Kodi mumamva ululu wosapiririka kapena kutentha zovala zanu zikakukuta, mphepo ikakuwomba, kapena mnzanu akakugwirani paphewa pang'onopang'ono? Ngati mukumva ululu waukulu ngakhale mutakhudza pang'ono koma sikubweretsa ululu, mwina muli ndi vutoli. Lero tikulankhula za vuto lachilendo, koma lofala kwambiri, lopweteka lomwe limakhudza anthu ambiri, allodynia.
Kodi Allodynia ndi chiyani kwenikweni?
Mwachidule, allodynia ndi kumva ululu wochokera ku chinthu chomwe nthawi zambiri sichimayambitsa ululu. Tangoganizirani nthenga ya mbalame ikukhudza khungu lanu. Nthawi zambiri timamva bwino kwambiri, sichoncho? Koma kwa munthu amene ali ndi allodynia, zimamveka ngati kupweteka kwambiri, ngati kubayidwa ndi mpeni.
Izi zimadziwika kuti ululu wa neuropathic . Izi zikutanthauza kuti si vuto la khungu lanu, koma vuto la mitsempha yomwe imanyamula ululu kupita ku ubongo. Nthawi zambiri ndi chizindikiro cha vuto lina. Mwachitsanzo, nthawi zambiri limapezeka ndi matenda monga matenda a shuga, herpes, fibromyalgia, ndi migraines.
Anthu ambiri omwe ali ndi allodynia amanena kuti khungu lawo limamva "losasangalatsa kwambiri, ngati kuti lapsa ndi dzuwa." Kwa anthu ena, ululu uwu ukhoza kumveka ngati mpeni, singano, kapena kutentha, ngati khungu likupsa.
Kodi mitundu ikuluikulu ya Allodynia ndi iti?
Vutoli lingagawidwe m'magulu atatu akuluakulu kutengera momwe limachitikira. Tiyeni timvetse izi ndi tebulo.
| Mtundu wa Allodynia | Mwachidule, izi ndi zomwe zimachitika (Tanthauzo lake mwachidule) |
|---|---|
| Mphamvu ya Allodynia | Kupweteka pamene chinachake chikuyenda pamwamba pa khungu. Mwachitsanzo, zovala zikukanda thupi, machira akugunda thupi. |
| Allodynia yogwira | Ululu womwe umabwera chifukwa chokhudza pang'ono kapena kukakamizidwa. Mwachitsanzo, kugwirana chanza ndi munthu wina, kukhudza mutu wanu. |
| Kutentha kwa Allodynia | Ululu wobwera chifukwa cha kusintha pang'ono kwa kutentha. Mwachitsanzo, mukatuluka m'chipinda choziziritsira mpweya, kapena dontho la madzi ozizira likakhudza khungu lanu. |
N’chifukwa chiyani izi zikuchitika kwa ife? Chifukwa chake n’chiyani?
Chifukwa chachikulu cha izi ndi vuto la kupweteka kwa mitsempha yathu. Timatcha izi kuti 'Central Sensitization'.
Tangoganizani kuti thupi lanu lili pamalo otetezeka kwambiri, ndipo dongosolo lanu la mitsempha ndilo chitetezo chake. Mukakhudza chinthu chotentha, masensa omwe ali mu dongosolo lanu la mitsempha amatumiza uthenga ku ubongo wanu kuti, "Ngozi!" Nthawi yomweyo, dongosolo la chitetezo limatuluka, mumamva kupweteka, ndipo mumachotsa dzanja lanu. Iyi ndi njira yachibadwa.
Koma vuto lachipatala, ngozi, kapena mankhwala ena amatha kusokoneza magwiridwe antchito a chitetezo ichi. Kenako, alamu imayamba kulira ngakhale palibe choopsa. Monga momwe alamu yachitetezo imalira popanda mbala kubwera. Chovala chokwirira thupi si choopsa, koma dongosolo lamanjenje lomwe lasokonezeka limachitanthauzira molakwika ngati "choopsa" ndipo limatumiza zizindikiro za ululu ku ubongo. Izi ndi zomwe zimachitika munthu akakhala ndi vuto la allodynia.
Zinthu zomwe zingayambitse allodynia
- Matenda a mitsempha okhudzana ndi matenda a shuga
- Fibromyalgia
- Mutu wopweteka kwambiri
- Ululu wa pambuyo pa herpetic neuralgia (ululu pambuyo pa matenda a herpes)
- Matenda a Multiple Sclerosis (MS)
- Matenda a ululu wa m'chigawo (CRPS)
- Mitsempha ya Trigeminal (TN)
- Matenda ogwiritsira ntchito mowa
- Kusowa kwa Vitamini D kapena Vitamini B
- Mankhwala ena a khansa (Chemotherapy, Radiation therapy)
- Kuwonongeka kwa mitsempha pambuyo pa ngozi (monga kuvulala kwambiri) kapena opaleshoni (monga kuchotsedwa kwa chiwalo)
Kodi mwapeza bwanji izi, Dokotala?
