Ingabe uthola uhlale udonsa imilenze yakho yesifuba noma imikhono yemikhono ukuze uqede ukuzwa okungazelelwe? Ngenkathi kunezimbangela eziningi zokuhlambalaza, umsuka ungase uhlotshaniswe ne-multiple sclerosis (MS) noma imithi esetshenziswa ukuphatha lesi sifo.
Sibutsetelo se-Neuropathic Itch ku-Multiple Sclerosis
Ngokungafani nokuhlushwa ngenxa yokulunywa umiyane noma i-eczema, ephakama ngenxa yokuvuvukala esikhumbeni, izinzwa ezibangelwa yi-MS zivela ngenxa yezibonakaliso ezingavamile ezivela ebuchosheni.
Lesi simo sibizwa ngokuthi i-neuropathic itch. Ngakho-ke akukho ukuqhuma noma ukuqhuma endaweni enobungozi, nakuba kungenzeka kube obomvu uma uqala ukukhipha.
Njengezinye izimpawu eziningi ze-MS, ukuxhunyaniswa okungaxhunywanga okubangelwa ukungaxhunywanga kahle kwabantu okubangelwa ukungena kwegazi kubantu abano-MS kungenxa yokudonswa kwemivimbo ebuchosheni bakho kanye / noma umgogodla. Ukulahlekelwa i-myelin evikelekile ezungeze izinzwa zakho kubangele ukuba baqhume, okungaholela ekuhlakaleni okungazelelwe kanye nezinye izinzwa ezingavamile, ezifana nokushaya, ukushisa, noma ukuzwa izikhonkwane.
Izici ze-MS-Related Itchiness
Ukukhubazeka okuhlobene ne-MS ngokuvamile ku-paroxysmal, okusho ukuthi iqala futhi iyeka ngokungazelelwe. Lesi sici sinikeza uphawu lokubaluleka olubalulekile olubhekise ku-MS njengelungu elihle, ngokuphambene nezinye izimbangela eziningi ezingabangela ukuchithwa. Ukushisa endaweni efanayo kuzo zombili zombili zomzimba kungenye indlela yokuvala ukuthi le mpawu cishe ihlobene ne-MS.
Ngenkathi izibhamu zokuzizwa zishaya zingenzeka izikhathi eziyisithupha ngosuku noma ngaphezulu, zivame ukugcina imizuzwana embalwa ukuya emizuzwini. Nakuba zifushane, lezi ziqephu zingase zibe kakhulu futhi ziphazamise, ikakhulukazi uma uzizwa ebusuku.
Ukuchithwa kwe-neuropathic ehlobene ne-MS kuvame ukuvela ezindaweni ezithile zomzimba wakho, ngokungafani nokuzwela konke.
Ukuzwela okungenzeka kungenzeka cishe noma kuphi emzimbeni wakho, ngokuvamile okubandakanya zombili izinhlangothi. Isibonelo, izingalo zombili, imilenze, noma zombili izinhlangothi zobuso bakho zingase zihileleke. Kodwa-ke, ngezinye izikhathi ukuhlushwa kungase kuvunyelwe endaweni eyodwa, ngokuvamile ingalo noma umlenze.
Abanye abantu bathola inhlanganisela yezinzwa ezingavamile, ezifana nokuhlambalaza kanye nomzwelo ovuthayo noma ovuthayo. Ukwengeza, ungase uqaphele ukuthi izinkinga zakho zokuhlushwa zibangelwa izimo ezithile. Ukushisa kuyisimo esijwayelekile, njengalapho ungaphandle ngosuku olushisayo noma lokugeza. Ukunyakaza okuthile kungase kuqhube nesipelingi esibuhlungu.
Izinketho zokwelapha
Izindaba ezinhle ukuthi izimpawu ze-paroxysmal ezinjengezinhlanzi zokuvutha ngokuvamile azibonakali ukuphindaphinda kwe- MS . Noma kunjalo, lesi sibonakaliso singaphazamisa imisebenzi yakho yansuku zonke futhi sinciphise izinga lakho lokuphila. Ukwengeza, ukukhipha kungaholela kwezinye izinkinga, njengokutheleleka kwesikhumba noma ukukhwabanisa. Uma kunoma yikuphi kwezimo kusebenza kuwe, kubalulekile ukufuna ukwelashwa ngokushesha ngangokunokwenzeka.
Izindlela zokwelashwa ezijwayele ukuziphatha zivame ukuwusizo njengoba ziyizinyathelo ezilula, njengokumboza indawo enokugqoka nezingubo. Uma lezi zinyathelo zingenzi ubuqili kuwe noma izimpawu zakho zinzima, udokotela wakho angase ancoma imithi.
Okukhethwa kukho udokotela wakho angase akucabangele kufaka:
- I-Dilantin (phenytoin)
- I-Lyrica (i-pregabalin)
- I-Neurontin (gabapentin)
- I-Tegretol (i-carbamazepine)
Ngokwelashwa okuphumelelayo, iziqephu zakho zokuzizwa zihlaziyekile aziphindaphindi. Okubaluleke kakhulu, ukwelashwa kwama-topical ezifana ne-over-the-counter noma i-corticosteroids kadokotela akusizi usizo lwe-neuropathic ngoba umsuka wenkinga yizinzwa zakho kunesikhumba sakho.
Okunye okucatshangwayo
Ngenkathi i-MS ingabangela ukuhlushwa, kanjalo nezinye izimo eziningi. Futhi enye yemithi yakho ye-MS ingase ibe nokusola. Yingakho kungumqondo omuhle ukubona udokotela wakho wezinzwa noma udokotela oyinhloko uma uthola ukuhlushwa okungaqondakali-ikakhulukazi uma kuhilela izinhlangothi zombili zomzimba wakho, noma uphikelela noma ukhula kakhulu.
Ezinye izifo eziguqula izifo zingase zidale ubuthi njengemiphumela emibi, kuhlanganise neCopaxone (glatiramera), i-Lemtrada (alemtuzumab), i-Tecfidera (i-dimethyl fumarate), ne- Tysabri (natalizumab). Indlela yokuthola imithi emishanguzweni yakho ye-MS nayo ingenzeka, okungabangela ukuhlaselwa okujwayelekile, imifantu, kanye / noma ukuqhuma. Uma usola ukusabela okweqile, shayela udokotela wakho ngokushesha. Funa ukunakekelwa kwezempilo okuphuthumayo uma uzwa ukuvuvukala kwezindebe zakho, ubuso, noma ulimi, noma ukuphefumula.
Izwi elivela
Siyazi ukuthi ukuhlukunyezwa okukhulu, ukucasula, okucasulayo nokuphazamisayo ku-MS kungaba, ikakhulukazi njengoba izikhambi zasemakhaya ezivamile kanye nemithi engaphezu kwemithi ngokuvamile abanikezeli usizo. Ngenkathi ungase ulingeke ukuba unzima, ungakhathazeki uma uhlangabezana nokuhlushwa okuqhubekayo noma okuqhubekayo. Bheka udokotela wakho ukuze anqume ukuthi lesi sigciwane esixhumeneyo sihlobene ne-MS yakho noma esinye isimo. Uma usuqede imbangela, ungasebenza ndawonye ukuze uhlele isu lokuphatha elihambisana nezidingo zakho.
> Imithombo
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> Patel T, Yosipovitch G. Ukwelashwa kwePruritus. Uchwepheshe we-Opin. 201 0Jul; 11 (10): 1673-1682.
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