Ukubandakanya imizwa evuthayo e-MS ixhunyaniswe nekhwalithi yokuphila empofu
Intukuthelo iyinkimbinkimbi yomzwelo we-multiple sclerosis (MS) okukholelwa ukuthi ivela esibhedlela ngokwayo. Ukugcina imibono evuthayo ihlolwe futhi kuhlotshaniswa nekhwalithi empofu yokuphila, ngokusho kokucwaninga kwe- Multiple Sclerosis .
Ngokuqonda kabanzi mayelana nendima yentukuthelo ku-MS, nokuthi ingaphathwa kanjani, usuvele uthatha isinyathelo sokuqala ukuze uthuthukise kangcono impilo yakho engokwengqondo nengokwengqondo.
Intukuthelo & MS
Esicwaningweni, intukuthelo yahlolwa kwabahlanganyeli abangu-157 abane-multiple sclerosis. Ababambe iqhaza nge-relapsing-remitting, izinyathelo eziphambili eziqhubekayo, noma izinhlobo eziqhubekayo ze-MS zifakiwe.
Intukuthelo kulaba ababambiqhaza ilinganiselwe kusetshenziswa ukufakwa kwe-Anger-Trait Expression Inventory-2 (STAXI-2) -izinga lezinkomba ezine ezinezinga eliphakeme elibonisa ukuthukuthela okwengeziwe. Kulesi sivivinyo, izinto ezingu-196 zidiliziwe zibe izilinganiso eziyisithupha. Ezine kulawo makali:
- Ukuthukuthela : kuthatha ukuthi umuntu unomuntu othukuthele nokuthi ngabe umuntu uyasabela ngokufutheka uma ecatshangelwa
- Ukuthukuthela kombuso : kunquma ukuthi ngabe umuntu okwamanje uzwa intukuthelo nokuthi bayathanda yini ukuveza intukuthelo yabo ngamazwi noma ngokomzimba
- Ukuthukuthela-ukuphuma : kuthatha ukuthi umuntu uveza intukuthelo kwabanye abantu, njengokumemeza kumlingani noma ukushaya udonga.
- Ukuthukuthela-ku : kunquma ukuthi umuntu uyasusa yini imizwa yabo evuthayo.
Abahlanganyeli bokufunda nge-MS bafaniswa neqembu lokulawula. Abacwaningi bathola ukuthi abantu abane-MS babengase babe nokuthukuthela (ukuthukuthela), babe nokuphakama okukhulu kwentukuthelo (shaya intukuthelo), futhi babonise intukuthelo ngaphandle noma ngaphakathi, uma kuqhathaniswa neqembu lokulawula.
Ngamanye amazwi, lolu cwaningo lukhombisa ukuthi abantu abane-MS banomkhuba wokuzwa intukuthelo kaningi kunelabo abangenayo i-MS.
Ukuhlola ukuthi ngabe lelizinga eliphakeme le-intukuthelo eqenjini le-MS lalibhekiswe ekucindezelekeni nasekucindezelekeni, abacwaningi bahlobanisa iziqu zokudabuka ngokucindezeleka kanye nezinkomba zokukhathazeka. Abacwaningi abatholanga isixhumanisi, basikisela ukuthi intukuthelo ikhona yodwa futhi ayiyena umaka wesimo sezempilo engaphansi.
Intukuthelo & Ikhwalithi Yokuphila ku-MS
Abahlanganyeli kulolu cwaningo nabo babe nemfanelo ehlobene nempilo yokuhlola impilo ngokusebenzisa uhlelo lokusebenza lokusebenza kwezixhobo eziningi ze-HRQLL.
Umuntu othatha lesi sivivinyo kufanele akhethe esinye sezilinganiso ezinhlanu ukuze anqume ukwaneliseka kwabo, kusukela ku-"0" okusho ukuthi "akunjalo" kuya ku- "4" okusho ukuthi "kakhulu." Amaphuzu aphezulu abonisa izinga elihle lokuphila futhi amaphuzu aphansi abonisa izinga eliphakeme lokuphila.
Ngemuva kokuhlaziywa kwezibalo eziyinkimbinkimbi, lolu cwaningo lwathola ukuthi abantu ababenze ngaphakathi noma abacindezela intukuthelo yabo babe nekhwalithi yokuphila ehlobene nokuphila-okuyiqiniso ikakhulukazi kwabesifazane. Ngakolunye uhlangothi, intukuthelo evamile ayizange imemezele izinga elibi kakhulu lempilo ehlobene nempilo. Lokhu kusikisela ukuthi akuyona intukuthelo ngokwayo ethinta impilo yomuntu ukwaneliseka, kodwa ngabe bayayigcina yini leyo mizwa evuthayo.
Izimbangela Zokufutheka ku-MS
Imiphumela yocwaningo olungenhla iphakamisa ukuthi umuntu onama-MS cishe uzwela intukuthelo kunomuntu ongenawo i-MS. Ngakho kungani kunjalo?
