Matenda Aakulu (CPS)

Zamkati

• Kodi zizindikiro za matenda opweteka apakati ndi ziti?
• Kodi chimayambitsa matenda opweteka apakati?
• Kodi matenda opweteka apakati amapezeka bwanji?
• Kodi matenda opweteka apakati amathandizidwa bwanji?
• Ndi madokotala ati omwe amachiza matenda opweteka apakati?
• Katswiri wa zamagulu
• Katswiri wazopweteka
• Wothandizira thupi
• Katswiri wa zamaganizo
• Kodi zovuta zamatenda apakati ndizotani?
• Kodi anthu omwe ali ndi matenda opweteka apakati ndi otani?

Kodi central pain syndrome ndi chiyani?

Kuwonongeka kwa mitsempha yapakatikati (CNS) kumatha kuyambitsa matenda amitsempha otchedwa central pain syndrome (CPS). CNS imaphatikizapo ubongo, ubongo, ndi msana. Zinthu zina zingapo zitha kuyambitsa izi:

• sitiroko
• zoopsa zaubongo
• zotupa
• khunyu

Anthu omwe ali ndi CPS nthawi zambiri amamva zowawa zosiyanasiyana, monga:

• kupweteka
• kuyaka
• zowawa zakuthwa
• dzanzi

Zizindikirozi zimasiyana mosiyanasiyana pakati pa anthu. Itha kuyamba pomwepo pambuyo povulala kapena vuto lina, kapena zingatenge miyezi kapena zaka kuti ziyambe.

Palibe mankhwala a CPS omwe alipo. Mankhwala opweteka, opatsirana pogonana, ndi mitundu ina ya mankhwala amatha kuthandizira. Vutoli lingakhudze kwambiri moyo.

Kodi zizindikiro za matenda opweteka apakati ndi ziti?

Chizindikiro chachikulu cha CPS ndikumva kuwawa. Ululu umasiyanasiyana kwambiri pakati pa anthu. Zitha kukhala izi:

• zonse
• wapakatikati
• malire kwa gawo linalake la thupi
• ponseponse m'thupi

Anthu nthawi zambiri amafotokoza zowawa ngati izi:

• kuyaka
• kupweteka
• kumenyedwa kapena kumenyedwa, komwe nthawi zina kumatchedwa "zikhomo ndi singano"
• kubaya
• kuyabwa komwe kumasintha kukhala kowawa
• kuzizira
• zodabwitsa
• kukhadzula

Ululuwo umakhala wofatsa kwambiri. Ululuwo ukhoza kufotokozedwanso kuti ukupweteka ndi anthu ena. Pazovuta kwambiri, anthu omwe ali ndi CPS amatha kumva kupweteka ngakhale akakhudzidwa pang'ono ndi zovala, zofunda, kapena mphepo yamphamvu.

Zinthu zosiyanasiyana zimatha kukulitsa ululu. Izi ndi izi:

• kukhudza
• nkhawa
• mkwiyo
• zina zamphamvu
• kuyenda, monga kuchita masewera olimbitsa thupi
• zosunthika, zosasunthika, monga kuyetsemula kapena kuyasamula
• phokoso lalikulu
• magetsi owala
• kutentha kumasintha, makamaka kuzizira
• kutuluka dzuwa
• mvula
• mphepo
• kusintha kwa barometric kumasintha
• kusintha kwamtunda

Nthawi zambiri, CPS imakhalabe yamoyo wonse.

Kodi chimayambitsa matenda opweteka apakati?

CPS imatanthawuza zowawa zomwe zimabwera kuchokera muubongo osati kuchokera kumitsempha yotumphukira, yomwe ili kunja kwa ubongo ndi msana. Pachifukwa ichi, zimasiyana ndi zowawa zina zambiri.

Zowawa nthawi zambiri zimakhala zoteteza kuzinthu zoyipa, monga kukhudza mbaula yotentha. Palibe zoyambitsa zoyipa zomwe zimayambitsa zowawa zomwe zimachitika mu CPS. M'malo mwake, kuvulala kwaubongo kumapangitsa kuti anthu azimva kupweteka. Kuvulala kumeneku kumachitika nthawi zambiri mu thalamus, kapangidwe kake mkati mwaubongo komwe kamatulutsa zizindikiritso kumadera ena aubongo.

Zinthu zomwe zingayambitse CPS ndi izi:

• Kutaya magazi muubongo
• sitiroko
• matenda ofoola ziwalo
• zotupa zaubongo
• matenda am'thupi
• kuvulala kwa msana
• kuvulala koopsa muubongo
• khunyu
• Matenda a Parkinson
• njira zopangira opaleshoni zomwe zimakhudza ubongo kapena msana

Central Pain Syndrome Foundation ikuyerekeza kuti pafupifupi anthu 3 miliyoni ku United States ali ndi CPS.

Kodi matenda opweteka apakati amapezeka bwanji?

