Izizathu eziPrayimari nezisisigxina se-MS-Related Fatigue
Ukukhathala kubonwa ngabaninzi ukuba yiyona nto inzima kakhulu ye- multiple sclerosis , kwaye ngelishwa, ithintela uninzi lwabantu abane-MS. Enyanisweni, "kwiintsuku ezinzima zokukhathala," akunakunzima ukuhlangabezana nezidingo ezisisiseko, ngenxa yokukhathala okukhulu okwenza konke kunzima kunzima. Njengoko kuvela, ukukhathala okuhlobene ne-MS ngokuqhelekileyo kuyimveliso yamanani amaninzi asebenza kunye.
Ukukhathala kweprayimari
Ukukhathala kweprayimari kubangelwa yinkqubo yesifo ngokwayo kwaye kubangelwa ukutshatyalaliswa kwemimoya kwinkqubo yesantya. "Ukumamela" kudla ukusetyenziswa ukuchaza olu ludini, oku kuthetha ukuba ukukhathala okukhulu kunxulumene ngqo nomsebenzi okwandisiweyo kwaye ngokuqhelekileyo akuphuculanga nokuphumla okanye ukulala. Ukukhathala nako kunokuchazwa njengokuba uvakalelwa ngokwasemzimbeni okanye ubuthakathaka ngokwengqondo - njengengqondo "inkohlakalo yengqondo."
Olu ludaka luba lubi kakhulu xa ukushisa komzimba wakho kuphakama - njengomhla oshushu okanye xa usebenzisa, unomkhuhlane, okanye uthathe ibhafu elitshisayo. Ixesha elisetyenziswe ukuchaza eli lizwi libizwa ngokuba yi- Uhthoff - kodwa ungakhathazeki kakhulu xa oko kwenzeka. Xa ukufudumala kukuphazamisa ukukhathala kwakho, akusona uphawu lokutsha kwakhona kwakhona kwaye luya kuguqulwa xa umthombo wokushisa ususwe.
Kukho into ebizwa ngokuthi "i-short-circuiting" okanye "ukukhathala" endaweni apho iindawo ezichaphazelekayo zamaqela omzimba ngamnye zithwala ukusebenzisa, njengemilenze yakho emva kokuhamba okanye isandla sakho emva kokubhala.
Ukukhathala kwesiSekondari
Ukukhathala kwesibini akubangelwa ngqo yi-MS ngokwayo kodwa ngokuqhelekileyo kubangelwa yimpawu ze- MS okanye kuzama ukuzihlawulela.
- Ukuphazamiseka kokulala kuqhelekileyo kubantu abane-MS, ngenxa yeengcambu zeemisipha, ukuxinezeleka okanye ukuxhalaba, intlungu, kufuneka rhoqo ukuhamba ebusuku (nocturia) okanye ngenxa yemiphumo emibi yeyeza. Ngokomzekelo, i-corticosteroids efana ne- Solu-Medrol - esetyenziselwa ukuphatha i-MS ibuyele kwakhona - ingaziwayo ngokubangela ukuphazamiseka kokulala. Ukuphazamiseka kokulala, njengokulala nokungabikho kwemilenze yokuphunga, kuyaqhelekile kwi-sclerosis.
- Ukunyusa kubangela ukukhathala kubantu abane-MS xa behlala befuna ukuhlawulela iimpawu ezinjenge-spasticity okanye ubuthakathaka be-muscle, ezinokukwenza kube nzima ukuhamba, gcina ukulinganisela okanye imisebenzi epheleleyo ejikeleze indlu.
- Amanye amayeza enokubangela ukuba ukhathala kube yimpembelelo yecala, kubandakanywa nalawo athatyathwe ngqo kwi-MS. Ezi ziquka ukuguqulwa kwezifo ezenziwa kwi-beta-interferon (Avonex, Betaseron, neRebif), iTysabri, kunye neNovantrone. Ukongezelela, ukunyuka ngumphumo wecala lamanye amayeza athathwe iimpawu ze-MS ezifana nokuphala, kuquka i-Baclofen, iValium (diazepam) kunye noZanaflex. Amagciwane okuba neentlungu zengqondo, njenge-Neurontin (gabapentin), okanye inyikima, kunye nemithi engeyiyo-MS, njengaleyo yokuxinzelelo lwegazi, ukunyamezela, okanye ukuxhalabisa, kunokukunceda ekukhatheni.
- Ukudandatheka kunokubangela ukuba abantu bazive bexinekile. Kwamanye abantu, ukukhathala ngokwayo kubangela ukudakumba. Amanye amayeza asetyenziswa ukuphatha uxinzelelo angabangela ukukhathala, ukudala umjikelo womnye obangela enye, enokuba nzima ukuwaphula.
- Ukuntuleka kwesondlo esifaneleko kubangela ukuba uguqulwe kwishukela egazini ekhokelela ekukhatyeleni ngokubanzi.
- Izifo , ezinjengobanda, umkhuhlane, okanye izifo zokungcungcutheka kwamancoko zingabangela ukukhathala.
- Ukungabi namandla okunempilo kunokubangela kakhulu ukukhathala.
Ukujamelana noKhathala kwiMount Sclerosis
Ukukhathala kungabangela ukuphazamiseka nokuphazamiseka kwakho okanye wakho othandekayo. Iindaba ezilungileyo kukuba ngeqela lakho lezempilo le-MS, unokulwa nokukhathala kwakho kwaye ufumane uncedo, nangona kungenakukuphilisa, ngeendlela zokuphila ezilula. Ezi zibandakanya ukusetyenziswa kwansuku zonke-ezinjengeendlela ezifutshane zokuhamba okanye ukunyakaza kweengalo - ukuzigcina uzipholile kwaye uziqhelanisa nezicwangciso zokuhlambulula ubuthongo . Ngokomzekelo, qiniseka ukuba uya kulala ngexesha elifanayo ubusuku bonke kwaye ulala egumbini elibandayo, elimnyama.
Olunye unyango olunjengonyango lwangokwenyama, unyango lwezengqondo zokuziphatha ukunciphisa uxinzelelo, okanye unyango lomsebenzi ukukunceda ukuba ulungise imisebenzi yakho yasekhaya kunye nomsebenzi kunokunciphisa ukukhathala.
Abanye abantu banokukhetha ukuthatha imithi evuselela imihla ngemihla, njenge-Provigil (modafinil). Okanye ungayithatha njengento efunekayo, njengokuba ufuna ukufumana amandla kwaye ujonge uhambo lokuthenga kunye nomlingane wakho.
Imithombo:
Birnbaum, MD George. (2013). Multiple Sclerosis: Isikhokelo seNtsholongwane yokuHlola kunye noTyango, uNgqungquthela wesi-2. ENew York, eNew York. I-Oxford University Press.
Multiple Sclerosis International Foundation. (2003). I-MS ekugxileni: Ukukhathala . Umqulu I.