Izixazululo Ezi-7 Zokuqunjelwa I-Multiple Sclerosis (MS)

-Delile

• Kuyini ukuqunjelwa?
• 1. Yidla i-fiber eningi
• 2. Zama ama-bulking agents
• 3. Phuza amanzi amaningi
• 4. Khulisa ukuzivocavoca umzimba kwakho
• 5. Sebenzisa isithambisi sendle
• 6. Ncika kuma-laxatives
• 7. Thola njalo esimisweni sakho
• Ukubonana nodokotela nini

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

MS nokuqunjelwa

Uma une-multiple sclerosis (MS), kunethuba elihle lokuthi unezinkinga ngesinye sakho nangamathumbu akho. Ukungasebenzi kahle kwesinye kungumphumela ojwayelekile we-MS kanye nezinkinga zamathumbu.

Cishe amaphesenti angama-80 abantu abane-MS abhekana nohlobo oluthile lokungasebenzi kahle kwesinye. Ukuqunjelwa yisikhalazo samathumbu esivame kakhulu e-MS, ngokusho kweNational MS Society.

Kuyini ukuqunjelwa?

Ukuqunjelwa kungathinta noma ngubani nganoma yisiphi isikhathi. Ngokuvamile kubonakala ngezimpawu ezilandelayo:

• ukunyakaza kwamathumbu okungapheli, imvamisa kungaphansi kokuthathu ngesonto
• isikhathi esinzima sokudlula indle
• indle elukhuni noma encane
• ukuqunjelwa esiswini noma ukungaphatheki kahle

Lesi simo singabangelwa ngqo yi-MS uqobo noma ngokungaqondile kusuka kuzimpawu ze-MS. Kunoma ikuphi, kubalulekile ukuthi ukulethe kudokotela wakho. Ukuqunjelwa okungasonjululwanga empeleni kungaba kubi kakhulu kwesinye futhi ezinye izimpawu ze-MS.

Nanka amakhambi ayisikhombisa asekhaya angasiza ukuxazulula, noma ukuvimbela, ukuqunjelwa.

1. Yidla i-fiber eningi

Ngokusho kwe-American Heart Association (AHA), ukudla okunama-fiber amaningi kungasiza ukuxazulula ukuqunjelwa. Kunganciphisa ubungozi bakho bezinye izimo eziningi, kufaka phakathi isifo senhliziyo nesifo sikashukela. Abesifazane kufanele bathole okungenani ama-25 amagremu we-fiber usuku ngalunye nabesilisa ama-gramu angama-38 ngosuku.

I-AHA incoma ukuthola i-fiber ekudleni ngokungafani nezithasiselo lapho kungenzeka khona. Izinhlamvu eziphelele, njengokolweni ophelele, i-oats, nelayisi elinsundu, yindawo enhle yokuqala. Eminye imithombo emihle ye-fiber ifaka:

• izithelo ezintsha, ezinjengama-apula, amajikijolo nobhanana
• imidumba, njengophizi ohlukanisiwe, udali nobhontshisi
• amantongomane, njengama-walnuts nama-alimondi
• imifino, njenge-artichokes ne-broccoli

2. Zama ama-bulking agents

Mhlawumbe awuyena umlandeli wemifino noma uzizwa sengathi awunaso isikhathi sokupheka okusanhlamvu okuphelele. Uma kunjalo, qhubeka uzama ukudla okusha kuze kube yilapho uthola ukudla okunokudla okuphezulu okusebenzela wena. Okwamanje, ama-bulking agents nawo angasiza.

Ama-Bulking agents, awaziwa nangokuthi izithasiselo ze-fiber, angakhuphula ivolumu yesitulo sakho. Lokho kungenza kube lula ukudlulisa indle. Kubandakanya:

• i-psyllium (Metamucil)
• i-polycarbophil (i-FiberCon)
• psyllium futhi senna (Perdiem)
• i-dextrin kakolweni (i-Benefiber)
• i-methylcellulose (i-Citrucel)

Ukuze uqiniseke ngomphumela owufunayo, qiniseka ukuthi ufunda izinkomba zanoma iyiphi i-ejenti oyishayayo oyizamayo. Imvamisa uzofundiswa ukuthi uthathe isengezo okungenani ngengilazi eyodwa yamanzi noma olunye uketshezi olucacile.

