Ukuba unesifo se-dysphagia, hlaziya kula macebiso ukuze ugxilwe lula
Ukugqithiswa kweempawu eziza nge- multiple sclerosis (MS) kunokushiya uzive ngathi akukho msebenzi womzimba wakho awuchaphazelekayo. Ubunzima, iingxaki zombono, ukungcola-kwaye ngoku kunzima ukugwinya? Phakathi kwama-30 ukuya kuma-40 ekhulwini labantu abane-MS baqikelelwa ukuba banengxaki yokugwinya, eyaziwa ngokuba yi- dysphagia , ngexesha elinye.
Ngethamsanqa, iimpawu ezininzi ze-MS ziza kwaye zidlulile kwiminyaka, kwaye xa kuziwa ekudleni nasekuphuzeni, kuninzi ongakwenza ukuze unciphise amathuba akho wokukhahlela okanye ukuphuhlisa i- aspiration pneumonia (xa ukutya okanye utywala kunokufakelwa kwi-trachea kunye nemiphunga , kubangela ukusuleleka).
Dysphagia kubantu abane MS
Kungakhathaliseki ukuba i-dysphagia yakho inzima kangakanani, kubalulekile ukuba abo bethu kunye ne-MS abanokugwinya iingxaki ekuhloliseni imikhwa yethu ngokutya kunye nokubona ukuba sinokwenza izinto ezintsha (kunye neendlela ezikhuselekileyo). Ezinye iingxaki zokugwinya zingabonakali ukuba ungaziqapheli, ngaphandle kokuba udla ngokutya okanye ulungele ukukhwehlela xa uzama ukugwinya i pilisi.
Iingcebiso zokujongana neengxaki ezixhasayo ze-MS
Nazi iindlela ezisibhozo zokunciphisa iingxaki zokugwinxa kwe-MS. Unokuphawula ukuba ezininzi iingcebiso ezingezantsi azikho "nje ukuqonda," nazo zizinto oomama bethu bazama ukuzenza kwiintloko zethu kubuntwaneni njengemilinganiselo yetafile eyisiseko.
Hlalani ngqo. Kubalulekile ukuhlala i-ramrod-ngqo, kungekhona nje ngexesha lokutya kodwa kunye ubuncinane kwimaminithi engama-30 emva kokutya. Oku kusebenza kuzo zonke iimeko, kungekhona nje ixesha lokutya - oku kuthetha ukuba akukho ukukrola emhlabathini xa uguqula i-nacho ngexesha le-Superbowl kwaye akukho ukusilahla esihlalweni sakho ngenkathi uxhuma kwi-popcorn kuma-movie.
Yenza umzimba ukhangele ngaphambi kokutya. Hlola ngomzimba wakho ngaphambi kokutya. Ukuba ezinye iimpawu zakho zisebenza, kukho ithuba elihle lokuba i-dysphagia yakho iya kukhaba, ngokunjalo-khumbula ukuba uhlafuna ngokukhawuleza kunye nokukhetha kwakho kokutya (ngaphezulu kwento elandelayo). Khumbula, ukukhathala kuya kuba negalelo ekugwineni iingxaki.
Yaye mhlawumbi akusiyo ingcamango efanelekileyo yokutya ngaphandle kwimozulu eshushu, njengoko ukunganyanzeliseki kokushisa kunokunyusa yonke impawu ze-MS .
Gwema ukutya okulukhuni, oomileyo, kunye nokwahlula. Ukutya okunzima, okunzima, okunomileyo kunye okunqambileyo, okufana negranola, kunokushiya iincinci emqaleni wakho kunye nomoya onamandla okwenza i-dysphagia yakho ibe nzima. Ukuphucula oku kutya (tshela, ukugcoba igranola ebisi uze ufudumeze) okanye ukuphepha ezi ntlobo zokutya ngokupheleleyo kunokukunceda. Unokudinga ukutya ukutya okunothileyo okanye okucocekileyo (esikhundleni segranola, mhlawumbi uzame i-oatmeal ngokukhawuleza).
Musa ukuthetha ngokutya emlonyeni wakho. Kwakhona, zingaphi izihlandlo ozivile ngeli xesha ukhula? Esikhundleni sokuthetha ngokutya ngomlomo, zama ukutya ngokuzolileyo, uhlafuna ngokutya kwakho, kwindawo ephelileyo. Ukuba unesidlo sasemini kunye nabahlobo okanye osebenza nabo, qi niqiniseke ukuba uhlafuna kakuhle phambi kokuba ungene.
