Ukunyuka Kwakho Emzimbeni Wokushisa Unokuthi Uqalise Iimpawu Zakho ze-MS
Isiganeko se-Uhthoff sisisigxina esiyingqayizivele kwi- sclerosis ebonakalayo ngokugqithisekayo kweminye impawu ze-MS okanye ngaphezulu kweqondo lobushushu obuphezulu bomzimba, nokuba ngumlinganiselo omncinane, njengesiqingatha se-degree.
Le ngqangi yachazwa kuqala nguWilhelm Uhthoff, ingcali yeJapan yaseJamani, ngasekupheleni kwekhulu le-19. Waqaphela ukuba abantu abane- optic neuritis , uphawu oluqhelekileyo lwe-multiple sclerosis, babenomdla okwesikhashana xa bebonisa.
'Kutheni' kulandela i-Uhthoff Phenomenon
Kwi-MS, i- myelin (ikhusela, i-fatty cover around the nerve fibers) yonakaliswe okanye ichithelwa ngumzimba womzimba. I-Myelin yinto evumela ukuba iingxolo zixubane ngokukhawuleza kwaye ngokukhawuleza. Ngoko ke, xa lonakaliswe, iiseliti zesisombululo azikwazi ukuthumela imilayezo ngokufanelekileyo. Ngokuxhomekeke ekubeni zeziphi iziphazamiseko ezichaphazelekayo, le ndlela yokuphazamiseka kwemizwa ye-nerve ibangela iimpawu ezahlukahlukeneyo ze-MS, njengombono oqhaqhaqhaqhayo, ukuphazamiseka kunye nokubetha, ubuthakathaka obubuthakathaka, kunye neengxaki zokucinga.
Ngomsebenzi we-Uhthoff, izazinzulu zikholelwa ukuba ukushisa kuphazamisa le ndlela yeseleko esele ibonakaliswe yindlela eyenza ukuba iimpawu ze-MS zangoku zibangele.
Ngokomzekelo, umfazi onenama-MS unokubona ukuba ukukhathala kwakhe kunzima xa umzimba wakhe uphazamiseka. Xa ukufudumala komzimba wakhe kubuya kwinto eqhelekileyo, ukukhathala kwakhe kunciphisa kwaye kubuyela kwisiseko esisezantsi.
Ingongoma ephambili apha kukuba akukho monakalo ongenasigxina we-neuroloji eyenziwa ngento ye-Uhthoff.
Ngamanye amazwi, ukukhathala kwamabhinqa (okanye ezinye iimpawu ze-MS ezibuhlungu kakhulu ngokushisa) zibuyiselwa, emva kokuba ubushushu bomzimba wakhe bubuyele kwizinto eziqhelekileyo.
Iingxaki eziqhelekileyo ze-Uhthoff Phenomenon
Nawuphi na umthombo wobushushu obunokufudumala nesimo sezulu esinyameni, usebenzisa isomisi seenwele, ukuthatha ishafu eshushu okanye ukuhlamba, okanye ukungena kwi-sauna kunokubangela umcimbi we-Uhthoff.
Ukongezelela, umkhuhlane ususuleleko, usebenze, utyumle umyeni (ucinge ngokutshisa okutshisa ), kunye nexesha lexesha lokuya esikhathini linokunye okubangelwa.
Indlela yokuPhepha okuPhezulu kwi-Uhthoff Phenomenon
Ubhedu obhetele kakhulu ekuthintela ukuba into eyenziwa yi-Uhthoff ukuba yenzeke kukubona ukuba zeziphi izinto ezizikhethekileyo zakho kunye nokuziphepha. Ngenye indlela, unako ukuzibandakanya kwizicwangciso zokupholisa ezikuvumela ukuba ujabulele loo "nto" ngaphandle kokugqithisa.
Nantsi imimiselo yezicwangciso zokupholisa ezingaba luncedo:
- Ukusela amanzi atshisayo kwimihla, ingakumbi kwiinyanga zasehlobo zaseburhulumenteni
- Ukuthwala umtshini wesikhwama kwisikhwama okanye esikhwameni sakho xa kwenzeka ukuba kushushu kakhulu
- Ukusebenzisa isitya sokuhlambalaza ebandayo kwiintsholongwane okanye entanyeni xa unomuzwa wokuthi umzimba wakho uyafudumala
- Ukugqokra izambatho zokupholisa njengendwangu yokupholisa xa usebenzisa
- Ukugqoka isigqoko kunye nokuhlala emthunzini kwiintsuku ezifudumeleyo, ezinelanga
- Ukugqithisa, iingubo zokuphefumula, njengekotoni
Ukwahlula phakathi kokubuya kwakhona kunye ne-Uhthoff Phenomenon
Ingaba yinto ekhohlisayo phakathi kwe-MS kwakhona kunye ne-Uhthoff. Ngamanye amazwi, kuyinto evamile ukuba uzibuze ukuba unobungozi obunzima bomlenze (okanye esinye isibonakaliso se-MS) esivela kushushu okanye kwi-MS lesion entsha kwinkqubo yakho ye-nervous central.
Enye indlela esheshayo yokwahlula phakathi kwezi zibini kukubona ukuba iimpawu zakho ziyajika xa "ukushisa" kususa, kususwa emva kokupholisa kwisitya esitshisayo okanye xa umkhuhlane wakho ubuyela kwisiqhelo.
Ngoxa ungezive ungcono ngokukhawuleza xa usuhlile (kungathatha iiyure ezimbalwa, kuxhomekeke kwimpawu), iimpawu zakho ze-neurological kufuneka zibuyele kwisiseko xa utshaya luba ngumgwebi. Nge-MS kwakhona, iimpawu ziya kuqhubeka.
Oko kuthethwa, kusengumzekelo omuhle ukudibanisa neurologist yakho okanye umhlengikazi wakho we-MS, ngakumbi ukuba awuqinisekanga. Ukuphindaphinda kwe- MS kunokufuna unyango, njenge-steroids, ngelixa uphawu lwe-Uhthoff lugqirha alufunanga unyango, kuphela ukususwa kwe-trigger nokuqinisekisa.
ILizwi
Ukulawula iimpawu zakho ze- MS ngumsebenzi obunzima kwaye iqondo lokushisa lingabachaphazela kwaye lucacisa lo msebenzi. Zama ukuba ungagxininiswa kakhulu nalo mthwalo, nangona kunjalo.
Yenza okusemandleni akho ukuba uhlale upholile, kwaye uyazi ukuba xa uhlakulela ukunyuka kwezimpawu zakho ze-MS ezikrakra, ziya kuncitshiswa kungekudala emva kokuba umbane ususwe. Kwakhona, qiniseka ukuba awuzange wenze nengozi emzimbeni wakho.
> Imithombo:
> Birnbaum, MD George. (2013). Multiple Sclerosis: Isikhokelo seNtsholongwane yokuHlola kunye noNyango, 2 iNguqulelo . ENew York, eNew York. I-Oxford University Press.
> Frohman TC et al. Iziganeko ze-Uhthoff kwi-MS - iimpawu zeklinikhi kunye ne-pathophysiology. Nat Rev Neurol. 2013 Sep; 9 (9): 535-40.
> Multiple Sclerosis Society. (2013). Iphepha elibalulekileyo: Okufudumeleyo kwaye kubanda - imiphumo yokushisa kwi-MS.