Ukuthatha isenzo kuyinkimbinkimbi, eyinkimbinkimbi edinga ukuqina kwengqondo
Izinkinga zengqondo, njengezinkinga zokucubungula ulwazi, ukugxila, ukuhlela, ukukhumbula, kanye / noma ukuthola amagama lapho ukhuluma, kuthinta amaphesenti angaphezu kwangu-50 abantu abane- multiple sclerosis (MS). Eqinisweni, ungase umangale uma uthola ukuthi ukulahlekelwa okunjalo okungaqondakali kungase kube uphawu lokuqala lwe-MS lomuntu.
Ukwengeza, ngenkathi ukungasebenzi komuntu okuxhumene nokuxhuma kuxhumene nenombolo yezilonda zobuchopho abanakho kwi-MRI yabo, ayixhunyiwe kumakhono abo angokwenyama.
Ngamanye amazwi, umuntu angase angakwazi ukuhamba kodwa angenayo izinkinga ezingqondweni. Ehlangothini le-flip, umuntu angase angakwazi ukusebenza ngenxa yokucabanga nezinkinga zenkumbulo, kodwa abe nokukhubazeka okuncane (noma cha) okukhubazeka ngokomzimba.
Ngenxa yokungaqondakali kokukhubazeka kwe-MS, nokuthi abantu bathola amasu okukhokha ekunciphiseni ukulahlekelwa kwabo (okuyinto enhle), kuvame ukukhohlisa uma (noma ukuthi kungakanani) ukuqonda kwakho kuthinteka yi-MS.
Izindaba ezinhle ukuthi ngaphandle kokubhebhethelwa ibhethri yokuhlola nge-neuropsychologist, ucwaningo manje lisikisela ukuthi ukubhala kwakho kungabonisa ukuqonda kwakho-iwindi ibe amandla akho okuchofoza, okushoyo.
Ucwaningo ngokubhala ngesandla nokuqonda ku-MS
Esicwaningweni seScientific Reports, ukubhalwa ngesandla kwabantu abangu-19 abane- multiple sclerosis eqhubekayo kuqhathaniswa nombhalo wabantu abangu-22 abanempilo eneminyaka efanayo.
Bonke abahlanganyeli babhala umusho othize kuthebhulethi ye-digitizing. Khona-ke imingcele ehlukahlukene yokubhala ngesandla yayiqhathaniswa phakathi kwamaqembu amabili.
Imiphumela yembula ukuthi kwakukhona umehluko omkhulu phakathi kwamaqembu amabili uma kufika emvakathini nasesikhathini samagama, kanye nokuhlukaniswa phakathi kwegama lesikhathi.
Ngamanye amazwi, kuthatha abantu abane-MS isikhathi eside ukuba babhale umusho ngamunye.
Ukwengeza, ukushaywa ngesandla ngesandla kwahlaziywa futhi kuqhathaniswa phakathi kwamaqembu amabili. Abahlanganyeli abane-MS abaqhubekayo babenezinga eliphakeme kakhulu lokushaya ngesisu nobukhulu be-stroke, kanye ne-jerk ephakeme. UJerk ubhekisela ekushintsheni kokusheshisa ngokuhamba kwesikhathi ngesifo ngasinye. Okushiwo ngokuyinhloko ukuthi ukubhala kwalabo abane-MS okuqhubekayo kuqhathaniswa nokulawulwa okunempilo kwakungapheleleli kancane.
Ekugcineni, ngokusebenzisa izibalo, abaphenyi bafuna ukuthola ukuthi kukhona yini izixhumanisi phakathi kwalezi zindlela zokubhala ngesandla kanye nezici zomtholampilo ze-MS, njengamakhono okunyakaza nokusebenza kwengqondo-futhi eziningana zatholakala.
Izixhumanisi Phakathi kwamakhono ama-MS Movement nokubhala ngesandla
Nazi izixhumanisi ezintathu abaphenyi abazitholile, okuphakamisa ukuthi amakhono okunyakaza okukhubazekile e-MS athinta ukubhala ngesandla, ikakhulukazi ijubane lokubhala.
Ubuningi bezinso
Isivivinyo esisodwa esetshenziselwa ukucacisa ukuthi ngabe ukuxhumanisa kukhona yini phakathi kwamakhono amandla nokubhala ngesandla kubantu abane-MS kwakuyi-test ye-9g hole (NHPT). Lokhu kuhlolwa kwenza izinyathelo zokungena komzimba, okuyiwona amandla namandla okuguquguquka kweminwe yakho.
Ngesikhathi se-NHPT, umuntu uchithe isikhathi esithathayo ukubeka izikhonkwane eziyisishiyagalolunye emigodini encane eyisishiyagalolunye-ngakho-ke kuthatha isikhathi eside ukubeka izikhonkwane emigodini, iminwe yabo emincane kakhulu.
Kulolu cwaningo, abaphenyi bathole ukuthi sekude isikhathi eside ukuthi abahlanganyeli abane-MS baqede ukuhlolwa kwe-peg nine-hole (NHPT), isikhathi eside sithatha ukubhala umusho wabo.
Amandla Okubamba
Abaphenyi bathola ukuthi kulabo ababambe iqhaza nge-MS, amandla abo okubamba ayenamandla kakhulu, ngokushesha ukuthi babhala umusho.
