Kungenzeka ukuthi udokotela wakho uthe isimo ositholile ukuthi unesifo se-multiple sclerosis, i-rheumatoid arthritis, noma esinye isifo se-auto-immune sinephethini yokubuyiselwa kabusha nokubuyisela. Kusho ukuthini lokho, futhi yini okufanele wazi njengoba ufuna uhlelo lokusekela ukukusiza ukuba ubhekane nesimo sakho?
Incazelo
Isimo sokubuyiselwa kabusha sokubuyisela emuva sisho ukuthi izimpawu zibi nakakhulu (ukuphindaphinda) nezinye izikhathi zithuthukisiwe noma zihambe (ukubuyisela).
Ngesikhathi ubuhlungu obungapheli bubuyela emuva, ubuhlungu buyoba khona kancane noma ngokuphelele. Ngesikhathi sokuxoxwa, noma kunjalo, ubuhlungu buyophela bese bufuna ukwelashwa okuncane, uma kukhona.
Ukubuyiselwa futhi ukubuyisela izimo kungalandela amaphethini athile, noma bangase baqale futhi kubonakale kungekho mvumelwano noma isizathu. Ezinye izikhwama zikhungethwe ukulimala okungeziwe noma ezinye izici.
Ngenxa yokuthi izimpawu zesifo ziyeza futhi zibuyele ekubuyiseni kabusha-ukulungisa izifo, abagulayo bangase bahlelwe enkolelweni yamanga ukuthi baphulukiswa ekuguleni kwabo, lapho, empeleni, basuke bekhulelwe kuphela.
Izinhlobo Ezintathu Zokubuyiselwa Ukugula-Ukukhumbuza Izifo
Kukhona ngempela izinhlobo eziningana ezahlukene zezifo zokubuyiselwa kabusha okuzokwazi ukufanekisa nezimo ezintathu ngokukhethekile.
Ukubuyiselwa kabusha-Ukubuyisa Multiple Sclerosis (RRMS) . Abantu abangamaphesenti angama-85 abanesifo sochungechunge ezinengi ekuqaleni babe nokubhekwa njenge- relapsing-remitting disease , ngoba kaningi banezigaba zombili ezikhuthele nezigaba ezingasebenzi.
Ngokuvamile eyaziwa ngokuthi Ukubuyiselwa Ukubuyiswa Kwe-Multiple Sclerosis (i-RRMS), lesi sifo esizimele sivame ukuqhubeka nokuhlaselwa ukuvuvukala okubangela ukusebenza kwe-neurologic. Ukuphindaphindiwe kuvame ukulandelwa izikhathi zokuxoxwa, ngesikhathi lapho izimpawu zithuthuka. Izimpawu ezivamile ze-RRMS yizinkinga zombono, izinkinga zesisu kanye nesibindi, ukukhathala, ukuphazamiseka, ukuqina, nezinkinga ngenkumbulo noma ngokucubungula ulwazi.
Ekugcineni, iningi lalaba bantu lizoguqukela ekubeni ne- multiple sclerosis eqhubekayo lapho kuqhubeka khona izimpawu, kodwa kuncane noma akukho ukubuyela emuva.
I-rheumatoid Arthritis (RA) yinye isifo esizimele esivame ukuhlukaniswa njengesifo sokubuyiselwa kabusha. I-arthritis ye-rheumatoid , ebangela ukuthi amasosha omzimba ahlasele izingxenye zomzimba, ayithinte izicubu kumalungu. Lokhu kuhlaselwa kubangela iziqephu zokuvuvukala ezingabangela ukuqina nobuhlungu obukhulu futhi kungabangela umonakalo wesikhathi eside nokuqhubekayo kumalungu . Izimpawu zokuvuvukala ze-RA zingabandakanya ukushisa, ukujula, ukulahlekelwa isisindo nokukhathala. Kunezigaba ezahlukene zemithi ezingasenza lesi sifo sibe yisikhumbuzo isikhathi eside, kuye ngokuthi ubuhlungu besifo buyini.
I-Systemic Lupus Erythematosus ( SLE ), isifo se-autoimmune, futhi sivame ukulandela inkambo yokubuyisela nokubuyisela emuva. I-systemic lupus erythematosus ivame kakhulu kwabesifazane kunamadoda futhi angashaya nganoma yisiphi isikhathi. Izinhlanga ezithinteka kakhulu yilesi sifo zingama-Afrika aseMelika nama-Asiya. Izimpawu zesifo se-lupus zihlanganisa ukukhathala okukhulu, ubuhlungu obuhlangene, ukuvuvukala, izilonda zomlomo, ukulahlekelwa izinwele, umkhuhlane, ukunganaki okukhulu, ukuzwela ukukhanya kwelanga, ukuqhuma isikhumba kanye nokuvuvukala kwe-lymph nodes.
Abanye abantu abane-SLE nabo bahlakulela isifo se-arthritis, futhi amalunga eminwe, izandla, amaviki namadolo ngokuvamile ahlaselwe. Ezinye izimpawu ze-SLE zixhomeke ekuhlaselweni komzimba SLE, isibonelo, inhliziyo, amaphaphu, isikhumba, izinso , noma ezinye izitho. Nakuba kungekho ukwelashwa kwe-SLE, umgomo ukulawula izimpawu ezingase zifike iphethini yokubuyisela nokubuyisela emuva.
