Ngati muli ndi dysphagia, fufuzani pa mfundo izi kuti muzitha kumeza
Zizindikiro zambiri zomwe zimabwera ndi multiple sclerosis (MS) zingakuchititseni kumverera ngati palibe ntchito ya thupi lanu yomwe ilibe kanthu. Ululu, mavuto a masomphenya, chizungulire-ndipo tsopano vuto likumeza? Pakakhala pakati pa 30 ndi 40 peresenti ya anthu omwe ali ndi MS akuyembekezeredwa kuti ayambe kumeza, omwe amadziwika kuti dysphagia , nthawi imodzi.
Mwamwayi, zizindikiro zambiri za MS zimabwera ndikupita kwa zaka zambiri, ndipo pankhani yodyera ndi kumwa, pali zambiri zomwe mungachite kuti kuchepetsa mwayi wanu wokukha kapena kukonza chikoka cha chibayo (pamene chakudya kapena zakumwa zimalowetsedwa mu trachea ndi mapapu , kuchititsa matenda).
Dysphagia mwa Anthu Amene Ali ndi MS
Ngakhale kuti dysphagia ingakhale yovuta bwanji, ndizofunika kuti ife omwe tili ndi MS omwe titha kupirira mavuto, tiwone bwino zizoloŵezi zathu ndikudya ndikuwona ngati tingathe kukhazikitsa zizolowezi zatsopano. Mavuto ena omeza akhoza kukhala osamvetsetseka moti simungawazindikire, kupatula ngati nthawi zina mumadya chakudya kapena mumakhala ndi chifuwa poyesa kumwa mapiritsi.
Malangizo Othana ndi Mavuto Otsutsana ndi MS
Nazi njira zisanu ndi zitatu zothetsera mavuto okhudzana ndi MS. Mungathe kuzindikira kuti nsonga zambiri m'munsiyi sizongokhala "luntha," ndizinso zomwe amayi athu adayesera kuti tizitsatira m'mutu mwathu monga ubwino wamakhalidwe abwino.
Khalani molunjika. Nkofunika kukhala ndi ramrod-molunjika, osati pokhapokha ndikudya komanso kwa mphindi 30 mutatha kudya. Izi zikugwiritsidwa ntchito pazochitika zonse, osati nthawi yodyera - izi sizikutanthauza kutayika pansi pansi pamene mukukhamukira ku nachos mu Superbowl ndipo simukugwetsa pansi pa mpando wanu pomwe mukukakamira pamapikisoni m'mafilimu.
Kodi thupi lifufuze musanadye. Fufuzani ndi thupi lanu musadye chakudya. Ngati zizindikiro zina zanu zikuyendetsa bwino, pali mwayi woti dysphagia wanu alowemo, inunso mukhale osamala kwambiri kuti mufufuze pang'onopang'ono komanso kuti mupange zosankha zanu. Kumbukirani kuti kutopa kudzathandizanso kumeza mavuto.
Ndipo mwina sibwino kudya kunja kwa nyengo yozizira, chifukwa kusagwirizana kwa kutentha kungawonjezere zizindikiro zonse za MS .
Pewani zakudya zolimba, zouma, ndi zakuda. Zakudya zovuta, zowonongeka, zowuma komanso zopanda pake, monga granola, zimachoka m'matumbo anu ndi mphepo zomwe zimapangitsa kuti dysphagia yanu ikhale yaikulu. Kuwongolera zakudya izi (kunena, kuyamwa granola mu mkaka ndikuwotcha) kapena kupewa zakudya zamtundu uliwonsezi zingakuthandizeni. Mungafunike kudya chakudya chofewa kapena choyera (m'malo mwa granola, mwina yesani pulogalamu ya oatmeal).
Musalankhule ndi chakudya m'kamwa mwako. Kachiwiri, ndi nthawi zingati zimene mwamvapo pamene mukukula? Mmalo moyankhula ndi chakudya chokamwa, yesetsani kudya mwakachetechete, mukutafuna chakudya chanu, pamalo amtendere. Ngati mukudya chakudya chamasana ndi anzanu kapena anzako, onetsetsani kuti mukutafuna bwino musanayambe kulowa.