Ukungabi namandla
Kukhona ubudlelwane obuhle obutholakala phakathi kobuthakathaka obuthathwayo kanye nesikhathi esithathayo ukuqedela umsebenzi owodwa bese uya kwenye. Ngamanye amazwi, umuntu obuthakathaka uzizwa, isikhathi eside "isikhathi sokuphumula" phakathi kokubhala amagama.
Xhumanisa Phakathi kwama-MS Amakhono okuqonda nokubhala ngesandla
Ngokuphathelene nezixhumanisi ekuqondisweni, kubantu abane-MS, isikhathi esithathiwe ukubhalela umusho senyuke ngokunciphisa uphawu lokulinganiswa kwesimo se-digital modality test (SDMT).
I-SDMT ukuhlolwa kokuhlola okusetshenziselwa ngezinye izikhathi kulinganisa ukukhubazeka kwengqondo ku-MS. Ngokuqondile, lolu hlelo luhlola isivinini sokucubungula ulwazi. Ukucwaninga kusikisela isivinini sokucubungula ulwazi yilona iphutha eliyinkimbinkimbi yokuqonda engabonwa ku-MS, kanye nokuqala kokuvela.
Ukuthi isixhumanisi sikhona phakathi kwesigaba se-SDMT nesilinganiso semisho sisho ukuthi ukubhala akuyona nje isenzo sokunyakaza, kodwa kunalokho kuhlobene nokuqonda.
Okubalulekile ukuthi kusekelwe kulolu cwaningo, ukwehla kokuqonda (njengoba kuboniswe ku-MS) kuthinta amakhono wokubhala ngesandla.
Okunye okungaxhunyiwe kwe-MS-Related okungaqondakali kwengqondo nokubhala ngesandla
Ngenkathi siyazi izinkinga zokubhala ngesandla zivame ku-MS (ucwaningo olungakaze luveze ukuthi abantu abane-MS bayashesha ukubhala, futhi ukubhala kwabo konke kungavamile), ithonya lomumo womuntu wokubheka ngesandla akuzange lihlolwe ngaphambilini. Ngalesi sixhumanisi esisha, kungenzeka ukuthi ukuhlaziywa kombhalo kungabonisa ukuqonda komsebenzi womuntu.
Konke lokhu kusho, kubalulekile ukukhumbula ukuthi izinguquko zengqondo zivame ukuthonywa ezinye izindaba ezifana nokucindezeleka, ukukhathazeka, ukukhathala, ukucindezeleka, kanye nemithi. Ngakho ukuhlehlisa nokuphatha ukulahlekelwa kwakho okungaqondakali kungaba yinto ekhohlisayo, ikakhulukazi ngoba ezinye izici ziguqulwa (isibonelo, ukucindezeleka) kanti ezinye zingenakuphikiswa (isibonelo, uma izinkinga zakho zokuzicabangela zivela ku-MS ngokwazo).
Okokugcina, ukuqonda kuyisikhathi esibanzi. Ngalokho, umuntu one-MS angathola inkinga eyodwa kuphela yokucabanga (njengokufana nokwenza ulwazi) uma omunye umuntu onama-MS angase ahlangabezane nezinkinga eziningi zokucabanga (njengememori, ukucutshungulwa kolwazi, nokugxila).
Lokho kusho ukuthi umuntu angase abe namaphutha okuqonda futhi abe nokubhala ngesandla "okuvamile". I-reverse iqinisile, futhi, njengoba kunezinye izimbangela zokubhala ngesandla eziphuka ngaphandle kwe-MS, njengezinkinga zika-Parkinson noma ezinye zezinkinga zengqondo ezifana ne-schizophrenia.
Izwi elivela
Uma ukhathazekile ngamakhono akho okuqonda (noma othandekayo wakho), sicela ukhulume ne- neurologist yakho.
Ngokubuyiselwa kwengqondo, ungafunda futhi usebenzise amasu angakusiza ukhumbule, uhlele, ucabange kalula. Lezi zindlela zingasisiza kakhulu ekuthuthukiseni ukusebenza kwakho kwansuku zonke nenjabulo.
> Imithombo:
> Bisio A, Pedulla L, Bonzano L, Tacchino A, Brichetto G, Bove M. Ukunyathelisa kokunyathelisa ngesandla njengendlela yokubona ukukhubazeka kwengqondo nokuzwa kwabantu kubantu abane-multiple sclerosis. Sci Rep . 2017 Dec 18; 7 (1): 17730.
> Dean DJ, Teulings HL, Caligiuri M, Mittal VA. Ukuhlaziywa kombhalo kubonisa ukuthi ama-dyskinesias angenangqondo ezincane ezingenayo i-neuroleptic ezingenangqondo ezingcupheni enkulu ye-psychosis. J Vis Exp. 2013; (81): 50852.
> Gawda B. Ukubhala ngesandla okungabonakali kuma-schizophrenic outpatients. Amakhono we-Mot Per. 2016 Apr; 122 (2): 560-77.
> National MS Society. (nd). Izinguquko ezingqondweni.
> Van Schependom J et al. Ijubane lokunciphisa ulwazi lokunciphisa njenge-primun movens yokuncipha kwengqondo ku-MS. I-Mult Scler. 2015 Jan; 21 (1): 83-91.