Monga chisonyezo cha multiple sclerosis (MS), kudzimbidwa kwenikweni ndi buluu. Zikhoza kukhala zabwino, osati kubwera ndi kupita. Mukhoza kuthera masiku omwe muli ndi maganizo oti "sikulondola." Zingakhale zopweteka. Komanso sizinthu zomwe anthu ambiri amamva bwino, choncho amalephera kupirira, osati kumvetsa chifundo ndi kuthandizira omwe amafunikira.
Komabe, nkofunika kuti mupeze chithandizo kwa kudzimbidwa kwanu. Kudikirira ndizolakwika, chifukwa izi zingapangitse kuwonongeka kwanu kumbuyo. Kuwonjezera apo, nkotheka kuti chithandizocho chidzakhala chosavuta, monga kusintha mankhwala kapena kuwonjezeka kwa madzi.
Zimene Zimamveka
Anthu ambiri akhala akulimbikitsidwa pa nthawi ina pamoyo wawo ndikudziwa momwe akumvera. Komabe, pali tanthawuzo lolondola kwambiri kuposa "sindingathe kupita." Malingana ndi American College of Gastroenterology, kudzimbidwa kumatanthauzidwa ngati zovuta zowonjezereka, zovuta kupititsa chophimba, kapena zonse ziwiri. Zomwe zimakhala zosavuta kumangotanthauza kusuntha matumbo awiri kapena ochepa pa sabata ndipo kuvutika kupititsa zidole kungaphatikizepo kufooketsa, kumverera ngati simunathe kuchotsa matumbo onse, kapena kukhala ndi chotupa cholimba.
Kukula
Ndi kovuta kunena kuti ndi anthu angati omwe ali ndi MS omwe amawadzudzula, monga momwe amawerengera.
Izi mwina chifukwa cha zinthu zambiri, monga:
- odwala osagwirizanitsa chizindikiro ichi ndi MS, kotero musamawuze odwala matendawa
- odwala akuyang'ana pa zizindikiro zovuta kwambiri pakapita maulendo awo okhudza ubongo
- wodwala pokhala wamanyazi kwambiri kulengeza kudzimbidwa kwa madokotala awo
Zonsezi zikunenedwa, zikuyesa kuti pakati pa 50 ndi 75 peresenti ya anthu omwe ali ndi MS amakumana ndi kudzimbidwa nthawi ina.
Ndipotu, ndi vuto lodziwika bwino lomwe limapezeka ndi anthu omwe ali ndi MS.
Zimayambitsa
Zosakaniza ziwiri zimaphatikizapo kayendedwe kathanzi, kawirikawiri:
- Chotupacho chiyenera kusuntha m'matumbo
- Payenera kukhala madzi okwanira muchitetezo
Izi ndi zinthu zogwirizana kwambiri. Pamene chitseko chimachepetsanso ulendo wake kudzera m'mimba (makamaka colon, gawo lotsiriza la matumbo akulu), madzi amadzipangidwira kuti apange chitsime cholimba. Pamene imapepuka kwambiri, madzi ochulukirapo amadzikongoletsera ndi colon ndi chopondapo zimakhala zovuta komanso zovuta kudutsa.
Izi zikunenedwa, kudzimbidwa mu MS kungayambitsidwe ndi zifukwa izi (kapena kuphatikiza):
Kuwonongeka kwa ubongo: Monga tanenera, bedi liyenera kusuntha. Kwa anthu omwe ali ndi MS, zilonda zingalepheretse ubongo kulandira molondola kapena kutumiza zizindikiro zomwe zimayesa kuyesa kuyendayenda. Mwa kuyankhula kwina, mwina simungalandire chizindikiro choti "muyenera kupita," kapena simungathe kumasuka bwino ndikukankhira ngati mukufunikira kuti mukhale ndi kayendedwe kake. Kusuntha kosasunthika komwe kumapangitsa kuti chitsime chiziyenda kudutsa m'munsi mwa kapangidwe kakang'ono ka m'mimba kungakhalenso kovuta. Kachiwiri, mavutowa akuphatikizidwa ndi chinyumba chovuta kuti chipite mosavuta, chifukwa cha nthawi yayitali mu colon.
