Qinisekisa ukuthola ubuhlungu bakho emuva, njengoba kungase kungabi njalo kusuka ku-MS
Ingabe unezinhlungu ezisezingeni eliphansi futhi umbuzo ukuthi uhlobene yini ne- multiple sclerosis ? Uma kunjalo, awuwedwa, ngoba cishe umuntu oyedwa kwabangu-5 abane-MS ubuyela emuva ubuhlungu.
Ngenkathi ubuhlungu bakho be-back emuva bungase bukeke njengenye idwala entabeni yakho yezimpawu ze-MS ezivele zithwele, yazi ukuthi kunezinyathelo zokunciphisa ukukhathazeka kwakho.
Ake sihlolisise "kungani" ngemuva kwezinhlungu zakho ezingemuva e-MS, nokuthi ungayiphatha kanjani kahle.
Izimbangela Nokuphathwa Kwezinhlungu Ezibuyiselwe E-MS
Kunezimbalwa ezimbalwa ezihlobene ne-MS ezihlobene nobuhlungu obubuhlungu emuva futhi ukukhipha imbangela yezimpande kungathatha isikhathi.
Ekugcineni, ukuhlolwa okubalulekile kubalulekile, ngakho-ke ungaqhubekela phambili ngecebo lokuphatha eliphumelelayo.
Spasticity
Ukusabalalisa kuyisimpawu esivamile ku-MS futhi kubangelwa ukudilizwa phansi , lapho isisindo sigxila emisipha yancipha noma iphazamisekile. Ngenkathi u-spasticity ubhekisela ekutheni ukwanda kwethambo lomzimba kanye nokuhlukunyezwa kwemisipha engalawuliwe, abantu abanokuhlukumezeka bavame ukuchaza izinhlobonhlobo zezinzwa ezihlukile:
- Ukugubha
- Ukuthutha
- Ukudonsa
- I-Aching
- Ukucindezela
- Ukuqinisa
Ukuphambanisa kuvame ukuhlukahluka komunye nomuntu, njengezinye izimpawu ze-MS. Isibonelo, umuntu angabona ukuqiniswa okuncane komlenze wakhe okungathinti ukusebenza kwabo kwansuku zonke. Abanye bangabhekana nobunzima obunzima bomlenze obangela ukucindezeleka okubuhlungu okuphazamisa ukunyakaza.
I-spasticity ihlobene kanjani nobuhlungu obuphansi emuva? Ngenkathi i-spasticity ixhaphaza kakhulu amathole womuntu, amathanga, ubuhlungu, nezintambo, kungabangela nokuqinisa futhi ukugulisa futhi kufinyelele amajoyina bese uphansi.
Ukwelashwa kwesibindi esithinta i-back back yakho ngokuvamile kuhlanganisa inhlanganisela kokubili imithi kanye nokwelashwa ngokomzimba.
Lezi zindlela zokwelashwa zingafaka:
- Ukwelashwa okushisayo
- Ukushisa
- Ukwelapha ngokomzimba kufaka hlangana nokulula nokuzibandakanya kwama-motion
- Ama-relaxant muscle afana ne-Zanaflex (tizanidine)
- Imithi yokwelashwa elwa no-Neurontin (gabapentin)
- I-benzodiazepine
- I-oral cannabis
Abantu abahlukunyezwa yi-spasticity kulezi zindlela ezingenhla kungadinga eyodwa noma ngaphezulu yokwelashwa okungenayo okulandelayo:
- I-Botox injection
- I-intrathecal baclofen pump (i-baclofen iyinhlanhlatha emisipha)
Okokugcina, ukugwema izinyathelo kungenye indlela yokuvimbela ukuhlukumeza kwesipiliyoni sakho emhlane wakho ophansi. Izibonelo zezimbangela ezingase zithukuthele ukufaka ukushisa okubandakanya ukushisa okushisa (okubizwa ngokuthi yi- Uthoff phenomenon ), ukutheleleka, izinguquko ngokuzumayo endaweni noma ukunyakaza, izingubo eziqinile noma ezicasulayo, noma isigqila esigcwele noma isiguli.
