Ukubheka okuhle akusho ukuthi uzizwa uhle
Izimpawu ze- multiple sclerosis zingashintsha ngohlobo nangobunzima futhi azivumelanisi nokuthi umuntu ubheka kanjani ngaphandle.
Ngamanye amazwi, ukubukeka komuntu kungase kubonakale kunempilo, kodwa okwenzeka ngaphakathi kobuchopho nomgogodla womuntu onama-MS kuvame ukulimaza kodwa kungabonakali ngaphandle kwabanye.
Ake sihlolisise ezinye zalezi zinto ezikhubazayo, "izimpawu ezingabonakali" ku-multiple sclerosis, nokuthi ungabhekana kanjani nazo kahle, ikakhulu lapho abanye bebuza ubuqiniso babo.
Ukhathala ku-Multiple Sclerosis
Ukuqonda
Ukukhathala kungenye yezimpawu ezikhubaza kakhulu ku-MS futhi kuye kwachazwa ngezindlela ezehlukene-ukuzwa sengathi unesifo sofuba sokubhekana nobuthakathaka obunzima obukhulu nobuhlungu. Ngaphandle kwemvelo yokukhathala kwe-MS, abanye bavame ukuchaza "inkohlakalo yobuchopho," okungabangela ubunzima bokucabanga nokucubungula ulwazi, kanye nomqondo ocindezelekile wengqondo.
Ngenkathi ukukhathala kungase kubangelwe isifo ngokwayo (cabanga ukuthi izimpawu zakho zezinzwa kufanele zisebenzise kanjani amandla engeziwe ukuze uqede ngobuhlakani izifunda ezonakalisiwe futhi ezibhubhise ngaphakathi kobuchopho nomgogodla), ukukhathala ku-MS kungabangela nezinye izimpawu ezihlobene ne-MS, njengokucindezeleka, imithi, nokuphazamiseka kokulala, ukubiza amagama ambalwa.
Yingakho ukulawula ukukhathala kwakho kuvamise inqubo eyinkimbinkimbi, okudinga indlela enengqondo, eyingqayizivele kumuntu ngamunye.
Ukubhekana
Ngemuva kokuhlunga "kungani" ngemuva kokukhathala kwakho, udokotela wakho uzoqala ukuphatha lezi zimbangela eziyisibili.
Ngokwesibonelo, ukwelapha ukucindezeleka kwakho nge-anti-depressant nokukhuluma ukwelashwa kunganciphisa ukukhathala kwakho kancane.
Ngokufanayo, ukubheka okuhle, ukubhekisisa uhlu lwakho lweminye imithi kungabonisa ukukhathala, njengaleyo imisipha ephumuzayo ungase uthathe ukusakaza kwakho okuhlobene ne-MS. Ngenkathi usuhle kakhulu ungadinga imithi yokwelapha kwakho, udokotela wakho angase ancoma ukuthi ashintshe imithi ehlukile, aphule umthamo, noma awuthathe ngesikhathi esithile sosuku ukuze unciphise ukukhathala kwakho.
Emva kokubona udokotela wakho, uma ukukhathala kwakho kubonakala sengathi kuhlobene ngokuyinhloko nokuba ne-MS (inqubo yesifo ngokwayo), udokotela wakho angancoma amasu okuziphatha njengalawa:
- Ukuhlanganyela ekusebenziseni nsuku zonke noma yoga
- Ukusebenzisa imikhuba yokuhlanzeka ngokulala
- Ukubona ochwepheshe bezisebenzi ukuze kuthuthukiswe amasu okulondoloza amandla
- Ukulawula ukucindezeleka kwakho kangcono (cabanga ukubona ochwepheshe bezocabangela-ukuziphatha kulolu hlelo)
- Ukuthatha ubusuku bantambama noma ukuzindla ekuseni
Ngaphezu kwalokho, udokotela wakho angase futhi ancoma imithi ukukusiza ukuba udlule usuku lwakho. Ezinye imithi esetshenziselwa ukunciphisa ukukhathala okuhlobene ne-MS, faka:
- I-Symmetrel (i-amantadine)
- I-Provigil (i-modafinil)
- Ritalin (methylphenidate)
Ekugcineni, ukukhathala kungaba uphawu oluphazamisayo lokubhekana nalokhu, ikakhulukazi njengoba abanye bengaboni ngokusobala ukuhlupheka kwakho. I-"invisibleness" ye-MS ukukhathala kungenza abanye babuze noma bangayinaki, okungaba ukuhlukanisa kakhulu nokucasula.
