Xa iimbilini zakho zihamba ngokukhawuleza, izihlunu zakho zichaphazelekayo
Cinga ngemisipha yakho njengamaconti ngentambo. I-puppet (imisipha yakho) ayikwazi ukuhamba ngaphandle kwemichilo (iimbilini zakho) ekukhokela kuyo. Isandla esilawula ipopopi sisistim sakho senzwa esisisiseko (ingqondo yakho kunye nentambo yomthambo wakho).
Kwi- multiple sclerosis (MS), umonakalo kwimibhobho ye-nervous kwinkqubo yesantya ephazamisayo ukuphazamisa ukubonakaliswa okwenzeka phakathi kweentsholongwane kunye nezihlunu zakho.
Ngamanye amazwi, iimbambo zeepopu azisebenzi kakuhle ngokwaneleyo ukuhambisa ipiliti. Ngenxa yoko, ubuthathaka obuthakathaka, ukunyaniseka, kunye nokulahleka kokusebenza kungahle kwenzeke.
Makhe sihlolisise le miqondiso yemisipha ngcaciso ethile, kuquka ukuba wena (okanye umthandayo) unokukwazi ukuhlangabezana nazo.
Ubuthathaka kwi-MS
Ubuthakathaka obuthathaka kwi-MS bungaphezulu kokungabi namandla okanye ukungabi namandla okuphakamisa isidumbu esinzima; Kunoko, kunzima ukuhambisa izihlunu zakho, phantse ukuba zixakeka okanye zikhathele ukusebenza.
Nangona ubuthathaka bomzimba buya kwenzeka naphi na emzimbeni, lukwazisa kakhulu kwimilenze. Ubuthathaka kwiingalo nasemilenzeni bunokukhubaza, ngokunjalo, njengoko kunokukhokelela kwiingxaki ezihambayo, ukubonisa, ukugqoka nokugqiba ezinye izinto ezisisiseko zokuphila kwansuku zonke.
Omnye umzekelo oqhelekileyo wenkxalabo yokusilela kwamathambo kwi-MS unyawo lweenyawo , oku kuthetha ukuba awukwazi ukuphakamisa inxalenye yangaphambili yonyawo lwakho.
Ukunyuka kweenyawo kubonakala ngenxa yesiginci se-nerve ephosakeleyo kwiimisipha ezisetyenziselwa ukuguqula unyawo lwakho. Ukuhlawulela esi sibonakaliso, umntu angadonsa iinzwane zabo okanye athathe iphethini ethile yokuhamba, njengokungxangqa umlenze wabo ngaphandle.
Ukujamelana
Ukujamelana nobuthakathaka obunzima bokuqala kukubandakanya ukukhwaza umthombo-nokuba uvela kwisifo ngokwalo (ukusuka ekudakisweni kweentliziyo kwiingqondo kunye / okanye kwintambo yomthambo) okanye ngenxa yokungabikho kokusetyenziswa.
Ukuba ubuthakathaka bakho be-muscle buvela kwi-MS, ngoko ukuxhaswa kwemizimba yezilonda (ubunzima bokuqeqesha) akuyi kuba luncedo; Enyanisweni, zinokuba nzima ngakumbi.
Into efanelekileyo ongayenzayo kukufumana umphathiswa wezonyama osebenza ngamava kunye ne-MS. Ingcali yomzimba ingakunceda uqonde ukuba zeziphi izihlunu ezinokuphazamiseka kwemizwa kunye nokuba zibonisa ukuphilisa. Ngale ndlela ungafunda ukuqinisa nokugcina ithoni yeemisipha ezifumana iimpawu zomzimba.
Ingcali yomzimba ingancoma kwakhona izixhobo zokuncedisa. Ngokomzekelo, i- ankle-foot footthot isetyenziswa rhoqo ukunyuka kweenyawo kwi-MS. Kwakhona ingcinga efanelekileyo yokufumana ukugqithiselwa kumgqirha wakho kumgulana-osebenzayo-umntu onokukunceda ukuba uhlaziye ikhaya kunye / okanye indawo yokusebenza ephephile kwaye ilungiselele ukugcinwa kwamandla omzimba.
Ekugqibeleni, ukuba ubuthakathaka bakho beemfucuza buvela ekungasebenzisi kakubi (mhlawumbi ukhubaza ukukhathala okanye uhlala kwisihlalo sabakhubazekile), ngoko uqinisa imisipha yakho ngokusebenzisa inkqubo yokuqeqesha umzimba kunye noqeqesho lwenkqubo kunokunceda.