Uphawu Lhermitte
Esinye isizathu esiyinhloko sokubuhlungu emuva emuva kwe-multiple sclerosis kuyisimo esibizwa ngokuthi isibonakaliso sikaLhermitte , esibhekisela ekuzweleni okufana nokushaqeka noma "ugesi kagesi" ohamba ngokushesha ngemuva kwekhanda lomuntu phansi ngaphansi komgogodla.
Lokhu kuzwa kwenzeka lapho umuntu egoqa intamo yakhe (isibonelo, lapho ususa umgexo noma uhlanganisa izicathulo zabo). Inzwa iphila isikhathi esifushane futhi ihamba lapho umuntu ehambisa ikhanda lakhe phezulu.
Isizathu sesibonakaliso sikaLhermitte singenxa yezilonda ze-MS emgodini wesibeletho (ingxenye engaphezulu yomgogodla wakho ohlanganisa intamo yakho). Ukuphikisana nalesi simo esingakhululekile futhi esingavamile ukuthi imithi ethile namasu angasiza ekuvimbeleni ubuhlungu ukuba buvele endaweni yokuqala. Esinye isibonelo semithi udokotela wakho angase abone ukuthi yi-anti-seizure ebizwa nge-Neurontin (gabapentin).
Akudingeki njalo ukuthatha imithi yokwelapha isibonakaliso sikaLhermitte. Ngamanye amazwi, umuthi ofana ne-Neurontin uvame ukugcinwa kulabo abathola isibonakaliso sikaLhermitte sokuthi siphele amandla, okusho ukuthi ukukhathazeka kuthinta izinga labo lokuphila kanye / noma ukusebenza kwansuku zonke.
Izinkinga ze-Muscle nokuhamba
Omunye umphumela wezinhlungu eziphansi emuva ku-MS uhlobene nezinkinga ezibangelwa ukungahambi kahle. Isibonelo, uma umuntu onama-MS esebenzisa umoba wakhe noma amanye amadivaysi okusiza-ukuhamba ngendlela engafanele, ubuhlungu obuphansi be-back emuva bungakhula.
Ukuze uhlawulele inkinga ehlobene ne-MS njengomlenze noma umlenze wokugwedla noma unyawo, umuntu angase ahambe ngokuhleka noma asakaze isisindo sakhe unnaturally, futhi lokhu kungabeka umthamo emhlane wabo ophansi. Ukuhlala esihlalweni sabakhubazekile usuku lonke kungaphinda kubeke ingcindezi engadingekile emhlane.
Ngokufanayo, izimpawu ezihlukahlukene ze-MS zingaholela ekuthumeni okungavamile. Ake ucabange uma umuntu enecala emilenzeni. Lokhu kungabangela ukucindezeleka emigqeni yomuntu kanye namalungu emhlane emuva kokubangela ubuhlungu-umjikelezo ononya, okushoyo, ubuhlungu, ukudala ubuhlungu obukhulu.
Izinkambiso zokuvimbela noma ukulwa nalezi zimbangela ze-musculoskeal ezinhlungu ezibuhlungu emuva zihlanganisa:
- Ukuqeqeshwa okufanele ekusebenziseni idivayisi yakho ehambayo-yokusiza
- Ukwelapha ngokomzimba
- Ukwelashwa okushisayo
- Ukushisa
Ama-anti-inflammatories (ama-NSAID) angasetshenziswa futhi angasiza esikhathini esifushane ukuze unciphise ukuvuvukala okunamandla. Lokho kusho, qiniseka ukuthatha udokotela wakho ngaphambi kokuthatha eyodwa. Ama-NSAID angabangela izinkinga zezinso, isibindi, inhliziyo, noma isisu futhi aziphephile noma ezifanele wonke umuntu, nakuba ezinye zitholakala ngaphezu kwe-counter (isibonelo, ibuprofen).
Ubuhlungu Emuva Okungekho E-MS
Kubalulekile ukuthi uqaphele ukuthi ubuhlungu obukhulu be-back back buvamile kubantu abaningi, okusho ukuthi abantu abaningi bawubona, kungakhathaliseki ukuthi bane-MS noma cha. Yingakho kubalulekile ukuba uthole ukuxilongwa okufanele ngenxa yezinhlungu zakho zokubuya emuva, hhayi nje ukucabanga ukuthi kuvela ku-MS yakho.
