Nchiyani Chimayambitsa Kututuma Kwanga Kwamkati?

Zamkati

• Zoyambitsa
• Matendawa
• Chithandizo
• Mankhwala osokoneza bongo
• Mankhwala osokoneza bongo
• Zosankha zina
• Chiwonetsero
• Malangizo owunika matenda anu

Chidule

Kugwedezeka kwamkati kuli ngati kunjenjemera komwe kumachitika mkati mwa thupi lanu. Simungathe kuwona kugwedezeka kwamkati, koma mutha kuwamva. Amatulutsa zotengeka mkati mwanu mikono, miyendo, chifuwa, kapena mimba.

Kugwedezeka kwamkati sikusintha moyo monga kunjenjemera kwakunja. Mwachitsanzo, simungagwedezeke kwinaku mukuyesera kutsanulira kapu ya tiyi kapena kulemba kalata. Kugwedezeka kwamkati sikunafanane ndi vertigo, chomwe ndi chizindikiro china cha minyewa ina. Vertigo amamva ngati dziko likuzungulira mozungulira inu.

Komabe, kunjenjemera kwamkati kumamveka kosasangalatsa. Ndipo chifukwa chakuti siziwoneka, kunjenjemera kumeneku kumakhala kovuta kuti mufotokozere dokotala wanu. Pitilizani kuwerenga kuti mudziwe zambiri pazomwe zingayambitse kunjenjemera kwanu komanso masitepe otsatira.

Zoyambitsa

Kutenthedwa kumachitika chifukwa cha kuwonongeka kwa ubongo wanu komwe kumakhudza mitsempha yomwe imayang'anira minofu yanu. Kugwedezeka kwamkati kumalingaliridwa kuti kumayambira pazifukwa zomwezo monga kunjenjemera. Kugwedezeka kungakhale kovuta kuwona.

Mchitidwe wamanjenje monga matenda a Parkinson, multiple sclerosis (MS), ndi kunjenjemera kofunikira kumatha kubweretsa kunjenjemera uku. Kafukufuku wina adawonetsa kuti 33 peresenti ya anthu omwe ali ndi matenda a Parkinson adanjenjemera mkati. Anthu makumi atatu mphambu zisanu ndi chimodzi mwa anthu omwe ali ndi MS ndi 55% ya anthu omwe amanjenjemera kwambiri adatinso akumva kugwedezeka kwamkati. Nthawi zina, nkhawa imatha kubweretsa kapena kukulitsa kunjenjemera.

Anthu ambiri okhala ndi zivomezi zamkati amakhalanso ndi zizindikilo zina, monga kupweteka, kulasalasa, ndi kuwotcha. Zizindikiro zina zomwe muli nazo ndimanjenjemera zingakupatseni chitsimikizo cha momwe muliri.

Zizindikiro za matenda a Parkinson ndi monga:

• minofu yolimba yomwe imavuta kuyenda
• wodekha, wosuntha, owuma mayendedwe
• zolemba zazing'ono
• chete kapena kukweza mawu
• kutaya kununkhiza kwako
• kuyang'anitsitsa nkhope yanu, yotchedwa chigoba
• kuvuta kugona
• kudzimbidwa
• chizungulire

Zizindikiro za kunjenjemera kofunika ndizo:

• mayendedwe ang'onoang'ono a mikono ndi miyendo, makamaka mukamagwira ntchito
• kugwedeza mutu
• kugwedezeka m'makope anu ndi mbali zina za nkhope yanu
• mawu onjenjemera kapena amanjenjemera
• vuto ndi kulingalira
• mavuto kulemba

Zizindikiro za MS ndizo:

• dzanzi m'manja mwanu, miyendo, nkhope, ndi thupi
• kuuma
• kufooka
• kutopa
• kuyenda movutikira
• chizungulire ndi chizungulire
• kusawona bwino kapena mavuto ena amaso
• zovuta kuwongolera kukodza kapena matumbo
• kukhumudwa

Matendawa

Ngati mukugwedezeka mkati, pitani kuchipatala kuti mukayesedwe. Komanso pangani msonkhano ngati muli ndi zizindikiro monga:

• dzanzi
• kufooka
• kuyenda movutikira
• chizungulire

Dokotala wanu ayamba ndikufunsani za zidziwitso zanu komanso mbiri yazachipatala.Mukhala ndi mayeso omwe adzachitike kuti muwone ngati pali matenda amitsempha omwe angayambitse kunjenjemera. Dokotala wanu adzakufunsani kuti muchite ntchito zingapo. Izi zitha kuyesa yanu:

• malingaliro
• mphamvu
• kamvekedwe kanyama
• kumverera
• kuyenda ndi kuyenda
• kulinganiza ndi kulumikizana