Mukanena za zizindikiro ngati izi, chinthu choyamba chomwe dokotala wanu angachite ndikufunsani za mbiri yanu yonse yachipatala ndikukuyesani.
- Kodi ululuwo umamveka bwanji? (Kuluma? Kupsa?)
- Kodi chidzawonjezeka liti?
- Kodi mumatani kuti muchepetse ululu?
- Ndi mankhwala ena ati omwe mumamwa?
Akafunsa mafunso ngati awa, adzakufunsani kuti muyese kukula kwa ululu kuyambira 0 mpaka 10. Pambuyo pake, angachite mayeso ena kuti adziwe chomwe chikuyambitsa ululuwo.
- Kuyezetsa magazi (monga Kuchuluka kwa Magazi Okwanira)
- Mayeso a mkodzo
- Mayeso a MRI kapena CT scan
- Mayeso omwe amayesa ntchito ya mitsempha - EMG (Electromyogram) ndi NCS (Kafukufuku Woyendetsa Mitsempha)
Kodi palibe mankhwala a ululu uwu?
Inde, palidi zimenezo. Chofunika kwambiri pa chithandizo ndi kuzindikira ndikuchiza vuto lomwe limayambitsa allodynia. Mwachitsanzo, ngati layamba chifukwa cha matenda a shuga, ndikofunikira kuwongolera bwino matenda a shuga.
Ngati palibe chifukwa chomwe chapezeka kapena ngati ululu ukupitirirabe ngakhale kuti pali chithandizo cha vuto lomwe limayambitsa ululuwo, pali njira zosiyanasiyana zothanirana ndi ululuwo. Dokotala wanu adzasankha njira yochiritsira yomwe ili yoyenera kwa inu.
| Njira Yothandizira | Tiyeni tiphunzire za izi. |
|---|---|
| Mankhwala Omwa | Pali mankhwala enaake ochizira ululu wa mitsempha. Mankhwala monga Pregabalin, Gabapentin, ndi ena oletsa kuvutika maganizo amagwiritsidwa ntchito kwambiri pa izi. Mankhwala monga Triptans amaperekedwa pa allodynia yomwe imayamba chifukwa cha mutu waching'alang'ala. |
| Mankhwala Opangira Pakhungu | Pali mafuta odzola, mafuta odzola, kapena mabala omwe angagwiritsidwe ntchito pamalo omwe munthu akumva ululu. Zitsanzo zake ndi monga mafuta okhala ndi lidocaine ndi capsaicin. Izi zimapangitsa khungu kukhala losalimba kwakanthawi ndikuchepetsa ululu. |
| Kuchiza Thupi (PT) | Iyi ndi njira yotchedwa 'desensitization'. Dokotala adzayamba wakhudza khungu lanu pang'onopang'ono, pang'onopang'ono akuwonjezera kuthamanga kwa magazi. Pakapita nthawi, mitsempha yanu idzazolowera kukhudza, ndipo ululu udzatha. |
| Uphungu ndi Chithandizo | Kukhala ndi ululu wosatha kungakhale kovuta m'maganizo. Uphungu ndi wofunika kwambiri pothana ndi nkhawa ndi nkhawa zomwe zimayambitsa. Njira monga Cognitive Behavioral Therapy (CBT) zimakuphunzitsani momwe mungathanirane ndi ululu. |
| Majakisoni | Majekeseni monga Nerve Block angaperekedwe kuti athetse kwakanthawi mitsempha kapena ulusi wa mitsempha womwe umayambitsa ululu. |
| Opaleshoni | Ngati palibe njira zina zochiritsira zomwe zathandiza, opaleshoni monga Spinal Cord Stimulation ingaganizidwe. Izi zikuphatikizapo kulowetsa chipangizo chaching'ono mu msana kuti chilepheretse zizindikiro za ululu kufika muubongo. |
Kodi vutoli silingathe kupewedwa?
Sizingatheke kuletsa kwathunthu allodynia, chifukwa ndi chizindikiro cha matenda ena. Komabe, tingachepetse chiopsezo chokhala ndi matenda akuluakulu omwe amayambitsa allodynia.
