Ukuhlolwa okungahle kwenzeke kubonakala ukuthi kuthatha isikhathi esingakanani ukugqugquzelwa kwemizwa ehlukene ukuze kufinyelele ebuchosheni nokuthi ngabe impendulo ikhulu kangakanani. Ijubane lemigudu emigwaqeni yezinzwa zingabonisa ukuthi ngabe kunomonakalo (njengokudemeliselwa okubangelwa yi- MS ) emantanjeni, njengoba izimpendulo zizohamba kancane kancane ebuchosheni.
Izinhlobo Ezintathu Zokuhlolwa Okungenzeka Kuvele Ku-MS
Kunezivivinyo ezintathu ezingasetshenziswa ezihloswe ekuhloleni i-MS:
- okubukwayo okuvezwayo (VEPs)
- okungahle kwenzeke okubangelwa yi-somatosensory (SSEP)
- i-brainstem auditory ikhishwe amandla (BAEP)
Kuzo zonke izivivinyo, ama-electrode asetshenziswa esikhwameni ngokuqhuba i-gel. Zibekwa ezindaweni ezahlukene ekhanda ngokusho ukuthi yiluhlobo luni lwezinto ezikhishweyo eziqoshiwe. Isazi se-neurophysiologist sichaza lokho okutholakala kulesi sivivinyo, sinquma ukuthi umsebenzi wengqondo kagesi wehlisa yini umonakalo wezinzwa ze-MS.
Ukuvivinya ukuhlolwa okubonakalayo kungabasiza ikakhulukazi ekuqinisekiseni ukuxilongwa kwe-MS. Ama-VEP angabonakalisa noma yimuphi umonakalo wezinzwa emigwaqeni ye-optic, okuyinto yokuthola okuvamile ku- MS , ngisho noma umuntu engakaze abe nemibono yokushintsha noma izimpawu. Lokhu kuhlolwa kwenziwa ngokulinganisa impendulo yobuchopho ekukhanyeni. Amehlo akhuthazwa ngokubuka kwikhompyutha ekhanyisa amaphethini e-checkerboard wezinhlobo ezahlukene noma ukukhanya kohlobo lwe-strobe.
Ngokuvamile, iso elilodwa limbozwe isikebhe noma isihlangu esiphethwe ngesandla ngenkathi enye iso ihlolwe, khona-ke inqubo iphindwe ngenye iso. Abanye abantu babika bazizwa benesihlungulu ngesikhathi sokuhlolwa, bazizwe befana nokugula okuncane.
I-SSEP inquma ukuphendula kwengqondo ebuzwayo. Izisindo zezingalo nemilenze zivuselelwa yi-pulse kagesi ehlinzekwa ngama-electrode anamathele esikhumbeni, ngokuvamile ekhanda noma emadolweni, kodwa ngezikhathi ezithile eduze kwesigqoko noma ibhokwe.
Kuzwa sengathi ukushaqeka kwamandla kagesi. Iningi labantu lithi lokhu akusizi ngalutho, kodwa abanye abantu bathola ukukhathazeka okuvusa amadlingozi.
I-BAEP inquma ukuthi impendulo yophiko isabela kanjani, ngokuhambisa ukuchofoza, amathoni noma izinyosi endlebeni yomuntu ngokusebenzisa i-headphones.
Ukusebenzisa Amandla Okuphefumulelwa Ukuqinisekisa Ukuthola Ukuxilongwa Kwe-Multiple Sclerosis
Ukuhlolwa okungahle kwenzeke kungase kusetshenziswe uma i- MS icatshangwa, kodwa ukuhlolwa kwezinzwa kuphela akuhlinzeki ubufakazi obanele. Ziyaziwa kangako ngokutholakala okubanzi kwezingcingo ze-MRI. Kodwa izingozi ezivuthwe zisasetshenziswa kwezinye izimo, ikakhulukazi uma izimpawu zibonisa ukuthi kungase kube khona umonakalo ezindaweni okulukhuni ukuzibamba ku- scan ye-MRI , njenge-nertic optic.
Ngaphezu kwalokho, ngaphandle kokuqonda kangcono ukutholakala okungenani noma izinga le -nerve elihlobene ne-MS , izingozi ezingase zivele zingase zisebenze ezinye izindima, njengokukhonza njengomakethi wokukhathala noma ukuqhubekela phambili kwezifo ezigulini ze- MS .
Ngaphansi
Kubalulekile ukuqonda ukuthi izinto ezikhushulwayo azidingeki ukuba zithole ukuxilongwa kwe-MS futhi azizange zisebenzise yodwa ukwenza i-MS ukuxilongwa. Esikhundleni salokho, amathuluzi angasiza ukuqonda kangcono noma ukuqinisekisa ukuhlolwa kwe-MS yomuntu futhi angase abe nezindima ezizayo ku-MS, njengoba ucwaningo lwamuva luphakamisa.
Imithombo:
Birnbaum, MD George. (2013). I-Multiple Sclerosis: Umhlahlandlela Wabahlengikazi Wokuthola Ukuxilongwa Nezokwelashwa, 2 Edition. ENew York, eNew York. I-Oxford University Press.
I-National MS Society. Amandla Okuvuthwa.
I-Pokryszko-Dragan, A., uBorginska, M., Gruszka, E., Kusinska, E., i-Podergia, R. Ukuhlolwa kwezinto ezibukwayo ezibukwayo nezokuhlola ezikhungweni eziningi ze-sclerosis ezingenakho ukukhathala. Journal of the Sciences Neurological, Feb; 36 (2): 235-42. i-doi: 10.1007 / s10072-014-1953-8
QAPHELA: Ulwazi olukulesi sayithi lunguzinhloso zemfundo kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .