Ukubheka Izinkinga Zokuphefumula Ezingahle Zenzeke Nge-MS
Abantu abane- multiple sclerosis (MS) banamathuba amaningi okuphefumula (izinkinga zokuphefumula) kanye nempawu eyaziwa kakhulu yokugubha nokukhathala , ukukhathala , i- MS , nezinkinga zememori. Eqinisweni, kulinganiselwa ukuthi abantu abangaba ngu-30% abane-MS banciphise umsebenzi wokuphefumula. Esinye isifundo, abantu abangama-32% abane-MS babika i- dyspnea emnene (ukuphefumula ubunzima noma ukuphefumula) ngesikhathi sokusebenza ngokomzimba.
Uma unayo i-MS, kungenzeka ukuthi uthola amaphuzu aphansi ekuvivinyweni kokusebenza kwamapulmeri okuhlola amandla emisipha oyisebenzisayo ukuphefumula.
Izinkomba
Iziguli ezine-MS zivame ukuba nokuphefumula okungajulile futhi okusheshayo kunalabo abangenalo. Lesi simo yisisekelo sezinkinga eziningi zokuphefumula ezihlobene ne-MS, ezifaka:
- Ukuphelelwa umoya
- Ukucindezeleka okunzima ngokujulile
- AmaHiccups
- Isikhukhula
- Ukububula njalo
- Ayikho umoya okwanele
Uma unezinkinga eziningana zokuphefumla noma eziningi ngenxa ye-MS yakho, kungenza uzizwe ukhathazekile futhi sengathi:
- Bazama ukuphefumula ngengubo phezu kwekhanda lakho
- Unesisindo esinzima esifubeni sakho
- Awukwazi ukuthatha umoya ojulile
Izimbangela
Kwakujwayele ukucatshangwa ukuthi izinkinga zokuphefumula e-MS zaqala ukuqala ngezigaba zesifo. Kodwa-ke, manje sekukholelwa ukuthi ukucindezeleka kwezinkinga zokuphefumula e-MS kuhlobene eduze kakhulu nobukhulu besifo somuntu: okungukuthi, umuntu onokunye (futhi ngaphezulu) izimpawu ze-MS nokukhubazeka okuhlobene kungenzeka ukuthi abe nokuningi (nokuningi ezinzima) izinkinga zokuphefumula.
Izinkinga zokuphuza e-MS zingabangelwa yiyodwa noma ngaphezulu kwezici ezilandelayo:
- Izinkinga ezibonakalayo. Izinkinga zokuphefumula ezihlobene ne-MS zingase zibe umphumela wolwazi olungavamile lokuphefumula oluthinta 1) ukucindezela okuphefumulayo (ukucindezela okungavamile emaphashini), 2) ukugeleza kwe-air, kanye no-3) ukuhamba kwamapayipi nodonga lwesifuba.
- Isisindo sobuthakathaka. Abantu abaningi abane-MS balinganisela ezinyathelweni zamandla okuphefumula, njengokuzama ukucindezelwa komlomo. Ingcindezi yomlomo yenza ukusebenza nokuqina kwemisipha yokuphefumula ngokuhlola ukucindezelwa okuphezulu okuphefumulayo (ukuphefumula) kanye nokucindezela okukhulu okuphefumula (ukuphefumula). Lezi zikhonjiswe ukuthi ziphakathi kuka-60% no-70% ezivamile ngisho neziguli ezineziphene ezihlobene ne-MS.
- Imiphumela emibi yemithi. Ezinye izidakamizwa ezinqunyiwe ukusiza ngezinhlungu ezihlobene ne- MS noma i-spasticity (ukuqina kwesisipha noma ukuqina) kungabangela ukuphefumula okuncane, okuncane okuphefumulayo. Lokhu kufaka hlangana imisipha yokuphumula, i-tranquilizers, nemithi yokuhlunguphaza e-opioid.
- Ukuphefumula Pneumonia. Ukuhlobene no-MS ukugwinya ubunzima noma ukuhluleka ukususa isikhafu emakhaleni noma emphinjeni kungaholela ekufisweni kwe-pneumonia , okungenzeka uma uketshezi lwamanzi, umcucu, kanye / noma ukudla kungena emaphashini.
Ubunzima
Kuyinto engavamile kakhulu ukuthi izinkinga zokuphefumula ezihlobene ne-MS zibeka impilo engozini noma enzima kakhulu kangangokuthi umuntu udinga usizo lokuphefumula (ukuphefumula amabhubhu noma i-oxygen eyengeziwe). Kodwa-ke, ngisho nezinkinga zokuphefumula ezinobumnene zingabangela ukukhathala okukhulu, okunye okufaka isandla ekukhatheni okuhlobene ne-MS . Ngaphezu kwalokho, ukuzwa ukuthi awukwazi ukuthola umoya okwanele kungaholela ekuhlaselweni kobuhlungu nokukhathazeka okukhulu.
Ukuthola Usizo
Ngenhlanhla, ukwelapha okuphefumula - okungabandakanya ukuzivivinya ukuphefumula ukuthuthukisa umsebenzi jikelele wokuphefumula nokuvimbela izinkinga zokuphefumula ngesikhathi esizayo se-MS - kungasebenza kakhulu ekusizeni abantu abanesifo baphefumle ngokwengeziwe.
Amathiphu
- Nciphise ingozi yokuthola ukutheleleka kokuphefumula. Gwema abantu abagulayo, geza izandla zakho, uthole ukuguquka komkhuhlane , futhi uthole ukuphumula okwanele. Uma uqala ukuzwa ugula, futhi ikakhulu uma uhlakulela ukukhwehlela, xhumana nodokotela wakho ngokushesha.
- Chew ukudla kwakho kancane futhi ngokucophelela (futhi ugweme ukuhleka kanzima noma ukukhuluma ngomlomo wakho ugcwele) ukusiza ukuvimbela ukukhwehlela noma ukuchofoza.
- Uma ubona udokotela oyinhloko wokunakekela izimpawu zokutheleleka kokuphefumula, mtshele ukuthi wehlise umsebenzi wephaphu kusuka ku-MS. Lokhu kuzokusiza ukuqinisekisa ukuthi uthola ukwelashwa okufanele.
Imithombo:
Fein A, Kamholz S, Ost D. "Izinkinga Zokuphefumula ." UHodder Arnold (2006).
I-Gosselink R, i-Kovacs L, i-Decramer M. Imisipha yokuphefumula iqhaza ku-Multiple Sclerosis. Ukuphefumula kwe-Eur. 1999; 13: 449-54.
I-Mutluay FK, i-Gürses HN, i-Saip S. Imiphumela ye-Multiple Sclerosis ngemisebenzi yokuphefumula. I-Clin Rehabil. 2005 Jun; 19 (4): 426-32.
Rae-Grant AD, Eckert NJ, Bartz S, Reed JF. Izimpawu Ezibonakalayo Zokwakheka Kwama-Multiple Sclerosis: I-Reservoir Yokufihla. I-Mult Scler. 1999 Jun; 5 (3): 179-83.