Yini Ebangela Ukudlidlizela Kwami Kwangaphakathi?

-Delile

• Izimbangela
• Ukuxilongwa
• Ukwelashwa
• Izidakamizwa zesimo esingaphansi
• Izidakamizwa zokulawula ukuthuthumela
• Ezinye izinketho
• Umbono
• Amathiphu wokuqapha izimpawu zakho

Ukubuka konke

Ukudlidliza kwangaphakathi kunjengokuthuthumela okwenzeka emzimbeni wakho. Awukwazi ukubona ukudlidliza kwangaphakathi, kodwa uyakuzwa. Zikhiqiza umuzwa ovevezelayo ngaphakathi kwezingalo zakho, imilenze, isifuba noma isisu.

Ukudlidliza kwangaphakathi akuguquli impilo njengokuzamazama kwangaphandle. Isibonelo, ngeke unyakaze ngokomzimba ngenkathi uzama ukuthelela inkomishi yetiye noma ukubhala incwadi. Ukudlidliza kwangaphakathi nakho akufani ne-vertigo, okungesinye isibonakaliso sezimo ezithile zezinzwa. UVertigo uzizwa sengathi umhlaba uzungeza wena.

Noma kunjalo, ukundindizela kwangaphakathi kungazizwa kungathandeki. Futhi ngenxa yokuthi azibonakali, lokhu kuzamazama kungaba nzima ukukuchazela udokotela wakho. Qhubeka ufunde ukuze ufunde kabanzi ngezimbangela ezingaba khona zokuthuthumela kwakho kwangaphakathi nezinyathelo ezilandelayo.

Izimbangela

Ukudlidliza kubangelwa ukulimala ebuchosheni bakho okuthinta izinzwa ezilawula imisipha yakho. Ukudlidlizela kwangaphakathi kucatshangwa ukuthi kuvela ezimbangela ezifanayo njengokuthuthumela. Ukuzamazama kungahle kube kungabonakali kakhulu.

Izimo zesistimu yezinzwa ezinjengesifo sikaParkinson, i-multiple sclerosis (MS), nokuzamazama okubalulekile konke kungadala lokhu kuzamazama. Ucwaningo oluthile lwabika ukuthi amaphesenti angama-33 abantu abanesifo sikaParkinson babe nokudlidlizela kwangaphakathi. Abantu abangamaphesenti angamashumi amathathu nesithupha abane-MS namaphesenti angama-55 abantu abanokuthuthumela okubalulekile nabo babike ukuthi bezwa ukudlidlizelwa ngaphakathi. Kwesinye isikhathi, ukukhathazeka kungadala noma kubhebhethekise ukuzamazama komhlaba.

Iningi labantu abanokuthuthumela kwangaphakathi nalo linezinye izimpawu zezinzwa, njengokuqaqamba, ukuncinza nokushisa. Ezinye izimpawu onazo nokudlidlizela zingakunikeza izinkomba zokuthi unasiphi isimo.

Izimpawu zesifo sikaParkinson zifaka:

• imisipha eqinile okunzima ukuyinyakaza
• ukuhamba kancane, ukushova, ukunyakaza okuqinile
• umbhalo wesandla omncane
• izwi elizolile noma elihoshozelayo
• ukulahlekelwa umuzwa wakho wokuhogela
• ukubukeka okungathi sína ebusweni bakho, okubizwa ngemaski
• inkathazo yokulala
• ukuqunjelwa
• isiyezi

Izimpawu zokuthuthumela okubalulekile zifaka:

• ukunyakaza okuncane kwezingalo nemilenze, ikakhulukazi uma usebenza
• anqekuzise ikhanda
• ukudikiza ezinkophe zakho nakwezinye izingxenye zobuso bakho
• izwi eliqhaqhazelayo noma eliqhaqhazelayo
• inkathazo ngokulinganisela
• izinkinga zokubhala

Izimpawu ze-MS zifaka:

• ukuba ndikindiki ezingalweni, emilenzeni, ebusweni nasemzimbeni
• ukuqina
• ubuthakathaka
• ukukhathala
• ukuhamba kanzima
• isiyezi kanye ne-vertigo
• ukungaboni kahle noma ezinye izinkinga zokubona
• Inkinga yokulawula ukuchama noma ukunyakaza kwamathumbu
• ukudana

Ukuxilongwa

Uma uthola ukudlidliza kwangaphakathi, bheka udokotela wakho wokunakekela oyinhloko ukuze uhlolwe. Yenza futhi i-aphoyintimenti uma unezimpawu ezifana nalezi:

• ukuba ndikindiki
• ubuthakathaka
• ukuhamba kanzima
• isiyezi

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nomlando wezokwelapha. Uzoba nokuhlolwa okwenziwe ukubheka izimpawu zezimo zemizwa ezingadala ukuthuthumela. Udokotela wakho uzokucela ukuthi wenze uchungechunge lwemisebenzi. Lokhu kungavivinya i-:

