Kodi nthawi zina mumamva kupweteka m'mbali zosiyanasiyana za thupi lanu popanda chifukwa? Mwina ululuwo wakhalapo kwa nthawi yayitali ndipo sumatha. Kapena mumamva mwadzidzidzi dzanzi, singano, kapena kutentha? Ngati mwakumanapo ndi zoterezi, ndikofunikira kwambiri kuti mudziwe za vutoli lotchedwa Central Pain Syndrome (CPS) , lomwe tikambirana lero.
Kodi Central Pain Syndrome ndi chiyani?
Mwachidule, Central Pain Syndrome (CPS) ndi vuto lomwe ululu umamveka nthawi zonse, kutanthauza kuti , nthawi zonse, chifukwa cha vuto la mitsempha yathu. Mwachitsanzo, ngati ubongo wathu kapena msana wathu wawonongeka, kapena ngati tikumva ululu kwa nthawi yayitali ndipo mitsempha yathu yalephera kugwira ntchito bwino, vutoli lingachitike.
Umu ndi momwe zimagwirira ntchito. Pamene ubongo kapena maselo a mitsempha awonongeka, maselo owonongekawo sagwira ntchito bwino ndipo amayamba kutumiza zizindikiro za ululu nthawi zonse. Kapena, chifukwa cha ululu wopitirira, maselo athu a mitsempha amakhala okhudzidwa kwambiri ndi zizindikiro za ululu. Kenako, maselo amenewo amatha kutumiza zizindikiro za ululu molakwika ngakhale palibe ululu, kapena amathanso kutanthauzira zizindikiro zina ngati ululu.
Kuchiza vutoli nthawi zina kumakhala kovuta pang'ono. Ngakhale ndi mankhwala ochepetsa ululu nthawi zonse, komanso nthawi zina mankhwala amphamvu a opioid , ululuwu sungachepe. Koma, musadandaule. Madokotala tsopano apeza njira zatsopano zochiritsira vutoli. Athandiza anthu ambiri omwe ali ndi vutoli.
Kodi izi ndi zofanana ndi fibromyalgia?
Matenda a CPS ndi fibromyalgia si chinthu chimodzi. Koma pakhoza kukhala kugwirizana pakati pa ziwirizi. Fibromyalgia ndi matenda opweteka osatha omwe amakhudza mafupa ndi minofu yanu. Anthu omwe ali ndi fibromyalgia ali ndi mwayi waukulu wopeza matenda a CPS. Izi zili choncho chifukwa ululu wosatha umasintha momwe mitsempha yawo imagwirira ntchito.
Ndani amene ali ndi mwayi waukulu wopeza izi?
Aliyense amene wavulala ku ubongo kapena msana, akhoza kudwala CPS. Ikhozanso kukulira mwa aliyense amene akuvutika ndi ululu wosatha. Anthu omwe ali ndi matenda enaake amitsempha amatha kudwala ululuwu. Mwachitsanzo:
- Pakati pa 8% ndi 10% ya anthu omwe adadwala sitiroko .
- Pakati pa 20% ndi 40% ya anthu omwe ali ndi vuto la msana .
- Pafupifupi 30% ya anthu omwe ali ndi multiple sclerosis .
Kodi vutoli ndi lofala bwanji?
Akuti anthu pafupifupi 7 miliyoni padziko lonse lapansi ali ndi vutoli.
Kodi zizindikiro za matenda a ululu wapakati ndi ziti?
Ndi CPS, mungazindikire kusintha kwina m'mene mumamvera ululu:
- Kumene kumapweteka: Malo omwe ululu uli kumadalira gawo la mitsempha lomwe lakhudzidwa.
- Ululu wa CPS nthawi zambiri umakhalapo nthawi zonse . Komabe, kwa anthu ena ukhoza kubwera ndi kupita. Chapadera ndichakuti ululuwu umachitika popanda ngozi kapena kuvulala kulikonse m'thupi.
- Kupweteka kwambiri: Ululu nthawi zambiri umakhala wochepa mpaka wovuta kwambiri. Kwa anthu ena, nthawi zina umatha pang'ono kenako n'kubwereranso.
