I-Multiple Sclerosis kanye ne-Incontinence

-Delile

• Kungani i-MS ibangela ukungahambi kahle?
• Ukwelashwa kokungalawuleki kwesinye
• Imithi
• Ukuvuselelwa kwezinzwa ze-tibial
• Ukwelashwa komzimba kwe-pelvic
• I-InterStim
• Imijovo ye-BOTOX
• Ukwelashwa kwasekhaya kokungalawuleki kwesinye
• Ukuzilimaza nge-intermittent self-catheterization
• Ukudla oketshezi ngokucophelela
• Ukwelashwa kokungalingani kwamathumbu ahlobene ne-MS
• Ukusungula imikhuba enempilo
• Zijwayeze ukuvivinya umzimba njalo
• Cabanga ngohlelo lokuqeqeshwa kwamathumbu
• Ukugwema ukudla okwaziwa ngokufaka isandla ekunganqobeni
• Ingabe zikhona izinkinga zokungalawuleki kwe-MS?
• Amathiphu wokubhekana nokwesekwa

Yini i-multiple sclerosis?

I-Multiple sclerosis (MS) yisimo lapho amasosha omzimba "ehlasela" i-myelin ohlelweni oluphakathi lwezinzwa. I-Myelin isicubu esinamafutha esizungeze futhi sivikele imicu yezinzwa.

Ngaphandle kwe-myelin, imizwa yezinzwa eya noma evela ebuchosheni ayikwazi ukuhamba futhi. I-MS ibangela izicubu ezibomvu ukuthi zikhule zizungeze imicu yezinzwa. Lokhu kungathinta imisebenzi eminingana yomzimba, kufaka phakathi ukusebenza kwesinye nokuhlinzwa kwamathumbu.

Ngokusho kweNational MS Society, abantu abalinganiselwa kumaphesenti angama-80 abane-MS babhekana nezinga elithile lokungasebenzi kahle kwesinye. Lokhu kwenzeka uma ukuphendula komzimba ku-MS kuqeda amangqamuzana ezinzwa ahambela emathunjini noma esinyeni.

Uma uthola ukungazibambi okuhlobene ne-MS yakho, ukwelashwa nokusekelwa kuyatholakala.

Kungani i-MS ibangela ukungahambi kahle?

Lapho isisu sakho noma isinye siqala ukugcwala, umzimba wakho uthumela izimpawu ebuchosheni bakho ukuthi uzodinga ukuya endlini yangasese. Uma ufika endlini yangasese, ubuchopho bakho budlulisa amasiginali emathunjini noma esinyeni sakho ukuthi KULUNGILE ukungasebenzi kwesinye noma ukunyakaza kwamathumbu.

Lapho i-MS ibhubhisa i-myelin, idala izindawo ezinesibazi ezibizwa ngokuthi izilonda. Lezi zilonda zingabhubhisa noma iyiphi ingxenye yendlela yokudlulisela kusuka ebuchosheni iye esinyeni nasemathunjini.

Imiphumela ingaba isinye esingeke sikhiphe ngokuphelele, sisebenza ngokweqile, noma ngeke sibambe umchamo kahle. Izibonelo zezimpawu umuntu one-MS okungenzeka ukuthi uhlobene nesinye sakhe zifaka:

• ubunzima bokubamba umchamo
• kunzima ukuqala ukusakaza komchamo
• ukuzwa sengathi isinye ngeke siphume ngokuphelele
• ukuya endlini yangasese ebusuku njalo
• ukuchama kaningi

Abantu abaningi abane-MS bahlangabezana nesinye esisebenza ngokweqile. I-MS nayo ingathinta izinzwa ezidlulisela emisipheni ebhekele ukukhipha amathumbu akho. Imiphumela ingaba ukuqunjelwa, ukungakwazi ukuzibamba, noma inhlanganisela.

Ukwelashwa kokungalawuleki kwesinye

Kokubili ukwelashwa nezindlela zokuphila kuyatholakala ukwelapha ukungavumelani kwesinye okuhlobene ne-MS. Izibonelo zokungenelela kwezokwelapha zifaka:

Imithi

Imithi eminingi inganciphisa izehlakalo zokungalawuleki kumuntu one-MS. Udokotela wakho kufanele acabangele noma yimiphi imithi oyiphuzayo njengamanje ehlobene ne-MS yakho nezinye izimo zezempilo.

Imithi ejwayelekile yokwelashwa ibizwa ngokuthi i-anticholinergics. Le mithi inciphisa izehlakalo zokuncipha kwemisipha. Izibonelo zifaka i-oxybutynin (Ditropan), darifenacin (Enablex), imipramine (Tofranil), tolterodine (Detrol), ne-trospium chloride (Sanctura).