- Khalani otanganidwa: Kuchita masewera olimbitsa thupi nthawi zonse kumachepetsa nkhawa, kumachepetsa mutu, komanso kumathandiza kuchepetsa matenda a shuga.
- Khalani ndi thupi labwino: Kunenepa kwambiri ndi chinthu chachikulu chomwe chimayambitsa matenda a shuga.
- Dziwani mbiri ya banja lanu: Ngati wina m'banja mwanu ali ndi matenda monga matenda a shuga, MS, kapena fibromyalgia, lankhulani ndi dokotala wanu za izi.
- Katemera: Funsani upangiri wa dokotala wokhudza kulandira katemera wofunikira kuti muteteze ku kachilombo ka herpes.
- Idyani zakudya zopatsa thanzi: Idyani zakudya zokhala ndi zipatso ndi ndiwo zamasamba zambiri kuti mupewe kusowa kwa mavitamini.
Chofunika kwambiri n’chakuti, ngati mukumva ululu woterewu, musaunyalanyaze. Musaganize kuti, “Ili ndi vuto la maganizo chabe.” Uwu ndi matenda enieni omwe amafunika kuchiritsidwa.
Kodi zimakhala zovuta bwanji kukhala ndi ululu, kulephera kugwira mwana wanu kapena wokondedwa wanu, kulephera ngakhale kuvala zovala? Chifukwa chake ngati muli ndi zizindikiro izi, makamaka ngati zikusokoneza moyo wanu watsiku ndi tsiku, onetsetsani kuti mwawonana ndi dokotala kuti akupatseni upangiri.
Uthenga Wopita Nawo Kunyumba
- Allodynia ndi kumva ululu waukulu chifukwa chokhudza chinthu chomwe nthawi zambiri sichimayambitsa ululu.
- Ili si vuto la maganizo, koma ululu weniweni womwe umabwera chifukwa cha vuto la mitsempha (Neuropathic Pain).
- Kawirikawiri, izi zimachitika ngati chizindikiro cha matenda ena, monga matenda a shuga, fibromyalgia, kapena mutu waching'alang'ala.
- Ngati muli ndi zizindikiro izi, musanyalanyaze ndipo pitani kwa dokotala kuti mudziwe chomwe chikuyambitsa vutoli ndikulandira chithandizo.
- Vutoli lingathe kuthetsedwa bwino pochiza matenda omwe amayambitsa ululu ndikugwiritsa ntchito njira zothanirana ndi ululu.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi ufa wa Cholestyramine Resin / Questran umagwiritsidwa ntchito pa matenda ati?
Iyi si piritsi la cholesterol wamba (Statin)! Iyi ndi mtundu wapadera wa mankhwala (Bile Acid Sequestrant) omwe amaperekedwa kuti achepetse 'cholesterol yoyipa (High LDL)'. Madokotala amagwiritsanso ntchito nthawi yomweyo kuti aletse 'kuyabwa kosapiririka (Pruritus) kwa thupi/khungu' chifukwa cha matenda a chiwindi/kutsekeka kwa ndulu komanso kuwongolera matenda ena otsegula m'mimba kwambiri.
💬 Kodi ufa uwu (Cholestyramine) umasungunula bwanji cholesterol yoipa/kuiletsa kuti isaunjikane mukamwa ndi madzi?
Chiwindi chathu chimapanga cholesterol yatsopano tsiku lililonse ndipo chimapanga 'bile acids', zomwe zimapita kumatumbo ndikubwezeretsedwanso ku chiwindi. Mukamwa mankhwalawa, amapita kumatumbo ndikuyamwa 'bile' ngati siponji, kuitseka ndikuitulutsa ndi ndowe zanu. Bile ikatha, chiwindi sichingasankhe china koma kuyamwa cholesterol/LDL m'magazi anu ndikupanga bile yatsopano. Bile imeneyo idzakulepheretsani kukanda thupi lanu.
💬 Kodi ndi zoopsa ziti zomwe zimakwiyitsa komanso zoopsa kwambiri zomwe muyenera kuzidziwa mukamamwa mankhwala awa (Questran)?
Vuto lalikulu ndilakuti izi zimayambitsa 'kudzimbidwa' kwakukulu! Anthu ena amathanso kugwidwa ndi ndowe. Choopsa china choopsa kwambiri ndichakuti ngakhale izi zili m'matumbo, 'mapiritsi ena aliwonse (Mapiritsi Ochepetsa Ululu, Chithokomiro, Mavitamini)' omwe mutenga sadzalowa m'magazi! Chifukwa chake, mankhwala ena ayenera kumwedwa ola limodzi musanayambe kumwa kapena maola anayi mutatha kumwa.
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