Unyango oluninzi lwe-Sclerosis

Umxholo

• 1. Uncedo
• Unyango lweengxaki
• Unyango lokulawula amajoni omzimba
• Unyango lokulawula iimpawu
• 2. Umzimba wonyango
• 3. Ukuziqhelanisa nokwenza umthambo
• 4. Ukufakelwa kwe-cell stem
• 5. Unyango lwendalo
• Iimpawu zokuphucula kunye nokuwohloka kwe-multiple sclerosis
• Iingxaki ezinokwenzeka

Unyango lwe-multiple sclerosis lwenziwa ngamachiza ukulawula iimpawu, ukunqanda iingxaki okanye ukulibazisa ukuvela kwazo, ukongeza kwimisebenzi yomzimba, unyango emsebenzini okanye unyango lomzimba, ngakumbi ngamaxesha obunzima, apho kuvele khona iimpawu, ukuze kunye nabo ukuba basuswe.

I-Multiple sclerosis sisifo esingazenzisiyo esinganyangekiyo kwaye siyazibonakalisa ngamaxesha okuqhambuka kokuxolelwa, okuthetha ukuba isifo singabonakalisa iimpawu, ezinje ngokuba ndindisholo nokubetha ngengalo, ezinokuthi ziphele nya okanye hayi. Ngamanye amaxesha, esi sifo asizibonakalisi ngokuqhambuka, ukuqhubela phambili, ukuya kusiba mandundu kwimo yezempilo ngokubanzi kunye nobunzima ekuhambeni. Kuyo nayiphi na imeko, kusoloko kuyimfuneko ukulandela unyango oluboniswe ngugqirha.

1. Uncedo

Unyango olubonisiweyo lwe-multiple sclerosis kufuneka luhlale lucetyiswa yi-neurologist emva kokuchonga uhlobo lwe-sclerosis umntu analo kwaye lubonakalisiwe ukulawula iingxaki okanye ukuvela kwesi sifo.

Unyango lweengxaki

Unyango kuhlaselo lwe-sclerosis lwenziwa ngonyango lwe-pulse, olulawulo lwe-methylprednisolone, eyi-corticoid, ngqo emthanjeni, ixesha elifutshane, ngesiqhelo kwiintsuku ezi-3 ukuya kwezi-5.

Emva kokusetyenziswa kwe-methylprednisolone, ugqirha unokucebisa ngokusetyenziswa kwe-prednisolone, nolunye uhlobo lwe-corticoid, ngomlomo kangangeentsuku ezi-5 okanye nangaphezulu.

Olu nyango lunceda ukunciphisa ukudumba kwemithambo-luvo, enceda ukunciphisa amandla kunye nexesha lokuhlaselwa kunye nokunciphisa iimpawu ezinje ngokulahleka kombono, ukunciphisa amandla okanye ukulungelelanisa. Nangona kunjalo, kufanele ukuba kwenziwe ixesha elifutshane kuba i-corticosteroids inokubangela iziphumo ebezingalindelekanga ezininzi ezinje ngokuqaqanjelwa sisisu, ukonyuka koxinzelelo lwegazi, ukunyuka kwenqanaba leswekile yegazi, ukutshintsha kwemozulu kunye nokugcinwa kolwelo.

Unyango lokulawula amajoni omzimba

Amayeza anceda ukulawula amajoni omzimba ekuthinteleni amajoni omzimba ekuhlaseleni iiseli zemithambo-luvo, anceda ukunciphisa ukubuya kweempawu kunye nokucothisa ukuqhubela phambili kwesi sifo, kunye nokusetyenziswa kwe-interferon beta, fingolimod, natalizumab kunye ne-acetate kungabonakaliswa ngugqirha. i-glatiramer okanye i-dimethyl fumarate, enikezelwa yi-SUS.

Amanye amachiza onyango lwe-multiple sclerosis, kodwa engafumanekiyo yi-SUS, kubandakanya i-cladribine, i-laquinimod, i-ocrelizumab, i-alemtuzumab kunye ne-teriflunomide.

Unyango lokulawula iimpawu

Unyango lokulawula iimpawu ze-multiple sclerosis zibandakanya ukuphumla kwezihlunu, ukuphelisa iintlungu, ukuthomalalisa uxinzelelo, ii-anticonvulsants, amayeza okudinwa, ukungasebenzi komchamo, ukungasebenzi kakuhle emzimbeni, ukungalali kakuhle okanye ubunzima ekulawuleni isisu, umzekelo.

