Ukujonga okuhle akuthethi ukuba uzive uhle
Iimpawu ze- multiple sclerosis zingahluka ngohlobo kunye nobuqili kwaye azihambelananga nendlela umntu abheka ngayo ngaphandle.
Ngamanye amazwi, ukubonakala komntu kubonakala kunempilo, kodwa into eyenzeka ngaphakathi kwengqondo kunye nomgudu womgudu womntu one-MS ihlala isonakalisayo kodwa ingabonakali ngaphandle kwabanye.
Masiqwalasele ngokuthe ngqo ezinye zezi zinto ezidambisayo, "ezingabonakaliyo" iimpawu kwi-sclerosis ezininzi, nendlela onokuyisebenzisa ngayo kakuhle, ngakumbi xa abanye bebuza ukunyaniseka kwabo.
Ukukhathala kwi-Multiple Sclerosis
Ukuqonda
Ukukhathala ngenye yeempawu eziphazamisa kakhulu kwi-MS kwaye ichazwe ngeendlela ezahlukeneyo-ukusuka ngathi unomkhuhlane ukufumana ubuthathaka obukhulu kunye nobukhulu. Ukongeza kwimvelo yokuxhalaba kwe-MS, abanye bavame ukuchaza "inkohlakalo yengqondo," leyo ingakhokelela ekubeni ubunzima bokucinga nokucwangcisa ulwazi, kunye nesimo sengqondo esicindezelekileyo.
Nangona ukukhathala kunokusuka kwesi sifo ngokwawo (cinga indlela iimpawu zakho zeentsimbi kufuneka zisebenzise ngayo amandla angaphezulu ngokugqithisa ngokugqithiseleyo izijikelezo ezonakalisiweyo kunye nezonakaliswe ngaphakathi kwengqondo kunye nomgudu womgogodla), ukukhathala kwi-MS kungabangela nezinye izibonakaliso ezinxulumene ne-MS, kufana nokuxinezeleka , imithi kunye nokuphazamiseka kokulala, ukubiza ngambalwa.
Yingakho ukulawula ukukhathala kwakho kudla kwinkqubo eyinkimbinkimbi, enye idinga indlela yokucinga, eyingqayizivele kumntu ngamnye.
Ukujamelana
Emva kokuhlenga "isizathu" emva kokukhathala kwakho, ugqirha wakho uya kuqala ukuphatha ezo zizathu zesekondari.
Ngokomzekelo, ukunyamezela kwakho ukuxinezeleka nokuthetha unyango kunokunciphisa ukukhathala kwakho.
Ngokufanayo, ukujonga kakuhle, ukujonga kanzima uluhlu lwakho lwezonyango lungabonisa ukukhathala, njengaloo msizi ophumayo ungase uthathe i-spasticity yakho ehlobene ne-MS. Nangona ulunge kakuhle unokufuna unyango ngokunyaniseka kwakho, ugqirha wakho unokuncoma ukutshintshela kumachiza ahlukeneyo, ukunciphisa umthamo, okanye ukuwuthatha ngexesha elithile lemihla ukwenzela ukunciphisa ukukhathala kwakho.
Emva kokubona ugqirha wakho, ukuba ukukhathala kwakho kuthathwa njengento ehambelana nokuba ne-MS (inkqubo yesifo ngokwayo), ugqirha wakho unokuncoma izicwangciso zokuziphatha ezifana:
- Ukubandakanya ukusetyenziswa kwansuku zonke okanye i- yoga
- Ukuphunyezwa kwemilinganiselo yokucola ukulala
- Ukubona umgqirha wokusebenza ukuze kuphuhliswe amasu okulondoloza amandla
- Ukulawula ukunyamezeleka kwengxaki yakho (cinga ukubona ingcali yokuziphatha kwengqondo kule nkqubo)
- Ukuthatha inomso emini okanye ukwenza ukucamngca kusasa
Ngaphezu koko, ugqirha wakho unokuncomela ngamachiza ukukunceda ufikelele ngosuku lwakho. Amanye amachiza asetyenziswe ekunciphiseni ukukhathala okuhlobene ne-MS, ndakanya:
- Symmetrel (amantadine)
- Provigil (modafinil)
- Ritalin (methylphenidate)
Ekugqibeleni, ukukhathala kungabonakalisa uphawu olumangalisa ukujongana nabo, ngakumbi kuba abanye bengaboni ngokubonakalayo ukubandezeleka kwakho. "Ukungabonakali" kwe-MS ukukhathala kungabangela abanye ukuba babuze okanye bangawunaki, onokuba ngumntu ongenakuqhelanisa nokukhusekisa.
