Ukukhubazeka kwesisindo kuthinta ukulinganisela nokuqwashisa indawo
Abantu abane- multiple sclerosis (MS) bazokwazi izivivinyo ezihlukahlukene udokotela azokuzisebenzisa ukuhlola izimpawu ze-neurological zesifo. Ngesinye, ungacelwa ukuba uthinte ekhaleni lakho ngokushintsha iminwe. Ngolunye uhlangothi, kuzodingeka uhambe isithende ngezinyawo ngomugqa oqondile.
Esinye sezivivinyo abantu ngezinye izikhathi bahluleka kudinga ukuthi ubeke izinyawo zakho ndawonye, welula izingalo zakho phambi kwakho, futhi uvale amehlo akho.
Njengoba kulula njengoba lokhu kungase kuzwakale, abantu bazovame ukuzithola bezama ukugubha ngaphezu kwesikhashana amehlo abo avaliwe. Lokho abaye babhekana nakho akusikho ukuhlushwa noma ukuqubuka kwesizungu. Kuyinto umphumela wokuzwa owaziwa ngokuthi uphawu lwe-Romberg, noma ukulahlekelwa kokungena.
Ukuqonda Ukuvezwa
Ukwakheka yikhono lakho lokunquma ukuthi usekuphi isikhala lapho kungekho khona umbono. Isekelwe ekufakeni okunengqondo kusuka kumalungu namasipha. Kungukuqaphela kwakho ukuhamba kwakho, isisindo, ukunyakaza, nesimo sezitho zomzimba, kokubili ngokuphathelene nemvelo yakho nakwezinye izingxenye zomzimba wakho.
Ukuzikhethela, okuyinto abanye abantu abathanda ukubhekisela kuyo ngokuthi "umqondo wethu wesithupha," yikhono esivame ukuthatha kalula. Okuyiningi lethu elihluleka ukubona ukuthi kubaluleke kangakanani ukuhamba kwethu nokuqwashisa indawo, ngokungafani nokubona, ukuthinta, noma ukuzwa.
Ukuthi Ukuhlelwa Kwenziwe Kanjani ku-MS
I-MS iphazamisa ukuxhumana phakathi kwesistimu yomphakathi oyinhloko (ehilela ubuchopho nomgogodla) kanye nesistimu yezinzwa zomzimba (ehlanganisa wonke umzimba) ngenqubo eyaziwa ngokuthi ukudilizwa phansi .
Lokhu kwenzeka lapho ukumboza okuvikelayo kwamangqamuzana omgogodla kukhishwa kancane kancane, okuholela ekuthuthukiseni izicubu ezibomvu ( izilonda ).
Ngenxa yokuthi ukutholakala kwemfihlo kudinga ukuxhumana okusheshayo nokuxhumaniselana phakathi kwalezi zinhlelo, i-MS ingasishiya kancane kancane "ekuthinteni" nezimpendulo zethu zenzwa. Izikhathi eziningi, ukulahlekelwa kwesilinganiselo kungenxa yokuphazanyiswa kwemizwa yezinzwa ezisuka ezinyaweni zethu, umthombo wethu oyinhloko wempendulo yezinzwa zokulinganisela, ebuchosheni.
Ngaphezu kokulinganisela, sisebenzisa ulwazi olulodwa ukuze sihambe, sidle, futhi sithathe izinto. Uma sikhathele, singalahlekelwa ikhono lokuzulazula izikhala, ukudlala ezemidlalo, noma ngisho nokushayela.
Ukuzwela nokunyakaza kuhlanganiswe ngokungenakuqhathaniswa. Ngenkathi ukulahlekelwa okuphelele kwe-proprioception cishe akunakwenzeka (kunikezwe ukuthi sithola ulwazi olunolwazi oluvela kuzo zonke izinsizwa zethu nezinzwa zethu), ukulimazeka kwanoma yiluphi uhlobo kungalugodla futhi ngezinye izikhathi ngisho nokudambisa.
Ukwelapha Ukulahlekelwa Kwempahla
Ukuqeqeshwa ngokulinganisela kuvame ukusetshenziswa kubantu abane-MS ukuthuthukisa izinhlelo ezintathu zokuzizwa ezibhekele ukulinganisela: okubhekayo, okubukwayo, kanye ne-vestibular (indlebe yangaphakathi). Njengoba i-MS ingathinta eyodwa noma ngaphezulu yalezi zinhlelo ngabanye, abahlengikazi kudingeka babone ukuthi yini, uma ikhona, indima ngayinye idlala.
Esinye sezici eziphazamisayo zokungenelela ukuthi abanye abantu bathuthukisa ukulinganisela kwabo ngenkathi abanye bengakwenzi, ngokuvamile ngenxa yokuthi izimbangela zingase zibe kude kakhulu futhi zihluke.
Indawo yezilonda ze-MS ngokuvamile ibalulekile ekuqondeni inkinga. Isibonelo, ukulahlekelwa kokuthinta okuhle kanye nokwakheka kwempahla (okubizwa ngokuthi ukulahleka kwenhliziyo ehlukanisiwe) kuvame ukubangelwa i-lesion emkhakheni owodwa wezintambo zomgogodla. Noma yikuphi ukwephulwa kombono, okwamanje, kuvame ukuhlobene nokuthuthukiswa kwezilonda ku-cerebellum noma ebuchosheni .
Ngokufanayo, izinkinga zokulawulwa kwangemva kwesikhashana (ikhono lokugcina ukuma okuqondile) zivame ukuhlobene nezilonda ebuchosheni obuchotshozayo obuthinta uhlelo lwe-vestibular .
Ngokubhekana nokuhlanganiswa kwazo zonke lezi zici ezithinta izinkinga ekuqeqesheni ibhalansi, abahlengikazi banamathuba amaningi okuthola imiphumela emihle kubantu abane-MS.
Imithombo:
> Aman, J .; I-Elangoven, i-N .; Yebo, I .; kanye noConczak, J. "Ukuphumelela kokuqeqeshwa okuzimele ekuthuthukiseni umsebenzi wemoto: ukubuyekezwa okuhlelekile." Imingcele Yezesayensi Yezinzwa. 2014; 8: 1075.
> Hebert, J .; Corboy, J .; I-Manago, M .; kanye ne-Schenkman, M. "Imiphumela ye-Vestibular Rehabilitation kwi-Multiple Sclerosis-Related Fatigue kanye ne-Upright Postural Control: Isivivinyo Esilawulwe Ngokungahleliwe." Ukwelashwa Kwemvelo / I-Journal ye-American Physical Therapy Association . Agasti 2011; 9 (8): 1166-83.