Khuluma nodokotela wakho noma ucabange ukubona udokotela ongakusiza ukuthi ufunde lezi zimo ezinzima. Mhlawumbe, ngesikhathi sokukhathala, ugwema labo bantu abangasisekeli nokuqonda ukuthi uzizwa kanjani.
Khumbula ukuthi awodwa-isazi sakho sezinzwa zegazi kanye nabanye ngaphakathi komphakathi we-MS siqonde kakhulu ukukhathala kwakho, futhi lokhu ngethemba lokuthi unganikeza induduzo ethile.
Izinkinga Zokwengqondo Ezingxenyeni Ezihlukahlukene
Ukuqonda
Okungenani isigamu sabantu abane-MS sihlangabezana nezinkinga ngokuqonda , njengokubunzima ukucubungula ulwazi olusha, ukuxazulula izinkinga, ukukhumbula amagama nezinkathi zokuqokwa, nokugxila ezingxoxweni noma imisebenzi efana nokufunda noma ukubukela i-movie.
Ngokungafani nezinkinga zokuhamba noma zokukhuluma, noma ezinye izimpawu "ezibonakalayo," ukungasebenzi komqondo ku-MS ngokuvamile kuvamile. Eqinisweni, ubunzima bomuntu obonakalayo bengaqapheli ngabanye, kodwa lokhu akusho ukuthi akukhathazi noma kunciphisa umuntu othintekayo. Abanye abantu bayeka ukuxhumana nabanye noma baze bashiye imisebenzi yabo ngenxa yokungasebenzi komqondo, futhi lokhu kungabangela ukucindezeleka nokukhathazeka.
Ngaphezu kwalokho, abanye (ngisho nabathandekayo) bangase bathukuthele noma bacasulwe izinkinga zomuntu zokucabanga, uma, isibonelo, ukuvakashelwa komphakathi noma isikhathi sokugcina kushiywa ngenxa yenkinga yememori. Kungaba ukukhungathekisa nokuqhathanisa kakhulu ukuzama ukuchazela abanye ukuthi awukhohlisi noma ulahla; Kunalokho, umane ukhohlwe ngenxa yezinkinga zakho zememori ezihlobene ne-MS.
Ukubhekana
Izindaba ezinhle ukuthi izinkinga zengqondo ku-MS azivami ukuba zinzima kakhulu, njengokuthi ungakubona kubantu abanezinhlobo zesifo sokuwohloka komqondo, njenge-Alzheimer's disease. Noma kunjalo, zingakhubaza ngokwanele ukuholela ekungasebenzi noma ukuzihlukanisa nabantu.
Izikhathi ezivamile, abantu ngokwemvelo futhi bathola ngendlela enempilo amasu okukhokha ukuze banqobe izinkinga zabo zokucabanga, okusho ukuthi basebenzise ikhono lokufaka indawo ukuze banqobe umsebenzi ongenakwenzeka.
Isibonelo senqubo elula yokukhokha isebenzisa umrekhoda wezwi ledijithali ukuze ucindezele izikhathi zokuqokwa, amagama, noma ezinye izikhumbuzi ezinobungane. Abanye abantu basebenzisa ikhalenda enkulu, "master" ekhaya labo lapho beqopha yonke imininingwane kusuka ekuvakasheleni udokotela kumazinombolo zefoni ekhemisi.
