Ukujamelana nokuphazamiseka kombono ngeSclerosis

Umxholo

• Iindidi zokuphazamiseka kombono
• I-optic neuritis
• IDiplopia (umbono ophindwe kabini)
• Nystagmus
• Ubumfama
• Izinketho zonyango
• Ukuthintela ukuphazamiseka kombono
• Ukujamelana notshintsho kumbono
• Thetha nogqirha wakho

Multiple sclerosis kunye nombono

Ukuba usandula ukufumanisa ukuba une-multiple sclerosis (MS), mhlawumbi uyazibuza ukuba esi sifo siza kuwuchaphazela njani umzimba wakho. Abantu abaninzi bayazazi iziphumo zomzimba, ezinje:

• ubuthathaka okanye ukuba ndindisholo emilenzeni yakho
• ukungcangcazela
• ukungazinzi
• ukurhawuzelela okanye ukubetha kwiindawo ezithile zomzimba

Into ongayaziyo kukuba i-MS inokuchaphazela nombono wakho.

Abantu abane-MS baya kuba namava aphindaphindiweyo okanye umbono ophazamisayo ngamanye amaxesha. Unokuphulukana nokubona okanye ngokupheleleyo. Oku kwenzeka kwiliso elinye ngexesha. Abantu abahlangabezana neengxaki zombono ogcweleyo okanye ogqibeleleyo banokuphela kwinqanaba lokulahleka kombono ngokusisigxina.

Ukuba unayo i-MS, utshintsho lombono lunokuba lutshintsho olukhulu. Kubalulekile ukuba wazi ukuba unokukhetha. Abanyangi bokusebenza kunye nabasemzimbeni banokukunceda ufunde ukuphila ubomi bakho bemihla ngemihla ngendlela esempilweni, enemveliso.

Iindidi zokuphazamiseka kombono

Kubantu abane-MS, iingxaki zombono zinokuza zihambe. Banokuchaphazela iliso elinye okanye zombini. Iingxaki zinokuya zisiba mbi zize emva koko zinyamalale, okanye zinokuncamathela.

Ukuqonda ukuba zeziphi iintlobo zokuphazamiseka okubonakalayo onokukufumana kunokukunceda ulungiselele ukuhlala nazo ukuba zihlala zisisigxina.

Ukuphazamiseka okubonakalayo okubangelwa yi-MS kubandakanya:

I-optic neuritis

I-Optic neuritis ibangela ukungaboni kakuhle okanye ukungaboni kakuhle kwiliso elinye. Esi siphumo sinokuchazwa njenge-smudge kwicandelo lakho lombono. Unokufumana iintlungu ezinobunzima okanye ukungonwabi, ngakumbi xa uhambisa iliso. Ukuphazamiseka okubonakalayo kuya kubakho kwiziko lakho lombono kodwa kunokubangela ingxaki ekuboneni kwicala. Imibala isenokungacaci njengesiqhelo.

I-Optic neuritis ikhula xa i-MS iqala ukophula isambatho sokukhusela esingqonge imithambo-luvo yakho yeliso. Le nkqubo ibizwa ngokuba kukudanjiswa. Njengoko i-MS ikhula kakubi, ukuchithwa kwetyala kuya kusasazeka ngakumbi kwaye kungapheliyo. Oko kuhlala kuthetha ukuba iimpawu ziya kukhula zisiba mbi kwaye umzimba wakho awunakubuyela esiqhelweni xa iimpawu ziphelile.

Ngokutsho kwe-Multiple Sclerosis Trust, iipesenti ezingama-70 zabantu abane-MS baya kuba ne-optic neuritis ubuncinane kanye ngexesha lokugula. Abanye abantu, i-optic neuritis inokuba luphawu lwabo lokuqala lwe-MS.

Iimpawu zentlungu kunye nombono ophazamisayo unokuba mandundu ukuya kuthi ga kwiiveki ezimbini, emva koko uqale ukuphucula.

Uninzi lwabantu lunombono oqhelekileyo kwisithuba seenyanga ezimbini ukuya kwezintandathu zesiqendu esibukhali se-optic neuritis. Abantu base-Afrika-baseMelika bahlala befumana ilahleko enkulu yokubona, ngokubonisa kuphela ukubonwa kombono ngama-61 eepesenti emva konyaka. Ngokuthelekisa, iipesenti ezingama-92 zabantu baseCaucasus baphinde babona umbono wabo. bafumanisa ukuba okukhona kuhlasela ngamandla, isisiphumo samahlwempu.

