Ufanelwe ukuhlala kahle nge-MS
Ochwepheshe bakholelwa ukuthi amaphesenti angama-58 e- MS aphinde abuyele ekubangela ukukhubazeka okusele, okusho ukuthi umsebenzi womuntu wezinzwa awubuyeli kulokho okwakukhona ngaphambi kokubuyela emuva.
Nakuba lokhu kungase kuphazamise ukuzwa, ukugxeka ukuthi kukhona amasu asebenzayo, asebenzisanayo okunciphisa umthelela wokukhubazeka okuhlobene ne-MS. Lezi zindlela zibizwa ngokuthi izifo zokwelapha futhi zihlanganisa:
- ukwelashwa ngokomzimba
- ukwelapha emsebenzini
- ukukhuluma nokugwinya ukwelapha
- ukuvuselelwa kwengqondo
Ukwelashwa Kwemvelo
Kungakapheli iminyaka engama-10 kuya kwengu-15 ye- multiple sclerosis , cishe amaphesenti angama-80 abantu bazobhekana nezinkinga zokuhamba , ngokusho kweNational MS Society. Nakuba lokhu kungase kubonakale kushaqisayo, izindaba ezinhle ukuthi ukwelashwa ngokomzimba kungakusiza ukuba uthuthukise ukuhamba kwakho nokuzimela.
Umhlinzeki wezinto ezingokwenyama angakufundisa ukuzivocavoca ukunciphisa ubuhlungu be-muscle, u-spasticity, nobuthakathaka, futhi uthuthukise ibhalansi yakho nokusebenzisana. Lokhu kungabambezela isidingo sedivayisi yokuhamba futhi kusize ukuvimbela ukuwa, into engakubeka izinyathelo ezinhlanu emuva kokunakekela kwakho kwe-MS.
Futhi, uma udinga idivayisi yokuhamba (noma ungaqiniseki ukuthi usebenzisa okulungile), udokotela ongokwenyama angakusiza noma othandekayo wakho uthole okulungile. Izibonelo zamadivaysi okuhamba zibandakanya izinkinobho ezingenayo noma i-quad, ama-scooters aphephile, abahamba ngezinyawo, namabhuloki omandla noma amandla.
Ungase futhi kusimangale lapho ufunda ukuthi ngaphezu kwezinkinga zemisipha nokuhamba, ukukhathala kwe-MS kungathuthukiswa ngelashwa elingokwenyama, futhi kukhona isayensi yokuyivuselela.
Ngolunye ucwaningo luka-2013 olwanyatheliswa ku- NeuroRehabilitation , abantu abangaphezu kuka-200 abane-MS baphethwe ukwelashwa ngokomzimba esikhathini esingangezinyanga ezintathu.
Kulabo ababengabamba (izikhathi zabo zazigxile ekuqeqesheni ukuhamba nokukhuthazela), kwaba nokuthuthukiswa okuphawulekayo ekukhatheni kwabo. Lolu cwaningo lubonisa ukubaluleka kokuzivocavoca kokukhathala, okungahle kubonakale kukuthinta, kodwa kuyiqiniso. Lokho okushiwo, ukusebenzisa nge-MS kudinga ukulinganisela okubucayi. Awufuni ukuphazamisa noma ukuzithengisa. Yingakho ukwakha umshini wokuzivocavoca nomuthi osebenza ngokomzimba osebenza nabantu abane-MS kungcono kakhulu.
Ukwelapha Umsebenzi
Udokotela osebenzayo angasebenza nawe noma othandekayo wakho ukuze ukwandise ukusebenza ekhaya nasemsebenzini. Isibonelo, uma ukukhathala kwakho kugabisa ikhono lakho lokwenza ezitolo zokuthenga, umhlinzeki wakho wezisebenzi angase asikisele ukusebenzisa isithuthuthu lapho uthenga noma ngenkathi uhamba lapho ekhaya.
Ngaphezu kokulondolozwa kwamandla, abahlinzeka ngemisebenzi bangase basikisele izinguquko ekhaya lakho ukuvimbela ukuwa nokunciphisa induduzo yakho ekwenzeni imisebenzi yokuphila kwansuku zonke.