Yidla ngakumbi ngengqondo. Kwiinkcubeko zethu eziqhelekileyo, kudla ngokutya xa kuqhutywe okanye kuphazamisa ukutya ngelixa wenza enye into kunokuba usebenzise imizuzu engama-20 ukugxila kwisidlo sakho. Kodwa kunye no-MS ukuginya ubunzima, unesizathu esiningi sokwenza isidlo ngaphandle kokuphazamiseka ukuze ukwazi (ngokucophelela) ukunambitha yonke into-kwaye mhlawumbi uya kufumanisa ukuba le ndlela iyonwabile kakhulu!
Zama le ndlela: Beka ukutya kwindawo yakho kwaye uyibeke emlonyeni wakho. Faka ifom yakho phantsi. Gcoba ukutya kwakho kakuhle, uze uginye. Ungathathi kwakhona ifoloko uze umlomo wakho ungenanto. Oku kuya kukuvumela ukuba usebenze ngesigxina ngasinye ngaphambi kokuba uqale ukuxoxisana ngokuluma okulandelayo.
Tuck your chin. Zama ukutshintshisa i-chin yakho kwi-esifubeni sakho ngokukhawuleza xa uginya. Ukuhambisa i-chin yakho kwisiqingatha sesigidi esinye sivale i-airways, ukuthintela ukutya kunye ne-liquid ukuze ungene kwimiphefumlo yakho yokuphefumula .
Yidla ukutya okuncinane kangangoko kunokutya kathathu ngosuku. Kanye njengaye nawuphi na umsebenzi oqhubekayo, siyakwazi "ukugwinya ukukhathala," apho izihlunu zethu zidiniwe kwaye ingqwalasela yethu iqala ukudubula ekupheleni kwesidlo esikhulu.
Esikhundleni sokuzama nje ukuba "uyenze" ngokutya kwefowuni ngokukhawuleza kwaye uthathe ukubetha okukhulu, zama ukuphuka ukutya kwiincinci ezincinci. Kuya kuba lula ukuyidla ngokukhawuleza kwaye ugxile kwi-bite nganye.
Eminye phakathi kotywala kunye neziqina. Kwabanye abantu, ukugwinya iingxaki kubonakala njengengxaki ekufumaneni ukutya ukuhamba yonke indlela phantsi kwe-oopopus. Kungaba luncedo ukuthatha i-spin encinci okanye amabini e-liquide phakathi kokubamba. Oku kuya kugcina ukutya okumanzi kunye nokuhamba. Ukuphelisa isidlo sakho kunye nolwelo olunjalo.
Thetha ugqirha wakho malunga neenjini zokunyuselwa kwamanzi. Kwabanye abantu, utywala obuncitshisiweyo bahlala behla "indlela engafanelekanga," kubangele ukuqhuma nokukhwehlela. Kukho abatshayeli abathile abangenakongezwa kwiinkonzo zokuncedisa ukuba bayeke ngokuthe ngqo. Iziphuzo eziphambili kunye nabaqashi bezentengiselwano banokuthengwa kwiivenkile zamachiza kunye nee-pharmacy. Kodwa ngenxa yokuba ezinye zazo zenziwe ngezithako zoshukela, kwaye zingakhokelela ekudambiseni amanzi xa zixhomekeka kakhulu, kuyinto efanelekileyo ukuthetha nodokotela wakho kuqala.
Imithombo:
Inkundla, uSusan Wells. Ukwaziswa kweSmptom: Iingxaki zokuLungisa. Umgqugquzeli. (Ipapashwe yi-Multiple Sclerosis Association of America) Ukuwa kwe-2007; 38-39.
URandall T. Shapiro. Ukulawula iiSmptoms of Multiple Sclerosis (5th ed.) . ENew York: iDemos Publishing Medical, 2007.
I-Multiple Sclerosis Resource Centre. Ukujongana nobunzima.
Walker, uKatherine, noSelinger, uMarilyn. Ukuhlawula iingxaki (i-Dysphagia) kwi-Multiple Sclerosis: Indlela yoMboneleli. ISebe le-US leMfazwe we-Veteran, ngoSeptemba 2009.