Fungidzira kuti wakangogara pasi wobva wangoerekana tsandanyama dzako dzemusana dzaoma sedombo, dzisingachakwanisi kufamba. Kana kuti kunyange ruzha rudiki kana mumwe munhu anokurova zvinoita kuti muviri wako ugwinhe uye tsandanyama dzako dzigwinhe nekurwadziwa kwakanyanya. Izvi zvingasava kurwadziwa kwemusana kana kumanikidzwa kwetsandanyama kwakajairika. Nhasi tiri kutaura nezvechirwere chisingawanzoitiki icho vanhu vazhinji vasati vatombonzwa nezvacho, asi zvakakosha kuziva nezvacho. Ichi chinonzi Stiff Person Syndrome , kana kuti SPS muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi Stiff Person Syndrome (SPS)?
Stiff Person Syndrome chirwere chisingawanzoitiki chetsinga. Chinokanganisa uropi hwedu nemusana. Zvichitaurwa zviri nyore, chirwere che autoimmune . Izvi zvinoreva kuti masoja emuviri, ayo anofanirwa kuchengetedza miviri yedu kubva kuzvirwere, anotanga kurwisa masero edu ane hutano. Chirwere ichi hachiwanzoitiki zvekuti kunyangwe munyika yakaita seUnited States, kune varwere vasingasviki zviuru zvishanu vanoonekwa vaine chirwere ichi.
Munhu ane chirwere ichi anotanga kunzwa kusungwa mutsandanyama dzepakati pemuviri, kureva nzvimbo yehunde . Nekufamba kwenguva, kusungwa uku kunogona kupararira kusvika mumaoko nemakumbo. Pamusoro pekusungwa uku, kurwadza kwetsandanyama kunogonawo kuitika. Nekuda kwekusungwa uku, chimiro chemuviri chinogona kuchinja nekufamba kwenguva, uchikotama zvishoma wotarisa wakakotama .
Kurwadziwa kwetsandanyama uku kunogona kuitika pasina chikonzero kana kuti kunokonzerwa nechimwe chinhu. Semuenzaniso, ruzha rukuru, kurohwa nemumwe munhu, kana kushushikana kwakanyanya zvinogona kukonzera kurwadziwa uku.
Ndezvipi zviratidzo zvikuru zvechirwere ichi?
Kunyangwe mhedzisiro yechirwere ichi ichisiyana zvishoma kubva pamunhu nemunhu, kune zvimwe zviratidzo zvakajairika zvinogona kuonekwa. Ngatizvitarisei mutafura.
| Chiratidzo | Chii chinoitika kwairi? |
|---|---|
| Kuomarara kwetsandanyama kwakanyanya | Inotangira muhunde yozopararira kusvika kumakumbo. Kunyangwe kuomarara uku kuchiuya uye kuchipera pakutanga, kunoramba kuripo nekufamba kwenguva. |
| Kurwadziwa Kwetsandanyama | Kudengenyeka uku kunogona kugara kwemaawa akawanda uye dzimwe nguva kwakanyanya zvekuti kunogona kutokonzera kutyoka . |
| Kuoma Kwekufamba Nekudonha | Kuoma kwetsandanyama kunoita kuti zviome kufamba kana kufamba. Unogona kurasikirwa nechiyero chako paunenge wakamira kana kufamba wobva wadonha. Kudonha uku kunotsanangurwa se "sedanda rinowira pamusoro" nekuti muviri wakaoma zvachose uye haugone kudzora kuwa. |
| Migumisiro Yepfungwa | Zvinowanzoitika kuti chirwere ichi chinokonzera kuzvidya mwoyo uye kuora mwoyo. Ungatya kubuda mumba nekuti unotya kuva nepfari. |
Nekuda kwekuti zviratidzo izvi zvinongoerekana zvaitika, varwere vanotya kuenda kunzvimbo dzeveruzhinji nekutyaira mota. Saka, vanoedza kuzviparadzanisa zvishoma nezvishoma nevanhu.
Sei chimwe chinhu chakadai chichiitika?
Vanachiremba havasati vawana chikonzero chaicho cheizvi, asi dzidziso huru ndeyekuti idambudziko remasoja edu ekudzivirira chirwere .
Kune neurotransmitter inonzi GABA inobatsira kudzora kufamba kwemhasuru dzedu. Funga nezvazvo se 'switch' inotumira chiratidzo kumhasuru dzedu kuti 'dzizorore'. Enzyme inonzi `glutamic acid decarboxylase (GAD)` inokosha pakugadzira GABA iyi. Muvarwere vazhinji veSPS, muviri unogadzira ma antibodies anorwisa iyi enzyme yeGAD. Kana ma antibodies aya aenda oparadza enzyme yeGAD, GABA haigadzirwe zvakanaka. Zvadaro tsandanyama hadzigamuchire meseji yekuti 'dzizorore' zvakanaka, uye dzinogara dzakasimba uye dzichiita kunge dzichityaira.
