Kodi nthawi zina mumamva ngati mukutaya mphamvu pang'onopang'ono pa thupi lanu? Simuli bwino mukamayenda, chilichonse chimakhala pang'onopang'ono, mawu anu amaoneka ngati akunjenjemera... Ngakhale izi ndi zinthu zachibadwa zomwe zimachitika mukakula, nthawi zina zimatha kukhala chizindikiro cha vuto lomwe sitilankhula kwambiri, koma ndikofunikira kudziwa. Lero tikulankhula za matenda osowa koma oopsa a mitsempha : Multiple System Atrophy, kapena MSA.
Mwachidule, kodi Multiple System Atrophy (MSA) ndi chiyani?
Kufooka kwa Mitsempha Yambiri (MSA) ndi matenda omwe amakhudza dongosolo lathu la mitsempha. Amakhudza machitidwe a thupi lathu, mwachitsanzo, kulamulira mayendedwe ndi kusunga bwino . Ndi matenda osowa kwambiri.
Chomvetsa chisoni n'chakuti palibe mankhwala enieni a matendawa pakadali pano. Koma musadandaule, ndi chithandizo choyenera chamankhwala komanso kusintha pang'ono kwa moyo wathu , zizindikirozi zitha kuthetsedwa ndipo moyo ungakhale wosavuta.
Kodi zizindikiro za MSA ndi ziti?
Zizindikiro za matendawa nthawi zambiri zimayamba kuonekera pakati pa zaka 50 ndi 60. Anthu ena amasokoneza matendawa chifukwa zizindikiro zoyambirira zimafanana pang'ono ndi za matenda a Parkinson .
| Zizindikiro zoyambirira zazikulu | |
|---|---|
| Mavuto oyenda | Kuyenda pang'onopang'ono kwa thupi, kuuma kwa minofu, ndi kunjenjemera. |
| Kulinganiza | Kutaya kulinganiza bwino zinthu komanso kusakhazikika bwino poyenda kapena kugwira ntchito. |
| Kuvuta kulankhula | Zinthu monga mawu ogwedezeka ndi kugwedezeka kwa mawu. |
| Mavuto a kuthamanga kwa magazi | Kukomoka kapena chizungulire, makamaka mukayimirira mwadzidzidzi chifukwa chokhala pansi. |
| Mavuto a mkodzo | Kufuna kukodza mwadzidzidzi kapena kulephera kutulutsa chikhodzodzo chonse. |
Kuwonjezera pa izi, zotsatira zina zingachitike.
Kuwonjezera pa zizindikiro zazikuluzikuluzi, njira zina zofunika m'thupi zingakhudzidwenso.
- Kuchepa kwa thukuta , misozi , ndi malovu.
- Kudzimbidwa kapena kulephera kulamulira mayendedwe a m'mimba .
- Kulephera Kugonana (ED).
- Kusiya kupuma mukugona (sleep apnea) kapena kuchita zinthu ngati mukugona, monga kufuula kapena kugwedeza manja ndi miyendo yanu.
- Kupuma movutikira.
- Manja ndi mapazi ozizira kapena osintha mtundu.
- Kuvuta kulamulira malingaliro, nkhawa, kapena kuvutika maganizo.
Pali mitundu iwiri ikuluikulu ya matenda a MSA.
Kutengera ndi zizindikiro zanu zazikulu, dokotala wanu adzasankha mtundu wa MSA womwe muli nawo.
| Mtundu wa MSA | Zinthu zazikulu |
|---|---|
| Mtundu wa Parkinsonian (MSA-P) | Mtundu uwu ndi wofala kwambiri. Zizindikiro zazikulu zimafanana kwambiri ndi matenda a Parkinson. Kuuma kwa minofu, kuyenda pang'onopang'ono, kunjenjemera, ndi mavuto olinganiza bwino ndizomwe zimayambitsa. |
| Mtundu wa Cerebellar (MSA-C) | Chizindikiro chachikulu ndi kulephera kugwirizana bwino kwa thupi. Zingayambitsenso kuvutika kulankhula, kumeza, komanso kusawona bwino. |
Kodi mungazindikire bwanji matendawa?
Poyamba, matenda a MSA amakhala ovuta kuwazindikira. Chifukwa chake n'chakuti, monga tanenera kale, zizindikiro zake zimafanana kwambiri ndi matenda a Parkinson. Chifukwa chake, muyenera kuwonana ndi katswiri wa mitsempha .
Dokotala wanu adzakuyang'anirani, adzakuuzani za zizindikiro zanu, ndikuyang'ana kusintha kwa ubongo wanu ndi dongosolo lanu la mitsempha. Kuti atsimikizire ngati muli ndi matenda a MSA kapena Parkinson, angachite mayeso otsatirawa:
- Kuyesa kwa Autonomic: Kuyesa kwapadera komwe kumayesa momwe mitsempha imagwirira ntchito.
- Kujambula kwa MRI: Kuona ngati pali kusintha kulikonse muubongo.
