Izimpawu zingathinta impilo yesikhathi eside kanye nekhwalithi yokuphila
Ukungasebenzi kahle kwesinye isinye sezibonakaliso ze- multiple sclerosis (MS) kungenzeka ukuthi kungenzeka ukuthi ungaba nabangani noma umndeni. Phela, kuyinto eyodwa ukukhononda ngezinkinga zesisindo noma izinkinga zombono ; kungenye ukuxoxa ngokungahambisani nomzimba noma ukuzwa sengathi kufanele uhambe ngaso sonke isikhathi.
Njengoba kuphazamisekile njengoba izimpawu zingase zibe kuwe, kubalulekile ukungabi nandaba nabo.
Kunezinhlobo eziningi zokwelapha ezitholakalayo namuhla ezingasithuthukisa umsebenzi we-urinary, kanti ukudla okulula nokuphila "okulungiswayo" kungakusiza ukuthi uphathe kangcono izimpawu zakho, ngokuvamile ngokucindezeleka okuncane noma umthelela empilweni yakho.
Sibutsetelo
Ukungasebenzi kahle kwesibindi kubonakala okungenani amaphesenti angu-80 abantu abahlala ne-MS. Ngaphezu kwalokho, abangaba ngu-96 amaphesenti abaye banesifo iminyaka engaphezu kwengu-10 bazobhekana nokucindezeleka kwamanzi okubangelwa yisimo sabo.
I-multiple sclerosis ibonakala ngokuphendula okungavamile kwamagciwane omzimba okudala ukulimala kwesembozo sokuvikelwa kwamangqamuzana omzimba (okubizwa ngokuthi i- myelin sheath ). Lo monakalo uholela ekwakheni izilonda ebuchosheni kanye / noma umthambo womgogodla okuphazamisa izimpikiswano zesibindi ezilawula ukunyakaza, umbono, izinzwa, izinqubo zokucabanga, nemisebenzi yomzimba njengesilawuli sesikhumba.
Izimbangela
Ukukhubazeka kwesibindi ku-MS kwenzeka lapho izimpawu zombane ku-sphincter yesigqila nesigqabhagqabhagqabha zilibazisekile noma zivinjelwa izilonda ezithuthuka emthonjeni womgogodla.
Ukungasebenzi kungenziwa ngezizathu ezintathu:
- Isisu sinesipastiki, okwenza kube nzima ukugcina umchamo.
- I-sphincter i-spastic, ivimbela isisu ukuba singabikho ngokuphelele.
- Isikhwama sinama-flaccid futhi asikwazi ukuyibophezela, okuholela ekugciniwe komchamo.
Izimpawu Nezibonakaliso
Izimpawu zesifo sokushisa kwesinye sikwazi ukuhluka ngokulingana nobukhulu bezilonda.
Kwezinye izimo, izimpawu zizoba mnene futhi ziphele. Kwezinye, zingase ziphikelele futhi zibe nzima. Izimpawu zemigodi zingachazwa ngenye yezindlela ezine:
- Ukulinganisa kunzima ukuchama uma uzwa isidingo. Kwabanye, kungathatha isikhathi eside ukuqala ngenkathi abanye bengakwazi ukugcina ukugeleza okuqhubekayo.
- Ukuphuthumayo yisidingo esiphuthumayo, esinamandla sokuzulazula kuhambisane nokugijima okungaqondakali kahle kwesikhumba.
- Ukuvama kunesidingo sokuvuthwa kaningi kakhulu kunokujwayelekile. Lokhu ngokuvamile kwenzeka ebusuku, kubangela ukuphazamiseka kokulala.
- I-incontinence yilapho ongakwazi khona ukulawula umsebenzi we-urinary.
Uma ukungasebenzi kwesibindi kushiywe kungaphathwa, kungabangela ukulimala okuhlala njalo emgqeni we-urinary. Amatshe e-Urinary kanye nezifo zokuvuthwa kwe-urinary (UTIs) zivame ukukhula uma isilonda singakwazi ukungena lutho. Ukuvuza okungapheli kungaholela nasezikhungweni zesikhumba zendawo. Ezimweni ezinzima, i- urosepsis engase ibulale ingase ihlakulele uma ukutheleleka kwamagciwane kusakazeka egazini.
