Ukusabalalisa kungasinciphisa, noma kusiyeke emathrekhi ethu
Isipastiki sizwakala kangcono njengokwanda kwezwi le-muscle. Nakuba lokho kungase kuzwakale kuhle ku-flabby phakathi kwethu, ukuthi kusho ukuthini ngempela ukuthi imisipha ayiphumuli kakhulu noma kalula njengoba kufanele. Ngenxa yalokhu, ukuhlaselwa kwesibindi kuthinta ukunyakaza, okwenza kube uphawu lwezimoto, ngokumelene nesifo senzwa.
Uzizwa Njani Ubukhulu?
Ukuphambana okuvame ukwenzeka kaningi emilenzeni kunezingalo.
Kubuye kube lula, okusho ukuthi kubi kakhulu noma kwenzeke kaningi kakhudlwana kolunye uhlangothi lomzimba kunolunye.
Kunamagama ambalwa asetshenziselwa ukuchaza ukungabi nabantu kubantu abane- multiple sclerosis (MS):
I-Spensor Spasms yenzeke lapho isigungu, ngokuvamile umlenze, sinyama futhi umuntu akakwazi ukugoba okuhlangene. Lezi zenza isigungu, ngokuvamile umlenze, ukuba siphume emzimbeni. Ngokuvamile kuthinta i-quadriceps-imisipha emikhulu phambi kwethanga-okwenza umlenze ongezantsi uqondise. Ukuphazamiseka kwemisipha ye-adductor (etholakala ngaphakathi emlenzeni ongenhla) kuphakathi kodwa kungabangela imilenze yomuntu ukuba ivalwe ndawonye ngokuqinile, okwenze kube nzima ukuhlukanisa nabo.
I-Flexor Spasms yenza imbangela yokuthola isivumelwano, noma ukugoba, emzimbeni. Loluhlobo lwe-spasm cishe luyakuthinta njalo imilenze, ikakhulukazi i-hamstrings noma i-hip flexors.
I-Clonus yilapho imisipha iqhuma noma iqhuma ngokuphindaphindiwe. Izinhlobo ezivamile kakhulu ze-clonus yilapho unyawo lomuntu luguqula ngokushesha futhi luphindaphinda phansi, noma lapho umuntu eguqa ngamadolo noma amazinyo ngokuphindaphindiwe ngemva kokugqugquzela (njengokubamba ngokuhlanganyela), kunokuba impendulo evamile yampompi eyodwa noma i-jerk.
Ukugabha kungacatshangwa njengokungathi buhlungu. Nakuba kungavamile njengamanye ama-spasms achaziwe ngenhla, lapho imisipha iphuza ukuphumula, ingabangela izinkinga ukuhamba noma ukusebenzisa izandla neminwe ukwenza izinyathelo ezinesifiso. Kwezinye izimo, ukuqina kungase kungabi inkinga enkulu. Kwezinye izimo, kungabangela izinkinga ukuhamba noma kube nobuhlungu ngokwanele ukuphazamisa impilo yansuku zonke.
Yeka ukuthi i-Spasticity ejwayelekile kangakanani ku-MS?
Iningi labachwepheshe balinganisela ukuthi iningi labantu abane-MS lithola ngezinga elithile lokuphambanisa ngesikhathi esithile. Ngaphezu kwalokho, ucwaningo oluthile lubonisa ukuthi umuntu oyedwa kwabayisithathu wabantu abaningi abane-multiple sclerosis angashintsha imisebenzi yabo yansuku zonke ngenxa yokwehla.
Yini Ebangela Ukudlwengula?
Njengezinye izimpawu eziningi ze-MS, ukugxeka kudala kubangelwa ukuxoshwa . Ngenxa yokuphuza noma ukuphazanyiswa kwemizwa yesisindo, imisipha ingenza izinto ezintathu: ungaphumuli ngokushesha njengoba kufanele, uqinise ngokuzibandakanya, noma uhlale unesivumelwano isikhathi eside noma njalo.
Izinto eziningana zizokhuphula ukuphazamiseka, okwenza kube "i-trigger" ye-spasms. Lezi zimbangela zihlanganisa:
- Izifo, ezifana nokuphefumula, i-urinary tract or infections
- Ubuhlungu
- Izilonda noma ukuchithwa kwesikhumba
- Ukwanda kokushisa kwangaphakathi (isibonelo, ngenxa yemfiva noma ukuzivocavoca ngokweqile)
- Isikhwama esigcwele
- Ukubopha, ukugubha noma izingubo ezicasulayo
- Ukuqokwa
- Izinkinga ngokuthunyelwa
- Ukucindezeleka, ukukhathazeka, noma ukukhathazeka
- Ukushisa okushisa ngokwezemvelo
Yeka Indlela Esingahle Ngayo Yokusakaza Ngayo?