Lokhu kungafaka:
- ukukhipha ama-rugs okuxekethile ukuvimbela ukuwa
- ukufaka izikhwama endlini yokugezela ukukhulisa ukuphepha nokufinyeleleka
- ukulungisa ukukhanya ukubhekana nezinkinga zombono
- ukufundisa wena kanye / noma abathandekayo indlela yokuhlola nokugcina ukuphepha kwamadivaysi okuhamba
- ukunikeza amathiphu okuqesha nokusebenza nomnakekeli
- ukuyala umuntu ukuthi agqoke kanjani, ahlambe futhi apheke ukudla okusekelwe ekukhubazekeni okuhlobene ne-MS
Futhi, abanye abahlinzeka ngemisebenzi bayagxila ekuvuselelweni kwengqondo (ekusizeni ekuthuthukiseni ukucabanga, ukukhumbula, ukucabanga, kanye nokuhlushwa) nokuvuselelwa emsebenzini (ukuhlola ukulungiswa komsebenzi nezindlela zokugcina noma ukuthola imisebenzi ehlangabezana nezidingo zakho).
Ukwelashwa Nokukhuluma
Njengoba i-MS iqhubeka, kukhona ingozi eyengeziwe yokuthuthukisa izinkinga ngokugwinya, ukukhuluma nokuthatha ukuphefumula okukhulu. Izikhathi eziningi, lezi zinkinga ziyavumelana, njengoba imisipha efanayo isetshenziselwa ukulawula le misebenzi.
Ukuze kuthuthukiswe amasu okuphefumula, inkulumo nokugwinya abagulayo ngokuvamile isebenza nodokotela bama-pulmonary (ochwepheshe bamaphaphu). Amasu angabandakanya amasu okususa umqubu emqaleni, ukuvivinya umzimba ukulula ukuphefumula, kanye nemithi yokwelapha njenge-nebulizers noma i-oxygen kwabanye abantu.
Uma umuntu onama-MS eba nobunzima bokugwinya ukudla nezidakamizwa , kunezimpikiswano ezinkulu ezibandakanya ukudliwa kwamanzi, ukungondleki okungenamsoco, ukugcoba, nokufisa (uma okuqukethwe kokudla kungena emaphashini). Inkulumo nokugwinya kwengculazi ingase iphakamise amasu okudla okuyokwenza ukuba kutholakale ukudla okunomsoco ngenkathi kuncishiswe ingozi yokufisa. Lezi zindlela ngokuvamile zihlanganisa:
- ukuphumula ngaphambi kokudla
- ehlezi endaweni eqondile
- ukugcina i-chin yakho efana netafula
- ukwenza swallows kabili.
Okokugcina, izinkinga zokukhuluma zivame ku-MS, zithinta amaphesenti angama-40 ngesikhathi esithile, ngokusho kwe-National MS Society. Lezi zinkinga zingabandakanya ubunzima ngokukhuluma (ie, inkulumo emisiwe), inkulumo ephoqelekile, inkulumo elula, noma ikhwalithi yezwi ekhubazekile (isb., Isibindi).
Izindaba ezinhle ukuthi ochwepheshe wezinkulumo angasiza ekunciphiseni lezi zinkinga ngokufundisa umzimba ukuqinisa umzimba. Uchwepheshe wezinkulumo angase futhi ancoma amadivaysi okuxhumana afana nama-amplifiers wezwi ukuze uzwakale kangcono.
Ukuvuselelwa kwengqondo
Izinkinga ngokucabanga, inkumbulo, ukunakwa, ukusheshiswa kolwazi, ukuhlelwa, ukucabanga, kanye / noma amakhono okubukwa okubonakalayo kuvamile ku-MS. Izinkinga zengqondo zivame ukuza kancane kancane futhi zingenziwa nganoma isiphi isikhathi phakathi nenkambo yesifo. Kwabanye abantu, bayizibonakaliso zokuqala ze-MS.
Izindaba ezinhle mayelana nokusebenza kwengqondo ku-MS ukuthi akuvamile neze ukukhubazeka kakhulu. Nokho, kungakhathaliseki ukuthi, ngisho nangokulahlekelwa okuncane okucatshangelwayo, wena noma othandekayo wakho ungase uzizwe ungedwa noma ukhathazekile ngokuhlanganyela nabanye ekhaya noma emsebenzini.