La mayeza kufuneka aboniswe ngugqirha ngokwahlukeneyo, ngokweempawu ezibonakaliswa ngumntu ngamnye.

2. Umzimba wonyango

I-Physiotherapy ijolise ekomelezeni izihlunu, ukuphucula indlela yokuhamba, ukulungelelanisa kunye nokulungelelaniswa kwemoto, kubonisiwe ngamaxesha obunzima, xa kukho ukwanda kweempawu, kubangela ubunzima ekuhambiseni iingalo nemilenze, ukunqongophala kokulungelelaniswa kweemoto, ukutshintsha kolusu uvakalelo, ubuthathaka bemisipha okanye ukungangxami, umzekelo.

I-motor physiotherapy ibonakalisiwe ngokubanzi ukuthintela ukubuyisa izihlunu, ukulwa nokuba ndindisholo, ukunciphisa iintlungu, ukomeleza izihlunu kunye nokuqeqesha imisebenzi yokuphila kwemihla ngemihla njengokuhamba, ukuxukuxa amazinyo kunye nokukama iinwele, ngokweemfuno zomntu lowo.

I-physiotherapy yokuphefumla ihlala ibonakalisiwe kwinqanaba lesifo xa inkqubo yokuphefumla isengozini. Kolu hlobo lonyango lwe-physiotherapeutic, izixhobo ezincinci ezinjenge-flutter, umzekelo, ezinakho ukomeleza izihlunu zokuphefumla kunye nokukhulula i-phlegm, zinokusetyenziswa, kodwa imithambo yokuphefumla ikwabaluleke kakhulu ukwenza lula ukuphefumla kwaye ikwenze kube lula ngakumbi, ukunciphisa umngcipheko wokuxinana.

Ukongeza kunyango lomzimba, ezinye iindlela zonyango ezinokunceda ukulawula iimpawu, ukugcina umntu esebenzayo kunye nokuthintela isifo ekuqhubekeni kubandakanya impilo, unyango lwe-neuropsychological, ukwenza unyango lobugcisa, unyango lokuthetha okanye unyango lomsebenzi, umzekelo.

3. Ukuziqhelanisa nokwenza umthambo

Emva kokufumanisa ukuba une-multiple sclerosis, ukuhlala usebenza nokwenza imisebenzi yomzimba rhoqo kunceda ukuthintela ukuqhubela phambili kwesifo okanye ukuthintela ukuqala kweempawu ngokukhawuleza. Olunye uqeqesho olunokubonakaliswa zezi:

• Hamba;
• Ukuhamba kancinci, uhlobo lwetrot;
• Khwela ibhayikhi;
• Yenza i-gymnastics yendawo;
• Ziqhelanise neyoga, iipilates, ngakumbi ii-pilates zeklinikhi;
• I-Aqua aerobics okanye ukuqubha.

Le mithambo ifanele ukwenziwa kwindawo ezolileyo nenoxolo nobushushu obumnandi, kuba ubushushu buthanda ukubila, okunyusa iimpawu ze-multiple sclerosis. Ke, umntu kufuneka alumke angagcini ukubetha kwentliziyo ephezulu kakhulu, kwaye anganyusi ubushushu bomzimba ngexesha lomsebenzi womzimba.

Bukela le vidiyo ilandelayo kwaye ubone ezinye izinto onokuzenza ukuze uzive ungcono:

Kuyacetyiswa ukuzilolonga malunga nemizuzu engama-30 yokukhanya okanye yokulinganisa ngokomzimba, yonke imihla, okanye ukuziqhelanisa neyure e-1, amaxesha ama-3 ngeveki, ukongeza kwimizuzu eli-10 ukuya kweli-15 yokuphumla yonke imihla.

Ukuba ngexesha lomzimba umntu uziva ephefumla, kufuneka ayeke umthambo kwangoko kwaye aphefumle ngokunzulu nangokuzola. Kukwaboniswa okufanayo ukuba uziva intliziyo yakho ibetha ngokukhawuleza, ukuphefumla kancinci, ukudinwa okanye ukubila kakhulu.

