Qinisekisa ukuba ubuhlungu bakho bubuye bukhishwe, njengoko kungenakuhlala kusuka kwi-MS
Ngaba unentlungu engaphantsi kwimibuzo kunye nombuzo ukuba ingadibaniswa ne- multiple sclerosis ? Ukuba kunjalo, awunabo bodwa, malunga nomntu omnye kwabathathu abane-MS ukubika intlungu.
Nangona intlungu yakho yangaphantsi ingabonakala njengenye ilitye entabeni yakho yeempawu eziyimithwalo ye-MS eyaziwayo, yazi ukuba kukho izicwangciso zokunciphisa ubunzima bakho.
Masiqwalasele ngokuthe ngqo ukuba "kutheni" emva kweentlungu zakho ezingaphantsi kwe-MS, kwaye ungayiphatha njani kakuhle.
Iingxaki kunye noPiliso lweNtshontsho eNgaphantsi e-MS
Kukho izimbalwa ezinxulumene ne-MS ezinxulumene neentlungu ezibuhlungu emva kwexesha elide kunye nokukrazula ingcinezelo ingathatha ixesha.
Ekugqibeleni, ukuhlolwa okufanelekileyo kubalulekile, ngoko unokuqhubeka phambili kunye nesicwangciso sonyango esisebenzayo.
Ukunyaniseka
Ukusabalalisa sisifo esiqhelekileyo kwi-MS kwaye kubangelwa kukutshatyalaliswa kwemimoya , apho i-nerve isayinela kwiimisipha iyancipha okanye iphazamisekile. Ngelixa i-spasticity ithetha ngokunyuka kwithethoni ye-muscle kunye nokungahambisani nokungahambisani nomzimba, abantu abanokuxhamla bavame ukuchaza iintlobo ezahlukeneyo ezinjengezi:
- Ubunzima
- Ukuguqula
- Ukukhupha
- I-Aching
- U kucima
- Ukuqinisa
Ukusabalalisa kubonakala kuhluka kumntu kumntu, njengeminye impawu ye-MS. Ngokomzekelo, umntu unokubona ukuqiniswa kancinci kwemilenze yakhe engathinti ukusebenza kwayo kwansuku zonke. Abanye banokufumana unyawo olubi lomlenze olubangela ubuhlungu obunzima obuphazamisa ukunyakaza.
Ubuncwane buhlobene njani nentlungu ephantsi? Nangona i-spasticity ixhaphaza kakhulu iikhombe zomntu, izithanga, ukuvuna, kunye nezikhwebu, kungabangela ukuqina nokugubungela kunye nokujikeleza amajoyina kunye nomva ophantsi.
Unyango lwe-spasticity oluchaphazela umva wakho ongaphantsi ngokuqhelekileyo lubandakanya ukudibanisa kokubili amayeza kunye neyonyango.
Ezi zonyango zingabandakanya:
- Utyando lwefuthe
- Ukuhlawula
- Ulwaphulo oluthile oluquka ukutyelela kunye neendlela ezahlukeneyo zokunyakaza
- Ukuzihlaziya kwemizimba njengeZanaflex (tizanidine)
- Amachiza okulwa neentambo ezifana Neurontin (gabapentin)
- Benzodiazepine
- I-cannabis yomlomo
Abantu abanokungaziphenduleli kwiindlela ezilapha ngasentla bangadinga enye okanye ngaphezulu kwezi zonyango ezilandelayo:
- Iibotox
- Intonga ye-intrathecal baclofen (i-baclofen iyimisipha ephumayo)
Okokugqibela, ukuphepha ukukhupha enye enye indlela yokukhusela ukuxhalaba kobugqwetha bakho kwi-back your back. Imizekelo yezinto ezinokubangela ukutshatyalaliswa kwakho kukubandakanya ukushisa ukushisa (okubizwa ngokuba yi- Uthoff phenomenon ), ukusuleleka, utshintsho ngokukhawuleza kwindawo okanye ukunyakaza, izambatho ezinqabileyo okanye ezivuthayo, okanye isilwanyana esigcwele okanye isilwane.
