Umlobi: Tamara Smith
Usuku Lokudalwa: 27 Ujanuwari 2021
Ukuvuselela Usuku: 21 Unovemba 2024
Anonim
Fonksiyonel Tıp Nedir? Fonksiyonel Tıp Hakkında Bilinmesi Gerekenler - Dr. Abdullah Cerit
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-Delile

Ukwelashwa kwe-multiple sclerosis kwenziwa ngemithi yokulawula izimpawu, ukuvimbela izingqinamba noma ukubambezela ukuvela kwazo, ngaphezu kokuzivocavoca umzimba, ukwelashwa emsebenzini noma i-physiotherapy, ikakhulukazi ngezikhathi zobunzima, okuyizikhathi lapho izimpawu zivela khona futhi, ukwenza nazo zizosuswa.

I-Multiple sclerosis yisifo sokuzilimaza esingenalo ikhambi futhi esizibonakalisa ngezikhathi zokuqhamuka kokuqhamuka, okusho ukuthi lesi sifo singaletha izimpawu, njengokundindizela nokushoshozela engalweni, okunganyamalala ngokuphelele noma cha. Kwezinye izimo, lesi sifo asizibonakalisi ngokuqubuka, ngokuba nenqubekela phambili, ngokuya siba sibi futhi sibe sibi kakhulu isimo sempilo jikelele nobunzima bokuhamba. Kunoma ikuphi, kuhlale kudingekile ukulandela ukwelashwa okuboniswe ngudokotela.

1. Amakhambi

Amakhambi akhonjisiwe e-multiple sclerosis kufanele ngaso sonke isikhathi anconywe yisazi sezinzwa ngemuva kokukhomba uhlobo lwe-sclerosis umuntu analo futhi akhonjiswe ngalo ukulawula izinkinga noma ukuvela kwalesi sifo.


Amakhambi ezinkinga

Ukwelashwa kokuhlaselwa yi-multiple sclerosis kwenziwa nge-pulse therapy, okungukuphathwa kwe-methylprednisolone, eyi-corticoid, ngqo emthanjeni, isikhathi esifushane, imvamisa izinsuku ezi-3 kuye kwezi-5.

Ngemuva kokusebenzisa i-methylprednisolone, udokotela angancoma ukusetshenziswa kwe-prednisolone, enolunye uhlobo lwe-corticoid, ngomlomo izinsuku ezi-5 noma ngaphezulu.

Lokhu kwelashwa kusiza ukunciphisa ukuvuvukala kwemizwa, okusiza ukunciphisa ukuqina nobude bokuhlaselwa futhi kuqede izimpawu ezinjengokulahleka kombono okuncane, ukunciphisa amandla noma ukuhlangana. Kodwa-ke, kufanele kwenziwe isikhathi esifushane ngoba i-corticosteroids ingadala imiphumela emibi eminingi efana nokuqwasha, ukunyuka kwengcindezi yegazi, ukukhuphuka kwamazinga eglucose egazini, ukushintsha kwemizwelo nokugcina uketshezi.

Amakhambi okulawula amasosha omzimba

Imithi esiza ukulawula amasosha omzimba ivikela amasosha omzimba ekuhlaseleni amangqamuzana emizwa, okusiza ukunciphisa ukubuya kwezimpawu nokunciphisa ukuqhubeka kwesifo, futhi ukusetshenziswa kwe-interferon beta, fingolimod, natalizumab ne-acetate kungakhonjiswa ngudokotela. i-glatiramer noma i-dimethyl fumarate, enikezwa yi-SUS.


Eminye imishanguzo yokwelashwa kwe-multiple sclerosis, kepha engatholakali yi-SUS, ifaka i-cladribine, i-laquinimod, i-ocrelizumab, i-alemtuzumab ne-teriflunomide.

Izindlela zokulawula izimpawu

Izindlela zokwelapha ukulawula izimpawu ze-multiple sclerosis zibandakanya ukuphumula kwemisipha, ukudambisa izinhlungu, imishanguzo yokulwa nokudangala, ama-anticonvulsants, imishanguzo yokukhathala, ukungasebenzi komchamo, ukungasebenzi kahle kwe-erectile, ukuqwasha noma ubunzima bokulawula amathumbu, isibonelo.

Le mithi kufanele ikhonjiswe ngudokotela ngamunye, ngokuya ngezimpawu ezilethwa umuntu ngamunye.

