Multiple sclerosis - ukukhipha

Udokotela wakho ukutshele ukuthi une-multiple sclerosis (MS). Lesi sifo sithinta ubuchopho nomgogodla (uhlelo oluphakathi lwezinzwa).

Ekhaya landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo ngokuzinakekela. Sebenzisa imininingwane engezansi njengesikhumbuzo.

Izimpawu ziyahlukahluka kuye ngomuntu. Ngokuhamba kwesikhathi, umuntu ngamunye angaba nezimpawu ezihlukile. Kwabanye abantu, izimpawu zihlala ezinyangeni kuya ezinyangeni, bese zincipha noma zihambe. Kwabanye, izimpawu azithuthuki noma zincane kakhulu.

Ngokuhamba kwesikhathi, izimpawu zingase zibe zimbi (ukuqhubeka), futhi kuba nzima ukuzinakekela. Abanye abantu banokuthuthuka okuncane kakhulu. Abanye banenqubekela phambili ebucayi futhi esheshayo.

Zama ukuhlala usebenza ngangokunokwenzeka. Buza umhlinzeki wakho ukuthi hlobo luni lomsebenzi nokuvivinya umzimba okulungele. Zama ukuhamba noma ukugijima. Ukuhamba ngamabhayisikili okumile nakho kuwukuzivocavoca okuhle.

Izinzuzo zokuzivocavoca zifaka:

• Isiza imisipha yakho ihlale ikhululekile
• Kukusiza ukuthi ugcine ibhalansi yakho
• Ilungele inhliziyo yakho
• Kukusiza ulale kangcono
• Kukusiza ukuba nokunyakaza kwamathumbu njalo

Uma unezinkinga nge-spasticity, funda ngalokho okwenza kube kubi kakhulu. Wena noma umnakekeli wakho ningafunda ukuzivocavoca ukugcina izicubu zikhululekile.

Ukushisa komzimba okwandisiwe kungenza izimpawu zakho zibe zimbi kakhulu. Nawa amanye amathiphu wokuvimbela ukushisa ngokweqile:

• Vivinya umzimba ekuseni nakusihlwa. Qaphela ukuthi ungagqoki izendlalelo eziningi kakhulu zezingubo.
• Lapho ugeza namanzi, gwema amanzi ashisa kakhulu.
• Qaphela kuma-tubs ashisayo noma ama-sauna. Qiniseka ukuthi kukhona umuntu oseduze ozokusiza uma ushisa ngokweqile.
• Gcina indlu yakho ipholile ehlobo nge-air conditioning.
• Gwema iziphuzo ezishisayo uma ubona izinkinga ngokugwinya, noma ezinye izimpawu ziba zimbi kakhulu.

Qiniseka ukuthi ikhaya lakho liphephile. Thola ukuthi yini ongayenza ukuvimbela ukuwa futhi ugcine indawo yakho yokugezela iphephile ukuyisebenzisa.

Uma unenkinga yokuhamba kalula endlini yakho, khuluma nomhlinzeki wakho mayelana nokuthola usizo.

Umhlinzeki wakho angakudlulisela kuchwepheshe wezempilo ukuze asize nge:

• Ukuzivocavoca amandla nokuhambahamba
• Ungayisebenzisa kanjani i-walker yakho, umoba, isihlalo esinamasondo, noma amanye amadivayisi
• Ungayisetha kanjani ikhaya lakho ukuze uzulazule ngokuphepha

Ungaba nezinkinga ukuqala ukuchama noma ukukhipha isinye yonke indlela. Isinye sakho singakhipha kaningi kakhulu noma ngesikhathi esingalungile. Isinye sakho singagcwala kakhulu futhi ungavuza umchamo.

Ukusiza ngezinkinga zesinye, umhlinzeki wakho angakunikeza umuthi. Abanye abantu abane-MS badinga ukusebenzisa ipayipi lomchamo. Lena yishubhu ezacile efakwa esinyeni sakho ukukhipha umchamo.

Umhlinzeki wakho angakufundisa nokuzivocavoca okuthile ukukusiza uqinise imisipha yakho yaphansi.

Ukutheleleka kwe-Urinary kuvamile kubantu abane-MS. Funda ukubona izimpawu, njengokushisa lapho uchama, umkhuhlane, izinhlungu ezisezingeni eliphansi ohlangothini olulodwa, kanye nesidingo esivame kakhulu sokuchama.

Ungawubambi umchamo wakho. Lapho uzwa umfutho wokuchama, hamba uyogeza. Uma ungekho ekhaya, qaphela ukuthi ikuphi indlu yokugezela eseduzane.

Uma une-MS, ungaba nenkinga yokulawula amathumbu akho. Yiba nesimiso. Lapho usuthole inqubo yamathumbu esebenzayo, namathela kuyo:

• Khetha isikhathi esijwayelekile, njengangemuva kokudla noma ukugeza okufudumele, ukuzama ukunyakaza kwamathumbu.
• Iba nesineke. Kungathatha imizuzu eyi-15 kuye kwengama-45 ukuba nokunyakaza kwamathumbu.
• Zama ngobumnene ukugcoba isisu sakho ukuze usize indle ukuba ihambe kukholoni yakho.