- Kusintha kwa momwe munthu amamvera akakhudzidwa: Anthu omwe ali ndi CPS amakumana ndi kusintha kwa momwe amamvera akakhudzidwa. Izi zikugwirizana ndi ululu. Izi zingayambitse kumva dzanzi kapena kupweteka kwa minofu (paresthesia) .
- Nthawi Yoyambira: CPS ikhoza kuyamba milungu, miyezi, kapena zaka pambuyo pa matenda, ngozi, kapena chochitika china chofunikira.
- Zotsatira za chilengedwe: Ululu wa CPS ukhoza kuwonjezeka chifukwa cha nyengo yozizira, nkhawa, kupsinjika maganizo , kapena kugwedezeka mwadzidzidzi. Kuchita masewera olimbitsa thupi kungakhudzenso ululu.
- Chodabwitsa n'chakuti, anthu omwe ali ndi CPS nthawi zina amakhala ndi mphamvu yowonjezereka yopirira ululu wakunja, womwe umadziwika kuti ululu wawo . Izi zikutanthauza kuti chinthu chomwe chingavulaze munthu wabwinobwino sichingawavulaze mwachangu.
Momwe mungafotokozere ululu
Anthu omwe ali ndi CPS nthawi zambiri amafotokoza ululu wawo m'njira zofanana. Mafotokozedwe ofala kwambiri ndi awa:
- Monga kuwotcha.
- Ngati kubayidwa ndi chinthu chakuthwa.
- Zili ngati kukanda moyipa.
- Kupweteka kwambiri, ngati kuyabwa
- Ululu waukulu wochokera mkati mwa thupi, kuchokera ku minofu
- Zimakhala ngati kufinya, ngati kumangitsa.
- Monga kudula, monga kufalitsa
Mavuto ena omwe amabwera ndi vutoli
Kukhala ndi ululu wopitirira muyeso kungakhudze kwambiri thanzi la munthu. Zotsatira zake, anthu omwe ali ndi ululu monga CPS angakumanenso ndi izi:
- Nkhawa
- Kuvutika maganizo ( mwina ndi maganizo ofuna kudzipha)
- Kutaya kukumbukira, chifunga cha ubongo
- Kutopa nthawi zonse kapena kutopa
- Kuvuta kugona
Kodi n’chiyani chimayambitsa vutoli?
Pali zifukwa ziwiri zazikulu zomwe zimayambitsa matenda a ululu wapakati: kuvulala kapena kuwonongeka kwa ubongo wanu kapena msana, kapena kupweteka kosatha kosatha.
Matenda omwe angawononge ubongo kapena msana
Pali matenda angapo omwe angawononge ubongo ndi msana. Ena mwa iwo ndi ofala kwambiri kuposa ena:
- Khansa ya muubongo kapena zotupa zosaopsa .
- Opaleshoni ya ubongo kapena opaleshoni ya msana .
- Kuvulala kwa ubongo kapena kuvulala koopsa .
- Matenda otupa kapena otupa, monga multiple sclerosis kapena matenda a Parkinson .
- Matenda a khunyu ndi matenda osakhudza khunyu.
- Matenda.
- Kuvulala kwa msana .
- Stroke .
Taganizirani izi, pali anthu ena omwe adachita ngozi yagalimoto kapena kugwa zaka zambiri zapitazo ndipo msana wawo unavulala. Patapita kanthawi, munthu wotereyu amatha kukhala ndi ululu waukulu chonchi. Chifukwa chake ndi kuwonongeka kwa msana.
Matenda omwe amayambitsa ululu wosatha
Matenda aliwonse omwe amayambitsa ululu wosatha angayambitsenso CPS. Chifukwa chake, madokotala agwirizanitsa CPS ndi matenda angapo okhudzana ndi ululu wosatha. Zina mwa izi ndi izi:
- Matenda okhudzana ndi nyamakazi , mwachitsanzo osteoarthritis .
- Kupweteka kwa msana .
- Khansa .
- Matenda otopa nthawi zonse .
- Kupweteka kwa m'chiuno kosatha .
- Matenda a ululu wa m'chigawo (CRPS) ovuta .
- Matenda a Fibromyalgia .
