Uma izinzwa zakho zihamba zingasebenzi, imisipha yakho iyathinteka
Cabanga ngemisipha yakho njengamaconsi oncingo. I-puppet (imisipha yakho) ayikwazi ukuhamba ngaphandle kwezintambo (izinzwa zakho) eziholayo. Isandla esilawula imbumbulu yisistimu yakho yesimiso esiphakathi (ubuchopho bakho kanye nentambo yakho yomgogodla).
E- multiple sclerosis (MS), ukulimala kwamagundane ezinyosi esifundeni sezinzwa esiyinhloko kuphazamisa ukubonakaliswa okwenzeka phakathi kwezinzwa nemisipha yakho.
Ngamanye amazwi, izintambo ze-puppet azisebenzi kahle ngokwanele ukuhambisa ipilpethi. Ngenxa yalokho, ubuthakathaka bemisipha, ukusabalalisa, nokulahlekelwa kokusebenzisana kungenzeka.
Ake sihlole lezi zimpawu zamasuli ngemininingwane eminingana, kufaka phakathi ukuthi wena (noma othandekayo wakho) ungabhekana kanjani nabo kahle.
Ukungabi namandla ku-MS
Ubuthakathaka bemisipha e-MS bungaphezu nje kokuntula amandla noma ukungabi namandla okuphakamisa isidumbu esinzima; Kunalokho, kuyinkinga yangempela ukuhambisa imisipha yakho, cishe sengathi ihluleka kakhulu noma ikhathele ukusebenza.
Ngenkathi ubuthakathaka bemisipha lungenzeka noma kuphi emzimbeni, lwaziwa kakhulu emlenzeni. Ukuntula amandla emlenzeni nasemilenzeni kungaphazamisa kakhulu, ngoba kungabangela izinkinga ukuhamba, ukukhombisa, ukugqoka nokuqedela ezinye izinto eziyisisekelo zokuphila kwansuku zonke.
Isibonelo esisodwa esivamile senkinga yokukhubazeka kwemisipha ku-MS kunenhlansi yezinyawo , okusho ukuthi awukwazi ukuphakamisa ingxenye yangaphambili yonyawo lwakho.
Ukudonsa kwezinyawo kubangelwa ukubonakaliswa kwezinzwa ezimbi emisipha esetshenziselwa ukushintsha unyawo lwakho. Ukuze uhlawulele lesi sibonakaliso, umuntu angadonsela izinzwani zakhe noma athathe iphethini ethile yokuhamba, njengokungenaza umlenze.
Ukubhekana
Ukubhekana nobuthakathaka bemisipha kuqala kuhlanganisa ukukhipha umthombo-kungakhathaliseki ukuthi uvela esihlokweni ngokwawo (kusukela ekudonsweni kwezinzwa emqondweni nase / noma kumgogodla) noma ngenxa yokuntuleka kokusebenzisa.
Uma ubuthakathaka bakho bemisipha buvela ku-MS, khona-ke imisipha eqiniswayo nezisindo (okuthiwa ukuqeqeshwa ukumelana) ngeke ibe usizo; Empeleni, zingase zibe nzima nakakhulu ekubuthakathaka kwakho.
Into engcono kakhulu ongayenza ukuthola isidokotela somzimba osebenza nakho neziguli ezine-MS. Udokotela wezinto ezingokwenyama angakusiza ukuthi ubone ukuthi yimiphi imisipha enokukhubazeka kwesibindi futhi yiziphi izibonakaliso ezinempilo. Ngale ndlela ungafunda ukuqinisa nokulondoloza ithoni yemisipha ethola izibonakaliso ezinhle zesisindo.
Udokotela wezinto ezingokwenyama angase futhi ancoma amadivayisi wokusiza. Isibonelo, i- ankle-foot orthotic ivame ukusetshenziselwa ukuphatha izinyawo eziseMS. Kungumqondo omuhle ukuthola ukuhanjiswa kudokotela wakho kumhlengikazi-umuntu ongakusiza ukuba uhlele indawo yokuhlala kanye / noma indawo ephephile futhi ilungiselele ukulondolozwa kwamandla emisipha.
Okokugcina, uma ubuthakathaka bakho bemisipha buvela ekusetshenzisweni kabi (mhlawumbe ukhubaze ukukhathala noma usezihlalo zabakhubazekile), bese uqinisa imisipha yakho ngokusebenzisa uhlelo lokuqeqesha umzimba nokuzivocavoca kungasiza.