Gwema ukuqunjelwa:

• Phuza uketshezi oluningi.
• Hlala usebenza noma sebenza ngokwengeziwe.
• Yidla ukudla okune-fiber eningi.

Buza umhlinzeki wakho ngemithi oyiphuzayo engadala ukuqunjelwa. Lokhu kufaka phakathi eminye imithi yokudangala, ubuhlungu, ukulawula isinye, kanye nokuqaqamba kwemisipha.

Uma uhlala esihlalweni esinamasondo noma embhedeni usuku lonke, kudingeka uhlole isikhumba sakho nsuku zonke ukuthi asinazo yini izimpawu zezilonda zengcindezi. Bheka eduze:

• Izithende
• Amaqakala
• Amadolo
• Izinqe
• Umsila
• Izindololwane
• Amahlombe namahlombe
• Ngemuva kwekhanda lakho

Funda ukuthi ungazivikela kanjani izilonda zengcindezi.

Gcina usesikhathini ngemigomo yakho. Thola umkhuhlane njalo ngonyaka. Buza umhlinzeki wakho uma udinga i-pneumonia shot.

Buza umhlinzeki wakho mayelana nokunye ukuhlolwa ongakudinga, njengokuhlola izinga lakho le-cholesterol, izinga likashukela egazini, nokuskena kwethambo le-osteoporosis.

Yidla ukudla okunempilo futhi uzigcine ungakhuluphele ngokweqile.

Funda ukulawula ukucindezeleka. Abantu abaningi abane-MS bazizwa bedabukile noma becindezelekile ngezikhathi ezithile. Khuluma nabangane noma umndeni ngalokhu. Buza umhlinzeki wakho mayelana nokubona uchwepheshe akusize ngale mizwa.

Ungazithola usukhathala kalula kunakuqala. Zibambise lapho wenza imisebenzi engahle ikhathele noma idinga ukugxila okuningi.

Umhlinzeki wakho angakuthola emithini ehlukahlukene yokwelapha i-MS yakho kanye nezinkinga eziningi ezingavela nayo:

• Qiniseka ukuthi ulandela imiyalo. Ungayeki ukuthatha imithi ngaphandle kokuqala ukhulume nomhlinzeki wakho.
• Yazi okufanele ukwenze uma uphuthelwa umthamo.
• Gcina imithi yakho endaweni epholile, eyomile, futhi ukude nezingane.

Shayela umhlinzeki wakho uma une:

• Izinkinga zokuthatha izidakamizwa zemisipha
• Izinkinga zokuhambisa amalunga akho (isivumelwano esihlangene)
• Izinkinga zokuhamba noma ukuphuma embhedeni noma esihlalweni sakho
• Izilonda zesikhumba noma ubomvu
• Ubuhlungu obuya ngokuya bubi
• Ukuwa kwakamuva
• Ukuklinya noma ukukhwehlela lapho udla
• Izimpawu zesifo sesinye (umkhuhlane, ukuvutha lapho uchama, umchamo ongcolile, umchamo onamafu, noma ukuchama kaningi)

MS - khulula

ICalabresi PA. I-Multiple sclerosis nezimo zokudonswa kwesistimu yezinzwa eziphakathi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 383.

UFabian MT, uKrieger SC, uLublin FD. I-Multiple sclerosis nezinye izifo zokuvuvukala ezidiliza uhlelo lwesistimu yezinzwa. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 80.

Iwebhusayithi yeNational Multiple Sclerosis Society. Ukuphila kahle nge-MS. www.nationalmssociety.org/Ukuphila-Well-With-MS. Kufinyelelwe ngoNovemba 5, 2020.

• I-Multiple sclerosis
• Isinye se-Neurogenic
• I-optic neuritis
• Ukungakwazi ukubamba umchamo

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• Ukuqunjelwa - ukuzinakekela
• Ukuqunjelwa - yini okufanele uyibuze udokotela wakho
• Uhlelo lokunakekelwa kwamathumbu nsuku zonke
• Ishubhu yokudla ye-Gastrostomy - bolus
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• Ukuzivocavoca kukaKegel - ukuzinakekela
• Izilonda zengcindezi - okufanele ubuze udokotela wakho
• Ukuvimbela ukuwa
• Ukuvimbela ukuwa - okufanele ubuze udokotela wakho
• Ukuvimbela izilonda zengcindezi
• Ukuzilungiselela ukukhipha i-catheterization - owesifazane
• Ukuzilimaza ngokobulili - owesilisa
• Ukunakekelwa kwe-catheter ye-Suprapubic
• Izinkinga zokugwinya
• Izikhwama zokudonsa umchamo
• Lapho une-incontinence yokuchama

• I-Multiple Sclerosis