Ngokufanayo, kubalulekile ukunyanga imbangela ebangela ukuxhatshazwa kwemisipha yakho, ukuba kunokwenzeka. Ngokomzekelo, ukuba ukukhathala kukugwenxa kunokuba ungacinga indlela yokulala engcono, izicwangciso zokulondolozwa kwamandla, okanye uthabathe imithi yonyango njenge-Provigil (modafinil) okanye uRitalon (methylphenidate).
Ukuzivocavoca kunokunceda ukukhathala, kunye nebhonasi ephindwe kabini (ufumana ukuqinisa imisipha yakho kwaye uzive ungcono ngexesha elinye).
Ukunyaniseka kwi-MS
Kwi-MS, ukukhulisa i-muscle tone okanye ubuhlungu be-muscle (ebizwa ngokuba yi- spasticity ) kwenzeka ngenxa yokudemelanisa (ukulahlekelwa kwe-myelin sheath) kwiindlela ezithwala imoto (intshukumo) ukusuka kwingqondo. Ngenxa yale mizila ewonakalisiweyo, ukubonakaliswa kwemizwa kwiimisipha kuphuculwa, oku kunokubangela ukuba imisipha yomntu ikhuni kwaye ihlume ngokwabo.
Ngenxa yesiphene, izihlunu zingaphawula kunye / okanye zizinze kwaye zinzima-kwaye oku kunokuba buhlungu. Ngethuba lexesha, umntu unokuyeka ukusebenzisa izihlunu ezithile ngenxa yokungcolisa, kwaye oku kungakhokelela kwi- atrophy ye-muscle (xa i-muscle ilahleka, ibonakala incinci).
Ngokufanayo, ngokuqina kanzima, umntu unokuhlakulela izivumelwano-xa idibeneyo ichithwa endaweni, ngenxa yokunciphisa imisipha.
Iingqungquthela zingakhokelela ekubunjweni kwezilonda zengcinezelo, ezibizwa ngokuba yizilonda zebhedi, ekubeni zigcinwe kwindawo ehleliyo okanye kwindawo yokulala. Izilonda zoxinzelelo zibi kakhulu kwaye zingasongela ubomi xa zitheleleka.
Ukujamelana
Ngokungafani nobuthathaka bomzimba, kukho imishanguzo enokunciphisa i-spasms kunye nokuqina, kwaye isebenza ngokuphucula izihlunu. Ezinye zala mayeza ziquka:
- Ukuphumula kwemizimba njenge-baclofen kunye noZanaflex (tizanidine)
- Benzodiazepines njengeValium (diazepam)
Ukuphazamiseka kwezi mpilisi kukuba bangabangela ukukhathala okanye ubuthathaka obuthathaka.
Ezinye iindlela zezokwelapha ziquka i-anticonvulsant Neurontin (gabapentin), iinjongo zeBotox (eziya ngqo kwi-muscle), okanye ipompofen ipompo (esesiswini somntu).
Ngokudibene kunye, okanye endaweni yonyango, ukulungiswa kwakhona kunye nomzimba wezonyango kunye nomsebenzi yinto ebalulekileyo ekulawuleni ukunyaniseka kwi-MS. Ingcali yokuvuselela ingakwazi ukukufundisa (okanye umthandayo) ukutyelela ngokuthe ngqo, kunye nendlela yokukhusela iikontrakthi.
Ukongeza kwonyango yokuvuselela, ezinye iindlela zokwelapha zihlala zisetyenziselwa ukujamelana nokuxhamla. Ezinye zezinye iindlela zokwelapha ziquka inambuzane, i- yoga, i-massage kunye ne-biofeedback.
Ekugqibeleni, ukuphepha (okanye ukunciphisa) okubangela ukutshatyalaliswa kubalulekile-okuqhelekileyo ukushisa okukhulu, ukunyuka kweqondo lokushisa kwangaphakathi lomzimba (umzekelo, umkhuhlane), isambatho esipheleleyo, kunye nezambatho ezinxibileyo. Ukunyanga izifo ngokukhawuleza (njenge-infection tract) kwaye intlungu inokukunceda ukunqanda ukuphazamiseka kwemisipha nokuqina.