Imithi ngayinye inesethi yayo yemiphumela emibi efana nokuzela, umlomo owomile, nokuqunjelwa. Kubalulekile ukuxoxa ngobungozi nezinzuzo nodokotela wakho.

Ukuvuselelwa kwezinzwa ze-tibial

Lokhu kwelashwa kwesinye okweqile kubandakanya ukufaka i-electrode encane ngenaliti emaqakaleni. I-electrode iyakwazi ukudlulisa imizwa yezinzwa ezinzwa ezithinta amathumbu akho nesinye. Le ndlela yokwelashwa ivame ukulethwa imizuzu engama-30 kanye ngesonto amasonto ayi-12.

Ukwelashwa komzimba kwe-pelvic

Le ndlela yokwelashwa ifaka phakathi ukusebenza nomelaphi womzimba we-pelvic ogxile ekukhuthazeni izivivinyo ukukhulisa amandla emisipha yakho yaphansi. Lokhu kungathuthukisa ukulawula kwakho ekuchameni, kokubamba umchamo wakho, nokukhipha isinye ngokugcwele.

I-InterStim

Lokhu kwelashwa kufaka udokotela ohlinzayo ofaka idivayisi ngaphansi kwesikhumba sakho engakhuthaza izinzwa zakho ze-sacral. Lokhu kunganciphisa izimpawu zesinye esisebenza ngokweqile, ukungasebenzi kwamathumbu, nokugcinwa komchamo.

Imijovo ye-BOTOX

I-BOTOX ifomu eligunyazwe yi-FDA le-botulinum toxin elingadala ukukhubazeka kube yimisipha engasebenzi ngokweqile. Imijovo ye-BOTOX emisipheni yesinye kuyindlela kubantu abangaphendulanga noma abangakwazi ukuthatha imishanguzo yokunciphisa izinhlungu zesinye.

Le ndlela yokwelashwa ihanjiswa ngaphansi kwe-anesthesia. Udokotela wakho usebenzisa ubukhulu obukhethekile ukubuka ingaphakathi lesinye sakho.

Ukwelashwa kwasekhaya kokungalawuleki kwesinye

Udokotela cishe uzokuncoma ukuthi ufake ukwelashwa kwasekhaya ohlelweni lwakho lokwelashwa jikelele. Lezi zinketho zifaka:

Ukuzilimaza nge-intermittent self-catheterization

Ukuzitholela i-catheterization kuhilela ukufaka ishubhu elincane, elincanyana ku-urethra yakho. Lokhu kukuvumela ukuthi ukhiphe ngokuphelele isinye sakho.

Izonciphisa izehlakalo zokuvuza emini. Abanye abantu bangazenzela i-catheterize kuze kube kane ngosuku.

Ukudla oketshezi ngokucophelela

Akufanele unciphise ukuphuza uketshezi ngoba lokho kungakhuphula ubungozi bokulimala kanzima kwezinso (i-AKI). Kodwa-ke, uma ugwema ukuphuza amanzi cishe amahora amabili ngaphambi kokulala, mancane amathuba okuthi usebenzise indlu yokugezela ebusuku.

Ungathatha nezinyathelo zokuqinisekisa ukuthi uma uphumile ungafika ngokushesha endlini yokugezela. Ungahle uhlele ukuma kaningi ukusebenzisa indlu yangasese cishe njalo emahoreni amabili.

Ungase futhi ugqoke izingubo zangaphansi zokuzivikela noma amaphedi. Futhi ukugcina isikhwama esincane noma isikhwama esinezinto, njengezimpahla zangaphansi ezingeziwe, iphedi, noma ipayipi kungasiza futhi uma ungekho ekhaya.

Ukwelashwa kokungalingani kwamathumbu ahlobene ne-MS

Ukwelashwa kwezinkinga zamathumbu kuncike ekutheni ubhekene nokuqunjelwa noma ukungasebenzi. Odokotela bavame ukuncoma ukwelashwa kwasekhaya nokudla ukuze bakhuthaze ukwenziwa njalo. Izibonelo zezinyathelo ongazithatha zifaka:

Ukusungula imikhuba enempilo

Esinye sezihluthulelo zokudlulisa kahle indle ukuthola uketshezi olwanele ngosuku, imvamisa ama-ounces angama-64 noma izinkomishi zamanzi eziyi-8. Uketshezi luzokwengeza inqwaba esitokisini sakho futhi kwenze kube lula futhi kube lula ukudlula.

Kufanele futhi udle i-fiber eyanele, engangeza inqwaba esitokisini sakho. Iningi labantu lidinga amagremu aphakathi kuka-20 no-30 ngosuku. Imithombo emihle kakhulu yefayibha ifaka ukudla okusanhlamvu okuphelele, izithelo nemifino.