CPS ikhoza kukhala yovuta kuzindikira. Ululu ukhoza kufalikira ndipo ukhoza kuwoneka ngati wosagwirizana ndi kuvulala kapena kukhumudwa kulikonse. Palibe mayeso amodzi omwe amapezeka kuti athe dokotala wanu kuzindikira matenda a CPS.

Dokotala wanu adzawunika zomwe mwakumana nazo, kudzakuyesani, ndikufunsani mbiri yanu yazachipatala. Ndikofunika kwambiri kudziwitsa dokotala wanu za zovuta zilizonse kapena zovulala zomwe mwakhala nazo kale kapena zomwe mudakhalapo m'mbuyomu, komanso mankhwala aliwonse omwe mukumwa. CPS sikukula yokha. Zimangobwera pambuyo povulala ku CNS.

Kodi matenda opweteka apakati amathandizidwa bwanji?

CPS ndi yovuta kuchiza. Mankhwala opweteka, monga morphine, nthawi zina amagwiritsidwa ntchito koma nthawi zina samachita bwino.

Anthu ena amatha kuthana ndi ululu wawo ndi mankhwala a antiepileptic kapena anti-depressant, monga:

• amitriptyline (Elavil)
• duloxetine (Cymbalta)
• gabapentin (Neurontin)
• pregabalin (Lyrica)
• carbamazepine (Tegretol)
• topiramate (Topamax)

Mankhwala owonjezera omwe angathandize ndi awa:

• ma transdermal creams ndi zigamba
• chamba chachipatala
• zopumulira minofu
• mankhwala ogonetsa ndi zothandizira kugona

Mwambiri, mankhwalawa amachepetsa kupweteka, koma sangapangitse kuti atheretu. Kupyolera mukuyesera, wodwalayo ndi dokotala wawo pamapeto pake amapeza mankhwala kapena mankhwala omwe amagwira ntchito bwino.

Neurosurgery amadziwika kuti ndi njira yomaliza. Opaleshoni yamtunduwu imakhudzanso chidwi cha ubongo. Pogwiritsa ntchito njirayi, dokotala wanu adzaika ma elekitirodi otchedwa neurostimulator m'magawo ena aubongo wanu kuti atumize kukondoweza kuzomvera zopweteka.

Ndi madokotala ati omwe amachiza matenda opweteka apakati?

Dokotala woyang'anira makamaka amakhala dokotala woyamba kuti akambirane za zomwe ali nazo ndikuwona mbiri yanu yazachipatala komanso thanzi lanu. Ngati zinthu zina zatulutsidwa, dokotala wanu akhoza kukutumizirani kwa katswiri kuti mukayesedwe ndikuchiritsidwa.

Akatswiri omwe amathandizira kapena kuthandizira kuyang'anira CPS ndi awa:

Katswiri wa zamagulu

Katswiri wa matenda a ubongo ndi dokotala yemwe amadziwika bwino ndi zovuta zamanjenje, kuphatikizapo ubongo, msana, ndi mitsempha. Nthawi zambiri amakhala aluso pochiza ululu wosatha. Muyenera kukawona akatswiri angapo amitsempha musanaganize kuti ndi ndani amene angakuthandizeni kuthana ndi ululu wanu.

Katswiri wazopweteka

Katswiri wazopweteka nthawi zambiri amakhala dokotala yemwe adaphunzitsidwa zamankhwala am'mimba kapena zamankhwala. Amachita bwino pakusamalira ululu ndipo amagwiritsa ntchito njira zosiyanasiyana pochiza ululu kuphatikiza mankhwala am'kamwa ndi jakisoni wa mankhwala ena m'malo opweteka kuti athetse ululu.

Wothandizira thupi

Katswiri wazachipatala ndi katswiri yemwe angakuthandizeni kuchepetsa kupweteka ndikupangitsani kuyenda.

Katswiri wa zamaganizo

CPS nthawi zambiri imakhudza ubale wanu komanso moyo wanu wamaganizidwe. Katswiri wa zamaganizidwe kapena wothandizira amakambirana nanu mavuto am'malingaliro.

Kodi zovuta zamatenda apakati ndizotani?

CPS ikhoza kukhala yopweteka. Zitha kukulepheretsani kutenga nawo mbali pazochitika zosangalatsa komanso kukhudza moyo wanu watsiku ndi tsiku. Zingayambitse mavuto am'maganizo ndi zovuta zina kuphatikiza:

• nkhawa
• nkhawa
• kukhumudwa
• kutopa
• kusokonezeka kwa tulo
• mavuto amgwirizano
• mkwiyo
• kuchepa kwa moyo
• kudzipatula
• Maganizo ofuna kudzipha

Kodi anthu omwe ali ndi matenda opweteka apakati ndi otani?

CPS siyiwopseza moyo, koma vutoli limabweretsa zovuta kwa anthu ambiri. CPS itha kusokoneza zomwe mumachita tsiku ndi tsiku.

Pazovuta kwambiri, kupweteka kumatha kukhala kwakukulu ndipo kumakhudza kwambiri moyo wanu. Anthu ena amatha kuthana ndi ululu ndi mankhwala, koma vutoli limakhala kwa moyo wonse wamunthu.