Spasticity ma MS: He aha ka mea e manaʻo ai

Anter

• Aia kekahi mau ʻano spasticity?
• Ke hoʻomohala nei i kahi hoʻolālā lapaʻau
• Ka lāʻau no ka spasticity
• ʻO ke olakino a me ka hana no ka spasticity
• Nā hāmeʻa no ka spasticity
• Nā ʻoki lāʻau no ka spasticity
• I ka manawa e ʻike ai i kāu kauka
• Outlook

Hōʻike Overview

ʻO Spasticity ke paʻakikī a paʻakikī kou neʻe i kou neʻe. Hiki iā ia ke hana i kekahi ʻāpana o kou kino, akā pili pinepine ia i kou mau wāwae. Hiki ke kau ʻia mai kahi oʻī iki ʻana a hiki i kahi hiki ʻole ke kū a hele wāwae paha.

Hiki i ke kau iki ʻana o ka spasticity ke komo i kahi ʻano o ke kūiki a me ke koʻikoʻi. Akā hiki i ka spasticity koʻikoʻi ke ʻeha a me ka hiki ʻole.

I kekahi manawa pili ka spasticity i nā spasms muscle. ʻO ka spasm kahi mea hikiwawe, ʻaʻa ʻole a i ʻole neʻe neoneo.

Ke hoʻololi nei i nā kūlana a i ʻole ka neʻe ʻana o ka neʻe hiki ke lawe mai i kahi spasm. Pēlā pū me nā mahana wela a i ʻole ka lole paʻa.

Ma kahi o 80 pākēneka o ka poʻe me nā sclerosis (MS) he nui i ʻike i ka spasticity. No kekahi, he hōʻailona pinepine ʻole e hala koke. No nā poʻe ʻē aʻe, hiki ke lilo i unsedictable a ʻeha hoʻi.

Aia kekahi mau ʻano spasticity?

ʻO kēia nā ʻano maʻamau ʻelua o ka spasticity ma MS:

Fasticor spasticity: Hoʻopili kēia ʻano i nā mākala ma nā kua o kou mau wāwae kiʻekiʻe (hamstrings) a i ʻole ka luna o kou mau ʻūhā luna (nā hip hip) He kūlou hoʻohuli ʻole o nā kuli a me nā pūhaka i kou umauma.

Extensor spasticity: Pili kēia ʻano me nā mākala ma mua (quadriceps) a ma loko (adductors) o kou wāwae o luna. Mālama pololei ia i kou mau kuli a me kou pūhaka, akā kaomi pū ʻia a i ʻole ke keʻa i kou kuʻekuʻe wāwae.

Hiki iā ʻoe ke ʻike i hoʻokahi a i ʻole ʻelua ʻano. Mālama like ʻia lākou. Hiki iā ʻoe ke ʻike i ka spasticity i kou mau lima, akā ʻaʻole ia he mea maʻamau i ka poʻe me MS.

Ke hoʻomohala nei i kahi hoʻolālā lapaʻau

Inā lilo ka spasticity i kahi pilikia, pono ʻoe e hana pū me kāu kauka e hana i kahi hoʻolālā mālama.

ʻO ka pahuhopu ka mea e hōʻoluʻolu i nā hōʻailona e like me ka hoʻoliʻiliʻi muscle a me ka ʻeha. Pono e hoʻomaʻalahi i nā ʻōuli e hoʻomaikaʻi i nā mākau kaʻa a me kou hiki ke neʻe manuahi.

