Wani zaɓi ga wadanda ba za su iya ɗaukar ko ba su sami mafita daga magunguna
Mawuyacin matsaloli a ƙwayoyin sclerosis masu yawa suna na kowa, yana da kimanin kashi 80 cikin dari na mutane. Suna da magungunan kiwon lafiya da ma'ana, saboda suna iya haifar da cututtuka na urinary, matsaloli na koda, rabuwar zamantakewa, da rage yawan girman kai da / ko rayuwar rayuwa.
Gaskiyar ita ce, akwai hanyoyin da za a iya magance wannan rashin lafiyar MS da rashin jin dadi.
Wadannan maganin sun hada da gargajiya irin su maganin salon rayuwa da magunguna, da kuma marasa gargajiya kamar Botox injections .
Kafin yin la'akari da Botox a matsayin magani don matsalar matsalolin da ke cikin MS , yana da kyau a fara fahimtar ainihin yadda matsalar mafitsara ke aiki da kuma yadda MS ke shafar.
Ayyukan Bladder mai lafiya
A cikin mutum mai lafiya, fitsari yana tafiya daga kodan zuwa ƙuƙwalwa ta hanyoyi biyu da ake kira ureters. Da zarar mafitsara ta dauke da kimanin hudu zuwa takwas na fitsari, yana fadada, haifar da jijiyoyi don aika sakonni zuwa ga igiya (wanda ke nuna sakon kwakwalwa) cewa mafitsara yana buƙatar sakawa. Wannan tsari shine abin da ke ba ka jin cewa kana buƙatar ka yi.
Bayan haka, bayan ka sami gidan wanka, jijiyoyi a cikin kwakwalwa suna aika sigina zuwa layi don fara kwakwalwa. A wannan lokacin, ƙananan ƙwayoyin cuta (vessor) sun hada da ƙwayoyin tsohuwar ƙwayoyi ko squeezes don saki sinadaran daga mafitsara.
A lokaci guda kuma, tsofaffin ƙwayar jikinka na waje ya danganta don ba da izinin fitsari don ya fita daga cikin mafitsara, ta hanyar kuturta, da kuma daga jiki.
Bladder Dysfunction a Multiple Sclerosis
A cikin sclerosis mai yawa, cututtuka sun lalata ciwon daji a cikin kwakwalwa da ƙwararren ƙwayar da ke kula da ƙwayar ƙwayar ƙwayar cuta da ƙwayar sphincter na waje.
Wannan zai haifar da matsaloli masu mafitsara daban daban uku:
- Bladder adanar matsaloli
- Bladder matsala matsaloli
- Jigilar magungunan jigilar kayan tarawa da kuma matsalolin banza
Bladder Adanar Matsala (Overactive Bladder)
A wasu mutane tare da MS, ƙwayar detrusor zai iya yin kwangila (ko matsi) lokacin da ba ma maimaita (lokacin da mafitar ka ke dauke da ƙananan fitsari) sa kake jin kamar kana buƙatar urinate duk lokacin. Wadannan bayyanar cututtuka an kira su azaman gaggawa da mita. Hakanan zaka iya lura cewa kana tashi da dare don yin amfani da gidan wanka, ko ƙila za ka iya samun hasara na isar da ake kira urine.
Bladder Ana Sauke Matsaloli (Cigabawar Cigaba)
A wasu, ƙwaƙwalwar motsa jiki ta ɓaci saboda haka mafitsara ta ƙara fadada ba tare da nuna alama ga kwakwalwa da kashin baya wanda mutum ya buƙaci urinate ba. Wannan na iya haifar da dribbling azine, rashin amincewa da farawa urination, ko kuma rashin hasara mai tsafta da ake kira ambaliya.
