Manja amanjenjemera: Momwe mungalekerere manja osanjenjemera

Maphunziro a Zaumoyo

Nchiyani chimayambitsa kunjenjemera kwa manja? | Momwe mungaletsere manja osanjenjemera | Mankhwala | Opaleshoni | Nthawi yoti muwone dokotala wogwirana chanza

Kunjenjemera kumakhala ndi mitsempha yodzifunira yomwe imatha kupezeka m'malo ambiri amthupi. Ngakhale kupindika kwa minofu kumatha kukhudza maso, miyendo, nkhope, zingwe zamawu, ndi ziwalo zina za thupi, kunjenjemera nthawi zambiri kumalumikizidwa ndi manja. Kukhala ndi kunjenjemera kwa manja kumatha kukhala kokhumudwitsa ndikupangitsa zochitika za tsiku ndi tsiku monga kudya kapena kuvala zovuta. Pafupifupi Anthu mamiliyoni 10 ku United States amanjenjemera ndi manja .

Pali mitundu yambiri ya kunjenjemera ndi zifukwa zomwe zimachitikira. Ena ndi osakhalitsa ndipo amatha okha, ndipo ena amalumikizidwa ndi mavuto azaumoyo. Dziwani zambiri pazomwe zimayambitsa kunjenjemera kwa manja, momwe mungaletsere manja osanjenjemera, komanso nthawi yoti mupeze upangiri kuchipatala kuchokera kwa akatswiri azaumoyo za manjenje amanja.

Nchiyani chimayambitsa kunjenjemera?

Zinthu zambiri kuchokera pachakudya ndi kusintha kwa moyo kukhala mankhwala ndi zikhalidwe zathanzi zimatha kuyambitsa manjenje amanja. Manja akunjenjemera m'mawa atha kukhala chifukwa cha kutopa kapena kumwa khofiine wambiri. Kugwedeza okalamba kungakhale chifukwa cha kusowa kwa vitamini kapena mankhwala. Ziphuphu zingakhale chizindikiro chochenjeza za kumwa mowa, kupanikizika, nkhawa, mavuto a magazi, ndi matenda ena.

Mitundu yanjenjemera zamanja

Njira zochiritsira kunjenjemera kwa manja zimatha kusiyanasiyana kutengera mtundu womwe muli nawo. Katswiri wazachipatala atha kukuthandizani kuti mudziwe mtundu wa kunjenjemera kwa dzanja inu kapena wokondedwa muli. Nayi mitundu yambiri yanjenjemera yamanja.

Kugwedezeka kwa thupi

Kugwedezeka kwa thupi kungakhale zotsatira zoyipa zamankhwala. Corticosteroids, amphetamines, ndi mankhwala ena a mphumu amadziwika chifukwa chopangitsa kunjenjemera kwakanthawi kwakanthawi. Mankhwala omwe amagwiritsidwa ntchito pochiza minyewa komanso matenda amisala amathanso kutulutsa thupi.

Kugwedezeka kwa thupi kungakhalenso chizindikiro cha izi:

• Kuchotsa mowa
• Hypoglycemia (shuga wotsika magazi)
• Chithokomiro chopitilira muyeso (hyperthyroidism)

Matenda a Parkinson amanjenjemera

Anthu ambiri nthawi zambiri amagwirizanitsa kugwirana chanza ndi manja ndi ziwalo ndi matenda amitsempha a Parkinson's. Pafupifupi 80% ya anthu omwe ali ndi Parkinson kugwedezeka, komwe kumachitika nthawi yopumula (kotchedwa kunjenjemera kopumula). Odwala omwe ali ndi matenda otukuka a Parkinson amatha kukhala ndi zivomezi mosalekeza komanso mwamphamvu, zomwe zimasokoneza kwambiri ntchito za tsiku ndi tsiku monga kudya kapena kumangirira nsapato.

Kutetemera kofunikira

Manja amagwedezeka mwamphamvu komanso mosagwirizana ndi zivomerezi zofunika. Ngakhale kunjenjemera kofunikira kumakhala kwamitsempha, sikuli mgulu limodzi ndi kunjenjemera komwe kumakhudzana ndi matenda a Parkinson. Kutetemera kofunikira kumatha kuchiritsidwa ndipo nthawi zina kumatha kupewedwa, koma osachiritsika. Kutentha kwambiri, kupsinjika, nkhawa, kusuta ndudu, ndi caffeine Zimayambitsa ndi kunjenjemera kofunikira kwambiri .