Ntchito Yachilengedwe Yochepa: Mbali yofunikira ya m'mimba yamatumbo (kuyenda kwa chakudya chotupa kudzera m'matumbo) ndi ntchito yogwira ntchito, monga kuyenda. Anthu ambiri omwe ali ndi MS sangathe kuyenda ndikuyenda mochuluka, chifukwa cha kufooketsa, kuthamangitsidwa, athaia kapena kutopa .
Zotsatira za mankhwala: Kudzimbidwa ndi zotsatira za mankhwala ambiri omwe anthu omwe ali ndi MS amatenga kuti athetse zizindikiro. Izi zikuphatikizapo:
- Matenda opatsirana pogonana, makamaka a tricyclic odetsa nkhaŵa monga Amitriptyline (Elavil, Endep), Desipramine (Norpramin), Doxepin (Sinequan), Imipramine (Tofranil-PM), nortriptyline (Pamelor)
- Painkillers, makamaka omwe ali ndi morphine kapena codeine, komanso mankhwala ena ochepetsa ululu monga Ultram (tramadol).
- Mankhwala a chikhodzodzo cha chikhodzodzo chotchedwa anticholinergics monga mapiritsi a Detrol ndi makina a Detrol LA otulutsidwa kwambiri (tolterodine)
- Mankhwala opatsirana, kuphatikizapo baclofen ndi Zanaflex (tizanidine)
Osati Kumwa Madzi Okwanira: Ndizowoneka kuti anthu omwe ali ndi MS akudula m'madzi, makamaka ngati akukumana ndi mavuto okhudzidwa ndi mkodzo kapena nocturia . Anthu ena omwe ali ndi MS amachepetsanso kudya kwa madzimadzi pamene akupita kapena akuyenda, pamene kupita kuchipinda kungakhale kovuta. Izi zikunenedwa, ndibwino kuti mumwe madzi ambiri tsiku lonse ngati muli ndi MS. Kumbukiraninso, madzi ndi abwino. Caffeine ndi mowa zimakhala ngati zodzoladzola ndipo zingakupangitseni kukupatsani mphamvu. Ngati madzi sali okongola kwa inu, yesetsani kuika mandimu kapena mandimu kuti muwapatseko kukoma.
Zovuta Kwambiri
Chikumbumtima chosasamalidwa chikhoza kuchititsa kuti thupi lisawonongeke, zomwe zimachitika pamene kudzimbidwa kumakhala kovuta kwambiri kotero kuti phokoso lonse lidzadzaza ndi lalikulu, lolimba. Pazochitikazi, zofunikirako zofunikira ndizofunikira, zomwe dokotala kapena namwino amachotsa kusamala pamanja (pogwiritsa ntchito chala).
Mawu Ochokera
Kugonana kuli kofala mu MS, koma uthenga wabwino ndi wakuti pali zinthu zomwe mungachite kuti mupewe kapena kuchepetsa. Njira zowonjezera ndizo:
- Imwani magalasi 6 mpaka 8 tsiku lililonse
- Phatikizani makatani mu zakudya zanu (mwachitsanzo, mbewu zonse ndi utawaleza wa zipatso ndi ndiwo zamasamba)
- Khalani achangu, momwe mungathere
- Yakhazikitsani nthawi tsiku lililonse imene mumagwiritsa ntchito bafa-izi zimatchedwa maphunziro opangira thupi
- Ganizirani za mankhwala osokoneza bongo nthawi zina pamene kuvomereza kwanu kukulowetsani, koma kambiranani ndi dokotala wanu zoyenera poyamba, monga momwe ena angayambitsire kudalira
Pomaliza, nkofunika kuzindikira kuti muyenera kuonana ndi dokotala chifukwa cha kusintha kulikonse komwe mumakhala nawo. Kugonjera palokha kungakhale chizindikiro cha chinachake chowopsa kwambiri, monga khansa ya colon, kotero chichotseni.
Zotsatira
American College of Gastroenterology. (2016). Kutseka ndi Mavuto a Kuteteza.
Gallien P et al. Kuchuluka kwa chiwerengero cha odwala matenda ochuluka m'magulu ambiri a odwala 81. Ann Phys Rehabil Med . 2016 Sep; 59S: e39-e40.
> National MS Society. (2014). Mavuto Otopa Matenda: Mfundo Zenizeni.
Randall T. Shapiro. Kusamalira Zizindikiro za Multiple Sclerosis (5th ed.) . New York: Demos Medical Publishing, 2007.