- Kuyeza kuthamanga kwa magazi: Kuyeza kuthamanga kwa magazi kumayesedwa mutakhala pansi ndi kuyimirira.
- Kuyesa kwa ECG: Kuyesa zizindikiro zamagetsi za mtima.
- Kuyesa thukuta: Kuyesa momwe thupi limatulutsira thukuta.
Kodi chimayambitsa MSA ndi chiyani?
Mwachidule, munthu amene ali ndi MSA amakhala ndi mapuloteni apadera m'maselo omwe amathandiza maselo amitsempha muubongo. Izi zimapangitsa kuti mbali zina za ubongo ndi msana zife pang'onopang'ono. Akatswiri amati chomwe chimayambitsa vutoli sichikudziwikabe.
Mavuto omwe angachitike chifukwa cha matendawa
Kwa ambiri, zizindikiro zimatha kukhala mavuto aakulu mkati mwa zaka zochepa, choncho ndikofunikira kudziwa zinthu izi.
- Kuvuta kuchita ntchito za tsiku ndi tsiku.
- Kuvuta kupuma, makamaka matenda monga `Sleep apnea`.
- Kugwa pafupipafupi.
- Kuvuta kuyenda kumawonjezeka pang'onopang'ono, zomwe zimafuna kugwiritsa ntchito njinga ya olumala ndipo pamapeto pake zimalephera kutuluka pabedi.
- Kufooka kwa zingwe za mawu.
- Kulephera kumeza chakudya.
- Matenda a m'mapapo monga chibayo.
- Matenda a mkodzo.
- Magazi amaundana.
Nthawi yomwe munthu angakhale ndi matendawa imasiyana malinga ndi munthu. Anthu ena amatha kukhala ndi moyo kwa zaka 15 kapena kuposerapo. Nthawi zambiri imfa imayamba chifukwa cha mavuto obwera chifukwa cha kupuma movutikira.
Momwe mungachiritsire ndikuwongolera
Popeza palibe mankhwala enieni a MSA, cholinga chachikulu cha chithandizo ndikuwongolera zizindikiro ndikupangitsa moyo kukhala wabwino momwe zingathere.
Mankhwala ndi chithandizo chamankhwala
- Mankhwala monga levodopa, omwe amagwiritsidwa ntchito pochiza matenda a Parkinson, nthawi zina angathandize kuchepetsa kugwedezeka, kuuma, komanso kuyenda pang'onopang'ono.
- Dokotala angapereke mankhwala monga `droxidopa`, `fludrocortisone`, kapena `midodrine` kuti achepetse kuthamanga kwa magazi.
- Nthawi zina pamafunika pacemaker kuti isinthe kugunda kwa mtima.
- Mankhwala monga mirabegron kapena oxybutynin angathandize kuchepetsa mkodzo. Nthawi zina pangafunike catheter kuti ikuthandizeni kutuluka mkodzo.
- Mankhwala amapezekanso pa vuto la kugonana.
Mankhwala
- Kuchiza thupi ndi kuchita masewera olimbitsa thupi kungathandize kuti minofu ikhale yolimba komanso yosinthasintha.
- Chithandizo cha ntchito chingakuthandizeni kuphunzira momwe mungachitire ntchito za tsiku ndi tsiku mosavuta.
- Chithandizo cha kulankhula chimathandiza poyenda ndi polankhula.
Zinthu zomwe mungachite nokha kunyumba
Zinthu zimenezi zingathandize kuti moyo wanu ukhale wosavuta, koma musaiwale kulankhula ndi dokotala musanachite chilichonse.
- Kuti muwonjezere kuthamanga kwa magazi, onjezerani mchere pang'ono pachakudya chanu ndipo imwani madzi ambiri.
- Kuvala masokisi apadera opondereza kuti magazi aziyenda bwino.
- Pewani kudzuka mwadzidzidzi mutakhala pansi kapena mutagona. Dzukani pang'onopang'ono.
- Kukweza mutu wa bedi pang'ono pogona.
- Idyani zakudya zokhala ndi ulusi wambiri, ndiwo zamasamba, ndi zipatso kuti muchepetse kudzimbidwa.
- Pewani kutenthetsa thupi kwambiri.
- Yendani momwe mungathere kuti magazi asaundane.
Uthenga Wopita Nawo Kunyumba
- Kufooka kwa Mitsempha Yambiri (MSA) ndi matenda oopsa komanso opitirira muyeso omwe amakhudza mitsempha.
- Popeza zizindikiro zoyambirira zimafanana ndi matenda a Parkinson, ndikofunikira kuonana ndi dokotala wa mitsempha kuti adziwe matendawa molondola.
- Ngakhale kuti palibe mankhwala athunthu a matendawa, mankhwala, chithandizo chamankhwala, ndi kusintha kwa moyo kumatha kuwongolera zizindikiro ndikupangitsa moyo kukhala wosavuta.
- Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikirozi, musachite mantha ndipo funsani upangiri wa dokotala mwamsanga. Chithandizo ndi chikondi cha achibale ndizofunikira kwambiri kwa wodwalayo panthawiyi.
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