MS Pain kwi-Waist kunye neRobs
Iintlungu ezininzi ze-sclerosis zinokuvakalelwa kwiindawo ezingaqhelekanga. Mhlawumbi, enye yezimpawu ezinxulumene neentlungu ezinqabileyo kakhulu yi-MS "hug" okanye ibhente-band sensation.
Sibanzi
"I-MS hug" yintlobo yentlungu ezayo kwaye ihambe ngeeveki eziliqela, kunye nemigangatho evela kwingxinzelelo ecasulayo yokubandezeleka. Ngamanye amaxesha unokuhamba ngokuphakamileyo njengesifuba okanye ngokuphantsi nje nge-waistline.
Ukongezelela, indawo yayo ingahluka, ngamanye amaxesha ivakalelwa kuphela kwicala elinye, kwaye ngamanye amaxesha ingayifungela yonke i-torso.
Konke kuzo zonke, ziba yinye yeempawu ezinomsindo kunye neentlungu ezibangelwa zizigulane ze-MS.
Ukuxilongwa
Ukuba awunakufumanisa ukuba unayo i- MS okwangoku, ukuya kumgqirha ngeempawu ezifana ne-MS Hug, kudinga ukukhutshwa ngokugqithiseleyo, njengoko ezinye zeemeko zempilo zingayilingisa.
Umzekelo, i-MS hug ingafana neentlungu zesifuba, ngoko ke ngaphambi kokuba kuthathwe nje "i-MS-related", ugqirha ufuna ukulawula izizathu ezinzulu ezifana nokuhlaselwa kwentliziyo.
Ezinye izimo zempilo ezifuneka ukuba zilawulwe ngaphandle ziquka:
- Isifo seGallbladder
- Usulelo lwesisu okanye isisu
- Isifo sesilwanyana
- Ukuvuvukala kwe-cartilage phakathi kwezimbambo (ebizwa ngokuthi i-costochondritis)
- Ukuhlaselwa kwamanqatha
Ukuba ezinye izizathu ziye zagqithiswa ngaphandle, i-neurologist yakho ingathanda ukuyi-MRI ukuba ibone ukuba unayo i-MS kwakhona, njengoko unokufuna i-steroids ukuba iimpawu zakho zinzima okanye ziphosakele.
Iimpawu
Njengempawu ezininzi ze- MS , "i-MS hug" ivakalelwa ngabantu ezahlukeneyo. Kwakhona uvakalelwa ngabantu abafanayo kwiintsuku ezahlukeneyo okanye ngamaxesha ahlukeneyo emini.
Ngokomzekelo, intlungu inokuba yinto ephantsi njengonqeni okanye ephezulu njengesifuba. Ngokuqhelekileyo, inokuthi ibonakale iphezulu njengamahlombe nentamo.
Ukongeza, intlungu ingajoliswa kwindawo enye encinci (ngokuqhelekileyo kwelinye icala okanye ngasemva) okanye uhambe yonke indlela ejikeleze i-torso. Iyakwenzeka "kumagagasi" imizuzwana emizuzu, imizuzu, okanye iiyure okanye ingazinzi ixesha elide.
Intlungu ye-MS Hug ichazwe kwiindlela ezininzi ezizodwa, kuquka:
- Sharp
- Ukulahla
- Ukutsha
- Ukukhawula
- Ukulinganisa
- Ukuchithwa okanye ukunqanda
- Uxinzelelo
Ekugqibeleni, intlungu (njengeminye impawu ye-MS) inokuqinisa okanye ibangelwe kukukhathala okanye uxinzelelo. Inokuthi idibaniswe nezinye iimpawu ezifana nobunzima bokuphefumula okanye ukuphefumla okubuhlungu, kungenxa yoko kunokubonakala ngathi kuhlaselwa intliziyo okanye ukuhlaselwa kwesoyiki.
Izizathu
I-MS Hug ibangelwa lilonda okanye indawo yokuvuvukala okusebenzayo ngaphakathi kwentambo yomgudu. Oku kuthetha ukuba i-myelin sheath (isambatho esenza i-nerve fibers) yonakaliswe. Uhlobo lweentlungu ezibangelwa yi-MS Hug lukwahlula ngokwasemthethweni njengoluhlobo lwe-neuropathic, olubizwa nangokuthi "dysesthesia," olubhekiselele nasiphi na ivakalelo ezibuhlungu.
Ivakalelo ngokwayo sisiphumo semisipha encinane phakathi kwembambo nganye (ebizwa ngokuba yi-intercostal muscle) eya kwi-spasm. Ezi zihlunu zinomsebenzi wokubamba iintambo zethu kunye nokuzigcina ziguquguquke kwaye zinceda ekuhambeni, njengokuphelelwa ngunyanzeliso.
Kodwa njengazo zonke izinto ezinxulumene ne-MS, imbangela ye-MS Hug inokwenza umonakalo kwi-myelin sheath.
