Yintoni Ebangela Ukungcangcazela Kwam Kwangaphakathi?

Umxholo

• Oonobangela
• Uxilongo
• Unyango
• Iziyobisi kwimeko engaphantsi
• Iziyobisi zokulawula ukungcangcazela
• Olunye ukhetho
• Imbonakalo
• Iingcebiso zokubeka iliso kwiimpawu zakho

Ushwankathelo

Ukunyikima kwangaphakathi kufana neenyikima ezenzeka ngaphakathi komzimba wakho. Awunako ukubona ukungcangcazela kwangaphakathi, kodwa ungaziva. Bavelisa imvakalelo eyoyikisayo ngaphakathi kweengalo zakho, imilenze, isifuba, okanye isisu.

Ukunyikima kwangaphakathi akufani nokutshintsha kobomi njengokungcangcazela kwangaphandle. Umzekelo, awuyi kushukuma ngokwasemzimbeni ngelixa uzama ukugalela ikomityi yeti okanye ubhale ileta. Iinyikima zangaphakathi nazo azifani ne-vertigo, nolunye uphawu lweemeko ezithile zemithambo-luvo. I-Vertigo ivakalelwa ngathi lihlabathi elijikelezayo.

Okwangoku, iinyikima zangaphakathi zinokuziva zingathandeki. Kwaye ngenxa yokuba zingabonakali, ezi ngcangcazela kunokuba nzima ukuzichaza kugqirha wakho. Qhubeka ufunda ukuze ufunde ngakumbi malunga nonobangela wokungcangcazela kwangaphakathi kunye namanyathelo alandelayo.

Oonobangela

Iinyikima zibangelwa ngumonakalo kwingqondo yakho ochaphazela imithambo-luvo elawula izihlunu zakho. Ukungcangcazela kwangaphakathi kucingelwa ukuba kuvela kwizizathu ezifanayo njengokungcangcazela. Ukushukuma kunokuba yinto efihlakeleyo kakhulu.

Iimeko zesixokelelwano semithambo-luvo ezifana nesifo sika-Parkinson, isifo sokuqina kwemithambo emininzi (MS), kunye nongcangcazelo olubalulekileyo konke kunokubangela ezi nyikima. Olunye uphononongo luchaze ukuba iipesenti ezingama-33 zabantu abanesifo sikaParkinson babeneentshukumo zangaphakathi. Amashumi amathathu anesithandathu eepesenti abantu abane-MS kunye neepesenti ezingama-55 zabantu abanesingcangcazelo esibalulekileyo nabo baxele ukuziva ukungcangcazela kwangaphakathi. Ngamanye amaxesha, unxunguphalo lunokubangela okanye lube mandundu ukungcangcazela.

Uninzi lwabantu abaneenyikima zangaphakathi zikwanazo nezinye iimpawu zovakalelo, ezinjengokuqaqanjelwa, ukubetha nokutsha. Ezinye iimpawu onazo kunye neentshukumo zinokunika imikhondo ukuba unawuphi umqathango.

Iimpawu zesifo sikaParkinson zibandakanya:

• izihlunu eziqinileyo ekunzima ukuhamba
• ukucotha, ukushukuma, ukunyakaza okuqinileyo
• umbhalo omncinci wesandla
• ilizwi elizolileyo okanye elirhabaxa
• Ukuphulukana nemvakalelo yakho yokujoja
• ujongeke ebusweni bakho, obizwa ngokuba yimaski
• ingxaki yokulala
• ukuqhina
• isiyezi

Iimpawu zokungcangcazela okubalulekileyo zibandakanya:

• iintshukumo ezincinane zeengalo nemilenze, ngakumbi xa usebenza
• ukunqwala intloko
• ukujija kwiinkophe zakho nakwezinye iindawo zobuso bakho
• ilizwi elingcangcazelayo okanye elingcangcazelayo
• ingxaki ngokulinganisela
• iingxaki zokubhala

Iimpawu ze-MS zibandakanya:

• Ukuba ndindisholo ezingalweni, emilenzeni, ebusweni nasemzimbeni
• ukuqina
• ubuthathaka
• ukudinwa
• ingxaki yokuhamba
• isiyezi kunye ne-vertigo
• ukungaboni kakuhle okanye ezinye iingxaki zokubona
• ingxaki yokulawula ukuchama okanye ukuhamba kwamathumbu
• ukudakumba

Uxilongo

Ukuba uneentshukumo zangaphakathi, jonga ugqirha wakho ophambili kuvavanyo. Yenza idinga ukuba uneempawu ezinje:

• ukuba ndindisholo
• ubuthathaka
• ingxaki yokuhamba
• isiyezi

Ugqirha wakho uya kuqala ngokubuza malunga neempawu zakho kunye nembali yonyango.Uya kuba novavanyo olwenziwe ukukhangela iimpawu zeemeko ze-neurologic ezinokubangela ukuthuthumela. Ugqirha wakho uyakukucela ukuba wenze uthotho lwemisebenzi. Ezi zinokuvavanya eyakho:

