Zithini izinto onokukhetha kuzo kwi-MS? Ngaba Utyando Kukhuselekile?

Umxholo

• Ngaba utyando lunokubangela i-MS?
• Ngaba utyando lunokubangela i-MS flares?
• Unyango olunokubakho lonyango lweMS
• Ukuvuselelwa kwengqondo enzulu
• Ukuvula ukuhamba kwegazi
• Unyango lwempompo ye-intrathecal baclofen
• Rhizotomy
• Ukuthatha

Ushwankathelo

I-Multiple sclerosis (MS) sisifo esiqhubekekayo esitshabalalisa ukutyabeka okujikeleze imithambo-luvo emzimbeni nasengqondweni. Kukhokelela kubunzima ngentetho, ukuhamba, kunye neminye imisebenzi. Ixesha elingaphezulu, i-MS inokutshintsha ubomi. Ngokujikeleze i-1 000, 000 yabantu baseMelika banayo le meko.

I-MS ayinyangi. Nangona kunjalo, unyango lunokunceda ukwenza iimpawu zingaphantsi kwaye ziphucule umgangatho wobomi.

Unyango lotyando lwe-MS luyafumaneka. Uninzi lwazo luyilelwe ukubonelela ngoncedo lweempawu ezithile.

Ukongeza, abantu abane-MS banokukhathazeka ukuba utyando okanye i-anesthesia ingakhokelela kwi-MS flare. Funda ukuze ufunde okungakumbi malunga nokukhethwa kwe-MS kwaye ukuba kukhuselekile ukwenza utyando ngokubanzi ukuba unale meko.

Ngaba utyando lunokubangela i-MS?

Iingcali aziqondi ukuba yintoni ebangela i-MS. Olunye uphando luye lwajonga i-genetics, ukusuleleka, kunye nokukhathazeka kwentloko. Abanye abaphandi bacinga ukuba utyando lwangaphambili lunokunxulunyaniswa nokwenzeka kwe-MS.

Omnye wafumanisa ukuba abantu abane-tonsillectomy okanye i-appendectomy ngaphambi kokuba babe neminyaka engama-20 ubudala kunokwenzeka ukuba baphuhlise i-MS. Ukwanda komngcipheko bekuncinci kodwa kubalulekile ngokwezibalo. Abaphandi bacela ukuba kwenziwe izifundo ezikhulu zokujonga unxibelelwano olunokwenzeka phakathi kwezi ziganeko zibini kunye ne-MS.

Ngaba utyando lunokubangela i-MS flares?

I-MS yimeko yokubuyela umva kwakhona. Oko kuthetha ukuba kunokubangela amaxesha eempawu ezimbalwa kunye nefuthe eliphantsi lilandelwe kukonyuka komsebenzi kunye neengxaki ezinkulu. Amaxesha apho ukwanda kweempawu kuthiwa zii-flares.

Umntu ngamnye unezinto ezahlukeneyo ezibangela umlilo. Ezinye zezehlo, iimeko, okanye izinto zinokunyusa umngcipheko wokutsha. Ukuthintela oku kunokukunceda ulawule iimpawu ze-MS.

Umothuko kunye nosulelo zizizathu ezibini ezinokubangela ii-MS flares. Oku kwenza utyando lubonakale njengesindululo esikhohlisayo kubantu abaphila ne-MS. Nangona kunjalo, iNational Multiple Sclerosis Society ithi umngcipheko weanesthesia ngokubanzi kunye neanesthesia yendawo yabantu abane-MS iphantse yafana nabantu abangenayo le meko.

Kukho omnye ngaphandle. Abo bane-MS ephambili kunye nenqanaba elinzima lokukhubazeka okunxulumene nezifo banokuba semngciphekweni omkhulu weengxaki. Ukuchacha kunokuba nzima kwaye kunokuba nakho ukukhula iingxaki ezinxulumene nokuphefumla.

Ukuba ucinga ngokuhlinzwa kunyango olunxulumene ne-MS okanye ezinye iimeko kwaye une-MS, akufuneki ube neengxaki. Nangona kunjalo, thetha nogqirha wakho. Uya kufuna ukuqiniseka ukuba unesicwangciso endaweni ukuthintela usulelo.

Umkhuhlane unokubangela i-flare. Ngokunjalo, ukuvalelwa esibhedlele emva kotyando kunokukhokelela ekubeni buthathaka kwezihlunu. Oko kunokwenza ukuba ukubuyisa kube nzima ngakumbi. Ugqirha wakho unokucela ukuba usebenze nonyango lomzimba ngexesha lakho esibhedlele.

Ngalezi zilumkiso engqondweni, kukhuselekile ukwenza utyando ukuba une-MS.

Unyango olunokubakho lonyango lweMS

Ngelixa lungekho unyango lwe-MS, olunye utyando lunokunciphisa iimpawu kunye nokuphucula umgangatho wobomi.

Ukuvuselelwa kwengqondo enzulu

Ukukhuthaza ubuchopho obunzulu yinkqubo esetyenziselwa ukunyanga ukungcangcazela okunzima kubantu abane-MS.

