Amadivayisi Wokuxhasa Ukuhamba Kwe-MS Progressive MS: Ama-Brace, Amadivayisi Wokuhamba, nokuningi

-Delile

• Umkaki ngokwezifiso
• Idivayisi esebenzayo yokukhuthaza ugesi
• Umhlanga, izinduku, noma i-walker
• Isihlalo esinamasondo noma isithuthuthu
• Ukuthatha

Ukubuka konke

I-multiple sclerosis eqhubekayo yesibili (i-SPMS) ingadala izimpawu ezahlukahlukene, kufaka phakathi isiyezi, ukukhathala, ubuthakathaka bemisipha, ukuqina kwemisipha, nokulahlekelwa yimizwa emilenzeni yakho.

Ngokuhamba kwesikhathi, lezi zimpawu zingathinta ikhono lakho lokuhamba. Ngokusho kweNational Multiple Sclerosis Society (NMSS), abantu abangamaphesenti angama-80 abane-MS bahlangabezana nezinselelo zokuhamba phakathi kweminyaka eyishumi kuya kwengu-15 benalesi sifo. Abaningi babo bangazuza ngokusebenzisa ithuluzi lokuxhasa ukuhamba, njengodondolo, isihambahamba, noma isihlalo esinamasondo.

Kungaba yisikhathi sokucabanga ukusebenzisa idivayisi yokuxhasa ukuhamba uma ngabe:

• ukuzizwa ungagxilile ezinyaweni zakho
• ukulahlekelwa ibhalansi yakho, ukukhubeka, noma ukuwa kaningi
• kunzima ukulawula ukunyakaza ezinyaweni noma emilenzeni yakho
• ukuzizwa ukhathele kakhulu ngemuva kokuma noma ukuhamba
• ukugwema imisebenzi ethile ngenxa yezinselelo zokuhamba

Idivayisi yokusekela ukuhamba ingasiza ekuvikeleni ukuwa, yokonga amandla akho, futhi inyuse izinga lomsebenzi wakho. Lokhu kungakusiza ukuthi ujabulele impilo engcono kanye nekhwalithi yempilo.

Thatha isikhashana ufunde ngamanye amadivayisi wokusekela wokuhamba angakusiza ukuthi uhlale uneselula nge-SPMS.

Umkaki ngokwezifiso

Uma usuhlakulele ubuthakathaka noma ukukhubazeka emisipheni ephakamisa unyawo lwakho, ungahle uhlakulele isimo esaziwa ngokuthi yi-foot drop. Lokhu kungadala ukuthi unyawo lwakho lucele noma luhudule lapho uhamba.

Ukusiza ukusekela unyawo lwakho, udokotela wakho noma umeluleki wokuvuselela angancoma uhlobo lwe-brace eyaziwa njenge-ankle-foot orthosis (AFO). Le brace ingasiza ukubamba unyawo neqakala lakho endaweni efanele ngenkathi uhamba, okungasiza ukuvimbela ukukhubeka nokuwa.

Kwezinye izimo, udokotela wakho noma umeluleki wokuvuselela angakukhuthaza ukuthi usebenzise i-AFO kanye namanye amadivayisi wokusekela ukuhamba. Uma usebenzisa isihlalo sabakhubazekile, isibonelo, i-AFO ingasiza ukusekela unyawo lwakho ku-footrest.

Idivayisi esebenzayo yokukhuthaza ugesi

Uma usukhulise ukwehla konyawo, udokotela wakho noma umelaphi wokuvuselela angahle akweluleke ngokuthi uzame ukugqugquzela okusebenzayo kagesi (FES).

Kule ndlela yokwelashwa, insimbi engasindi inamathiselwe emlenzeni wakho ngezansi kwedolo. Lo mshini uthumela imizwa kagesi emsipheni wakho wezinzwa, owenza imisipha yakho imilenze nasemlenzeni. Lokhu kungakusiza ukuthi uhambe ngokushelela, kunciphise ubungozi bokukhubeka nokuwa.

I-FES isebenza kuphela uma izinzwa nemisipha engaphansi kwedolo lakho kusesimweni esanele sokuthola nokuphendula imizwa kagesi. Ngokuhamba kwesikhathi, isimo semisipha nezinzwa zakho singawohloka.