Kugwedezeka kwamisala

Kutetemera kwama psychogenic nthawi zambiri kumachitika chifukwa chamaganizidwe monga kupsinjika, kuda nkhawa, kupwetekedwa mtima, kapena matenda amisala. Spasms ndi mayendedwe osapangika amthupi amatha kukula kuchokera kuwonjezeka kwakanthawi kwa kuthamanga kwa magazi ndi kugunda kwa mtima komwe kumakhudzana ndi kupsinjika.

Zowonongeka

Kutenthedwa kwa cerebellar kumatha kuchitika pomwe cerebellum kapena njira zopita muubongo zavulala kapena kuwonongeka. Odwala sitiroko amatha kunjenjemera ngati mitsempha yamaubongo yawonongeka. Chotupa ndi chitsanzo china chowonongeka kwa cerebellum, ndikupangitsa kunjenjemera kwa manja kapena thupi.

Mankhwala omwe amayambitsa kunjenjemera

Kunjenjemera kwa manja ndi zomwe zingachitike mankhwala ambiri . Mankhwala omwe amagwiritsidwa ntchito pochiza kupsinjika, mphumu, khansa, ndi asidi Reflux ndi ena mwazinthu zomwe zimatha kubweretsa dzanja logwedezeka. Maantibayotiki ena, mankhwala ochepetsa thupi, komanso ma antivirals nawonso ali pamndandanda wa mankhwala omwe angapangitse kunjenjemera kwakanthawi kwakanthawi.

Ma antidepressants ndi antipsychotic

Ngakhale kugwirabe ntchito kuthana ndi kukhumudwa, manja osanjenjemera ndi zotsatira zoyipa za ambiri mankhwala opatsirana pogonana . Mankhwala a antipsychotic amachititsanso kunjenjemera komwe kumadziwika kuti tardive dyskinesia. Mankhwala wamba ndi awa:

• Tricyclic antidepressants, monga amitriptyline, doxepin, amoxapine
• Serotonin reuptake inhibitors (SSRIs), monga Zoloft, Prozac, Lexapro
• Zolimbitsa mtima, monga lithiamu, Depakote, Lamictal

Mankhwala a mphumu

Zotsatira zoyipa za mphumu kapena bronchodilators zimatha kuyambitsa kusuntha kwa zala ndi manja. Mankhwala a inhalers kapena ma nebulizer monga Proventil ndi Ventolin (albuterol) ndi ena mwa omwe amalimbikitsa dongosolo lamanjenje, lomwe lingayambitse manja osanjenjemera. Manja amanjenjemera ndi akanthawi, amatenga mphindi 30 mpaka 60 mutagwiritsa ntchito mankhwalawa ndipo sayenera kuwonedwa ngati owopsa.

Mankhwala a reflux a acid

Prilosec (omeprazole) amathanso kuyambitsa kunjenjemera kwa dzanja ngati mbali ina. Omeprazole amalepheretsa kuyamwa kwa vitamini B12, yomwe ndi vitamini wofunikira kwa dongosolo lamanjenje. Kulimbitsa thupi kuyenera kusiya kusiya kugwiritsa ntchito mankhwalawa.

Mankhwala oletsa kunyansidwa

Reglan (metoclopramide) imatha kukhala ndi vuto lakuthwa kwa minofu, koma muyenera kudziwitsa akatswiri azaumoyo mukakumana ndi izi. Reglan amathanso kusokoneza mankhwala ena (ngakhale mankhwala opweteka kwambiri), kotero ndikofunikira kuuza dokotala ngati mukumwa mankhwala ena ati.

Momwe mungaletsere dzanja logwedezeka mwachilengedwe

Kugwedeza manja kumatha kukhala kosasangalatsa, kochititsa manyazi, komanso kotengera momwe mumakhalira. Kusintha kwa moyo ndi mankhwala achilengedwe monga kusintha zakudya, masewera olimbitsa thupi, chithandizo chamankhwala, ngakhale kuchitidwa opaleshoni ndi njira zina zothetsera kunjenjemera kwa manja. Zithandizo zapakhomo zitha kuchepetsa kapena kuthetseratu zododometsa zakumanja ndikuchepetsa kufunikira kwamankhwala kapena opaleshoni.

Zakudya zimasintha

KU Zakudya zaku Mediterranean Zodzaza ndi zipatso ndi ndiwo zamasamba zitha kukhala ndi thanzi labwino, komanso zidaphunziridwa motsutsana ndi neurodegeneration, Alzheimer's, ndi kunjenjemera kofunikira . Zakudyazo zimaphatikizapo masamba, nyemba, zipatso, chimanga chonse, ndi mafuta osakwanira. Nsomba nazonso zimaloledwa, koma nthawi zina zimatha kudetsedwa ndi mercury, zomwe zingapangitse kunjenjemera kukulirakulira. Anthu omwe amadya zakudya zaku Mediterranean ayenera kuchepetsa mkaka, nyama, nkhuku, komanso mowa.