Njengoba kuphazamiseka umthelela wokungasebenzi kahle kwesibindi ekuthuleni kwengqondo komuntu nendlela yokuphila. Kuyinto engavamile ukuthi abantu abanezinkinga zokulawula isisindo bazihlukanise noma bavimbe imizila yabo yansuku zonke, ngokuvamile befaka umthwalo wokucindezeleka ovame ukubonwa kubantu abane-MS.
Ukuxilongwa
Uma uphenya ukukhubazeka kwesibisi, odokotela bavame ukuqala ngokuhlola i-UTIs. Uma imithi emihle, imithi yokwelashwa izobekwa. Uma kungenjalo, ezinye izivivinyo (eyaziwa ngokuthi urodynamic assessment) zizokwenziwa ukuze zihlolwe ukuthi isisindo nesisindo senza kanjani umsebenzi wabo wokugcina nokukhulula umchamo.
Ukuhlolwa kwe-urodynamic kuthatha imizuzu engama-30 ukwenza futhi kuhilela ukusetshenziswa komgodla omncane ukugcwalisa isisindo nesilinganiso sokurekhoda.
Izinketho zokwelapha
Njengenkathi ukucindezeleka kwesibindi okucindezelayo ngezinye izikhathi kungase kube, izimpawu ze-urinary ngokuvamile zilawulwa ngempumelelo ngemithi, ukuguqulwa kokuphila, nezinye izindlela zokwelapha.
Ezinye zezokwelapha ezivamile zihlanganisa:
- Iziguli ezine- vesipare (islifenacin), i-Sanctura (i-trospium chloride) ne-Myrbetriq (i-mirabegron).
- Iziguli ezine-sphincter ezingasebenzi ngokweqile: I- Alpha-adrenergic block block agents, njenge-Flomax (tamsulosin), i-Uroxatral (alfuzolin), i-Cardura (doxazosin) ne-Rapaflo (i-silodosin), isetshenziselwa ukukhuthaza ukugeleza komchamo ngokusebenzisa i-sphincter. Ngaphezu kwalokho, izidakamizwa ze-antispastic, ezifana ne-Lioresal (baclofen) ne-Zanaflex (tizanidine), zingasetshenziswa ukuphumula umsizi we-sphincter.
- Iziguli ezine-vesipheral flaccid: I- self-catheterization yangaphakathi, lapho ibhubhu elincane lifakwe kwisigaxa ukuze sikwazi ukuvumela ukuvuthwa okungcono.
Ezinye izindlela zokwelashwa zihlanganisa izindlela zokwelapha ezifundisa abantu ukuthi bangakwazi kanjani ukulawula ukungenisa okuneziketshezi nokuhleleka ukuhlela ukuchama ngesikhathi sekhaya, emsebenzini, noma ukubandakanyeka komphakathi.
Izindlela zokudla zihlanganisa ukuvinjelwa kwe-caffeine, utshwala, nejusi (okugcina okukhuthaza ukukhula kwebhaktheriya) kanye nokusetshenziswa kwe-cranberry juice noma amaphilisi (okuvimbela ukukhula kwamagciwane).
Amacala amakhulu angadinga izinqubo zokuhlinzwa, kufaka phakathi ukufakelwa kagesi, okubizwa nge-InterStim, okugqugquzela ama-sacral nesisulu futhi kusize ukwelapha isisu esibi kakhulu. I-Botox ingasetshenziselwa ukuphatha isilonda esingasebenzi.
> Imithombo
> National Multiple Sclerosis Society. " Umsebenzi we-Urinary no-MS ." I-New York City; 2016.
> Williams, D. "Ukulawulwa kwesisindo sokudla kwesinye kwesinye seziguli ezine-multiple sclerosis." U-Nurs Stan. 2012; 26 (25): 39-46.