Unyango
Okokuqala, intlungu yesifuba kufuneka ithathwe ngokungathí sina. Qinisekisa ukuba ufuna unyango lwangonyango xa ufumana iintlungu zesifuba okanye ezinye iimpawu zesifo senhliziyo .
Ukuba ugqirha wakho ugqiba ukuba unenca yeentlungu ezinxulumene ne-MS, kukho ezinye iingcebiso ze-MS Hug ezinokukunceda ukhululeke.
Mayeza
Iyona nto ibangela intlungu kwi-multiple sclerosis ayifani ngokupheleleyo. Ngaloo ndlela, unyango lweziyobisi lunokujolisa nayiphina inamba yemithombo yentlungu, amayeza aquka:
- Ukuphumula kwemizimba njengeLioresal (baclofen) kunye noZanaflex (tizanidine)
- Iziyobisi ze-Antispastic njengeValium (diazepam) kunye ne-Ativan (lorazepam)
- Izidakamizwa zeAnticonvulous ezifana neLyrica (pregabalin) neNeurontin (gabapentin)
- I-Anti-depressants njengeCymbalta (duloxetine) okanye uElavil (amitriptyline)
Ukongeza, abanye oogqirha baye basebenzisa i-injini ye-Botox (i-botulinum toxin) ukukhetha ukunciphisa ubuhlungu besisu. I-Botox ivimba i-neurotransmitting chemicals ebizwa ngokuthi i-acetylcholine evumela ukuba imisipha ikhulule. Unyango lubonakaliswe kubantu abanobuhlungu obukhulu kwaye banokugqibela ukuya kwiinyanga ezintandathu kunye nemiphumo embalwa yecala (ikakhulukazi intlungu yesaja okanye ubomvu).
I-Botox iphinda isetyenziswe ngokusesikweni ukuphathwa kakubi kwe- MS-ehambisana ne-bladder dysfunction .
Ukuba iimpawu zinzima ngokwaneleyo zokubangela iingxaki zokuphefumula, ugqirha wakho unokufumanisa ukuba le yenyani i- MS kwakhona kwaye unika ikhosi ye-corticosteroid ephezulu eyaziwa njengeSolu -Medrol .
Indlela yokuPhila kweNdlela kunye noTyango lweMpilo
Ubuhlungu buyinto eqhelekileyo ye-multiple sclerosis. Iyakwazi ukuhluka ngokukhawuleza kwaye iphikelele kwabanye kwaye iphakathi kwezinye.
Nangona bekuya kuba kuhle ukucinga ukuba unokususa intlungu ngeepilisi elula, oko akusoloko kunjalo. Kunoko, abantu abaninzi baya kujolisa ukulawula intlungu ngokuzenza ezimbalwa, ukulungelelaniswa kwendlela yokuphila okanye ukufumana izilungiso zasekhaya ezizame-kunye-ze-tyenziswa zisetyenziswa ngabanye kwindawo efanayo. Ezi ziquka:
- Ukusebenzisa uxinzelelo oluthe ngqo kwiintlungu kunye nesiplati sesandla sakho
- Ukugubungela indawo echaphazelekayo ngokukhawuleza nge-bandage Ace bandage
- Ukusebenzisa ukuphefumla okunyanisekileyo ukwandisa isifuba kunye nokunciphisa i-spasms
- Ukugqithisa ukugqithisa, ukugqoka iimpahla
- Ukusebenzisa ipakethe ye-ice ehlanganiswe kwisilonda esincinci ngqo kwintlungu (ngaphandle kokuba intlungu ibangelwa ngumkhuhlane )
- Ukuthatha ibhafu elifudumele okanye ukusebenzisa umbane okanye i- microwaveable heat pad (ngaphandle kokuba intlungu ibangelwa ngumswakama okanye ubushushu)
- Ukusebenzisa ama-analgesics eengqungquthela ezifana ne-IcyHot okanye i-lidocaine creams
- Ukuthatha i-nonsteroidal anti-inflammatory drug ( NSAID ) njenge-Advil (ibuprofen)
ILizwi
Kuyathakazelisa ukuqaphela ukuba iminyaka edlulileyo, abantu babecinga ukuba i-MS yayisifo esingenabuhlungu, noogqirha. Ngoku siyazi ukuba oku akunjalo. Enyanisweni, uphando lubonisa ukuba malunga nesiqingatha sabantu abane-MS bavalelwa intlungu ngexesha elithile kwikhosi yabo yesifo. Ngaphandle kwe-MS hug, ezinye iintlobo zentlungu zibandakanya i -neuralgia ye-trigeminal , imizwa engavamile kwimilenze kunye neenyawo, kunye no- Lhermitte .
> Imithombo
> Drulovic J et al. Ubuninzi beentlungu kubantu abadala abane-sclerosis ezininzi: Ucwaningo oluninzi lwe-cross-sectional survey. I-Med Med . 2015 Aug; 16 (8): 1597-602.
> I-MS Society Society. Ubuhlungu: Ubume.