Koj puas hnov mob lossis kub hnyiab thaum koj cov khaub ncaws sib txhuam, thaum cua tshuab, lossis thaum ib tug phooj ywg maj mam kov koj lub xub pwg? Yog tias koj hnov mob hnyav txawm tias los ntawm kev kov me me uas tsis ua rau mob, tej zaum koj muaj tus mob no. Hnub no peb tab tom tham txog tus mob txawv txawv no, tab sis feem ntau, mob uas cuam tshuam rau ntau tus neeg, allodynia.
Allodynia yog dab tsi tiag?
Hais yooj yim xwb, allodynia yog qhov mob los ntawm ib yam dab tsi uas feem ntau tsis ua rau mob. Xav txog ib tug noog plaub kov koj daim tawv nqaij. Peb feem ntau hnov ib qho kev xav mos mos, zoo siab, puas yog? Tab sis rau ib tug neeg uas muaj allodynia, nws zoo li mob ntse, zoo li riam tapped.
Qhov no hu ua mob neuropathic mob . Qhov no txhais tau tias nws tsis yog teeb meem nrog koj daim tawv nqaij, tab sis yog teeb meem nrog lub paj hlwb uas nqa qhov mob mus rau lub hlwb. Nws feem ntau yog ib qho tsos mob ntawm lwm yam mob. Piv txwv li, nws feem ntau pom nrog cov mob xws li ntshav qab zib, herpes, fibromyalgia, thiab migraines.
Muaj ntau tus neeg uas muaj allodynia hais tias lawv cov tawv nqaij zoo li "rhiab heev, zoo li lawv tau raug tshav kub." Rau qee tus neeg, qhov mob no tuaj yeem zoo li riam, koob, lossis qhov kub hnyiab, zoo li daim tawv nqaij kub hnyiab.
Cov hom Allodynia tseem ceeb yog dab tsi?
Tus mob no muaj peb hom loj nyob ntawm seb nws tshwm sim li cas. Cia peb nkag siab qhov no nrog lub rooj.
| Hom Allodynia | Hais yooj yim xwb, qhov no yog qhov tshwm sim (Nws txhais li cas yooj yim) |
|---|---|
| Dynamic Allodynia | Mob thaum muaj ib yam dab tsi txav mus rau ntawm daim tawv nqaij. Piv txwv li, khaub ncaws sib txhuam rau lub cev, daim ntaub pua chaw pw ntaus rau lub cev. |
| Tactile Allodynia | Qhov mob los ntawm kev kov me ntsis lossis kev nias. Piv txwv li, co tes ntawm ib tug neeg, ib tug neeg kov koj lub taub hau. |
| Thermal Allodynia | Qhov mob yog los ntawm kev hloov me ntsis ntawm qhov kub thiab txias. Piv txwv li, thaum koj tawm hauv chav AC, lossis thaum ib tee dej txias kov koj daim tawv nqaij. |
Vim li cas qhov no thiaj tshwm sim rau peb? Yog vim li cas?
Qhov laj thawj tseem ceeb rau qhov no yog qhov tsis zoo ntawm kev ua haujlwm ntawm peb lub paj hlwb. Peb hu qhov no tias 'Central Sensitization'.
Xav txog koj lub cev ua ib thaj chaw muaj kev nyab xeeb heev, thiab koj lub paj hlwb yog nws lub cev muaj kev nyab xeeb. Thaum koj kov ib yam dab tsi kub, cov sensors hauv koj lub paj hlwb xa ib lub teeb liab mus rau koj lub hlwb hais tias, "Txaus ntshai!" Lub sijhawm ntawd, lub cev muaj kev nyab xeeb ploj mus, koj hnov mob, thiab koj rub koj txhais tes tawm. Qhov no yog tus txheej txheem ib txwm muaj.
Tiamsis muaj mob nkeeg, muaj xwm txheej, lossis qee yam tshuaj tuaj yeem cuam tshuam kev ua haujlwm ntawm lub cev tiv thaiv no. Tom qab ntawd, lub tswb ceeb toom pib nrov txawm tias tsis muaj kev phom sij. Ib yam li lub tswb ceeb toom kev ruaj ntseg uas yuav nrov yam tsis muaj tub sab tuaj. Ib daim khaub ncaws uas txhuam rau lub cev tsis yog qhov txaus ntshai, tab sis lub paj hlwb uas raug cuam tshuam txhais tsis raug tias nws yog "kev phom sij" thiab xa cov cim mob mus rau lub hlwb. Qhov ntawd yog qhov tshwm sim hauv lub xeev allodynia.
