Yiziphi Izinketho Zokuhlinzwa ze-MS? Ingabe Ukuhlinzwa Kuphephile?

-Delile

• Ingabe ukuhlinzwa kungabangela i-MS?
• Ingabe ukuhlinzwa kungabangela ama-MS flares?
• Izindlela zokwelashwa ezihlinzekwayo ze-MS
• Ukugqugquzela ubuchopho obujulile
• Ukuvula ukugeleza kwegazi
• Ukwelashwa kwepompo ye-Intrathecal baclofen
• I-Rhizotomy
• Ukuthatha

Ukubuka konke

I-Multiple sclerosis (MS) yisifo esiqhubekela phambili esonakalisa ukugqoka okuvikelayo okuzungeze izinzwa emzimbeni nasengqondweni yakho. Kuholela ebunzimeni ngenkulumo, ukunyakaza, neminye imisebenzi. Ngokuhamba kwesikhathi, i-MS ingashintsha impilo. Abantu baseMelika abacishe babe yi-1 000 000 banale nkinga.

I-MS ayinalo ikhambi. Kodwa-ke, ukwelashwa kungasiza ekwenzeni izimpawu zibe nzima kakhulu futhi kuthuthukise ikhwalithi yempilo.

Izindlela zokwelashwa ze-MS ziyatholakala. Iningi lazo lenzelwe ukuhlinzeka ukukhululeka kwezimpawu ezithile.

Ngaphezu kwalokho, abantu abane-MS bangakhathazeka ngokuthi ukuhlinzwa noma i-anesthesia kungaholela ku-MS flare. Funda ukuze ufunde kabanzi mayelana nezinketho zokuhlinzwa ze-MS futhi uma kuphephile ukuhlinzwa ngokujwayelekile uma unaleso simo.

Ingabe ukuhlinzwa kungabangela i-MS?

Ochwepheshe abaqondi ukuthi yini ebangela i-MS. Olunye ucwaningo lubuke izakhi zofuzo, ukutheleleka, ngisho nokuhlukumezeka ekhanda. Abanye abacwaningi bacabanga ukuthi ukuhlinzwa kwangaphambilini kungahle kuhlotshaniswe nethuba lokuthuthukisa i-MS.

Omunye uthole ukuthi abantu abane-tonsillectomy noma i-appendectomy ngaphambi kokuba babe neminyaka engama-20 ubudala banamathuba amaningi okuthuthukisa i-MS. Ukwanda kwengozi bekukuncane kepha kubalulekile ngokwezibalo. Abaphenyi bacele izifundo ezinkudlwana ukubheka ukuxhumana okungenzeka phakathi kwale micimbi emibili ne-MS.

Ingabe ukuhlinzwa kungabangela ama-MS flares?

I-MS yisimo sokubuyela emuva. Lokho kusho ukuthi kungadala izinkathi zezimpawu ezimbalwa nomthelela ophansi olandelwe umsebenzi owandisiwe nezinkinga ezinkulu. Izikhathi lapho izimpawu zanda zibizwa ngokuthi ama-flares.

Umuntu ngamunye unezimbangela ezahlukahlukene zokuqubuka. Ezinye izehlakalo, izimo, noma izinto zingakhuphula ingozi yokuqhuma. Ukugwema lokhu kungakusiza ukuphatha izimpawu ze-MS.

Ukuhlukumezeka kanye nokutheleleka yizimbangela ezimbili ezingabangela ama-MS flares. Lokhu kwenza ukuhlinzwa kubonakale njengesiphakamiso esikhohlisayo kubantu abaphila ne-MS. Kodwa-ke, iNational Multiple Sclerosis Society ithi izingozi ze-anesthesia jikelele kanye ne-anesthesia yendawo kubantu abane-MS zicishe zifane nabantu abangenalesi simo.

Kukhona okuhlukile. Labo abane-MS ethuthukile nezinga elibi lokukhubazeka okuhlobene nezifo bangaba sengozini enkulu yezinkinga. Ukululama kungaba nzima futhi bangaba namathuba amaningi okuba nezinkinga ezihlobene nokuphefumula.

Uma ucabanga ukuhlinzekwa ukwelashwa okuhlobene ne-MS noma ezinye izimo futhi une-MS, akufanele ube nezinkinga. Noma kunjalo, khuluma nodokotela wakho. Uzofuna ukuqinisekisa ukuthi unohlelo olukhona ukugwema ukutheleleka.

Umkhuhlane ungadala ukuqhuma. Ngokufanayo, ukuvalelwa embhedeni wasesibhedlela ngemuva kokuhlinzwa kungaholela ekubeni buthakathaka kwemisipha. Lokho kungenza ukutakula kube nzima kakhulu. Udokotela wakho angacela ukuthi usebenze nomelaphi womzimba ngesikhathi sakho esibhedlela.

Unalezi zixwayiso engqondweni, kuphephile ukuhlinzwa uma une-MS.

Izindlela zokwelashwa ezihlinzekwayo ze-MS

Ngenkathi lungekho ikhambi le-MS, okunye ukuhlinzwa kunganciphisa izimpawu futhi kuthuthukise ikhwalithi yempilo.

Ukugqugquzela ubuchopho obujulile

Ukugqugquzela ubuchopho obujulile inqubo esetshenziselwa ukwelapha ukuthuthumela okukhulu kubantu abane-MS.

