Dokotala wanu mwina adanena kuti matenda omwe mwapezeka kuti muli nawo monga multiple sclerosis, nyamakazi ya nyamakazi, kapena matenda ena omwe amadzimva okhawo ali ndi chizolowezi chobwezeretsanso. Kodi izi zikutanthawuza chiyani, ndipo muyenera kudziwa chiyani pamene mukufuna njira yothandizira kuthana ndi matenda anu?
Tanthauzo
Matenda obwezeretsa kachiwiri amatanthauza kuti nthawi zina zimakhala zovuta kwambiri (kubwereranso) ndipo nthawi zina zimakhala bwino kapena zatha (kuchotsa).
Panthawi ya kupweteka kwanthawi yaitali, ululu udzakhalapo pang'onopang'ono kapena kwathunthu. Pakukhululukidwa, kupweteka kumatha kuchepa ndipo kumafuna chithandizo chamtundu uliwonse.
Kubwereranso ndi kukonzanso zikhalidwe kungapangitse mapepala ena, kapena akhoza kuyima ndi kuyamba ndi malemba osamveka kapena chifukwa. Ziphuphu zina zimawonjezereka ndi kuvulala kwina kapena zina.
Chifukwa chakuti zizindikiro za matenda zimabweranso ndikubwezeretsanso, odwala nthawi zambiri amakhulupirira kuti iwo amachiritsidwa ndi matenda awo, pamene, kwenikweni, amakhala okhululukidwa.
Mitundu itatu Yobwereza-Matenda Okulitsa
Pali mitundu yambiri ya matenda obwereranso otha kubwereza omwe angathe kufotokozedwa ndi zinthu zitatu makamaka.
Kubwereza-Kumakumbukira Ambiri Sclerosis (RRMS) . Pafupifupi 85 peresenti ya anthu omwe ali ndi multiple sclerosis amakhala ndi zomwe zimaonedwa ngati kubwezeretsanso-matenda ochotsera , chifukwa nthawi zambiri amakhala ndi magawo awiri komanso osagwira ntchito.
Kaŵirikaŵiri amadziŵika kuti Kubwezeretsa-Kuchulukitsa Matenda Ambiri (RRMS), matendawa omwe amadzimadzimadzika nthawi zambiri amachititsa kuti ziphuphu ziwonjezeke kwambiri zomwe zimawathandiza kugwira ntchito m'maganizo. Kubwereza nthawi zambiri kumatsatiridwa ndi nthawi yothandizira, nthawi yomwe zizindikiro zimakweza. Zizindikiro zodziwika za RRMS ndi mavuto a masomphenya, mavuto a m'mimba ndi chikhodzodzo, kutopa, kupweteka, kuuma, ndi mavuto ndi kukumbukira kapena kusungidwa kwa mauthenga.
Pomalizira pake, ambiri mwa anthuwa adzasintha kuti apitirizebe kuchulukirapo matenda osiyanasiyana , koma pang'ono kapena osabwereranso.
Matenda a Matenda a Matenda a Khunyu (RA) ndi matenda ena omwe amadziwika kuti ndiwabwezeretsa. Matenda a nyamakazi , omwe amachititsa chitetezo cha mthupi kugonjera ziwalo za thupi, chimakhudza minofu m'magulu. Zizindikirozi zimayambitsa zizindikiro za kutupa zomwe zingabweretse kuumitsa ndi kupweteka koopsa ndipo zingayambitse kuwonongeka kwa nthawi yaitali ndikupita patsogolo . Zizindikiro za kutupa kwa RA zingaphatikizepo malungo, kutukuta, kutaya thupi ndi kutopa. Pali magulu osiyanasiyana a mankhwala omwe angayambitse matendawa kwa nthawi yaitali, malingana ndi kuopsa kwa matendawa.
Lupus Erythematosus ( SLE ) yodalirika , matenda amodzimadzimadzi, amatsatiranso njira yobwezeretsa ndi kubwereranso. Mchitidwe wodwala lupus erythematosus ndi wowonjezeka kwambiri mwa amayi kuposa amuna ndipo akhoza kugunda pa msinkhu uliwonse. Mitundu yomwe imakhudzidwa ndi matendawa ndi African American ndi Asians. Zizindikiro za epusidasi za lupus zikuphatikizapo kutopa, kupweteka pamodzi, kutupa, zilonda zam'kamwa, kutaya tsitsi, kutentha thupi, kutaya mtima kwambiri, kukhudzidwa kwa dzuwa, kuthamanga kwa khungu ndi kutupa maselo.
Anthu ena omwe ali ndi SLE amakhalanso ndi nyamakazi, ndipo ziwalo za zala, manja, mawondo, ndi mawondo nthawi zambiri zimakhudzidwa. Zizindikiro zina ZONSE zimadalira mbali ya thupi LOTHANDIZA kupweteka, mwachitsanzo, mtima, mapapo, khungu, impso , kapena ziwalo zina. Ngakhale palibe chithandizo cha SLE, cholinga chake ndikuteteza zizindikiro zomwe zingabwere pulogalamu yokonzanso ndi yobwereza.
Kulimbana ndi Kubwezeretsedwa
Kulimbana ndi matenda obwereranso ndi obwezeretsa ndi kovuta kwambiri. Tili ndi chizoloŵezi chokhala ndi chizoloŵezi ndipo tingasinthe bwino bwino chikhalidwe chimene chimapezeka koma chimatsatira chitsanzo chodziŵika. Chodabwitsidwa, komabe, pobwezeretsa chikhalidwe chimakupangitsani kuti musakhale osakonzekera, monga zozizwitsa zina m'miyoyo yathu, zabwino kapena zoipa.