2. I-Physiotherapy

I-Physiotherapy ihlose ukuqinisa imisipha, ithuthukise indlela yokuhamba, ibhalansi nokuhlangana kwezimoto, kuboniswe ngezikhathi zesimo esibucayi, lapho kunezimpawu eziba zimbi kakhulu, kubangele ubunzima ekunyakaziseni izingalo nemilenze, ukungabi bikho kokuhlangana kwezimoto, ukuguqulwa kwesikhumba ukuzwela, ubuthakathaka bemisipha noma ukuqina, isibonelo.


I-motor physiotherapy ngokuvamile ikhonjiswa ukuvimbela ukuhlehliswa kwemisipha, ukulwa nobuthakathaka, ukwehlisa ubuhlungu, ukuqinisa imisipha nemisebenzi yesitimela yokuphila kwansuku zonke njengokuhamba, ukuxubha amazinyo nokukama izinwele, ngokwesidingo somuntu lowo.

I-physiotherapy yokuphefumula ivame ukukhonjiswa kakhulu esigabeni esithuthuke kakhulu sesifo lapho uhlelo lokuphefumula lusengozini. Kulolu hlobo lokwelashwa kwe-physiotherapeutic, amadivayisi amancane afana ne-flutter, ngokwesibonelo, akwazi ukuqinisa imisipha yokuphefumula nokukhulula i-phlegm, angasetshenziswa, kepha izivivinyo zokuphefumula nazo zibaluleke kakhulu ukwenza lula ukuphefumula futhi zikwenze kube lula ngokwengeziwe, ukunciphisa ubungozi bokuncishwa umoya.

Ngaphezu kokwelapha ngokomzimba, ezinye izindlela zokwelapha zokuvuselela ezingasiza ekulawuleni izimpawu, zigcine umuntu esebenza futhi avimbele lesi sifo ekuqhubekeni kufaka phakathi ukwelashwa kwengqondo, i-neuropsychological, ukusebenzisa i-art therapy, ukwelashwa kokukhuluma noma ukwelashwa emsebenzini, isibonelo.

3. Ukuzijwayeza ukuzivocavoca umzimba

Ngemuva kokutholakala ukuthi une-multiple sclerosis, ukuhlala ukhuthele nokwenza umsebenzi ojwayelekile womzimba kusiza ukuvimbela ukuqhubeka kwesifo noma ukuvimbela ukuqala kwezimpawu ngokushesha. Ezinye izivivinyo ezingakhonjiswa yilezi:

  • Hamba;
  • Ukugijima kancane, uhlobo lwetrot;
  • Ucabanga ukuthi ubani wena;
  • Yenza i-gymnastics yasendaweni;
  • Zijwayeze i-yoga, ama-pilates, ikakhulukazi ama-pilates emitholampilo;
  • I-Aqua aerobics noma ukubhukuda.

Lezi zivivinyo kufanele zenziwe endaweni ezolile nenokuthula enezinga lokushisa elimnandi, ngoba ukushisa kuthanda ukujuluka, okwandisa izimpawu ze-multiple sclerosis. Ngakho-ke, umuntu kufanele aqaphele ukuthi angagcini kakhulu ukushaya kwenhliziyo, futhi anganyusi izinga lokushisa komzimba ngesikhathi somzimba.

Buka le vidiyo elandelayo bese ubona okunye ongakwenza ukuze uzizwe ungcono:

Kunconywa ukuzivocavoca cishe imizuzu engama-30 yokukhanya noma ukulinganisa ngokomzimba, nsuku zonke, noma ukuzijwayeza ihora eli-1, amahlandla ama-3 ngeviki, ngaphezu kokwenza imizuzu engu-10 kuye kwengu-15 yokuphumula nsuku zonke.

Uma ngesikhathi somzimba umuntu ezizwa ephefumula kanzima, kufanele ayeke ukuzivocavoca ngokushesha bese ephefumula ngokujulile nangokuthula. Okufanayo kukhonjisiwe uma uzizwa inhliziyo yakho ishaya ngokushesha, iphika, ukhathala noma ujuluka kakhulu.