Thetha nogqirha wakho okanye ucinge ngokubona umgqirha onokukunceda ukuba ujikeleze iimeko ezibucayi. Mhlawumbi, ngexesha lokuxhala, uyawaphepha abo bantu abangaxhasayo kunye nokuqonda indlela ovakalelwa ngayo.
Gcina ukhumbule ukuba awuyedwa-i-neurologist yakho kunye nabanye abahlala ngaphakathi kwi-MS basebenzise ngokugqithiseleyo ukukhathala kwakho, kwaye ngethemba lokuba unokuyithuthuzela.
Iingxaki zeCognitive kwi Multiple Sclerosis
Ukuqonda
Ubuncinane isiqingatha sabantu abane-MS bahlangabezana neengxaki ngokuqonda , njengengxaki yokucwangcisa ulwazi olutsha, ukuxazulula iingxaki, ukukhumbula amagama kunye namaxesha okuqeshwa, nokugxila kwiintetho okanye imisebenzi efana nokufunda okanye ukubukela i-movie.
Ngokungafani neengxaki zokuhamba okanye zokuthetha, okanye ezinye iimpawu "ezibonakalayo", ukungasebenzi komsebenzi kwi-MS kudla ngokufihlakeleyo. Enyanisweni, ubunzima beengcamango zomntu aziqhelwanga ngabanye, kodwa oku akuthethi ukuba abaxhatshazi okanye bahlupha kumntu ochaphazelekayo. Abanye abantu bayeke ukusebenzisana nabanye okanye baze bashiye imisebenzi yabo ngenxa yokungasebenzi komsebenzi, kwaye oku kunokubangela ukuxinezeleka nokuxhalabisa.
Ngaphezu koko, abanye (ngisho nabathandekayo) bangacasula okanye bacasulwe ngxaki zomntu, ukuba, ngokomzekelo, ukutyelela kwintlalontle okanye umhla wokugqibela ulahlekelwa ngenxa yenkinga yokukhumbula. Oku kunokuba buhlungu kakhulu kwaye kunzima ukucacisa kwabanye ukuba awukhohlisi okanye ulahlekile; Kunoko, umlibala ngenxa yeengxaki zakho zeememori ze-MS.
Ukujamelana
Iindaba ezilungileyo kukuba iingxaki ezinengqiqo kwi-MS aziqhelanga kakhulu, njengento enokuyibona kubantu abaneentsholongwane zengqondo, njenge-Alzheimer's disease. Sekunjalo, ziyakwazi ukukhubaza ngokwaneleyo ukukhokelela ekungabikho kwemisebenzi okanye ekuhlaleni.
Ngokuphindaphindiweyo amaxesha, abantu ngokwemvelo kwaye baphila ngendlela enempilo yokulungisa iingxaki zabo zokunqoba iingxaki zabo zokuqonda, oku kuthetha ukusebenzisa isakhono esithatha indawo yokunciphisa umsebenzi ongenakwenzeka.
Umzekelo wesicatshulwa esilula sisebenzisa i-digital voice recorder ukunyanzelisa amaxesha okuqeshwa, amagama, okanye ezinye izikhumbuzo ezinobungane. Abanye abantu basebenzisa ikhalenda enkulu, "ikhalenda" ekhayeni labo apho babhala khona iinkcukacha ukusuka ekugqibeleni ugqirha kwiifom zeefowuni.
