Neuroscience. 2014; 20: 75-97.
> Jameson E, Trevena J, Swain N. Kubhejera yemagetsi sekuvhiringidza marwadzo. Pain Res Manag . 2011 Jan-Feb; 16 (1): 27-32.
> National Multiple Sclerosis Society. Zviratidzo Zvinozivikanwa Nehurombo.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (2017). Clinical features of multiple sclerosis muvanhu vakuru. Gonzálex-Scarano F, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.