Kutopa ndi chimodzi mwa zizindikiro zowonongeka ( multiple) , ngati sizingakhale zovuta kwambiri. Nthawi zambiri, kutopa kwathunthu ndi kufooka maganizo kwa MS kumatopa kumachokera ku kuphatikiza kwa matenda omwewo ndi zina monga mankhwala, kusowa tulo, kuvutika maganizo, kapena kusagwira ntchito.
Nkhani yabwino ndi yakuti ngakhale mtolo wolepheretsa wa MS umakhala wovuta, pali zinthu zomwe mungachite kuti muchepetse.
Nazi njira 10 zomwe mungagwirizane nazo kuti muthane ndi kutopa kwanu komanso kumverera bwino.
Kukhalabe Wokonzeka Kumenyana MS Kutopa
Kutopa kumatha kuvulaza pamene kutentha kwa thupi kumatuluka-izi zimatchedwa kuti Uhthoff . Mwachitsanzo, mungazindikire kuti kutopa kwanu kwa MS kumapweteka kwambiri pakakhala kusamba, kutentha kwa chilimwe kunja, kapena malungo. Kuwonjezereka kwanu kwa MS kungakhale kochititsa chidwi kwambiri, anthu ena amaopa ngakhale kuti akusowa kachilombo ka MS. Nkhani yabwino ndi yakuti ndi kutentha kwa kutentha, zizindikirozo zimathetsa, kotero kutopa kwanu kuyenera kuchoka (kapena kubwerera kuyambira) pamene mutakhala pansi.
Kulepheretsa chodabwitsa ichi kuti chichitike poyambirira ndi kupambana kwanu. Malangizo akuphatikizapo:
- Kusungirako zipangizo zapanyumba zanu
- Kutenga mawotchi oyendayenda ndi inu kapena ma pulogalamu omwe mungakhale nawo mu zovala zanu
- Kumwa madzi ozizira tsiku lonse
- Kufuna mthunzi kunja
- Kuwona chovala chozizira
- Kuchita m'mawa kapena madzulo pamene kutentha kunja kumakhala kozizira
- Kuvala zovala za thonje zowonongeka, kunja
Sungani Mphamvu
Lingaliro la kusungirako mphamvu ndikuti matupi a anthu omwe ali ndi MS ayenera kugwira ntchito mwakhama kuti achite chilichonse-kusuntha, kuganiza, ndi kumverera-chifukwa kulankhulana kwa mitsempha sikulephereka ndipo kunachepa.
Izi ndizo chifukwa chake akatswiri amaganiza kuti kutopa kwa MS sikungowononga thupi. Nthaŵi zambiri imaphatikizapo kutopa maganizo, komwe kumatchedwa "ubongo wa ubongo." Chilichonse chimangothamanga mosavuta.
Mwina mungafunikire kulingalira chamtsogolo momwe mungatetezere mphamvu zanu tsiku ndi tsiku. Izi zikhoza kukhala zonyenga, koma mukangoyamba kuyenda, kusungirako magetsi kungakhale njira yabwino yothetsera kutopa kwanu. Njira zingapo zomwe mungagwiritsire ntchito mphamvu yanu ndi izi:
- Kumanga nthawi nthawi yanu, monga masana a mphindi makumi asanu ndi awiri
- Kukonzekera zochitika zowonjezera mphamvu monga kugula, kuyeretsa, kapena kulipira ngongole m'mawa pamene iwe uli wochepa
- Pemphani mnzanuyo kuti azigwira ntchito zambiri zapakhomo
- Gwiritsani ntchito galimoto yanu kapena njinga ya olumala kuti muziyendayenda tsiku lonse
Kuziikira Zosavuta
Pewani chisokonezo pamoyo wanu momwe mungathere. Chotsani nyumba yanu ndi malo ogwirira ntchito ndikupanga nyumba yanu kukhala malo osangalatsa, ofunda komanso ogwiritsidwa ntchito. Wodwala wogwira ntchito angathe kuthandiza kwambiri pakupanga malo abwino ogwira ntchito kunyumba ndi ntchito pogwiritsa ntchito zolephera zanu ndi zofunikira za MS.
Komanso, funani thandizo ndi chithandizo cha okondedwa anu. Ambiri amafuna kuthandizira, koma samadziwa momwe angafunire kapena kuti asayende pazwanje.
Lembani mkazi woyeretsa kapena funsani mnzanu kuti akuthandizeni polemba nyumba kapena kugula kamodzi pa sabata. Ngati muli ndi ana, funsani abwenzi ku carpool ndikuganizirani kudula chiwerengero cha ntchito zawo zapadera. Iwo angasangalale kuti azikhala ndi nthawi yochuluka panyumba panu.