• Ingqondo
• amandla
• ithoni yemisipha
• imvakalelo
• ukuhamba kunye nokukwazi ukuhamba
• ukulungelelanisa nokulungelelanisa

Ugqirha unokuyalela olunye okanye nangaphezulu kwezi mvavanyo:

• i-electromyogram, ebonisa ukuba izihlunu zakho zisabela njani kukhuthazo
• kukhuphe iimvavanyo ezinokubakho, ezisebenzisa ii-electrode ukulinganisa indlela esebenza ngayo inkqubo ye-neva kukhuthazo
• i-lumbar puncture (impompo yomqolo), esusa isampulu yolwelo olujikeleze intambo yakho yomqolo ukukhangela iimpawu ze-MS
• Ukuskena ngemagneti yokujonga umfanekiso (MRI), ebonisa izilonda kwingqondo yakho nakumqolo

Ugqirha wakho unokukuthumela kwi-neurologist. Ugqirha wemithambo-luvo yingcali enyanga ukuphazamiseka kwenkqubo yemithambo-luvo.

Unyango

Ukufumana unyango olululo, kufuneka kuqala ufumane uxilongo oluchanekileyo. Ngamanye amaxesha ukungcangcazela kwangaphakathi kuya kuphucuka wakuba unyange imeko ebangela oko. Ukuba ugqirha wakho akasifumani isizathu sokungcangcazela kwakho, kungafuneka ubone ingcali kuvavanyo oluninzi.

Iziyobisi kwimeko engaphantsi

Isifo sika-Parkinson siphathwa nge-carbidopa-levodopa (Sinemet), pramipexole (Mirapex), kunye ne-ropinirole (i-Requip). La machiza akonyusa inani le-dopamine kwingqondo yakho okanye alingisa iimpembelelo zedopamine. I-Dopamine ngumthunywa weekhemikhali onceda umzimba wakho ukuba uhambe kakuhle.

Ukungcangcazela okubalulekileyo kuphathwa ngohlobo lwechiza loxinzelelo lwegazi elibizwa ngokuba yi-beta-blocker. Inokunyangwa kwakhona ngamachiza okubulala iintsholongwane.

Unyango lwe-MS luxhomekeke kuhlobo lwe-MS kunye nokuqhubela phambili kwayo. Ingabandakanya i-steroids ukuzisa ukuvuvukala kwingqondo kunye nentambo yomgogodla. Olunye unyango lubandakanya amayeza aguqula izifo njenge-interferon kunye ne-glatiramer acetate (iCopaxone).

Iziyobisi zokulawula ukungcangcazela

Amanye amayeza anokunceda ngokukodwa ekulawuleni ukungcangcazela. La machiza abandakanya:

• iziyobisi ezichasene ne-anticholinergic njenge-trihexyphenidyl (Artane) kunye ne-benztropine (Cogentin)
• ityhefu ye-botulinum A (Botox)
• i-tranquilizers efana ne-alprazolam (Xanax) okanye i-clonazepam (iKlonopin), ukuba uxinzelelo lubangela ukungcangcazela

Olunye ukhetho

Ukusebenza kunye nonyango lomzimba kunokukunceda ufumane ukulawula okungcono kwemisipha, enokukunceda xa unyikima.

Ukuba ezinye iindlela zonyango azisebenzi, ugqirha unokucebisa ukuba utyandwe. Kwindlela ebizwa ngokuba kukuvuselela ingqondo okunzulu (i-DBS), ugqirha ufakela ii-electrode kwingqondo yakho kunye nomvelisi osebenza ngebhetri esifubeni sakho. Umvelisi uhambisa iimpompo zombane kwiindawo zobuchopho bakho ezilawula ukuhamba.

Imbonakalo

Ukungcangcazela ngaphakathi akunabungozi. Banokungonwabi ngokwaneleyo ukuba bangaphazamisa ubomi bakho bemihla ngemihla, nangona kunjalo. Nokuba olu phawu luyaphucuka luxhomekeke kwinto ebangela ukungcangcazela kwaye loluphi unyango olufumanayo.

Ukufumana unyango olufanelekileyo kunokubandakanya uvavanyo kunye nephutha. Ukuba iyeza lokuqala olithathayo alisebenzi, buyela kugqirha wakho. Jonga ukuba ungazama enye into na. Inyikima isenokungabikho kwaphela, kodwa unganakho ukuyilawula ngokwaneleyo ukuze ingasakuphazamisi.

Iingcebiso zokubeka iliso kwiimpawu zakho

Ingcangcazela engenakubonwa mntu kunokuba nzima ukuyichaza kugqirha wakho. Ukukunceda uchaze olu phawu, qala ukugcina idayari yokungcangcazela kwakho. Bhala phantsi:

• zenzeka ngaliphi ixesha lomhla
• into ubuyenza xa beqala
• indlela abavakalelwa ngayo
• zide kangakanani
• ziziphi ezinye iimpawu onazo kubo, ezinje ngesiyezi okanye ubuthathaka

Yiza nale dayari kwezi ndawo zakho. Yisebenzise njengesikhokelo xa uncokola nogqirha wakho.