Ukubhekana Nokubuyiselwa Kwesibili
Ukubhekana nesifo sokubuyiselwa nokubuyisela kunzima kakhulu. Siyizidalwa zemikhuba futhi singalungisa kahle isimo esenzeka kodwa silandela iphethini elibikezelayo. Isici sokumangala, noma kunjalo, esimweni sokubuyiselwa kabusha esikubuyisayo sithatha ukulinganisela nokungakulungeli, njengamanye okumangalisa ekuphileni kwethu, okuhle noma okubi.
Uma lokhu kwenzeka njalo, ungase uqale ukungathembi umzimba wakho, umuzwa omubi.
Ngaphandle kokuzizwa ungalingani, lokhu kuvuselela futhi ukukhipha kungakucasula-futhi ngesizathu esihle. Lezi zimo azilandeli imithetho futhi azidlali kahle. Kungaba ukukhathazeka, ikakhulukazi, uma izimpawu zakho zibuyela emuva uma wenza konke okulungile, noma ubeke lapho wenza konke okungalungile. Njengoba intukuthelo nge-multiple sclerosis ingabangelwa yizinguquko ebuchosheni, futhi ukuphindaphinda nokubuyisela isifo lesi sifo kungaba-ukusebenzisa i-adage-add fuel fuel emlilweni, izifo ezizenzekelayo ngokuzenzakalelayo zingakhipha engqondweni yakho umuzwa ojulile wokungavikeleki . Into kuphela engabonakali iyashintsha yilelo shintsho alinakugwemeka.
Ngisho noma ulindele ukubuyela emuva-uma utshele futhi ufunde ukuthi kwenzeke-kungasabisa uma izimpawu zakho zibuya. Lokhu kungase kube nzima nakakhulu uma izimpawu zakho sezilokhu zilahlwe isikhathi esithile.
Abanye abantu bakuthola kunzima kakhulu ukubhekana nokuphindaphinda kwezimpawu kunokuba baqale ukuxilongwa ngesimo sabo. Kufana nabantu abaqala ukuxilongwa ngomdlavuza futhi kamuva baphindaphinda. Uma uthola ukuthi uvame ukuzungezwe umndeni nabangane. Uma uqhathanisa, uma usuphindaphinda, izindaba zakho "zindaba zakudala" futhi azivame ukudala ukugijima okufanayo ukusiza.
Ngaphezu kwalokho, ukuphindaphindiwe yisikhumbuzo sokubamba isikhumba sokuthi unesifo ngempela. Uma utholakala nokuthi izimpawu zakho zihlala zodwa noma ngezokwelapha, ingqondo yakho ingakhohliswa kalula ukuthi mhlawumbe wena uyedwa. Ngokungafani nabanye, isimo sakho ngeke siphindele, noma mhlawumbe sinikezwe ukuxilongwa okungalungile endaweni yokuqala. Ukuphindaphinda umkhumbuzi ongeyena-ongenangqondo wokuthi unesifo futhi ngeke nje uhambe.
Ngandlela-thile, isifo sokubuyela emuva sinjengokuziphatha okuxhashazayo kubantu, nakuba kulesi simo, umhlukumezi uyisifo. Umhlukumezi angase akuholele ukuthi ucabange ukuthi awusenalo isisulu, futhi uma usuphinde wethembe, uzokushaya nakakhulu, akugqeke phansi. Yilokho okungazizwa sengathi kufinyeleleke kwenye yalezi zimo.
Ukubhekana Nezikhwama
Okungase kusimangaze abanye abantu ukuthi kungaba nzima ukubhekana nokukhishwa kwesifo njengesifo sokubuyela emuva. Wake wazibamba uzizwa uzikhathazekile, uzibuza ukuthi "unyawo olulandelayo luzokwehla nini"? I-hiatus yesikhashana (noma ngaphezulu) esesifo ngezikhathi ezithile iletha amandla okwanele ukucabanga ngempela ngesifo sakho. Uma ubhekene nokuphindaphinda, ugxila ekufinyeleleni leso sigaba senqubo. Kodwa uma isimo sakho siphenduka, ushiywa isikhathi sokucabanga: "Kuyini lesi sifo esikwenzayo empilweni yami?"
Ungase ucabange ukuthi ukuthola ukwesekwa noma ukuhlanganyela eqenjini lokusekela kuzoba kubaluleke kakhulu uma usuphelile ukuphindaphinda, kodwa kungabaluleke kakhulu ukufuna ukwesekwa uma usuphelile. Yiyo leyo mibuzo eminingi efika engqondweni-imibuzo eyenza ukuthi ulandele impilo yakho. Futhi, kaningi labo abaye babhekana nokubuyela emuva futhi baxoshe ngokwabo abangakwazi ukuyiqonda kahle.
Imithombo:
UFirth, N. Ukuphumelela Kwezingqinamba Zamaqembu Ezingqondo Zokubhekana Nezifo Ezihlukahlukene Zokwakheka Kwama-Sclerosis: Ukubukezwa Kwezincwadi Zokuhlola. I-Journal of Health Psychology . 2014. 19 (6): 789-801.
I-Kalb, R. I Impikiswano Emotional and Psychological Impact of Multiple Sclerosis Ibuyela emuva. Journal of Sciences Neurological . 2007. 15: 256 Ukusekela 1: S29-33.
USolomon, A., noJen. Bernat. Ukubuyekezwa Kwezimiso Zokusetshenziswa Kwendawo Yezindawo Ezivivinyweni Zemitholampilo Yokubuyiselwa-Ukubuyiselwa Kwama-Multiple Sclerosis Therapeutics. Izifo Ezihlobene Ne-Sclerosis . 2016. 7: 109-12.