Uma uthola ukuthi izinkinga zakho zengqondo zithinta ikhwalithi yakho yokuphila noma ukusebenza kwansuku zonke, qiniseka ukuthi ukhuluma ne-neurologist yakho ngakho. Ungase uzuze ekuvuselelweni kwengqondo, okungeke kukusize kuphela ukuthi uhlele amasu okubuyisela, kodwa futhi ikubandakanye ekufundeni nasekufundiseni imemori.
Kubalulekile futhi ukuqaphela ukuthi izinkinga zakho zokucabanga zingase zingabi ngqo kusuka ku-MS, kodwa kusukela ekubanjweni kwe-MS, njengokulala okuncane, ukucindezeleka noma ukukhathala okukhulu. Ukuhlunga konke lokhu kungahle kube yinto ekhohlisayo, kanye ne-conundrum ngaphakathi kwayo, yingakho ukuhlolwa kokusebenza kwengqondo kungasiza.
Eqinisweni, abanye abantu bathola ukuthi ukucindezeleka kuyimbangela yokunciphisa kwengqondo yabo, futhi ngokuphatha ukucindezeleka kwabo (nge-anti-depressant and / or therapy therapy), izinkinga zabo zokuzicabangela zibuyela emuva. Ngokufanayo, ukwelapha ukukhathala kwakho okukhulu nge-stimulant efana ne-Ritalin (methylphenidate) kungabuye kuthuthukise ukuqonda kwakho, ikakhulukazi ukunakwa kwakho nokugxila.
Ubuhlungu ku-Multiple Sclerosis
Ukuqonda
Kunzima ukukholelwa ukuthi i-MS yayibhekwa njengesifo esingenabuhlungu; Eqinisweni, uma umuntu ehlushwa ubuhlungu, odokotela basebenzise ukuhambisa i-MS phansi ohlwini lwabo lwezinkinga zokuhlola. Manje siyazi ukuthi i-MS ibangela ubuhlungu-futhi iningi labantu abane-MS (cishe amaphesenti angu-80) bazwa ubuhlungu ngesikhathi esifanayo esikoleni sabo sesifo.
Ubuhlungu ku-MS kaningi bubangelwa isifo ngokwayo ngoba nge-MS, isimiso sakho somzimba sokuzivikela sisilonda emzimbeni we-myelin (ukuvikela okuyisivikelo esizungeze izintambo zezinzwa), futhi le nqubo (ebizwa ngokuthi ukuxoshwa komzimba) idala izibonakaliso zesisindo ukuze ziqondiswe kabi ezimpilweni eziseduze. Lokho kusho ukuthi izimpawu zobuhlungu zithunyelwa ebuchosheni uma zingekho.
Ubuhlungu obubangelwa umonakalo ohlobene nesisindo kuthiwa ubuhlungu be-neuropathic. Izibonelo ezicacile zobuhlungu be-neuropathic ku-MS zihlanganisa:
- I-neuralgia ye-Trigeminal
- MS Hug
- Ukuphazanyiswa okubonakalayo njengokungqubuzana, ukugubha, noma ukuvutha
- I-neuritis esebenzayo
Ngaphezu kobuhlungu be-neuropathic, kukhona ubuhlungu besisisulu kumama. Eqinisweni, ama-muscle spasms kanye nokuqina, ubuhlungu obuhlangene, nobuhlungu be-back are evamile ku-MS futhi kubangelwa ukugxeka nezinkinga ngokuhamba nokulinganisela.
Uhlobo lwesithathu lobuhlungu (olubizwa ngokuthi ubuhlungu be-paroxysmal ) luqala ngokungazelelwe futhi ngokuvamile luhlala isikhathi esifushane kakhulu, kodwa lungaba nzima. Isibonelo esilandelayo sobuhlungu be-paroxysmal ku-MS yisibonakaliso sikaLhermitte , esibangela ukuzwa okwe -electric shock-like to go down your spine uma uthinta izinyane lakho esifubeni sakho.
Ukubhekana
Njengoba ubuhlungu bakho bungase buvele ku-MS ngokwayo, noma emiphumeleni yokuba ne-MS (isibonelo, ubuhlungu bokubuyela emuva ngokusebenzisa idivayisi yokusiza-ukuhamba ), ukuphatha ngokuvamile kuvame indlela eningi.
