Izimpawu eziningi ze-Sclerosis

Izimpawu eziningi ze-Sclerosis

I-Multiple Sclerosis (MS) yisifo esiyinkimbinkimbi esingaba yinselele ukuxilonga, ikakhulukazi ngenxa yokuhlukahluka kwezimpawu ezibangelwayo. Ngamanye amazwi, i-MS ibonakala ngokukhethekile kumuntu ngamunye othintekayo. Yingakho umngane oyedwa onama-MS angase abonakale esebenza kahle, futhi omunye umngane onomsebenzi we-MS akakwazi ukusebenza ngenxa yokukhubazeka okuhlobene ne-MS.

Ngaphandle kwezinhlobo ezihlukile zezimpawu ezibonwe ku-MS, izimpawu ziyahlukahluka esikhathini eside; ezinye ziza futhi zihambe, ezinye zihlala njalo.

Futhi, izimpawu ziyahlukahluka-ezinye zinomusa futhi zithwala, kanti ezinye zinzima futhi zikhubaza.

Ngenkathi kunezinhlobo eziningi zezimpawu ze-MS ezikhona, zikhona ezinye ezivame kakhulu kunabanye, njengokuzwa okungavamile, ukukhathala, izinkinga zesibindi, nokucindezeleka.

Izimpawu Ezivame Ukwedlula Zonke Ze-Sclerosis Eningi

> Buka kokubili izimo ezivamile zokukhubazeka.

Ebuchosheni nasemthonjeni womgogodla, ama-fibrous nerve (axx) anesibopho sokudlulisela impulses kusuka kwesinye isisindo selinye kuya kwesinye.

• Indlela imisipha yakho ethinteka ngayo ku-MS

• Indlela i-Fibromyalgia ne-MS efana ngayo futhi ehlukile

Umgogodla we-myelin, owuzungezile futhi ugqoke lezi zinkimbinkimbi zemisipha, yilokho okuvumela lezi zimo ukuba zihambe kahle futhi ngokushesha.

E-MS, isimiso somzimba sokuzivikela somuntu sihlaselwa emgodleni we-myelin, noma silimaza noma siwuchitha. Lokhu kuphazamisa ukubonakaliswa kwesibindi, okwenza izimpawu ze-MS zibonakale. Ngakho-ke, izimpawu ziyahlukahluka kuye ngokuthi yiziphi izindlela zokuguqula izinzwa ezithintekile.

Izimpawu ezihlobene nobuhlungu

Izinzwa ezisendlini yakho yomgogodla zilawula imisipha emzimbeni wakho. Ngakho lapho ukukhulumisana kwemizwa kungaphumeleli, izimpawu ezihlobene nomzimba zingase ziphakame. Esinye sezibonakaliso ezihlobene nemisipha e-MS kunobuthakathaka .

Njengoba ungacabanga, ubuthakathaka ezandleni noma ezandleni zingenza kube nzima ukuthi umuntu aqede imisebenzi eyisisekelo efana nokupheka, ukuxubha amazinyo, noma ukuthwala ingane. Ukungabi namandla emilenzeni, ezinyaweni nasezinyaweni kungabangela ukuwa futhi kunzima ukuhamba. Kubalulekile ukuqonda ukuthi ubuthakathaka akuwona njalo uphawu olubonakalayo, futhi kungaba nzima kumuntu ohlangabezana nalo ukuchaza.

I-Spasticity (ubuhlungu obunzima bemisipha engavumelani) yinye isifo esihlobene nesisipha ku-MS. Kuvame kakhulu emilenzeni, kodwa kungenzeka ezandleni, ezingxenyeni, nasezindaweni eziphansi. Ukuqina kwe-spasticity kuyashintsha kakhulu-abanye abantu bachaza ukuqina okuqinile noma ukuqina, kuyilapho abanye benesisindo esinzima, esibuhlungu esicindezelayo esonakalisa ukunyakaza noma ngisho nokuma.

Ukudumala (ukuzamazama okungekho kokulawula kwakho) kungase kwenzeke naku-MS futhi kungathinta izingalo, imilenze, ikhanda, umzimba, noma imisipha elawula inkulumo noma ukusebenza kocansi.