• ingqondo
• amandla
• imisipha ithoni
• umuzwa
• ukunyakaza namandla okuhamba
• ukulinganisela nokuxhumanisa

Udokotela futhi anga-oda okukodwa noma okuningi kwalokhu kuhlolwa:

• i-electromyogram, ekala ukuthi imisipha yakho isabela kahle kangakanani ekuvuseleleni
• kukhishwe izivivinyo ezingaba khona, ezisebenzisa ama-electrode ukukala ukuthi uhlelo lwakho lwezinzwa luphendula kahle kanjani ekuvuseleleni
• ukubhoboza i-lumbar (umpompi womgogodla), okususa isampula loketshezi oluzungeze umgogodla wakho ukubheka izimpawu ze-MS
• ukuskena kwe-magnetic resonance imaging (MRI), okukhombisa izilonda ebuchosheni bakho nakumgogodla

Udokotela wakho angakudlulisela kudokotela wezinzwa. Udokotela wezifo zemizwa unguchwepheshe ophatha ukuphazamiseka kwesistimu yezinzwa.

Ukwelashwa

Ukuze uthole ukwelashwa okufanele, okokuqala udinga ukuxilongwa okunembile. Kwesinye isikhathi ukudlidlizela kwangaphakathi kuzothuthuka uma welapha isimo esibabangelayo. Uma udokotela wakho engakwazi ukuthola isizathu sokuthuthumela kwakho, ungahle udinge ukubona uchwepheshe wokuhlolwa okwengeziwe.

Izidakamizwa zesimo esingaphansi

Isifo sikaParkinson siphathwa nge-carbidopa-levodopa (Sinemet), pramipexole (Mirapex), ne-ropinirole (i-Requip). Le mithi inyusa inani le-dopamine ebuchosheni bakho noma ilingisa imiphumela ye-dopamine. I-Dopamine isithunywa samakhemikhali esisiza umzimba wakho ukuba uhambe kahle.

Ukuzamazama okubalulekile kulashwa ngohlobo lomuthi womfutho wegazi obizwa nge-beta-blocker. Ingaphathwa futhi ngemithi yokulwa nezidakamizwa.

Ukwelashwa kwe-MS kuncike ohlotsheni lwe-MS kanye nasekuqhubekeni kwayo. Kungabandakanya ama-steroids ukwehlisa ukuvuvukala ebuchosheni nakumgogodla. Ezinye izindlela zokwelapha zibandakanya izidakamizwa eziguqula izifo njenge-interferon ne-glatiramer acetate (Copaxone).

Izidakamizwa zokulawula ukuthuthumela

Imithi ethile ingasiza futhi ukulawula ukuthuthumela. Le mithi ihlanganisa:

• izidakamizwa ze-anticholinergic njenge-trihexyphenidyl (Artane) ne-benztropine (Cogentin)
• ubuthi be-botulinum A (Botox)
• ama-tranquilizers afana ne-alprazolam (Xanax) noma i-clonazepam (iKlonopin), uma ukukhathazeka kubangela ukuthuthumela kwakho

Ezinye izinketho

Ukusebenza nomelaphi womzimba kungakusiza ukuthi uthole ukulawula okungcono kwemisipha, okungasiza ngokuthuthumela.

Uma ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angancoma ukuhlinzwa. Enqubo ebizwa ngokuthi yi-deep brain stimulation (DBS), udokotela ufaka ama-electrode ebuchosheni bakho kanye ne-generator esebenza ngebhethri esifubeni sakho. I-generator iletha imithambo kagesi ezingxenyeni zobuchopho bakho ezilawula ukunyakaza.

Umbono

Ukuzamazama kwangaphakathi akuyona ingozi. Bangangakhululeki ngokwanele ukuthi bangaphazamisa impilo yakho yansuku zonke, noma kunjalo. Ukuthi lesi sifo siyathuthuka yini sincike ekutheni yini ebangela ukundindizela nokuthi yikuphi ukwelashwa okutholayo.

Ukuthola ukwelashwa okulungile kungahle kuhilele ukulinga nephutha elithile. Uma umuthi wokuqala owuthathayo ungasebenzi, buyela kudokotela wakho. Bona ukuthi ungazama enye into. Ukuzamazama komhlaba kungenzeka kungapheli ngokuphelele, kepha ungakwazi ukukulawula ngokwanele ukuthi kungabe kusakukhathaza.

Amathiphu wokuqapha izimpawu zakho

Ukuzamazama okungekho muntu ongakubona kungaba nzima ukukuchazela udokotela wakho. Ukukusiza uchaze lesi sibonakaliso, qala ukugcina idayari yokuthuthumela kwakho. Bhala phansi:

• zenzeka ngasiphi isikhathi sosuku
• obukwenza ngenkathi beqala
• ukuthi bazizwa kanjani
• zihlala isikhathi esingakanani
• yiziphi ezinye izimpawu onazo nazo, ezifana nesiyezi noma ubuthakathaka

Letha le dayari lapho uya khona. Yisebenzise njengesiqondisi phakathi nezingxoxo nodokotela wakho.