Iingcebiso Ezi-3 Zokuzicingisisa Njengoko Unomntu Ojongene Nabanye abane-ALS
Kungakhathaliseki ukuba ungumlingane, umntwana, umhlobo okanye umnakekeli osesikweni, uyanyamekela umntu onama- amyotrophic lateral sclerosis (ALS) inzima kumanqanaba amaninzi.
Nangona kunjalo, ngengqondo efanelekileyo, inkxaso evela kwabanye, kunye nezixhobo ezifanelekileyo zokuncedisa, ukunyamekela umntu one-ALS unokuzalisekisa. Nazi izicwangciso ezimbalwa zokugcina engqondweni njengoko uhamba ngehambo lwakho lokunyamekela.
Zixhobisa Ngokwazi
Ulwaphulo oluncinane luhamba ixesha elide xa kuziwa kukhathalela umntu onama-ALS. Ngokuqonda ukuba kutheni umntu onyamekelayo akakwazi ukuhamba kakuhle, unamahlunu kunye nama-spasms, iintlungu kunye ne-drooling eyingozi (ebizwa ngokuba yi-sialorrhea) kwaye kamva kunesidlo sokondla nokuphefumla, unokuba ngumncedisi okhuselekileyo.
Ngamanye amagama, ngolwazi olusisiseko lwe-ALS, uya kuba nako ukuchaza kwangaphambili iingxaki zakho, umhlobo wakho, umhlobo okanye umlingane kwaye unokukwazi ukulungiselela kakuhle ezo zinguqu-indlela yokudala inkqubo enonophelo yokunyamekela.
Funa iNkxaso
Izidingo zomzimba zokunyamekela umntu onama-ALS zikhulu kwaye zihluke ngokuncedisa ngemisebenzi yokuphila kwansuku zonke njengokubhukuda, ukusebenzisa indlu yokuhlambela, ukutya, nokugqoka ukulawula izixhobo zokuhamba ukuhamba kwaye ekugqibeleni zibone izixhobo zokuphefumula, u- CPAP kuqala kwaye i- ventilator .
Ukongezelela, umnakekeli womntu onolwazi lwe-ALS ngokuqhelekileyo kufuneka alawulwe yindlu, ngakumbi ukuba ungumlingane okanye ilungu lentsapho. Oku kuthetha ukucoca, ukuhlamba iimpahla, ukuhlawula iibhilidi, ukwenza utyunjelwe ngugqirha, nokuthetha namanye amalungu omndeni.
Iqela lezempilo le-ALS
Ukufuna inkxaso evela kwabanye kubaluleke kakhulu.
Kufuneka uqale ngeqela le-ALS elimthandayo, elibandakanya:
- Neurologist
- Iingcali zomzimba kunye nomsebenzi
- Ukuthetha nokugwinya ingcali
- Sondlo
- Ophefumulayo
Eli qela labasebenzi bezempilo abanokukunceda kuphela kwinkqubo yokunyamekela kodwa kunokunceda ukuphucula iimpawu ze-ALS yakho.
Kwakhona, ngokusebenzisa iqela le-ALS luthando lwenu, abasebenzi bezentlalo banokukunika ulwazi malunga namaqela enkxaso ekunakekeleni abantu kunye nolondolozo lwezinto ezincinci ngexesha lokuxilongwa, kunye nokudluliselwa kwesibhedlele kwisigaba sokuphela se-ALS.
Izixhobo zokuNcedisa
Ubuthakathaka besiphako luphawu olusisiseko lwe-ALS, kwaye oko kuvela iingxaki ukuhamba, ukutya, ukusebenzisa indlu yokuhlambela, ukuhlamba, nokugcina intloko ngokuthe tye (ngenxa yemisipha yeentamo ezibuthathaka).
Izixhobo zokuncedisa ezifana nezihlalo zabakhubazekile, izibhedlele zokuhlamba, izihlalo zendlu yangasese, izithintelo zokukhanda, kunye nezitsha zokutya ezikhethekileyo kunokuphucula ukusebenza kunye nomgangatho wobomi kumntu onama-ALS. Oku, kungakhona, kunokuphucula umgangatho wobomi bomnakekeli.
Amanye amacebo ancedo ekunyamekeleni umntu onama-ALS afaka iimitha ezizodwa ezinokukunceda ukunqanda ukutyunjwa kwesikhumba kunye nentlungu kunye nentlungu.
Ekugqibeleni, kukho izixhobo zokuncedisa ngekhompyutha njengesixhobo sokuthetha esinokulungiswa kwisandla okanye ukusetyenziswa kwamehlo ukuvumela ukuthetha kunye nokubandakanya.
Qiniseka ukuthetha neqela le-ALS lothandayo lwezempilo malunga nendlela yokuhamba malunga nokufumana ezi zixhobo.