4. Ukufakelwa kwe-stem cell

Ukufakelwa kwesitokisi se-autologous kwenziwa ngokususa ama-stem cells kumuntu uqobo, okufanele alashwe ngemithamo ephezulu yemithi yokuzivikela ukuze kungasebenzi amasosha omzimba, ngaphambi kokuthola amangqamuzana ama-stem emuva. Lolu hlobo lwezokwelapha luvumela "ukuqala kabusha" amasosha omzimba, abhekene nokulimaza ubuchopho nomgogodla ku-multiple sclerosis.

Lolu hlobo lokufakelwa lungenziwa ezimweni ezinzima kakhulu ze-sclerosis futhi okunzima ukuselapha, kepha akusiyo indlela yokwelapha elapha lesi sifo, ngaphandle kokuba ukwelashwa okubucayi kakhulu, futhi kumele lwenziwe ezikhungweni ezikhethekile ekufakelweni kwe-stem cell. Thola ukuthi ukwelashwa kwe-stem cell kusebenza kanjani.

5. Ukwelashwa kwemvelo

Kunezinketho zokwelashwa zemvelo ze-multiple sclerosis, njengokudla okunomsoco okusiza ekunciphiseni izimpawu zokuqunjelwa noma ukukhathala, ngokwesibonelo, ukwandisa ukusetshenziswa kokudla okunothe ku-vitamin D noma ukuthatha izindlela zokwelapha, njenge-acupuncture noma i-acupressure. Kodwa-ke, lezi azithathi indawo yokwelashwa okukhonjiswe ngudokotela, ziyahambisana kuphela.

Ukweqisa ngokweqile kukaVitamin D nakho kungakhonjiswa njengekhambi lokulwa ne-multiple sclerosis, ngoba ezinye izifundo zikhomba ukuthi amazinga aphezulu kavithamini D asiza ekwehliseni ubungozi bokuquleka, anciphise ukusebenza kwezifo futhi anganciphisa nengozi yokuhlaselwa yisclerosis. Funda kabanzi ngalolu hlobo lwezokwelapha nge-Vitamin D.

Izimpawu zokwenza ngcono nokuwohloka kwe-multiple sclerosis

Izimpawu zokwenziwa ngcono kwe-multiple sclerosis zivela lapho umuntu elashwa ngokuyalelwa ngudokotela, futhi kufaka phakathi ukwehla kwezimpawu, ukuncipha kokukhathala nokubuyiselwa kokuhlangana kwemisipha namandla, okuvumela imisebenzi engcono yansuku zonke. Lokhu kuthuthukiswa kungenzeka ngemuva kokuqala ukwelashwa okufanele, kepha isikhathi esidingekayo sokuthola ukukhululeka ezinkampanini singesomuntu ngamunye, ngoba kuyehluka kuye ngomuntu nomuntu.

Kodwa-ke, lapho ukwelashwa kuqalwa sekwephuzile noma kungenziwa kahle, izimpawu zokuwohloka kwe-multiple sclerosis zingavela, okubandakanya ukungaboni, ukukhubazeka, ukulahlekelwa yinkumbulo noma ukungasebenzi. Ngezikhathi zokuba kubi, izindlela zokwelashwa ezitholakalayo kufanele ziqiniswe, kepha lokhu akusona isiqinisekiso sokuthi izimpawu zingalawulwa ngokuphelele. Kunoma ikuphi, i-physiotherapy ilusizo olukhulu ekuthuthukiseni ikhwalithi yempilo.

Izinkinga ezingenzeka

Izinkinga zokuphefumula ze-multiple sclerosis esezingeni eliphezulu zingabulala, ngenxa yokubandakanyeka kwezicubu zokuphefumula kanye nokuqongelela kwezimfihlo emaphashini, ezingadala izifo ezifana ne-aspiration pneumonia, atelectasis noma ukwehluleka ukuphefumula. Ngakho-ke, kunconywa ukuzivocavoca umzimba njalo impilo, futhi njalo wenze ukwelashwa ngokomzimba ukuze ukwazi ukuphefumula nokunyakaza okungcono.

Izimpawu ezingaba yisexwayiso ukuphelelwa umoya, ubunzima bokuphefumula, ukukhathala okulula, ukukhwehlela okungasebenzi futhi okubuthakathaka.Uma lezi zimpawu zikhona, i-physiotherapy yokuphefumula kufanele iqiniswe ngokuzivocavoca okuvumela ukuhogela okujulile nokuphefumula okuphoqelelwe.

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