Isifo sokufa kwesifo siphezulu kathathu kunomphakathi jikelele
Njengesimo sezinzwa esithinta isimiso sezinzwa esiyinhloko, kuhlanganise nobuchopho, kungase kungamangazi ukuthi multiple sclerosis (MS) ibeka umuntu engozini enkulu yokugubha nokuhlushwa . Empeleni, ucwaningo lwamanje lubonisa ukuthi abantu abangamaphesenti amathathu abantu abahlala ne-MS banesifo sokuphuza-cishe izikhathi ezintathu ezilinganiselwa kuzwelonke.
Ukuqonda Ukuqubula Nokuhlukunyezwa
Ukuthunjwa kubangelwa umsebenzi ongakalungi noma owenziwe ngokweqile ebuchosheni, ngokuvamile ku-cortex ye-cerebral.
Ukuhlukumeza, ngokuphambene, kuchazwa njengokuthathwa okuphindaphindiwe okubangelwa lolu hlobo lokusebenza okungavamile kobuchopho.
Ngenkathi abantu abaningi besaba kakhulu ngombono wokuqothulwa-lapho benqunywe ngemifanekiso ephazamisayo emidlalweni ye-TV-bangashintsha ngokuphawulekayo ezimpawu zabo kanye nobuqili. Ezinye zihamba kancane futhi zingaphansi-imperceptible, kuyilapho ezinye zingaba nzima nakakhulu futhi zingaboni.
Ukuhlukunyezwa kwe-Tonic-Clonic
I-Tonic-clonic seizures ithathwa njengoluhlobo olubi kakhulu. Zibonakaliswa ukulahlekelwa kokuqonda kanye nokuqina kwemisipha (isigaba se-tonic) ehambisana nokuxubana (isigaba se-clonic). Ngezinye izikhathi kuthiwa yizimbungulu ezinkulu, ngokuvamile zigcina imizuzu eyodwa kuya kwemibili.
Ngenkathi zicindezela, abantu abaningi abathola ukuthunjwa kwe-tonic-clonic abazizwa empeleni. Ezimweni eziningi, umuntu uzothola isibonakaliso sokuxwayisa ngaphambi kokuthunjwa, okubizwa ngokuthi i- aura . Lezi zingabandakanya ukuzwa okungajwayelekile noma okuphupha, iphunga elimangazayo noma ukunambitheka, noma umuzwa wokuzumayo ngokuzumayo.
Ngemuva kokuqothulwa kwe-tonic-clonic, umuntu uyozizwa ephelelwe amandla, ehlanzwa futhi ephazamisekile. Inhloko nokulimala komzimba ngezinye izikhathi kungenzeka uma umuntu ewela lapho engazi lutho Ngeshwa, ngokweqiniso emidlalweni ye-TV, abantu bangase balume ulimi lwabo noma izindebe ngesikhathi sokuthunjwa. Ukufaka into enzima emlonyeni womuntu akungaziwa ngoba lokhu kungabangela amazinyo aphukile noma ukuchofoza.
Izinkinga ezilula noma eziyinkimbinkimbi
Ukuqothulwa kokugxila (okubizwa nangokuthi ukuhlukunyezwa okuyingxenye noma okutholakala endaweni) yilokho okuthinta uhlangothi olulodwa lobuchopho. Ukubukeka kwabo akuyona into emangalisa kakhulu kunezingcingo ze-tonic-clonic futhi, kwezinye izimo, kungenzeka ukuthi umuntu obhekene naye akaqapheli. Lezi zinhlekelele zihlukaniswa ngokubanzi kanje:
- Ukuhlukunyezwa okuncane okungekho okwenza ukuba umuntu alahlekelwe ulwazi kodwa kunalokho enze konke kubonakale kwesikhashana "kuvuliwe." Abantu bavame ukuchaza imizwelo engavamile noma abhekana nezinguquko endleleni izinto ezibukeka ngayo, umsindo, uzizwa, iphunga, noma ukunambitheka. Kwezinye izimo, imisipha yomuntu inganqanda noma iqale ukudubula, ngokuvamile ehlangothini olulodwa lobuso noma umzimba.
- Ukuncipha okuyingxenyana okuyingxenye futhi akubangeli ukulahlekelwa, kodwa, kunalokho, kubangelwa igebe ngokungazelelwe kokuqwashisa. Kunjengokungathi lowo muntu "ukhululekile" kunokudlula. Ngesikhathi sokuthunjwa, lo muntu angase akwazi ukuphendula futhi uzovame ukubuka isikhala noma enze ngendlela ephindaphindiwe (njengokugubha izandla, ukugaya, ukwenza imisindo ephindaphinda). Ezimweni eziningi, lo muntu ngeke akhumbule okwenzekile ngemva kokuhlaselwa.
Ukuphatha Ukuhlukunyezwa Kwabantu Abano-MS
Ukuhlukumeza kubantu abane-MS kubonakala kuba mnene futhi kungabangela ukulimala okungunaphakade.
Ezimweni eziningi, kudingeka imithi ye-anticonvulsant ukulawula noma ukuqeda ngokuphelele ukugubha. Njengamanje, kunezinhlobonhlobo zemithi etholakalayo yokwelapha isithuthwane ngezinzuzo ezihlukahlukene nezingozi.
Noma kunjalo, kubalulekile ukuqaphela ukuthi eziningi zezimpawu ze-MS (okufaka ukuphazamiseka , ukuphazamiseka kwemizwelo , nokungabonakali okungaqondakali ) kungalingisa ukuthunjwa okulula. Uma ubhekene nanoma yisiphi isibonakaliso esifana nesifo sokubamba, kubalulekile ukuba ukhulume nodokotela wakho ongakutjhuma ku-neurologist ukuze uphenye phambili.
Kungakhathaliseki ukuthi yisiphi isizathu, imishanguzo ye-antiepileptic ingase ibekwe ukuze kunciphise izigameko zalezi nezinye izimpawu ze-neuromuscular.
> Umthombo
> Allen, A .; I-Seminog, O .; kanye ne-Goldacre, M. "Association phakathi kwe-multiple sclerosis kanye nesithuthwane: izifundo ezinkulu zokuxhuma emakhokheni." BMC Neurology. 2013; 13: 189