Vanhu vane chirwere cheSPS vane mukana mukuru wekuva nezvimwe zvirwere zve autoimmune.
- Vitiligo - mavara machena paganda
- Chirwere cheshuga cherudzi rwekutanga
- Kushaya simba kweropa (pernicious anemia) - Kushaya simba kweropa kunokonzerwa nekushaikwa kwevhitamini B12
- Thyroiditis (utachiona hwegland re thyroid)
Uyewo, vanhu vane mamwe marudzi ekenza vari panjodzi yekubatwa nechirwere cheSPS (semuenzaniso kenza yemapapu, yeitsvo, yezamu, yethyroid, yeura).
Chiremba anonyatsoongorora sei chirwere ichi?
Zviratidzo zveSPS zvinowanzoonekwa pakati pemakore makumi matatu nemakumi matanhatu. Vakadzi vane mukana wakapetwa kaviri wekubata chirwere ichi kupfuura varume.
Nekuti zviratidzo zvechirwere ichi zvakafanana nezvezvimwe zvirwere zvakajairika, SPS inowanzo fungidzirwa sechimwe chirwere.
- Multiple Sclerosis
- Chirwere cheParkinson
- Fibromyalgia
- Kusashanda kwetsandanyama
- Kunetseka
Nekuda kweizvi, zvinogona kutora nguva kuti chirwere chako chiongororwe nemazvo. Chiremba wako anotanga akuongorora, obvunza nezvenhoroondo yako yezveutano, uye obva araira kuti zviongororwe kakawanda kuti aone kana paine zvimwe zvirwere.
1. Kuongororwa ropa kwemasoja eGAD: Uku ndiko kuongorora kwakakosha. Masoja eGAD akawanda anogona kuwanikwa muropa re60% - 80% yevarwere vane SPS.
2. Electromyography (EMG): Izvi zvinoyera mashandiro emagetsi emhasuru dzako kana dzakasununguka uye kana dzakasimba. Tsandanyama dzevarwere veSPS dzinoramba dzichishanda kunyangwe dzakasununguka.
Ndezvipi zvinorapwa izvi?
Chinhu chekutanga kutaura ndechekuti hapasati pava nemushonga wechirwere ichi . Zvisinei, kune nzira dzakawanda dzekurapa dzinoshanda dzinogona kubatsira kudzora zviratidzo uye kukubatsira kuramba uchiita mabasa ako ezuva nezuva. Chirongwa chekurapa chakagadzirirwa murwere wega wega, zvichienderana nezviratidzo zvake.
Chiremba wako achaedza mishonga yakasiyana-siyana kudzora marwadzo uye kugwinha kwetsandanyama. Haasi munhu wese anopindura mishonga nenzira imwechete, saka zvinogona kutora nguva kuti uwane musanganiswa wakakunakira.
- Pakuoma kwetsandanyama: Benzodiazepines (semuenzaniso diazepam, clonazepam) uye baclofen zvinowanzo shandiswa.
- Kurwadziwa: Mishonga inouraya marwadzo nemimwe mishonga yekudzivirira kubatwa nepfari inogona kubatsira kudzora marwadzo.
- Kurapa neIntravenous Immunoglobulin (IVIG): Izvi zvinosanganisira kupa ma antibodies anotorwa kubva kuvanhu vane hutano neropa. Izvi zvakaratidzwawo kuti mushonga unoshanda wekudzivirira zviratidzo zveSPS.
Kuwedzera kumishonga, kurovedza muviri, maekisesaizi ekutambanudza muviri, kukwiza muviri, uye acupunctureZvinhu zvakaita seizvi zvinogona kubatsira kuderedza marwadzo uye kuchengetedza tsandanyama dzichishanda.
Mharidzo Yekuenda Nayo Kumba
- Stiff Person Syndrome (SPS) haisi kurwadziwa kwetsandanyama chete, asi chirwere chetsinga chisingawanzoitiki che autoimmune.
- Zviratidzo zvikuru kuomarara kwetsandanyama uye kurwadziwa kunotanga munzvimbo yehunde.
- Sezvo izvi zvichiwanzovhiringidzwa nezvimwe zvirwere, rubatsiro rwechiremba ane ruzivo rwakakosha kuti chirwere chiongororwe nemazvo.
- Kunyange hazvo chirwere ichi chisingarapike zvachose, kune mishonga inoshanda inogona kukubatsira kudzora zviratidzo zvako uye kurarama hupenyu hwakajairika.
- Kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi, usazviregeredza uchiti, "Kungorema kwetsandanyama chete." Enda kuna chiremba wako nekukasika wotsvaga mazano echiremba.
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