Phakathi nale nqubo, udokotela ohlinzayo ubeka i-electrode ku-thalamus yakho. Le yingxenye yobuchopho bakho obhekene nalezi zinkinga. Ama-electrode axhunywe entanjeni enjenge-pacemaker ngezintambo. Le divayisi ifakwe esifubeni sakho ngaphansi kwesikhumba. Idlulisa ukushaqeka kukagesi kuzicubu zakho zobuchopho ezizungeze ama-electrode.

Ukushaqeka kukagesi kwenza le ngxenye yobuchopho bakho ingasebenzi. Lokhu kungasiza ukwehlisa noma ukumisa ukundindizela ngokuphelele. Izinga lokushaqeka kukagesi lingalungiswa ukuze liqine noma libe namandla kakhulu, kuya ngokuthi usabela kanjani. Ungayicisha futhi ifoni ngokuphelele uma uqala uhlobo lwezokwelapha olungaphazamisa ukukhuthazeka.

Ukuvula ukugeleza kwegazi

Udokotela wase-Italy, uPaolo Zamboni, wasebenzisa ibhaluni angioplasty ukuvula ukuvimba ebuchosheni babantu abane-MS.

Ngesikhathi enza ucwaningo, uZamboni wathola ukuthi ngaphezu kweziguli azibona zine-MS zinokuvaleka noma ukungasebenzi kahle emithanjeni ekhipha igazi ebuchosheni. Uqagele ukuthi lokhu kuvinjelwa kubangela ukugcinwa kwegazi, okuholela ezingeni eliphezulu lensimbi ebuchosheni. Uma engavula lezo zivimbelo, wakholwa ukuthi angakwazi ukudambisa izimpawu zalesi simo, mhlawumbe aze aselaphe.

Wenze lokhu kuhlinzwa kubantu abangama-65 abane-MS. Eminyakeni emibili ngemuva kokuhlinzwa, uZamboni wabika ukuthi amaphesenti angama-73 ababambiqhaza ababanga nazimpawu.

Kodwa-ke, okuncane okuvela eNyuvesi yaseBuffalo akukwazanga ukuphindaphinda okutholwe nguZamboni. Abaphenyi kulolo cwaningo baphetha ngokuthi ngenkathi inqubo iphephile, ayiyenzi ngcono imiphumela. Akubanga nomthelela omuhle ezimpawu, izilonda zobuchopho, noma ikhwalithi yempilo.

Ngokunjalo, ukulandelwa kukaZamboni eCanada akutholanga mehluko ngemuva kwezinyanga eziyi-12 phakathi kwabantu abanenqubo yokugeleza kwegazi kanye nabantu abangenayo.

Ukwelashwa kwepompo ye-Intrathecal baclofen

IBaclofen ngumuthi osebenza ebuchosheni ukunciphisa ukushesha. Lesi yisimo esidala ukuthi imisipha ibe sesimweni esiseduze sokusebenza noma sokuguquguquka. Imithi inganciphisa amasiginali avela ebuchosheni atshela imisipha ukuthi ihlanganyele.

Kodwa-ke, izinhlobo zomlomo ze-baclofen zingadala imiphumela emibi ethile, kufaka phakathi ikhanda, isicanucanu nokulala. Uma ijojowe eduze komgogodla, abantu abane-MS banemiphumela engcono, badinga imithamo ephansi, futhi babone imiphumela emibi embalwa.

Kulokhu kuhlinzwa, udokotela uzofaka iphampu eduze komgogodla. Le phampu ihlelelwe ukuletha umuthi njalo. Kubantu abaningi, ukuhlinzwa kuphathwa kalula. Abanye abantu bangase babe nobuhlungu eduze kwesiza sokusika. Iphampu lizodinga ukugcwaliswa njalo ezinyangeni ezimbalwa.

I-Rhizotomy

Inkinga eyodwa noma uphawu lwe-MS ubuhlungu obukhulu bezinzwa. Kungumphumela wokulimala kwezinzwa emzimbeni. I-trigeminal neuralgia ubuhlungu be-neuropathic obuthinta ubuso nenhloko. Ukugqugquzela okuncane, njengokugeza ubuso noma ukuxubha amazinyo, kungaba buhlungu kakhulu uma unalolu hlobo lobuhlungu bezinzwa.

I-Rhizotomy inqubo yokunquma ingxenye yomgogodla obangela lobu buhlungu obukhulu. Lokhu kuhlinzwa kunikeza ukukhululeka okuhlala njalo kodwa futhi kuzokwenza ubuso bakho bube ndikindiki.

Ukuthatha

Uma une-MS, khuluma nodokotela wakho ngezinketho zakho zokwelashwa, kufaka phakathi ukuhlinzwa. Okunye ukuhlinzwa kwe-MS kusesigabeni sesivivinyo somtholampilo, kepha ungahle ube yilunga.

Ngokunjalo, uma ucabanga ngokuhlinzwa okukhethiwe futhi uthola ukuthi uyakudinga ngesinye isizathu, sebenza nodokotela wakho ukuze uqiniseke ukuthi ululama kahle kunqubo.

Ngenkathi ukuhlinzwa kuphephe kubantu abane-MS njengoba kunjalo kubantu abangenaso lesi simo, ezinye izici zokululama zibaluleke kakhulu kubantu abane-MS. Lokho kufaka ukubheka izimpawu zokutheleleka nokuthola ukwelashwa ngokomzimba ukuvimbela ubuthakathaka bemisipha.