Indlela Ukwelashwa Okungaholela Ngabantu Nge-Multiple Sclerosis
Izinsizi zingase zenzeke kunoma ubani, kodwa ezinye izifundo zishicilele ukuthi abantu abane- multiple sclerosis (MS) banamathuba amabili okuba nezinhloko noma izigulana kunabantu abaningi. Olunye ucwaningo luye lwaphakamisa nokuthi ukuqina kwamakhanda kungenziwa ngcono ngenxa ye-MS, lapho umonakalo kwamangqamuzana athile wegazi angenza isimo esibi nakakhulu nakakhulu.
Izimbangela ze-Headache ne-Migraines
Ezimweni eziningi, ukwelashwa kwezinsizi kubantu abane-MS kufana nokuthi kungaba omunye umuntu. Okuhlukile kungaba izinhlobo zezidakamizwa ezisetshenziselwa ukuphatha i-MS, ezinye zazo ezihlotshaniswa nekhanda.
Isibonelo, ama-steroids asetshenziselwa ukwelashwa kwe- MS ngezinye izikhathi angabangela ushukela wegazi ophakeme futhi, futhi, ungabangela izinhlungu zekhanda kanye nezinye izimpawu zesifo sikashukela. Ngokufanayo, ezinye zezokwelapha-ukuguqula imithi esetshenziswa ukwelapha i-MS zingabangela izimpawu ezifana nezifo, kufaka phakathi izinsizwa.
Izinhlobo Zezinsolo Zesihlungu kanye Nemigraines
Ukuze uphathe kahle ikhanda, udokotela uzodinga kuqala ukuthi unjani uhlobo. Ngencazelo, i-headache iyisifo sobuhlungu obuvela kunoma iyiphi indawo esifundeni noma entanyeni. Kungase kutholakale ngezindlela eziningi ezahlukene:
- I-Migraines iyaphuma, ngokuvamile ikhanda elilodwa lomsindo luhlala emahoreni amane kuya kwangu-72.
- Izinkinga zekhanda zichazwa njengokuhlunguphaza nokucindezela okuqhubekayo.
- Amakhanda e-Cluster ahlukumezeka kakhulu futhi achazwe njengobuhlungu obunzima ohlangothini olulodwa lwekhanda olungase lufike futhi luvame ukuhlotshaniswa nobuhlungu beso.
Izinketho zokwelapha
Odokotela bayokwelapha ikhanda ngenxa yesibangela. Uma ikhanda liwumphumela womphumela wecala lomuthi, udokotela angakwazi ukufaka endaweni yesidakamizwa esonakele noma ushintshe umthamo.
Ngezinye izikhathi, ababulali obuhlungu bangase babekwe ukuba basize ukunciphisa izimpawu.
Phakathi kwezinye izinto ongakhetha kuzo:
- Izidakamizwa eziphikisana nezidakamizwa (i-NSAID), njenge-Aleve (naproxen) ne-Advil noma i-Motrin (ibuprofen), ivame ukuvikelwa kokuqala kokuphatha ukuphathwa kwekhanda lokuhlukunyezwa kanye ne-migraines.
- Ama-antidepressants , asetshenziselwa ukuphatha izimpawu zokucindezeleka ezivamile kubantu abane-MS, angase futhi asize ukuphatha izidakamizwa. Njengoba kokubili ukucindezeleka kanye nemigraines zixhunyaniswa namazinga aphansi e-serotonin, ukubuyiselwa kwalawo mazinga kungathuthukisa kokubili izimpawu ngokuhamba kwesikhathi. Izinketho zihlanganisa:
- Effexor (venlafaxine), i-serotonin norepinephrine reuptake inhibitor (i-SNRI)
- I-serotonin reuptake inhibitors ekhethiwe (SSRIs) ayisebenzisi kangcono ekwelapheni ama-migraines kodwa ingahle ibekwe uma udokotela ekholelwa ukuthi ubuhlungu bubangelwa ukucindezeleka komuntu.
- I-Triptans igabadi yezidakamizwa esetshenziselwa ngokukhethekile ukuphatha imithi ye-migraines ne-cluster headaches. Zibopha kuma-receiotonin receptors ebuchosheni, ivimbela izindlela ezithile zobuhlungu kanye nemithambo yegazi emincane.
- Nakuba i-steroids ephakeme kakhulu ingabangela izinwele kwezinye, izidakamizwa ezifanayo zingasebenza ngendlela yokwelapha ikhanda elihlobene nokubuyela emuva kwe-MS. Uma ikhanda lihlotshaniswa ne- optic neuritis noma lihoxiswa yi- MS lesion , inkambo ye -Solu-Medrol ingasiza ekunciphiseni ubuhlungu obungapheli noma obuhlungu obukhulu bekhanda.
> Umthombo:
> Tabby, D .; Hassan Majeed, M .; Youngman, B. et al. "Amakhanda e-Multiple Sclerosis: Izici kanye Nemiphumela Yokuphathwa Kwezifo." I-Int J ye-MS Care. 2013; 15 (2): 73-80.