Chilichonse Chimene Muyenera Kudziwa Zokhudza Dysesthesia
Zamkati
- Mitundu
- Scalp dysesthesia
- Dysesthesia yodula
- Dysesthesia yantchito
- Dysesthesia vs. paresthesia vs. hyperalgesia
- Zizindikiro
- Zoyambitsa
- Chithandizo
- Mu MS
- Kulumikiza kuzinthu zina
- Mankhwala achilengedwe
- Nthawi yoti muwonane ndi dokotala
Dysesthesia ndi mtundu wa zowawa zomwe zimayambitsidwa ndi dongosolo lamanjenje lamkati (CNS). Amagwirizanitsidwa kwambiri ndi multiple sclerosis (MS), matenda omwe amawononga CNS.
Zowawa sizimangolowa muzokambirana mukamayankhula za MS, koma kwenikweni ndi chizindikiro chofala.
Dysesthesia nthawi zambiri imakhudza kumva ngati kutentha, magetsi, kapena kulimbitsa thupi. Nthawi zambiri amapezeka m'miyendo, mapazi, mikono, ndi manja, koma zimatha kukhudza gawo lililonse la thupi.
Mitundu
Mitundu ya dysesthesia imaphatikizapo khungu, cutaneous, ndi occlusal.
Scalp dysesthesia
Scalp dysesthesia, yotchedwanso kutentha kwa khungu, imakhudza kupweteka, kuwotcha, kuluma, kapena kuyabwa kapena pansi pamutu. Nthawi zambiri sipamakhala kuthamanga, kuphulika, kapena kukwiya kowoneka.
A akuwonetsa kuti scalp dysesthesia itha kukhala yokhudzana ndi matenda amtundu wa khomo lachiberekero.
Dysesthesia yodula
Dysesthesia yocheperako imadziwika ndikumverera kovuta khungu lanu likakhudzidwa.
Zizindikiro, zomwe zimatha kuyambira pakumva pang'ono mpaka kupweteka kwambiri, zimatha kuyambitsidwa ndi chilichonse kuyambira zovala mpaka kamphepo kabwino.
Dysesthesia yantchito
Occlusal dysesthesia (OD), yotchedwanso phantom bite syndrome, imavutika pakamwa ikaluma, nthawi zambiri popanda chifukwa chomveka.
Ngakhale kuti OD poyamba ankakhulupirira kuti ndi matenda amisala, malingaliro akuti atha kuphatikizidwa ndi vuto lomwe mano a nsagwada zakumunsi komanso zakumtunda sizogwirizana, zomwe zimapangitsa kuluma kosagwirizana.
Dysesthesia vs. paresthesia vs. hyperalgesia
Ndikosavuta kusokoneza dysesthesia ndi paresthesia kapena hyperalgesia, zonse zomwe zimatha kuchitika ndi MS.
Paresthesia imalongosola zizindikiritso monga kumva dzanzi ndi kumva kulasalasa, "kukwawa pakhungu," kapena "zikhomo ndi singano". Ndizosokoneza komanso zosasangalatsa, koma nthawi zambiri zimawoneka ngati zopweteka.
Hyperalgesia imakulitsa chidwi cha zoyambitsa zopweteka.
Dysesthesia ndi yolimba kwambiri kuposa paresthesia ndipo alibe chilichonse chowoneka.
Zizindikiro
Dysesthesia imatha kukhala yapakatikati kapena yopitilira. Zomvekera zimatha kukhala zofatsa mpaka kuphatikizira:
- kupweteka kapena kupweteka
- kukwawa khungu
- kutentha kapena kubaya
- kuwombera, kubaya, kapena kupweteka
- zotulutsa zamagetsi ngati zamagetsi
Zoyambitsa
Kupweteka ndi kumva kwachilendo komwe kumakhudzana ndi dysesthesia kumatha kukhala chifukwa cha kuwonongeka kwa mitsempha. Zizindikiro zolakwika zamitsempha yanu zimatha kupangitsa ubongo wanu kukondoweza.
Mwachitsanzo, mutha kukhala ndi zowawa mwendo wanu ngakhale kuti palibe cholakwika ndi mwendo wanu. Ndi vuto lolumikizana pakati pa ubongo wanu ndi mitsempha ya mwendo wanu, yomwe imalimbikitsa kuyankha kwakumva kupweteka. Ndipo ululu ndi weniweni.
Chithandizo
Mukatentha kapena kuyabwa, nthawi zambiri mumatha kulandira chithandizo cham'mutu. Koma chifukwa palibe vuto lenileni pakhungu lanu kapena pamutu, zomwe sizingakuthandizeni ndi matenda opatsirana.
Chithandizo ndi chosiyana kwa aliyense. Zitha kutenga mayesero ena kuti mupeze yankho labwino kwambiri kwa inu.
Kupweteka kwapadera kumachepetsa monga acetaminophen (Tylenol) ndi ibuprofen (Motrin) nthawi zambiri sizothandiza pochiza ululu wa m'mitsempha ngati dysesthesia, malinga ndi National Multiple Sclerosis Society. Ngakhale mankhwala osokoneza bongo kapena ma opioid.