Cov mob uas ua rau allodynia
- Kab mob neuropathy uas cuam tshuam nrog ntshav qab zib
- Fibromyalgia
- Mob taub hau loj
- Mob tom qab kis tus kab mob herpes (post-herpetic neuralgia)
- Kab mob Multiple Sclerosis (MS)
- Mob hnyav hauv cheeb tsam (CRPS)
- Mob paj hlwb Trigeminal (TN)
- Kev siv cawv tsis raug cai
- Tsis muaj vitamin D los yog vitamin B txaus
- Qee cov kev kho mob qog noj ntshav (Chemotherapy, Radiation therapy)
- Kev puas tsuaj rau cov hlab ntsha tom qab muaj xwm txheej (piv txwv li, qhov txiav tob) lossis phais (piv txwv li, tshem tawm ib ceg)
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj qhia txog cov tsos mob zoo li no, thawj qhov koj tus kws kho mob yuav ua yog nug txog koj keeb kwm kev kho mob tag nrho thiab kuaj koj.
- Qhov mob zoo li cas? (Khaus? Kub hnyiab?)
- Thaum twg nws mam li nce ntxiv?
- Koj ua dab tsi los txo qhov mob?
- Koj noj lwm yam tshuaj dab tsi ntxiv?
Tom qab nug cov lus nug zoo li no, lawv yuav nug koj kom ntsuas qhov mob hnyav ntawm 0 txog 10. Tom qab ntawd, lawv yuav ua qee qhov kev kuaj mob kom paub tseeb tias yog dab tsi ua rau nws mob.
- Kev kuaj ntshav (piv txwv li Kev suav tag nrho cov ntshav)
- Kev kuaj zis
- Kev kuaj MRI lossis CT scan
- Cov kev ntsuam xyuas uas ntsuas kev ua haujlwm ntawm cov hlab ntsha - EMG (Electromyogram) thiab NCS (Kev Kawm Txog Kev Coj Ua Haujlwm ntawm Cov Nerve)
Puas tsis muaj kev kho rau qhov mob no?
Yeej muaj tseeb tiag. Qhov tseem ceeb rau kev kho mob yog txheeb xyuas thiab kho qhov mob uas ua rau muaj allodynia. Piv txwv li, yog tias nws yog los ntawm ntshav qab zib, nws yog ib qho tseem ceeb kom tswj tau ntshav qab zib kom zoo.
Yog tias nrhiav tsis tau qhov ua rau mob los yog qhov mob tseem mob txawm tias kho tau qhov mob tseem ceeb lawm los xij, muaj ntau txoj hauv kev los tswj qhov mob. Koj tus kws kho mob yuav xaiv txoj kev kho mob uas zoo tshaj plaws rau koj.
| Txoj Kev Kho Mob | Cia peb kawm txog qhov no. |
|---|---|
| Cov Tshuaj Noj | Muaj cov tshuaj tshwj xeeb rau mob hlab ntsha. Cov tshuaj xws li Pregabalin, Gabapentin, thiab qee cov tshuaj antidepressants feem ntau siv rau qhov no. Cov tshuaj xws li Triptans yog muab rau allodynia uas tshwm sim los ntawm migraines. |
| Cov Tshuaj Siv Rau Sab Nraud | Muaj cov tshuaj pleev, tshuaj pleev, lossis cov ntaub nplaum uas siv tau rau thaj chaw mob. Piv txwv li, cov tshuaj pleev uas muaj lidocaine thiab capsaicin. Cov no ua rau daim tawv nqaij tsis mob ib ntus thiab txo qhov mob. |
| Kev Kho Mob Lub Cev (PT) | Qhov no yog ib qho txheej txheem hu ua 'desensitization'. Tus kws kho mob yuav xub kov koj daim tawv nqaij maj mam heev, maj mam nce qhov kev nyem. Raws li lub sijhawm dhau mus, koj lub paj hlwb yuav tau siv rau qhov kev kov, thiab qhov mob yuav ploj mus. |
| Kev Pab Tswv Yim & Kev Kho Mob | Kev nyob nrog qhov mob tas li tuaj yeem ua rau lub hlwb qaug zog. Kev sab laj yog qhov tseem ceeb heev rau kev tswj hwm kev ntxhov siab thiab kev ntxhov siab uas qhov no ua rau. Cov txheej txheem xws li Cognitive Behavioral Therapy (CBT) qhia koj yuav ua li cas nrog qhov mob. |
| Kev txhaj tshuaj | Cov tshuaj txhaj xws li thaiv cov hlab ntsha tuaj yeem muab tau kom cov hlab ntsha lossis cov hlab ntsha uas ua rau mob tsis ua haujlwm ib ntus. |
| Kev phais mob | Yog tias tsis muaj lwm yam kev kho mob zoo, tej zaum yuav xav txog kev phais xws li Spinal Cord Stimulation. Qhov no suav nrog kev ntxig ib lub cuab yeej me me rau hauv cov hlab ntsha qaum kom thaiv cov teeb liab mob kom tsis txhob mus txog lub hlwb. |
Tsis tuaj yeem tiv thaiv qhov xwm txheej no tau?
Tej zaum yuav tsis muaj peev xwm tiv thaiv tau qhov allodynia tag nrho, vim nws yog ib qho tsos mob ntawm lwm yam mob. Txawm li cas los xij, peb tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim cov mob tseem ceeb uas ua rau allodynia.
