Naphezu kwamasokisi ashubile, afudumele kanye nengubo epholile egibele imilenze yakho, ingabe usazithola ulwa nokungahambi kahle, izinyawo ezibandayo? Nakuba kunzima futhi kungakhathazeki, okukodwa ukuthi, njengezinye izimpawu ezibuhlungu ze-multiple sclerosis (MS), kunezindlela zokulwa nezinyawo ezibandayo.
Ukuqonda i-Dysesthesia
Ngesikhathi i-MS yayivame ukubhalwa isifo esingenabuhlungu besifo sezinzwa, ochwepheshe manje bayazi ukuthi lokhu akukona iqiniso.
Eqinisweni, kuze kube yingxenye yabo bonke abantu abane-MS bazwa ubuhlungu ngesikhathi esifanayo esikoleni sabo sesifo, kanye nokuhlupheka okuningi okungapheliyo.
Futhi kunezinhlobo ezahlukene zobuhlungu umuntu one-MS angase abe nakho, njengobuhlungu obusweni obukhulu be- neuralgia ye- trigeminal noma ubuhlungu be-eyeball ye- optic neuritis . Uma kuziwa ngezinyawo ezibandayo, ochwepheshe be-MS babiza lobuhlungu ubudyshesia .
Ubuhlungu be-dysesthetic bubhekisela ekuzweleni okungavamile okungajabulisayo, okungaba buhlungu, futhi kungenzeka noma kuphi emzimbeni, nakuba kuvame ukutholakala emilenzeni nasezinyaweni. I-Dysesthesias ingenzeka ngokwayo noma ingabangela into ezweni langaphandle, ngokuvamile ngokushintshwa kokushisa noma sezulu. Futhi bavame ukubi nakakhulu ebusuku futhi banomzimba wokuzivocavoca.
Yiqiniso, lokhu okubhekwayo mayelana ne-dysesthesias akuyona imithetho enzima futhi okusheshayo, ngakho-ke kungenzeka ukuthi akusilo kuwe, okulungile. Njengoba nje izimpawu ze-MS zihlukile kumuntu ngamunye, kanjalo nezikhathi nezimpawu zalezi zimpawu.
Ukuqwashisa uhlelo lwakho lwezinzwa
Wena noma othandekayo wakho ungabona ukuthi izinyawo zakho zifudumele ukuthinta, naphezu kokuthi zizwa zibandayo kuwe. Lokhu kungenxa yokuthi e-MS ukumboza okuvikelayo okuzungeze izintambo zesibindi emqondweni wakho kanye nentambo yomgogodla, ebizwa ngokuthi isimiso sakho sezinzwa zomphakathi, sonakalisiwe. Lo monakalo uholela ekukhulumisaneni kwezinzwa ezingalungile ezingabangela imilayezo ebuhlungu ebuhlungu ukuba ithunyelwe ebuchosheni bakho.
Ngamanye amazwi, izinyawo zakho empeleni zifudumele, kodwa ucabanga ukuthi zibanda ngoba isimiso sakho sezinzwa sitshela ukuthi sibanda.
Ukwehliswa Kwesistimu Yezinzwa Kungabangela Ukuhlupheka Okungapheli
Kuyafaneleka ukuphawula nokuthi nge-dysesthesias nezinye izinhlobo zobuhlungu, ukuvuselelwa kwesistimu yakho yezinzwa kungase kuthuthuke futhi kungaholela ekubukeni okungapheli kwabanye abantu. Ngokuqondile, ngokuzwa isimiso sezinzwa, izimo ezimbili zingase zithuthukiswe ngokuthi i- allodynia ne- hyperalgesia .
I-Allodynia isho ukuthi isisusa esibuhlungu njenge-touch light noma umoya opholile udala ubuhlungu. I-Hyperalgesia ibhekisela ekuzweleni okwenyuka ebuhlungu. Isibonelo, i-pinprick ezinyaweni zakho, okuvame ukulimaza kancane, ingase izwe njengomunwe obukhali ukusika ezinyaweni zakho.
Kubalulekile ukuthi uqaphele ukuthi izinyawo ezibandayo nezinye izimpawu ezizwakalayo ngokuvamile azibonakali ukuthi i-MS yakho iyaqhubeka ihamba kakhulu, ikakhulukazi uma izimpawu ziyeza futhi zihamba. Kodwa uma ubona izinyawo ezibandayo okokuqala, kubalulekile ukukhuluma nodokotela wakho ngoba kungaba isibonakaliso sokuphindaphinda kwe- MS noma enye inkinga yezokwelapha ngokuphelele.
Ezinye izimo ezingabangela izinyawo ezibandayo
Izibonelo zezinye izimo zezempilo ezingabangela izinyawo ezibandayo noma ezibuhlungu zifaka:
- I-thyroid engasebenzi (okuthiwa i- hypothyroidism )
- Izinkinga zezimpahla zegazi (isibonelo, isifo se-peripheral arterial disease )
- Isifo sikashukela (izinyawo ezibandayo zingabangela kokubili ukusakazwa nezinkinga zesisindo)
- Isimo sikaRaynaud
Amathiphu Wokuphatha Izinyawo Zakho Eziqinile
Ngaphandle kokufudumala izinyawo zakho ngezingubo noma ukugubha izinzwane zakho ngaphansi komlenze womlingani wakho noma umzimba wesilwane sakho, nansi amanye amacebo, kokubili kwezokwelapha nokuziphatha, ukukusiza ukuphatha ukungakhululeki kwakho.