Kunezinhlobo ezimbili eziyinhloko zokuzamazama ku-MS.

• Ukuthuthumela ngokweqile: kubonakala ngokuthuthumela uma umuntu efinyelela okuthile

• Ukuzamazama okukhulu: kuboniswe ukuphakama okukhulu kwezandla nemilenze

Izindaba ezinhle ukuthi ukwelashwa ngokomzimba nangokwenyama kungakusiza ukuba uphathe izinkinga zakho zemisipha ngokusebenzisa umzimba, ukubhusa, namadivayisi okusiza.

Ukukhathala

Kubantu abaningi abane-MS, ukukhathala yisishalazo sabo esibucayi kakhulu-futhi ngokuvamile asiqondwa kahle, senezela ekukhungeni kokubhekana nalesi sibonakaliso. Into ephathelene nokukhathala yukuthi akuyona nje ukukhathala okunganciphisa ukuphumula kwekati noma ukuphumula. Ukukhathala ngokwemvelo kwe-MS kuyinkimbinkimbi enkulu, yomzimba wonke ongenza imisebenzi eyisisekelo efana nokuvuthwa, ukudla, noma ngisho nokukhuluma okungenakubekezeleka.

Abantu abaningi abane-MS baphinde bachaze ukukhathala kwengqondo, okubhekwa ngokuthi ubuchopho obuchopho , lapho imisebenzi yansuku zonke efana nokugxila engxoxweni noma ukubukela ibhayisikobho ingaba yinselele futhi engathandeki ngokweqile.

Ingxenye eyinkimbinkimbi mayelana nokukhathala e-MS ukuthi ingabangelwa yisifo ngokwayo (ukuxoshwa komzimba okwenzeka ebuchosheni nasemthonjeni womgogodla) noma ezinye izinto ezifana nalezi:

• Imithi ehlobene ne-MS (kokubili izifo eziguqula isifo kanye nalabo asetshenziselwa ukuphatha izimpawu ezithile)
• Izinkinga zokulala eziphambili (isib. Ukuleleka nokugula okungenalutho kujwayelekile ku-MS)
• Izinkinga zokulala ezihlotshaniswa nezinye izimpawu ze-MS (njengesiviva esingasebenzi ngokweqile noma izikhwama zamascle ezikugcina ebusuku)
• Ukushisa ukushisa
• Ukucindezeleka

Yingakho ukuhlukanisa izimbangela zokukhathala kwakho ne-neurologist yakho kubalulekile. Kungase kube inqubo eyinkimbinkimbi, kodwa kuyafaneleka.

Eqinisweni, kunezindlela eziningi zokulwa nokukhathala kwe-MS . Enye yezindlela ezinhle kakhulu ngokusebenzisa uhlelo lokusebenza noma uhlelo lwe-yoga. Ungabhale amakhanda akho lapha, njengoba kunesayensi yesayensi ukubuyisela emuva lokhu, yize kubonakala kungenakuphikisa.

Izimpawu ezizwakalayo nobuhlungu

I-MS ngokuvamile ibangela izinhlobonhlobo zezinzwa ezingavamile njenge- numbness kanye nokugubha , ukuvutha, ukugubha , ukugunda, ukuchoboza, ukuqina, ukushaya, ukugwaza, ukukhipha, noma ukucindezela-futhi kungenzeka noma kuphi emzimbeni. Nakuba ezinye zezimpikiswano ezithinta izinkinga zingaphezu kokukhathazeka, ezinye zingaba buhlungu futhi zikhungathekise.

• I-Multiple Sclerosis Namahlo Akho

• I-Multiple Sclerosis Hug Pain izwa kanjani nokuthi uyayiphatha kanjani

Ayikho incazelo enhle yokuthi kungani abanye abantu bezwa ubuhlungu ku-MS nabanye abangekho.