- Matenda otupa monga nyamakazi , nyamakazi ya psoriatic , lupus, kapena Sjögren's syndrome .
- Matenda a m'mimba okwiya.
- Kupweteka kwa mafupa .
- Mutu wopweteka kwambiri .
- Matenda a mitsempha ya m'mitsempha (nthawi zambiri izi zimachitika chifukwa cha matenda a shuga amtundu wa 2) .
- Postherpetic neuralgia - ululu wochokera ku kuwonongeka kwa mitsempha komwe ndi zotsatira zoyipa za shingles .
- Matenda a temporomandibular joint (TMJ) .
Majini
Kafukufuku wina wapeza kuti majini amathandiza kwambiri pakukula kwa matenda a ululu wapakati. Makamaka, ngati wina m'banja mwanu - kutanthauza amayi anu, abambo anu, abale anu, kapena ana anu - ali ndi vutoli, chiopsezo chanu chokhala ndi vutoli chikhoza kukhala chokwera kasanu ndi katatu kuposa ena! Koma kusintha kwenikweni kwa majini komwe kumayambitsa izi sikunadziwikebe.
Kodi vutoli limakhudza bwanji thupi langa?
Njira imodzi yoganizira za ululu ndi zotsatira zake ndi kuganizira thupi lanu ngati nyumba yaikulu komanso yovuta. Kenako, dongosolo lathu la mitsempha, lomwe limamva ndikugwira ntchito ya ululu m'thupi lonse, lili ngati dongosolo la alamu ya moto m'nyumbamo. Pamene dongosolo la mitsempha likumva kuti pali kuvulala kapena kuwonongeka kwinakwake m'thupi, limamveka ngati 'belu' kuti litidziwitse kuti pali vuto.
Pali mitundu iwiri ya ululu:
- Ululu waukulu: Uwu ndi momwe thupi lanu limayankhira matenda kapena kuvulala. Umatha pakatha miyezi itatu kapena kuchepera pamene mukuchira kapena kuvulalako kukuchira.
- Ululu wosatha: Ngati ululu waukulu ukupitirira kwa miyezi itatu mpaka isanu ndi umodzi, umakhala ululu wosatha.
Njira yachibadwa yopweteka
M'matupi athu onse, monga netiweki ya zowunikira utsi kapena masensa otentha mu makina ochenjeza moto, pali malekezero a mitsempha omwe amakhudzidwa ndi zinthu zosiyanasiyana zomwe zimayambitsa ululu. Maselo apafupi akawonongeka, zizindikiro zina za machenjezo a mankhwala zimatulutsidwa m'magazi. Malekezero a mitsempha yanu amazindikira mankhwala amenewo ndikutumiza zizindikiro zofunika kwambiri ku ubongo wanu kudzera mu msana. Ubongo umatanthauzira zizindikiro zimenezo ngati ululu ndikutumiza zizindikiro kumadera ena a ubongo kuti achitepo kanthu kuti akutetezeni. Mwachitsanzo, ngati dzanja lanu lakhudza chinthu chotentha mokwanira kuti chikutentheni, malekezero a mitsempha amazindikira zizindikirozo ndikutumiza zizindikiro ku ubongo wanu, kotero mumachotsa dzanja lanu mwachangu.
Kodi chimachitika ndi chiyani ndi matenda apakati a ululu?
Matenda a ululu wapakati ali ngati vuto la alamu ya moto m'thupi lanu. Mavutowa amatha kukhala m'njira zosiyanasiyana.
Kusintha chifukwa cha kuvulala kapena kuwonongeka
Matenda a ululu wapakati omwe amayamba chifukwa cha kuvulala kapena kuwonongeka amakhudza dera mosiyana:
- Ubongo: Kuwonongeka kwa ubongo kungayambitse mavuto ndi momwe ubongo umagwirira ntchito zizindikiro za ululu. Izi zingayambitse ubongo kugwiritsa ntchito molakwika ndikutumiza zizindikiro ngati kuti pali chinachake chomwe chikuyambitsa ululu wakuthupi.
