I-MS Pain e-Waist ne-Ribs
Ubuhlungu be-sclerosis amaningi bungabonakala ezindaweni ezingajwayelekile. Mhlawumbe, enye yezimpawu ezibuhlungu kakhulu ezihlobene nobuhlungu yi-MS "hug" noma ibhande le-band-sensation.
Sibutsetelo
I "MS hug" uhlobo lobuhlungu obungase bufike futhi luhambe ngaphezu kwamasonto amaningana, futhi ububanzi buvela engcindezini ecasulayo yokuhlunguphazeka okukhulu. Ngesinye isikhathi singakwazi ukuhamba phezulu njengesifuba noma ngokuphansi njenge-waistline.
Ngaphezu kwalokho, indawo yayo ingahluka, ngezinye izikhathi izwa kuphela ngakolunye uhlangothi, futhi ngezikhathi ezithile ingawuzungeza wonke umlenze.
Konke kukho konke, kubonakala kungenye yezimpawu ezicasula kakhulu nezibuhlungu ezitholwa yiziguli ze-MS.
Ukuxilongwa
Uma ungakaze utholakale ukuthi une-MS okwamanje, ukuya kudokotela ezinempawu ezifana ne-MS Hug, kudinga ukuphanga ngokugcwele, njengoba ezinye izimo zezempilo zingazilingisa.
Isibonelo, i-MS hug ingafana nobuhlungu besifuba, ngakho-ke ngaphambi kokuba kuthathwe njengokuthi "okuhlobene ne-MS," udokotela angathanda ukulawula izimbangela ezinkulu ezifana nokuhlaselwa yinhliziyo.
Ezinye izimo zezempilo okudingeka zikhishwe ngaphandle zihlanganisa:
- Isifo se-Gallbladder
- Ukutheleleka kwesisu noma emathunjini
- Isifo samafutha
- Ukuvuvukala kwe-cartilage phakathi kwezimbambo (okuthiwa i-costochondritis)
- Ukuhlaselwa kobuhlungu
Uma ezinye izimbangela zikhishiwe, i-neurologist yakho ingase ifune ukuba i-MRI ibone ukuthi unesifo se-MS, njengoba ungase udinge i-steroids uma izimpawu zakho zinzima noma zikhubaza.
Izimpawu
Njengezimpawu eziningi ze- MS , i- "MS hug" ihluke kubantu abahlukene. Futhi uzizwa uhlukile kubantu abanayo ngezinsuku ezahlukene noma ngezikhathi ezihlukahlukene zosuku.
Isibonelo, ubuhlungu bube buphansi njengesikhumba noma phezulu njengesifuba. Ngokuvamile, ingase ibonakale iphezulu njengamahlombe nentamo.
Ngaphezu kwalokho, ubuhlungu bungagxila endaweni eyodwa encane (ngokuvamile ohlangothini olulodwa noma ngemuva) noma uhambe yonke indlela ejikeleze lesi sifo. Kungenzeka "emagagasi" imizuzwana ehlala njalo, imizuzu, noma amahora noma ingahlala isikhathi eside isikhathi eside.
Ubuhlungu be-MS Hug buchazwe ngezindlela eziningi ezihlukile, kufaka phakathi:
- Cihla
- Dull
- Ukuvutha
- Ukuthinta
- Ukulinganisa
- Ukuchoboza noma ukuvimbela
- Ukucindezela
Okokugcina, ubuhlungu (njengezinye izimpawu ze-MS) kungagxilisa noma kubangelwe ukukhathala noma ukucindezeleka. Kungabuye kuhlotshaniswe nezinye izimpawu ezifana nobunzima bokuphefumula noma ukuphefumula okubuhlungu, yingakho kungase kubonakale njengokuhlaselwa kwenhliziyo noma ukuhlaselwa kwe-panic.
Izimbangela
I-MS Hug ibangelwa isilonda noma indawo yokuvuvukala okusebenzayo ngaphakathi kwentambo yomgogodla. Lokhu kusho ukuthi umgogodla we-myelin (i-coating efaka i-fibre nerve fibers) yonakalisiwe. Uhlobo lobuhlungu olubangelwa i-MS Hug lubizwa ngokuthi ubuchwepheshe bezinzwa ze-neuropathic, okubizwa nangokuthi "i-dysesthesia," okubhekisela kunoma yikuphi ukuzwa okubuhlungu.
Ukuzwa ngokwako kungumphumela wezintuthwane ezincane phakathi kwembambo ngayinye (ebizwa ngokuthi imisipha ye-intercostal) eya engxenyeni ye-spasm. Lezi zinhlanzi zinomsebenzi wokubamba izintambo zethu ndawonye, nokuzigcina ziguquguquke futhi zisiza ukuhamba, njengokuphelelwa yisikhathi.
Kodwa njengento yonke ehlobene ne-MS, imbangela eyisisekelo ye-MS Hug ihlobene nomonakalo emgodleni we-myelin.