Khumbula, ukuxoxisana nodokotela wakho kuqala. Njengengxenye, futhi, uma uzama ukufudumala izinyawo zakho, qaphela ukunamathela emanzini ashisayo noma usebenzisa i-pad yokushisa njengoba ungafuni ukubangela noma yikuphi ukushisa.
Ukuphazamiseka
Ukuphazamiseka kungenelela okukhulu kwengqondo ekulawuleni ubuhlungu njengoba kuphoqa ubuchopho bakho ukuba bugxile ebuhlungu bakho bese ufaka umsebenzi owenziwayo, ikakhulukazi uma lo msebenzi ufuna ngokungafanele.
Uma izinyawo zakho zikukhathaza, cabangela ukuzama enye yalezi zindlela zokuphazamisa. Khumbula, noma kunjalo, kuye ngokuthi ubukhulu noma ubunjani bokungahambi kahle kwakho, kungase kudingeke uhambe ngamasu ahlukene ngaphambi kokuthola okukusebenzelayo:
- Ukufunda incwadi
- Ukushayela umngani efonini
- Ukudlala umdlalo wevidiyo
- Ukulalela umculo noma i-podcast
- Ukubala noma ukudweba
- Ukuqedela iphazili
- Ukuthutha
Ukwelashwa Okuhambisanayo
Ukwelashwa okuhambisanayo okufana nokuxilongwa, ukucubungula-ukuziphatha kokwelashwa, nokuzindla kwengqondo kungasiza kakhulu ekulawuleni ubuhlungu bakho, kanye nezinye izibonakaliso ze-MS yakho njengokukhathazeka noma izinkinga zokucabangela.
Imithi
Yiqiniso, uma izinyawo zakho ezibandayo zithinta kakhulu izinga lakho lokuphila noma ziphazamise ukusebenza kwakho (isibonelo, uma uwela noma ungasebenzi noma ubona abangani nomndeni wakho), qiniseka ukuthi ukhuluma nodokotela wakho.
Kukhona imithi enganciphisa ubuhlungu bakho njenge-tricyclic anti-depressant Elavil (amitriptyline) noma i-serotonin-norepinephrine inuperake inhibitor I- Cymbalta (duloxetine). Ngezinye izikhathi imishanguzo ye-antiseizure esetshenziswa ekwelapheni ubuhlungu be-neuropathic ingasiza kakhulu njengeNeurontin (gabapentin) noma i-Lyrica (pregabalin).
Kodwa ezinye zalezi mithi, zinemiphumela emibi njengobuthongo, okuyinto wena nodokotela wakho okumele usebenze ngayo.
I-capsaicin cream ye-topical ingenye indlela ongakhetha ngayo ngezinyawo zakho, nakuba uqiniseke ukuthi ukuxoxa ngayo nodokotela wakho kuqala ngaphambi kokufaka isicelo.
Ezinye zokwelapha
Ngaphezu kwalokho, ungadinga ukwelashwa ngokomzimba noma ukwelapha emsebenzini uma izinyawo zakho ezibandayo zikhubaza ukuhamba kwakho nokulinganisela. Ukuvakashelwa njalo kumuntu we-podiatrist (udokotela wezinyawo) ukuqinisekisa ukuthi izinyawo zakho zivela enempilo ngaphandle kwezilonda, kanye nezicathulo ezikhethekile ezibizwa ngokuthi ama-orthotics nazo zingavunyelwa. Ukubona udokotela noma isifo sengqondo kungase kube usizo njengoba ubuhlungu ekufweni kwe-multiple sclerosis kungabangela ukucindezeleka noma ukukhathazeka okubi nakakhulu.
Izwi elivela
Izinyawo ezibandayo ziyisibonelo esisodwa sezibuhlungu ezitholakala ku-MS. Kunezinye izinhlobo eziningi zobuhlungu, okunye okuvela emqondweni, njenge-MS spasticity, kanye nezinye ezingagcini ngokusuka ezinkingeni zezinzwa, kodwa ekubeni ne-MS (isibonelo, ubuhlungu emuva emuva kokungahambisani nokungahambisani okuhlobene ne-MS yakho).
Kungakhathaliseki ukuthi yikuphi, ubuhlungu ku-MS bungadambisa, kokubili ngokomzimba nangokwengqondo. Sicela ufune isiqondiso ku-neurologist yakho noma isazi sezinhlungu-ungathola amasu ukuze uzizwe ungcono.
> Imithombo
> Drulovic J, Basic-Kes V, Grgic S, et al. Ukusabalala kobuhlungu kubantu abadala abane-sclerosis amaningi: Ucwaningo olunezinhlangothi eziningi. Imithi Yezinhlungu . 2015 Aug; 16 (8): 1597-602.
> Iannitti T, Kerr BJ, Taylor BK. Izindlela kanye nemithi yezobuhlungu be-neuropathic ku-multiple sclerosis. Izihloko zamanje ezincwadini ze-Neuroscience zokuziphatha. 2014; 20: 75-97.
> Jameson E, Trevena J, Swain N. Ukudlala kwe-elekthronikhi njengokuphazamiseka kobuhlungu. Umphathi we-Pain Res . 2011 Jan-Feb; 16 (1): 27-32.
> National Multiple Sclerosis Society. Izimpawu ezizwakalayo nobuhlungu.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (2017). Izici zomtholampilo ze-multiple sclerosis kubantu abadala. Gonzálex-Scarano F, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.