Kodi ubongo wanu ukumva ngati kuti sukugwira ntchito bwino? Mwina ndi Metabolic Encephalopathy!

Kodi nthawi zina mumamva kusokonezeka kosaneneka, kuiwala zinthu, ndi kusintha khalidwe, ngati kuti simuli munthu yemweyo amene munkamudziwa kale? Kapena kodi chinthu chonga ichi chachitikira wachibale kapena mnzanu? Chimodzi mwa zifukwa zazikulu zomwe izi zimachitikira ndichakuti matenda ena m'thupi lathu amakhudza momwe ubongo umagwirira ntchito. Lero tikambirana za vuto lotere, lomwe ndi `(Metabolic Encephalopathy)` . Musachite mantha, tikambirana izi mosavuta, m'njira yomwe mungamvetse.

Kodi `(Metabolic Encephalopathy)` ndi chiyani? Mwachidule...

Mwachidule, `(Metabolic Encephalopathy)` ndi matenda a muubongo omwe amayamba chifukwa cha matenda omwe ali m'thupi lanu. Pali zifukwa zingapo zomwe zimayambitsa izi, koma zambiri mwa izi zimakhudza kwambiri kagayidwe kanu ka thupi. Taganizirani izi, thupi lathu lili ngati makina akuluakulu. Makinawa amafunika mphamvu kuti agwire ntchito. Mphamvu imeneyo imapangidwa kuchokera ku zinthu zomwe timadya ndi kumwa. Timatcha `(Metabolism)` njira ya mankhwala yomwe imasintha zinthuzi kukhala mphamvu.

Choncho, pamene ntchito ya ubongo yasokonekera mwanjira imeneyi, ikhoza kukhudza kwambiri momwe mukumvera, kuganiza, ndi kukumbukira kwanu. Nthawi zina zoopsa, mungathe kutaya chikumbumtima (coma) .

Izi ndizofunikira kwambiri, chifukwa matenda onsewa (Metabolic Encephalopathy)` amafunikira thandizo lachipatala . Ngati sathandizidwa, izi zitha kupha munthu, kapena kuwononga ubongo kwamuyaya . Chifukwa chake, ndikofunikira kwambiri kudziwa izi.

Kodi mitundu ikuluikulu ya `(Metabolic Encephalopathy)` ndi iti?

Tikhoza kuona mitundu iwiri ikuluikulu ya `(Metabolic Encephalopathy)` iyi:

1. Matenda a Kagayidwe kachakudya m'thupi: Izi zimachitika nthawi zambiri thupi lanu likapanda kupeza mavitamini, mpweya, kapena shuga wokwanira. Taganizirani ngati injini ya galimoto yomwe sikugwira ntchito mafuta akatha.

2. Matenda a Kagayidwe ka Zinthu M'thupi Oopsa: Izi zimachitika chifukwa cha kusagwira bwino ntchito kwa ziwalo, monga impso kapena chiwindi, kapena kulephera kwa ziwalo. Izi zikutanthauza kuti zinthu zoopsa zimasonkhana muubongo chifukwa zinyalala za thupi sizichotsedwa bwino.

Kodi vutoli ndi lofala bwanji?

Matendawa, otchedwa ``Metabolic Encephalopathy,'' amapezeka kwambiri pakati pa anthu omwe ali ndi 'matenda oopsa'' chifukwa cha matenda enaake. Izi zikutanthauza kuti munthu amene akudwala kale matenda enaake aakulu ali ndi mwayi waukulu wopeza matendawa.

Kodi zizindikiro za izi ndi ziti? Kodi timamva bwanji?

Zizindikiro zoyamba zomwe mudzakumane nazo ndi izi:Ntchito ya chidziwitso imagwirizana ndi luso loganiza . Izi ndi izi:

• Kusokonezeka maganizo: Kumva ngati simukukumbukira komwe muli, nthawi yanji, kuti ndinu ndani, kapena amene ali pafupi nanu. Mungamve ngati mutu wanu wasweka mwadzidzidzi.
• Kutaya kukumbukira: Mungaiwale ngakhale zochitika zaposachedwa. Simungakumbukire zomwe munachita m'mawa madzulo.
• Kusintha kwa umunthu: Mwachitsanzo, munthu amene kale anali wodekha kwambiri angayambe kukwiya nthawi zonse, kapena angakwiye kwambiri. Anthu ena angafike pokhala chete kwambiri.

