Izixhobo zeNkxaso yokuHamba kweSkondari esiqhubela phambili kwi-MS: Izikhuselo, izixhobo zokuhamba kunye nokunye

Umxholo

• Ulwenziwo esingabizi
• Isixhobo esisebenzayo sokuvuselela umbane
• Induku, iintonga, okanye ukuhambahamba
• Isitulo esinamavili okanye isithuthuthu
• Ukuthatha

Ushwankathelo

Ukuqhubela phambili kwesclerosis (SPMS) yesibini kunokubangela iimpawu ezahlukeneyo, kubandakanya ukuba nesiyezi, ukudinwa, ubuthathaka bemisipha, ukuqina kwemisipha, kunye nelahleko yovalo kumalungu akho.

Ixesha elingaphezulu, ezi mpawu zinokuchaphazela amandla akho okuhamba. Ngokwe-National Multiple Sclerosis Society (NMSS), iipesenti ezingama-80 zabantu abane-MS bafumana imiceli mngeni yokuhamba kwisithuba seminyaka elishumi ukuya kweli-15 yokuphuhlisa imeko. Uninzi lwabo lunokuxhamla ekusebenziseni isixhobo sokuxhasa ukuhamba, ezinje ngenduku, ukuhambahamba, okanye isitulo esinamavili.

Inokuba lixesha lokuthathela ingqalelo ukusebenzisa isixhobo sokuxhasa ukuhamba ukuba ubukhe:

• ndiziva ndingazinzanga ngeenyawo zakho
• Ukuphulukana nebhalansi yakho, ukukhubeka, okanye ukuwa rhoqo
• ubunzima bokulawula iintshukumo ezinyaweni zakho okanye emilenzeni
• ukuziva udinwe kakhulu emva kokuma okanye ukuhamba
• ukunqanda imisebenzi ethile ngenxa yemiceli mngeni yokuhamba

Isixhobo senkxaso yokuhamba sinokukunceda ukuthintela ukuwa, ukugcina amandla akho, kunye nokwandisa inqanaba lomsebenzi wakho. Oku kunokukunceda ukonwabele ukubangcono kwempilo kunye nomgangatho wobomi.

Thatha umzuzwana ufunde ngezinye zezixhobo zenkxaso yokuhamba ezinokukunceda uhlale uhamba nge-SPMS.

Ulwenziwo esingabizi

Ukuba uphuhlise ubuthathaka okanye ukukhubazeka kwiimisipha eziphakamisa unyawo lwakho, unokuhlakulela imeko eyaziwa ngokuba kukuhla kweenyawo. Oku kunokubangela ukuba unyawo lwakho lutyeke okanye lurhuqe xa uhamba.

Ukukunceda ukuxhasa unyawo lwakho, ugqirha wakho okanye ugqirha wokuvuselela unokucebisa uhlobo lwe-brace eyaziwa njenge-ankle-foot orthosis (AFO). Le brace inokukunceda ukubamba unyawo kunye neqatha kwindawo efanelekileyo ngelixa uhamba, ezinokukunceda ukunqanda ukukhubeka nokuwa.

Ngamanye amaxesha, ugqirha wakho okanye ugqirha wokubuyisela kwimeko yesiqhelo unokukukhuthaza ukuba usebenzise i-AFO kunye nezinye izixhobo zokuxhasa ukuhamba. Ukuba usebenzisa isitulo esinamavili, umzekelo, i-AFO inokukunceda ukuxhasa unyawo lwakho kwindawo yonyawo.

Isixhobo esisebenzayo sokuvuselela umbane

Ukuba uphuhlise ukuhla kweenyawo, ugqirha wakho okanye ugqirha wokuvuselela unokukucebisa ukuba uzame ukukhuthaza ukusebenza kombane (FES).

Kule ndlela yonyango, isixhobo esilula siqhotyoshelwe emlenzeni wakho ngezantsi kwedolo. Esi sixhobo sithumela amandla ombane kwimbilini yakho, evuselela izihlunu emlenzeni nasezinyaweni. Oku kunokukunceda uhambe kakuhle, ukunciphisa umngcipheko wokukhubeka kunye nokuwa.

