I-Multiple Sclerosis kunye ne-Incontinence

Umxholo

• Kutheni le nto i-MS ibangela ukungahambi kakuhle?
• Unyango lokungahambelani kwesinyi
• Amayeza
• Ukuvuselelwa kwentliziyo ye-tibial
• Unyango lomgangatho wePelvic
• InterStim
• Inaliti zeBOTOX
• Unyango lwasekhaya lokungalawuleki kwesinyi
• Ukuzilibazisa ngokwakho okungapheliyo
• Ukunyamekela ukutya
• Unyango lokungahambelani kwamathumbu ngokunxulumene ne-MS
• Ukuseka imikhwa esempilweni
• Thatha inxaxheba kwimisebenzi yomzimba rhoqo
• Cinga ngenkqubo yoqeqesho lwamathumbu
• Ukuphepha ukutya okwaziwayo ukuba negalelo ekungazinzini
• Ngaba zikhona iingxaki zokungahambi kakuhle kwe-MS?
• Iingcebiso malunga nokumelana nenkxaso

Yintoni i-multiple sclerosis?

I-Multiple sclerosis (MS) yimeko apho amajoni omzimba "ahlasela" i-myelin kwinkqubo ye-nervous system. I-Myelin sisihlunu esinamafutha esijikeleze kwaye sikhusele iintsinga zemithambo-luvo.

Ngaphandle kwe-myelin, iimpembelelo zemithambo-luvo ukuya nokubuya kwingqondo azinako ukuhamba ngokunjalo. I-MS ibangela ukuba izicwili ezibomvu zikhule zijikeleze imicu yentsimbi. Oku kunokuchaphazela inani lemisebenzi yomzimba, kubandakanya isinyi kunye nokusebenza kwamathumbu.

Ngokwe-National MS Society, kuqikelelwa ukuba iipesenti ezingama-80 zabantu abane-MS bafumana inqanaba lokungasebenzi kakuhle kwesinyi. Oku kwenzeka ukuba impendulo yamajoni omzimba kwi-MS itshabalalisa iiseli zemithambo-luvo eziya emathunjini okanye kwisinyi.

Ukuba unamava okungalawuleki okunxulumene ne-MS yakho, unyango kunye nenkxaso ziyafumaneka.

Kutheni le nto i-MS ibangela ukungahambi kakuhle?

Xa isisu sakho okanye isinyi siqala ukuzala, umzimba wakho uthumela imiqondiso kwingqondo yakho ukuba kuya kufuneka uye kwigumbi lokuhlambela. Xa ufika kwigumbi lokuhlambela, ingqondo yakho ihambisa imiqondiso kwisisu sakho okanye kwisinyi ukuba kulungile ukushenxisa isinyi sakho okanye ube nokuhamba kwamathumbu.

Xa i-MS itshabalalisa i-myelin, idala iindawo ezinobungozi ezibizwa ngokuba zizilonda. Ezi zilonda zinokutshabalalisa nayiphi na indawo yendlela yosulelo ukusuka kwingqondo iye kwisinyi nakwizisu.

Iziphumo zinokuba sisinyi esingayi kukhupha ngokupheleleyo, sigqithile, okanye asizukubamba umchamo kakuhle. Imizekelo yeempawu umntu one-MS unokuba unxulumene nesinyi sakhe kubandakanya:

• ubunzima bokubamba umchamo
• kunzima ukuqala umjelo womchamo
• ukuziva ngathi isinyi asiyi kukhupha ngokupheleleyo
• kufuneka uye kwigumbi lokuhlambela ebusuku rhoqo
• ukuchama rhoqo

Abantu abaninzi abane-MS banamava esinyithi esisebenzayo. I-MS inokuchaphazela nemithambo-luvo ehambisa izihlunu ezinoxanduva lokukhupha amathumbu akho. Iziphumo zinokuba kukuqunjelwa, ukungakwazi ukuzibamba, okanye ukudityaniswa.

Unyango lokungahambelani kwesinyi

Zombini unyango kunye nendlela yokuphila ziyafumaneka ukunyanga ukunganyanzeleki kwesinyi okunxulumene ne-MS. Imizekelo yongenelelo lonyango ibandakanya:

Amayeza

Inani lamayeza linokunciphisa imeko yokungahambi kakuhle komntu one-MS. Ugqirha wakho kufuneka athathele ingqalelo nawaphi na amayeza owathathayo ngoku anxulumene ne-MS kunye nezinye iimeko zempilo.

Amayeza aqhelekileyo kunyango abizwa ngokuba yi-anticholinergics. La mayeza anciphisa imeko yezihlunu zemisipha.Imizekelo ibandakanya i-oxybutynin (Ditropan), darifenacin (Enablex), imipramine (Tofranil), tolterodine (Detrol), kunye ne-trospium chloride (Sanctura).