- Msana: Zizindikiro zambiri zochokera ku ziwalo za thupi kupita ku ubongo ziyenera kufika ku msana zisanafike ku ubongo. Ngati msana wawonongeka, maselo a mitsempha omwe akhudzidwa amatha kulephera kugwira ntchito bwino ndikutumiza zizindikiro za ululu zomwe zimamveka ngati zikupweteka kwenikweni. Zizindikiro izi sizichokera ku kuvulala kwenikweni (koma ndi zenizeni).
Kusintha chifukwa cha ululu wosatha
Thupi lanu limapereka zizindikiro za ululu patsogolo chifukwa limafuna kukutetezani ku mavuto ena. Koma mukakhala ndi ululu wosatha, mitsempha yanu iyenera kugwiritsa ntchito zizindikiro zofunika kwambirizi pafupipafupi komanso kwa nthawi yayitali kuposa masiku onse.
Pakapita nthawi, momwe mitsempha yanu ndi ubongo wanu zimagwirira ntchito zizindikiro za ululu zimayamba kusintha. Kawirikawiri, mitsempha imakhala yokhudzidwa kwambiri ndi ululu, kapena imakhala yokhudzidwa kwambiri kotero kuti imatanthauzira zizindikiro zosapweteka ngati ululu.
- Hyperalgesia: Ili ndi liwu lachi Greek lotanthauza 'ululu wopitirira muyeso'. Chomwe chimachitika apa ndi chakuti dongosolo la mitsempha limakulitsa zizindikiro za ululu, zomwe zimapangitsa ululuwo kukhala woipa kwambiri kuposa momwe ulili.
- Allodynia: Ili ndi liwu lachigiriki, lomwe limatanthauza 'ululu wina'. Izi zimachitika pamene chinthu chomwe sichipweteka, monga kukhudza kwachibadwa, chimaonedwa ngati ululu chifukwa cha vuto la mitsempha yotumiza, kulandira, kapena kukonza zizindikiro. Mwachitsanzo, nsalu ikakhudza thupi, imayambitsa ululu wosapiririka.
Popeza ululu umakhudza ziwalo zina m'thupi lanu, makamaka mahomoni anu, chitetezo chamthupi, ndi njira zodzikonzera zokha m'thupi, ululu wosatha ndi CPS zimatha kusokoneza momwe machitidwewo amagwirira ntchito. Zingakhudzenso dongosolo lanu la endocrine , zomwe zimayambitsa zinthu monga matenda a adrenal .
Kodi vutoli limapezedwa bwanji?
Matenda a Ululu Wapakati (CPS) nthawi zina amakhala ovuta kuwazindikira chifukwa ululu umamveka mosiyana ndi aliyense. Chifukwa chake, dokotala ayenera kusonkhanitsa zambiri zokhudza ululu wanu. Izi zingaphatikizepo:
- Malo: Kodi ululu umapezeka kuti ? Kodi ululu uli pamalo amodzi, kapena mbali imodzi yokha ya thupi?
- Kufotokozera za ululu: Kodi ululuwo umamveka bwanji? Kodi ukupsa? Kodi ukubaya?
- Nthawi: Kodi ululu unayamba liti? Kodi ululu umachitika nthawi inayake ya tsiku kapena nthawi inayake ya tsiku?
- Zotsatira za zinthu zakunja: Kodi ululu umasintha malinga ndi malo omwe muli (monga kutentha kwa malo, phokoso, kupsinjika maganizo kapena nkhawa m'moyo wanu)?
- Mbiri ya zachipatala: Kodi muli ndi kuvulala kulikonse, mavuto, kapena matenda omwe angayambitse ululuwu?
- Zizindikiro zina: Kodi mukukumana ndi zizindikiro zina? Ngakhale zitakhala kuti sizikugwirizana ndi ululu, chonde zitchuleni. Kodi pali kutupa pafupi ndi ululu, kuuma, kapena zizindikiro zina zilizonse?
Ndi mayeso ati omwe amachitidwa kuti adziwe vutoli?
Kutengera ndi momwe zinthu zilili, madokotala angakupatseninso mayeso ozindikira matenda, kujambula zithunzi, kapena labu. Mayeso a labu nthawi zambiri amachitidwa kuti aone ngati pali vuto losadziwika la kutupa kapena matenda a chitetezo chamthupi omwe angayambitse ululu wanu. Dokotala wanu angakuuzeni bwino lomwe mayeso omwe akulimbikitsidwa pa vuto lanu komanso momwe mulili, komanso chifukwa chake akulimbikitsidwa.
