Ukusabalalisa kunokusicutha, okanye usiyeke kumathrekhi ethu
Ukuxhamla ngokucacileyo kukuqondwa kakuhle njengokwanda kwethoni ye-muscle. Nangona oko kungathi kulungile kwi-flabby phakathi kwethu, oko kuthetha ukuthini ukuba izihlunu aziphumuli kangangoko okanye ngokulula njengoko zifanele. Ngenxa yoko, ukunyanzelana kwezinto kuphazamisa ukunyakaza, okwenza kube ngumqondiso wemoto, ngokuchasene nesifo sesifo.
Ziyithandeka Kangakanani?
Ukusabalalisa kubonakala kudla ngokuphindaphindiweyo kwimilenze kunezixhobo.
Kwakhona kufana nokuba yinto eqhelekileyo, nto leyo ithetha ukuba yimbi kakhulu okanye iyenzeka ngokuphindaphindiweyo kwelinye icala lomzimba kunelinye.
Kukho amagama ambalwa asetyenziselwa ukuchaza ukungcola kubantu abane- multiple sclerosis (MS):
I-Spasms eqhubekayo ivela xa isilungu, ngokuqhelekileyo umlenze, sigxina kwaye umntu akakwazi ukugoba intsebenziswano. Oku kubangela ukuba isilungu, ngokuqhelekileyo umlenze, siphume emzimbeni. Ngokuqhelekileyo ichaphazela i-quadriceps-izihlunu ezinkulu phambi kwethanga-ezibangela ukuba umlenze ongezantsi uphendule. Izidumbu ze-adductor imisipha (ephakathi kwangaphakathi komlenze ophezulu) zihamba phambili kodwa zingenza ukuba imilenze yomntu ivalwe kunye ngokuqinileyo, eyenza kube nzima ukuhlukanisa.
I-Flexor Spasms ibangela ukuba inqwelwana isenze isivumelwano, okanye igobe, emzimbeni. Olu hlobo lwe-spasm luphantse luphazamise imilenze, ingakumbi i-hamstrings okanye i-hip flexors.
I-Clonus xa iimfoloko ziphazamisa okanye ziphinda zihlaziye ngokuphindaphindiweyo. Iintlobo eziqhelekileyo ze-clonus yinto xa unyawo lomntu lugxotha ngokukhawuleza kwaye luphindaphindiwe phantsi, okanye xa umntu eguqa ngamadolo okanye i-ankle ngokuphindaphindiweyo emva kokuvuselela (njengokubamba ngokubambisana), kunokuba uphendule ngokuqhelekileyo kompompo omnye okanye i-jerk.
Ubunzima buyakucingelwa njengobuncwane obubi. Ngethuba ngeli xesha lingahambelani njengamanye ama-spasms achazwe ngasentla, xa izihlunu ziphuza ukuphumla, zingabangela iingxaki zihamba okanye zisebenzise izandla kunye neminwe ukuba zenze imfudu epholileyo. Kwezinye iimeko, ubunzima bungaze kube yingxaki enkulu. Kwamanye amaxesha, kunokubangela iingxaki ngokuhamba okanye kuba nobuhlungu obaneleyo bokuphazamisa ubomi bemihla ngemihla.
Ziqhele kangakanani ukuxhamla kwi-MS?
Uninzi lweengcali ziqikelela ukuba uninzi lwabantu abane-MS lunamaqondo athile okwenyuka kwexesha. Ngaphezu koko, uphando oluthile lubonisa ukuba ukuya kweyesithathu kwabantu abane-multiple sclerosis bayashintsha imisebenzi yabo yemihla ngemihla ngenxa yokunyanzelisa.
Yintoni Ebangelwa Ukunyaniseka?
Njengamanye amaninzi iimpawu ze-MS, ukuxhamla ngokukhawuleza kubangelwa ngokutshabalalisa. Ngenxa yokuphazamiseka okanye ukuphazamiseka kwemizwa yesibindi, izihlunu zinokwenza izinto ezintathu: ungaphumuli ngokukhawuleza njengoko kufuneka, ziqine ngokungabikho, okanye zihlale zichithwe ixesha elide okanye rhoqo.
Izinto ezininzi ziza kukhulisa ukunyaniseka, kubambe "njenge-" trigger "ye-spasms. Ezi zinto ziquka:
- Izifo, ezifana nokuphefumula, i-urinary tract or infections
- Ubuhlungu
- Izilonda okanye ukuphazamiseka kwesikhumba
- Ukwanda kweqondo lokushisa kwangaphakathi (umzekelo, ngenxa yomkhuhlane okanye ukuzivocavoca ngokweqile)
- Isibilini esipheleleyo
- Ukubopha, ukuxubha okanye ezinye iingubo ezinomsindo
- Ukutyunjwa
- Iingxaki nge-posture
- Ukuxinezeleka, ukukhathazeka okanye ukuxhalabisa
- Iqondo lokushisa lokusingqongileyo
Indlela Eyona Ngayo Inokuyisebenzisa Ngayo?
