Ngokunakekelwa kahle nokunakekelwa, lezi zinkinga zingavinjelwa
Abantu abane- multiple sclerosis (MS) abahlala noma abalala isikhathi eside ngenxa yokunciphisa ukuhamba bangengozini enkulu yokuthuthukisa izinkinga ezifana nezilonda zokucindezela, izinkontileka (uma ihlangene iqhwa), kanye nobuthakathaka bethambo (okuthiwa i-osteoporosis).
Ngenkathi ukuphazamiseka ukuzwa, ukukhathazeka ukuthi lezi zinkinga zingavinjelwa ngokunakekelwa okucatshangwayo nokusizwa kwabathandekayo noma abathintekayo.
Izilonda zokucindezela
Izilonda zokucindezela (okubizwa nangokuthi izilonda zamabhede, ukulimala, noma izilonda zomshoshaphansi) yizindawo zokuhlukunyezwa kwesikhumba ezenzeka ngenxa yokucindezela isikhathi eside. Ukucindezela ngokweqile kuyaphazamisa igazi ukugeleza esikhumbeni kanye nezicubu ngaphansi kwalo. Ngaphandle kwe-oxygenation eyanele, amafomu amabi.
Ifomu lokulonda ukucindezela engxenyeni ye-"bony", ngokuvamile i-tailbone, i-hip, ne-sacrum, okuyiyona ndawo esezansi kunazo zonke zomgogodla wakho ngaphezu kwamadolo akho. Ezinye izibonelo zezindawo lapho izilonda ezingcindezi zingase zifake zihlanganisa isithende, ihlombe, idolo elingaphakathi, igoli, nangemva kwekhanda.
Into ekhohlisayo mayelana nezilonda ezicindezelayo ukuthi aziqali ukubuka okubi kakhulu, (ngokuvamile indawo encane yesikhumba esibomvu), kodwa zingathuthuka ngokushesha zibe zimbi kakhulu uma zingaphathwa ngokushesha ngokususwa kwengcindezi.
Esinye sezibonakaliso zokuqala zesibindi sokucindezeleka yindawo yesikhumba ebomvu noma eboshiwe lapho ecindezelwa, ehlala ebomvu, esikhundleni sokubuyela kumbala wayo ojwayelekile (lokhu kubizwa ngokuthi isiteji esisodwa sokucindezeleka kwesilonda).
Njengoba ingcindezi iyaqhubeka, indawo ebomvu yesikhumba ingase iqale ukuvuvukala, ukuphumula, futhi ekugcineni igweme. Lesi sifo singakwazi ukujula, sibhebhethele ungqimba lwamafutha ngaphansi kwesikhumba, futhi ekugcineni sibe semisipha, futhi mhlawumbe ithambo (lokhu kubizwa ngokuthi isiteji ezine izilonda zesilonda ).
Esinye sezikhathazo ezinkulu kakhulu ngezilonda ezingcindezi ingozi yokutheleleka, okungaba isongela impilo.
Izimpawu zokutheleleka okugunyaza ukunakekelwa kwezempilo ngokushesha zihlanganisa:
- Fever
- Iphunga elimnandi elivela ku-sore
- Ukwanda okubomvu, ukuvuvukala, noma ukushisa
- Ukuphuma okumhlophe / okuphuzi / okwesibhakabhaka
Okokugcina, kubalulekile ukuphawula ukuthi ngaphandle kokuphoqeleka, kunezinye izici ezandisa ingozi yomuntu yokuthuthukisa izilonda zokucindezela. Ezinye zazo zihlanganisa:
- Ukudla okunomsoco
- Ukwehla kwamanzi
- Ukuba nezinye izimo zezokwelapha ezifana nesifo sikashukela noma isifo senhliziyo
- Ubungcweti ezindaweni zomzimba ovezwe ngaphansi kwengcindezi
- Ukuba okhuluphele (isisindo esengeziwe esiswe esikhwameni esivele sigcizelelwe)
- Ukuba ngaphansi kwesisindo (izingxenye ezingaphezulu ze-bony zomzimba ovezwe ngaphansi kwengcindezi)
Ukuvimbela
Ukuvimbela kuyisihluthulelo uma kuziwa ezilonda. Lokhu kusho ukuhlala njengeselula ngangokunokwenzeka (uma ungakwazi), ukuhlala u-hydrated, nokudla ukudla okunomsoco, okunomsoco kahle-ocebile izithelo, imifino, okusanhlamvu okugcwele, namaprotheni enempilo (izinhlanzi ezinamafutha, inyama enomzimba, ubhontshisi, kanye nemifino).
