Izizathu Eziyinhloko Nezicathulo Zokukhathala Okuhlobene ne-MS
Ukukhathala kubhekwa ngabaningi ukuba yingxenye enkulu kunazo zonke ze- multiple sclerosis , futhi ngeshwa, kuthinta iningi labo abane-MS. Ngempela, "ezinsukwini zokukhathala ezimbi," kunzima ukubhekana nezidingo eziyisisekelo zomuntu, ngenxa yokukhathala okukhulu okwenza konke kube nzima nakakhulu. Njengoba kuvela, ukukhathala okuhlobene ne-MS ngokuvamile kuwumkhiqizo wezici eziningana esebenza ndawonye.
Ukukhathala Okuyinhloko
Ukukhathala okuyisisekelo kungumphumela wezinqubo zesifo ngokwayo futhi kubangelwa ukuxoshwa komzimba ohlelweni oluyisisekelo senzwa. "Ukuqapha" kuvamise ukusetshenziselwa ukuchaza lokhu ukukhathala, okusho ukuthi ukhathala okuqhakazile kuhlobene ngokuqondile nomsebenzi okwandayo futhi ngokuvamile akuthuthuki nokuphumula noma ukulala. Ukukhathala nakho kungachazwa njengokuzizwa buthakathaka ngokomzimba noma ekubuthakathaka kwengqondo - njengokungathi "ebubini bobuchopho."
Lokhu ukukhathala kuvame kakhulu uma ukushisa komzimba wakho kuphakama - njengosuku olushisayo noma uma uvivinya umzimba, unomkhuhlane, noma uthathe okugeza okushisayo. Igama elisetshenziselwa ukuchaza lokhu okuhlangenwe nakho libizwa ngokuthi yi- Uhthoff - kodwa ungakhathazeki kakhulu uma lokhu kwenzeka. Lapho ukushisa kugubha ukukhathala kwakho, akusona isibonakaliso sokuphindaphinda okusha futhi kubuyiselwa lapho umthombo wokushisa ususiwe.
Kukhona okuthiwa ukuphelelwa isikhathi esifushane, noma ukukhathala okukhona, lapho izinzwa ezithintekayo zamaqembu omzimba ngamunye zishisa ukusetshenziswa, njengemilenze yakho ngemva kokuhamba noma isandla sakho emva kokubhala.
Ukukhathala Kwesibili
Ukukhathala kwesibili akubangelwa ngqo yi-MS ngokwalo kodwa ngokuvamile kubangelwa yizimpawu ze-MS noma kuzama ukuzikhokhela.
- Ukuphazamiseka kokulala kuvamile kubantu abane-MS, ngenxa yokuphazamiseka kwemisipha, ukucindezeleka noma ukukhathazeka, ubuhlungu, isidingo sokuvota ebusuku (nocturia) noma ngenxa yemiphumela emibi yemithi. Ngokwesibonelo, ama-corticosteroids afana ne -Solu-Medrol - asetshenziselwa ukuphatha i-MS ephindaphinda - eyaziwayo ngokubangela ukuphazanyiswa kokulala. Ukuphazamiseka kokulala, njengokuntula ukulala nokugula okungenakuphumula, kubuye kuvame ukutholakala kwezifo eziningi.
- Ukuzikhandla kubangele ukukhathala kubantu abane-MS uma behlale befuna ukukhokhela izimpawu ezinjenge-spasticity noma ubuthakathaka bemisipha, okungenza kube nzima ukuhamba, gcina ibhalansi yakho noma imisebenzi ephelele endlini.
- Eminye imithi ibangela ukukhathala njengomphumela ohlangothini, kuhlanganise nalabo abathintekayo ngokuqondile kwe-MS. Lokhu kufaka phakathi izindlela zokwelashwa eziguqulwa yisifo esenziwa nge-beta-interferon (i-Avonex, i-Betaseron, ne-Rebif), i-Tysabri neNovantrone. Ngaphezu kwalokho, ukukhathala kuwumphumela ohlangothini wemithi ethile ethathwe ngezimpawu ze-MS njenge-spasticity, kuhlanganise ne-Baclofen, i-Valium (diazepam) no-Zanaflex. Imithi yokwelapha ngokwe-neuropathic, njenge-Neurontin (gabapentin), noma ukuthuthumela, kanye nemithi engeyona i-MS, njengaleyo ephezulu yegazi, ukucindezeleka, noma ukukhathazeka, ingabangela nokukhathala.
- Ukucindezeleka ngokuvamile kuvame ukuba abantu bazizwe bekhathele kakhulu. Kwezinye abantu, ukukhathala ngokwayo kubangela ukucindezeleka. Eminye imithi esetshenziselwa ukuphatha ukucindezeleka ingabangela ukukhathala, ukudala umjikelezo womunye okubangela enye, okungase kube nzima ukuphula.
- Ukuntuleka kokudla okunempilo nakho kubangelwa ukuguqula ushukela wegazi okuholela ekukhatheni okujwayelekile.
- Izifo , ezifana nemikhuhlane, isifo sofuba, noma izifo ezibangelwa umchamo zingabangela ukukhathala.
- Ukuntuleka komzimba kungasiza kakhulu ekhatheni.
Ukubhekana Nokukhathala Nge-Multiple Sclerosis
Ukukhathala kungaba yinto ekhubazayo futhi ekhungathekisa wena noma othandekayo wakho. Izindaba ezinhle ukuthi ngeqembu lakho lezempilo le-MS, ungakwazi ukulwa nokukhathala kwakho futhi uthole impumuzo, nakuba kungenakwenzeka ukuthi uyiphulukise, ngamasu okuphila okulula. Lezi zibandakanya ukuzivocavoca nsuku zonke - njengokuhamba okufushane noma ukuhamba kwengalo - ukuzigcina uzipholile futhi uqhuba amasu okuhlanzeka ubuthongo . Isibonelo, qiniseka ukuthi uzolala ngesikhathi esifanayo njalo ebusuku futhi ulale egumbini elibandayo, elimnyama.
Ezinye izindlela zokwelashwa ngokomzimba, ukwelashwa kwengqondo-ukuziphatha ukunciphisa ukucindezeleka, noma ukwelapha umsebenzi wokusiza ukuhlela imisebenzi yakho yasekhaya nasemsebenzini kunganciphisa nokukhathala okuthile.
Abanye abantu nabo bakhetha ukuthatha imithi evuselela nsuku zonke, njenge-Provigil (modafinil). Noma ungayithatha njengoba kuyadingeka, njengokungathi uma ufuna ukuthola amandla futhi ujabulele uhambo lokuthengisana nomlingani wakho.
Imithombo:
Birnbaum, MD George. (2013). I-Multiple Sclerosis: Umhlahlandlela Womtholampilo Wokuthola Ukuxilongwa Nezokwelapha, Edition 2. ENew York, eNew York. I-Oxford University Press.
Multiple Sclerosis International Foundation. (2003). I-MS ekugxileni: Ukukhathala . Umqulu I.