Kuwonjezera pa zizindikiro zoyamba izi, zizindikiro zina zingachitike, monga:

• Kusanza ndi kusanza
• Kutopa ndi Kusowa tulo
• Matenda amisala monga kuvutika maganizo
• Kusokonezeka maganizo: Kutaya mwadzidzidzi chidziwitso, ndi kumva kusokonezeka kwathunthu ndi kutaya tanthauzo pamalo omwe mumakhala.
• Kuona zinthu m'maganizo: Kuona, kumva, kapena kumva zinthu zomwe sizilipo kwenikweni.
• Kugwedezeka
• Zizindikiro za khunyu (kukomoka)
• Kuvuta kupuma
• Kutaya chidziwitso kapena kukomoka

Nthawi zina zizindikirozi zimatha kuwonekera mwadzidzidzi . Koma kwa anthu ena, zizindikirozi zimakula pang'onopang'ono . Komabe, ngati inu kapena munthu amene mumamudziwa akukumana ndi zizindikiro izi, kumbukirani kupita kwa dokotala nthawi yomweyo .

Nchifukwa chiyani izi zimachitika? Kodi zimayambitsa `(Metabolic Encephalopathy)` ndi ziti?

Chifukwa chachikulu cha `(Metabolic Encephalopathy)` ndi matenda omwe amakhudza njira yanu ya `(Metabolism)` . Monga tanenera kale, kagayidwe kachakudya ndi njira ya mankhwala yomwe imasintha zinthu zomwe timadya ndi kumwa kukhala mphamvu. Mphamvu imeneyi ndi yofunika kwambiri kuti ubongo wathu ugwire ntchito bwino. Chifukwa cha matenda enaake, kuchuluka kwa mankhwala m'magazi anu kumatha kusokonezeka. Zotsatira zake, ubongo sulandira michere ndi mpweya womwe umafunikira, zomwe zimapangitsa kuti ukhale ndi zizindikiro za `(Metabolic Encephalopathy)`.

Zina mwa matenda omwe nthawi zambiri amayambitsa izi ndi:

• Matenda a shuga: Izi zikutanthauza kuti shuga m'magazi ndi wokwera kwambiri (Hyperglycemia) kapena wochepa kwambiri (Hypoglycemia) popanda kulamulira.
• Kulephera kwa mtima
• Kulephera kwa impso
• Matenda a chiwindi kapena kulephera kwa chiwindi
• Kusadya bwino (kusowa kwa michere yofunika m'thupi)
• Pancreatitis
• Sepsis (matenda oopsa omwe amafalikira m'thupi lonse)
• Vasculitis (kutupa kwa mitsempha yamagazi)

Komanso, Metabolic Encephalopathy ingayambitsidwe ndi kumwa mankhwala enaake oopsa . Mwachitsanzo:

• Kugwiritsa ntchito mowa mopitirira muyeso
• Kupha poizoni wa zitsulo zolemera chifukwa cha kudya zitsulo zolemera monga lead
• Mankhwala ena kapena mankhwala ena omwe atengedwa popanda upangiri wa dokotala

Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu Zoopsa)

Mungakhale pachiwopsezo chachikulu chotenga `(Metabolic Encephalopathy)` ngati:

• Ngati muli ndi matenda okhudza thupi omwe amakhudza ziwalo zingapo za thupi nthawi imodzi. (Mwachitsanzo, matenda omwe amakhudza thupi lonse, monga matenda a shuga)
• Ngati muli ndi matenda osiyanasiyana (Comorbidities) nthawi imodzi. (Mwachitsanzo, kukhala ndi matenda a shuga ndi kuthamanga kwa magazi)
• Ngati muli ndi zaka zoposa 65.
• Ngati muli kale ndi mavuto ndi luso lanu loganiza (kulephera kuzindikira), monga kuiwala zinthu, kuvutika kuphunzira zinthu zatsopano, kuvutika kupanga zisankho, komanso kulephera kugwirizanitsa maganizo anu.
• Ngati muli ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo.

Ndi matenda otani aakulu omwe angachitike ngati sanachiritsidwe?