I-FES isebenza kuphela ukuba imithambo-luvo kunye nezihlunu ezingaphantsi kwedolo zikwimeko efanelekileyo yokufumana nokuphendula kwimpembelelo yombane. Ixesha elingaphezulu, imeko yemisipha yakho kunye nemithambo-luvo inokuwohloka.

Ugqirha wakho okanye ingcali yokunyanga inokukunceda ufunde ukuba i-FES inokukunceda.

Induku, iintonga, okanye ukuhambahamba

Ukuba uziva ungazinzanga kancinci ezinyaweni zakho, unokufumana inzuzo ngokusebenzisa intonga, iintonga, okanye ukuhambahamba ngenkxaso. Kufuneka ube nengalo elungileyo kunye nokusebenza kwesandla ukuze usebenzise ezi zixhobo.

Xa zisetyenziswe kakuhle, ezi zixhobo zinokunceda ukuphucula ibhalansi kunye nozinzo kunye nokunciphisa amathuba okuwa. Ukuba ayisetyenziswanga ngokufanelekileyo, banokuphakamisa umngcipheko wokuwa. Ukuba ayilungelanga kakuhle, banokuba negalelo kumqolo, egxalabeni, engqinibeni, okanye kwintlungu yesihlahla.

Ugqirha wakho okanye ingcali yokunyanga inokukunceda ufunde ukuba nasiphi na kwezi zixhobo sinokukunceda. Banokukunceda ukhethe indlela efanelekileyo yesixhobo, ulungelelanise kubude obufanelekileyo, kwaye ubonise indlela yokuyisebenzisa.

Isitulo esinamavili okanye isithuthuthu

Ukuba awusakwazi ukuhamba apho ufuna ukuya khona ngaphandle kokuziva udiniwe, okanye ukuba uhlala usoyika ungawa, isenokuba lixesha lokutyala imali kwisitulo esinamavili okanye isithuthuthu. Nokuba usenokuhamba imigama emifutshane, kunokuba luncedo ukuba nesitulo esinamavili okanye isithuthuthu ngamanye amaxesha xa ufuna ukugubungela umhlaba ongaphezulu.

Ukuba unengalo elungileyo kunye nokusebenza kwesandla kwaye awufumani kudinwa okuninzi, unokukhetha isitulo esinamavili esisikhokelo. Izitulo ezinamavili ezizenzekelayo zihlala zingabizi kakhulu kwaye zingabizi kakhulu kunezithuthuthu okanye izitulo ezinamavili ezinamandla. Banikezela ngokuzilolonga kweengalo zakho.

Ukuba ukufumanisa kunzima ukuziqhubela kwisitulo esinamavili esisebenzayo, ugqirha wakho okanye ingcali yokuvuselela inokucebisa ngesithuthuthu esinenjini okanye isitulo esinamavili esinamavili. Amavili akhethekileyo aneemoto ezisebenza ngebhetri anokuqhotyoshelwa nakwizitulo ezinamavili ezinesandla, kulungelelwaniso olwaziwa ngokuba sisihlalo esinamavili esisebenza ngombane esisebenza ngamandla.

Ugqirha wakho okanye ugqirha wezonyango unokukunceda ufunde ukuba loluphi uhlobo kunye nobungakanani besihlalo sabakhubazekile okanye isithuthuthu esinokukusebenzela. Banokukunceda ufunde ukuba ungayisebenzisa njani.

Ukuthatha

Ukuba ukhubekile, uwa, okanye ukufumanisa kunzima ukuba ujikeleze, yazisa ugqirha wakho.

Banokukuthumela kwingcali enokuvavanya kwaye ijongane neemfuno zenkxaso yokuhamba. Banokukukhuthaza ukuba usebenzise isixhobo sokuxhasa ukuhamba ukunceda ukuphucula ukhuseleko lwakho, intuthuzelo, kunye nenqanaba lomsebenzi kubomi bakho bemihla ngemihla.

Ukuba umiselwe isixhobo senkxaso yokuhamba, vumela ugqirha wakho okanye ugqirha wezonyango ukuba azi ukuba ungonwabanga okanye kunzima ukusebenzisa. Banokwenza uhlengahlengiso kwisixhobo okanye bakukhuthaze ukuba usebenzise esinye isixhobo. Inkxaso yakho inokutshintsha ekuhambeni kwexesha.