Ngati matenda a ululu wapakati amayamba chifukwa cha kuvulala kwa ubongo kapena msana, mayeso ena owunikira ndi kujambula zithunzi angathandize kuzindikira matendawa. Mayesowa akuphatikizapo:
- Electroencephalography (EEG) .
- Chithunzi cha Magnetic Resonance (MRI) .
- Magnetoencephalography (MEG) .
- Kujambula kwa Positron Emission Tomography (PET) .
Pali mtundu wina wapadera wa mayeso a MRI omwe angathandize pazochitika ngati izi. Amatchedwa "functional MRI (fMRI)." Amatha kuzindikira ngakhale momwe ubongo wanu umagwirira ntchito, kutanthauza kuti, ngati mbali zosiyanasiyana za ubongo zikugwira ntchito limodzi kapena ayi.
Kodi CPS imachiritsidwa bwanji? Kodi imatha kuchiritsidwa?
Pakadali pano palibe mankhwala a central pain syndrome. Komabe, pali njira zambiri zochiritsira. Ngati CPS imayamba chifukwa cha matenda enaake, kuchiza kapena kuchiritsa matenda amenewo kungathandizenso ndi CPS.
Mankhwala
Mapulani ambiri ochizira amayamba ndi mitundu yosiyanasiyana ya mankhwala ochepetsa ululu, kuyambira mankhwala oletsa kutupa omwe si a steroidal (NSAIDs ) monga aspirin kapena ibuprofen mpaka mankhwala ochepetsa ululu omwe ali m'gulu la mankhwala olamulidwa monga opioids .
Komabe, mankhwala ambiri ochepetsa ululu, ngakhale opioid amphamvu, nthawi zambiri sagwira ntchito pochiza CPS. Ngati sagwira ntchito, madokotala angayesere mankhwala amodzi kapena angapo mwa awa (okha kapena ophatikizana):
- Mankhwala a khunyu, mwachitsanzo gabapentin kapena lamotrigine .
- Mankhwala otchedwa Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo, monga duloxetine ndi venlafaxine .
- Mtundu wina wa mankhwala oletsa kuvutika maganizo umatchedwa tricyclic antidepressants (TCAs) , mwachitsanzo amitriptyline kapena nortriptyline .
- Mankhwala omwe amabwera ngati mafuta kapena mabala omwe amawononga khungu, mwachitsanzo lidocaine .
Palinso njira zina zochizira matenda. Amagwiritsa ntchito mankhwala omwe ndi otchuka kuti agwiritsidwe ntchito mosangalala, koma akufufuzidwabe. Izi tsiku lina zitha kukhala gawo la chithandizo chokhazikika cha CPS:
- Chamba (chamba chamankhwala) .
- Jakisoni wa Ketamine .
Njira zopanda mankhwala
Pali njira zingapo zosagwiritsa ntchito mankhwala osokoneza bongo, zina zovomerezeka, zina zomwe zidakali mu gawo lofufuza, zomwe zingathandize ndi CPS. Nazi zitsanzo zingapo:
- Kuchiza ndi acupuncture .
- Kulimbikitsa Ubongo Kwambiri (DBS) .
- Microcurrent Yodziwika ndi Ma Frequency (FSM) .
- Kulimbikitsa Magnetic kwa Transcranial (TMS) .
- Kulimbikitsa Mitsempha Yamagetsi Yodutsa Pakhungu (TENS) .
Mankhwala ena
Popeza mavuto azaumoyo wamaganizo nthawi zambiri amabwera limodzi ndi ululu, madokotala nthawi zambiri amaphatikiza njira zothandizira matenda amisala mu mapulani a chithandizo cha CPS. Mwachitsanzo, chithandizo chamaganizo (CBT) chingakuthandizeni kuphunzira maluso othana ndi mavuto azaumoyo wamaganizo omwe nthawi zambiri amatsagana ndi CPS.