- Ua kom nquag: Kev tawm dag zog tsis tu ncua txo kev ntxhov siab, txo cov mob taub hau migraines, thiab pab tswj tus kab mob ntshav qab zib.
- Tswj qhov hnyav kom noj qab nyob zoo: Kev rog dhau yog ib qho tseem ceeb uas ua rau muaj ntshav qab zib.
- Paub txog koj keeb kwm tsev neeg: Yog tias leej twg hauv koj tsev neeg muaj cov kab mob xws li ntshav qab zib, MS, lossis fibromyalgia, nrog koj tus kws kho mob tham txog nws.
- Mus txhaj tshuaj tiv thaiv: Nrhiav kev qhia txog kev kho mob txog kev txhaj tshuaj tiv thaiv uas tsim nyog los tiv thaiv tus kab mob herpes.
- Noj zaub mov kom sib npaug: Noj cov zaub mov uas muaj txiv hmab txiv ntoo thiab zaub ntau kom tsis txhob muaj cov vitamins ntau dhau.
Qhov tseem ceeb tshaj plaws yog, yog tias koj ntsib hom mob no, tsis txhob tsis quav ntsej nws. Tsis txhob xav tias, "Qhov no tsuas yog teeb meem ntawm lub hlwb xwb." Qhov no yog ib qho mob tiag tiag uas yuav tsum tau kho.
Nyuaj npaum li cas thaum koj mob, tsis tuav tau koj tus menyuam lossis tus neeg koj hlub, tsis hnav khaub ncaws li? Yog li ntawd, yog tias koj muaj cov tsos mob no, tshwj xeeb tshaj yog tias lawv cuam tshuam rau koj lub neej txhua hnub, nco ntsoov mus ntsib kws kho mob kom tau txais kev qhia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Allodynia yog qhov mob hnyav los ntawm kev kov uas feem ntau tsis ua rau mob.
- Qhov no tsis yog teeb meem ntawm lub hlwb, tab sis yog qhov mob tiag tiag uas tshwm sim los ntawm qhov tsis zoo ntawm lub paj hlwb (Neuropathic Pain).
- Feem ntau, qhov no tshwm sim ua ib qho tsos mob ntawm lwm yam mob, xws li ntshav qab zib, fibromyalgia, lossis migraines.
- Yog koj muaj cov tsos mob no, tsis txhob tsis quav ntsej lawv thiab mus ntsib koj tus kws kho mob kom paub qhov ua rau thiab kho.
- Tus mob no tuaj yeem tswj tau zoo los ntawm kev kho tus kab mob uas ua rau mob thiab siv cov txheej txheem tswj kev mob.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Cholestyramine Resin / Questran hmoov siv rau kab mob dab tsi?
Qhov no tsis yog tshuaj cholesterol ib txwm muaj (Statin)! Qhov no yog ib hom tshuaj tshwj xeeb (Bile Acid Sequestrant) uas muab rau kom txo 'cholesterol phem (LDL siab)'. Cov kws kho mob kuj siv nws los tiv thaiv 'kev khaus khaus ntawm lub cev/daim tawv nqaij' tam sim ntawd vim yog kab mob siab/kev thaiv biliary thiab los tswj qee yam mob raws plab hnyav.
💬 Cov hmoov no (Cholestyramine) yaj cov roj cholesterol phem/tiv thaiv nws kom tsis txhob sib sau ua ke thaum koj haus nrog dej li cas?
Peb lub siab ua cov roj cholesterol tshiab txhua hnub thiab tsim cov 'kua qaub', uas tom qab ntawd mus rau hauv txoj hnyuv thiab rov ua dua tshiab rau lub siab. Thaum koj haus cov tshuaj no, nws mus rau hauv txoj hnyuv thiab nqus cov 'kua qaub' zoo li daim txhuam cev, txhaws nws thiab tso nws tawm nrog koj cov quav. Thaum cov kua qaub tag, lub siab tsis muaj lwm txoj kev xaiv tab sis nqus cov roj cholesterol / LDL hauv koj cov ntshav thiab ua cov kua qaub tshiab. Cov kua qaub ntawd yuav tiv thaiv koj kom tsis txhob khawb koj lub cev.
💬 Tej yam txaus ntshai thiab ntxhov siab tshaj plaws uas yuav tsum paub thaum noj cov tshuaj no (Questran) yog dab tsi?
Qhov teeb meem loj tshaj plaws yog qhov no ua rau mob cem quav hnyav heev! Ib txhia neeg tuaj yeem raug mob quav. Lwm qhov txaus ntshai tshaj plaws yog tias thaum qhov no nyob hauv txoj hnyuv, 'lwm yam tshuaj (Tshuaj Tua Kab Mob, Tshuaj Thyroid, Vitamins)' uas koj noj yuav tsis nqus mus rau hauv cov ntshav! Yog li ntawd, lwm yam tshuaj yuav tsum noj ib teev ua ntej lossis 4 teev tom qab noj qhov no.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus