Ukukhathala kungenye yezimpawu ezimbi kakhulu (uma kungenjalo) ezikhungathekisayo ku- multiple sclerosis (MS) , futhi imbangela yayo iyinselele ukuhlukana. Ngokuvamile, ukhathala ngokwemvelo nokucindezeleka kwengqondo ye-MS ukukhathala kubangelwa ukuhlanganiswa kwesifo ngokwayo nezinye izinto ezifana nemithi, imikhuba yokulala engafanele, ukucindezeleka noma ukungasebenzi.
Izindaba ezinhle ukuthi ngenkathi umthwalo ongapheli we-MS ukukhathala ungase ubonakale unzima, kunezinto ongayenza ukuze unciphise.
Nazi amasu angu-10 ongahlanganyela kuwo ukulwa nokukhathala kwakho futhi uzizwe ulungile-uyayifanele.
Ukuhlala Ukupholile Ukulwa Nokukhathala MS
Ukukhathala kungabe kubi kakhulu uma izinga lokushisa lomzimba lomuntu liphuma-lokhu kubizwa ngokuthi yi- Uhthoff . Ngokwesibonelo, ungabona ukuthi ukukhathala kwakho kwe-MS kudlulela ngesikhathi sokugeza okushisayo, ukuhamba kwehlobo ngaphandle, noma umkhuhlane. Lokhu kwandisa ukukhathala kwakho kwe-MS kungaba yinto ephawulekayo, abanye abantu baze besaba ukuthi babhekene nokuphindwa okusha kwe-MS. Izindaba ezinhle ukuthi ngesinqumo sokushisa, izimpawu zixazulula, ngakho ukukhathala kwakho kumele kudlule (noma emuva emuva kwesisekelo salo) uma upholile phansi.
Ukuvimbela lesi senzakalo ukuthi kwenzeke okokuqala ukubheja kwakho okuhle kakhulu. Amathiphu afaka:
- Ukugcina isimo sakho somoya ekhaya
- Ukuthwala umshayeli omncane nxazonke nawe noma amaphakethe e-ice ongakwazi ukunamathela ezembatho zakho
- Ukuphuza amanzi abandayo usuku lonke
- Ukufuna umthunzi lapho ngaphandle
- Ukucabangela isitsha sokupholisa
- Ukusebenzisa ekuseni noma kusihlwa lapho izinga lokushisa ngaphandle lipholile
- Ukugqoke izingubo zekotini ezigqamile, ezikhanyayo uma ngaphandle
Gcina amandla
Umqondo wokulondolozwa kwamandla ukuthi izidumbu zabantu abane-MS kudingeka zisebenze kanzima ukwenza noma yini-ukunyakaza, ukucabanga, nokuzwa-ngoba ukukhulumisana kwemizwa kunzima futhi kwancipha.
Lokhu kuvame ukuthi kungani ochwepheshe bacabanga ukuthi ukukhathala kwe-MS kungaphezu kokukhathala ngokomzimba kuphela. Ngokuvamile kuhlanganisa ukukhathala kwengqondo futhi, okubizwa ngokuthi "ubuchopho buchopho." Konke kuvele kugijime kalula.
Kungase kudingeke ucabange kusengaphambili ukuthi ungalondoloza kanjani amandla akho nsuku zonke. Lokhu kungaba yinto ekhohlisayo, kodwa uma ungena ekuhambeni komkhuba wakho, ukulondolozwa kwamandla kungaba yindlela enhle yokulwa nokukhathala kwakho. Izindlela ezimbalwa zokusebenzisa kahle amandla akho zihlanganisa:
- Ukwakha izikhathi zokuphumula esimisweni sakho, njengentambama yamaminithi angu-20 emini
- Ukuhlela imisebenzi ye-energy-draining imisebenzi efana nokuthenga, ukuhlanza, noma ukukhokha izikweletu ekuseni uma ungapheli amandla
- Cela umlingani wakho ukuthi athathe okungaphezulu kwemisebenzi yasendlini esindayo
- Ukusebenzisa i-scooter yakho noma isihlalo sabakhubazekile ukuze ujikeleze usuku lonke
Ukugcina Kulula
Ncishisa ukukhathazeka empilweni yakho ngangokunokwenzeka. Sula indlu yakho kanye nendawo yokusebenzela bese wenza ikhaya lakho libe isikhala esimeme, esifudumele, futhi esisebenzisekayo. Uchwepheshe wezisebenzi angasiza ngokukhethekile ekuqaliseni indawo esebenza kahle ekhaya nasemsebenzini ngokusekelwe ekunciphiseni kwakho kanye nezidingo ze-MS.
Ngaphezu kwalokho, funa usizo nokusekelwa kwabathandekayo bakho. Abaningi bafuna ukusiza, kodwa abazi ukuthi bangayifuni kanjani noma bangafuni ukuthatha izinzwane.
Hasha owesifazane ohlanza noma ucele umngane ukuthi akusize ngokuhlanza indlu noma ukuthenga ngesitolo kanye ngesonto. Uma unabantwana, cela abangani ukuba bafunde i-carpool bese ucabangela ukunciphisa inani lemisebenzi yabo yangaphandle. Bazokujabulela ukuchitha isikhathi esengeziwe ekhaya nawe noma kunjalo.
Yenza Isikhathi Sokuqeda Ukucindezeleka
Njengoba kunesidingo sokuphila, kungaba nzima kunoma ubani ukuthola isikhathi saso. Lokhu kungase kube nzima kakhulu kulabo abane-MS abahlukumezayo ukuhlangabezana nezidingo eziyisisekelo zansuku zonke, ezihluka ngokuya ngezinga lakho lokukhubazeka. Kodwa sicela uzame ukwenza umsebenzi owuthandayo kanye ngesonto.
Ukuphazamiseka okuhle kungenza izimangaliso ngokukhathala kwakho.
Uma uthola ukuthi ukucindezeleka kuthinta ngempela ukukhathala kwakho, ungaphinda ufune usizo lochwepheshe. Ukwelashwa kwengqondo yokuziphatha kwengqondo noma isazi sengqondo selayisensi noma isazi sezifo zengqondo kungasiza kakhulu ekusizeni ukuphatha ukucindezeleka ngendlela enempilo, eguquguqukayo.
Faka uhlelo lwakho lokuzivocavoca
Ukuzivocavoca kutholakale ezikoleni zesayensi ukuthuthukisa ukukhathala kwe-MS, ngaphezu kwezinye izimpawu ezifana nezinkinga zesibindi nesiguli kanye nokucindezeleka. Ukuzivocavoca kubalulekile futhi empilweni yomuntu.
Izindaba ezinhle ukuthi kunezindlela eziningi zokuzivocavoca. Ngodokotela wakho noma uchwepheshe wezokwelapha, cabanga uhlelo lokuzivocavoca olukusebenzela ngokusekelwe ezidingweni zakho, ukulinganiselwa, nokuthandayo. Uhlelo lungabandakanya ukuhamba kwansuku zonke, ukulima, ukudlala kwebhola, ukubhukuda, noma ukuvivinya ingalo futhi welula ngenkathi uhlala nomngane wakho kusihlwa.
Ungase umangale ukuthi ubudala ungathola kanjani ngenkathi uthola ukushaya kwenhliziyo yakho phezulu. Noma kunjalo, qiniseka ukuthi uzotlhogomela wena-ungawushiyi kanzima kakhulu, masinyane. Khumbula futhi ukuthi uhlale upholile. Thatha ibhodlela lamanzi nawe ngesikhathi sokuzivocavoca, ugijime amanzi apholile phezu kwezinsikazi zakho uma ufudumala, futhi ugqoke izingubo ezilula, zokuphefumula.
Yenza Ukwelashwa Okuhambisanayo
Ukwelashwa okuhambisanayo yindlela yokwelashwa esetshenziselwa ngaphezu kwezifo zokwelashwa eziguqula izifo ukuphatha izimpawu ze-MS. Ababoniswanga ngokwesayensi ukunciphisa ukuqhubekela phambili kwe-MS kepha ngokuvamile baphephile, vumela umuntu ukuba athathe indima emndenini wabo we-MS, futhi atholakala kwezinye izifundo ukuthuthukisa izimpawu eziningi ze-MS, njengokukhathala.
Imithi etholakala ukuthuthukisa ukukhathala okuhlobene ne-MS ihlanganisa i-yoga, ukuzindla, umthandazo, kanye ne- reflexology -uhlobo lokusikhipha lapho ukucindezelwa kusetshenziswa ezinyaweni (noma ezinye izingxenye zomzimba njengezandla) ukuze kuthuthukiswe ukuphulukiswa ngaphakathi ubuchopho nomgogodla. I-Yoga , ehlanganisa ukuzindla, amasu okuphefumula, nokuzivocavoca, ngokuvamile kuyindlela ehlukile kubantu abane-MS abangakwazi ukuhlanganyela ohlelweni lokuzivocavoca.
Cabanga ngemithi yokwelashwa
Ngezinye izikhathi udokotela wakho uzongincoma imithi ukukusiza ukuba ubhekane nokukhathala kwakho, ne-caveat ohlanganyela kwamanye amasu okuzinakekela. Le mithi ingaba usizo kakhulu kwabanye abantu, kodwa ngokuvamile akuyona impendulo yemilingo yokuphilisa ukukhathala kwakho. Futhi baneminye imiphumela emibi, okungenzeka noma engakufaneleki yona.
Imithi ngezinye izikhathi eyabhalwa izazi zezinzwa ukuphatha ukukhathala ihlanganisa:
- I-Symmetrel (i-amantadine)
- I-Provigil (i-modafinil)
- Ritalin (methylphenidate)
Khuluma nodokotela wakho ukuthi ingabe enye yale mithi ingakusiza. Kubalulekile futhi ukuqonda ukuthi kunezindlela ezahlukene zokuthatha le mithi. Akuyona yonke into noma okunye okusebenzayo. Isibonelo, umuntu onama-MS angathatha kuphela i-Provigil yabo uma azi ukuthi bazoba nosuku olude, olunzima. Omunye umuntu angadinga uRitalin nsuku zonke ukuba aphathe ukukhathala.
Thola iZZZ Zakho
Ukulala kuyinto enhle, futhi ngeshwa, iningi lethu alitholi ngokwanele. Kulabo abane-MS, izimpawu ezifana nokuvuka phakathi nobusuku ukusebenzisa indlu yokugezela nokukhukhumeza, imilenze yokugubha ngokuvamile ihlupha ikhono lakho lokulala kahle nokude. Ukuphazamiseka kokulala kungase kube yingcenye yezindaba zakho zokulala, njenge- syndrome yezinyawo ezingenalutho noma i- apnea yokulala .