Idyani zambiri moganizira. Mu chikhalidwe chathu chodziwika bwino, ndizofala kwambiri kudya kapena kuthamanga chakudya pamene tikuchita chinthu china kusiyana ndi kupatula mphindi 20 kuti tiganizire chakudya chanu. Koma ndi zovuta zowononga MS, muli ndi chifukwa chachikulu chodyera chochitika popanda kusokoneza kotero kuti mutha kusangalala ndi kuluma kulikonse-ndipo mwinamwake mungapeze kuti njirayi ndi yosangalatsa kwambiri.
Yesani njira iyi: Ikani chakudya pa foloko ndikuyiyika pakamwa panu. Ikani foloko yanu pansi. Sakanizani zakudya zanu bwinobwino, kenako muze. Musatenge mphanda wanu mpaka mutamwa pakamwa panu. Izi zidzakulolani kuti mugwiritse ntchito ngodya iliyonse musanayambe kukambirana ndi kuluma kwotsatira.
Tch chinangwa chako. Yesani kumangirira chifuwa chanu kuchifuwa pang'ono pamene mukumeza. Kusuntha chitsulo chanu mu hafu imodzi inchi kumatseketsa mpweya, kuteteza chakudya ndi madzi kuti zisalowe m'mapweya anu opuma .
Kudya zakudya zing'onozing'ono kawirikawiri m'malo modya katatu pa tsiku. Monga momwe ziliri ndi ntchito ina yothandizira, tingathe "kumeza kutopa," komwe minofu yathu imatopa ndipo chidwi chathu chimayamba kuyendayenda kumapeto kwa chakudya chachikulu.
M'malo moyesera kuti "uchite" ndi chakudya chosakaniza mofulumira ndi kulumidwa kwakukulu, yesetsani kudya chakudya muzipinda zing'onozing'ono. Zidzakhala zosavuta kudya pang'onopang'ono ndikuganizira kwambiri kuluma.
Zina pakati pa zakumwa ndi zolimba. Kwa anthu ena, kuvomereza mavuto kukuwonetsa ngati mavuto kuti chakudya chifike pansi. Zingakhale zothandiza kutenga sipang'ono kapena madzi awiri pakati pa kulira. Izi zidzasunga chakudya chozizira ndi kusunthira. Tsirizani chakudya chanu ndi madzi ena.
Kambiranani ndi dokotala wanu za mawonekedwe a madzi omwe akukuta. Kwa anthu ena, zakumwa zamadzimadzi zimayamba kuyenda "njira yolakwika," zomwe zimayambitsa kusuta ndi kukokera. Pali zowonjezera zowonjezera zomwe zingathe kuwonjezeredwa ku zakumwa kuti ziwathandize kumapita bwino. Zakumwa zowonongeka ndi ogulitsa zamalonda zingagulidwe pa mankhwala osokoneza bongo komanso pharmacies. Koma chifukwa chakuti zina mwa izo zimapangidwa ndi zosakaniza zowonjezera, ndipo zingayambitse kutaya madzi m'thupi ngati zimadalira kwambiri, ndibwino kuti muyankhule kwa dokotala poyamba.
Zotsatira:
Courtney, Susan Wells. Chidziwitso cha Chizindikiro: Mavuto Otsitsa. Motivator. (Lofalitsidwa ndi Multiple Sclerosis Association of America) Fall 2007; 38-39.
Randall T. Shapiro. Kusamalira Zizindikiro za Multiple Sclerosis (5th ed.) . New York: Demos Medical Publishing, 2007.
Pulogalamu ya Multiple Sclerosis. Kuwongolera Mavuto.
Walker, Katherine, ndi Selinger, Marilyn. Kuwongolera Mavuto (Dysphagia) mu Multiple Sclerosis: Njira Yopereka. US Department of Veteran's Affairs, September 2009.