Ukulahlekelwa koMququzelelo kwi-MS
Ukulahleka kokulungelelaniswa, okanye ukulinganisela, kwi-MS kubangelwa inxalenye enkulu kwiingxaki ze-muscle, ngakumbi ubuthakathaka obubuthakathaka kunye nokunyaniseka. Ezinye izinto ezinxulumene ne-MS ezifaka isandla ekulahlekelweni kokulungelelaniswa yimibono ephazamisayo, i-vertigo, kunye neengxaki zengqondo, njengenqindi emilenzeni.
Enye yeyona nkxalabo enkulu malunga nokulahleka kokulungelelaniswa kukuwa. Oku kungenxa yokuba iingxaki zokulinganisela, umntu unokufumana indlela ehamba phambili, ehamba phambili ebizwa ngokuthi i- ataxia .
Ngokwehlalutyo olukhulu, kwi- Multiple Sclerosis , kubantu abane-MS (kwinqanaba elide lobudala kunye nobukhulu besifo), izinga lokuwa kwezinga eliqhelekileyo lilingana nokuwa kweenyanga, okubonakala ngathi iphakamileyo kwaye ibuhlungu.
Olunye uphando luye lwabonisa ukuba malunga nama-50 ekhulwini abantu abaphakathi ukuya kwidala abantu abaneminyaka engama-60 abanamava abanamhlanje bafumana ubuncinane bodwa kwiinyanga ezintandathu.
Ukujamelana
Ukunyangwa kweengxaki ze-balance kwi-MS kubandakanya uviwo olupheleleyo ngogqirha wakho ukucacisa isizathu esibalulekileyo. Ngokomzekelo, ukuba ubuthathaka obunamahloni bubangelwa kukulahlekelwa kwakho kokusebenza, ke isisombululo esincedisayo esinjengomdaka okanye uhambahamba sinokuba luncedo, kunye nokuzivocavoca okuqinisa imisipha ethile emilenzeni nasemzimbeni wakho.
Ngaphezu koko, inkqubo yovavanyo ayiyikuphucula kuphela amandla akho omzimba, kodwa uphando lubonisa ukuba lunokuphucula ezinye iimpawu ze-MS njengokukhathala, ukuxinezeleka, kunye neengxaki zokuqonda.
Umgqirha osebenzayo unokusebenza kunye nawe ukuqinisekisa ukuba ikhaya lakho likhuselekile kwaye liba nobungane, ngenxa yemibandela yakho yokulinganisela. Iingcamango zingabandakanya ukukrazula imirhubhe engabonakaliyo, ukuqinisekisa ukuba ukukhanya kukwanele, kwaye kufaka izikhokelo.
ILizwi
Nangona i-multiple sclerosis iyinkqubo yesifo se-nervous, kukho umphumo ongaphantsi kweemisipha zakho, ezinokukhokelela ekudambiseni, nakwiimpawu ezibuhlungu. Kodwa iindaba ezilungileyo kukuba ukuvuselelwa (kunye namaxesha amayeza), unokufumana uxolo.
Ekugqibeleni, nangona ufumene iimpawu zomzimba zincinci, kunengqiqo ukuthetha nodokotela wakho ngokubona umgulana womzimba. Unokumangaliswa ukuba indlela ephucuzayo neyosebenza ngayo nje izicwangciso ezimbalwa kunye nokuzibandakanya okujoliswe kwiimpawu zakho eziyimpawu zodwa.
> Imithombo:
> Birnbaum, MD George. Ngo-2013. I- Multiple Sclerosis: Isikhokelo soMtholampilo woNyango kunye noNyango, uNgqungquthela wesi-2. ENew York, eNew York. I-Oxford University Press.
> Correia de Sa J et al. Unyango lwe-Symptomatic kwi-sclerosis ezininzi: ukuhlaziywa kwendlela yokwenza i-multimodal kwinkqubo yeklinikhi. I-Adv Adv Neurol Disord . NgoNovemba ka-2011; 4 (3): 139-68.
> Moradi M et al. Imiphumo yeprogram yokuxhatshazwa kweeveki ezisibhozo kwindoda ene-multiple sclerosis. Asia J Sports Med . 2015 Juni; 6 (2): e22838.
> I-MS Society Society. Ubuthathaka. I-Spasticity kunye ne-MS: Amacandelo okuLawula.
> Nilsagard Y et al. Ihla kubantu abane-MS-uhlalutyo lweematha-mveliso ngabanye kwizifundo ezivela e-Australia, eSweden, e-United Kingdom nase-United States. Mult Scler . 2015 Jan; 21 (1): 92-100.