Haɗin Bladder tare da Shirya Matsala
Duk da haka sauran mutane suna fuskantar haɗuwa da nau'i biyu na matsalar mafitsara. A cikin wannan misali, cutar ta MS a cikin kwakwalwa da kashin baya ta haifar da rashin daidaituwa tsakanin muscle detrusor da tsofaffin tsokar jiki, wanda ya haifar dasu duka kwangila a lokaci guda.
Wannan tarkon yana fitsari a cikin mafitsara wanda ke haifar da gaggawa na gaggawa (kamar kuna buƙatar urinate ba zato ba tsammani), rashin jin dadi a farawa zuwa urinate, fitsari dribbling (mutane da yawa suna da kullin shayarwa), ko asarar fitsari.
Traditional Treatments for Overactive or Spastic Bladder in MS
Idan kuna da MS kuma kuna fuskantar bayyanar cututtuka na mafitsara (kamar fuskantar kwatsam na gaggawa don urinate da urinating akai akai) mai yiwuwa likitanku na farko zai bada shawarar yin amfani da salon rayuwar rayuwa da kuma maganin maganin rigakafi.
Hanyoyin da ake amfani da shi na al'ada sun hada da maganin kafeyin da kuma amfani da barasa da kuma guje wa ruwa bayan abincin dare da kuma kafin lokacin kwanta.
Kwararren ku na iya bayar da shawarar cewa mata suna yin takalma mai kamawa ko maza suna yin kama da kwakwalwa ta katako don yalwata damuwa da duk wani asarar fitsari a yayin da rana ke fita.
Magungunan anticholinergic kamar Detrol (tolterodine) ko Vesicare (solifenacin succinate) zai iya taimakawa wajen rage alamun cututtuka na urinary, gaggawa, da rashin ci gaba - ko da yake suna iya haifar da sakamako mai ban sha'awa kamar lalacewa, barci, da kuma bushe baki. Kada ku yi mamakin ko da idan kuna gwada ma'aurata kafin gano magani wanda ke aiki a gare ku.
Wani sabon magani da ake kira Myrbetriq (mirabegron) yana aiki ne ta hanyar kwantar da tsoka da ke kewaye da mafitsara, yana ba da damar riƙe da fitsari. Bincike ya nuna cewa yana da tasiri sosai kamar yadda ake amfani da shi a rage rage urinary incontinence (sai dai ba kamar tasiri kamar Vesicare).
Bincike ya nuna cewa za'a iya magance shi mafi kyau, saboda ba ya haifar da bushe mai bushe, wani muhimmin sakamako mai iyakancewa na yawancin magunguna. Wannan an ce, illar Myrbetriq na yau da kullum sun hada da ciwon kai, sanyi bayyanar cututtuka, ƙara yawan karfin jini, da kamuwa da cutar urinary.
Botox na iya zama mataki na gaba idan magunguna ba sa aiki
Idan har kun ci gaba da samun maganin mawuyacin ƙwayar matsalar da ke da alaka da MS ɗin duk da magunguna, likitanku na iya bayar da shawara ga A (BOTOX) -a maganin da Cibiyar Abinci da Drug ta Amurka (FDA) ta amince don magance rashin daidaito daga wani magunguna.
Yayi Botox aiki a Yin Biyancin Overactive Bladder a cikin MS?
Babban binciken da ke cikin ƙwararrun Turai ya bincika sakamakon Botox kan rage rashin rashin ƙarfi a cikin mutane tare da magungunan ƙwayar cuta daga ko dai MS ko lalacewar kashin baya. Sakamakon binciken ya gano cewa bayan makonni 12, mahalarta tare da MS wadanda aka bi da su tare da Botox sun sami urinary rashin daidaito game da sau 1.5 m a kowace rana fiye da mahalarta da MS waɗanda aka bi da su tare da allurar wuri.
Bugu da ƙari kuma, binciken ya gano cewa mahalarta tare da MS da aka yi tare da BOTOX ya kai kimanin 86 mililiters fiye da fitsari kowane ɓacin rai fiye da mahalarta wadanda ke da matsakaici.
