Dzanzi ndi kumva kulasalasa

Dzanzi ndi kumva kulasalasa ndizomverera zachilendo zomwe zimatha kupezeka paliponse mthupi lanu, koma nthawi zambiri zimamveka pazala zanu, manja, mapazi, mikono, kapena miyendo.

Pali zifukwa zambiri zomwe zimayambitsa dzanzi ndi kumva kulasalasa, kuphatikizapo:

• Kukhala kapena kuimirira chimodzimodzi nthawi yayitali
• Kuvulaza mitsempha (kuvulala kwa khosi kumatha kukupangitsani kuti muzimva dzanzi paliponse m'manja kapena m'manja mwanu, pomwe kuvulala msana kumatha kuyambitsa dzanzi kapena kugwedeza kumbuyo kwa mwendo)
• Kupanikizika pamitsempha ya msana, monga kuchokera ku herniated disk
• Kupanikizika kwa mitsempha ya m'mitsempha kuchokera m'mitsempha yowonjezera ya m'mimba, zotupa, minofu yotupa, kapena matenda
• Shingles kapena herpes zoster matenda
• Matenda ena monga HIV / AIDS, khate, chindoko, kapena chifuwa chachikulu
• Kupanda magazi m'dera, monga kuuma kwa mitsempha, kuzizira, kapena kutupa kwa chotengera
• Magulu a calcium, potaziyamu, kapena sodium m'thupi lanu
• Kuperewera kwa mavitamini a B monga B1, B6, B12, kapena folic acid
• Kugwiritsa ntchito mankhwala ena
• Kugwiritsa ntchito mankhwala osokoneza bongo
• Kuwonongeka kwa mitsempha chifukwa cha lead, mowa, kapena fodya, kapena mankhwala a chemotherapy
• Thandizo la radiation
• Kuluma nyama
• Kuluma tizilombo, nkhupakupa, nthata ndi akangaude
• Poizoni wa m'madzi
• Mikhalidwe yobadwa yomwe imakhudza mitsempha

Dzanzi ndi kumva kulasalasa zimatha kuchitika chifukwa cha matenda ena, kuphatikizapo:

• Matenda a Carpal (kukakamiza mitsempha padzanja)
• Matenda a shuga
• Migraine
• Multiple sclerosis
• Kugwidwa
• Sitiroko
• Kuukira kwakanthawi kochepa (TIA), komwe nthawi zina kumatchedwa "mini-stroke"
• Chithokomiro chosagwira ntchito
• Chodabwitsa cha Raynaud (kuchepa kwa mitsempha, nthawi zambiri m'manja ndi m'mapazi)

Wothandizira zaumoyo wanu ayenera kupeza ndikuthandizira zomwe zimapangitsa kuti mukhale ndi dzanzi kapena kumva kulira. Kuchiza vutoli kumatha kupangitsa kuti zizindikirazo zithe kapena kuzilepheretsa kukula. Mwachitsanzo, ngati muli ndi carpal tunnel syndrome kapena kupweteka kwa msana, dokotala angakulimbikitseni kuchita masewera olimbitsa thupi.

Ngati muli ndi matenda ashuga, omwe akukuthandizani amakambirana njira zochepetsera kuchuluka kwa shuga wamagazi.

Mavitamini ochepa amathandizidwa ndi mavitamini owonjezera.

Mankhwala omwe amachititsa dzanzi kapena kumva kulasalasa angafunike kusinthidwa kapena kusinthidwa. Musasinthe kapena kusiya kumwa mankhwala anu aliwonse kapena kumwa mavitamini kapena zowonjezera mpaka mutalankhula ndi omwe akukuthandizani.

Chifukwa chakuti kufooka kungachititse kuti munthu asamve bwino, mwina akhoza kuvulaza mwendo kapena phazi loperewera mwangozi. Samalani kuti muteteze malowo ku mabala, mabampu, zilonda, kuwotcha, kapena kuvulala kulikonse.

