Ngaba i-MS ibangela iingxaki zokuva?

Umxholo

• Ushwankathelo
• Ngaba i-MS inokubangela ukulahleka kwendlebe?
• Ukuphulukana nokuva kwemvakalelo (SNHL)
• Ukuphulukana nokuva ngesiquphe
• Ukulahleka kwe-MS kunye nokuva kwindlebe enye
• Tinnitus
• Ezinye iingxaki zokuva
• Unyango lwasekhaya
• Nini ukubona ugqirha
• Unyango lokulahleka kwendlebe
• Ukuthatha

Ushwankathelo

I-Multiple sclerosis (MS) sisifo sobuchopho kunye nentambo yomqolo apho amajoni akho omzimba ahlasela isambatho se-myelin esijikeleze kwaye sikhusela imithambo-luvo yakho. Ukonakala kwamathambo kubangela iimpawu ezinje ngokuba ndindisholo, ubuthathaka, iingxaki zombono, kunye nobunzima bokuhamba.

Ipesenti encinci yabantu abane-MS nayo baneengxaki zokuva. Ukuba kuya kusiba nzima kuwe ukuva abantu bethetha kwigumbi elinengxolo okanye uva izandi ezigqwethekileyo okanye ukukhala ezindlebeni zakho, lixesha lokuba ungene kwi-neurologist yakho okanye ingcali yokuva.

Ngaba i-MS inokubangela ukulahleka kwendlebe?

Ukuphulukana nendlebe kukuphulukana nendlebe. Ukuphulukana nokuva akuqhelekanga kubantu abane-MS, kodwa kunokwenzeka. Ngokwe-National Multiple Sclerosis Society, malunga neepesenti ezi-6 zabantu abane-MS abanokuva.

Indlebe yakho yangaphakathi iguqula ukungcangcazela kwesandi kwi-eardrum ibe yimiqondiso yombane, eqhutyelwa kwingqondo kusetyenziswa imithambo-luvo yokuva. Ingqondo yakho emva koko ichaze le miqondiso kwizandi oziqondayo.

Ukuphulukana nokuva kunokuba luphawu lwe-MS. Izilonda zingenza kwimithambo-luvo yokuva. Oku kuphazamisa iindlela zemithambo-luvo ezinceda ingqondo yakho ukuba idlulise kwaye iqonde isandi. Izilonda zisenokwakheka kwingcambu yengqondo, eyinxalenye yengqondo ebandakanyekayo ekuveni nasekulinganiseni.

Ukuphulukana nokuva kunokuba luphawu lokuqala lwe-MS. Inokuba luphawu lokuba ubuyela umva okanye ubuqaqawuli beempawu ukuba ubunokulahleka kwindlebe okwethutyana kwixa elidlulileyo.

Uninzi lokulahleka kwendlebe okwethutyana kwaye kuyaphucuka xa ukubuyela umva kuncedile. Kunqabile ukuba i-MS ibangele ukungeva.

Ukuphulukana nokuva kwemvakalelo (SNHL)

I-SNHL yenza ukuba izandi ezithambileyo kube nzima ukuva kunye nezandi ezingacacanga. Luhlobo oluqhelekileyo lokulahlekelwa kwindlebe ngokusisigxina. Ukonakaliswa kweendlela zomzimba phakathi kwendlebe yakho yangaphakathi kunye nengqondo yakho kunokubangela i-SNHL.

Olu hlobo lokulahlekelwa kwindlebe luxhaphake kakhulu kubantu abane-MS kunezinye iindlela zokulahlekelwa kukuva.

Ukuphulukana nokuva ngesiquphe

Ukuphulukana nokuva ngesiquphe luhlobo lwe-SNHL apho uphulukana ne-decibel ezingama-30 okanye ngaphezulu kokuva kwisithuba seeyure ezimbalwa ukuya kwiintsuku ezi-3. Oku kwenza ukuba iincoko eziqhelekileyo zivakale ngathi kukusebeza.

Uphando lubonisa ukuba iipesenti ezingama-92 zabantu abane-MS kunye ne-SNHL ngequbuliso bakumanqanaba okuqala e-MS. Ukuphulukana nokuva ngokukhawuleza kunokuba ngumqondiso wokuphinda ubuye kwi-MS.

Ukulahleka kwe-MS kunye nokuva kwindlebe enye

Ngokwesiqhelo, ukulahleka kwendlebe kwi-MS kuchaphazela indlebe enye kuphela. Kunqabile ukuba abantu baphulukane nendlebe zombini.

