Ukunyanzeliswa akuyonto into yokuba ube neentloni kwaye akuyiyo iphoso lakho. Kubantu abane-MS, ukudakumba kubangelwa iinkqubo eziyinkimbinkimbi zomzimba, iikhemikhali kunye / okanye iimvakalelo ezingekho nokuba oogqirha nabaphandi bayaziqonda ngokupheleleyo. Iindaba ezilungileyo kukuba ukuxinezeleka kuyaphathwa kwizandla zogqirha ofanelekileyo.
Luhlobo luni logqirha Ngaba ndimele ndibone ukuxinezeleka xa ndinayo i-MS?
Nangona bonke oogqirha banokumisela imishanguzo yokuxhatshazwa kwengqondo, unonophelo olukhethekileyo lwempilo yengqondo ngumfo wezifo zengqondo.
Unyango lwexinzelelo ludinga ukubeka iliso ngokucwangcisekileyo kunye nezicwangciso zonyango ngokuzikhethela ukuba kulungile ukuba ufumana ugqirha ophethe ezinye izigulane ezine-MS.
Ukudandatheka kwi-MS kunzima. Ngokomzekelo, ezininzi iimpawu ze-MS ezifana nokukhathala, iingxaki zengqondo, ukunyuka kwengqondo, kunye neengxaki zokulala ezilinganisa iimpawu zokudandatheka kunye nokunye.
Ukongezelela, ezinye zezifo zokuguqula izifo ze-MS, ezifana ne-interferon zokwelapha i-Avonex ne-Betaseron, zinexinzelelo njengempembelelo yecala. Ugqirha onamava kunye ne-MS kunye noxinzelelo uya kukwazi "ukukrazula" uluhlu lwakho lwezonyango kwaye unqume indlela efanelekileyo yokunyanga ngayo.
Indlela eyona ndlela yokufumana isifo sengqondo esinamava kunye ne-MS kukucela i-neurologist yakho ukuba ithunyelwe. Unokuqhagamshelana ne-ofisi eyintloko okanye isahluko sakho sendawo ye-National Multiple Sclerosis Society ngamagama oogqirha abanokubandezeleka kunye ne-MS kwindawo yakho.
Kuxutyushwa Njani Ukuxinezeleka?
Ekubeni akukho vavanyo lwegazi okanye olunye uvavanyo lwe "biomarker" lokudandatheka, ugqirha uya kufika kwisixilongo ngokuphulaphula ibali lakho malunga nokuba ufuna ntoni unyango, ukucela uluhlu lwemibuzo, nokujonga indlela oziphatha ngayo ngexesha lokuqeshwa. Oko kuthethwa, oogqirha benza ngokuqhelekileyo ukujonga umsebenzi wakho wegazi ukulawula izimo zempilo ezinokulinganisa ukudandatheka njengesifo se-thyroid okanye i- anemia .
Ukongeza, mhlawumbi uya kubuzwa malunga nohlu lweempawu zakho ezithile ezifana nokudakumba, ukhathala, ukukhathazeka, iingxaki zokulala, kunye neemvakalelo zecala okanye ukungathembeki. Ugqirha wakho uya kubuza malunga nokuba sele unesiqinisekiso siphi na ixesha, kunye nokuba impawu zakho zinzima kangakanani. Ugqirha uyakukubuza nangayiphi na imbali yokudandatheka kunye nonyango, nasiphi na isilwa kunye nokusetyenziswa kotywala, iyeza zamanje, izalamane ezineembali zokudakumba, kwaye ukuba uye wakha wacinga ukuzilimaza okanye ukuzibulala. Ngelixa uninzi lwemibuzo ingenakukhathazeka, kubalulekile ukuba uphendule ngokunyanisekileyo.
Amachiza okudandatheka
Kukho iindidi ezininzi zamachiza okudandatheka. Ezi ziqhelekileyo zisetyenziswa namhlanje:
- I-Serotonin Reuptake Inhibitors (i-SSRIs): I- SSRI yinkqubo yokuxhatshazwa kakhulu echazwe kakhulu kwaye iquka iprozac (i-fluoxetine), iZoloft (sertraline), iCelexa (citalopram), i-Paxil (i-paroxetine) kunye neLexapro (escitalopram).
- I-Serotonin ekhethiweyo kunye ne-Norepinephrine Reuptake Inhibitors (i-SSNRIs): i- Effexor (venlafaxine) kunye ne-Cymbalta (duloxetine hydrochloride) ngamanye ama-SSNRI athile asetyenziswa ukuphatha uxinzelelo. I-Cymbalta iphinda isetyenziswe ukuphatha intlungu e-neuropathic ukuze kube yinto enhle kubantu abanentlungu kunye nokudandatheka.
- I-Tricyclic Antidepressants: I-tricyclic antidepressants, njenge-Elavil® (i-amitriptyline) ne-Pamelor® (i-nortriptyline), ithambekele ekubeni nemiphumo emibi njengobungqingili, ukuzithemba okanye ubunzima bokudlula umchamo. Oku kunokukwenza ukuba iimpawu zakho ze-MS zizive zibi kakhulu. Ngenxa yoko aqhelekanga asetyenziswe njengonyango lokuqala lwexinzelelo kwi-MS. Nangona kunjalo, ngenxa yokudandatheka kwengxaki yokunganyanga, zingasetyenziselwa yedwa okanye zidibene nezinye iyeza.
Ingaba ugqirha wakho ukhetha njani ukuxhatshazwa kwengcinezelo yakho kusekelwe kwizinto eziliqela ezinjengeempembelelo zonyango, ukuba kuthathwa kaninzi kangakanani, iimpawu zakho eziphawulekayo okanye ezixhalabisayo, iindleko kunye nokukhetha kwakho njengesigulane.
Into Omele Uyazi Ngayo Yonyango Yokunyanzeliswa
Kubalulekile ukuba uqaphele ukuba abadandathelwanayo bangathabatha iiveki ezintandathu ukuya kweebhozo ukuze bafikelele ngokupheleleyo. Kufuneka ulindele ukuba utyunjelwe rhoqo kunye nogqirha wakho, ngakumbi xa uqala unyango olutsha, ngoko unokunyamekela impendulo yakho kwipilisi kwaye unqume ukuba kufuneka kwenziwe utshintsho lwezilingo.
Khumbula, akunqabile ukuba amayeza aphelileyo kumlinganiselo ochanekileyo umiselwe okokuqala, njengoko wonke umntu ehlukile kwimpendulo yawo. Impatho ephumelelayo yokudakumba idinga umonde kunye nentsebenziswano kubini ugqirha kunye nesigulane, kodwa umvuzo ufanelekile umzamo.
Kwakhona uphando luye lwabonisa ukuba unyango oluphambili lwexinzelelo kwi-MS ludibanisa unyango olunezilwanyana ezixhatshazwayo kwaye "uthetha unyango" okanye isifo sengqondo. Isifo sakho sengqondo singakunika isifo sengqondo okanye usebenze ngokusondeleyo kunye nengqondo ye-psychotherapist apho unokukuthumela khona. Kwakhona, isahluko se-MS Society senu singakunika uluhlu lwamacandelo enkxaso ye-MS kwindawo yakho okanye oogqirha abaye bafumana ekusebenzeni nabantu abane-MS.
Imithombo
Iqela leGoldman Consensus. I-Goldman Consensus statement malunga nokudandatheka kwi-multiple sclerosis. Sult Scle r. 2005 Juni; 11 (3): 328-37.
National Multiple Sclerosis Society. (2016). Ukuxinezeleka.