Ngati sichilandira chithandizo mwachangu komanso moyenera, Metabolic Encephalopathy ikhoza kupha anthu . Ingayambitsenso zotsatirapo zoopsa komanso zanthawi yayitali monga:

• Kuwonongeka kwa ubongo kosatha.
• Kutaya chidziwitso chonse (Coma) ndi mavuto ake.

Ichi ndichifukwa chake ndikofunikira kwambiri kufunafuna upangiri wa dokotala zizindikiro zikayamba kuonekera, nthawi yomweyo. Kuzindikira msanga kumatha kupewa zotsatirapo zoopsa kwambiri.

Kodi dokotala amazindikira bwanji izi? (Kuzindikira)

Dokotala adzazindikira matenda a metabolic encephalopathy pochita mayeso akuthupi , mayeso a mitsempha , ndi mayeso ena apadera . Mayeso awa athandiza dokotala wanu kuzindikira matenda ena omwe amayambitsa zizindikiro zofanana (monga kuchotsa matenda ena) ndikudziwa bwino ziwalo ndi machitidwe omwe ali m'thupi lanu omwe akukhudzidwa.

Mayeso awa angaphatikizepo:

• Kuyezetsa magazi: Izi zitha kuwona zinthu zambiri, monga kuchuluka kwa shuga m'magazi, kuchuluka kwa ma electrolyte, ndi magwiridwe antchito a chiwindi ndi impso.
• Mayeso a mkodzo:Izi zimayang'ananso ngati pali vuto lililonse m'thupi.
• Electroencephalography (EEG): Imagwiritsidwa ntchito kulemba momwe magetsi a ubongo amagwirira ntchito. Imatha kuzindikira chilichonse chomwe chimachitika mu ubongo.
• Kuboola m'chiuno: Izi zimaphatikizapo kutenga madzi ochepa a m'mitsempha ya ubongo kuchokera mu ngalande ya msana ndikuyesa. Izi zingathandize kufufuza zinthu monga matenda a muubongo.
• Kujambula kwa CT kapena MRI: Mitundu iyi ya kujambulidwa imatha kuwona kapangidwe ka ubongo kapena kuwona ngati pali kuwonongeka kulikonse mu ubongo.

Kodi mankhwala ake ndi otani?

Chithandizo cha matenda a metabolic encephalopathy chimayang'ana kwambiri pakuwongolera vuto lomwe limayambitsa zizindikiro zanu kapena kusokonekera kwa ziwalo zomwe zimayambitsa zizindikiro zanu komanso kuthana ndi zotsatirapo zoyipa ndi zizindikiro zomwe zimabwera ndi matenda a encephalopathy. Mankhwalawa amatha kusiyana malinga ndi munthu, koma angaphatikizepo:

• Kupereka mavitamini kapena michere yowonjezera yomwe thupi limafuna. (Mwachitsanzo: mavitamini monga thiamine)
• Kupereka mankhwala enieni. (Tikambirana izi posachedwa)
• Kusintha zomwe mumadya ndi kumwa: Mwachitsanzo, kuchepetsa zakumwa ngati muli ndi matenda a impso, kapena kudya zakudya zopanda mapuloteni ambiri ngati muli ndi matenda a chiwindi.
• Njira zothandizira anthu kuti abwerere ku moyo wawo monga chithandizo cha ntchito (chokuthandizani kuti mubwerere ku zochita zawo za tsiku ndi tsiku), chithandizo cha khalidwe la chidziwitso (cha mavuto a kuganiza ndi khalidwe), ndi/kapena chithandizo cha kulankhula (cha mavuto olankhula).
• Plasmapheresis: Iyi ndi njira yapadera yomwe imachotsa zinthu zovulaza (monga poizoni, ma antibodies) m'magazi.
• Kuchotsa zinyalala m'thupi: Mankhwalawa amagwiritsidwa ntchito pochotsa zinyalala m'thupi la odwala omwe ali ndi vuto la impso.
• Kuika chiwalo: Pa milandu ina yoopsa, mwachitsanzo ngati chiwindi kapena impso zalephera kugwira ntchito, kuyika chiwalo kungakhale kofunikira.