Abin da za ku yi tsammanin a lokacin Yaminku na Botox
Kwararka zai fara nazarin cikin cikin mafitsara ta yin amfani da kwayar kyamara-motsi na bakin ciki tare da kyamara a karshen.
Doctor zai toshe da ƙwayar detrusor a shafuka masu yawa (kusan 30) tare da Botox, ya sa ya shakata. Wannan ya sa mafitsara ya rike ƙwayar fitsari don haka tsoka ba ta yin kwangila ko squeezing a duk tsawon lokacin, saboda haka rage cututtuka na gaggawa na gaggawa, mita, da rashin daidaituwa.
Sakamakon sakamako guda biyu na BOTOX shine:
- urinary tract kamuwa da cuta
- riƙe da fitsari a cikin mafitsara
Don hana ƙwayar kamuwa da mafitsara daga faruwa a sakamakon hanyar, likita zai iya bada shawarar maganin kwayoyin da za su dauka kafin, lokacin, da kuma wasu kwanaki bayan BOTOX magani.
Har ila yau, saboda haɗarin urinary riƙewa bayan Botox magani, likitanku zai so ya tabbatar da cewa kuna jin dadin yin tsabtace kai tsaye a lokacin da kuke shan magani, saboda wannan abu ne mai mahimmanci.
A gaskiya ma, a cikin binciken nazarin asibitin da aka ambata a sama a cikin Turai Urology, kimanin kashi 30 cikin mahalarta wadanda basu taba daukar nauyin kwarewa ba kafin Botox (kuma mafi yawancin mahalarta ne tare da MS), suna buƙatar ƙwaƙwalwar mutum don ɗaukar urinarya bayan Botox magani .
Botox kuma yana ɗaukar wani gargadi na akwatin don yiwuwar ya haifar da tsanani, har ma da cututtuka na rayuwa kamar barazanar haɗuwa, magana, ko numfashi saboda rauni daga tsokoki. Maganin botulinum zai iya yada zuwa wasu sassan jiki kuma ya haifar da mummunar cututtuka kamar ƙananan tsoka ko tsofaffin hanyoyi. Yayinda yake da mahimmanci, waɗannan gargadi suna jaddada muhimmancin samun tattaunawa mai kyau da tunani tare da likitanku kafin yin Botox.
Kalma Daga
Matsalar Urinary a cikin MS shine na kowa, saboda haka kada ku damu ko kunya don tattaunawa da likitan ku. Bishara ita ce, akwai hanyoyi masu yawa na rayuwa da kuma hanyoyin kiwon lafiya wanda zai taimake ka ka gudanar da bayyanar cututtuka da kuma matsalolin yiwuwar-kuma Botox kuma wani zaɓi ne mai dace idan wasu hanyoyin kwantar da hankali ba su aiki ba.
> Sources:
> Allergan. (Janairu 2016). Tabbas da Cibiyar Abinci da Drug ta Amurka ta amince. Jagoran Magunguna: Botox.
> Cruz F et al. Aminci da Tsaro na OnabotulinumtoxinA a cikin marasa lafiya tare da Ingancincin Urinary Saboda Neurogenic Detrusor Abubuwan da ke ciki: A Randomized, Double-Blind, Testboards Controlled Trial. Eur Urol. Oktoba Oktoba; 60 (4): 742-50.
> Maman K et al. Ƙarƙwarar Ƙari da Tsaro na Magunguna don Gudanarwa na Overactive Bladder: Wani Mahimman Bayanan Lissafi da Magungunan Mixed. Eur Urol . 2014 Afrilu 65 (4): 755-65.
> Ƙungiyar MS Society ta kasa. (2016). Urinary Dysfunction da MS .
> Weckx F, Tutolo M, De Ridder D, Van der Aa F. Matsayi na Botulinum Toxin A a Yin Biyan Ƙwayar Neurogenic Bladder. Transl Androl Urol . 2016 Feb, 5 (1): 63-71.