Ngexesha lale nkqubo, ugqirha ugqirha ubeka i-electrode kwi-thalamus yakho. Le yinxalenye yengqondo yakho ejongene nale micimbi. Ii-electrode ziqhagamshelwe kwisixhobo esifana nesomatshini esisebenza ngeengcingo. Esi sixhobo sifakwa esifubeni sakho phantsi kolusu. Idlulisa ukothuka kombane kwizihlunu zobuchopho ezijikeleze ii-electrode.

Umothuko wombane unika eli candelo lobuchopho bakho ukuba lungasebenzi. Oku kunokunceda ukunciphisa okanye ukuyeka ukungcangcazela ngokupheleleyo. Inqanaba lokothuka kombane linokuhlengahlengiswa ukuze lomelele okanye lincinci, kuxhomekeke kwimpendulo yakho. Ungasicima isixhobo ngokupheleleyo xa uqala uhlobo lonyango olunokuphazamisa ukukhuthaza.

Ukuvula ukuhamba kwegazi

Ugqirha wase-Itali, uPaolo Zamboni, wasebenzisa ibhaluni angioplasty ukuvula iibhloksi kwingqondo yabantu abane-MS.

Ngexesha lophando, uZamboni wafumanisa ukuba ngaphezulu kwezigulana azibonileyo ezine-MS zinokuvaleka okanye ukungalunganga kwimithambo ekhupha igazi kwingqondo. Uqikelele ukuba olu vimba lubangela ugcino lwegazi, olukhokelela kwinqanaba eliphezulu le-iron kwingqondo. Ukuba unokuvula ezo zibhloka, wayekholelwa ekubeni angaziphelisa iimpawu zeso sifo, mhlawumbi ade asinyange.

Wenze olu tyando kubantu abangama-65 abane-MS. Kwiminyaka emibini emva kotyando, uZamboni uxele ukuba iipesenti ezingama-73 zabathathi-nxaxheba azibonanga zimpawu.

Nangona kunjalo, encinci evela kwiYunivesithi yaseBuffalo ayinakukwazi ukuphinda iziphumo zikaZamboni. Abaphandi kolo phononongo bagqiba kwelokuba ngelixa inkqubo ikhuselekile, ayiziphuculi iziphumo. Kwakungekho mpembelelo intle kwiimpawu, izilonda zobuchopho, okanye umgangatho wobomi.

Kwangokunjalo, ukulandelelana noZamboni eCanada akufumananga mahluko emva kweenyanga ezili-12 phakathi kwabantu abanenkqubo yokuhamba kwegazi kunye nabantu abangenayo.

Unyango lwempompo ye-intrathecal baclofen

I-Baclofen lunyango olusebenza kwingqondo ukunciphisa ukungangqinelani. Le yimeko ebangela ukuba izihlunu zibekho phantse kwisivumelwano rhoqo okanye ziguquguquke. Amayeza anokunciphisa imiqondiso evela kwingqondo exelela izihlunu ukuba zibandakanyeke.

Nangona kunjalo, iifom zomlomo ze-baclofen zinokubangela ezinye iziphumo ebezingalindelekanga, kubandakanya intloko ebuhlungu, isicaphucaphu kunye nokozela. Ukuba itofwe kufutshane nentambo yomqolo, abantu abane-MS baneziphumo ezingcono, bafuna iidosi ezisezantsi, kwaye babone iziphumo ebezingalindelekanga ezimbalwa.

Kolu tyando, ugqirha uyakufaka impompo kufutshane nentambo yomqolo. Le mpompo icwangciselwe ukuhambisa amayeza rhoqo. Kubantu abaninzi, utyando lulawulwa ngokulula. Abanye abantu banokufumana ukukhathazeka malunga nendawo yokuqhawula. Impompo iya kufuneka iphinde igcwaliswe rhoqo emva kweenyanga ezimbalwa.

Rhizotomy

Enye yeengxaki ezinzima okanye uphawu lwe-MS lubuhlungu obukhulu bentliziyo. Sisiphumo somonakalo kwimithambo-luvo emzimbeni. I-Trigeminal neuralgia yintlungu ye-neuropathic echaphazela ubuso nentloko. Ukuvuselelwa okuphakathi, njengokuhlamba ubuso okanye ukuxukuxa amazinyo, kunokuba buhlungu kakhulu ukuba unolu hlobo lweentlungu zentliziyo.

I-Rhizotomy yinkqubo yokunqumla isahlulo se-spinal nerve esibangela le ntlungu ibuhlungu. Olu tyando lubonelela ngoncedo oluhlala luhleli kodwa luyakwenza ukuba ubuso bakho buyekezele.

Ukuthatha

Ukuba une-MS, thetha nogqirha wakho malunga nokhetho lwakho, kubandakanya notyando. Olunye utyando lwe-MS lusekwinqanaba lovavanyo lweklinikhi, kodwa ungangumgqatswa.

Ngokufanayo, ukuba ucinga ngokuhlinzwa kwaye ukhetha ukuba ufuna esinye isizathu, sebenza nogqirha wakho ukuze uqiniseke ukuba uyachacha.

Nangona ukuhlinzwa kukhuselekile kubantu abane-MS njengokuba kunjalo kubantu abangenayo le meko, ezinye iinkalo zokubuyisela zibaluleke ngakumbi kubantu abane-MS. Oko kubandakanya ukujonga imiqondiso yosulelo kunye nokufumana unyango ngokwasemzimbeni ukukhusela ubuthathaka bemisipha.