Ungathuthukisa ubuningi kanye nekhwalithi yokulala kwakho ngokusebenzisa imikhuba yokulala enempilo njengale:
- Ukulala ngesikhathi esifanayo njalo ebusuku, kungakhathaliseki usuku lwesonto
- Ukuba nesimiso sebusuku (isb., Okugeza okufudumele okulandelwa umbukiso ongekho ocindezelayo we-TV nomlingani wakho egumbini lokuphumula / ugweme izingxoxo ezicindezelayo, i-imeyili, i-TV embhedeni)
- Phinda ubuyekeze isikhathi sakho se-nap, uma kuphazamiseka ukulala kwakho ebusuku
- Ukugwema noma ukunciphisa ukudla kwe-caffeine, ikakhulukazi ntambama
- Ukunciphisa noma ukugwema utshwala, okungahle kuthinte kabi ukulala kwakho
- Ukwelapha izimpawu zakho ze-MS (isb., Cabanga ngemithi yokwelapha ukuphazamiseka kwesisu sakho uma uvuka ebusuku ukuze uchama futhi ugweme uketshezi ebusuku)
Ukubona udokotela wakho ngokuphazamiseka kwezinkinga zokulala eziyinhloko (isifundo sokulala singasiza)
Buyekeza Imilayezo Yakho Yamanje
Kungase kusimangaze ukuthi imithi eniyithathayo ukuze izimpawu zakho ze-MS zingase zibe yimbangela yokukhathala noma okungenani iqhaza kuso. Ngokwesibonelo, imishanguzo ye-anticholinergic esetshenziselwa ukwelapha ukungasebenzi kwakho kwamakhompiyutha kungabangela ukukhathala, njengokwazi ezinye zezokwelapha eziguqula isifo. Ama-relaxant ama-muscle asetshenziselwa ukwelapha ukusabalala nawo angabangela ukukhathala.
Khuluma nodokotela wakho mayelana nokuthi ungayiphatha kanjani imiphumela emibi yemithi. Udokotela wakho angasikisela ukushintsha imishanguzo yakho noma ukushintsha isikhathi sokubuyisa, njengokuthatha i-Avonex yakho ngempelasonto lapho ungaphumula noma uthatha imisipha yakho ephumula kuphela kusihlwa.
Bheka Udokotela Wakho Ngomsindo Wakho Okudabukisayo
Ukucindezeleka kungenzeka kungabi imbangela yokukhathala kwakho, kodwa kungase kwenze kube kubi nakakhulu. Ukwelapha ukucindezeleka kwakho, ngokuvamile ngokuhlanganiswa kwemithi kanye nokwelashwa, njengokwelashwa okuzicabangela-ukuziphatha, cishe kuzosiza ukukhathala kwakho kwe-MS.
Eqinisweni, ungase ungaboni ngisho nokuthi isimo sakho sithinta kanjani ukukhathala kwakho, noma ukuthi ukukhathala kwakho kuthinta kanjani isimo sakho sengqondo. Ngokuvamile umjikelezo obunzima obangela omunye. Ngaphandle kwemizwelo encane nokungabi nentshisekelo ekwenzeni izinto owake wazijabulela, ezinye izimpawu zokucindezeleka zihlanganisa ukuguquka kokufisa nokulala, ukuthukuthela, nokuzizwa ungenathemba noma unecala.
Izwi elivela
Ngokuvamile kuthatha izinyathelo eziningi zokubhekana nokukhathala kwakho kwe-MS, kodwa kungenziwa ngokuzinikezela nokuzama kwansuku zonke. Ungalahlekelwa isisusa noma wehla uma amasu akho ngezinye izikhathi ekuhluleka, futhi umane nje udinga ukuthatha "ulale embhedeni nokulala" usuku. Zibophe ngokwakho, kodwa futhi ube umngane wakho omkhulu.
Imithombo:
I-Cramer, H., Lauche, R., Azizi, H., Dobos, G. & Lanhhorst, J. (2014). I-Yoga ye-multiple sclerosis: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. PLoS One , Nov 12/9 (11): e112414.
Krupp, LB, Serafin, DJ, & Christodoulou, C. (2010). Ukukhathala okuningi okuhlobene ne-sclerosis. Ukubuyekeza kobuchwepheshe be-Neurotherapeutics, Sep; 10 (9): 1437-47.
Namjooyan, F., Ghanavati, R., Majdinasab, N., Jokari, S., & Janbozorgi, M. (2014). Ukusetshenziswa kwemithi ehambisanayo neyehlukile ku-multiple sclerosis. I-Journal of Medicine Complementary Medicine , Jul-Sep; 4 (3): 145-52.