E hoʻomaka paha kāu kauka ma ka ʻōlelo ʻana i ke kau maʻalahi a me nā ʻano hana ʻē aʻe, i pili pū me:

• yoga
• hōʻoluʻolu hoʻoholomua holomua
• ka noʻonoʻo a me nā hana hoʻomaha hoʻomaha ʻē aʻe
• lomilomi

Hiki i kekahi mau mea ke hoʻonāukiuki i nā hōʻailona a hōʻino paha iā lākou. Pono e ʻike ʻia kahi ʻāpana o kāu hoʻolālā lapaʻau e hiki ai iā ʻoe ke hōʻalo iā lākou. ʻO kekahi mau mea hoʻouluulu maʻamau:

• anu wela
• kūlana pulu
• lole paʻa a kāmaʻa paha
• kūlana maikaʻi ʻole
• maʻi koʻohune a viral paha e like me ke anuanu, ka maʻi palū, maʻi ʻaʻai, a i ʻole nā ​​ʻeha o ka ʻili
• kōpaʻa

Hiki i kāu kauka ke kuhikuhi iā ʻoe i nā ʻoihana olakino ʻē aʻe e like me nā mea hoʻomaʻamaʻa kino a ʻoihana paha.

Kaukaʻi ʻia i ke koʻikoʻi o kāu mau ʻōuli, hiki iā ʻoe ke noʻonoʻo pū:

• nā lāʻau e hōʻemi ai i ka paʻakikī o nā mākala
• nā hāmeʻa orthotic, e like me nā paleuma a me nā splints, e kōkua me ke kau ʻana
• ʻoki e hoʻokaʻawale i nā aʻa a i ʻole nā ​​aʻa aʻa

Ka lāʻau no ka spasticity

Hiki ke hoʻohana i nā lāʻau e mālama ai i ka spasticity pili i ka MS. ʻO ka pahuhopu o ka lāʻau e hoʻoliʻiliʻi i ka ʻoʻoleʻa o ka mākala me ka nāwaliwali ʻole o ka mākala a hiki i kahi e hiki ʻole ai iā ʻoe ke hoʻohana.

ʻO kēlā me kēia lāʻau āu e koho ai e hoʻomaka paha ʻoe me kahi lāʻau haʻahaʻa. Hiki ke hoʻonui iki a ʻike ʻoe i ka hopena e holo pono ana.

ʻElua mau lāʻau antispasticity i hoʻohana ʻia e mālama iā MS:

Baclofen (Kemstro): Hoʻopaʻa kēia mea hoʻomaha leo nui i nā aʻalolo i ka iwi kuamoʻo. Hiki i nā hopena ʻē aʻe ke komo i ka hiamoe a me nā nāwaliwali o nā mākala. No ka spasticity ʻoi loa, hiki ke lawelawe ʻia me ka hoʻohana ʻana i kahi pauma i hoʻokomo ʻia i kou kua (intrathecal baclofen).

ʻO Tizanidine (Zanaflex): Hiki i kēia lāʻau oral ke hoʻomaha i kou mauʻiʻo. Hiki i nā hopena ke komo i ka waha maloʻo, ka hiamoe, a me ke kaomi haʻahaʻa. ʻAʻole ia he kumu no ka nāwaliwali o nā mākala.

Inā ʻaʻole holo kekahi o kēia mau lāʻau, aia kekahi mau koho ʻē aʻe. Hiki ke kūpono iā lākou, akā hiki i kekahi mau hopena ʻaoʻao ke koʻikoʻi:

• Diazepam (Valium): ʻAʻole kūpono ia no ka mea hiki ke maʻa ke hana a hoʻowalewale.
• ʻO Dantrolene (Ryanodex): Hiki iā ia ke hōʻeha i ke akepaʻa a me nā pono ʻole i ke koko.
• Phenol: Hiki i kēia nerve blocker ke hoʻonā i ke ahi, ke kani ʻana a i ʻole ka pehu ʻana. I nā hihia maʻamau hiki iā ia ke kumu i ka nāwaliwali o ka kaʻa a me ka nalo sensory.
• Botulinum toxin (Botox): Mālama ʻia kēia ma o ka hoʻopili ʻana intramuscular. Hiki i nā hopena ke hoʻopili i ka ʻeha a me ka nāwaliwali o ka mākala i kahi manawa.