4. Ukufakelwa kwe-cell stem

Ukufakelwa kweeseli ezizimeleyo kwenziwa ngokususa iiseli zemithambo emntwini ngokwakhe, ekufuneka elungiselelwe unyango ngeedosi eziphezulu zamachiza okunyanga ukungasebenzi komzimba ngaphambi kokufumana iiseli ezibuyela umva. Olu hlobo lonyango luvumela "ukuqala kwakhona" amajoni omzimba, anoxanduva lokonakalisa ingqondo kunye nentambo yomqolo kwi-multiple sclerosis.

Olu hlobo lokufakelwa lunokwenziwa kwimeko yesifo esiqatha kakhulu kwaye kunzima ukusinyanga, kodwa ayilulo unyango olusinyanga esi sifo, ngaphandle kokuba lunyango olunobuzaza kakhulu, kwaye kufuneka lwenziwe kumaziko akhethekileyo ekufakelweni kweeseli ezitshisayo. Fumanisa ukuba lusebenza njani unyango lwe-stem cell.

5. Unyango lwendalo

Kukho iinketho zonyango lwendalo lwe-multiple sclerosis, ezinje ngokutya okunesondlo okunceda ukukhulula iimpawu zokuqhinwa okanye ukudinwa, umzekelo, ukonyusa ukusetyenziswa kokutya okutyebileyo kwi-vitamin D okanye ukuthatha unyango, njengokucoca umzimba okanye ukunyanga. Nangona kunjalo, ezi azithathi indawo yonyango eboniswe ngugqirha, ziyahambelana kuphela.

I-Vitamin D overdose ingabonakaliswa njengesixhobo ngokuchasene ne-multiple sclerosis, kuba ezinye izifundo zibonisa ukuba amanqanaba aphezulu e-vitamin D anceda ukunciphisa umngcipheko wokubanjwa, ukunciphisa umsebenzi wesifo kunye nokunciphisa umngcipheko wokuba nesifo se-sclerosis. Funda ngakumbi malunga nolu hlobo lonyango kunye noVitamin D.

Iimpawu zokuphucula kunye nokuwohloka kwe-multiple sclerosis

Iimpawu zokuphucuka kwesclerosis ezininzi zivela xa umntu esenza unyango ngokungqinelana nokhokelo lukagqirha, kwaye zibandakanya ukwehla kweempawu, ukuncipha kokudinwa kunye nokufumana kwakhona ukulungelelaniswa kwemisipha kunye namandla, ukuvumela imisebenzi engcono yemihla ngemihla. Olu phuculo lunokwenzeka emva kokuqala unyango olufanelekileyo, kodwa ixesha elifunekayo lokufumana ukukhululeka kwiimpawu zomntu ngamnye, kuba liyahluka kuye ngomntu.

Nangona kunjalo, xa unyango luqalwa kade okanye lungenziwanga ngokufanelekileyo, iimpawu zokuwohloka kwesifo sokuqina kwemithambo (multiple sclerosis) zinokuvela, ezibandakanya ukungaboni, ukukhubazeka, ukulahleka kwememori okanye ukungakwazi ukuzibamba. Ngamaxesha okuba mandundu, unyango olufumanekayo kufuneka luqiniswe, kodwa oku akusosiqinisekiso sokuba iimpawu zingalawulwa ngokupheleleyo. Ngayiphi na imeko, i-physiotherapy iluncedo olukhulu ekuphuculeni umgangatho wobomi.

Iingxaki ezinokwenzeka

Iingxaki zokuphefumla ze-multiple sclerosis zihlala zibulala, ngenxa yokubandakanyeka kwezihlunu zokuphefumla kunye nokuqokelelwa kwemfihlo emiphungeni, enokubangela izifo ezinje nge-aspiration pneumonia, atelectasis okanye ukusilela kokuphefumla. Ke kuyacetyiswa ukuba usebenzise umthambo rhoqo ebomini, kwaye uhlale usenza unyango lomzimba ukuze ukwazi ukuphefumla nokuhamba ngcono.

Iimpawu ezinokusebenza njengesilumkiso kukuphefumla kancinci, ubunzima bokuphefumla, ukudinwa okulula, ukungasebenzi kakuhle kunye nokukhohlela okubuthathaka.Ukuba ezi mpawu zikhona, i-physiotherapy yokuphefumla kufuneka iqiniswe ngemithambo ekhetha ukuphefumla nzulu nokunyanzelwa komphunga.