Zijwayeze ukuvivinya umzimba njalo

Ukuzivocavoca umzimba kungakhuthaza amathumbu akho futhi kukugcine uvamile.

Cabanga ngohlelo lokuqeqeshwa kwamathumbu

Lezi zinhlelo ziyefana nomqondo wokuchitha isinye sakho ngezikhathi ezithile. Udokotela angasebenza nawe lapho ungaya endlini yangasese ngokunethezeka usuku ngalunye.

Kungenzeka ukuthi abanye abantu "baqeqeshe" amathumbu abo ukuthi ahambe ngezikhathi ezibekiwe. Lolu hlelo lungathatha izinyanga ezintathu ukubona imiphumela.

Ukugwema ukudla okwaziwa ngokufaka isandla ekunganqobeni

Okunye ukudla kwaziwa ngokucasula amathumbu akho. Lokhu kungadala ukungalawuleki. Izibonelo zokudla okufanele zikugweme kufaka ukudla okunamafutha nokunongwe okubabayo.

Udokotela wakho futhi angaxoxa ngokungabekezelelani okungaba khona, njengokungabekezelelani kwe-lactose noma i-gluten, okungadala izimpawu zokungalawuleki.

Ingabe zikhona izinkinga zokungalawuleki kwe-MS?

Ukwelashwa kokungavumelani okuhlobene ne-MS kungahle kungaziguquli ngokuphelele izimpawu zakho. Kepha zibalulekile ekuqinisekiseni ukuthi awutholi imiphumela emibi. Isibonelo, abantu abangakwazi ukukhipha ngokuphelele izintsholongwane zabo basengozini enkulu yama-UTIs.

Uma ukungalingani kwakho kubangela ukutheleleka okuphindayo kwesisu noma ama-UTIs, lokhu kungabeka impilo yakho engcupheni. Ngezinye izikhathi ama-UTI angabangela ezinye izimpendulo zomzimba kumuntu one-MS. Lokhu kwaziwa njengokuphindaphinda mbumbulu.

Umuntu onenkinga yokubuyela emuva mbumbulu angaba nezinye izimpawu ze-MS, njengobuthakathaka bemisipha. Lapho nje udokotela eselaphe i-UTI, izimpawu zokuphindaphinda mbumbulu zivame ukuphela.

Futhi, ukungakwazi ukubamba kwesinye nokuhamba kwamathumbu kungaholela ezifweni zesikhumba. Ukutheleleka okubi kakhulu kubizwa ngokuthi yi-urosepsis, engabulala.

Ukufuna ukwelashwa ngokushesha ngangokunokwenzeka kungasiza ukubambezela noma ukubambezela ukuqhubekela phambili kwezimpawu zokunganciphisi ezihlobene ne-MS. Lokhu kunganciphisa amathuba okuthi isinye sakho sibe buthakathaka noma sandise kakhulu.

Ngaphezu kwemiphumela emibi engokomzimba yokungalawuleki, kungaba nemiphumela yezempilo yengqondo. Labo abane-MS bangakugwema ukuphumela obala ngokwesaba ukuthi bazoba nesiqephu sokungavumelani. Lokhu kungaholela ekuhoxisweni kubangani nomndeni okuvame ukuba yimithombo emikhulu yokwesekwa.

Amathiphu wokubhekana nokwesekwa

Ukukhuluma ngokukhululekile nodokotela wakho mayelana nezimpawu zakho zokungahambi kahle kanye nokusebenzela ukuthola izixazululo kuyizindlela ezinhle zokubhekana nazo.

Amaqembu okusekela ayatholakala kulabo abane-MS nemindeni yabo. Lawa maqembu akuvumela ukuthi wabelane nokwesaba nokukhathazeka kwakho, futhi uzwe iziphakamiso nezixazululo kwabanye.

Ungavakashela ikhasi le-National MS Society Support Groups ukufuna iqembu lokwesekwa endaweni yangakini. Uma ungakakhululeki ngeqembu lokusekelwa ngaphakathi, kukhona amaqembu okusekela aku-inthanethi.

Kukhona nezinhlangano ezeseka labo abanenkinga yokungazibambi. Isibonelo yiNational Association for Continence, enamabhodi emiyalezo futhi ehlela imicimbi.

Ithimba lakho lezokwelapha lingahlala likusiza ukuthola izinsiza zasendaweni endaweni. Futhi ungakhuluma namalungu omndeni athembekile nabangane noma ngabe kungenzeka bangaqondi njalo zonke izimpawu onazo.

Kwesinye isikhathi ukubazisa ukuthi bangakusiza kanjani, njengokukhetha izindawo zemihlangano enamagumbi okugeza afinyeleleka kalula, kungenza umehluko enhlalakahleni yakho.