Ukucindezeleka akumele kube namahloni futhi akuyona iphutha lakho. Kubantu abane-MS, ukucindezeleka kubangelwa izinqubo eziyinkimbinkimbi zomzimba, amakhemikhali kanye / noma ngokomzwelo kanye nokusebenzisana okungazange ngisho nodokotela nabacwaningi baqonde ngokugcwele. Izindaba ezinhle ukuthi ukucindezeleka kuyaphathwa ezandleni zodokotela ofanele.
Ngabe Ngumuphi Udokotela Kufanele Ngibone Ukucindezeleka Uma Ngine-MS?
Nakuba bonke odokotela bangakwazi ukunikeza imishanguzo yokucindezeleka, isazi sezempilo esiyingqayizivele kunazo zonke singumhlengikazi.
Ukwelashwa kokucindezeleka kudinga ukuqapha ngokucophelela kanye nezinhlelo zokwelashwa ezizimele ukuze kube kuhle uma uthola udokotela ophatha ezinye iziguli ezine-MS.
Ukucindezeleka ku-MS kuyinkimbinkimbi. Ngokwesibonelo, eziningi zezimpawu ze-MS ezifana nokukhathala, izinkinga zokucabanga, ukuhamba kancane, nezinkinga zokulala zilinganisa izimpawu zokucindezeleka kanye nokunye.
Ngaphezu kwalokho, ezinye zezokwelapha eziguqula izifo ze-MS, njengezindlela zokwelapha ze-interferon Avonex neBetaseron, zinokucindezeleka njengomphumela ohlangothini. Udokotela ohlangenwe nakho kokubili kwe-MS nokucindezeleka uzokwazi "ukukhipha" uhlu lwakho lwezimpawu futhi anqume indlela engcono kakhulu yokwelashwa kwakho.
Indlela engcono kakhulu yokuthola isifo sezifo zengqondo onolwazi nge-MS ukubuza i-neurologist yakho ukuthi ithunyelwe. Ungathintana nehhovisi eliyinhloko noma isahluko sakho sendawo ye-National Multiple Sclerosis Society ngamagama odokotela ababhekana nakho kokubili ukucindezeleka kanye ne-MS endaweni yangakini.
Ukuthola Ukucindezeleka Kutholakala Kanjani?
Njengoba kungekho ukuhlolwa kwegazi noma olunye uhlolo lwe "biomarker" lokucindezeleka, udokotela wakho uzothola ukuxilongwa ngokulalela indaba yakho ngokuthi kungani ufuna ukwelashwa, ikucela uchungechunge lwemibuzo, futhi ubheke ukuziphatha kwakho ngesikhathi sokuqokwa. Uma kuthiwa, odokotela bavame ukuhlola umsebenzi wegazi ukuze baphathe izimo zempilo ezingalingisa ukucindezeleka njengezifo ze-thyroid noma i- anemia .
Ngaphezu kwalokho, cishe uzocelwa mayelana nohlu lwezibonakaliso zakho ezithile ezifana nokudabuka, ukukhathala, ukukhathazeka, izinkinga zokulala, nokuzizwa unecala noma ukuphelelwa ithemba. Udokotela wakho uzophinde abuze ukuthi ungakanani isikhathi esinesibonakaliso ngasinye, nokuthi izimpawu zakho zinzima kangakanani. Udokotela uzophinde akubuze nganoma yimuphi umlando wokucindezeleka nokwelapha, noma yikuphi ukusetshenziswa kwezidakamizwa nokuphuza utshwala, imithi yamanje, izihlobo ezinomlando wokucindezeleka, futhi uma uke wacabanga ukuthi uzokuzilimaza noma uzibulale. Nakuba eminingi yale mibuzo ingase ingahambi kahle, kubalulekile ukuthi uphendule ngobuqotho.
