Zosankha zingapo za Sclerosis

Zamkati

• 1. Zithandizo
• Zothetsera mavuto
• Njira zothandizira kuteteza chitetezo cha mthupi
• Zithandizo zowongolera zizindikiro
• 2. Physiotherapy
• 3. Yesetsani kuchita masewera olimbitsa thupi
• 4. Kuika khungu la tsinde
• 5. Chithandizo chachilengedwe
• Zizindikiro zakusintha ndikuipiraipira kwa sclerosis
• Zovuta zotheka

Chithandizo cha multiple sclerosis chimachitika ndi mankhwala kuti athetse zizindikilo, kupewa zovuta kapena kuchedwetsa kusintha kwawo, kuwonjezera pa masewera olimbitsa thupi, chithandizo chantchito kapena physiotherapy, makamaka munthawi yamavuto, pomwe ndi pomwe zizindikiro zimayambanso, kuti apange nawo kuti achotsedwe.

Multiple sclerosis ndimatenda amthupi omwe alibe mankhwala ndipo amadziwonekera panthawi yophulika, zomwe zikutanthauza kuti matendawa amatha kupereka zizindikilo, monga dzanzi ndi kumva kulira kwa mkono, zomwe zitha kutheratu kapena ayi. Nthawi zina, matendawa samadziwika chifukwa cha kuphulika, kupita patsogolo, ndikuipiraipira komanso kukulira thanzi pathupi komanso zovuta kuyenda. Mulimonsemo, nthawi zonse kumafunika kutsatira chithandizo chomwe dokotala akuwonetsa.

1. Zithandizo

Zithandizo zomwe zawonetsedwa pa multiple sclerosis ziyenera kulimbikitsidwa ndi katswiri wa mitsempha atazindikira mtundu wa sclerosis womwe munthuyo ali nawo ndipo akuwonetsedwa kuti azithana ndi zovuta kapena kusinthika kwa matendawa.

Zothetsera mavuto

Chithandizo cha matenda a sclerosis chimachitika ndi pulse therapy, yomwe imayang'anira methylprednisolone, yomwe ndi corticoid, yolowera m'mitsempha, kwakanthawi kochepa, nthawi zambiri kwa masiku 3 mpaka 5.

Mutagwiritsa ntchito methylprednisolone, adotolo amalimbikitsa kugwiritsa ntchito prednisolone, yomwe ndi mtundu wina wa corticoid, pakamwa masiku 5 kapena kupitilira apo.

Mankhwalawa amathandiza kuchepetsa kutupa kwa mitsempha, komwe kumathandiza kuchepetsa kukhathamira komanso kutalika kwa ziwopsezo ndikuchepetsa zizindikilo monga kuchepa kwa masomphenya, kuchepa mphamvu kapena kulumikizana. Komabe, ziyenera kuchitika kwakanthawi kochepa chifukwa corticosteroids imatha kuyambitsa zovuta zina monga kusowa tulo, kuchuluka kwa magazi, kuchuluka kwama glucose am'magazi, kusinthasintha kwamaganizidwe ndi kusungunuka kwamadzi.

Njira zothandizira kuteteza chitetezo cha mthupi

Mankhwala othandiza kulamulira chitetezo cha mthupi amalepheretsa chitetezo cha mthupi kuukira ma cell amitsempha, kuthandiza kuchepetsa kubwerera kwa zizindikilo ndikuchepetsa kukula kwa matendawa, ndipo kugwiritsa ntchito interferon beta, fingolimod, natalizumab ndi acetate kungasonyezedwe ndi adotolo. glatiramer kapena dimethyl fumarate, omwe amaperekedwa ndi SUS.

Mankhwala ena ochizira multiple sclerosis, koma omwe SUS sapezeka, akuphatikizapo cladribine, laquinimod, ocrelizumab, alemtuzumab ndi teriflunomide.

Zithandizo zowongolera zizindikiro

Mankhwala othandiza kuchepetsa zizindikilo za multiple sclerosis amaphatikizanso kupumula kwa minofu, kuchepetsa ululu, kuponderezana, ma anticonvulsants, mankhwala otopa, kusagwira kwamikodzo, kulephera kwa erectile, kusowa tulo kapena zovuta kuwongolera matumbo, mwachitsanzo.