Kwabaninzi abantu, ukunyanzelisa kungabangela ukucaphukisa okanye ingxaki edlulayo enqanda ukuhamba ngokuthe ngandlela olunye usuku kodwa engekho elandelayo. Kungenzeka ukuba ukuhamba ngokukhawuleza okanye ukunyuka kwezitebhisi kunzima kunokuba kwakunjalo ngaphambili.
Abanye banokwenene bazuze kwi-spasticity or stiffness, njengokuba kunokulwa nomlinganiselo othile wobuthakathaka obuthathaka kunye nokwenza kube lula ukuma-ingcamango enomdla.
Oko kwathiwa, kubantu abathile, iintlobo ezinzulu zokwahlukana okanye ubunzima zingabangela ingxaki ngokuhamba, njengoko ukuhamba kuba nzima okanye akunakwenzeka. Ngokomzekelo, ezinye iipasimas ziyakunyusa xa zisuka ebhedeni zibe kwisihlalo sabakhubazekile esenza ukuba kusasa ekuseni.
Ukongezelela, ezinye iindawo eziphambili zingaphuthumele kwaye zomelele ukuba umntu angakwazi ukuwa esihlalweni okanye ebhedini. I-Flexor spasms inokubangela ukuba izitho ziqhutywe kwiindawo ezibuhlungu kwaye zikhokelela kwiintlungu zesibini ezidibeneyo.
Ukunyamekela Kwenzeka Njani?
Kukho unyango oluninzi oluthile lokunyanyisa, kuxhomekeke kuhlobo lwe-spasm, ubunzima, kunye nokuphendula kwayo kumayeza. Nangona kunjalo, into yokuqala yokuzama ukuphelisa ezinye zeziphumo ezikhankanywe ngasentla ukuze zibone ukuba oko kunceda, ingakumbi ukuba i-spasms ibonakala ivela kwiimeko ezithile.
Emva kokuba wenze oko, xubusha nodokotela wakho iindlela zokuzilawula. Iipilisi eziphambili okanye iindlela zokulawulwa kwezinto eziphathekayo ziquka:
- Ukwelapha ngokwenyama ngendlela yokwelula, mhlawumbi ukunyanzelisa-umntu ulula izandla zakho, okanye uzame ukulula izandla zakho, okanye i-hydrotherapy (usebenzise emanzini)
- Ukusetyenziswa kwezixhobo zokuncedisa umbane, njengama-braces.
- Amachiza omlomo, aquka iBaclofen, iZanaflex (tizanidine) kunye ne-benzodiazepines (uhlobo lweziyobisi kuxhomekeke kwindawo, uhlobo, kunye nobukhulu bezinto ezikhoyo)
- I-intrathecal baclofen, ephethe ipompo eyenziwe ngokufaka inkunkuma kwisiza kwindawo yomgca ogciniweyo oqukethe i-cerebrospinal fluid
- Iibotox
- Ugqirha apho iimbulunga zikhutshwe-oku kusetyenziswa kwiimeko ezinzima kakhulu.
Abantu abaninzi abanamahloni bazama iindlela ezahlukeneyo kunye nezinye iindlela zokuzikhupha, kubandakanya i-yoga, i- reflexology , i-biofeedback, i-massage, i-Tai Chi nabanye. Nangona kukho ubungqina obunqongophe bobungqina bokusekela ukusetyenziswa kwabo, abanye abantu bayakufumana luncedo-kwaye ezi zonyango zinokuba nezinye zizinzuzo ezilungileyo.
Ekugqibeleni, i-cannabis yomlomo okanye i-spray spray evela kwi-cannabis (ebizwa ngokuba yi-Sativex) ingasetyenziselwa ukuphatha i-spasticity-note ukuba iSativex ayiyikuvunyelwa okwangoku e-United States.
ILizwi
Xa ulawula ukunyaniseka kwakho, zama konke okusemandleni akho ukuqhubeka uhamba, ulula, uphephe ukukhupha okunye, kunye nokubandakanyeka kwiindlela zokwelapha ezifana neyonyango okanye i-hydrotherapy. Qiniseka ukuba uphatha ingqondo yakho-vumela ugqirha wakho wazi indlela ukunyaniseka kwakho kukuchaphazela ngayo umgangatho wobomi (ukuba kunjalo) kunye nedilesi.
> Imithombo:
> I-MS Society Society. (2017). Ukunyaniseka.
> Novotna A et al. I- aativex (®)), njenge-add-on-treatment, kwizifundo ezinokugxeka okubangelwa yi-multiple sclerosis. Eur J Neurol . 2011 Sep; 18 (9): 1122-31.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (Oktobha 2016). Ulawulo lweSimptom ye-multiple sclerosis kubantu abadala. Ku: U-UpToDate, uGonzález-Scarano (Ed), UpToDate, Waltham, MA.
> Olek MJ, Narayan RN, Frohman EM, Frohman TC. (Meyi 2016). Iinkalo zesifo se-sclerosis ezininzi kubantu abadala. Ku: U-UpToDate, uGonzález-Scarano (Ed), UpToDate, Waltham, MA.