Uma une-dysphagia, hlaziya kulawa macebiso ukuze ululame kalula
I-barrage yezimpawu eziza ne- multiple sclerosis (MS) ingakushiya uzizwe sengathi akukho msebenzi womzimba wakho ongathinteki. Ubuhlungu, izinkinga zombono, isizungu-futhi manje inkinga yokugwinya? Phakathi kwamaphesenti angu-30 no-40 abantu abane-MS kulinganiselwa ukuthi banenkinga yokugwinya, eyaziwa ngokuthi i- dysphagia , ngesikhathi esisodwa.
Ngenhlanhla, izimpawu eziningi ze-MS ziza futhi zihambe phakathi neminyaka, futhi uma kuziwa ekudleni nasekuphuzeni, kuningi ongakwenza ukuze unciphise amathuba okuchofoza noma ukuthuthukisa i- aspiration pneumonia (lapho ukudla noma uketshezi kuhlanganiswa ku-trachea namaphaphu , obangela ukutheleleka).
Dysphagia kubantu abane MS
Kungakhathaliseki ukuthi i-dysphagia yakho ingaba nzima kangakanani, kubalulekile ukuthi labo bethu abane-MS okungenzeka ukuthi bagweme ubunzima babuyekeze imikhuba yethu ekudleni futhi babone ukuthi singayakha imikhuba emisha (futhi ephephile). Ezinye izinkinga zokugwinya zingabonakali kakhulu ukuze ungaziqapheli, ngaphandle uma uhlala ugaye ukudla noma ulungele ukukhwehlela uma uzama ukugwinya iphilisi.
Amathiphu Wokubhekana Nezinkinga Zokuxhuma Ezihlobene Ne-MS
Nazi izindlela eziyisishiyagalombili zokunciphisa izinkinga zokugwinya ezihlobene ne-MS. Ungase uqaphele ukuthi eziningi iziphakamiso ezingezansi azizona nje "ukuqonda okuvamile," nazo yizinto izinto omama bethu abazama ukuzenza emakhanda ethu kulo lonke ubuntwana njengemikhuba eyisisekelo yamathebula.
Hlala uqonde. Kubalulekile ukuhlala i-ramrod-iqondile, hhayi kuphela ngenkathi bedla kodwa futhi okungenani imizuzu engu-30 ngemuva kokudla. Lokhu kusebenza kuzo zonke izimo, hhayi nje ngezikhathi zokudla - lokhu akusho ukuthi akukho i-lounging phansi ngenkathi kuqhuma i-nacho ngesikhathi se-Superbowl futhi akukho ukuyehlisa phansi esihlalweni sakho ngenkathi uhlanganisa ama-popcorn kuma-movie.
Yenza umzimba uhlole ngaphambi kokudla. Ngena ngaphakathi nomzimba wakho ngaphambi kokudla. Uma ezinye izimpawu zakho zisebenza, kunethuba elihle lokuthi i-dysphagia yakho izokhahlela, futhi-ngakho-ke kufanele ucabangele ukuhlafuna kancane nokukhetha kwakho kokudla (okungaphezulu kulokho endaweni elandelayo). Khumbula, ukukhathala kuzosiza ekugimeni izinkinga.
Futhi mhlawumbe akuwona umqondo omuhle ukudla ngaphandle kwesimo sezulu esishisayo, njengoba ukubekezelelana kokushisa kungaqinisa zonke izimpawu ze-MS .
Gwema ukudla okunzima, okomile, kanye nokwehla. Ukudla okunzima, okunamandla, okomile nokweqile, okufana ne-granola, kungashiya izinhlayiya emqaleni nasemphepheni wakho owenza i-dysphagia yakho ibe nzima. Ukwenza lokhu kudla (ukusho, ukufaka i-granola ebisi bese ushisa) noma ukugwema lezi zinhlobo zokudla ngokuphelele kungakusiza. Kungadingeka udle ukudla okunothile noma okuhlanzekile (esikhundleni se-granola, mhlawumbe zama i-oatmeal esheshayo).
Ungakhulumi nokudla emlonyeni wakho. Kanti futhi, uzizwa kangaki lokhu ngenkathi ukhula? Esikhundleni sokukhuluma ngokudla okunomlomo, zama ukudla ngokuthula, uhlafuna ngokugcwele ukudla kwakho, endaweni enokuthula. Uma udla isidlo sasemini nabangani noma ozakwabo, qiniseka ukuthi uhlafuna kahle ngaphambi kokuba ungene.
