Kodi munayamba mwamvapo chonchi? Mukawerama mutu wanu kuti mutenge chinthu chomwe chinagwa pansi, kapena mukangowerama khosi lanu patsogolo, mumamva kupweteka kwakukulu komwe kumamveka ngati kugwedezeka kwa magetsi msana wanu. Kuli ngati kugwedezeka kwamagetsi. Ngakhale kumatha pakangopita masekondi ochepa, kumvako kumakhala koopsa pang'ono. Ndicho chimene tikambirana lero. M'mawu azachipatala, chizindikiro ichi chimatchedwa Chizindikiro cha Lhermitte.
Kodi chizindikiro cha Lhermitte n'chiyani kwenikweni?
Mwachidule, Chizindikiro cha Lhermitte ndi ululu wakuthwa, wofanana ndi wamagetsi womwe umatuluka mwadzidzidzi msana wanu, nthawi zina m'manja ndi miyendo yanu, mukawerama khosi lanu patsogolo. Izi zitha kuchitika mukatsokomola kapena kuyetsemula. Ululu umabwera mwadzidzidzi ndipo umatha pakangopita masekondi ochepa. Koma ukhoza kuchitika kangapo patsiku.
Nthawi zina dokotala wanu amatcha izi kuti "chochitika cha mpando wometa." Chifukwa cha izi ndi chakuti kale, anthu ena adamva ululu wamtunduwu akamawerama mitu yawo m'mipando yometa pamene akutsuka tsitsi lawo.
Koma kumbukirani, chizindikiro ichi chotchedwa Chizindikiro cha Lhermitte si choopsa kapena choopsa. Komabe, ndi chizindikiro chofunikira chomwe chimatipatsa chizindikiro chakuti pali chinachake chomwe chikuyenda bwino m'thupi lathu.
N’chifukwa chiyani timamva chonchi? Chifukwa chake n’chiyani?
Chifukwa chachikulu cha izi ndichakuti pali kuwonongeka kwina kwa mitsempha ya msana wathu. Mu zamankhwala, kuwonongeka kumeneku timakutcha "chilonda" kapena "chilonda". Dokotala akhoza kudziwa ngati muli ndi chilonda chotere msana wanu wa msana pogwiritsa ntchito "MRI" scan.
Taganizirani za mitsempha yathu ngati mawaya amagetsi. Mawaya awa amatetezedwa ndi chigoba choteteza (choteteza). Chigoba choteteza ichi chozungulira mitsempha yathu chimatchedwa myelin. Chigoba cha myelin ichi ndi chomwe chimalola mauthenga ochokera ku ubongo kuyenda mwachangu komanso molondola kupita ku ziwalo zina za thupi.
Ngati pazifukwa zina chipolopolo cha myelin ichi chawonongeka, vuto lotchedwa ``demyelination,'' mitsempha imaonekera. Panthawiyo, mukapinda malo ngati khosi lanu, mitsempha yowonongekayo imalimbikitsidwa ndipo imatumiza zizindikiro zabodza za ululu ku ubongo. Ndicho chimene chimatipangitsa kumva ngati tikugwidwa ndi magetsi.
Ndi matenda ati omwe angayambitse Chizindikiro cha Lhermitte?
Choyambitsa matendawa chofala kwambiri komanso chachikulu ndi multiple sclerosis (MS). Kafukufuku wapeza kuti pafupifupi munthu m'modzi mwa atatu aliwonse omwe ali ndi MS adzakumana ndi chizindikiro cha Lhermitte kamodzi pa moyo wawo.
Kupatula apo, pali zifukwa zina zingapo zomwe zingakhudze izi. Tebulo lomwe lili pansipa lifotokoza bwino izi.
| Mkhalidwe/Choyambitsa | Kufotokozera kosavuta |
|---|---|
| Matenda a Multiple Sclerosis (MS) | Imeneyi ndi matenda omwe amakhudza mitsempha. Pankhaniyi, chitetezo cha mthupi cha thupi chimawononga sheath ya myelin yozungulira mitsempha. Ichi ndi chomwe chimayambitsa matendawa nthawi zambiri. |
| Kusowa kwa Vitamini B12 | Vitamini B12 ndi yofunika kwambiri pa thanzi la mitsempha. Ngati kuchuluka kwa B12 m'thupi kuli kochepa kwambiri, mitsempha imatha kuwonongeka. |
| Diski yotupa | Disiki yonga jelly pakati pa mafupa a msana imatuluka, ndikukankhira pa chingwe cha msana kapena mitsempha. Nthawi zambiri timati "disiki yotupa." |
| Matenda a m'khosi | Kupsinjika kwa mitsempha chifukwa cha kuwonongeka kwa mafupa a msana ndi mafupa a khosi ndi kukalamba. |
| Kupsinjika kwa msana | Kupanikizika kwa msana chifukwa cha chotupa, ngozi, kapena chifukwa china. |
| Kachilombo ka nkhuku (Shingles) | Nthawi zina, kachilombo kamene kamayambitsa nthenda ya nkhuku kamatha kuyambiranso kugwira ntchito ndikukhudza mitsempha. |
| Kuchiza ndi radiation kapena chemotherapy (Radiation/Chemotherapy) | Izi zitha kuchitika ngati zotsatira zoyipa za chithandizo cha radiation cha khansa, makamaka pakhosi. |
Kodi ndi zinthu ziti zomwe zimayambitsa ululu uwu?