Kubantu abaningi, ukungabi nesikhala kungaba yinkinga ecasulayo noma edlula okuvimbela ukuhamba ngokushelelayo ngosuku olulodwa kodwa engekho olandelayo. Kungenzeka ukuthi ukuhamba ngokushesha noma ukukhuphuka izitebhisi kunzima kunalokho ngaphambili.
Abanye bangase bazuze ukuhlushwa okuncane noma ukuqina, njengoba kungabhekana nobunzima obuthakathaka obuncane futhi kube lula ukuma-umqondo othakazelisayo.
Lokho kusho ukuthi kubantu abathile, izinhlobo ezimbi zokuhlukumeza noma ukuqina kungabangela inkinga ngokuhamba, njengoba ukuhamba kuba nzima noma akunakwenzeka. Isibonelo, amanye ama-spasms angathuthukiswa uma ehamba esuka embhedeni esesihlalo sabakhubazekile eyenza ukuvuka ekuseni umsebenzi onzima.
Ngaphezu kwalokho, ezinye izifo eziphuthumayo zingase zenzeke ngokungazelelwe futhi zibe namandla ukuze umuntu angene esihlalweni noma embhedeni. Ukufiphaza kwe-Flexor kungabangela ukuba izitho zibekwe ezikhundleni ezibuhlungu futhi ziholele ekuhluphekeni okubili okuhlangene.
Kungasetshenziswa Kanjani Isiphambano?
Kunezinhlobo eziningi zokwelashwa okuphambene nesikhala, kuye ngokuthi uhlobo lwe-spasm, ubukhulu, nokuziphendulela kwalo kwemithi. Noma kunjalo, into yokuqala yokuzama ukuqeda ezinye zezimbangela ezibalulwe ngenhla ukuze ubone ukuthi lokho kusiza, ikakhulukazi uma izikhala ezibonakala sengathi zenzeka ezimweni ezithile.
Uma usuwenzile lokho, cocisana nodokotela wakho izindlela zokulisebenzisa. Ukwelapha okuyinhloko noma ukuphatha okuphambene nendawo kuhlanganisa:
- Ukwelapha ngokomzimba ngendlela yokwelula, mhlawumbe ukubekezela-umuntu owelula izitho zakho, noma ngenkuthalo-uzama ukwelula imisipha yakho, noma i-hydrotherapy (ukufaka emanzini)
- Ukusetshenziswa kwezinsiza ezizenzekelayo, njengama-braces.
- Imithi yomlomo, efaka phakathi i-Baclofen, i-Zanaflex (i-tizanidine) ne-benzodiazepines (uhlobo lomuthi lusekelwe endaweni, uhlobo, kanye nobukhulu be-spasms)
- I-baclofen ye-intrathecal, okuyinto ipompo elifakelwe ukujoba lesi sidakamizwa emkhathini kwikholamu yomgogodla equkethe cerebrospinal fluid
- I-Botox injection
- Ukwelapha lapho izinzwa zihlukaniswa khona-lokhu kusetshenziselwa amacala ahlukumezayo.
Abantu abaningi abanamahloni bazama izindlela ezahlukene ezihambisanayo nokunye ukuze zikhululeke, kufaka phakathi i-yoga, i- reflexology , i-biofeedback, ukusikhipha umzimba, i-Tai Chi nabanye. Ngenkathi kunomkhawulo obunqunyiwe obufakazela ukusekela ukusetshenziswa kwabo, abanye abantu bakuthola kuwusizo-kanti lezi zindlela zokwelapha zingase zibe nezinye izinzuzo ezinhle kanye.
Okokugcina, i-cannabis yomlomo noma i-spray yomlomo esuka ku-cannabis (ebizwa nge-Sativex) ingasetshenziselwa ukuphatha i-spasticity-note ukuthi i-Sativex ayitholakali okwamanje e-United States.
Izwi elivela
Uma ulawula ukuphazamiseka kwakho, zama konke okusemandleni akho ukuqhubeka uhamba, welula, ugweme izinto ezithile, futhi uzibandakanye emithonjeni yokwelashwa njengokwelashwa ngokomzimba noma i-hydrotherapy. Qinisekisa ukuthi uphatha ingqondo yakho futhi-vumela udokotela wakho ukuthi indlela yakho ye-spasticity ithinta ngayo izinga lakho lokuphila (uma likhona) bese ulungisa lelo khasi.
> Imithombo:
> National MS Society. (2017). Spasticity.
> Novotna A et al. I- sativex (®), i-Sativex (®), i-aative- double-blind, i-pairbo-elawulwa yi-group-parallel-group, > eyakhiwe-design >. I-Eur J Neurol . 2011 Sep; 18 (9): 1122-31.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (Okthoba 2016). Ukuphathwa kwesifo se-multiple sclerosis kubantu abadala. Ku: UpToDate, González-Scarano (Ed), UpToDate, Waltham, MA.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (Meyi 2016). Izici zomtholampilo ze-multiple sclerosis kubantu abadala. Ku: UpToDate, González-Scarano (Ed), UpToDate, Waltham, MA.