Naphezu kobufakazi obunqunyelwe besayensi, ochwepheshe bacabanga ukuthi intukuthelo kumuntu onama-MS iyimbangela yezilonda zobuchopho, njengoba nje umbono ocacile noma ukulahlekelwa kokuhlanganiswa kwenzeka ku-MS izilonda ebuchosheni. Ngamanye amazwi, isimiso somzimba sokuzivikela somuntu sihlaselwa emgodini we-myelin wezinzwa zezinzwa ezindaweni ezibuchopho ezilawula imizwelo, ukuziphatha, nobuntu obufana no:
- U-Amygdala
- Basal ganglia
- Lobe yangaphambili
Lapho i-myelin sheath of fibers nerve kulezi zifunda zobuchopho ibonakalisiwe noma ibhujiswe, ukusayinwa kwesibindi kuyiphutha.
Lokhu kungathinta umsebenzi wesifunda sobuchopho obangela ushintsho ekukhulumeni ngokomzwelo, ubuntu, ukuziphatha, njll.
Yiqiniso, ukuxilongwa okusha kwe-MS, noma ezinye izinhlobo zezindaba ezicindezelayo njengezifo zakho eziqhubekayo noma imithi yakho ebiza kakhulu ingabangela imizwa evuthayo. Kodwa futhi, ukuphazamiseka kwentukuthelo okuhlangenwe nakho komuntu one-MS kungase kube yinkinga yesifo sabo kunesimo.
Okokugcina, nakuba isifundo esingenhla sihlolwe ukucindezeleka njengomthombo wentukuthelo futhi asifumananga isixhumanisi, intukuthelo ingaba umzwelo wesimo sokudabuka noma ukukhathazeka.
Konke lokhu kuthiwa, ukukhipha imbangela yentukuthelo yakho kungaba yinto ekhohlisayo, kanti ngenkathi ucabanga ukuthi ungayazi umlandu, kungcono ukuthola umbono ovela kumsebenzi wezempilo.
Ukwelapha Intukuthelo ku-MS
Uma ulawula ukuthukuthela kwakho nge-multiple sclerosis, kubalulekile ukuba uqale ukuhlolwa okuhle ngudokotela wakho, ngoba lokhu kuzothinta uhlelo lwakho lwezokwelapha. Uma udokotela wakho ekutholeni ukucindezeleka noma ukukhathazeka, inhlanganisela yemithi kanye nokwelashwa kungasiza kakhulu.
Uma intukuthelo yakho ibangelwa ukuhlolwa okusha kwe-MS noma kwangaphambili, ukungenelela njengeqembu le-MS lokusekela, amakilasi okuphatha intukuthelo, ukwelashwa okuphumula, nokululekwa komndeni kungasiza.
Ngaphezu kwezikhathi zokwelashwa, ngezinye izikhathi imithi ebizwa ngokuthi i-mood stabilizer inqunyelwe ukusiza ukulawula ukuguquguquka kwemizwelo engalindelekile noma ukuthukuthela okuthukuthele.
Ngenkathi ukungenelela kwengqondo kungakacwaningwa njengendlela yokuphatha intukuthelo e-multiple sclerosis, itholakale ukuthuthukisa ikhwalithi jikelele yokuphila, ukukhathazeka, ukucindezeleka, ukukhathala, nobuhlungu kubantu abane-MS. Kuye kwafunyanwa ukuthuthukisa intukuthelo kubantu abane-fibromyalgia, isimo esingelapheki sezokwelapha esihluke ngokuphelele ku-MS, kodwa sabelana ngezinye izimpawu ezifana nokukhathala nobuhlungu.
Ngalokho, ukucabanga-lapho umuntu efunda ukwazisa futhi aphile khona-kungase kube yindlela ewusizo yokubhekana nentukuthelo ejulile.
Izwi elivela
Uma unenkinga yokuzizwa uthukuthele, futhi lo mzwelo uphazamisa ubuhlobo bakho kanye nokusebenza kwansukuzonke (khumbula, kuyinto evamile ukuba uzizwe uthukuthele ngezinye izikhathi), khuluma nodokotela wakho mayelana nezinyathelo ezilandelayo. Thola usizo oludingayo, uyayifanele.
> Imithombo:
> Amutio A, Franco C, de Carmen P acute; rez-Fuentes M, Gázquez JJ, Mercader I. Ukuqeqeshwa kwengqondo yokunciphisa intukuthelo, ukukhathazeka nokucindezeleka ezigulini ze-fibromyalgia. Front Psychol . 2014; 5: 1572.
> Labiano-Fontcuberta A, Mitchell AJ, Moreno-García S, Puertas-Martín V, Benito-León. Impact yentukuthelo emkhakheni ohlobene nempilo wokuphila kweziguli eziningi ze-sclerosis. I-Mult Scler . 2015 Ngo-Apr; 21 (5): 630-41.
> Nocenti U et al. Ukuhlolisiswa kwentukuthelo yentukuthelo ku-multiple sclerosis. I-Eur J Neurol. 2009 Dec; 16 (12): 1312-7.
> Opara JA, Jaracz K, Brola W. Impilo yokuphila nge-sclerosis eminingi. J Med Life . 2010 Nov 15; 3 (4): 352-58.
> Simpson R, Booth J, Lawrence M, Byrne S, Mair F, Mercer S. Mindfulness ukusekelwa okusekelwe ekutheni kube nokuhlolwa kwesistimu. BMC Neurol. 2014 Jan 17; 14: 15.