Kubantu abangenamsoco, ukubheka isidlo sokudla kuyadingeka, ngoba angakeluleka (noma othandekayo wakho) ekuthuthukiseni amaprotheni kanye nokudla kwekhalori.
Uma uhamba-ungasebenzi kahle, uzodinga umatilasi okhethekile embhedeni wakho kanye / noma umshini wesihlalo sabakhubazekile ongakusiza ukuvimbela izilonda zomshoshaphansi (okubizwa ngokuthi amadivaysi asekela ukucindezela).
Ukuze uqiniseke ukuthi uthola amadivaysi afanele, kungcono ukwenza i-aphoyintimenti nodokotela (udokotela wokuvuselela onokuhlangenwe nakho okuvimbela nokulawula imiphumela ehlobene nokungasebenzi).
Uma ungeke ukwazi ukugcina noma yikuphi ukuhamba, (uboshwe noma uboshwe), kubalulekile ukushintsha isikhundla sakho okungenani njalo amahora amabili. Lokhu kungadinga ukunakekelwa kosizo lwezokwelapha noma umnakekeli.
Izivumelwano
Njengoba kunciphisa ukuhamba, kukhona ukulahleka kokuqina emathisini ahlangene axhumene namathambo noma imisipha ngaphakathi kokujoyina. Ukulahleka kokuqina kufaka ukuqina komzimba kanye nomkhawulo ekuhambeni okuhlanganyelwe kokunyakaza.
Ngaphezu kokungahambi kahle kwe-sclerosis amaningi, izivumelwano zingase zenzeke emisipha (lapho imisipha iphela isikhathi eside futhi iqinisa). Izinkontileka zama-muscle ku-MS zenzeka ngenxa yokuhlanya-isifo esivela ngenxa yezinzwa ezikhubazekile zokumisa imisipha.
Ezimweni ezinzima zokwehla, umuntu angathuthukisa ukuhlukumeza kwamasipha okubuhlungu nokungalawuleki nokuqina. Ngeshwa, nge-spasticity enkulu, kuphakama izinkinga zokuhamba, okwenza ngcono amathuba omuntu wokuthuthukisa izivumelwano (umjikelezo ononya).
Ukuvimbela
Ukwelapha isikhala siphakeme kakhulu ekuvimbeleni izivumelwano. Lokhu kuhlanganisa amasu amabili asemqoka:
- Ukwelashwa ngokomzimba wokuhlanganyela ekuzijuleni kwezandla
- Imithi yokuphumula imisipha, njengeziphumuli ze-muscle (isibonelo, baclofen). Imishanguzo ye-Botox emisipha ethintekile ingasiza futhi ekunciphiseni ukusabalalisa, ukunyakaza okunyukayo, kanjalo nokuvimbela izivumelwano.
Ngokuvamile, ukuhlinzwa kudingekile ukuba kwandiswe imisipha ne-tendon futhi kuthuthukiswe ukuhamba okuningi.
I-Bone Yokunciphisa
Ukuhamba kahle-ukukhubazeka noma ukuhlala phansi ngenxa yezinkinga ezihlobene ne-MS, njengobuhlungu noma ukukhathala, kungabangela ekuthuthukisweni kwe- osteoporosis -isimo sesifo sokubuthakathaka nokulahlekelwa okwenyusa ingozi yomuntu yokuphuza amathambo noma ukwehlukana.
Ingxenye ekhohlisayo mayelana ne-osteoporosis yukuthi yisifo esithulile, okusho ukuthi asibangeli izimpawu, njengezinhlungu zezinhlungu noma ama-aches ohlangene. Eqinisweni, ngokuvamile izifo ze-osteoporosis ayitholakali kuze kube yilapho umuntu ewela ukuwa kanye nokuhlukunyezwa okulandelayo, njengokwenziwa kwe-hip, umgogodla, noma isibindi.
Ngaphandle kokungahambi kahle, ezinye izici eziyingozi zokuthuthukisa i-osteoporosis zibandakanya ukuba nomlando womndeni, ukukhula kweminyaka, ukufika esikhathini sokuya esikhathini, nokuthola umlando wokubhema noma ukuphuza utshwala ngokweqile, nokuba mncane. Imithi ethile, njenge-corticosteroids (okuyinto abantu abaningi abane-MS abaye bayithatha ngesikhathi esithile) kungabuye kwandise ingozi yakho yokuthuthukisa i-osteoporosis.