Ngokwesibonelo, ungathatha imithi efana ne-Neurontin (gabapentin) uma izinhlungu zakho zobuhlungu be-neuropathic. Kodwa ngenxa yobuhlungu obuhlobene nokuphambana , ungase ube nesimiso esinzima kakhulu sokwelashwa esihlanganisa ukushisa, ukusikhipha umzimba, ukwelashwa ngokomzimba, nokuthatha imisipha ephumuzayo. Ukugwema izimbangela zobuhlungu bakho, njengokushisa, ukuzivocavoca okunzima, izingubo eziqinile, noma isisindo esigcwele kungasiza.
Konke lokhu kusho, njengezinye izimpawu ze-MS, ubuhlungu bungase buvele uma ungalindelekanga. Lokhu kusho ukuthi angeke ukwazi ukuya emdlalweni webhodi lomntwana wakho noma ukugubha usuku lokuzalwa komlingani, njengoba kuhlelwe. Ubuhlungu bobuhlungu bakho kanye necala ngokuthi "uvumele abanye behle," kungaba yinto emangalisayo.
Ungase uzihlukanise, ngenxa yalokho, futhi unqabe izimemo esikhathini esizayo, ngakho akudingeki ukhansele. Ngokufanayo, ungase uzishukumisele ukuya emdlalweni we-basketball noma iqembu-lokhu empeleni akuwona umqondo omubi ngaso sonke isikhathi, kuye ngokuthi ubuhlungu bakho bunzima kangakanani. Noma kunjalo, ukuphoqeleka ukwenza okuthile uma ungazizwa kahle kungadala ukunganaki okungadingekile ngisho nokucasuka.
Uma uhamba ngalezi zimo ezinselele futhi eziyingqayizivele, kungcono ukufuna isiqondiso esivela kuchwepheshe wezempilo yengqondo, njengomuthi osebenzayo osebenza nabantu abanezifo ezingapheli. Amaqembu asekela, kungakhathaliseki lokho okuphakathi komphakathi wakho noma ku-intanethi, angase anikeze izeluleko ezinkingeni ezifanayo.
Okokugcina, inkhulumomphendvulwano evuliwe, evulekile nabathandekayo bakho ingaba usizo kakhulu futhi yokwelapha. Iningi labantu abaliqondi nje ubuhlungu bakho (futhi awukwazi ukubagxeka), kodwa bayozizwa behlonishwa ukuthi wabelana nokukhubazeka kwakho-futhi lokhu kungase kube ukuqala kobuhlobo obuhle, obuzwelayo.
Izwi elivela
Ngaphandle kokukhathala, ukungasebenzi komqondo, nobuhlungu, kunezinye izimpawu eziningi ezingabonakali ze-MS, njengezinkinga zesibindi nesibilini, izinkinga ze-balance, umbono obonakalayo, nobuthakathaka.
Kungakhathaliseki, isihluthulelo sokubhekana nezimpawu zakho ezingabonakali ukuwadlulisela kudokotela wakho nabathandekayo bakho. Ukuphulukisa nokuqonda akukwazi ukuqala kuze kube yilapho amaqiniso ekhona etafuleni.
Mhlawumbe, ukusho izimpawu zakho kuzokusiza ukwakha amandla , noma okungenani, kukusize ube mnandi kuwe. Izimpawu zakho zingase zingabonakali, kodwa nazo zikhona ngempela.
> Imithombo:
> I-Green R, i-Cutter G, i-Friendly M, i-Kister I. Yiziphi izimpawu ezisiza kakhulu ekubhekiseni iziguli zempilo ku-multiple sclerosis? I-Mult Scler J Exp Trans Clin . 2017 Jul-Seo; 3 (3): 2055217317728301.
> Foley PL et al. Ukukhula kanye nomlando wemvelo wobuhlungu kubantu abadala abane-multiple sclerosis: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Ubuhlungu . NgoMeyi ka-2013; 154 (5): 632-42.
> National MS Society. Izinguquko ezingqondweni