Leven met HSP

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baclofen/ pomp

Geplaatst op 19-07-2013 10:15 door billynoor
CategorieŽn: Baclofen

In december 2012 werden de clonussen zo hevig dat we besloten te starten met baclofen. De revalidatiearts heeft nog botox of fenolinjecties overwogen maar omdat het spasme zo gegeneraliseerd was bleek dat toch geen optie. Daarom toch gestart met de baclofen. Omdat het eigenlijk steeds erger werd, werd de dosering vrijwel constant verhoogd tot we aan de maximale dagdosering zaten. En eigenlijk was het effect ook toen nog niet optimaal.
Omdat sirladud geen optie was, ik gebruik de pil, was alleen dantrium (dantroleen) nog een optie. Maar dat gaf zulke heftige bijwerkingen tegenover eigenlijk weinig effect dat ik daar mee gestopt ben.
Ook de baclofen heeft bijwerkingen maar op zich veel minder hevig.
Toen we met de dantrium begonnen (februari/maart) ben ik door de revalidatiearts meteen ook aangemeld voor een intake om te bekijken of ik in aanmerking kon komen voor een baclofenpomp. Dat bleek een vooruitziende blik want de spasmen en clonussen werden steeds heftiger en de dantrium bleek dus geen optie. We hadden op dat moment nog zoiets van: we kunnen het proces rondom de pomp altijd nog weer stopzetten als het niet nodig is.
5 weken na de aanmelding kreeg ik brief met een afspraak in het Roessingh, helaas wel voor 6 weken later.
Omdat ik zelf het idee had dat het wel mee viel met de spasticiteit ging ik erheen met enige scepticisme, ik geloofde niet in aanmerking te komen. Ik moest eerst naar de neurochirurg en kreeg daar alle mogelijke bijwerkingen en complicaties te horen, ik begon me af te vragen of er nog wat positiefs te melden was. Ze vertelde me ook dat ze de meesten niet meer terug zagen, dus ik dacht echt dat het voor mij ook wel zou gelden.
Het was het einde van de middag dat ik bij de revalidatiearts terecht kon en ik was dus al behoorlijk moe. En dan wordt ik stijver. Leg mij plat neer en ik ga in een strekspasme. Dat gebeurde dus ook nu. Het maakte wel duidelijk wat er aan de hand was, want ze vertelde dat het ook voorkwam dat mensen helemaal ontspannen waren en er geen sprake was van spasticiteit op het moment van de afspraak.
Groot was de schok toen ze vertelde dat zij vond dat ik behoorlijk beperkt werd door de spasmen. Het beÔnvloed zitten, liggen, staan en lopen. Maar niet in de mate dat ik het niet meer kon, maar het maakte het lastiger. Ik vond dat wel meevallen maar er bleek sprake te zijn van matige tot relatief ernstige spasticiteit. Echt schokkend voor mij om eerlijk te zijn.
Ik zou eerst een afspraak krijgen met een fysio en ergo en dan zou er bekeken worden of ik in aanmerking kwam voor een proefplaatsing. Althans, zo had ik het begrepen.
9 weken na de afspraak kwam er ineens een telefoontje (op vrijdag, ze waren vergeten te bellen vanuit het ziekenhuis), ik zou maandag opgenomen worden voor een proefplaatsing.
Als een gek dus alles regelen voor thuis, maar het is gelukt.
Het avontuur kon beginnen.
Inmiddels was de spasticiteit in hevigheid toegenomen en werd de pomp steeds meer een laatste redmiddel. Ook al omdat de bijwerkingen van de baclofen vervelend begonnen te worden. Mentaal (minder scherp, afgevlakte emoties, verminderde concentratie etc. ) maar ook lichamelijk. De armen hebben behoorlijk in kracht ingeboet en de verwachting is dat het door de baclofen komt. Hopelijk komt dat terug als ik met de orale baclofen zou kunnen stoppen.


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