IDiplopia (umbono ophindwe kabini)

Ngamehlo aqhelekileyo asebenzayo, iliso ngalinye liya kugqithisa ulwazi olufanayo kwingqondo ukuze itolike kwaye ikhule ibe ngumfanekiso. IDiplopia, okanye umbono ophindwe kabini, wenzeka xa amehlo ethumela imifanekiso emibini kwingqondo yakho. Oku kuyadida ingqondo yakho kwaye kunokubangela ukuba ubone kabini.

I-Diplopia iqhelekile nje ukuba i-MS iqale ukubuchaphazela ubuchwephesha bengqondo. I-brainstem inceda ukulungelelanisa ukunyakaza kwamehlo, ngoko nayiphi na ingozi kuyo ingabangela iimpawu ezixubekileyo kwiso.

I-Diplopia iyakwazi ukusombulula ngokupheleleyo nangokuzenzekelayo, nangona i-MS eqhubekayo inokukhokelela kumbono oqhubekayo ophindiweyo.

Nystagmus

INystagmus yintshukumo engabandakanyekanga yamehlo. Intshukumo ihlala inesingqi kwaye ikhokelela ekuxhuzulekeni okanye ekugxumekeni kwamehlo. Unokufumana isiyezi kunye isicaphucaphu ngenxa yezi ntshukumo zingalawulekiyo.

I-Oscillopsia, imvakalelo yokuba umhlaba ujikeleza ngapha nangapha okanye phezulu nangaphantsi, uqhelekile kubantu abane-MS.

Olu hlobo lokuphazamiseka okubonakalayo kuhlala kubangelwa luhlaselo lwe-MS oluchaphazela indlebe yangaphakathi okanye kwi-cerebellum, indawo yokulungelelanisa ingqondo. Abanye abantu bayifumana kuphela xa bejonga kwicala elinye. Iimpawu zisenokuba mandundu ngemisebenzi ethile.

I-Nystagmus yenzeka njengeempawu ezingapheliyo ze-MS okanye ngexesha lokubuyela umva. Unyango lunokunceda ukulungisa umbono wakho kunye nemvakalelo yokulinganisela.

Ubumfama

Njengoko i-MS ikhula ngokuqatha, ziya kuba njalo neempawu. Oku kubandakanya umbono wakho. Abantu abane-MS banokufumana ubumfama, nokuba bungaphelelanga okanye buzele. Ukupheliswa kwangaphambi kwexesha kunokutshabalalisa i-optic nerve yakho okanye amanye amalungu omzimba wakho anoxanduva lokubona. Oku kunokuchaphazela ngokusisigxina amehlo.

Izinketho zonyango

Iinketho zonyango ezahlukeneyo ziyafumaneka kuhlobo ngalunye lokuphazamiseka okubonakalayo. Okona kukulungeleyo kuxhomekeke kwiimpawu zakho, ubuzaza besifo sakho, kunye nempilo yakho iyonke yomzimba.

Unyango oluqhelekileyo olusetyenziswayo lubandakanya:

• Ipeyinti yamehlo. Ukunxiba iliso elinye kunokukunceda ufumane isicaphucaphu kunye nesiyezi, ngakumbi ukuba unombono kabini.
• Inaliti yeSteroid. Inaliti ayinakuphucula umbono wakho wexesha elide, kodwa inokunceda abanye abantu bakhawuleze ukubuyela kwimeko yokuphazamiseka. Isebenza ngokulibazisa ukukhula kwesibini sokudanjiswa kwesigameko. Ngokwesiqhelo unikwa ikhosi ye-steroids ngaphezulu kweentsuku ezintlanu. I-methylprednisolone (IVMP) efakwa ngaphakathi inikwa ngaphezulu kweentsuku ezintathu. Iingozi kunye neziphumo ebezingalindelekanga zinokubandakanya ukucaphuka kwesisu, ukonyuka kwentliziyo, ukutshintsha kwemozulu kunye nokuqaqanjelwa sisisu
• Amanye amayeza. Ugqirha wakho unokuzama ukunceda ukusombulula ezinye zeziphumo ebezingalindelekanga zokuphazamiseka okubonakalayo de kube kuphela. Umzekelo, banokumisela amayeza anje ngeClonazepam (iKlonopin) ukunceda ukunciphisa ukubhabha okanye ukutsiba okubangelwa yinystagmus.