Popeza mungakhale ndi nkhawa komanso kusokonezeka panthawiyi, gulu lanu lachipatala lidzakupatsani chithandizo kuchipatala, pamalo opanda nkhawa, komanso otetezeka . Ngati kuli kotetezeka kwa inu, adzakonza nthawi yoti mudzuke pabedi ndikuyenda pang'ono moyang'aniridwa ndi iwo kuti apewe mavuto (monga magazi kuundana, zilonda zogona) zomwe zingachitike chifukwa chogona pabedi kwa nthawi yayitali.

Ndi mankhwala amtundu wanji omwe amagwiritsidwa ntchito?

Mtundu wa mankhwala omwe dokotala wanu angakupatseni umadalira chifukwa cha zizindikiro zanu. Mankhwala ena omwe amagwiritsidwa ntchito pochiza ndi kuwongolera zizindikiro za Metabolic Encephalopathy ndi awa:

• Benzodiazepines (yomwe imagwira ntchito ngati nkhawa, khunyu) ndi/kapena mankhwala oletsa opioid (monga Naloxone - yokhudza poizoni wa mankhwala)
• Glucocorticoids (mtundu wa steroid - wothandiza matenda monga kutupa kwa ubongo)
• Thiamine (Vitamini B1 - makamaka ya matenda a encephalopathy okhudzana ndi mowa)
• Lactulose (yochotsa poizoni monga ammonia m'thupi pakakhala matenda a encephalopathy omwe amayamba chifukwa cha matenda a chiwindi)
• Mankhwala oletsa khunyu monga Levetiracetam kapena Valproic acid
• Mankhwala oletsa matenda amisala ndi mankhwala operekedwa kuti achepetse zizindikiro zamaganizo (monga 'Delirium', 'Hallucinations').

Kodi mankhwala angayambitse zotsatirapo zoyipa?

Inde, monga mankhwala onse, pali zotsatirapo zina zomwe zingachitike . Zimasiyana malinga ndi munthu. Mwachitsanzo, mankhwala ena angayambitse kugona kapena chizungulire. Gulu lanu lachipatala lidzakuyang'anirani mosamala kuti mudziwe zotsatirapo izi pamene mukulandira chithandizo ndipo lidzasintha chithandizo chanu ngati pakufunika kutero. Ngati muli ndi mafunso okhudza dongosolo lanu la chithandizo, nthawi yochira, kapena momwe mukumvera, musazengereze kulankhula ndi dokotala wanu.

Kodi idzachira mofulumira bwanji? Kodi ndi chimodzimodzi kwa aliyense?

Funso limene anthu ambiri amafunsa ndi ili. Anthu omwe ali ndi matenda enaake, monga ``Metabolic Encephalopathy'', amatha kuchira mkati mwa tsiku limodzi kapena awiri, ndipo ntchito ya ubongo wawo ikhoza kubwerera mwakale, ngati matendawa apezeka msanga ndipo chifukwa chake chachiritsidwa bwino .

Komabe, nthawi zina, makamaka ngati chithandizo chachedwa, matenda oyambawo amakhala aakulu kwambiri, kapena pali kuwonongeka kwa ubongo, anthu ena sangachire kwathunthu. Angafunike chithandizo cha nthawi yayitali, mwina moyo wonse, ndi chithandizo. Choncho ndi bwino kuzindikira matendawa ndikuyamba chithandizo mwamsanga.

Kodi chiyembekezo cha vutoli n'chiyani?

Tsogolo lanu, kutanthauza kuti, kuchuluka kwa kuchira kwanu, kumadalira makamaka zinthu ziwiri:

1. Kodi mudalandira chithandizo nthawi yayitali bwanji zizindikiro zanu zitayamba.

2. Kodi chifukwa chachikulu cha vutoli ndi chiyani ndipo lingalamuliridwe bwanji ?

Ngati munthu walandira chithandizo msanga, zotsatira zake zingakhale zabwino kwambiri . Anthu ambiri amabwerera ku ntchito ya ubongo wabwinobwino atalandira chithandizo. Komabe, monga tanenera kale, nthawi zina, `(Metabolic Encephalopathy)` ingayambitse kuwonongeka kwa ubongo kosatha, komwe kumatha kupha. Ngati vutoli limayambitsa kuwonongeka kwa ubongo, mungafunike chithandizo cha moyo wonse komanso chithandizo chobwezeretsa thanzi lanu (monga chithandizo cha thupi, chithandizo cha kulankhula).

