Ukuqothuka ku-MS: Ongakulindela

-Delile

• Ngabe kunezinhlobo ezahlukahlukene zokuqina?
• Ukwakha uhlelo lokwelashwa
• Imithi yokwenama
• Ukwelashwa ngokomzimba nangokomsebenzi kokuqina
• Amadivayisi wokuqina
• Ukuhlinzwa kokuqina
• Lapho uzobona udokotela wakho
• Umbono

Ukubuka konke

Ukuqina lapho imisipha yakho iba lukhuni futhi kube nzima ukuyihambisa. Kungenzeka kunoma iyiphi ingxenye yomzimba wakho, kepha kuvame ukuthinta imilenze yakho. Kungaba kusuka ekubeni nokuqina okuncane kuye ekungakwazi ngokuphelele ukuma noma ukuhamba.

Ukuqothuka okuncane kungabandakanya umuzwa wokuqina noma ukungezwani. Kepha ukuqina okukhulu kungaba buhlungu futhi kukhubaze.

Kwesinye isikhathi ukuqina kuhilela ukuphazamiseka kwemisipha. I-spasm ukunyakaza okungazelelwe, okungazibandakanyi noma ukunyakaza kwemisipha.

Ukushintsha izikhundla noma ukwenza ukunyakaza okungazelelwe kungaletha i-spasm. Kanjalo namazinga okushisa adlulele noma izingubo eziqinile.

Cishe amaphesenti angama-80 abantu abane-multiple sclerosis (MS) babhekane nokuqina. Kwabanye, kuyisibonakaliso esingavamile esidlula ngokushesha. Kwabanye, kungalindeleka futhi kube buhlungu.

Ngabe kunezinhlobo ezahlukahlukene zokuqina?

Lezi yizinhlobo ezimbili ezivame kakhulu zokuqina kwe-MS:

Ukuqina kwe-Flexor: Lolu hlobo luthinta imisipha emihlane yemilenze yakho engenhla (imisipha) noma phezulu kwamathanga akho aphezulu (i-hip flexors). Kungukugoba okungadingekile kwamadolo nezinqulu kubheke esifubeni sakho.

Ukwanda kwe-extensor: Lolu hlobo luhlobene nemisipha engaphambili (i-quadriceps) nangaphakathi (ama-adductors) omlenze wakho ongaphezulu. Kugcina amadolo nezinqe zakho kuqondile, kepha kucindezelwe ndawonye noma kweqe emaqakaleni akho.

Ungathola uhlobo olulodwa noma zombili. Baphathwa ngendlela efanayo. Ungase futhi uhlangane nokuxokozela ezandleni zakho, kepha akuvamile kubantu abane-MS.

Ukwakha uhlelo lokwelashwa

Uma ukuqina sekuba yinkinga, kuzodingeka usebenze nodokotela wakho ukuze uqhamuke nohlelo lokwelashwa.

Umgomo ukuqeda izimpawu ezifana nokuncipha kwemisipha nobuhlungu. Izimpawu zokunciphisa kufanele zithuthukise amakhono emoto namandla akho okuhamba ngokukhululeka.

Udokotela wakho uzoqala ngokusikisela ukwelula okulula nokunye ukuvivinya umzimba, okungafaka:

• i-yoga
• ukuphumula kwemisipha okuqhubekayo
• ukuzindla nezinye izindlela zokuphumula
• ukubhucungwa umzimba

Izinto ezithile zingadala izimpawu noma zizenze zibe zimbi kakhulu. Ingxenye yohlelo lwakho lwezokwelapha kufanele ikhombe izimbangela ukuze ukwazi ukuzigwema. Ezinye izimbangela ezivamile yilezi:

• amazinga okushisa abandayo
• izimo ezinomswakama
• izingubo noma izicathulo eziqinile
• ukuma kabi
• ukutheleleka kwamagciwane noma kwegciwane njengomkhuhlane, umkhuhlane, ukutheleleka kwesinye, noma izilonda zesikhumba
• ukuqunjelwa

Udokotela wakho angakudlulisela kwabanye ochwepheshe bezempilo njengabahlengikazi bomzimba noma bomsebenzi.

Ngokuya ngobukhulu bezimpawu zakho, ungacabanga futhi:

• imithi yokwehlisa ukuqina kwemisipha
• amadivayisi we-orthotic, njengama-brace nama-splints, ukusiza ngokuma
• ukuhlinzwa ukusika imisipha noma izimpande zemizwa

Imithi yokwenama

Imithi ingasetshenziswa ukwelapha ukuqina okuhlobene ne-MS. Umgomo wemithi ukunciphisa ukuqina kwemisipha ngaphandle kokwenza buthakathaka imisipha ize ifike lapho ungeke ukwazi ukuyisebenzisa khona.

Noma imuphi umuthi owukhethayo cishe uzoqala ngomthamo ophansi. Kungakhuphuka kancane kancane uze uthole umthamo osebenzayo.