Madzi ndi mtundu wina wa mankhwala. Kumwa zomwe zakulimbikitsani makapu anayi kapena asanu ndi limodzi amadzi patsiku imatha kupangitsa kuti thupi lizikhala lamadzi komanso poizoni wochokera mthupi womwe ungapangitse kuti dzanja ligwedezeke.

Kafeini ndichopatsa mphamvu, chifukwa chake kuchotsera kapena kuchotsera pazakudya zanu kumathandizanso kuchepetsa kunjenjemera kwa manja. Caffeine ali mu khofi, tiyi, soda, ndi zakumwa zina ndi chokoleti. Ngati mumamwa tiyi kapena khofi pafupipafupi ndikuyimilira mwadzidzidzi, mutha kutenthedwa ndi kutulutsa kwa caffeine. Mutasiya kumwa tiyi kapena khofi, manja osagwedezeka ndi zizindikiritso zina zakutha zimatha masiku khumi. Kudziyimitsa nokha pa izi kungakhale njira yothandiza kupewa kunjenjemera kwa dzanja.

Mowa ndichinthu chinanso chomwe chimapangitsa kuti dzanja ligwedezeke. Monga chokhumudwitsa, mowa umakhudza dongosolo lamanjenje lamanjenje. Dzanja limanjenjemera likhoza kuchitika mukamamwa mowa mopitirira muyeso komanso mukamamwa mowa.

Vitamini B12

Vitamini B12 ndikofunikira kuti mukhale ndi dongosolo lamanjenje labwino. Kuperewera kwa vitamini B12, B-6, kapena B-1 kumatha kubweretsa kukula kwa kunjenjemera kwa manja. Mavitamini ovomerezeka (RDA) B12 kwa achikulire ndi 6 mcg , koma mungafunike zambiri ngati mutamwa mankhwala omwe amalepheretsa kuyamwa kwa vitamini.

Vitamini B12 angathe kumwedwa mawonekedwe kapisozi, jakisoni, kapena wopezeka mu zakudya za tsiku ndi tsiku. Mazira, mkaka, nyama, ndi nyama zambiri mwachilengedwe zimakhala ndi vitamini B12. Mbewu zambiri zalimbikitsidwanso ndi mavitamini.

Zochita zamanja ndi zamanja

Wothandizira zaumoyo wanu akhoza kukutumizirani kwa wochita zamankhwala kapena wogwira ntchito kuti akalandire chithandizo kapena akuuzeni zomwe mungachite kunyumba.

Kufinya mpira wopanikizika kapena dzanja kwa masekondi awiri kapena 10, kumasula, ndi kubwereza nthawi 10 padzanja lililonse kungakhale masewera osavuta kuphatikizira tsiku lanu.

Kusinthasintha manja poyenda mozungulira amatha kusunga tendon ndi mitsempha yosinthasintha. Kusuntha manja ndi cholinga kumathandiza kuti synovial fluid isamange, yomwe imalepheretsa kapena kuchepetsa kunjenjemera.

Kupinda kulemera kwa dzanja lolemera manja mutakhala patebulo ndipo manja anu akuyang'ana mmwamba amathanso kulimbitsa ndi kukonza minofu yanu.

Chovala cholemera chamanja

Golovesi lolemera ndi chidutswa cha zida zosinthira zopangidwa ndi akatswiri pantchito. Magolovesi amabwera mosiyanasiyana. Magolovesiwa amapereka munthu yemwe ali ndi manjenje kukhazikika kwa dzanja ndipo amatha kuchepetsa kufunikira kwa opareshoni.

Kupumula

Kupsinjika, nkhawa, ndi mavuto ena amisala zimatha kuyambitsa kunjenjemera kwa manja. Njira zopumulira monga masewera olimbitsa thupi, kupuma, kupumula, kuchita masewera olimbitsa thupi, ndi kusinkhasinkha zonse ziyenera kuwunikidwa ngati kupsinjika kumapangitsa kunjenjemera.

Kuchiza misala kumathanso kuchiritsa minofu m'manja yomwe yakhudzidwa ndi zivomerezi ndikuchepetsa kupsinjika kwamaganizidwe ndi thupi.

Kutopa ndichinthu chinanso chomwe chimayambitsa kusakhazikika, popeza kupumula kofunikira ndikofunikira kuti thupi ndi dongosolo lamanjenje zizigwira ntchito moyenera. Wamkulu wamkulu amafunikira pafupifupi maola asanu ndi awiri mphambu asanu ndi anayi akugona .