Ukuba ufumanisa ukuba iingxaki zakho zengqondo zichaphazela umgangatho wobomi okanye ukusebenza kwansuku zonke, qiniseka ukuba uthethe ne-neurologist yakho malunga nayo. Unokufumana inzuzo yokuvuselelwa kwengqondo, okungeyikukunceda kuphela ukuba uhlalutye ubuchule bokuhlawula, kodwa unokubandakanya nawe ekufundeni nasekufundiseni imemori.
Kwakhona kubalulekile ukuba uqaphele ukuba iingxaki zakho ezinokwenzululwazi zingabikho ngqo kwi-MS, kodwa ngenxa yeempembelelo zokuba ne-MS, njengobuthongo obubi, ukuxinezeleka okanye ukukhathala okukhulu. Ukuhlenga konke oku kungakhohlisa, kunye ne-conundrum kunye nayo, oko kutheni ukuhlolwa kokuqonda kwengqondo kunokuba luncedo.
Enyanisweni, abanye abantu bafumanisa ukuba ukudakumba kubangelwa yingcipheko yengqondo yabo, kunye nokunyamezela kwabo (kunye ne-anti-depressant and / okanye unyango lwentetho), ubunzima babo beengxaki. Ngokufanayo, ukunyamezela okukrakra okunjengeRitalin (i-methylphenidate) kunokuphucula ukuqonda kwakho, ngakumbi ingqalelo kunye nokugxininisa.
Ubuhlungu kwi-Multiple Sclerosis
Ukuqonda
Kunzima ukukholelwa ukuba i-MS yayisetyenziswe njengesifo esingenabuhlungu; Enyanisweni, ukuba umntu uchaza intlungu, oogqirha basebenzise ukuhambisa i-MS phantsi lwabo uluhlu lwezinto ezifumanekayo. Ngoku siyazi ukuba i-MS ibangela intlungu-kwaye ininzi labantu abane-MS (malunga nama-80 ekhulwini) baziva bebuhlungu ngexesha elithile kwikhosi yabo yesifo.
Ubuhlungu ku-MS kaninzi buvela kwisifo ngokwaso ngenxa yokuba ne-MS, isistim somzimba sakho sokuzivikela sisilonda se-myelin (isithintelo sokukhusela iimbilini), kwaye le nkqubo (ebizwa ngokuba yi-demyelination) ibangela izibonakaliso zentlungu ukuze zenzeke kakubi kwiimvumi zentlungu eziseduze. Oko kuthetha ntoni ukuba iimpawu zentlungu zithunyelwa kwingqondo xa zingafaneleki.
Ubuhlungu obubangelwa ngumonakalo ohlobene nomdla kuthiwa yi-neuropathic intlungu. Imizekelo ecacileyo yeentlungu ze-neuropathic e-MS ziquka:
- I-neuralgia yamaTrigeminal
- MS Hug
- Ukuphazanyiswa okubonakalayo njengobunqunu, ukubetha, okanye ukutshisa
- Optic neuritis
Ukongeza kwintlungu ye-neuropathic, kukho intlungu ye-musculoskeletal e-MS. Enyanisweni, ukuxhamla kwemizimba kunye nokuqina, iintlungu ezihlangeneyo, kunye nentlungu emva ziqhelekileyo kwi-MS kwaye kubangelwa ukunyaniseka kunye neengxaki ngokuhamba nokulinganisela.
Uhlobo lwesithathu lwenhlungu (olubizwa ngokuba yi- paroxysmal intlungu ) luqala ngokukhawuleza kwaye luhlala luhlala ixesha elifutshane kakhulu, kodwa lunokuba lunzima. Umzekelo weklasi weentlungu ze-paroxysmal ku-MS nguphawu lukaLhermitte , olubangela ukuvakalelwa ngogesi okwenjenjalo ukuhlahla umgudu wakho xa uthinta isikhumba sakho esifubeni sakho.
Ukujamelana
Ekubeni intlungu yakho ingavela kwi-MS ngokwayo, okanye kwimiphumo yokuba ne-MS (umzekelo, intlungu emva kokusebenzisa i -device-assistant device ), ukuyiphatha ngokuqhelekileyo iquka iindlela ezininzi.