Mankhwalawa ayenera kuwonetsedwa ndi dokotala payekhapayekha, malinga ndi zomwe munthu aliyense amapereka.

2. Physiotherapy

Physiotherapy ikufuna kulimbitsa minofu, kukonza njira zoyendera, kulimbitsa thupi ndi kulumikizana kwamagalimoto, kuwonetsedwa panthawi yamavuto, pakakhala kukulira kwa zizindikilo, zomwe zimayambitsa kusuntha mikono ndi miyendo, kusowa kwa magwiridwe antchito, kusintha kwa khungu chidwi, kufooka kwa minofu kapena kupindika, mwachitsanzo.

Ma motor physiotherapy nthawi zambiri amawonetsedwa kuti amapewa kubwerera mmbuyo kwa minofu, kulimbana ndi dzanzi, kuchepetsa kupweteka, kulimbitsa minofu ndikuphunzitsa zochitika zatsiku ndi tsiku monga kuyenda, kutsuka mano ndi kutsesa tsitsi, malinga ndi zosowa za munthuyo.

Kupuma kwa thupi nthawi zambiri kumawonekera kwambiri panthawi yomwe matendawa amapuma. Pachithandizo chamtunduwu, zida zing'onozing'ono monga flutter, mwachitsanzo, zokhoza kulimbitsa minofu ya kupuma ndikumasula phlegm, zitha kugwiritsidwa ntchito, koma kupuma ndikofunikanso kwambiri kupangitsa kupuma ndikupangitsa kuti izigwire bwino ntchito, kuchepetsa chiopsezo cha kubanika.

Kuphatikiza pa chithandizo chamankhwala, njira zina zothandizira kukonzanso zomwe zingathandize kuchepetsa zizindikilo, kumuthandiza kuti azigwira ntchito komanso kuteteza kuti matendawa asapite patsogolo akuphatikizapo zamaganizidwe, chithandizo chamaubongo, kugwiritsa ntchito zaluso, zonena zamankhwala kapena chithandizo chantchito, mwachitsanzo.

3. Yesetsani kuchita masewera olimbitsa thupi

Mutapezeka kuti muli ndi multiple sclerosis, kukhalabe olimbikira ndikuchita masewera olimbitsa thupi kumathandizira kupewa matenda kapena kupewa kuyamba kwa zizindikilo mwachangu. Zochita zina zomwe zitha kuwonetsedwa ndi izi:

• Yendani;
• Wothamanga, mtundu wa trot;
• Yendetsani njinga;
• Chitani masewera olimbitsa thupi;
• Yesetsani yoga, pilates, makamaka ma pilate azachipatala;
• Aqua aerobics kapena kusambira.

Zochitazi ziyenera kuchitidwa m'malo abata komanso amtendere okhala ndi kutentha kosangalatsa, chifukwa kutentha kumathandizira thukuta, lomwe limakulitsa zizindikilo za sclerosis. Chifukwa chake, munthu ayenera kukhala osamala kuti asachepetse kugunda kwa mtima, komanso kuti asatenthe kutentha kwa thupi nthawi yakulimbitsa thupi.

Onerani vidiyo yotsatirayi ndikuwona zina zomwe mungachite kuti mukhale bwino:

Ndikulimbikitsidwa kuti muzichita masewera olimbitsa thupi kwa mphindi 30, tsiku lililonse, kapena kuchita ola limodzi, katatu pa sabata, kuwonjezera pakupuma kwa mphindi 10 mpaka 15 tsiku lililonse.

Ngati panthawi yolimbitsa thupi munthuyo akumva kuti akupuma, ayenera kusiya masewerawo nthawi yomweyo ndikupuma mwamphamvu komanso modekha. Zomwezi zimasonyezedwanso ngati mukumva kuti mtima wanu ukugunda mwachangu, kupuma movutikira, kutopa kapena kutuluka thukuta kwambiri.