Izi zikachitika kawirikawiri, mukhoza kuyamba kudalira thupi lanu, kumverera kolakwika.
Kuwonjezera pa kumangokhalira kuganiza bwino, izi zimabwereranso ndipo zimatha kukukwiyitsani-komanso chifukwa chabwino. Malamulowa samatsatira malamulo ndipo samasewera mwachilungamo. Zingakhale zokhumudwitsa, makamaka, pamene zizindikiro zanu zimabwereranso pamene mukuchita zonse bwino, kapena musataye pamene mukuchita chirichonse cholakwika. Popeza mkwiyo ndi multiple sclerosis ungayambitsenso chifukwa cha kusintha kwa ubongo, kubwezeretsa ndi kubwezeretsa matendawa kungagwiritse ntchito mankhwala okalamba omwe amawotcha pamoto, Matenda omwe amadzipangika okha amatha kuwonetsa m'maganizo mwanu chisokonezo chachikulu . Chinthu chokha chomwe sichimawoneka kuti chikusintha ndikuti kusintha sikungapeweke.
Ngakhale pamene mukuyembekeza kubwereranso-pamene mwauzidwa ndikuwerenga kuti zimachitika-zikhoza kudabwitsidwa pamene zizindikiro zanu zimabwerera. Izi zingakhale zovuta kwambiri ngati zizindikiro zanu zakhala zikukhululukidwa kwa kanthawi.
Anthu ena amakumana ndi zovuta kwambiri kuti apirire matenda obwera chifukwa cha matendawa kusiyana ndi matenda oyamba omwe ali nawo. N'chimodzimodzinso ndi anthu amene amayamba kugonana ndi khansa ndipo kenako amatha kubwereza. Mukayamba kupeza kuti mumakhala pafupi ndi abwenzi ndi anzanu. Poyerekeza, mutabwereranso, nkhani yanu ndi "mbiri yakale" ndipo nthawi zambiri sichithamangira mofulumira.
Kuwonjezera pamenepo, kubwereranso kumakhala kukukumbutsa kuti muli ndi matenda. Ngati mutawapeza ndipo zizindikiro zanu zimakhala zokha kapena mwachipatala, malingaliro anu akhoza kupusitsidwa mosavuta kuti mwinamwake ndinu osiyana. Mosiyana ndi ena, chikhalidwe chanu sichidzabwereranso, kapena mwinamwake munapatsidwa matenda olakwika omwe mumapezeka poyamba. Kubwereranso ndi chikumbumtima chopanda nzeru kwambiri kuti muli ndi matenda ndipo sichidzatha basi.
Mwanjira ina, matenda obwereranso ndi ofanana ndi khalidwe lozunza anthu, ngakhale zili choncho, wovutitsayo ndi matenda. Wopondereza angakupangitseni kuganiza kuti simunakwaniritse, ndipo pamene adayambiranso kukukhulupirirani, akukugwetsani kwambiri, akukugwetsani pansi. Izi ndi zomwe zingamveke ngati chimodzi mwazimenezi chikubwerera.
Kulimbana ndi Mphotho
Chomwe chingadabwe ndi anthu ena ndi chakuti zingakhale zovuta kuthana ndi zofooka mu matenda monga momwe zimakhalira mobwerezabwereza. Kodi munayamba mwadzidzimva mukudandaula ndikudzifunsa kuti "phazi" lidzagwa liti? Hiatus yokha (kapena yaitali) ya matenda nthawi zina imabweretsa mphamvu yokwanira kuganizira za matenda anu. Pamene mukulimbana ndi kubwerezabwereza, mukuyang'ana pazomwe mukuchita. Koma pamene matenda anu amatha, mumasiyidwa ndi nthawi yoganiza: "Kodi matendawa ndiwachitanji pa moyo wanga?"
Mungaganize kuti kupeza chithandizo kapena kutenga nawo mbali mu gulu lothandizira kungakhale kofunika kwambiri pamene mukulephera kubwerera, koma zingakhale zofunikira kuti mupeze chithandizo mukakhala mukukhululukira. Ndiyomwe mafunso ambiri amabwera m'maganizo-mafunso omwe amakupangitsani kuti mupeze moyo wanu. Ndipo, kawirikawiri iwo amene adalimbana ndi kubwereranso ndi kudzipweteka okha omwe angathe kumvetsa bwino.
Zotsatira:
Firth, N. Mphamvu ya Maphunziro Ogwiritsidwa Ntchito a Maganizo Okhudza Maganizo a Magulu a Mipiringi Yambiri: Kubwereza kwa Zigawo Zoyesera. Journal of Health Psychology . 2014. 19 (6): 789-801.
Kalb, R. The Emotional and Psychological Impact of Multiple Sclerosis Akubwerera. Journal of Sciences of Neurological . 2007. 15: 256 Suppl 1: S29-33.
Solomon, A., ndi J. Bernat. Kubwereza kwa Makhalidwe a Kugwiritsa Ntchito Placebo M'mayesero Amakono Othandizira Kubwezeretsa-Kukhumudwitsa Amitundu Ambiri Sclerosis Therapeutics. Mavuto Ambiri Okhudzana ndi Matenda a Sclerosis . 2016. 7: 109-12.