Dysesthesia amachiritsidwa ndi mankhwala awa:
- Mankhwala opatsirana pogonana, monga gabapentin (Neurontin), pregabalin (Lyrica), carbamazepine (Tegretol), ndi phenytoin (Dilantin), kuti athetse mitsempha
- mankhwala opatsirana pogonana, monga amitriptyline (Elavil), nortriptyline (Pamelor), ndi desipramine (Norpramin), kusintha momwe thupi lanu limayankhira ndi zowawa
- Mafuta opatsirana opweteka omwe ali ndi lidocaine kapena capsaicin
- opioid tramadol (Ultram, ConZip, Ryzolt), omwe samakonda kuuzidwa ndipo nthawi zambiri amangokhala anthu omwe akumva kuwawa kwambiri
- antihistamine hydroxyzine (Atarax), ya anthu omwe ali ndi MS, kuti athetse kuyabwa ndi kutentha
Dokotala wanu adzakuyambitsani pa mlingo wotsika kwambiri ndikusintha kupita pamwamba ngati kuli kofunikira.
Musanayambe mankhwala atsopano, funsani dokotala wanu za zovuta zonse zomwe zingachitike kwakanthawi kochepa komanso kwakanthawi. Pofuna kupewa kugwiritsa ntchito mankhwala osokoneza bongo, uzani dokotala za mankhwala onse omwe mumamwa.
Ngakhale zitakhala chifukwa cha dysesthesia, kukanda pakhungu lako kapena pamutu kumatha kuswa khungu. Kuti muchiritse malowa ndikupewa matenda, mungafunike chithandizo cham'mutu.
Mu MS
Oposa theka la anthu omwe ali ndi MS amamva kuwawa ngati chizindikiro chachikulu. Pafupifupi 1 mwa anthu asanu omwe ali ndi MS omwe amafotokoza zopweteka zopitilira muyeso amafotokoza izi ngati ululu woyaka moto womwe umakhudza kwambiri miyendo ndi mapazi awo.
MS imayambitsa mapangidwe azilonda, kapena zotupa, muubongo ndi msana. Zilondazi zimasokoneza zikwangwani pakati pa ubongo ndi thupi lonse.
Mtundu umodzi wodziwika wa dysesthesia womwe anthu omwe ali ndi MS ndi kukumbatirana kwa MS, kotchedwa chifukwa kumamveka ngati mukufinyidwa pachifuwa. Ikhoza kufotokozedwa ngati chophwanya kapena chofananira ngati kupweteketsa ndi kulimba pachifuwa ndi nthiti.
Nazi zifukwa zina zomwe munthu yemwe ali ndi MS atha kukhala nazo zowawa kapena zachilendo:
- kuchepa (kufinya kwa minofu)
- jakisoni tsamba kuchitapo kapena zoyipa zamankhwala, kuphatikiza mankhwala osintha matenda
- matenda a chikhodzodzo
Zachidziwikire, matenda anu atha kukhala osagwirizana kwathunthu ndi MS. Zitha kukhala chifukwa chovulala kapena vuto lina.
Monga zisonyezo zina za MS, dysesthesia imatha kubwera ndikupita. Ikhozanso kutha kwathunthu popanda chithandizo. Komanso monga zizindikiro zina zambiri za MS, pamene inu ndi dokotala mupeza chithandizo choyenera, simudzakhala ndi dysesthesia pafupipafupi.
Kulumikiza kuzinthu zina
Dysesthesia sikuti imangokhala ya MS. Zina mwazinthu zomwe zimakhudza dongosolo lamanjenje ndipo zimatha kuyambitsa dysesthesia ndi:
- matenda ashuga, chifukwa cha kuwonongeka kwa mitsempha yoyambitsidwa ndimagulu azishuga zambiri
- Matenda a Guillain-Barré, matenda amitsempha osowa kwambiri omwe chitetezo cha mthupi chimagunda ndikuwononga gawo lina lamanjenje
- Matenda a Lyme, omwe amatha kuyambitsa matenda a neurologic a MS, kuphatikizapo kuyabwa komanso kutentha
- HIV, chifukwa cha zotumphukira zamaganizidwe am'mitsempha yama motor
- ming'alu, pamene kulira ndi kupweteka kumachitika pafupi ndi zotupa
Mankhwala achilengedwe
Pali umboni wochulukirapo wosonyeza kuti chithandizo chachilengedwe chimayandikira kupweteka kosatha, monga kutema mphini, kutsirikitsa, ndi kutikita minofu, kungakhale kopindulitsa.
Njira zachilengedwe zotsatirazi zitha kuthandiza kuthana ndi ululu wopweteka wokhudzana ndi dysesthesia:
- kugwiritsa ntchito compress yotentha kapena yozizira kudera lomwe lakhudzidwa
- kuvala masokosi oponderezana, masokosi, kapena magolovesi
- kuchita zolimbitsa thupi modekha
- pogwiritsa ntchito mafuta okhala ndi aloe kapena calamine
- kusamba musanagone ndi Epsom salt ndi colloidal oats
- kugwiritsa ntchito zitsamba zina, monga Acorus calamus (mbendera yokoma), Crocus sativus (safironi), ndi Ginkgo biloba
Nthawi yoti muwonane ndi dokotala
Kupirira kwa dysesthesia kumatha kusokoneza moyo wanu m'njira zingapo, monga:
- Khungu kapena khungu lakuthwa kapena matenda chifukwa chakukanda kapena kusisita
- Kutopa masana chifukwa chogona mokwanira
- Kulephera kuchita ntchito za tsiku ndi tsiku
- kudzipatula kuti mupewe kupita kokacheza
- kupsa mtima, kuda nkhawa, kapena kukhumudwa
Ngati matenda anu a dysesthesia akusokoneza moyo wanu, muyenera kuwona dokotala wanu wamkulu kapena katswiri wa zamagulu. Zina mwazomwe zimakupweteketsani ziyenera kuwunikidwa ndikuchotsedwa.
Dysesthesia sikuti nthawi zonse imafuna chithandizo. Koma ngati mukufuna thandizo, pali njira zingapo zomwe mungasamalire ndikusintha moyo wanu wonse.