Esinye isibonakaliso esithinta izinzwa ngezinye izikhathi sibonakala kubantu abane-MS sisho uphawu lukaLhermitte . Lokhu kwenzeka lapho umuntu ethinta izinyane lazo esifubeni sakhe, okubangela ukuzwa okungazelelwe, kagesi kagesi okuphuma entanyeni yakhe kuze kube semfuleni. Akubonwa kuwo wonke umuntu onama-MS, kodwa lapho ekhona, kubonisa ukuthi i-MS yomuntu ithinte izinzwa ezithile ngaphakathi komgogodla.

Okubizwa okuthiwa i- MS kunesinye isibonakaliso sobuciko futhi sibonakala ngokuqina eduze kwesifuba noma isisu (kungathinta futhi izingalo nemilenze).

Ukwelapha kungenziwa ngokuvumelana nohlobo lwezimpawu ezizwakalayo umuntu azizwayo. Isibonelo, ukusikhipha, ukulula, i-muscle ephumuzayo, kanye nedivayisi yokuhamba yokusiza ingasiza othile onomlenze ngenxa yokuphulukisa, kanti imithi ethile ye-anticonvulsant ingasiza umuntu onenkinga enkulu "yezikhonkwane nezinaliti."

Izimpawu ezicatshangelwayo

Ukungasebenzi kahle kwengqondo kuthinta cishe isigamu sabo bonke abantu abane-MS futhi ngokuvamile kufaka izinkinga ngememori, ukunakekelwa, ukuhlushwa, ukuthola amagama, nokucubungula ulwazi kusuka kwendawo yakho.

Izinkinga ngokuqashelwa kungaba nemiphumela ebalulekile engokomzwelo nangokwenhlalo, njengoba umuntu engase azizwe engakhululekile ukuxhumana nabanye. Bangase bakhathazeke ngokuthi ngeke bakwazi ukuthola amagama abo engxoxweni noma bahlanganyele kanye nokuzilibazisa noma umsebenzi njengaphambi kokuhlolwa kwabo kwe-MS.

Izindaba ezinhle ukuthi izimpawu zengqondo zivame ukucabangela. Empeleni, zivame kakhulu ukubona umuntu obhekana nabo kunabanye. Futhi, kunezindlela eziphumelelayo nezilula zokulawula izinkinga zokucabanga , ngakho ungazizwa ukhululekile futhi uqiniseka futhi usebenzisa ubuchopho bakho.

Ukucindezeleka

Ukucindezeleka kuwumthombo omkhulu wokucindezeleka kubantu abane-MS, futhi kungenzeka kunoma yisiphi isigaba. Ngokuvamile kuyisimangaliso esingabonakali njengokhathala, ukukhathazeka, noma ubuhlungu, ngakho kunzima kakhulu ukubona abathandekayo ngisho nawe ngokwakho.

Njengokukhathala, imbangela yokucindezeleka ingabangelwa ukuxoshwa okwenzeka ebuchosheni, kusuka emithini ehlobene ne-MS (ikakhulukazi i-interferon isifo-sokuguqula izifo ezifana ne- Avonex , i- Betaseron , noma i- Rebif ), kanye / noma ukucindezeleka kokuphila nesifo esingapheli .

Izimpawu zokucindezeleka ziyahlukahluka kakhulu, kodwa zivame ukufaka ukuzwa phansi futhi / noma ukulahlekelwa injabulo noma intshisekelo kwimisebenzi owake wajabulela okwesikhashana okungenani amasonto amabili. (Sonke sinemihla ephansi, kodwa ukucindezeleka kuqhubeka.)

Ezinye izimpawu zingabandakanya:

• Ukuzizwa okunzima futhi kwansuku zonke kokuphelelwa yithemba kanye / noma icala
• Ukulahlekelwa kwesifiso (futhi ngokuvamile, ukwanda kwesifiso)
• Ukuphazamiseka kokulala (ukulala okuncane noma okuncane kunokujwayelekile)
• Ukulahlekelwa intshisekelo kwezocansi
• Ama-aches nomzimba ongahlosiwe
• Ukulahlekelwa amandla
• Imicabango yokuzibulala

Uma unayo eyodwa noma ngaphezulu yalezi zimpawu, noma ukhathazekile ngempilo yakho yengqondo noma impilo yengqondo yabathandekayo, sicela ubhekane nezinkinga zakho nochwepheshe wezempilo . Futhi, qiniseka ukuthi ufuna usizo lwezokwelapha ngokushesha uma uzicabanga ngokuzibulala noma uziphathe ngokuzibulala.

