Njengoba isibonakaliso se- multiple sclerosis (MS), ukuqothulwa kuyisimo se-bummer ngempela. Kungaba okungapheli, kunokuza nokuhamba. Ungakwazi ukuchitha izinsuku ezinemizwa yokuthi "akulungile." Kungaba buhlungu. Futhi akuyona into eyenza abantu abaningi bazizwe bekhululekile ukukhuluma ngakho, ngakho-ke banokuthula ngenxa yenkinga, kunokuba bathole uzwela nosizo abadingayo.
Noma kunjalo, kubalulekile ukuthi ufune usizo lokuqokwa kwakho. Ukulinda kungumqondo omubi, ngoba lokhu kungaholela ekulimazeni ekusebenzeni kwakho kwe-rectum noma kwe-stool. Ngaphezu kwalokho, kungenzeka ukuthi ukwelashwa kuzoba lula, njengokuguqula imithi noma ukwandisa amanzi.
Lokho Okukuzwayo
Iningi labantu liye laqotshwa esikhathini esithile empilweni yabo futhi bazi ukuthi lithini. Kodwa-ke, kunencazelo eqondile kunokuba nje "Angikwazi ukuhamba." Ngokusho kwe-American College of Gastroenterology, ukuqothulwa kuchazwa njengezitshalo ezingapheli, ubunzima bokudlula isitokisi, noma kokubili. Izitshalo ezingavamile kakhulu zisho ukuba nezinyathelo ezimbili noma ezimbalwa ukunyakaza kwesonto ngesonto kanye nobunzima bokudlula izitokisi kungase kubandakanye ukucindezela, ukuzwa sengathi awuzange uqede konke ukuhamba kwesisu, noma ube nesitoreji esinzima.
Ukuvama
Kunzima ukusho ukuthi bangaki abantu abane-MS abathola ukuqotshwa, njengoba kuhloswe ukuba kubikwe ngaphansi.
Lokhu kungenzeka ngenxa yezici eziningi, njenge:
- iziguli ezingaxhumani nalesi sibonakaliso ku-MS, ngakho-ke ungabibikeli ezintshonalanga zabo
- iziguli zigxile ezimpawu eziyinkimbinkimbi ngesikhathi sokuvakasha kwezinzwa zezinzwa
- isiguli ekubeni namahloni kakhulu ukubika ukuqotshwa odokotela babo
Konke lokhu kushiwo, kulinganiselwa ukuthi phakathi kwamaphesenti angu-50 kuya kwangu-75 abantu abane-MS bathola ukuqotshwa kwesinye isikhathi.
Eqinisweni, yiyona nkinga ejwayelekile kunazo zonke ezibangelwa abantu abane-MS.
Izimbangela
Izithako ezimbili zihlanganisa ukunyakaza okunomsoco, okuvamile:
- I-stool kumele iqhubeke ihamba emathunjini
- Kufanele kube khona amanzi anele esitokisini
Lezi zinto ezihlobene ngempela. Lapho isitokisi sinciphisa uhambo lwayo emathunjini (ikakhulukazi ikoloni, ingxenye yokugcina yesithomba esikhulu), amanzi agxila ukwenza isisindo siqine. Uma ihlehlisa kakhulu kakhulu, amanzi amaningi athathwa yi-colon nesitobhi kuba nzima futhi kunzima ukudlula.
Lokhu kusho ukuthi ukuqotshwa kwe-MS kungabangelwa yiziphi izici ezilandelayo (noma inhlanganisela):
Ukulimala kwemvelo: Njengoba kushiwo, isitokisi kufanele siqhubeke sishukumisa. Kubantu abane-MS, izilonda zingavimbela ubuchopho ukuthi bamukele ngokuqondile noma budlulisele izimpawu ezilawula imizamo yokuqaphela ukuba nokunyakaza kwamathumba. Ngamanye amazwi, kungenzeka ukuthi awutholi isignali ukuthi "kufanele uhambe," noma awukwazi ukuphumula ngokuphumelelayo futhi uphonse njengoba kudingeka ukuze ube nokunyakaza kwamathumba. Ukunyakaza okungazibandakanyi okugcina isitokisi ukuhamba ezinxenyeni ezingezansi kwendlela yokugaya kungase futhi kuphazamiseke. Futhi, lezi zinkinga zihlanganiswa yi-stool njengoba kunzima kakhulu ukudlula kalula, ngenxa yesikhathi eside kule colon.