Ngokufanayo, kubalulekile ukuphatha imbangela yokusebenzisa kabi imisipha yakho, uma kungenzeka. Isibonelo, uma ukukhathala kungumlandu kunokuba ungabheka imikhuba engcono yokulala, amasu okulondolozwa kwamandla, noma uthathe imithi yokwelashwa njengo Provigil (modafinil) noma i-Ritalon (methylphenidate).
Ukuzivocavoca kungasiza ukukhathala, kanye nesebhonasi kabili (uthola ukuqinisa imisipha yakho futhi uzizwe ungcono ngesikhathi esifanayo).
Isiphambano ku-MS
E-MS, ukwanda kwe-muscle tone noma ukuqina kwesisipha (okuthiwa i- spasticity ) kwenzeka ngenxa yokudonswa kwegazi (ukulahlekelwa kwesigqila se-myelin) ezindleleni ezithwala izimpawu (ukunyakaza) ukusuka ebuchosheni. Ngenxa yalezi zindlela eziwonakele, ukubonakaliswa kwesisindo kumisipha kuphuthuma, okungabangela imisipha yomuntu ukuba ikhuni futhi ibenze ngokwabo.
Ngenxa yesikhala, imisipha ingase ihlasele futhi / noma ibe nzima futhi ibe nzima-futhi lokhu kungaba buhlungu kakhulu. Ngokuhamba kwesikhathi, umuntu angase ayeke ukusebenzisa imisipha ethile ngenxa ye-spasticity, futhi lokhu kungaholela ekutheni i- muscle atrophy (uma isisulu siphelile, sibonakala sincane).
Ngokufanayo, ngobunzima obunzima, umuntu angakha izivumelwano-lapho okuhlangene kubanda iqhwa endaweni, ngenxa yokuncishiswa kwemisipha.
Izivumelwano zingaholela ekwakheni izilonda ezicindezelayo, ezibizwa nangokuthi izilonda zamabhede, ekubeni zigcinwe endaweni ehlezi noma elele. Izilonda ezicindezelayo zimbi kakhulu futhi zingase zisongele ukuphila uma zithola igciwane.
Ukubhekana
Ngokungafani nobuthakathaka bemisipha, kukhona imithi enganciphisa ukuphazamiseka nokuqina, futhi isebenza ngokuphumula imisipha. Eminye yale mithi ihlanganisa:
- Ama-relaxant muscle afana ne-baclofen no-Zanaflex (tizanidine)
- I-Benzodiazepines njengeValium (diazepam)
Ukuphazamiseka kwale mithi ukuthi kungabangela ukukhathala noma ubunzima bomzimba.
Ezinye izinketho zezokwelapha zihlanganisa i-anticonvulsant Neurontin (gabapentin), imijovo ye-Botox (ehamba ngokuqondile emisipha), noma ipompo ye-baclofen (etholakala esiswini somuntu).
Ngokubambisana, noma esikhundleni semithi, ukuvuselelwa nomuthi wezempilo kanye nomsebenzi kuyisici esiyinhloko ekulawuleni ukuphazamiseka kwe-MS. Uchwepheshe wezokuvuselela angakufundisa (noma othandekayo wakho) ukuzivocavoca okuqondile, kanye nokuvimbela izinkontileka.
Ngaphandle kokwelapha ukuvuselelwa, ezinye izindlela zokwelashwa zivame ukusetshenziselwa ukubhekana nokuphambana. Ezinye zalezi zindlela zokwelashwa ezihlukile zibandakanya inambuzane, i- yoga, i-massage, ne-biofeedback.
Okokugcina, ukugwema (noma ukunciphisa) izimbangela zokuphahlazeka kubalulekile-okuvamile ukushisa ngokweqile, ukukhuphuka kokushisa kwangaphakathi komzimba wakho (isibonelo, umkhuhlane), isambatho esigcwele, nesambatho esicasulayo noma esiqinile. Ukwelapha izifo ngokushesha (njengokutheleleka kwe-urinary tract) kanye nobuhlungu kungasiza ekuvimbeleni ukungcoliswa kwemisipha nokuqina.