kubudlelwane phakathi kwe-antihistamine eqhelekileyo kunye ne-MS ifumene ubungqina bokuba i-clemastine fumarate inokubuyisa umonakalo we-optic kubantu abane-MS. Oku kunokwenzeka ukuba i-antihistamine ilungisa ukutyabeka okukhuselekileyo kwizigulana ezinesifo esinganyangekiyo. Ngelixa oku kufuneka kufundwe ngakumbi, kunokunika ithemba kwabo sele benamava omonakalo we-optic.

Ukuthintela ukuphazamiseka kombono

Ngelixa ukuphazamiseka kombono kwizigulana ze-MS kungenakuthintelwa, kukho amanyathelo onokuwathatha ukukunceda ukuthintela okanye ukunciphisa ukubakho kweziganeko zabo.

Xa kunokwenzeka, ukuphumla amehlo akho yonke imihla kunokunceda ukukhusela i-flare-up ezayo okanye ukunciphisa amandla ayo. Ukuchongwa kwangoko kunye nonyango kunokunciphisa ubungqongqo bokuphazamiseka okubonakalayo kwaye kunokuthintela ukonakala kwexesha elide. Oogqirha banokuyalela iiglasi ezinceda ziqulethe iiprism ezihambisa iliso.

Abo sele benokungaboni kakuhle ngaphambi kokuba baxilongwe yi-MS baya kuba semngciphekweni wokonakala ngakumbi, kwaye umonakalo unokuba nefuthe elikhulu. Njengoko i-MS yomntu iqhubeka, baya kuba semngciphekweni wokuphazamiseka kumbono.

Ukujamelana notshintsho kumbono

Ukwazi izinto zakho ezinokubangela kunokukunceda uthintele okanye unciphise ubungakanani bokubuyela kwakho kwakhona. I-trigger yinto ezisa iimpawu zakho okanye ibenze ibe nzima. Umzekelo, abantu abakwiindawo ezifudumeleyo banokuba nexesha elinzima ngakumbi ngeempawu zabo ze-MS.

Ubushushu obonyuse kancinci bomzimba buthintela amandla e-demyelinated nerve ukuba aqhube iimpembelelo zombane, ukonyusa iimpawu ze-MS kunye nombono ophazamisayo. Abantu abane-MS banokusebenzisa iivesti zokupholisa okanye ukusonga intamo ukugcina iqondo lobushushu lomzimba ngexesha langaphandle okanye ngokwasemzimbeni. Banokunxiba iimpahla ezilula kwaye basebenzise iziselo ezinomkhenkce okanye ii-ice pops.

Ezinye izinto zibangela:

• kubanda, okunokunyusa ukuqaqamba
• uxinzelelo
• ukudinwa nokungalali

Sebenza nogqirha wakho ukuchonga izinto ezinokubangela ukuba ukwazi ukulawula kakuhle iimpawu zakho.

Ukongeza ukuzama ukuthintela iingxaki ezibonakalayo, kuya kufuneka uzilungiselele ukuhlala nazo. Ukuphazamiseka okubonakalayo kunokuba nefuthe elibonakalayo kubomi bakho, kokubini malunga nokuphila kwemihla ngemihla kunye nokuphila kwakho ngokwasemoyeni.

Thetha nogqirha wakho

Ukufumana ukuqonda, ukonyusa iqela lenkxaso phakathi kwabahlobo bakho, amalungu osapho, kunye noluntu olukhulu kunokukunceda ulungiselele kwaye wamkele utshintsho olubonakalayo olunokuba sisigxina. Ugqirha wakho unokukwazi ukucebisa umbutho woluntu owenzelwe ukunceda abantu abaneengxaki zombono bafunde iindlela ezintsha zokuphila ubomi babo. Thetha nogqirha wakho, ugqirha, okanye iziko loluntu kwisibhedlele sakho malunga neengcebiso.