Kuyenzeka ukuba ulahlekelwe kukuva kwindlebe enye kuqala emva koko uye kwenye. Ukuba oku kuyenzeka, umboneleli wakho wezempilo unokukuvavanya nezinye izifo ezinokubonakala ngathi yi-MS.

Tinnitus

I-Tinnitus yingxaki eqhelekileyo yokuva. Kuvakala ngathi kukukhala, ukubhuza, ukubetha umlozi, okanye ukubethela umlo ezindlebeni zakho.

Ngokwesiqhelo ukwaluphala okanye ukuvezwa kwengxolo enkulu kubangela i-tinnitus. Kwi-MS, ukulimala kwentsholongwane kuphazamisa iimpawu zombane ezihamba ukusuka ezindlebeni zakho ziye kwingqondo yakho. Oko kuseta isandi esikhalayo ezindlebeni zakho.

I-Tinnitus ayinabungozi kodwa inokuphazamisa kwaye iyacaphukisa. Okwangoku akukho nyango.

Ezinye iingxaki zokuva

Ezinye iingxaki zokuva ezinxulumene ne-MS zibandakanya:

• ukonyusa ubuntununtunu kwisandi, esibizwa ngokuba yihyperacusis
• isandi esigqwethekileyo
• ubunzima bokuqonda ulwimi oluthethwayo (i-aphasia eyamkelekileyo), engengxaki yokuva ncam

Unyango lwasekhaya

Olona nyango kuphela lokulahleka kwendlebe kukuphepha ukubangela. Umzekelo, ngamanye amaxesha ubushushu bunokubangela ubuqaqawuli beempawu ezindala ezifana neengxaki zokuva kubantu abane-MS.

Unokufumana ukuba unengxaki yokuva kwimozulu eshushu okanye emva kokuzilolonga. Iimpawu kufuneka ziphuculwe xa sele upholile. Ukuba ubushushu buchaphazela ukuva kwakho, zama ukuhlala ngaphakathi endlwini xa kushushu ngaphandle.

Umatshini wengxolo emhlophe unokuntywila ukukhala ukuze wenze i-tinnitus inyamezeleke ngakumbi.

Nini ukubona ugqirha

Jonga ugqirha ukuba ulahlekelwe kukuva okanye uva ukukhala okanye ukubetha izandi ezindlebeni zakho. Ugqirha wakho unokukuvavanya ngezizathu zokulahleka kwendlebe, ezinje:

• usulelo lwendlebe
• indlebe yokwakha indlebe
• amayeza
• umonakalo wendlebe ekuvezeni ingxolo enkulu
• ukulahleka kokuva okunxulumene nobudala
• ukwenzakala endlebeni okanye kwingqondo
• isilonda esitsha seMS

Kwakhona jonga i-neurologist ephatha i-MS yakho. Iskena seMRI sinokubonisa ukuba ngaba i-MS yonakalise imithambo-luvo yakho yokuva okanye isiqu sobuchopho. Ugqirha wakho unokuyalela amachiza e-steroid xa uphinda ubuyela kwi-MS ukuphucula ukulahleka kwendlebe ukuba kukwizigaba zokuqala.

Ugqirha wakho we-neurologist okanye indlebe, impumlo, nomqala (ENT) unokukuthumela kugqirha wezandi. Olu buchwephesha luchonga kwaye lunyanga ukuphazamiseka kwindlebe kwaye lunokuvavanya ukulahleka kwendlebe. Unokufumana ugqirha wezandi kwiAmerican Academy yeAudiology okanye kwiAmerican Speech-Language-Hearing Association.

Unyango lokulahleka kwendlebe

Izinto zokuncedisa ukuva zinokunceda ekuphulukaneni nendlebe okwethutyana. Kwakhona unyango lwe-tinnitus.

Ungathenga uncedo lokuva ngokwakho, kodwa kungcono ubone ugqirha wezandi ukuze ulunge ngokufanelekileyo. Isazi sobuchwephesha sinokuphinda sincome i-loop yoqheliso lokucoca izandi zangasemva ekhayeni lakho ukukunceda uve ngokucacileyo.

Amachiza afana ne-tricyclic antidepressants ngamanye amaxesha amiselwe ukunceda ngeempawu ze-tinnitus.

Ukuthatha

Nangona i-MS inokubangela ukulahleka kwendlebe, kunqabile ukuba kube nzima okanye kusisigxina. Ukuphulukana nokuva kunokuba kubi ngexesha le-MS flares kwaye kufuneka liphucule xa sele kugqityiwe. Ugqirha wakho unokukunika amayeza anokunceda ukuba uphinde ubuye ngokukhawuleza kwaye unokukuthumela kwingcali ye-ENT okanye kwi-audiologist ukuze uphinde uvavanywe.