Ukunyamekela
Njengomnakekeli, kufuneka unakekele ingqondo yakho nomzimba ukuze unakekele kakuhle umntu. Ngamanye amagama, udinga ikhefu, kwaye yilapho ukunyamekelwa kwentlawulo kudlalwa khona.
Ukunyamekela ukunyamekela kungathetha iiyure ezimbalwa ukuhlaziya i-movie, ukulala, ukuzonwabisa ngokuhamba kwendalo, okanye ukuphuma kwisidlo okanye ikhofi nomhlobo. Kusenokuthabatha ukuthatha iholide yeveki, ngoko unokuthatha ixesha lokuphumla kwaye wenze into ekhethekileyo kuwe.
Xa ufuna ukunyamekela, kukho iindlela ezimbalwa ezahlukeneyo. Ngokomzekelo, ungabheka kwi-arhente yezempilo yasekhaya ehlinzekela abanonophelo abaqeqeshiweyo okanye nendawo yokuhlala, njengeziko lokunakekelwa kwexesha elide, eliqesha abaqeqeshi bezempilo kwi-site. Ekugqibeleni, unokukhetha ukucela nje umhlobo okanye i-ejensi yokuvolontiya ukubonelela ngononophelo lweeyure ezimbalwa.
Yoluntu
Kubalulekile ukukhumbula ukuba abo basekuhlaleni bakho bahlala bexhala ukunceda, kodwa awazi ukuba njani. Kungaba ngcono ukuba ubhale imisebenzi ethile oyifunayo uncedo kunye kwaye uyithumele i-imeyili kubangani, entsapho okanye ngabahlobo.
Yiba nomlomo-nokuba ufumanisa ukuba ukupheka nokucoca kukuphazamisa ukunyamekela kwakho, cela abo bangaphakathi kuluntu ukuba bancede ngokutya okanye banikele ngemali kwinkonzo yokucoca indlu.
Jonga kwiimpawu zoxinzelelo
Ukuba ukhathalela umntu onama-ALS, kuyaqhelekile ukuba uzive uluhlu lweemvakalelo kuquka ukukhathazeka, ukwesaba, ukukhungatheka, kunye nokukhathazeka. Abaninzi abanonophelo nabo banomuzwa wecala, njengokuba kufanele okanye benze umsebenzi olungcono, okanye iimvakalelo zokungaqiniseki ngekamva.
Ngamanye amaxesha iimvakalelo zinokuba namandla kangangokuba ziqala ukuphazamisa umgangatho wobomi bomnakekeli. Abanye abanomdla baze baxineke. Yingakho kubalulekile ukuba ube nolwazi malunga neempawu zokuqala zokudakumba kwaye ubone ugqirha wakho ukuba ufumana enye okanye ngaphezulu.
Iimpawu zokudandatheka ziqhubeka, zihlala ziphantse malunga nosuku ezimbini kwiiveki, kwaye zingabandakanya:
- Ndiziva ndibuhlungu okanye ngaphantsi
- Ukufumana ukulahlekelwa ngumdla kwizinto owake wazifumana
- Ukuba nobunzima bokulala (umzekelo, ukulala kakhulu okanye unenkathazo yokulala)
- Ukuba neenguqu zokutya
- Uvakalelwa unetyala okanye ungenathemba
Iindaba ezilungileyo kukuba ukudakumba kungaphathwa, mhlawumbi ngokudibanisa amayeza kunye nokuthetha unyango, okanye enye yonyango kuphela.
ILizwi
Ukunyamekela umntu one-ALS kunzima kwaye amandla okutya, kokubili ngokomzimba nangengqondo. Kodwa ngelixa kubakho ezininzi ezizama ukuhamba ngeendlela, qiniseka ukuba kuya kubakho ukuphakamisa, ixesha lokuphefumula.
Ekugqibeleni, ukunyamekela kwakho, ingqalelo yakho kunye nobukho bakho banele. Ngoko yibani nomusa kuwe kwaye ukhumbule ukukhumbula zakho iimfuno.
> Imithombo:
> Galvin M et al. Ukunyamekela kwi-ALS - iindlela ezidibeneyo ekufundeni uMrhumo. Ukunakekelwa kweBMC Palliat . 2016; 15 (1): 81
> I-Karam CY, iPaganoni S, uJoyce N, uCarter GT, iBlacklack R. Imiba yokunyamekela kwinkqubo yokunyamekela kwi-amyotrophic lateral sclerosis: Ukuhlaziywa okuxhomekeke kwisiseko. U-J J Hosp Palliat Care . 2016 Feb; 33 (1): 84-92.
> Ng L, uK Khan F, IC CA, Young Galea M. Symptomatic unyango lwe-amyotrophic lateral sclerosis / imoto ye-neuron. I-Cochrane Database Syst Rev. 2017 Jan 10; > 1: CD011776 >.