Izimpawu zesisu nesibindi

Ungazizwa uwedwa noma unamahloni uma unenkinga ye- vestiva-kwenzeka emaphesenti angama-80 abantu abane-MS futhi ingafaka:

• Ukujikeleza njalo kaningi
• Ukuphuthuma noma ukungabaza lapho uchama
• Ukulahlekelwa kokulawula ukuchama

Ukutheleleka kwamagciwane e-Urinary nakho kuvamile ku-MS, futhi ngezinye izikhathi kungase kube nzima ukuhlukanisa ukuthi yisiphi isifo ngokumelene nokuthi yiyiphi i-MS yakho. Ngezinye izikhathi kokubili, njengoba ukutheleleka kungabangela ukuphindaphinda kwe- MS . Uma izinkinga zakho ze-vestidi ezihlobene ne-MS zanda noma zibonakala zihlukile, qiniseka ukuthi uxhumane ne-neurologist yakho, ukuze ukwazi ukuthola ukunakekelwa okufanele.

Izinkinga ze-bowel, ikakhulukazi ukuqotshwa , nazo zivame ku-MS. I-diarrhea nayo ingenzeka. Isimbangela sezinkinga zamathumbu e-MS kungenzeka ngenxa yokulahlekelwa kwe-myelin ezungeze izintambo zomzimba ezinomthwalo wokuthumela imiyalezo phakathi kobuchopho namathumbu. Imithi, ukuntuleka kokuhamba, ukucindezeleka, nokukhathala kungabasiza nasezinkingeni zezinyosi, ikakhulukazi ukuqotshwa.

Ukuvimbela izinkinga zamathumbu kungenzeki okokuqala ukubheja kwakho okuhle kakhulu. Lokhu kungafezwa ngokwanele kokudla okune-fluid kanye ne-fiber, nokuzivocavoca nsuku zonke.

Abanye abantu badinga izithameli ezisezingeni eliphansi noma izidakamizwa ukuze zigcine umuthi ojwayelekile wesiguli, kodwa lokhu kufanele kwenziwe kuphela ngaphansi kokuqondiswa udokotela.

Ukukhubazeka ngokocansi

Lokhu kungaba isihloko esibucayi kakhulu futhi esinzima ukuxoxisana nomlingani wakho nodokotela, kodwa sicela wenze-ukuhlukunyezwa ngokocansi kuyisikhalazo esivamile ku-MS, futhi kunezinhlobo eziningi zokwelashwa ezitholakalayo.

Izibonelo ezijwayelekile zezinkinga zocansi e-MS zihlanganisa:

• Ukubunzima ukugcina ukulungiswa
• Kunzima ukuthola i-orgasm
• Ukulahlekelwa kwe-libido
• Ukunciphisa noma okwandisiwe (okungakhululekile) kwendawo yangasese
• Ukomisa kwamagagasi

Izinkinga zembono

Izinkinga zembono zivamile, kepha ngokuvamile ziholela ekumpumpheni (ukwesaba okuqondakalayo phakathi kwalabo abane-MS).

I-Nystagmus - ukunyakaza kwamehlo okungabonakali-kungenzeka ku-MS, ngezinye izikhathi ngokungazenzisi futhi ngezinye izikhathi ngokuphawulekayo kangangokuthi kuyonakalisa umbono.

Esinye isibonakaliso sombono esingahle sibe yimplopia , noma umbono ophindwe kabili . Lokhu kungaba uphawu oluphazamisayo olwenzeka lapho imisipha elawula ukunyakaza kwamehlo ifinyelelwa yi-MS. Kodwa izindaba ezinhle ukuthi i-diplopia ivame ukuhlala isikhathi esifushane.