Iyeza ngalinye lineziphumo zalo ezinokubangela ukozela, umlomo owomileyo, kunye nokuqhinwa. Kubalulekile ukuxoxa ngobungozi kunye nezibonelelo kunye nogqirha wakho.

Ukuvuselelwa kwentliziyo ye-tibial

Olu nyango lwe-bladder egqithisileyo lubandakanya ukufaka i-electrode encinci ngenaliti kwiqatha lakho. I-electrode iyakwazi ukuhambisa iimpembelelo zemithambo-luvo kwiimbilini ezichaphazela amathumbu kunye nesinyi. Olu nyango luhlala luhanjiswa kwimizuzu engama-30 kanye ngeveki kangangeeveki ezili-12.

Unyango lomgangatho wePelvic

Olu nyango lubandakanya ukusebenzisana nomgangatho womzimba wethambo ojolise ekukhuthazeni umthambo ukomeleza amandla emisipha yomzimba wakho. Oku kunokuphucula ulawulo lwakho kumchamo, kokubamba ukubamba umchamo, kunye nokukhupha isinyi ngokupheleleyo.

InterStim

Olu nyango lubandakanya ugqirha otyala isixhobo phantsi kolusu lwakho olunokukhuthaza i-sacral nerves yakho. Oku kunokunciphisa iimpawu zesinyithi esigqithisileyo, ukungasebenzi kakuhle kwamathumbu, kunye nokugcinwa komchamo.

Inaliti zeBOTOX

I-BOTOX yindlela evunyiweyo ye-FDA ye-botulinum toxin enokubangela ukukhubazeka kwimisipha engaphezulu. Inaliti ye-BOTOX kwimisipha yesinyi yinto onokukhetha kuyo abantu abangaphendulanga okanye abangakwaziyo ukuthatha amayeza okunciphisa i-blasder spasms.

Olu unyango luhanjiswa phantsi kwe-anesthesia. Ugqirha usebenzisa indawo ekhethekileyo ukujonga ngaphakathi kwisinyi sakho.

Unyango lwasekhaya lokungalawuleki kwesinyi

Ugqirha uya kukucebisa ukuba ubandakanye unyango lwasekhaya kwisicwangciso sakho sonyango ngokubanzi. Olu khetho lubandakanya:

Ukuzilibazisa ngokwakho okungapheliyo

Ukuzicoca ngokwakho kubandakanya ukufaka ityhubhu encinci, ebhityileyo kwi-urethra yakho. Oku kukuvumela ukuba ukhulule ngokupheleleyo isinyi sakho.

Iya kunciphisa izehlo zokuvuza emini. Abanye abantu banokuzenzela i-catheterize ukuya kuthi ga kane ngemini.

Ukunyamekela ukutya

Akufanele unciphise ukuthathwa kwamanzi ngenxa yokuba oko kunokunyusa umngcipheko wokulimala kwezintso (AKI). Nangona kunjalo, ukuba uyakuphepha ukusela amanzi malunga neeyure ezimbini ngaphambi kokulala, akunakufane usebenzise indlu yangasese ebusuku.

Unokuthatha amanyathelo okuqinisekisa ukuba xa uphumile ungaya kwindlu yangasese ngokukhawuleza. Unokucwangcisa ukuyeka rhoqo ukusebenzisa indlu yangasese malunga neeyure ezimbini.

Unganxiba iimpahla zangaphantsi ezikhuselekileyo okanye iiphedi. Kwaye ukugcina isingxobo esincinci okanye ibhegi enezinto, njengempahla yangaphantsi eyongezelelweyo, iphedi, okanye ipayinti inokunceda xa ungekho ekhaya.

Unyango lokungahambelani kwamathumbu ngokunxulumene ne-MS

Unyango kwimicimbi yamathumbu luxhomekeke ekubeni ufumana ukuqhina okanye ukungakwazi ukuzibamba. Oogqirha bahlala becebisa ekhaya kunye nonyango lokutya ukukhuthaza ukwenziwa rhoqo. Imizekelo yamanyathelo onokuwathatha ibandakanya:

Ukuseka imikhwa esempilweni

Elinye lamaqhosha okudlula kakuhle ngokufumana ulwelo olwaneleyo ngemini, zihlala zingama-64 ii-ounces okanye iikomityi ezisi-8 zamanzi. Iintsholongwane ziyakongeza ubuninzi kwisitulo sakho kwaye zenze zithambe kwaye kube lula ukudlula.

Kuya kufuneka utye ifayibha eyaneleyo, enokongeza isambuku kwisitulo sakho. Uninzi lwabantu ludinga phakathi kwe-20 ukuya kwi-30 yeegram ngosuku. Imithombo yefayibha egqwesileyo ibandakanya ukutya okuziinkozo okupheleleyo, iziqhamo kunye nemifuno.

Thatha inxaxheba kwimisebenzi yomzimba rhoqo

Ukuzivocavoca umzimba kunokuvuselela izibilini zakho kwaye kukugcine rhoqo.