Kodi tingatani kuti tipewe izi?

Ndipotu, si milandu yonse ya Metabolic Encephalopathy yomwe ingapewedwe, chifukwa matenda ena omwe amabwera mwadzidzidzi amatha kuchitika mwadzidzidzi. Komabe, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu ndikusunga thanzi lanu lonse :

• Idyani zakudya zopatsa thanzi komanso zopatsa thanzi (idyani ndiwo zamasamba zambiri, zipatso, ndi tirigu wonse, ndipo chepetsani zakudya zotsekemera ndi mafuta).
• Imwani madzi okwanira tsiku lonse (khalani ndi madzi okwanira).
• Kuchita masewera olimbitsa thupi nthawi zonse (ngakhale kuyenda kwa mphindi 30 patsiku ndikwabwino).
• Kusunga ubongo wanu ukugwira ntchito: Sungani ubongo wanu ukugwira ntchito mwa kuwerenga mabuku, kumaliza ma puzzle, kuphunzira china chatsopano, ndikuchita zinthu zophunzitsa.
• Ngati muli ndi matenda osatha monga matenda a shuga kapena kuthamanga kwa magazi, tsatirani malangizo a dokotala wanu kuti muwathetse bwino.

Kodi tiyenera kupita kwa dokotala liti?

Izi ndizofunikira kwambiri. Ngati inu kapena munthu amene muli naye pafupi ali ndi zizindikiro za `(Metabolic Encephalopathy)` (monga kusokonezeka, kuiwala zinthu, kusintha kwa khalidwe, ndi matenda amisala omwe takambirana kale), pitani kwa dokotala nthawi yomweyo, mwamsanga .

Zinthu zina zingakhale zadzidzidzi zachipatala . Makamaka ngati muli ndi vuto linalake monga matenda a shuga, matenda a chiwindi, kapena matenda a impso, dokotala wanu angakuuzeni kuti mupite kuchipatala mwamsanga ngati mukukumana ndi zizindikirozi. Kulandira chithandizo msanga kungathandize kwambiri.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mukapita kwa dokotala wanu, ndi bwino kufunsa mafunso ngati awa kuti mumvetse bwino za matenda anu:

• "Ndi mtundu wanji wa matenda a `(Encephalopathy)` omwe amayambitsa zizindikiro zomwe ine/wodwala wathu tili nazo?"
• "Chifukwa chachikulu chomwe chikuchititsa izi ndi chiyani?"
• "Kodi mumalimbikitsa njira yanji yothandizira?"
• "Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwala awa?"
• "Kodi wodwala wanga/wathu adzafunika kukhala m'chipatala kwa nthawi yayitali bwanji kuti alandire chithandizo?"
• "Zitenga nthawi yayitali bwanji kuti munthu achire bwino? Ndi mtundu wanji wa chithandizo chobwezeretsa kapena chochiritsira chomwe chidzafunike?"
• "Ndi zinthu ziti zomwe tiyenera kusamala nazo kwambiri tikabwerera kunyumba?"

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a Metabolic Encephalopathy ndi matenda oopsa, mosakayikira. Ngati sanapezeke kapena kuchiritsidwa msanga, matendawa angasokoneze kwambiri ntchito ya ubongo wanu.

Koma chofunika kwambiri n’chakuti, ngati mupita kuchipatala mwamsanga mukangoona zizindikiro, anthu ambiri adzachira mokwanira. Ngati chithandizo choyenera cha chomwe chikuyambitsa matendawa chikaperekedwa, ubongo ukhoza kubwerera mwakale.

Njira zochiritsira zomwe zimafunika mutalandira chithandizo zidzakuthandizani kubwerera msanga ku zochita zanu za tsiku ndi tsiku ndikukhala moyo wabwinobwino. Chifukwa chake, mudzayamba kumva bwino mwachangu, m'maganizo komanso mwakuthupi.

Ngati muli ndi mafunso okhudza dongosolo lanu la chithandizo kapena matenda enieniwo, musachite mantha kapena kukayikira kufunsa dokotala wanu. Alipo kuti akuthandizeni.

` Kagayidwe kachakudya ka matenda a ubongo, matenda a ubongo, kagayidwe kachakudya, ntchito ya ubongo, chisokonezo, kulephera kukumbukira, zizindikiro, chithandizo