Mankhwala amanjenje

Ziphuphu zitha kuchiritsidwa ndi mankhwala osiyanasiyana. Beta blockers, anticonvulsants, mankhwala oletsa kulanda, ndi ma amino acid ndi ena mwa mankhwala omwe amadziwika kuti achepetse kugwedezeka kwa manja.

Progesterone

A 5% progesterone cream amatha kuletsa adrenaline ndikukhala chothandiza pochepetsa manja osanjenjemera, malinga ndi a Micheal E. Platt, MD, mwiniwake wa Malo Othandizira a Platt ndi wolemba wa Kulamulira kwa Adrenaline . Njira yothetsera vutoli imapezeka pa-counter (OTC) ndipo imatha kupakidwa pakhungu lamanja kuti muchepetse zizindikilo.

Primidone

Maganizo ( Primidone ) ndi mankhwala omwe amagwiritsidwa ntchito pochiza kugwidwa, koma amathanso kuthandizira kuchepetsa kunjenjemera kwa dzanja. Mankhwalawa ndi barbiturate anticonvulsant, ndipo amathandiza kukhazika mtima wamagetsi wamagetsi.

Levodopa

Levodopa ndi amino acid omwe angathandize kuchepetsa kunjenjemera mwa kubwezeretsanso thupi la dopamine. Kawirikawiri amagwiritsidwa ntchito pochiza matenda a Parkinson, levodopa ingathandizenso kuthandizira mitundu ina ya kunjenjemera. Anthu omwe amatenga levodopa ayenera kupewa mapuloteni omwe amapezeka muzakudya monga nyama ndi zowonjezera ma iron, chifukwa izi zimatha kuchepetsa kuyamwa kwa mankhwala.

Oletsa Beta

Beta blockers (kapena beta-adrenergic blocking agents) amaletsa adrenaline, omwe amatchedwanso epinephrine, komanso amachepetsa kuthamanga kwa magazi. Kuchepetsa kuthamanga kwa magazi kumatha kuchepetsa kuyamba kwa kunjenjemera. Oletsa Beta monga metoprolol , mankhwala , alireza , kapena mabwinja onetsetsani zaumoyo, kuphatikizapo kunjenjemera.

Kuphatikiza pa kapena m'malo mwa ma beta blockers, ma beta-adrenergic blocking agents amatha kupezeka mwachilengedwe muzakudya zambiri. Mtedza, mbewu, nthochi, masamba obiriwira, nkhuku, ndi nyama zimakhala ndi zotchinga beta. Kudya zakudya izi kungathandize kuchepetsa nkhawa, kuthandizira kukhala ndi thanzi labwino, komanso kuchepetsa kunjenjemera.

Opaleshoni yanjenjemera zamanja

Nthawi zina kunjenjemera, makamaka kunjenjemera kofunikira, kuchitidwa opaleshoni kumafunika. Njira yochepetsera yochulukitsira neurostimulator muubongo yotchedwa deep brain stimulation (DBS) imapezeka. Mofanana ndi pacemaker, makina a neurostimulator amatumiza mphamvu yamagetsi yomwe ingalepheretse kunjenjemera kuti kuchitika.

Thalamotomy ndi opaleshoni ina kwa anthu omwe amanjenjemera kwambiri. Kuchita opaleshoni uku kumasokoneza thalamus mbali imodzi ya ubongo. Kuchita opaleshoniyi kumachitika nthawi zambiri mbali yakubongo moyang'anizana ndi dzanja lanu lamphamvu. Zotsatira za opaleshoniyi zidzakhudza ndi kuthetsa zizindikiro za dzanja lamphamvu. Zotsatira zoyipa za opaleshoni nthawi zambiri zimakhala zosakhalitsa koma zimatha kuphatikizira zovuta zolankhula, kusokonezeka, komanso kusamala.

Ndi liti pamene wina angawone dokotala ndi manja akunjenjemera

Ngati mwanjenjemera ndi manja, kufunafuna thandizo la akatswiri posachedwa kungalepheretse kukulirakulira kwazachipatala. Mankhwala omwe amachepetsa kuyambika kwa matenda amitsempha atha kukhala gawo lofunikira pakuwongolera thanzi lanu. Kumbali inayi, akatswiri azaumoyo atha kukudziwitsani kuti muyenera kungochepetsa nkhawa m'moyo wanu kapena kusintha kusintha. Mulimonse momwe zingakhalire, kudziwa chifukwa chake mumanjenjemera ndi manja muyenera kukhala patsogolo.