Ululu uwu ukhoza kuwonekera mwadzidzidzi chifukwa cha zochita ndi zochitika zina.
- Kupinda khosi patsogolo: Ichi ndiye choyambitsa chachikulu.
- Chifuwa
- Kusaka ng'ona
- Kuyasamula
Komanso, mwayi woti chizindikiro ichi chichitike ndi wokwera kwambiri pazochitika zotsatirazi:
- Mukatopa (Mukatopa)
- Mukakhala ndi nkhawa
- Mukamachita masewera olimbitsa thupi
- Mukakhala pamalo otentha
Kodi dokotala amazindikira bwanji izi ndipo chithandizo chake ndi chiyani?
Palibe mayeso enieni oti muwone ngati pali chizindikiro cha Lhermitte. Dokotala adzachizindikira mukangotchula. Cholinga chachikulu cha dokotala ndikupeza chomwe chimayambitsa chizindikirocho, kutanthauza vuto lachipatala lomwe limayambitsa vutoli.
Pachifukwa chimenecho,
- Dokotala adzakufunsani mosamala za zizindikiro zanu.
- Kuyezetsa thupi kudzachitika. Kuyezetsa thupi monga Spurling kungachitike kuti kuone ngati mitsempha ya m'mitsempha ikupweteka khosi.
- Mungatumizidwe kuti mukayesedwe, monga MRI scan . Izi zitha kuwonetsa bwino ngati pali zilonda, herniated disc, kapena kuwonongeka kwina kwa msana.
Ponena za chithandizo, ululu uwu, womwe umatenga masekondi ochepa okha, sungafunike chithandizo chapadera. Chofunika kwambiri ndi kuchiza chomwe chimayambitsa vutoli.
Mwachitsanzo:
- Ngati chifukwa chake ndi MS, chithandizo chake chidzachepetsa kuoneka kwa chizindikiro cha Lhermitte.
- Ngati chifukwa chake ndi kusowa kwa vitamini B12, kupereka vitamini B12 kungachiritse vutoli kwathunthu.
- Ngati diski yakhudzidwa ndi herniated, chithandizo cha physiotherapy kapena opaleshoni ingafunike.
Kuphatikiza apo, dokotala wanu angakulimbikitseni zotsatirazi kuti muchepetse ululu uwu:
- Mankhwala ochizira ululu wa mitsempha, mwachitsanzo `(Gabapentin)`.
- Chogwirira pakhosi chimavalidwa kuti chichepetse kuyenda kwa khosi.
- Tumizani kwa katswiri wa zamaganizo kuti akachite masewera olimbitsa thupi opumula minofu komanso kutambasula minofu.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mukumva ululu wofanana ndi wamagetsi womwe wafotokozedwa pamwambapa, makamaka mukapinda khosi lanu, musanyalanyaze.
- Kwa inuNgati mukumva izi koyamba m'moyo wanu, onetsetsani kuti mwawonana ndi dokotala.
- Ngati muli kale ndi vuto ngati la MS, ndipo zizindikirozi zikuwoneka zatsopano kapena zikuipiraipira, dziwitsani dokotala wanu.
- Ngati ululuwu ukugwirizana ndi zizindikiro zina (monga dzanzi m'miyendo, kuvutika kuyenda, kusintha kwa masomphenya), funsani upangiri wa dokotala nthawi yomweyo.
Ngakhale izi sizikuika moyo pachiswe, ndi chizindikiro chofunikira kuchokera m'thupi lanu. Choncho musanyalanyaze ndipo mulole kuti chifukwa chake chikhale chachikulu.
Uthenga Wopita Nawo Kunyumba
- Chizindikiro cha Lhermitte ndi ululu waufupi, wofanana ndi wamagetsi womwe umapezeka pansi pa msana pamene khosi lawerama patsogolo.
- Ngakhale kuti chizindikirochi si choopsa, ndi chizindikiro chofunikira cha kuwonongeka kwa mitsempha ya msana.
- Ngakhale chifukwa chachikulu cha izi ndi Multiple Sclerosis (MS), zifukwa zina monga kusowa kwa vitamini B12 ndi kutsekeka kwa ma disc a msana nazonso zingathandize.
- Ngati muli ndi zizindikiro izi, musanyalanyaze ndipo pitani kwa dokotala nthawi yomweyo kuti mudziwe chomwe chimayambitsa matendawa ndikupeza chithandizo choyenera.
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