Matenda osokoneza bongo

Mowa wokhudzidwa ndi ubongo ndi kuwonongeka kwa mitsempha yomwe imabwera chifukwa chomwa mowa kwambiri.

Zomwe zimayambitsa kumwa mowa mopitirira muyeso sizikudziwika. Zitha kuphatikizaponso poyizoni wa minyewa yoledzeretsa komanso mowa womwe umayambitsidwa ndi uchidakwa. Mpaka theka la omwe amamwa mowa kwambiri kwa nthawi yayitali amakhala ndi vutoli.

Zikakhala zovuta, mitsempha yomwe imayang'anira momwe thupi limagwirira ntchito (mitsempha yoyenda yokha) imatha kukhala yofunikira.

Zizindikiro za vutoli zimaphatikizapo izi:

• Dzanzi m'manja ndi m'miyendo
• Zovuta zachilendo, monga "zikhomo ndi singano"
• Zowawa m'mikono ndi miyendo
• Mavuto a minofu, kuphatikiza kufooka, kukokana, zopweteka, kapena zotupa
• Kusalolera kutentha, makamaka mutachita masewera olimbitsa thupi
• Mavuto okonzekera (kusowa mphamvu)
• Mavuto okodza, kusadziletsa (kukodza mkodzo), kumva kutaya kokwanira kwa chikhodzodzo, kuvuta koyamba kukodza
• Kudzimbidwa kapena kutsegula m'mimba
• Nseru, kusanza
• Mavuto kumeza kapena kuyankhula
• Kuyenda kosakhazikika (kuyenda)

Kusintha kwa mphamvu yamphamvu kapena kutengeka kumachitika mbali zonse ziwiri za thupi ndipo kumakhala kofala kwambiri miyendo kuposa mikono. Zizindikiro nthawi zambiri zimayamba pang'onopang'ono ndikuwonjezeka pakapita nthawi.

Wothandizira zaumoyo adzayesa thupi ndikufunsa za zizindikiro. Kuyezetsa maso kumatha kuwonetsa mavuto amaso.

Kumwa mowa kwambiri nthawi zambiri kumapangitsa thupi kulephera kugwiritsa ntchito kapena kusunga mavitamini ndi michere. Kuyesedwa kwa magazi kudzalamulidwa kuti kufufuze kuperewera (kusowa) kwa:

• Thiamine (vitamini B1)
• Pyridoxine (vitamini B6)
• Pantothenic acid ndi biotin
• Vitamini B12
• Folic acid
• Niacin (vitamini B3)
• Vitamini A.

Mayeso ena atha kulamulidwa kuti athetse zina zomwe zingayambitse matenda amitsempha. Mayeso atha kuphatikiza:

• Magulu a Electrolyte
• Electromyography (EMG) yowunika thanzi la minofu ndi mitsempha yomwe imayang'anira minofu
• Kuyesa kwa chiwindi ndi impso
• Mayeso a chithokomiro
• Magawo a mavitamini ndi mchere m'thupi
• Kuyesa kwamitsempha kwamitsempha kuti muwone momwe zizindikilo zamagetsi zimadutsira muminyewa
• Mitsempha ya mitsempha yochotsa kachidutswa kakang'ono ka mitsempha kuti mufufuze
• Upper GI ndi matumbo ang'onoang'ono
• Esophagogastroduodenoscopy (EGD) kuti mufufuze zazing'ono zam'mimba, m'mimba, ndi gawo loyamba la m'mimba
• Kutulutsa cystourethrogram, kafukufuku wa x-ray wa chikhodzodzo ndi urethra

Vuto lakumwa litathetsedwa, zolinga zamankhwala zimaphatikizapo:

• Kulamulira zizindikiro
• Kukulitsa luso logwira ntchito palokha
• Kupewa kuvulala

Ndikofunika kuwonjezera mavitaminiwa, kuphatikizapo thiamine ndi folic acid.

Mankhwala othandizira thupi ndi mafupa (monga mabala) angafunike kuti minofu ikhale yolimba komanso yolimba.

Mankhwala angafunike kuti athetse ululu kapena kumva kusasangalala. Anthu omwe ali ndi vuto la kumwa mowa mwauchidakwa ali ndi vuto lakumwa. Adzapatsidwa mankhwala ochepa kwambiri ofunikira kuti athe kuchepetsa zizolowezi. Izi zitha kuthandiza kupewa kudalira mankhwala osokoneza bongo komanso zovuta zina zakumwa.

Kuyika kapena kugwiritsa ntchito bedi lomwe limaphimba miyendo kumatha kuchepetsa kupweteka.

Anthu omwe ali ndi mutu wopepuka kapena chizungulire akaimirira (orthostatic hypotension) angafunike kuyesa mankhwala angapo asanawapeze omwe amachepetsa bwino zizindikilo zawo. Mankhwala omwe angathandize ndi awa:

• Kuvala masitonkeni
• Kudya mchere wowonjezera
• Kugona ndikukweza mutu
• Kugwiritsa ntchito mankhwala

Mavuto a chikhodzodzo akhoza kuthandizidwa ndi:

• Buku lofotokozera mkodzo
• Catheterization yamkati (wamwamuna kapena wamkazi)
• Mankhwala

Kusowa mphamvu, kutsegula m'mimba, kudzimbidwa, kapena zizindikilo zina zimathandizidwa pakafunika kutero. Zizindikirozi nthawi zambiri zimalephera kulandira chithandizo kwa anthu omwe ali ndi vuto lakumwa mowa mwauchidakwa.

Ndikofunika kuteteza ziwalo za thupi ndikuchepetsa chidwi chovulala. Izi zingaphatikizepo:

• Kuwona kutentha kwa madzi osamba kuti mupewe kuyaka
• Kusintha nsapato
• Kuyang'ana pafupipafupi mapazi ndi nsapato kuti muchepetse kuvulala komwe kumachitika chifukwa cha kukakamizidwa kapena zinthu zomwe zili mu nsapatozo
• Kuteteza malekezero kuti muteteze kuvulazidwa

Mowa uyenera kuyimitsidwa kuti zisawonongeke. Chithandizo chauchidakwa chitha kuphatikizira upangiri, kuthandizira ena monga Alcoholics Anonymous (AA), kapena mankhwala.

Kuwonongeka kwa mitsempha ya mowa chifukwa cha mowa nthawi zambiri kumakhala kosatha. Zitha kukulirakulira ngati munthuyo apitilizabe kumwa mowa kapena ngati mavuto azakudya sanakonzedwe. Kuledzera ndi matenda osokoneza bongo nthawi zambiri sikuwopseza moyo, koma kumatha kukhudza moyo wabwino.

Itanani nthawi yoti mudzakumane ndi omwe amakupatsani ngati muli ndi vuto lakumwa mowa.

Njira yokhayo yopewera matenda osokoneza bongo ndi kusamwa mowa mopitirira muyeso.

Neuropathy - chidakwa; Mowa polyneuropathy

• Matenda osokoneza bongo
• Mitsempha yamagalimoto
• Mitsempha Yodziyimira payokha
• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Katirji B. Kusokonezeka kwamitsempha yotumphukira. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: mutu 107.

Koppel BS. Matenda okhudzana ndi thanzi komanso mowa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: mutu 416.