Izidakamizwa ezimbili zokuphikisa ezisetshenziselwa ukwelapha i-MS yilezi:

I-Baclofen (IKemstro): Lokhu kuphumula kwemisipha yomlomo kuhlose izinzwa emgogodleni. Imiphumela emibi ingafaka ukozela nobuthakathaka bemisipha. Ngokuqina okukhulu, kungalawulwa kusetshenziswa ipompo efakwe emhlane wakho (i-intrathecal baclofen).

I-Tizanidine (Zanaflex): Lo muthi womlomo ungakhulula imisipha yakho. Imiphumela emibi ingafaka umlomo owomile, ukulala, nomfutho wegazi ophansi. Ngokuvamile akubangeli ubuthakathaka bemisipha.

Uma kungekho neyodwa yale mithi esebenza, kunezinye izinketho. Zingasebenza, kepha eminye imiphumela emibi ingaba mibi:

• I-Diazepam (IValium): Akulungile ngoba kungaba umkhuba wokwakha nokuhlala phansi.
• Dantrolene (URyanodex): Kungadala ukulimala kwesibindi nokungajwayelekile egazini.
• Phenol: Le blocker yezinzwa ingadala ukushisa, ukudikiza noma ukuvuvukala. Ezimweni ezingavamile kungadala ubuthakathaka bezimoto nokulahleka kwezinzwa.
• Ubuthi beBotulinum (Botox): Lokhu kulawulwa ngomjovo we-intramuscular. Imiphumela emibi ingafaka ukukhathazeka kwesiza somjovo nokuncipha kwesikhashana kwemisipha.

Ukwelashwa ngokomzimba nangokomsebenzi kokuqina

Noma ngabe usebenzisa umuthi noma cha, kubalulekile ukufaka ukunyakaza ohlelweni lwakho lokwelashwa.

Ngisho noma uhlela ukuzivocavoca wedwa, kungaba umqondo omuhle ukuthi uqale usebenze nodokotela owelapha ngokomzimba. Bangakwazi ukuhlola amandla nobuthakathaka bakho ukunquma ukuthi iziphi izivivinyo ezingasiza kakhulu. Ngemuva kwalokho bangakukhombisa ukuthi ungakwenza kanjani kahle lokhu kuvivinya umzimba.

Uma unenkinga yokwenza imisebenzi ejwayelekile njengokugqoka, cabanga ukusebenza nomelaphi osebenza emsebenzini. Bangakufundisa ukuthi uwasebenzisa kanjani amadivayisi okusiza futhi wenze ukulungiswa ekhaya ukuze wenze imisebenzi ibe lula.

Amadivayisi wokuqina

Ama-brace kanye nama-splints (amadivayisi we-orthotic) angasiza ukugcina imilenze yakho isesimweni esifanelekile ukuze kube lula ukuhambahamba. Khuluma nodokotela wakho noma umelaphi ngaphambi kokuthenga i-orthotic device. Uma ingalingani kahle noma ingenziwa kahle, ingenza ukuqina kube kubi kakhulu futhi kuholele kwizilonda zengcindezi.

Ukuhlinzwa kokuqina

Ngoba ukuhlinzwa kuhlala kunengozi ethile, imvamisa kuyindlela yokugcina. Ukuhlinzekelwa ukuqina kubandakanya ukusika imisipha noma izimpande zezinzwa ukukhulula imisipha eqinile. Lokhu ngokuvamile kuyasebenza ekwelapheni ukuqina, kepha akunakulungiswa.

Lapho uzobona udokotela wakho

Kufanele ukhulume ukuqina noma ukuqhuma kwemisipha ngezikhathi ezithile kudokotela wakho wezinzwa ekuvakasheni kwakho okulandelayo, noma ngabe akuyona inkinga enkulu.

Uma ukuqina kubuhlungu noma kuphazamisa ukunyakaza okuthile, thintana nodokotela wakho manje.

Ngaphandle kokwelashwa, ukuqina okukhulu kungaholela ku:

• ukuqina kwemisipha isikhathi eside nobuhlungu
• izilonda zengcindezi
• amalunga afriziwe futhi akhubazekile

Ukwelashwa kusenesikhathi kungakusiza ugweme lezo zinkinga.

Umbono

Ukuqothuka akukubi ngaso sonke isikhathi. Isibonelo, uma imisipha yakho yomlenze ibuthakathaka kangangokuba kunzima ukuhamba, ukushesha okuncane kungasiza. Kepha ukuqina okukhulu kungaphazamisa ikhwalithi yempilo yakho.

Njengakwezinye izimpawu ze-MS, ukuqina kungahluka ngezinga nobuningi. Ngokwelashwa, kufanele ukwazi ukudambisa ubuhlungu nokuqina futhi uthuthukise ukusebenza.

Sebenza nodokotela wakho ukuthola uhlelo lokwelashwa olulungile futhi ululungise njengoba izidingo zakho ziguquka.