Dokotala amathanso kuyitanitsa chimodzi kapena zingapo za mayeso awa:

• electromyogram, yomwe imayesa momwe minofu yanu imayankhira pakulimbikitsidwa
• kutulutsa mayesero omwe angakhalepo, omwe amagwiritsa ntchito ma elekitirodi kuti athe kudziwa momwe dongosolo lanu lamanjenje limayankhira pakukondoweza
• lumbar puncture (tap tap), yomwe imachotsa mtundu wamadzimadzi ozungulira msana wanu kuti ayang'ane zizindikiro za MS
• kujambula kwa magnetic resonance imaging (MRI), komwe kumawonetsa zotupa muubongo wanu ndi msana

Dokotala wanu akhoza kukutumizirani kwa katswiri wa zamagulu. Katswiri wa ubongo ndi katswiri yemwe amachiza zovuta zamanjenje.

Chithandizo

Kuti mupeze chithandizo choyenera, choyamba muyenera kudziwa molondola. Nthawi zina kunjenjemera kwamkati kumakhala bwino mukamachita zomwe zimawapangitsa. Ngati dokotala wanu sangathe kudziwa chifukwa cha kunjenjemera kwanu, mungafunikire kukaonana ndi katswiri kuti ayesedwe.

Mankhwala osokoneza bongo

Matenda a Parkinson amachiritsidwa ndi carbidopa-levodopa (Sinemet), pramipexole (Mirapex), ndi ropinirole (Requip). Mankhwalawa amakulitsa kuchuluka kwa dopamine muubongo wanu kapena amatsanzira zotsatira za dopamine. Dopamine ndi mankhwala amithenga omwe amathandiza thupi lanu kuyenda bwino.

Kutetemera kofunikira kumathandizidwa ndi mtundu wa mankhwala osokoneza bongo omwe amatchedwa beta-blocker. Ikhoza kuthandizidwanso ndi mankhwala osokoneza bongo.

Chithandizo cha MS chimadalira mtundu wa MS ndi momwe zimakulira. Zitha kuphatikizira ma steroids kuti athetse kutupa muubongo ndi msana. Mankhwala ena amaphatikizapo mankhwala osintha matenda monga interferon ndi glatiramer acetate (Copaxone).

Mankhwala osokoneza bongo

Mankhwala ena amathanso kuthandizira kuwongolera kunjenjemera. Mankhwalawa ndi awa:

• Mankhwala a anticholinergic monga trihexyphenidyl (Artane) ndi benztropine (Cogentin)
• Poizoni wa botulinum A (Botox)
• zotonthoza monga alprazolam (Xanax) kapena clonazepam (Klonopin), ngati nkhawa imayambitsa kunjenjemera

Zosankha zina

Kugwira ntchito ndi wodwala kumatha kukuthandizani kuti mukhale ndi mphamvu zowongolera minofu, zomwe zingakuthandizeni ndi kunjenjemera.

Ngati mankhwala ena sanagwire ntchito, dokotala angakulimbikitseni kuchitidwa opaleshoni. Mwa njira yotchedwa deep brain stimulation (DBS), dokotalayo amaika maelekitirodi muubongo wanu ndi jenereta yoyendetsa batire m'chifuwa mwanu. Jeneretayo amapereka zida zamagetsi kumalo ena amubongo wanu omwe amayang'anira kuyenda.

Chiwonetsero

Kutetemera kwamkati sikuli koopsa. Sangakhale omangika mokwanira kusokoneza moyo wanu watsiku ndi tsiku, komabe. Kaya chizindikirochi chikuyenda bwino zimadalira zomwe zimayambitsa kunjenjemera ndi chithandizo chomwe mumalandira.

Kupeza chithandizo choyenera kungaphatikizepo kuyesa zina ndi zina. Ngati mankhwala oyamba omwe mumamwa sagwira ntchito, pitani kwa dokotala wanu. Onani ngati mungayesenso china. Kugwedeza sikungathe kwathunthu, koma mutha kuwongolera mokwanira kuti sangakuvutitseni.

Malangizo owunika matenda anu

Kugwedezeka komwe palibe amene angawone kungakhale kovuta kufotokoza kwa dokotala wanu. Pofuna kukuthandizani kufotokoza za chizindikirochi, yambani kulemba zolemba za kunjenjemera kwanu. Lembani:

• nthawi yanji yamasiku zimachitika
• zomwe mumachita pomwe adayamba
• momwe akumvera
• zitenga nthawi yayitali bwanji
• ndi zizindikilo zina ziti zomwe uli nazo, monga chizungulire kapena kufooka

Bweretsani tsikuli pamisonkhano yanu. Gwiritsani ntchito ngati chitsogozo mukamacheza ndi dokotala.