Ngokomzekelo, usenokuthatha imithi efana ne-Neurontin (gabapentin) xa zakho iintlungu zesifo se-neuropathic. Kodwa ngenxa yentlungu ehambelana nokunyaniseka , unokuba ne-regimen yonyango eyinkimbinkimbi enokuquka ukushisa, ukuhlalisa umzimba, unyango lomzimba, nokuthatha i-muscle ephumayo. Ukuphepha ukuphazamisa intlungu yakho, njengokufudumala, ukuzivocavoca, ukugqoka okunxibayo, okanye isambatho esipheleleyo kunokuba luncedo.
Oku konke kuthi, njengenye impawu ze-MS, intlungu ingavela xa ungalindelekanga. Oku kuthetha ukuba ungeke ukwazi ukuya kumdlalo webhoksi lomntwana wakho okanye ukubhiyozelwa komhla wokuzalwa komlingani, njengoko kucetywayo. Ubunzima beentlungu zakho kunye necala ngenxa yokuba "uvumele abanye behle," lunokuba lunzima.
Ungazihlukanisa ngokwakho, ngenxa yoko, kwaye unqabe ukumema kwixesha elizayo, ngoko ungaze ucime. Ngokufanayo, unokuzitshintshela ukuya kumdlalo webhoksikidi okanye iqela-le nto ayiyiyo yonke into ingalunganga, kuxhomekeke kubukhulu beentlungu zakho. Nangona kunjalo, ukuphoqeleka ukwenza into xa ungaziva kakuhle kunokukhokelela ekungabalulekanga okungeyomfuneko kwaye ubenomsindo.
Xa uhamba ngeemeko ezinzima kunye neemeko, kukulungele ukufumana isikhokelo esivela kwingcali yengqondo yengqondo, njengengcali yomsebenzi onamava osebenza nabantu abanezifo ezingapheliyo. Amacandelo enkxaso, nokuba ngaba kwindawo yakho okanye kwi-intanethi, unokubonelela ngeengcebiso kwiimeko ezifanayo.
Ekugqibeleni, intetho evulekile, ecacileyo kunye nabathandekayo bakho inokuba luncedo kakhulu kunye neyonyango. Uninzi lwabantu aluqondi nje intlungu yakho (kwaye awukwazi ukubeka ityala kubo), kodwa baya kuziva behloniphekile ukuba ulwabelana nawe ngokusweleka-kwaye oku kungaba yindawo yokuqala yobudlelwane obuhle kunye novelwano.
ILizwi
Ngaphandle kokukhathala, ukungasebenzi kwengqondo kunye nentlungu, kukho ezinye iimpawu ezininzi ezingabonakali ze-MS, njengeengxaki zesisu kunye neengxaki zesilonda, iingxaki zokulinganisela, umbono obonakalayo, kunye nobuthathaka.
Kungakhathaliseki, into ephambili yokujongana neempawu zakho ezingabonakali kukubaxelela udokotela kunye nabathandekayo bakho. Ukuphulukiswa nokuqonda akukwazi ukuqala de iinyani zikhoyo etafileni.
Mhlawumbi, ukuvakalisa izimpawu zakho kukunceda uqiniseke , okanye kuncinci, kukunceda ukuba ube nomsindo kuwe. Izimpawu zakho zingabonakali, kodwa zinyani.
> Imithombo:
> I-Green R, i-Cutter G, uMhlobo M, uKister I. Ziziphi iimpawu ezibangela ukuba izigulane zibhekiselele kwimpilo kwi-multiple sclerosis? I-Mult Scler J Exp Trans Clin . 2017 Jul-Seo; 3 (3): 2055217317728301.
> Foley PL et al. Ubuninzi kunye nembali yemvelo yentlungu kubantu abadala abane-multiple sclerosis: ukuhlaziywa okucwangcisiweyo kunye nokuhlaziywa kwemeta. Ubuhlungu . NgoMeyi ka-2013; 154 (5): 632-42.
> I-MS Society Society. Utshintsho lweCognitive