Ngokuvamile kungcono ukuthatha lezi zithasiselo ebusuku ngenqubo ejwayelekile yamathumbu ekuseni. Qiniseka ukuthi uqhubeka uphuza uketshezi oluningi usuku lonke.

3. Phuza amanzi amaningi

Enye yezindlela ezisiza kakhulu ukunciphisa ukuqunjelwa ukuphuza uketshezi oluningi, ikakhulukazi amanzi. IMayo Clinic incoma abesifazane ukuthi baphuze izinkomishi eziyi-11.5 zoketshezi nsuku zonke kuthi abesilisa baphuze izinkomishi eziyi-15.5.

Lokhu, yiqiniso, isilinganiso nje jikelele. Uma ungekho eduze kwaleyo mali, lokho kungaba nomthelela ekuqunjelweni kwakho.

Ukuphuza amanzi afudumele, ikakhulukazi ekuseni, nakho kungasiza ukuphatha ukuqunjelwa.

4. Khulisa ukuzivocavoca umzimba kwakho

Ukuvivinya umzimba njalo kungasiza ekunciphiseni ukuqunjelwa noma kuvinjelwe ukuthi kungenzeki kwasekuqaleni. Ukuzivocavoca umzimba kuvuselela imisipha yesisu nayo engakhuthaza ukunyakaza kukholoni.

Omunye wakhombisa ukuthi ukusikhipha isisu nsuku zonke kuthuthukisa izimpawu zokuqunjelwa. INational Multiple Sclerosis Society ithi ukuhambisa okuningi kungathuthukisa ezinye izimpawu ze-MS futhi kukhulise imizwa yakho.

Ukukhathala nezinye izinto kungenza kube nzima ukuzivocavoca umzimba. Uma lokhu kunjalo kuwe, qala ngokuzivocavoca okunomthelela ophansi njengokuhamba ngamandla noma i-aerobics yamanzi. Yonke inhlobo yomsebenzi iyabalwa.

5. Sebenzisa isithambisi sendle

Uma usafuna ezinye izinketho zokwelapha ukuqunjelwa kwakho, izithambisi zendle zingasiza. Banganciphisa ubuhlungu nobunzima bokuhamba kwamathumbu, futhi basize ekunciphiseni ukungakhululeki okuthile.

I-Docusate (Colace) ne-polyethylene glycol (MiraLAX) yizinketho ezimbili ezitholakalayo ezingadingi incwadi kadokotela. Zombili zisebenza ngokwandisa uketshezi noma amafutha esitokisini nokwenza ukuthi ithambe futhi kube lula ukudlula.

Thenga iColace noma iMiraLAX manje.

6. Ncika kuma-laxatives

Ama-laxatives awasona isixazululo sesikhathi eside, kepha anganikeza ukukhululeka kwesikhashana. Ukuzisebenzisa njalo kungashintsha ithoni nemizwa emathunjini amakhulu. Lokhu kungaholela ekuthembekeni, okusho ukuthi uqala ukudinga i-laxative kuyo yonke iminyakazo yamathumbu.

Ama-laxatives angasetshenziselwa ukusheshisa indle ngaphandle kokucasula amathumbu akho. Ezinye izinketho zifaka i-bisacodyl (Correctol) nama-sennosides (i-Ex-Lax, iSenokot).

Khuluma nodokotela wakho kuqala uma ucabanga ukuthi ama-laxatives angakusiza.

7. Thola njalo esimisweni sakho

Ukungena esimisweni kungasiza ekunciphiseni ukungakhululeki kwamathumbu. Vakashela indlu yokugezela imizuzu engama-20 kuye kwangama-30 ngemuva kokudla, ngokwesibonelo, ukusizakala nge-reflex yemvelo yomzimba womzimba wakho. Le reflex ibangela isisu sakho ukuba sivumelane futhi kungenza kube lula ukudlulisa isitulo.

Ukubonana nodokotela nini

Uma ukuqunjelwa kuyinto entsha kuwe, sekuyisikhathi sokutshela udokotela wakho. Uchwepheshe wezokwelapha kuphela ongakutshela uma kukhona okunye okwenzekayo.

Igazi esitokisini sakho, ukulahleka kwesisindo okungaqondakali, noma ubuhlungu obukhulu ngokunyakaza kwamathumbu ngezinye zezimpawu ezivumela ukushayelwa kudokotela wakho namuhla.