Ukujonga kwiingxaki zokuphefumula ezinokufumaneka nge-MS
Abantu abane- multiple sclerosis (MS) banakho ukuphefumla (iingxaki zokuphefumula) kunye nempawu eyaziwayo yokubetha kunye nokugada , ukukhathala , i- MS kunye neengxaki zememori. Enyanisweni, kulinganiselwa ukuba malunga nama-30% abantu abane-MS banciphise umsebenzi wokuphefumula. Kwesifundo esinye, abantu abangama-32% abane-MS babikezela ngokunyaniseka kwe- dyspnea (ubunzima bokuphefumula okanye ukuphefumula okufutshane) ngexesha lomsebenzi okwenziwe ngokulinganayo.
Ukuba unayo i-MS, amathuba akho amanqaku aphantsi kwiimvavanyo zomsebenzi wamapulmoni ezivavanya amandla ezidumbu ozenzayo ukuphefumula.
Iinkcazo
Izigulane ezine-MS zithatha ukuphefumla okungapheliyo kunye nokukhawuleza kunokuba abo bangenawo. Le meko isiseko seengxaki ezininzi zokuphefumla ezinxulumene ne-MS, eziquka:
- Ukuqhawukelwa ngumphefumlo
- Ukuphefumla nzima kunzulu
- AmaHiccups
- Isiqhamo
- Ukucwina rhoqo
- Akukho moya owaneleyo
Ukuba unesinye okanye ngaphezulu kwezi ngxaki zokuphefumla ngenxa ye-MS yakho, kunokukwenza uzive uxhalabile kwaye ngathi:
- Uzama ukuphefumula ngeengubo phezu kwentloko yakho
- Yiba nesisindo esinzima esifubeni sakho
- Ayikwazi ukuthatha umoya ophefumlelweyo
Izizathu
Kwakuthatyathwa ukuba iingxaki zokuphefumula kwi-MS zenzeke okokuqala kwizigaba zasesifo esilandelayo. Nangona kunjalo, ngoku kukholelwa ukuba ubunzima beengxaki zokuphefumula kwi-MS buhlobene ngokusondeleyo nesifo somntu: oko kukuthi, umntu onomdla (kunye nobunzima) iimpawu ze-MS kunye nokukhubazeka okuhambisanayo kunokuba ngaphezulu (kwaye ngaphezulu ezinzima) iingxaki zokuphefumla.
Iingxaki zokuphefumula kwi-MS zinokubangelwa enye okanye ngaphezulu kwezi zinto zilandelayo:
- Iingxaki ezibonakalayo. Iingxaki zokuphefumla ezinxulumene ne-MS zingabangela umxholo ongaqhelekanga wokuba uphefumle ochaphazelekayo obandakanya 1) uxinzelelo lokuphefumula (uxinzelelo olungavumelekanga kwimiphunga), 2) ukukhupha umoya, kunye no-3) ukunyakaza kwemiphunga kunye nodonga lwesifuba.
- Ubuthathaka obuthathaka. Abantu abaninzi abane-MS bahlawula kwiimilinganiselo zokuphefumula kwamasipha, njengemvavanyo yoxinzelelo lomlomo. Uxinzelelo lomlomo lusetyenzisa amandla kunye namandla okuphefumula ngenxa yokuvavanya ubuninzi bokuphefumula (ukuphefumula) kunye neengcinezelo eziphezulu zokuphefumula. Ezi ziboniswe zibe phakathi kwama-60% kunye no-70% eziqhelekileyo nakwizigulane ezinokukhubazeka eziphantsi kwe-MS.
- Imiphumo emibi yeMithi. Ezinye iziyobisi ezinqunyiwe ukunceda ngeentlungu ezinxulumene ne- MS okanye ukuxhamla (ukuqina kwesisu okanye ukuqina) kungabangela ukuphefumula okungapheliyo. Ezi ziquka ukuphucula izihlunu, izixilisi, kunye neentlungu ze-opioid.
- Ukuphefumlelwa kwePneumonia. Ukuxhamla ubunzima be-MS okanye ukuhluleka ukucima i-muscus kwimpumlo okanye emqaleni kungakhokelela kwisifiso sokuphefumula , okungenzeka xa i-liquid, i-muscus, kunye / okanye i-particles of food ingena kwimiphunga.
Ubunzima
Kuyinto inqabileyo kakhulu ukuba ubunzima bokuphefumla obunxulumene ne-MS bube besongela ubomi okanye bunzima kangangokuba umntu ufuna uncedo lokuphefumula (ukuphefumula iibhubhu okanye i-oxygen eyongezelelweyo). Nangona kunjalo, nokuba neengxaki zokuphefumula ezinobumnene zingabangela ukukhathala okukhulu, ukufaka isandla ngakumbi kwi- MS-related fatigue . Ukongezelela, ukuziva ukuba awukwazi ukufumana umoya owaneleyo kunokukhokelela ekuhlaselweni kwexhala kunye nokuxhalaba okukhulu.
Ukufumana Uncedo
Ngethamsanqa, unyango lokuphefumula - olubandakanya ukusetyenziswa kokuphefumula ukuphucula umsebenzi wokuphefumula jikelele kunye nokuthintela iingxaki zokuphefumula ngexesha elilandelayo le-MS - lunokuba luncedo kakhulu ekuncediseni abantu abanesifo ngokuphefumula ngokuqhelekileyo.
Iingcebiso
- Ncipha umngcipheko wokufumana isifo sokuphefumula. Gweba abantu abagulayo, hlamba izandla, fumana umkhuhlane wakho, uze ufumane ukuphumla ngokwaneleyo. Ukuba uqala ukuziva ugula, kwaye ngokukodwa xa uhlakulela umkhuhlane, qha ga mshelana nodokotela wakho.
- Gcoba ukutya kwakho ngokuthe ngcembe nangokucokisekileyo (kwaye ugweme ukuhleka kanzima okanye ukuthetha ngomlomo wakho ngokupheleleyo) ukunceda ukukhusela ukukhwehlela okanye ukukhahlela.
- Ukuba ubona ugqirha ogqithiseleyo uncedo lweentsholongwane zokuphefumula, mxelele ukuba unciphise umsebenzi wamaphaphu ukusuka kwi-MS. Oku kuya kunceda ukuqinisekisa ukuba ufumana unyango olufanelekileyo.
Imithombo:
I-Fein A, uKamholz S, Ost D. " Umoya wokuphefumula ." UHodder Arnold (2006).
I-Gosselink R, i-Kovacs L, i-Decramer M. Imisipha yokuphefumula ifakwe kwi-Multiple Sclerosis. Eur Respir. 1999; 13: 449-54.
I-Mutluay FK, i-Gürses HN, i-Saip S. Imiphumo ye-Multiple Sclerosis kwimisebenzi yokuphefumula. KwiKlinikhi yokubuyisela. 2005 Juni; 19 (4): 426-32.
Rae-Grant AD, Eckert NJ, Bartz S, Reed JF. Iimpawu ezibonakalisa i-Multiple Sclerosis: I-Hibden Reservoir of Morbidity. Mult Scler. 1999 Juni; 5 (3): 179-83.