Ukunyuka Kwenyuka Emzimbeni Wakho Kungabangela I-MS Izimpawu Zakho
Isimo se-Uhthoff sibonakaliso esiyingqayizivele ku- multiple sclerosis esibonakala ukuwohloka kwesimpawu esisodwa noma ngaphezulu se-MS uma izinga lokushisa lomzimba eliphakeme liphakeme, ngisho nangesincane, njengesiqingatha se-degree.
Lesi senzakalo saqale sichazwa nguWilhelm Uhthoff, isazi sezaso saseJalimane, ngasekupheleni kwekhulu le-19. Uqaphele ukuthi abantu abane- optic neuritis , uphawu oluvamile lwe-multiple sclerosis, babe nokwanda kombono wabo okwesikhashana lapho bezivocavoca.
I-'Ps 'Yenza I-Uhthoff Phenomenon
E-MS, i- myelin (i-protective, fatty cover around nerve fibers) yonakaliswe noma ibhujiswe amasosha omzimba omuntu. I-Myelin yilokho okuvumela amagciwane ukuba axhumane ngokuphumelelayo futhi ngokushesha. Ngakho-ke, uma limele, amangqamuzana omzimba angakwazi ukuthumela imilayezo efanele. Kuye ngokuthi yiziphi izinzwa ezithintekayo, lezi zindlela zokuphazamiseka kwezinzwa ezibangelwa izinzwa zidala izimpawu ezihlukahlukene ze-MS, njengombono ozwakalayo, ukuphazamiseka nokugubha, ukubuthakathaka kwemisipha, nezinkinga zokucabanga.
Ngezehlakalo ze-Uhthoff, ososayensi bakholelwa ukuthi ukushisa kuyabhubhisa lezi zisele zamangqamuzana eziwonakele kakade ezivusa izimpawu zamanje ze- MS .
Isibonelo, owesifazane ophethe i-MS angabona ukuthi ukukhathala kwakhe kudlulela lapho umzimba wakhe uphazamiseka. Lapho izinga lokushisa lomzimba lakhe libuyela ejwayelekile, ukukhathala kwakhe kunciphisa futhi kubuyela emuva kokuqala.
Iphuzu eliyinhloko lapha ukuthi akukho monakalo ongunaphakade we-neurological owenziwa ngezehlakalo ze-Uhthoff.
Ngamanye amazwi, ukukhathala kwalona wesifazane (noma ezinye izimpawu ze-MS ezibi kakhulu ngokushisa) zibuyiselwa emuva, uma ukushisa komzimba wakhe kubuyela emuva evamile.
Izinkinga ezivamile ze-Uhthoff Phenomenon
Noma imuphi umshini wokushisa onjengokushisa kwesimo sezulu eshisayo, usebenzisa isomisi sezinwele, ukuthatha ishazi noma ukugeza okushisayo, noma ukufaka i-sauna kungabangela umcimbi we-Uhthoff.
Ngaphezu kwalokho, umkhuhlane ovela ekutheleleni, ukuvivinya umzimba, ukuyeka esikhathini (ucabange ngokushisa okushisayo ), kanti isikhathi sezinsuku zokuya esikhathini kungenye yezinto ezingase zivele.
Indlela engcono kakhulu yokugwema i-Uhthoff Phenomenon
Ukubheja kwakho okuhle kakhulu ekuvikeleni isenzakalo se-Uhthoff kungenzeki ukuthola ukuthi yiziphi izinkinga zakho eziyingqayizivele futhi zigwema lezo. Ngaphandle kwalokho, ungakwazi ukudlala amasu okupholisa okuvumela ukuthi usajabulele lokho "ukuqala" ngaphandle kokwedlula amandla.
Nazi ezinye izibonelo zamasu okupholisa okungasiza:
- Ukuphuza amanzi abandayo nsuku zonke, ikakhulukazi ezinyangeni zasehlobo ezishisayo
- Ukushayela isikhwama esikhwameni sakho noma esikhwameni sakho uma kwenzeka kushisa kakhulu
- Ukusebenzisa i-washcloth ebandayo kuma-wrists noma entanyeni yakho uma uzizwa sengathi umzimba wakho ufudumala
- Ukugqoke izingubo zokupholisa njengendwangu yokupholisa lapho uzivocavoca
- Ukugqoka isigqoko nokuhlala emthunzini ezinsukwini ezifudumele, ezishisayo
- Ukugqoke izingubo ezingavamile, eziphefumulayo, njengekotini
Ukuhlukanisa phakathi kokubuyela emuva kanye ne-Uhthoff Phenomenon
Kungaba ukuhlukana okukhohlisayo phakathi kokuphindaphinda kwe-MS kanye nesimo se-Uhthoff. Ngamanye amazwi, kuvamile ukuba uzibuze ukuthi ngabe umkhuhlane wakho womlenze osheshayo (noma esinye isibonakaliso se-MS) uvela ekushiseni noma ku-MS lesion entsha ohlelweni lwakho lwezinzwa.
Enye indlela esheshayo yokuhlukanisa phakathi kwalaba ababili ukubona ukuthi izimpawu zakho zibuyela emuva uma "ukushisa" kususa kususwe, njengokungathi emva kokupholisa phansi eshaweni esishisayo noma uma umkhuhlane wakho ubuyela ekujwayelekile.
Ngenkathi ungase uzizwe ungcono uma usuhlihlile (kungathatha amahora ambalwa, kuye ngokuthi uphawu), izimpawu zakho zezinzwa kufanele zibuyele esisekelo uma ukushisa kuyisicala. Njengoba i-MS iphinda ibuyele, izimpawu zizoqhubeka.
Lokhu kusho, kusengumqondo omuhle ukuxhumana nomhlengikazi wakho wezinzwa noma umhlengikazi wakho we-MS, ikakhulukazi uma ungaqiniseki. Ukuphindaphinda kwe-MS kungadinga ukwelashwa, njenge-steroids, kanti isibonakaliso se-Uhthoff siyidinga imithi, kuphela ukususwa kwe-trigger nokuqinisekisa.
Izwi elivela
Ukuphatha izimpawu zakho ze- MS kuwumsebenzi obuthakathaka futhi ukuthi izinga lokushisa lingabaphazamisa futhi liyinkimbinkimbi nje lo msebenzi. Zama ukuthi ungagxiliwe kakhulu nalokhu umthwalo owengeziwe, noma kunjalo.
Yenza konke okusemandleni akho ukuhlala uphelile, futhi wazi ukuthi uma uthuthukisa ukuwohloka kwezimpawu zakho ze-MS ezesabekayo, kuzokwehliswa maduzane ngemuva kokuba umthombo wokushisa ususwe. Futhi, qiniseka ukuthi awukwenzi umonakalo owengeziwe emzimbeni wakho.
> Imithombo:
> Birnbaum, MD George. (2013). I-Multiple Sclerosis: Umhlahlandlela Wabahlengikazi Wokuthola Ukuxilongwa Nezokwelashwa, 2 Edition. ENew York, eNew York. I-Oxford University Press.
> Frohman TC et al. Izimo ze-Uhthoff ku-MS - izici zokwelapha kanye nokuthathwa kwe-pathophysiology. Nat Rev Neurol. 2013 Sep; 9 (9): 535-40.
> Multiple Sclerosis Society. (2013). Ishidi langempela: Okushisayo nokubandayo - imiphumela yokushisa ku-MS.