Cinga ngenkqubo yoqeqesho lwamathumbu

Ezi nkqubo ziyafana nomxholo wokukhupha isinyi sakho rhoqo. Ugqirha unokusebenza kunye nawe xa ubunokuya ngokufanelekileyo kwigumbi lokuhlambela yonke imihla.

Kuyenzeka ukuba abanye abantu "baqeqeshe" amathumbu abo ukuba ahambe ngamaxesha abekiweyo. Le nkqubo inokuthatha ukuya kwiinyanga ezintathu ukubona iziphumo.

Ukuphepha ukutya okwaziwayo ukuba negalelo ekungazinzini

Olunye uhlobo lokutya luyaziwa ukuba luyacaphukisa amathumbu akho. Oku kunokubangela ukungakwazi ukuzibamba. Imizekelo yokutya okunokuphetshwa kubandakanya ukutya okunamafutha kunye nokuneziqholo.

Ugqirha wakho unokuxoxa ngokunganyamezelani okunokubakho, njengokunganyamezelani kwi-lactose okanye i-gluten, enokuthi ibe mandundu ngakumbi impawu zokungabambeki.

Ngaba zikhona iingxaki zokungahambi kakuhle kwe-MS?

Unyango lokungangqinelani okunxulumene ne-MS alunakho ukuguqula ngokupheleleyo iimpawu zakho. Kodwa zibalulekile ekuqinisekiseni ukuba awunazo iziphumo ebezingalindelekanga. Umzekelo, abantu abangakwaziyo ukukhuphela ngokupheleleyo i-bladders zabo basemngciphekweni omkhulu kwii-UTIs.

Ukuba ukungahambelani kwakho kubangela ukuphindaphinda ukusuleleka kwesinyi okanye ii-UTIs, oku kunokubeka impilo yakho esichengeni. Ngamanye amaxesha i-UTIs inokubangela ezinye iimpendulo zomzimba kumntu one-MS. Oku kwaziwa njengokuphindaphinda kwakhona.

Umntu ophindaphindiweyo kusenokwenzeka ukuba unezinye iimpawu ze-MS, ezinje ngobuthathaka bemisipha. Nje ukuba ugqirha ayiphathe i-UTI, iimpawu ezibuyisayo zokubuyela umva zihlala zihamba.

Kwakhona, isinyi kunye nokuqaqanjelwa ngamathumbu kunokukhokelela kusulelo lolusu. Olona sulelo lubi kakhulu lubizwa ngokuba yi-urosepsis, enokubulala.

Ukufuna unyango kwangoko kunokwenzeka kunokunceda ukulibaziseka okanye ukucothisa ukuqhubela phambili kweempawu zokungakwazi ukuzibamba ezinxulumene ne-MS. Oku kunokunciphisa amathuba okuba isinyi sakho sibe buthathaka okanye sisebenzise ngakumbi.

Ukongeza kwiziphumo ebezingalindelekanga ezibonakalayo zomzimba, kunokubakho iziphumo zempilo yengqondo. Abo bane-MS banokukuphepha ukuya esidlangalaleni ngenxa yokoyika ukuba baya kuba nesiqendu sokungakwazi ukuzibamba. Oku kunokukhokelela ekurhoxisweni kubahlobo kunye nosapho abahlala beyona mithombo yenkxaso.

Iingcebiso malunga nokumelana nenkxaso

Ukuthetha ngokukhululekileyo nogqirha wakho malunga neempawu zokungahambi kakuhle kunye nokusebenza kwizisombululo zizicwangciso ezifanelekileyo zokujamelana.

Amaqela enkxaso ayafumaneka kwabo bane-MS kunye neentsapho zabo. La maqela akuvumela ukuba wabelane ngolwazi lwakho kunye nokukhathazeka, kwaye uve iingcebiso kunye nezisombululo kwabanye.

Ungandwendwela iphepha lamaQela eSizwe leNkxaso kuMbutho ukujonga iqela lenkxaso kwindawo yakho. Ukuba awukaziva ukhululekile kunye neqela lenkxaso lomntu, kukho amaqela enkxaso kwi-Intanethi.

Kukwakho nemibutho exhasa abo baneengxaki zokungakwazi ukuzibamba. Umzekelo nguMbutho weSizwe weLizwekazi, oneebhodi zemiyalezo kwaye uququzelela imisitho.

Iqela lakho lonyango linokuhlala likunceda ufumane izixhobo zasekhaya kuloo ndawo. Kwaye ungathetha namalungu osapho athembekileyo kunye nabahlobo nokuba abanakuhlala beqonda zonke iimpawu onazo.

Ngamanye amaxesha ukubazisa ngendlela abanokukunceda ngayo, njengokukhetha iindawo zokudibana kunye namagumbi okuhlambela afikeleleka ngokulula, kunokwenza umahluko kwimpilo yakho.