Njengomqondiso we- multiple sclerosis (MS), ukuzitywa komzimba kubaluleke kakhulu. Ingaba yinto engapheliyo, kunokuza nokuhamba. Unokuchitha iintsuku ezikhoyo kunye nomvakalelo "wokungabi nalungile." Kunokuba buhlungu. Kwakhona akunjalo ngokwenene abantu abaninzi banokuziva bekhululekile ukuthetha ngazo, ngoko banokubandezeleka ngeengxaki, kunokuba bafumane uvelwano kunye noncedo oluyidingayo.
Nangona kunjalo, kubalulekile ukuba ufune uncedo lokubanjwa kwakho. Ukulindela ingcamango engalunganga, njengoko oku kungakhokelela ekumakaleni kwindlela yakho yokuhlala okanye isitopu. Ukongezelela, kunokwenzeka ukuba unyango luya kuba lula, njengokutshintsha amayeza okanye ukunyuka kwamanzi.
Oko Kuvezwayo
Uninzi lwabantu luye lwaqhawulwa ngexesha elithile ebomini babo kwaye lwazi ukuba lithini. Nangona kunjalo, kukho inkcazelo echanekileyo kunokuba "andinakuhamba." Ngokutsho kwe-American College of Gastroenterology, ukuqothulwa kuchazwa njengezitshixo ezingapheliyo, ubunzima bokudlula isitulo, okanye zombini. Izitshixo eziqhelekileyo zithetha ukuba unobumba obuncinane okanye obuncinane ngeveki kunye nobunzima bokudlula izitulo kunokubandakanya ukuxinwa, ukuziva ngathi awuzange unqunyulwe yonke intshukumo, okanye ube nesigxina esinzima.
Ukukhula
Kunzima ukusho ukuba bangaphi abantu abane-MS abanomdla wokubanjwa, njengoko kudla ukuba bangaphantsi kwengxelo.
Oku mhlawumbi ngenxa yezinto ezininzi, ezifana:
- izigulane ezingaxhumeli le mpawu kwi-MS, ngoko ungazibikeli kwizonyango zabo
- izigulane zijoliswe kwiimpawu ezigqithiseleyo ngexesha lokutyelela kwegazi
- isigulane sineentloni ukubika ukugqithiselwa koogqirha babo
Oku kuthetha konke, kuqikelelwa ukuba phakathi kwama-50 ukuya kuma-75 ekhulwini abantu abane-MS baqhekeza ukumbombozwa ngexesha elithile.
Enyanisweni, yinkxalabo eqhelekileyo yesilwanyana esabonwa ngabantu abane-MS.
Izizathu
Izithako ezimbini zibandakanya ukunyakaza,
- I-stool kufuneka iqhubeke ihamba emathunjini
- Kufuneka kubekho amanzi anele kwisigxina
Ezi zinto zidibeneyo. Xa i-stool iyancipha uhambo lwayo emathunjini (ngokukodwa ikholoni, inxalenye yokugqibela yamathumbu amakhulu), amanzi athatyathwa ukwenza i-stool isome. Xa iyancipha kakhulu, amanzi amaninzi agxothwa yi-colon kunye nesitobhi kuba nzima kwaye kunzima ukudlula.
Oko kuthethwa, ukugqithiswa kwi-MS kunokubangelwa yiyiphi na le mibandela (okanye intlangano):
Ukulimala ngokwemvelo: Njengoko kuthethwe, isitofu kufuneka iqhubeke ishukunyiswa. Kubantu abane-MS, izilonda zinokuthintela ingqondo ukuba ifumane ngokuchanekileyo okanye idlulisele iimpawu ezilawula imizamo yokuzama ukuhamba. Ngamanye amagama, ungeke ufumane isalathisi sokuba "kufuneka uhambe," okanye awukwazi ukuphumla ngokukhawuleza kwaye uphakamise njengoko kuyimfuneko ukuba ube neentshukumo zokuhamba. Ukunyakaza okungazibandakanyeki okugcina isitulo sishukunyayo kwiindawo eziphantsi kwendlela yokutya isenokungaphumeleli. Kwakhona, ezi ngxaki zixutywa yi-stool nzima kakhulu ukudlula kalula, ngenxa yexesha elide kwikholoni.