Kuchita masewera olimbitsa thupi kungakuthandizeni kusintha momwe thupi lanu lilili. Kungathandizenso kuti minofu yanu ikhale yolimba, yosinthasintha, komanso yogwirizana.
Mavuto/zotsatira zake zimasiyana kwambiri kutengera chithandizo chomwe mumalandira. Dokotala wanu angakupatseni lingaliro labwino la zomwe mungayembekezere.
Kodi ndimadzisamalira bwanji kapena ndimatha bwanji kuthana ndi zizindikiro zanga?
CPS si vuto lomwe mungathe kulizindikira nokha. Chifukwa chake, si bwino kuyesa kudzichiritsa nokha. Ngati mukuganiza kuti muli ndi vutoli, muyenera kuwona dokotala. Iye akhoza kuzindikira vuto lanu ndikukutumizirani ku chithandizo choyenera.
Mmene ndimamvera bwino msanga nditalandira chithandizo zimasiyana malinga ndi munthu. Funsani dokotala wanu za chithandizo chanu komanso nthawi yomwe mukuchira. Iye angakuuzeni zomwe mungayembekezere kutengera vuto lanu.
Kodi chiyembekezo cha vutoli n'chiyani?
Matenda a ululu wapakati amatha kukhudza kwambiri moyo wanu, makamaka luso lanu lochita zinthu zomwe mumakonda.
Chiyembekezo cha vutoli chimadalira kwambiri chomwe chimayambitsa vutoli. Ngati pali chifukwa chomwe chingachiritsidwe, zotsatira zina za vutoli zimatha kuchiritsidwa kapena kusinthidwa.
Ngati chifukwa chenicheni sichingathe kuchiritsidwa, chinthu chabwino kwambiri kuchita ndikuchiza zizindikiro za CPS ndikuziletsa kuti zisakule kwambiri.
Ndikofunikanso kuzindikira vutoli msanga ndikuyamba kulandira chithandizo. Ndikofunikanso kuonana ndi katswiri wa zamaganizo, ngati pakufunika komanso ngati akulimbikitsidwa. Izi zili choncho chifukwa anthu omwe ali ndi vutoli ali pachiwopsezo chachikulu chokhala ndi nkhawa komanso kuvutika maganizo, komanso chiopsezo chowonjezeka cha kudzipha.
Matenda a ululu wapakati nthawi zambiri amakhala osatha. Nthawi zina, zotsatira zake zimatha kusinthidwa, kutengera chomwe chimayambitsa komanso momwe mumalandira chithandizo mwachangu.
Kodi ndingapewe bwanji izi kuti zisachitike, kapena kuchepetsa chiopsezo?
CPS imayamba mwadzidzidzi ndipo imakhudzidwa ndi zinthu zingapo zomwe simungathe kuzilamulira. Chifukwa chake, vutoli silingathe kupewedwa.
Pamene matenda a ululu wapakati ayamba chifukwa cha kuvulala kapena kuwonongeka kwa ubongo kapena msana, palibe chomwe mungachite kuti muchepetse chiopsezo chanu chodwala matendawa. Kuvala zida zodzitetezera ndi zida zopewera kuvulala mutu ndi msana kungathandize kuchepetsa chiopsezo chanu pang'ono popewa kuvulala komwe kungayambitse CPS.
Njira yabwino yochepetsera chiopsezo chanu chokhala ndi CPS yokhudzana ndi ululu wosatha ndikupeza chithandizo cha matenda aliwonse omwe angayambitse ululu. Ndikofunikanso kutsatira malangizo a dokotala wanu mukamachiza matenda amenewo. Kuchita zonsezi kungathandize kuchepetsa chiopsezo chanu chokhala ndi ululu wosatha womwe ungayambitse CPS mtsogolo.
Kodi ndimadzisamalira bwanji?
Ngati muli ndi vuto la kupweteka kwapakati, muyenera kutsatira malangizo a dokotala wanu kuti mudzisamalire nokha ndikuchiza vuto lanu. Zinthu zabwino kwambiri zomwe mungachite ndi izi:
- Imwani mankhwala anu monga mwalangizidwira.
- Pewani zochita kapena zochitika zomwe zimawonjezera ululu wanu.
- Musanyalanyaze thanzi lanu la maganizo.