Izibonelo zezimbangela ezivamile zokuphumula okuphansi emuva komphakathi kubandakanya:
- I-Sciatica noma enye ingcindezi yokucindezela izimpande zesibindi
- I-stenosis yomgogodla
- I-musculoskeletal sprain / strain engekho emthonjeni / ukucindezeleka noma ukulimala
Yiqiniso, kunezinto ezingavamile kakhulu, kodwa izimbangela ezinkulu kakhulu zokubuhlungu emuva emuva kuhlanganisa:
- I-cancer eye yasakazeka emgodleni (okuthiwa umdlavuza we-metastatic)
- I-Cauda equina syndrome
- Ukwelashwa (isibonelo, i-vertebral osteomyelitis noma i-abscess epidural abscess)
- Ukuphulwa komzimba ku-vertebrae (ikhefu elitheni elisiza ukwakha isipele sakho)
Noma kunjalo, abanye abantu abane-MS bangase bathambekele kakhulu kunabangela lezi zimbangela ezinkulu. Ngokwesibonelo, ukuthatha i-corticosteroids kwandisa ingozi yomuntu yokutheleleka, kanye nokuhlukunyezwa kwe-fractures ekusukeni kwe- osteoporosis .
Okokugcina, ngezinye izikhathi umuntu ucabanga ukuthi ubuhlungu babo buvela emhlane wabo ophansi lapho empeleni kubhekiselwa khona lapho.
Imithombo yomthombo wezinhlungu ezibhekisweyo ihlanganisa:
- Izimo zama-pelvic ezifana nesifo sokuvuvukala kwe-pelvic
- I-Prostatitis
- Ukutheleleka kwezinso
- Herpes zoster
- I-aortic aneurysm yesisu
- Izinkinga zemigqomo yokugaya i- pancreatitis noma i- peptic isilonda sesifo
Izwi elivela
Esimweni sokugcina, kubalulekile ukuphawula ukuthi nakuba ubuhlungu obuphansi emuva buyi-syndrome ejwayelekile ye-MS, abantu abane-multiple sclerosis bangase bahlangabezane nezinye izinhlobo zobuhlungu, njenge:
- I-neuropathy emilenzeni, ezinyaweni, ezandleni nasemandleni
- Izinsizwa
- I-neuralgia ye-Trigeminal
- MS Hug
Ukucindezela izindaba, abanye abantu bathola ubuhlungu obuphansi obuvela emithonjeni engaphezu kweyodwa (isibonelo, MS kanye nenye inkinga yempilo efana nokuhlukunyezwa kwemisipha kusuka ekulimazeni noma ku-sciatica). Noma bazwa lokho odokotela ababiza ngokuthi "ubuhlungu obuxutshwe," okusho ukuthi inqubo engaphezu kweyodwa ye-MS ibangela ukungakhululeki kwabo.
Konke, qiniseka ukuthi ndawonye nawe nodokotela bakho bangathola izindlela zokukusiza uzizwe ungcono, kokubili ngokomzimba nangokwengqondo. Kungase kuthathe ukubekezela okuncane kanye nesilingo nesiphambeko sakho, kodwa kungenziwa isifo sokuxilongwa esifanele kanye nokwelashwa okuphumelelayo.
> Imithombo:
> Casazza BA. Ukuxilongwa nokwelashwa kobuhlungu obunzima bokubuya emuva. Am Fam Physician. 2012 Feb 15; 85 (4): 343-50.
> Foley et al. Ukukhula kanye nomlando wemvelo wobuhlungu kubantu abadala abane-multiple sclerosis: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Ubuhlungu . NgoMeyi ka-2013; 154 (5): 632-42.
> Maloni H. (2016). I-MS National National: Ubuhlungu ku-Multiple Sclerosis.
> Truini A, i-Barbant P, i-Pozzilli C, i-Cruccu G. Ukuhlukaniswa kwemishini ebuhlungu ebuchosheni abaningi. J Neurol. 2013 Feb; 260 (2): 351-67.