I-MS Hug: Kuyini? Iphathwa Kanjani?

-Delile

• Kuyini ukugona nge-MS?
• I-MS hug: Izwakala kanjani
• Izimbangela ze-MS hug
• Ukwelashwa kwezidakamizwa
• Ukulungiswa kwendlela yokuphila
• Amasu okubhekana nezinkinga

Yini i-MS?

I-Multiple sclerosis (MS) yisifo esingelapheki futhi esingalindelekile sesistimu yezinzwa emaphakathi. I-MS kukholakala ukuthi iyisimo sokuzimela lapho umzimba uhlasela khona uqobo. Okuqondiwe yilokhu kuhlasela yi-myelin, into evikelayo emboza izinzwa zakho. Lokhu kulimala kwe-myelin kubangela izimpawu ezisukela kumbono ophindwe kabili kuya ezinkingeni zokuhamba kanye nenkulumo engacacile. Ukulimala kwemithambo nakho kuholela ebuhlungwini be-neuropathic. Olunye uhlobo lobuhlungu be-neuropathic kubantu abane-MS lubizwa nge- "MS hug.”

Kuyini ukugona nge-MS?

I-hug ye-MS iqoqo lezimpawu ezibangelwa ukuphazamiseka kwemisipha ye-intercostal. Le misipha itholakala phakathi kwezimbambo zakho. Babamba izimbambo zakho endaweni futhi bakusize ukuthi uhambe ngokuvumelana nezimo kalula. I-MS hug ithola isiteketiso sayo ngendlela ubuhlungu obuzisonga ngayo emzimbeni wakho njengokwangana noma ibhande. Lezi zinhlungu zemisipha ezingazibandakanyi zibizwa nangokuthi i-girdling noma i-MS girdling.

Kubalulekile ukuqaphela ukuthi ukubopha, noma kunjalo, akuhlukile kwi-multiple sclerosis. Ungase futhi ube nezimpawu ezihambisana ne-MS hug uma unezinye izimo zokuvuvukala, njenge-transverse myelitis, ukuvuvukala komgogodla. I-Costochondritis, ukuvuvukala kwe-cartilage okuxhumanisa izimbambo zakho, nakho kungadala ukwangana kwe-MS. Izimpawu zingahlala kusuka kumasekhondi ambalwa kuya emahoreni ngasikhathi.

I-MS hug: Izwakala kanjani

Abanye abantu babika ukuthi abukho ubuhlungu kepha kunalokho bazizwa becindezelwa okhalweni, esifubeni noma entanyeni. Abanye bathola ibhendi yokushosholoza noma yokushisa endaweni efanayo. Ukucija, ukugwaza kabuhlungu noma ukufiphala, ukuqaqamba okusakazekile nakho kungaba yizimpawu zokugona kwe-MS. Ungahle uzwe imizwa elandelayo ngesikhathi se-MS hug:

• ukukhama
• ukuchotshozwa
• imizwa yokukhasa ngaphansi kwesikhumba
• ukushisa okushisayo noma okubandayo
• izikhonkwane nezinaliti

Njengezinye izimpawu, i-MS hug ayilindelekile futhi umuntu ngamunye uzizwa ngendlela ehlukile. Bika udokotela wakho noma yiziphi izimpawu ezintsha zobuhlungu. Ungathola nezimpawu ezifana ne-MS hug nalezi ezinye izimo zokuvuvukala:

• transverse myelitis (ukuvuvukala komgogodla)
• I-costochondritis (ukuvuvukala koqwanga oluxhuma izimbambo zakho)

Izimbangela ze-MS hug

Ukushisa, ukucindezeleka, nokukhathala - zonke izimo lapho umzimba wakho ungahle ungasebenzi kahle ngamaphesenti ayi-100 - yizimbangela ezivamile zezimpawu ze-MS, kufaka phakathi i-MS hug. Ukwanda kwezimpawu akusho ukuthi isifo sakho sesithuthukile. Ungahle udinge uku:

• phumula ngaphezulu
• phola
• welapha umkhuhlane okwandisa izinga lokushisa komzimba wakho
• thola izindlela zokucindezeleka

Ingxenye yokuphatha ubuhlungu ukwazi ukuthi yini ebangela ubuhlungu. Khuluma nodokotela wakho nganoma yiziphi izimbangela ozibonile.