Ukuvimbela
Ukuhambisa nokuqinisa amathambo akho ngokuzivocavoca umzimba kuyindlela engcono kakhulu yokuvimbela i-osteoporosis, futhi ikakhulukazi ukuphumula kwamathambo.
Ngaphambi kokuqala uhlelo lokuqinisa amathambo, kungcono ukubona umhlengikazi ongokwenyama okwazi ukusebenzisana nabantu abaye bahamba ukuhamba. Ngale ndlela angakwazi ukuhlela uhlelo lokuzivocavoca olulungile, njengoba kuzodingeka ucabangele ezinye izinkinga zakho ezikhona ze-MS, njengobuthakathaka bomzimba, ukukhathala , nokuphalaza.
Izibonelo zokuzivocavoca umzimba zifaka tennis, ukudansa, ukuphakamisa izisindo, ukuhamba ngesivinini, nokugijima (kanti ukubhukuda nokuhamba ngebhayisikili akuyona isisindo esithwalayo).
Uma usenesihlalo sabakhubazekile, ungazizwa ulinganiselwe-ungazama i-yoga yezihlalo zabakhubazekile, i-Tai chi, basketball, noma ithrekhi nensimu. Uma lokhu kuyinkimbinkimbi kakhulu noma akusikho indebe yakho yetiyi, zama izenzo zokuqinisa amandla ngenkathi uhlezi esihlalweni sabakhubazekile ngeqembu eliphikisanayo noma i-dumbbell.
Ekugcineni, okuncane kungahamba ngendlela ende, kodwa zama ukusebenza kuze kube ngamaminithi amathathu ngosuku ukuze ukwandise impilo yakho yethambo.
Ngaphezu kokuzivocavoca, ukudla kahle kubalulekile ukugcina amathambo aqinile. Njengokuvimbela izilonda zomshoshaphansi, lokhu kusho ukudla okucebile izithelo, imifino kanye nama-protein.
I-calcium ibuye ifanele namathambo akho, yize ubuza nodokotela wakho ukuthi ngabe i-calcium isongezela yini noma cha. Abanye abantu bangathola i-calcium eyanele ekudleni kwabo, kuyilapho abanye kudingeka badle ukudla okungeziwe ngaphezu kokufaka ukudla okucebile kokudla kwe-calcium.
Okokugcina, ukuqinisekisa ukuthi izinga elilodwa le vithamini D eliyinto ebalulekile ekwakheni amathambo aqinile. Izindaba ezinhle ukuthi abantu abaningi abane-MS baye bahlola amazinga abo e-vitamin D futhi / noma bathatha i-vitamin D eyengeziwe. Nakuba kungekho mikhombandlela yokuthatha vitamin D kubantu abane-MS, ucwaningo luyaphakamisa kakhulu inzuzo yalo.
Izwi elivela
Nakuba kunzima ukufunda ngalezi zinkinga, izindaba ezinhle ukuthi ngokunakekelwa okufanele nokunciphisa izinkinga zakho, lezi zinkinga zingavinjelwa-kanti kuyilapho amaqhinga okuvimbela angase akhathele, akhokha.
Hlala usebenza ngokufunda nge-MS uphinde uqhubeke ubona i-neurologist yakho (mhlawumbe nomzimba we-physiatrist kanye / noma umuthi wezinto ezibonakalayo).
Ukuhlala ne-MS kungukuhamba, ngakho-ke thatha usuku ngalunye ngesinye isikhathi, ube nomusa kuwe ngezikhathi eziphansi, ufunde lokho ongakwenza, uqhubekele phambili, futhi ugcine zonke izinto.
> Imithombo:
> Berlowitz D. (2017). Ukumiswa kwemitholampilo kanye nokuphathwa kokulimala okwenziwe ngcindezi nesicathulo somzimba. I-Berman RS, uSchmader KE, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Bethoux F, uBennett S. Isingeniso: Ukwandisa ukuhamba kwe-multiple sclerosis. Int J MS Care. 2011 Spring; 13 (1): 1-3.
> UT CT, uGil JA, Goodman AD. Izinkontileka ezihlangene ezibangelwa ukukhulelwa isikhathi eside: i-Etiology, ukuvimbela, nokuphathwa. J Am Acad Orthop Surg . 2017 Feb; 25 (2): 110-16.
> National MS Society. (nd). Izilonda zokucindezela.