Ukwelapha
Okokuqala, noma yikuphi ubuhlungu besifuba kufanele kuthathwe ngokungathí sina. Qinisekisa ukuthi ufuna usizo lwezempilo ngokushesha uma uzwa ubuhlungu besifuba noma ezinye izimpawu zesifo senhliziyo .
Uma udokotela wakho enquma ukuthi ubuzwa ubuhlungu obuhlobene ne-MS, kunezeluleko ezithile ze-MS Hug ezingasiza ekunciphiseni ukuhlukumeza kwakho.
Imithi
Isizathu esizwakalayo sobuhlungu e-sclerosis amaningi asicaci ngokuphelele. Ngenxa yalokho, izidakamizwa zokwelashwa zingalula noma iyiphi inamba yemithombo yobuhlungu, imithi ehlanganisa:
- Ama-relaxant muscle afana ne-Lioresal (baclofen) no-Zanaflex (tizanidine)
- Izidakamizwa ze-Antispastic njengeValium (diazepam) ne-Ativan (lorazepam)
- Imithi e-antiticonvulsive efana neLyrica (pregabalin) no-Neurontin (gabapentin)
- Ama-anti-depressants afana ne-Cymbalta (duloxetine) noma u-Elavil (amitriptyline)
Ngaphezu kwalokho, abanye odokotela baye basebenzisa izijovo ze-Botox (i-botulinum toxin) ukuze zinciphise ukuhlukunyezwa kwe-muscle. I-Botox ivimbela i-neurotransmitting chemicals ebizwa ngokuthi i-acetylcholine evumela ukuthi imisipha iphumule. Ukwelashwa kuboniswa kakhulu kulabo abanezinhlungu ezinzima futhi kungadlulela ezinyangeni eziyisithupha ngemiphumela emibi kakhulu (ikakhulukazi ubuhlungu besayithi noma ububomvu).
I-Botox nayo isetshenziselwa ukuphatha ukucindezeleka okukhulu kwesibindi se-MS .
Uma izimpawu zinzima ngokwanele zokubangela izinkinga zokuphefumula, udokotela wakho angase ahlole ukuthi lokhu kuyi- MS yangempela futhi iphinde ibeke i-corticosteroid ephezulu eyaziwa ngokuthi i -Solu-Medrol .
Ukulungiswa Kwendlela Yokuphila kanye Nezokwelapha Kwekhaya
Ubuhlungu buyinto evamile ye-multiple sclerosis. Kungashintsha ngokweqile futhi kube nokuphikelela kwabanye futhi phakathi kwezinye.
Nakuba kungaba kuhle ukucabanga ukuthi ungasula ubuhlungu ngephilisi elula, ngokuvamile akunjalo. Esikhundleni salokho, abantu abaningi bazohlose ukuphatha ubuhlungu ngokwenza izinto ezimbalwa, ukulungiswa kokuphila okulula noma ukwamukela izixazululo zasemakhaya ezisetshenziswe-futhi-zeqiniso ezisetshenziswa abanye endaweni efanayo. Lokhu kungafaka:
- Ukusebenzisa ingcindezi eqondile ebuhlungu ngesiphathi sandla sakho
- Ukumboza indawo ethintekile ngokuqinile nge-bandage ehlanganisiwe ye-Ace
- Ukusebenzisa ukuphefumula okujulile ukwandisa esifubeni bese unciphisa izikhala ze-spasms
- Ukugqoke izingubo ezilula, ezingavamile
- Ukusebenzisa iphakethe leqhwa elimbozwe ithawula elincane ngqo ebuhlungu (ngaphandle uma ubuhlungu bubangelwa ukushisa )
- Ukubhukuda okufudumele noma ukusebenzisa i-pad noma i- microwaveable Heater pad (ngaphandle uma ubuhlungu bubangelwa umswakama noma ukushisa)
- Ukusebenzisa ama-analgesics e-topical ezifana ne-IcyHot noma i-lidocaine creams
- Ukuthatha isidakamizwa esingafuni ukuvuvukala (i- NSAID ) njengo-Advil (ibuprofen)
Izwi elivela
Kuyathakazelisa ukuqaphela ukuthi eminyakeni edlule, abantu bacabanga ukuthi i-MS yayisifo esingenabuhlungu, ngisho nodokotela. Manje siyazi ukuthi lokhu akulona iqiniso. Eqinisweni, ucwaningo lubonisa ukuthi cishe ingxenye yabantu abane-MS bazwa ubuhlungu ngesikhathi esifanayo esikoleni sabo sesifo. Ngaphandle kwe-MS hug, ezinye izinhlobo zobuhlungu zihlanganisa neuralgia ye-trigeminal , izinzwa ezingavamile emilenzeni nasezinyaweni, nesibonakaliso sikaLhermitte .
> Imithombo
> Drulovic J et al. Ukusabalala kobuhlungu kubantu abadala abane-sclerosis amaningi: Ucwaningo olunezinhlangothi eziningi. I-Med Med . 2015 Aug; 16 (8): 1597-602.
> National MS Society. Ubuhlungu: Ukubuka konke.