Abanye abantu abane-MS abanezinkinga zokuzicabangela bakhetha ukuhlolwe yi-neuropsychologist, ikakhulukazi uma ukuhlukumeza kwabo kwengqondo kuthinta indlela abasebenza ngayo ekuphileni kwabo kwansuku zonke. Nakuba ukuhlolwa kwengqondo kungadla isikhathi (okudinga ukuhlolwa okuningana okujwayelekile) futhi kuyabiza, kungakusiza wena noma othandekayo wakho ukuba wakhe isithombe esicacile sokuthi i-MS ithinte kanjani ukuqonda kwakho-noma uma kukhona ukukhathazeka kwezempilo okuqhubekayo, njengokuthi ukucindezeleka noma ubuhlungu obuhlobene ne-MS, okungaba bubi nakakhulu.
Ngaphezu kwalokho, uma uhlola izikhathi ezingaphezu kwesisodwa, isazi sakho se-neuropsychologist singaqhathanisa imiphumela yakho yokuhlola yokucabangela yamuva eminyakeni eyandulela ukucacisa ukuthi ukuqonda kwakho kuqhubekile yini, kwahlala okufanayo, noma kuthuthukisiwe.
Ngenkathi kungekho mithi yezinkinga zezinkinga eziphathelene ne-MS, ungathola ukuvuselelwa kwengqondo okukuvumela ukuba uhlawule izinkinga zakho zokucabanga. Izibonelo zingafaka:
- ukuhlela imisebenzi yakho yobuchopho-enkulu kakhulu engxenyeni yosuku lapho uqaphele kakhulu
- indlela yokusebenzisa amadivaysi e-elektroniki noma ipeni elihle elidala kanye nephepha ukukhumbula izinto
- ukugxila emsebenzini owodwa ngesikhathi futhi ukufunda indlela yokuvimbela iziphazamiso ezingase zibe khona
- ukuhlanganyela emisebenzini evuselela ubuchopho njengemidlalo yokufunda noma yamakhadi
- ukuhlanganyela emisebenzini enhle (lokhu kungathuthukisa ukuqina komqondo wakho kumonakalo ohlobene ne-MS)
Ukucindezeleka, ukuphathwa kwengqondo, nokuzivocavoca kwe-aerobic nakho kuvame ukuyingxenye yokuvuselelwa kwengqondo. Lezi zindlela ezihlanganisiwe zingakusiza uzizwe uziqinisekisile futhi ungagcini emisebenzini yomphakathi, yomndeni noma yomsebenzi.
Izwi elivela
Imithi yokwelashwa idlala indima ebaluleke kakhulu empilweni yakho ye-MS. Kodwa akuzona ukulungisa okusheshayo. Ngalezi zindlela zokwelashwa, kuthatha isikhathi nesineke ukubona imiphumela. Uzothola izithiyo kanye nezinye izinkathazo endleleni kodwa kufanelekile-nge-MS yakho kanye nenhlalakahle yakho.
Kubalulekile ukuqaphela ukuthi kulungile ukushintsha abahlinzeki bezokwelapha noma izikhungo zokwelapha uma ungenelisekile ngalokhu okwamanje. Ukuthola umbono wesibili akuwona neze umqondo omubi, futhi ngezinye izikhathi kuthatha isikhathi ukuthola ukuthi ukuphulukiswa okulungile, ubuhlobo obuthembayo.
> Imithombo:
> Asano M, Raszewski R, Finalyson M. Ukulungiswa Kwendlela Yokuvuselela Ukuphathwa Kwe-Multiple Sclerosis Ukuphindaphinda: Ukubukeza Okufushane Okubukeziwe. Int J MS Care . Uhlobo lwe-2014; 16 (2): 99-104.
> Ubhiya S, Khan F, Ukwelashwa kweJesselring J. Ukuvuselelwa Kwama-Multiple Sclerosis: Ngokuningiliziwe. J Neurol. 2012 Sep; 259 (9): 1994-2008.
> Brichetto G, Rinaldi S, Spallarossa P, Battaglia MA, & deCarvalho ML. > Ukwelashwa Kwezinto Eziphilayo Ngokwama-Multiple Sclerosis Njengoba Kulinganiswa Nokhathala Okuguquliwe Impact Scale and Ambulation Index: A Study Retrospective. I-NeuroRabilitation. 2013; 33 (1): 107-12
> Finlayson, M. National MS Society: Therapy Occupational in Multiple Sclerosis Ukuvuselelwa .
> Nabavi SM, Sangelaji B. Ukungasebenzi ngokuzicabangela ku-Multiple Sclerosis: Ngokujwayelekile Kukhohlwe ekuHlweni kweMitholampilo ye-MS Iziguli. I-J Res Med Sci . 2015 Meyi; 20 (5): 533-34.