Ukulahlekelwa Ukuxhumaniswa ku-MS
Ukulahlekelwa kokusebenzisana, noma ukulinganisela, ku-MS kubangelwa kakhulu ezinkingeni zemisipha, ikakhulukazi ubuthakathaka bomzimba nobukhulu. Ezinye izici ezihlobene ne-MS ezifaka ekulahlekelweni kokuxhumana zimbono ozwakalayo, i-vertigo, nezinkinga zokuzwa, njengokunganqamuki emilenzeni.
Enye yezinto ezibaluleke kakhulu ekulahlekelweni kokusebenzisana kuwela. Lokhu kungenxa yokuthi ngezinkinga zokulinganisela, umuntu angase athole iphethini yokuhamba, ehamba phambili ebizwa ngokuthi i- ataxia .
Ngokuhlaziywa okukhulu, ku- Multiple Sclerosis , kubantu abaningi abane-MS (ngaphesheya kwebanga lobubanzi obudala nobukhulu besifo), izinga lokuwa kwesilinganiso cishe liwela eyodwa ngenyanga, elibonakala liphakeme kakhulu futhi libuhlungu.
Olunye ucwaningo lubonise ukuthi cishe amaphesenti angu-50 abantu abaphakathi kuya kwabaneminyaka asebekhulile abane-MS bahlangabezana okungenani kokuwa kwesinye isikhathi sezinyanga eziyisithupha.
Ukubhekana
Ukwelapha izinkinga ze-balance ku-MS kuhlolisisa ngokucophelela udokotela wakho ukucacisa imbangela eyinhloko. Isibonelo, uma ubuthakathaka bemisipha kungenxa yokuthi ulahlekelwa ukuxhumana, idivayisi yokusiza efana nomhlanga noma uhambahamba ingasiza, kanye nokuzivocavoca okuqinisa imisipha ethile emilenzeni yakho kanye nesiqu.
Ngaphezu kwalokho, uhlelo lokuzivocavoca ngeke luvuselele amandla akho emisipha, kodwa ucwaningo lubonisa ukuthi lungathuthukisa nezinye izimpawu ze-MS njengokukhathala, ukucindezeleka, nezinkinga zokucabanga.
Uchwepheshe wezisebenzi angasebenza nawe ukuqinisekisa ukuthi ikhaya lakho liphephile futhi liba nobungane, ngenxa yenkinga yakho yokulinganisela. Imibono ingabandakanya ukuqeda ama-rugs avulekile, ukuqinisekisa ukuthi ukukhanyisa kukwanele, nokufaka izikhwama.
Izwi elivela
Nakuba i-multiple sclerosis yinkinga yesimiso sezinzwa, kukhona umphumela ongezansi emisipha yakho, engabangela ukukhubazeka, ngisho nezimpawu ezibuhlungu. Kodwa izindaba ezinhle ukuthi ngokuvuselelwa (futhi ngezinye izikhathi imithi), ungathola impumuzo.
Ekugcineni, noma ngabe ubhekene nezimpawu zomzimba ezincane, kunengqondo ukukhuluma nodokotela wakho ngokubona umuthi wezinto ezibonakalayo. Ungase umangale ukuthi ukunethezeka nokuphumelela nje amasu ambalwa kanye nokuzivocavoca okuhlose ukuveza izimpawu zakho ezihlukile zemisipha kungaba.
> Imithombo:
> Birnbaum, MD George. 2013. Multiple Sclerosis: Umhlahlandlela Wabahlengikazi Wokuthola Ukuxilongwa Nezokwelapha, Edition 2. ENew York, eNew York. I-Oxford University Press.
> Correia de Sa J et al. Ukwelashwa okuphawulekayo ku-multiple sclerosis: ukubuyekezwa kwendlela yokwenza izinto eziningi ekusebenzeni komtholampilo. I-Ther Adv Neurol Disord . 2011 Meyi; 4 (3): 139-68.
> Moradi M et al. Imiphumela yezinhlelo eziyisishiyagalombili zokuqeqesha ukumelana nabesilisa abane-multiple sclerosis. I-Asian J Sports Med . 2015 Jun; 6 (2): e22838.
> National MS Society. Ukungabi namandla. Spasticity kanye ne-MS: Amasu okuphatha.
> Nilsagard Y et al. Phuma kubantu abane-MS-ukuhlaziywa kwedatha yemeta ngayinye kusuka ezifundweni ezivela e-Australia, eSweden, e-United Kingdom nase-United States. I-Mult Scler . 2015 Jan; 21 (1): 92-100.