Uphawu lweLhermitte
Enye yeklasi yecala ye-back sclerosis yinto ebizwa ngokuba ngumqondiso kaLhermitte , obhekisela kwintshukumo efana nokutshitshiswa okanye "umbane wombane" ohamba ngokukhawuleza emva kwintloko yomntu phantsi komlenze.
Le nzekayo eyenzekayo xa umntu egoba intamo yakhe phambili (umzekelo, xa ususa umqala okanye ubopha izihlangu). Uvakalelo luhlala ixesha elifutshane kwaye luya kuhamba xa umntu ehambisa intloko.
Isizathu sesibonakaliso sikaLhermitte sibangelwa izilonda ze-MS kwintlambo yomlomo wesibeleko (inxalenye engaphezulu yomqolo wakho onentamo yakho). Umgca wolu luleko olungenakunqwenelekayo kwaye aluqhelekanga kukuba amanye amayeza kunye nezicwangciso zinokukunceda ukuthintela intlungu ukuba ivele kwindawo yokuqala. Omnye umzekelo wonyango ugqirha wakho unokumisela ukuba isilwanyana esichasayo ekuthiwa yi-Neurontin (gabapentin).
Akusoloko uthabathe iyeza ukuze uphathe uphawu lukaLhermitte. Ngamanye amazwi, iyeza ezifana ne-Neurontin ngokuqhelekileyo ligcinwe kulabo bafumana uphawu lukaLhermitte ukuba lube lukhuni, oku kuthetha ukuba ukungathandekiyo kuthintela umgangatho wobomi kunye / okanye ukusebenza kwansuku zonke.
Iingxaki zeMiscle neMobility
Omnye umba weentlungu eziphantsi kwe-MS uhambelana nemibandela ephuma ekungabikho komzimba. Ngokomzekelo, ukuba umntu onokusebenzisa i-MS usebenzisa umzila wakhe okanye ezinye izixhobo zokuncedisa ukuhamba ngokungafanelekanga, iintlungu ezisezantsi ziyakhula.
Ukuze uhlawulele umcimbi ochaphazelekayo we-MS njengomlenze okanye umlenze onqabileyo okanye unyawo, umntu unokuhamba ngokumnandi okanye asasaze isisindo sakhe ngokungaqhelekanga, kwaye oku kunokubeka umgca kumqolo wezantsi. Ukuhlala kwisihlalo sabakhubazekile yonke imihla kunokubeka uxinzelelo olungapheliyo kumva.
Ngokufanayo, iimpawu ezahlukahlukeneyo ze-MS zikhokelela ekuposeni okungaqhelekanga. Khawucinge nje ukuba umntu unobungozi emilenzeni. Oku kunokubeka uxinzelelo kwimigqaliselo yomntu kunye namalungu e-back back kubangela intlungu-ukuthetha, intlungu, ukudala intlungu.
Isicwangciso sokuthintela okanye ukulwa nalezi zizathu zengxubevange yeentlungu ezibuhlungu ziquka:
- Uqeqesho olufanelekileyo ekusebenziseni isixhobo sakho sokuhamba-isistim
- Ulungiso lwenyama
- Utyando lwefuthe
- Ukuhlawula
I-antisteroidal anti-inflammatories (i-NSAID) ingaba luncedo kwixesha elifutshane lokunciphisa ukuvuvukala okukhulu. Oko kuthetha, qiniseka ukuthatha ugqirha ngaphambi kokuthatha enye. Ii-NSAID zinokubangela iingxaki zezintso, isibindi, intliziyo, okanye isisu kwaye azikhuselekile okanye zilungele wonke umntu, nangona ezinye zifumaneka kwi-counter-counter (umzekelo, ibuprofen).