ʻO ke olakino a me ka hana no ka spasticity

Ke hoʻohana nei ʻoe i ka lāʻau a ʻaʻole paha, he mea nui e hoʻopili i ka neʻe i kāu papa hana hoʻomalu.

ʻOiai inā ʻoe e hoʻolālā e hoʻoikaika i kāu iho, he mea maikaʻi paha e hana pū me ka mea hoʻoponopono kino ma mua. Hiki iā lākou ke loiloi i kou mau ikaika a me nā nāwaliwali e hoʻoholo ai i nā ʻano hana e kōkua paha. A laila hiki iā lākou ke hōʻike iā ʻoe pehea e hana pono ai i kēia mau hana.

Inā loaʻa iā ʻoe kahi pilikia e hana i nā hana maʻamau e like me ka ʻaukā, e noʻonoʻo e hana me kahi therapist ʻoihana. Hiki iā lākou ke aʻo iā ʻoe pehea e hoʻohana ai i nā hāmeʻa kōkua a hana i nā hoʻololi o ka home e hana maʻalahi i nā hana.

Nā hāmeʻa no ka spasticity

Hiki i nā mea pale a me nā splints (nā mea orthotic) ke kōkua i ka mālama ʻana i kou mau wāwae i ke kūlana kūpono i maʻalahi ka neʻe ʻana. E kamaʻilio me kāu kauka a mea hoʻoponopono kino paha ma mua o ke kūʻai ʻana i kahi hāmeʻa orthotic. Inā kūpono ʻole a maikaʻi ʻole ka hana ʻana, hiki iā ia ke hoʻonui i ka spasticity a alakaʻi i nā ʻeha puʻe.

Nā ʻoki lāʻau no ka spasticity

Ma muli o ka hāpai pinepine ʻana o ke kaha ʻana, he hopena hope loa ia. ʻO ke ʻoki no ka spasticity pili i ka ʻoki ʻana i nā uaua a i ʻole nā ​​aʻa aʻa e hoʻomaha ai i nā mākala paʻakikī. He hopena maikaʻi kēia i ka mālama ʻana i ka spasticity, akā ʻaʻole hiki ke hoʻoliʻiliʻi.

I ka manawa e ʻike ai i kāu kauka

Pono ʻoe e haʻi i ka spasticity a i ʻole nā ​​spasms muscle i kekahi manawa i kāu neurologist i kāu kipa aʻe, ʻoiai inā ʻaʻole ia he pilikia nui.

Inā ʻeha ka spasticity a hoʻopilikia paha i kekahi neʻe ʻana, e nīnau me kāu kauka i kēia manawa.

Me ka mālama ʻole ʻia, hiki i ka spasticity koʻikoʻi ke alakaʻi i:

• hoʻolōʻihi a paʻa i ka ʻeha
• ʻeha kaomi
• nā hono paʻahau a me nā kīnā

Hiki i ka mālama mua ʻana ke kōkua iā ʻoe e hōʻalo i kēlā mau pilikia.

Outlook

ʻAʻole maikaʻi ʻole ka spasticity. ʻO kahi laʻana, inā nāwaliwali kou mau wāwae wāwae he paʻakikī e hele wāwae, he mea kōkua paha kahi spasticity liʻiliʻi. Akā hiki i ka spasticity koʻikoʻi ke hoʻopilikia i kou ola.

E like me nā ʻōuli ʻē aʻe o MS, hiki i ka spasticity ke loli i ke kekelē a me ke alapine. Me ka lapaʻau ʻana, hiki iā ʻoe ke hōʻoluʻolu i ka ʻeha a me ka ʻoʻoleʻa a hoʻomaikaʻi i ka hana.

Hana pū me kāu kauka e ʻike i kahi hoʻolālā lapaʻau kūpono a hoʻomaʻamaʻa iā ia e like me ka loli o kāu mau pono.