I-neuritis esebenzayo nayo ingenzeka ku-MS, ikakhulukazi ezinyathelweni zokuqala. I-neuritis esebenzayo ivela lapho kukhona ukuvuvukala kwesibindi esithwala izibonakaliso kusuka kweso kuya ebuchosheni. Kungabangela umbono obonakalayo, ubuhlungu beso, noma ngisho nokuphuphutheka kwelinye iso, kodwa ngokuvamile kuyesikhashana.

I-Vertigo

Kunezinhlobo ezimbalwa zezimbangela ze- vertigo (inzwa oyiphendukayo) kumuntu onama-MS. I-Vertigo ingaba nomthelela ohlangothini ovela kumuthi noma inkinga yezindlebe zangaphakathi. Kungase kube ngenxa yokudonswa kwe-demyelination ku-brainstem (isiqu esixhuma ubuchopho kumgogodla).

Nakuba kungeyona umthetho okhuni futhi osheshayo, i-vertigo evela ku-MS ivame ukuqhuma ngokunyakaza okuthile kwekhanda. Kubuye kuhlotshaniswe nokunyakaza okusheshayo kwamehlo, okungahlolwa udokotela wakho ekuhloleni ngokomzimba. Uma une-vertigo, udokotela wakho angase abuze ngezinye izimpawu ezingase zenzeke lapho i-MS ithinta ubuchopho be-brain, njengezinkinga zenkulumo (ukukhipha amagama noma ukukhuluma kancane) noma umbono ophindwe kabili.

Ukukhathazeka Kwezempilo Okungabukeka Njengama-Multiple Sclerosis

Awekho igazi elilodwa noma ukuhlolwa kwe-imaging okungavumela ukuxilongwa kwe-MS . Kunalokho, i-neurologist yakho kufanele ihlole izibonakaliso zakho, yenza ukuhlolwa ngokomzimba, futhi ucabange ukuhlolwa okufana ne- MRI yobuchopho bakho kanye / noma umgogodla .

Ngamanye amazwi, ukuxilongwa kwe-MS kuwumsebenzi oyinkimbinkimbi, hhayi into ongayenza wena ngokwakho. Ngakho-ke zama ukungakhathazeki uma uhlangabezana nezimpawu ezifana ne-MS. Nciphisa ingqondo yakho ubone udokotela wakho. Ungathwali lowo mthwalo.

I-MS yisifo esixilongwa kakhulu, futhi kunezinye izimo zempilo eziningana (ezinye ezingathí sina kunabanye) kunokuba zingalingisa i-MS. Udokotela wakho uzofuna ukubusa labo bokuqala. Izibonelo ze-MS mimiksi zifaka:

• Ukuntuleka kwe-Vitamin B12
• Izifo ezizenzakalelayo njenge- Systemic Lupus Erythematosus noma i- Sjogren's syndrome
• Izifo ezithathelwanayo ezifana nesifo seLyme
• Izimo zesakhiwo ezifana ne -disc herniated

Izwi elivela

Akukho ukwelashwa kwe-MS okwamanje, kodwa kunezinhlobo eziningi zokwelapha eziguqulwayo zesifo ezitholakalayo. Lezi zindlela zokwelashwa zitholakale ukunciphisa inani le-MS liphinde libuye futhi liyekeze umsebenzi jikelele wesifo se-MS.

Lokhu kuthiwa, ngenxa yokuthi ukhathele, ubuhlungu, kanye / noma ukucindezeleka akusho ukuthi unayo i-MS. Ukubona udokotela ukuthola ukuhlolwa okuhle nokuxilongwa kubalulekile uma uhlangabezana nezimpawu ezifana ne-MS. Ufanelwe izimpendulo ukuthi kungani uzizwa ngendlela oyikho.

> Imithombo:

> Birnbaum, MD George. (2013). I-Multiple Sclerosis: Umhlahlandlela Wabahlengikazi Wokuthola Ukuxilongwa Nezokwelashwa, 2 Edition. ENew York, eNew York. I-Oxford University Press.

> National MS Society: MS Izimpawu. Kufinyelelwe: Julayi 16, 2016.

> Ziemssen T. Symptom Management in Iziguli Nge-Multiple Sclerosis. J Neurol Sci . 2011 Dec; 311 Ukusekela 1: S48-52.