Ubunzima Bokubuya Kwangaphantsi Okungekho kwi-MS
Kubalulekile ukuba uqaphele ukuba intlungu ephantsi yeentlungu ziqhelekileyo kubemi bemihlali, nto leyo ithetha ukuba abaninzi abantu bayayifumana, kungakhathaliseki ukuba bengenayo i-MS. Yingakho kubalulekile ukuba ufumane ukuxilongwa ngokufanelekileyo kwiintlungu zakho eziphantsi, kwaye ungacingi ukuba uvela kwi-MS yakho.
Imizekelo yezizathu eziqhelekileyo zentlungu ephantsi emveni kubandakanya:
- I-Sciatica okanye enye inkcenkceshela yokunciphisa ingcambu yomgca
- I stenosis
- I-musculoskeletal sprain / strain ye-musculoskeletal / strain kwi-trauma okanye inzakalo
Ewe, kukho izinto ezincinci kakhulu, kodwa izibangela ezinzulu ezibangela iintlungu ezisezantsi ezibandakanya:
- I-Cancer eye yasasazeka emgodleni (obizwa ngokuba ngumhlaza wesifo se-metastatic)
- Cauda equina syndrome
- Usulelo (umzekelo, i-vertebral osteomyelitis okanye i-absinal epidural abscess)
- Ukuqhaqhaqhaqhaqhaqhaqhaqhava kwi-vertebrae (ukuphuka kwithambo ekunceda ukufaka umqolo wakho)
Nangona kunjalo, abanye abantu abane-MS banokuthi banelungelo lokwenza izibini ezi zimbangi. Ngokomzekelo, ukuthatha i-corticosteroids kwandisa umngcipheko womntu wokusuleleka, kunye nokuqhaqhaqhaqhaqhaqhava kwintlungu ye-osteoporosis .
Ekugqibeleni, ngamanye amaxesha umntu ucinga ukuba intlungu yabo ivela kumqolo wabo ophantsi xa empeleni kuthethwa khona.
Imithombo yemimandla yentlungu eveziweyo iquka:
- Izimo zepelvic zifana nesifo seplavic
- Prostatitis
- Usulelo lweentsholongwane
- Herpes zoster
- Aneorysm yesisu
- Iingxaki zendlela yokugaya i- pancreatitis okanye i- peptic isifo sesilonda
ILizwi
Kwinqaku lokugqibela, kubalulekile ukukhankanya ukuba ngelixa iintlungu ezisezantsi zisesifo esisodwa se-MS syndrome, abantu abane-multiple sclerosis bafumana ezinye iintlobo zentlungu, njengaye:
- I-neuropathy kwimilenze, iinyawo, izandla kunye neengalo
- Intloko
- I-neuralgia yamaTrigeminal
- MS Hug
Ukuxubusha imiba, abanye abantu bafumana iintlungu ezibuhlungu ezisezantsi ezivela kumthombo ongaphezu kweyodwa (umzekelo, iMMS kunye nezinye iingxaki zempilo ezinjenge-muscle strain ukusuka kwingozi okanye i-sciatica). Okanye bafumana okokuba oogqirha babiza "intlungu edibeneyo," oku kuthetha inkqubo engaphezulu kweyodwa ye-MS ibangela ukuba bangabonakali.
Ngokubanzi, qiniseka ukuba kunye kunye noogqirha bakho banokufumana iindlela zokukunceda uzive ungcono, kokubili ngokomzimba nangengqondo. Kungathatha umonde omncinci kunye nesilingo kunye nephutha kwinqanaba lakho, kodwa isicatshulwa esifanelekileyo kunye nesicwangciso sonyango esiyimpumelelo singenziwa.
> Imithombo:
> Casazza BA. Ukuxilongwa kunye nokunyangwa kweentlungu ezisezantsi. I-Phys Physician. 2012 Feb 15; 85 (4): 343-50.
> Foley 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.
> Maloni H. (2016). UMbutho weSizwe we-MS: Ubuhlungu kwi-Multiple Sclerosis.
> Truini A, iBhabant P, i-Pozzilli C, iCruccu G. Uhlobo olusekelwe kwintlungu kwi-multiple sclerosis. J Neurol. 2013 Feb; 260 (2): 351-67.