Umsebenzi ongasemgangathweni woMzimba: Ubuncwane obalulekileyo obunomzimba wamathambo (ukuhamba kokutya okugayiweyo emathunjini) ngumsebenzi wenyama, njengokuhamba. Abantu abaninzi abane-MS abakwazi ukujikeleza baze bahambe kakhulu, ngenxa yobuthakathaka, ukunyanzelana, i-ataxia yecala okanye ukukhathala .
Umphumo wecandelo loMilwa: Ukutyunjwa kuyimpembelelo emacaleni yamachiza amaninzi abantu abane-MS ukuthatha ukulawula iimpawu. Ezi ziquka:
- I-Anti-depressants, ngakumbi i-tricyclic antidepressants kuquka i-Amitriptyline (Elavil, Endep), i-Desipramine (i-Norpramin), i-Doxepin (i-Sinequan), i-Imipramine (i-Tofranil-PM), i-nortriptyline (i-Pamelor)
- Iipilisi, ikakhulukazi eziqukethe i-morphine okanye i-codeine, kunye nezinye iintlungu-ukunciphisa izidakamizwa ezifana ne-Ultram (tramadol).
- Amachiza okuchithwa kwe- bladder ebizwa ngokuba yi-anticholinergics njengeeplateti ze-Detrol kunye ne-Detrol LA-release-capsules (release)
- Amachiza okunyanzelisa, kuquka ne-baclofen kunye neZanaflex (tizanidine)
Ukungaphuzi Amanzi aneleyo: Kuqhelekile ukuba abantu abane-MS banciphise amanzi, ingakumbi ukuba bafumana iingxaki ngokukhawuleza kwamanzi okanye kwi- nocturia . Abanye abantu abane-MS banokunciphisa ukungena kwamanzi xa bephuma okanye bahamba, njengoko kungena kwindlu yokuphumla kunokuba nzima. Oko kuthethwa, kubalulekile ukuba uphuze amanzi amaninzi yonke imini xa unayo i-MS. Khumbula kwakhona, amanzi angcono. I-cafeine no-utywala basebenza njengezonyango kunye kwaye banokudambisa ngakumbi. Ukuba amanzi ayinakukuthandayo, zama ukubeka i-lemon okanye i-lime kuyo ukuze unike i-flavour.
Ubunzima
Ukutyunjwa okungalawulwayo kunokubangela ukunyuka kwamafecal, okwenzekayo xa ukugqithisa kunzima kangangokuba yonke i-rectum igcwala ibhola enkulu, enzima yesigxina. Kule meko, ukufunwa kwezinto ezingasetyenziswayo, kufuneka ugqirha okanye umongikazi asuse ukucinywa ngokusemthethweni (usebenzisa umlenze ogqityiweyo).
ILizwi
Ukugqithisa kuqhelekile kwi-MS, kodwa iindaba ezilungileyo kukuba kukho izinto ongayenza ukukhusela okanye ubuncinane ukunciphisa. Isicwangciso sibandakanya:
- Phuza iziglasi zamanzi ezi-6 ukuya kwezi-8
- Hlanganisa i-fiber kwisidlo sakho (umzekelo, iigrafu ezipheleleyo kunye nomnkantsha wezithelo kunye nemifuno)
- Hlala usebenza, kangangoko kunokwenzeka
- Misela ixesha ngalinye ngosuku osebenzisa ngayo indlu yokuhlambela-oku kuthiwa yi-bowel training
- Cinga ngamathambo angamaxesha apho u-constipation wakho ukhawuleza, kodwa uxoxe ngamanyathelo kunye nodokotela wakho kuqala, njengoko abanye bangabangela uxhomekeke
Ekugqibeleni, kubalulekile ukuqaphela ukuba kufuneka uqhagamshelane nogqirha wakho nayiphi na inguqu eqhubekayo kwimilenze. Ukutyunjwa ngokwayo kungabonakalisa into enzulu kakhulu, njengomdlavuza wekoloni, ngoko uyifumene.
Imithombo
Ikholeji yaseMerika yaseGastroenterology. (2016). Ukubambisana kunye neengxaki zokuLawulwa.
Gallien P et al. Ubuninzi bokubanjwa komzimba kwi-sclerosis ezininzi malunga neqela leziguli ezingama-81. Ann Phys Rehabil Med . 2016 Sep; 59S: e39-e40.
> I-MS Society Society. (2014). Iingxaki zebilini: Izinto eziSiseko.
URandall T. Shapiro. Ukulawula iiSmptoms of Multiple Sclerosis (5th ed.) . ENew York: iDemos Publishing Medical, 2007.