Udokotela wakho noma umelaphi wokuvuselela angakusiza ufunde ukuthi i-FES ingakusiza yini.

Umhlanga, izinduku, noma i-walker

Uma uzizwa ungaqinile ezinyaweni zakho, ungahlomula ngokusebenzisa induku, izinduku, noma i-walker ukwesekwa. Udinga ukusebenza kahle kwengalo nesandla ukuze usebenzise la madivayisi.

Uma esetshenziswe kahle, lawa madivayisi angasiza ekuthuthukiseni ibhalansi yakho nokuzinza futhi anciphise namathuba akho okuwa. Uma ingasetshenziswanga kahle, ingahle ikhuphule ingozi yokuwa. Uma ingalungiswanga kahle, ingaba nomthelela ezinhlungwini zasemhlane, ehlombe, endololwaneni noma esihlakaleni.

Udokotela wakho noma umelaphi wokuvuselela angakusiza ufunde ukuthi ngabe iyiphi yalezi zinsiza ingaba wusizo kuwe. Zingakusiza nokuthi ukhethe isitayela esifanele sedivayisi, uyilungise ibe ukuphakama okulungile, futhi ikubonise ukuthi uyisebenzisa kanjani.

Isihlalo esinamasondo noma isithuthuthu

Uma ungasakwazi ukuhamba lapho udinga ukuya khona ngaphandle kokuzizwa ukhathele, noma uma uvame ukwesaba ukuthi ungawa, kungaba yisikhathi sokutshala isihlalo esinamasondo noma isithuthuthu. Noma usengakwazi ukuhamba ibanga elifushane, kungasiza ukuba nesihlalo sabakhubazekile noma isithuthuthu ngezikhathi lapho ufuna ukumboza umhlabathi omningi.

Uma unengalo enhle nokusebenza kwesandla futhi ungakutholi ukukhathala okuningi, ungakhetha isihlalo esinamasondo esihamba ngesandla. Izihlalo ezinamasondo ezenziwa ngesandla zivame ukuba ngaphansi kakhulu futhi zingabizi kakhulu kunezikuta noma izihlalo ezinamasondo ezinamandla. Banikeza nokuzivocavoca okuncane kwezingalo zakho.

Uma ukuthola kunzima ukuzithuthukisa ngesihlalo sabakhubazekile, udokotela wakho noma umeluleki wokuhlumelelisa umzimba angancoma isithuthuthu esinenjini noma isihlalo esinamasondo esinamandla. Amasondo akhethekile anezinjini eziqhutshwa ngebhethri nawo angafakwa ezihlalweni ezinamasondo ezinziwe ngesandla, ekucushweni okwaziwa njengesihlalo sabakhubazekile esisebenza ngamandla okusiza ngamandla (PAPAW).

Udokotela wakho noma umelaphi wokuvuselela angakusiza ufunde ukuthi hlobo luni nosayizi wesihlalo esinamasondo noma isithuthuthu esingakusebenzela kahle. Futhi zingakusiza ufunde ukuthi ungayisebenzisa kanjani.

Ukuthatha

Uma ngabe ukhubekile, uwa, noma ukuthola kunzima ukuzungeza, yazisa udokotela wakho.

Bangakudlulisela kuchwepheshe okwazi ukuhlola nokuxazulula izidingo zakho zokuxhaswa kokuhamba. Bangakukhuthaza ukuthi usebenzise idivaysi yokusekela ukuhamba ukusiza ukuthuthukisa ukuphepha kwakho, induduzo, nezinga lomsebenzi empilweni yakho yansuku zonke.

Uma ngabe unikezwe idivaysi yokusekela ukuhamba, vumela udokotela wakho noma umhlinzeki wokuvuselela abuyele uma uthola ukuthi ungakhululekile noma kunzima ukusebenzisa. Bangase benze ukulungisa kudivayisi noma bakukhuthaze ukuthi usebenzise enye idivayisi. Izidingo zakho zokwesekwa zingashintsha ngokuhamba kwesikhathi.