Yidla okuningi ngengqondo. Esikhathini sethu esibucayi, kuvame ukudla uma ugijimela noma uvula ukudla ngenkathi wenza enye into kunokukhipha imizuzu engu-20 ukuze ugxile ekudleni kwakho. Kodwa nge-MS ukugwinya ubunzima, unesizathu esiningi sokwenza umcimbi ngaphandle kokuphazamiseka ukuze ukwazi (ukunakekela ngokucophelela) wonke ama-bite-futhi cishe uzothola ukuthi lena indlela ejabulisayo kakhulu yokudla!
Zama le nqubo: Beka ukudla emfolokheni yakho bese uyibeka emlonyeni wakho. Beka ifolishi yakho phansi. Cheng ukudla kwakho kahle, bese ugwinya. Ungalokothi uthathe imfoloko yakho kuze kube yilapho umlomo wakho ungenalutho. Lokhu kuzokuvumela ukuthi usebenze ngomgogodla ngamunye ngaphambi kokuqala ukuxoxisana ngokuluma okulandelayo.
Tuck chin yakho. Zama ukufaka isikhumba sakho esibheke esifubeni sakho kancane ngenkathi ugwinya. Ukuhambisa i-chin yakho in in half-half inch ivimbela imimoya yomoya, ukuvimbela ukudla kanye noketshezi ukungena emagcekeni akho okuphefumula .
Yidla ukudla okuncani kaningi kunokudla okungaphezu kwezikwele ezintathu ngosuku. Njengomunye umsebenzi oqhubekayo, singakwazi "ukugwinya ukukhathala," lapho imisipha yethu ikhathele futhi ukunakekelwa kwethu kuqala ukuzulazula ekupheleni kwesidlo esikhulu.
Esikhundleni sokuzama nje "ukufeza" ngokudla okufakela ngokusheshisa futhi ngokuthatha izinyembezi ezinkulu, zama ukudla ukudla zibe izingxenye ezincane. Kuyoba lula ukudla kancane futhi ugxile ekulumeni ngalunye.
Okunye okuphakathi kokungcola nokuqina. Kwabanye abantu, ukugwinya izingqinamba kubonakala njengezinkinga ekutholeni ukudla kuze kube yilapho kuhamba phansi. Kungase kube usizo ukuthatha isipuni esincane noma ezimbili ketshezi phakathi kokukhala. Lokhu kuzogcina ukudla kumanzi futhi kuhamba. Qedela isidlo sakho ngezinye izitshalo.
Khuluma nodokotela wakho mayelana nama-thickening agents. Kwabanye abantu, iziphuzo ezincane zivame ukwehla "indlela engafanele," kubangele ukuqhuma nokukhwehlela. Kukhona abaqashi begazi abangakwazi ukungezwa ezitsheni ukuze babasize behle kakhulu. Iziphuzo eziphambene nezidakamizwa zokuhweba zingathengwa ezitolo zezidakamizwa kanye nama-pharmacy. Kodwa ngenxa yokuthi ezinye zazo zenziwe izithako zoshukela, futhi zingase ziholele ekudambiseni amanzi uma zithembeka kakhulu, kuwumqondo omuhle ukukhuluma nodokotela wakho kuqala.
Imithombo:
Inkantolo, uSusan Wells. Ukuqwashiswa kwesimpawu: Izinkinga zokuhlunga. Umgqugquzeli. (Ishicilelwe yi-Multiple Sclerosis Association of America) Fall 2007; 38-39.
URandall T. Shapiro. Ukuphatha Izimpawu Ze-Multiple Sclerosis (5th ed.) . I-New York: Ukushicilelwa Kwezokwelapha ze-Demos, ka-2007.
Isikhungo Sezinsiza Zase-Multiple Sclerosis. Ukwehlisa Izinkinga.
Walker, Katherine, noSelinger, uMarilyn. Ukwehlisa Izinkinga (Dysphagia) ku-Multiple Sclerosis: Indlela Yomhlinzeki. Umnyango we-US of Veteran Affairs, September 2009.