4. Kuika khungu la tsinde

The autologous stem cell transplant imachitika pochotsa maselo am'maso mwa munthu yemwe, yemwe amayenera kulandira chithandizo chamankhwala osokoneza bongo kuti ateteze chitetezo chamthupi, asanalandire maselo am'munsi. Chithandizo chamtunduwu chimalola "kuyambiranso" chitetezo cha mthupi, chomwe chimayambitsa kuwonongeka kwa ubongo ndi msana mu multiple sclerosis.

Kuika kotereku kumatha kuchitidwa ngati munthu ali ndi matenda ofooka ofoola ziwalo komanso ovuta kuwachiza, koma si mankhwala omwe amachiritsa matendawa, kupatula kuti ndi mankhwala osakhwima kwambiri, ndipo amayenera kuchitidwa m'malo opezeka ma cell a stem. Pezani momwe mankhwala amadzimadzi amagwirira ntchito.

5. Chithandizo chachilengedwe

Pali njira zochiritsira zachilengedwe za multiple sclerosis, monga zakudya zopatsa thanzi zomwe zimathandiza kuthetsa zizindikiritso zakudzimbidwa kapena kutopa, mwachitsanzo, kuonjezera kudya kwa zakudya zokhala ndi vitamini D wambiri kapena kumwa mankhwala, monga kutema mphini kapena kupopa thupi. Komabe, izi sizilowa m'malo mankhwala omwe adokotala adawawonetsa, amangothandiza.

Kuledzera kwa Vitamini D kumathanso kuwonetsedwa ngati njira yolimbana ndi matenda ofoola ziwalo, popeza kafukufuku wina akuwonetsa kuti kuchuluka kwa vitamini D kumathandiza kuchepetsa kugwidwa, kumachepetsa zochitika zamatenda komanso kumachepetsa chiopsezo chokhala ndi sclerosis. Dziwani zambiri zamankhwala amtunduwu okhala ndi Vitamini D.

Zizindikiro zakusintha ndikuipiraipira kwa sclerosis

Zizindikiro zakusintha kwamatenda ofoola ziwalo zimawonekera munthuyo akamalandira chithandizo chamankhwala molingana ndi malangizo a dokotala, ndikuphatikizanso kuchepa kwa zizindikilo, kuchepa kutopa ndikuchira kwa kulumikizana kwa minofu ndi mphamvu, kulola zochitika zatsiku ndi tsiku zabwino. Kukula kumeneku kumatha kuchitika mutayamba chithandizo choyenera, koma nthawi yofunikira kuti mupeze mpumulo kuzizindikiro ndi payekha, chifukwa zimasiyanasiyana munthu ndi munthu.

Komabe, mankhwala akayambitsidwa mochedwa kapena ngati sanachite bwino, zizindikiro zowonjezereka za multiple sclerosis zitha kuwoneka, zomwe zimaphatikizapo kutayika kwamaso, kufooka, kukumbukira kukumbukira kapena kusadziletsa. Nthawi zikukulirakulira, mankhwala omwe alipo ayenera kulimbikitsidwa, koma izi sizikutsimikizira kuti zizindikilozi zitha kulamulidwa. Mulimonsemo, physiotherapy ndiwothandiza kwambiri kukonza moyo wabwino.

Zovuta zotheka

Zovuta zakupuma kwamatenda ofooka a sclerosis nthawi zambiri zimatha kupha, chifukwa chokhudzidwa ndi minofu ya kupuma komanso kudzikundikira kwamitsempha m'mapapu, zomwe zimatha kuyambitsa matenda monga aspiration chibayo, atelectasis kapena kupuma. Chifukwa chake, tikulimbikitsidwa kuti tizichita zolimbitsa thupi nthawi zonse kwa moyo wathu wonse, ndipo nthawi zonse muzichita zamankhwala kuti muzitha kupuma ndikuyenda bwino.

Zizindikiro zomwe zingakhale chenjezo ndi kupuma movutikira, kupuma movutikira, kutopa kosavuta, chifuwa chosagwira ntchito komanso kufooka.