Ndiyenera kupita kwa dokotala liti?
Muyenera kuonana ndi dokotala wanu monga momwe mwalangizidwira. Iye mwina adzakonza nthawi yokumana ndi dokotala kuti akaone momwe zinthu zilili komanso kusintha chithandizo chanu ngati pakufunika kutero. Muyenera kuonana ndi dokotala wanu ngati muwona kusintha kulikonse mu zizindikiro zanu, makamaka ngati zasintha mwachangu kapena ngati zikusokoneza zochita zanu zachizolowezi komanso zochita zanu zatsiku ndi tsiku.
Kodi ndiyenera kupita liti ku Emergency Treatment Unit (ETU) ?
Muyenera kufunafuna chithandizo chamankhwala mwadzidzidzi ngati zizindikiro zanu zasintha pakapita nthawi yochepa, kapena ngati zakula kwambiri. Izi ndi zoona makamaka ngati muli ndi zizindikiro za sitiroko pamodzi ndi zizindikiro zanu za CPS. Dokotala wanu angakuuzeninso za zizindikiro zilizonse zomwe zili zenizeni kwa inu zomwe zingasonyeze kuti muyenera kufunafuna chithandizo chamankhwala mwadzidzidzi.
Pomaliza, zinthu zoti muzikumbukira
Matenda a ululu wa pakati (CPS) ndi matenda oopsa omwe angakhudze kwambiri moyo wanu. Angakubweretsereni nkhawa ndi ululu, ndipo angakulepheretseni kukhala ndi moyo womwe mukufuna. Ngakhale kuti matenda a ululu wa pakati ali ndi mbiri yoipa yoti ndi ovuta kuchiza, ofufuza tsopano akupanga mankhwala othandiza, mankhwala, ndi njira zothetsera vutoli. Pamene kafukufuku akupitirira, njira zambiri zitha kuonekera zochiritsira vutoli. Izi zibweretsa chiyembekezo ndi mpumulo kwa iwo omwe akuvutika ndi vutoli. Chifukwa chake, ngati muli ndi zizindikiro izi, ndibwino kuti musachite mantha, koma pitani kwa dokotala mwachangu momwe mungathere.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi matenda a Central Pain Syndrome ndi matenda omwe amayambitsa kupweteka kwambiri popanda kuvulala kulikonse m'thupi?
Inde! Uwu ndi matenda opweteka kwambiri komanso osaganiziridwa. Simuli ndi bala kapena kuvulala padzanja kapena mwendo wanu. Koma chifukwa cha kuwonongeka kwakukulu kwa ubongo (dongosolo lamanjenje), ubongo wokha molakwika umapanga zizindikiro za ululu, zomwe zimayambitsa 'ululu waukulu' ku thupi lonse kapena theka la thupi. Izi zimatchedwa vuto losazolowereka.
💬 Kodi chimachitika ndi chiyani ku ubongo chomwe chimapangitsa kuti upereke zizindikiro zabodza za ululu ngati izi?
Izi nthawi zambiri zimachitika mwa anthu omwe adadwala sitiroko yayikulu. Zingachitike mwadzidzidzi patatha miyezi ingapo thalamus itawonongeka ndi sitiroko. Zingachitikenso kwa anthu omwe ali ndi multiple sclerosis (MS), matenda a Parkinson, ndi kuvulala kwa msana.
💬 Kodi kumwa mankhwala ochepetsa ululu nthawi zonse (Painkillers / Panadol) sikungakhale kokwanira pa izi?
Ayi! Iyi ndi vuto la chizindikiro cha ubongo, kotero silingachepe ndi mankhwala wamba ochepetsa ululu kapena mankhwala amphamvu ochepetsa ululu (Opioids). Kuti muchepetse mitsempha muubongo, muyenera kupitiriza kumwa mankhwala oletsa kupweteka mutu (Pregabalin/Gabapentin) kapena mankhwala oletsa kuvutika maganizo (Amitriptyline) monga momwe dokotala wanu wanenera.
` Central Neuropathy Syndrome, Central Pain Syndrome, Chronic Pain, Nervous System, Ubongo Matenda, Spinal Cord Disorders, Ululu Management


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