Umsebenzi omncane womzimba: Ingxenye ebalulekile ye-motility emathunjini (ukuhamba kokudla okugayiwe emathunjini) kungumsebenzi womzimba, njengokuhamba. Abantu abaningi abane-MS abakwazi ukuhambahamba futhi bahambe kakhulu, ngenxa yobuthakathaka, ukusabalalisa, i-ataxia yenzwa noma ukukhathala .
Impendulo emibi yemithi : Ukuqashwa kuyimiphumela emibi yemithi eminingi abantu abane-MS ethatha ukulawula izimpawu. Lokhu kufaka:
- Ama-antidepressants, ikakhulukazi ama-anti-compressant tricyclic kuhlanganise ne-Amitriptyline (Elavil, Endep), i-Desipramine (i-Norpramin), i-Doxepin (i-Sinequan), i-Imipramine (i-Tofranil-PM), i-nortriptyline (Pamelor)
- Ama-painkillers, ikakhulukazi lawo aqukethe i-morphine noma i-codeine, kanye nezinye izidakamizwa zokunciphisa izinhlungu ezifana ne-Ultram (tramadol).
- Imithi yesifo sokushisa kwesinye isibizwa ngokuthi i-anticholinergics njengamaphilisi e-Detrol nama-caprolle we-Detrol LA-release-release (tolterodine)
- Imithi ye-spasticity, kuhlanganise ne-baclofen no-Zanaflex (tizanidine)
Ukungaphuzi Amanzi Anele: Kuvamile ukuthi abantu abane-MS bahlehlise emanzini, ikakhulukazi uma bebhekana nezinkinga ngokuphuthuma komchamo noma i- nocturia . Abanye abantu abane-MS nabo banciphisa ukudla okumanzi uma bephuma noma behamba, njengoba kungena kunzima ukufika endlini yokuphumula. Lokhu kuthiwa, kubalulekile ukuthi uphuze amanzi amaningi usuku lonke uma une-MS. Khumbula futhi, amanzi angcono kakhulu. I-caffeine no-alcohol zisebenza njengama-diuretics futhi zingakunciphisa ngaphezulu. Uma amanzi engekho okuthandayo, zama ukubeka ilamula noma udoti kuwo ukuze unikeze ukunambitheka.
Ubunzima obungenzeka
Ukuqokwa okungagunyaziwe kungaholela ekuthandeni kwe-fecal, okwenzeka lapho ukuqothulwa kunzima kakhulu kangangokuthi yonke i-rectum igcwala ibhola elikhulu, elikhuni lesitokisi. Kulezi zimo, ukungahambisani nomuntu kuyadingeka, lapho udokotela noma umhlengikazi bekhipha ukuvimba ngokuzenzekelayo (usebenzisa umunwe ovuliwe).
Izwi elivela
Ukuqokwa kuyinto evamile ku-MS, kodwa izindaba ezinhle ukuthi kunezinto ongayenza ukuze uzivimbele noma okungenani uzinciphise. Amasu afaka:
- Phuza izibuko zamanzi ezingu-6 kuya kwezi-8 nsuku zonke
- Hlanganisa i-fiber ekudleni kwakho (isibonelo, okusanhlamvu okugcwele kanye nolovu lwezithelo nemifino)
- Hlala usebenza, ngangokunokwenzeka
- Yakha isikhathi nosuku ngalunye osebenzisa ukugezela-lokhu kubizwa ngokuthi ukuqeqeshwa kwamathumbu
- Cabanga ngamakhemikhali angakapheli lapho ukuqokwa kwakho kungena, kepha uxoxe nodokotela wakho kuqala, njengoba abanye bangabangela ukuxhomeka
Okokugcina, kubalulekile ukuqaphela ukuthi kufanele uxhumane nodokotela wakho nganoma yikuphi ukuguquka okuqhubekayo emikhondweni yemilenze. Ukuqokwa ngokwakho kungaba uphawu lwezinto ezinzulu kakhulu, njengomdlavuza wekoloni, ngakho-ke uhlole.
Imithombo
I-American College of Gastroenterology. (2016). Ukuqokwa kanye nezinkinga zokuhlenga.
Gallien P et al. Ukuqwashisa kokuqothulwa kwe-multiple sclerosis ngeqembu eliphakathi kweziguli ezingu-81. I-Ann Phys Rehabil Med . 2016 Sep; 59S: e39-e40.
> National MS Society. (2014). Izinkinga zesisu: Izinto Eziyisisekelo.
URandall T. Shapiro. Ukuphatha Izimpawu Ze-Multiple Sclerosis (5th ed.) . I-New York: Ukushicilelwa Kwezokwelapha ze-Demos, ka-2007.