Ukwelashwa kwezidakamizwa

Yize i-hug ye-MS ingumphumela wokuqaqamba kwemisipha, ubuhlungu obuzwayo buyindlela yokwelashwa ngokwemvelo. Ngamanye amagama, ubuhlungu bezinzwa, okungaba nzima ukuxazulula. Ukudambisa izinhlungu zasesithenjini njenge-ibuprofen ne-acetaminophen akunakwenzeka ukuthi kulethe ukukhululeka. Izidakamizwa eziningi ezisetshenziselwa ukwelapha ubuhlungu bezinzwa zavunyelwa ekuqaleni kwezinye izimo. Indlela ngqo abalwa ngayo nobuhlungu bezinzwa ayicaci. Ngokusho kweNational MS Society, amakilasi ezidakamizwa avunyelwe ukwelapha ubuhlungu bezinzwa ze-MS hug yilawa:

• imishanguzo yokuphikisa (diazepam)
• imishanguzo ye-anticonvulsant (gabapentin)
• imishanguzo elwa nokudangala (amitriptyline)

Udokotela wakho futhi angakunikeza umuthi ofana ne-duloxetine hydrochloride noma i-pregabalin. Lokhu kuvunyelwe ukwelapha ubuhlungu be-neuropathic kwisifo sikashukela futhi kusetshenziswa "off-label" ku-MS.

Ukulungiswa kwendlela yokuphila

Ungazama ukulungisa indlela yokuphila namakhambi asekhaya ahlanganiswe nokwelashwa ukuze uhlale ukhululekile ngesikhathi sesiqephu se-MS hug. Abanye abantu abane-MS bazizwa bengcono uma begqoka izingubo ezingasindi, ezixegayo. Ngesikhathi sesiqephu, zama ukufaka ingcindezi endaweni ngefulethi lesandla sakho noma ugoqe umzimba wakho ngebhandeshi elinwebekayo. Lokhu kungasiza uhlelo lwakho lwezinzwa ukuhumusha imizwa yobuhlungu noma yokushisa ibe ingcindezi engenazinhlungu, okungakwenza uzizwe ungcono.

Amasu okuphumula njengokuphefumula okujulile nokuzindla kwesinye isikhathi kunganciphisa ukungakhululeki ngesikhathi sesiqephu. Ezinye iziguli ze-MS zithola ukuthi ukucindezela okufudumele noma ukugeza okufudumele kusiza ngezimpawu ze-MS hug. Ukushisa kwenza izimpawu zibe zimbi kakhulu kwezinye iziguli. Gcina umbhalo walokho amasu wokubhekana nawo akusebenzelayo.

Amasu okubhekana nezinkinga

Ukubhekana nezimpawu ezingalindelekile ezithinta impilo yakho yansuku zonke kungasabisa futhi kwesabise. I-UK MS Society ibika ukuthi cishe ingxenye eyodwa kwezintathu zeziguli ezine-MS zizoba nobuhlungu ngezikhathi ezithile. Yize ukwangana kwe-MS kungesilo uphawu olusongela impilo, kungakhathaza futhi kungakhawulela ukuhamba kwakho nokuzimela.

Ukufunda ukubhekana ne-MS hug kungaba inqubo yokulinga nephutha. Khuluma nodokotela wakho nganoma yiziphi izimpawu zobuhlungu ezintsha futhi ugcine umkhondo wamasu okubhekana nawe akusebenzela. Khuluma nethimba lakho lochwepheshe bezokwelapha uma i-MS hug ikwenza uzizwe udangele noma uluhlaza okwesibhakabhaka. Amaqembu okusekela angadlala indima ekusizeni abantu abane-MS ukuthi babhekane nezimpawu zabo futhi baphile impilo enempilo ngangokunokwenzeka.