Imithi Yokucindezeleka
Kunezigaba eziningi zemithi yokucindezeleka. Labo asetshenziswa kakhulu namuhla:
- I-Serotonin Reuptake Inhibitors (SSRIs) ekhethiwe: Ama-SSRI yi-antidepressants anqunyiwe kakhulu futhi afaka iPrac (fluoxetine), i-Zoloft (sertraline), iCelexa (citalopram), i-Paxil (i-paroxetine) ne-Lexapro (escitalopram).
- I-Serotonin ekhethiwe ne-Norepinephrine Reuptake Inhibitors (i-SSNRIs): i- Effexor (i-venlafaxine) ne-Cymbalta (duloxetine hydrochloride) ama-SSNRI amabili ngezinye izikhathi asetshenziselwa ukuphatha ukucindezeleka. I-Cymbalta nayo isetshenziselwa ukwelapha ubuhlungu be-neuropathic ngakho kungaba yindlela enhle kubantu abanobuhlungu nokucindezeleka.
- I-Tricyclic Antidepressants: I-tricyclic antidepressants, njenge-Elavil® (i-amitriptyline) ne-Pamelor® (i-nortriptyline), ijwayele ukuba nemiphumela emibi njengobuthongo, ukuqotshwa noma ubunzima bokudlula umchamo. Lokhu kungenza izimpawu zakho ze-MS zizizwe zibi nakakhulu.Ngakho-ke azivame ukusetshenziselwa ukwelashwa kokuqala kokucindezeleka ku-MS. Kodwa-ke, ngenxa yokucindezeleka okungagunci ukwelashwa, ingasetshenziswa yedwa noma ihlanganiswe neminye imithi.
Ukuthi udokotela wakho ukhetha kanjani i-antidepressant yakho isekelwe eziningana zezici ezinjengemiphumela emibi yemithi, ukuthi kuthathwa kaningi kangakanani, izimpawu zakho eziphawulekayo noma ezicindezelayo ezicindezelayo, izindleko, nokuthandwa kwakho njengesiguli.
Okufanele Ukwazi Ngokwelashwa Kwakho Ukucindezeleka
Kubalulekile ukuqaphela ukuthi izidakamizwa zokucindezeleka zingathatha amasonto ayisithupha kuya kweziyisishiyagalombili ukuze zifinyelele umphumela wazo. Kufanele ulindele ukuthi ube nama-aphoyintimenti avamile nodokotela wakho, ikakhulukazi uma uqala ukwelashwa okusha, ngakho-ke angakwazi ukuqapha impendulo yakho ekwelashweni futhi anqume ukuthi ukulungiswa kwesilinganiso kudingeke kwenziwe.
Khumbula, kuyinto engavamile ukuthi imithi ephelele emithini ephelele ishiwo okokuqala, njengoba wonke umuntu ehlukile ekuphenduleni kwabo. Ukwelashwa okuphumelelayo kokucindezeleka kudinga ukubekezela nokubambisana kokubili udokotela nesiguli, kodwa umvuzo ufanele umzamo.
Futhi, ucwaningo luye lwabonisa ukuthi ukwelashwa okuphumelelayo kakhulu kokucindezeleka ku-MS kuyinhlanganisela yokwelashwa okunemithi yokucindezeleka nokuthi "ukukhulumisana" noma i-psychotherapy. Isifo sakho sengqondo singahlinzeka nge-psychotherapy ngokwayo noma sisebenze eduze nomuntu ongokwengqondo ongakusiza. Futhi, isahluko sakho se-MS Society singakunikeza uhlu lamaqembu asekela ama-MS endaweni yakini noma abahlengikazi abanokuhlangenwe nakho ekusebenzeni nabantu abane-MS.
Imithombo
I-Goldman Consensus Group. Isitatimende se-Goldman Consensus mayelana nokucindezeleka ku-multiple sclerosis. I-Sult Scle r. 2005 Jun; 11 (3): 328-37.
I-National Multiple Sclerosis Society. (2016). Ukucindezeleka.