Pitani kuchipatala kapena itanani nambala yanu yadzidzidzi (monga 911) ngati:

• Muli ndi zofooka kapena simungathe kusuntha, limodzi ndi dzanzi kapena kumva kulasalasa
• Dzanzi kapena kumva kulasalasa zimachitika pambuyo poti mutu, khosi, kapena msana wavulala
• Simungathe kuyendetsa mkono kapena mwendo, kapena mwataya chikhodzodzo kapena matumbo
• Mwasokonezeka kapena mwazindikira, ngakhale mwachidule
• Muli ndi mawu osalankhula, kusintha masomphenya, kuyenda movutikira, kapena kufooka

Itanani omwe akukuthandizani ngati:

• Dzanzi kapena kumva kulasalasa alibe chifukwa chomveka (monga dzanja kapena phazi "kugona")
• Muli ndi ululu m'khosi mwanu, patsogolo, kapena zala
• Mukukodza pafupipafupi
• Dzanzi kapena kumva kulasalasa kuli m'miyendo mwanu ndipo kumawonjezeka mukamayenda
• Muli ndi totupa
• Muli ndi chizungulire, kuphipha kwa minofu, kapena zizindikilo zina zachilendo

Wopereka chithandizo atenga mbiri ya zamankhwala ndikuwunika, ndikuyang'anitsitsa dongosolo lanu lamanjenje.

Mudzafunsidwa za matenda anu. Mafunso atha kuphatikizira pomwe vuto lidayamba, malo ake, kapena ngati pali chilichonse chomwe chikukula kapena kukulitsa zizindikilo.

Wothandizira anu amathanso kufunsa mafunso kuti adziwe kuopsa kwanu kwa matenda a stroke, matenda a chithokomiro, kapena matenda ashuga, komanso mafunso okhudza magwiridwe antchito anu ndi mankhwala.

Mayeso amwazi omwe atha kuphatikizidwa ndi awa:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Mulingo wa Electrolyte (muyeso wa mankhwala amthupi ndi mchere) ndi kuyesa kwa chiwindi
• Mayeso a chithokomiro
• Kuyeza kwa mavitamini - makamaka vitamini B12
• Kulemera kwachitsulo kapena poizoni
• Mlingo wamatsenga
• Mapuloteni othandizira C

Kuyesa kuyesa kungaphatikizepo:

• Angiogram (mayeso omwe amagwiritsa ntchito ma x-ray ndi utoto wapadera kuti awone mkati mwa mitsempha)
• CT angiogram
• Kujambula kwa CT pamutu
• CT scan ya msana
• MRI ya mutu
• MRI ya msana
• Ultrasound ya zotengera za khosi kuti mudziwe chiopsezo chanu cha TIA kapena stroke
• Mitsempha ya ultrasound
• X-ray ya dera lomwe lakhudzidwa

Mayesero ena omwe angachitike ndi awa:

• Electromyography ndi maphunziro othandizira mitsempha kuti mupeze momwe minofu yanu imayankhira pakukondoweza kwa mitsempha
• Lumbar puncture (tap tap) kuti athetse vuto la mitsempha yapakati
• Kuyesa kozizira kozizira kumatha kuchitika kuti muwone chodabwitsa cha Raynaud

Kutaya kwachisoni; Paresthesias; Kupweteka ndi dzanzi; Kutaya chidwi; Pini ndi singano zotengeka

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

McGee S. Kuyesa kwamachitidwe amisala. Mu: McGee S, mkonzi. Kuzindikira Kwathupi Kutengera Umboni. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 62.

Chipale chofewa DC, Bunney BE. Matenda osokoneza bongo. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 97.

Swartz MH. Manjenje. Mu: Swartz MH, mkonzi. Textbook of Physical Diagnosis: Mbiri ndi Kufufuza. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2014: chap.