Dzipatseni Nthawi Yomwe Mungathetsere Kupanikizika
Ndi moyo wambiri, zimakhala zovuta kuti aliyense adzipezere nthawi. Izi zingakhale zovuta kwa iwo omwe ali ndi MS omwe akuvutika kuti akwaniritse zosowa za tsiku ndi tsiku, zomwe zimasiyana malinga ndi msinkhu wanu. Koma chonde yesetsani kuchita zinthu zomwe mumazisangalala kamodzi pa sabata.
Kusokoneza kwabwino kungachititse zodabwitsa za kutopa kwanu.
Ngati mwawona kuti kupanikizika kukukhudzani kwambiri, mumatha kupeza thandizo la akatswiri. Thandizo la maganizo ndi katswiri wa zamaganizo kapena wodwala zamaganizo angakuthandizeni kuthana ndi vuto lanu labwino komanso labwino.
Pangani Pulogalamu Yanu Yodzichepetsa
Kuchita masewera olimbitsa thupi kwapezeka mu maphunziro a sayansi kukonzetsa MS kutopa, kuphatikizapo zizindikiro zina monga mavuto a chikhodzodzo ndi matumbo ndi kupsinjika maganizo. Kuchita masewera olimbitsa thupi n'kofunikanso kuti munthu akhale ndi thanzi labwino.
Nkhani yabwino ndi yakuti pali njira zingapo zochitira masewera olimbitsa thupi. Ndi dokotala wanu kapena wodwalayo, pangani ndondomeko yochita masewera olimbitsa thupi yomwe ikukuthandizani mogwirizana ndi zosowa zanu, zofooka zanu, ndi zofuna zanu. Pulogalamu ikhoza kuphatikizapo kuyenda tsiku ndi tsiku, kumaluwa, kuvina mpira, kusambira, kapena kuchita masewera komanso kutambasula pamene mukugona ndi mnzanu madzulo.
Mungazidabwe ndi momwe mungakhalire ndikukonzekera mtima wanu. Komabe, onetsetsani kuti muzisamala nokha-musamangokakamiza kwambiri, mofulumira kwambiri. Kumbukirani kuti mukhalebe ozizira. Tengani botolo la madzi ndi inu pa masewera olimbitsa thupi, muthamangire madzi ozizira pamwamba pa ziwalo zanu mukakhala otenthedwa, ndipo muzivala zovala zopepuka, zovala zopuma.
Pangani Chithandizo Chokwanira
Njira zochiritsira ndizochiritsira zomwe zimagwiritsidwa ntchito kuwonjezera pa mankhwala ochiza matenda kuti athetse zizindikiro za MS. Sizitsimikiziridwa kuti zasintha njira za MS koma zimakhala zotetezeka, kulola munthu kutenga mbali mwachangu pa umoyo wawo wa MS, ndipo apezedwa m'maphunziro ena kuti akwaniritse zizindikiro zambiri za MS, monga kutopa.
Mankhwala omwe apezeka kuti akuthandizidwa ndi kutopa kwa MS ndi yoga, kusinkhasinkha, kupemphera, ndi reflexology -mawonekedwe a kusisitala komwe kuponderezedwa kumagwiritsidwa ntchito ku mapazi (kapena mbali zina za thupi ngati manja) pofuna kulimbikitsa machiritso mkati ubongo ndi msana wa msana. Yoga , yomwe imaphatikizapo kusinkhasinkha, njira zopuma kupuma, ndi kuchita masewero olimbitsa thupi, nthawi zambiri ndi njira yabwino kwa anthu omwe ali ndi MS omwe sangachite nawo pulogalamu yochita masewera olimbitsa thupi.
Ganizirani mankhwala olembera mankhwala
Nthawi zina dokotala wanu amalimbikitsa mankhwala kuti akuthandizeni kuthana ndi kutopa kwanu, ndi pulogalamu yomwe mumagwiritsa ntchito njira zina zosamaliranso. Mankhwalawa angakhale othandiza kwa anthu ena, koma nthawi zambiri sali yankho la matsenga kuchiza kutopa kwanu. Iwo ali ndi zotsatira zina, zomwe zingakhale zosafunika kwa inu.
Mankhwala omwe nthawi zina amalembedwa ndi odwala matenda a ubongo kuti athetse kutopa ndi awa:
- Symmetrel (amantadine)
- Provigil (modafinil)
- Ritalin (methylphenidate)
Lankhulani ndi dokotala wanu ngati chimodzi mwa mankhwalawa chingakuthandizeni. Ndikofunika kumvetsetsa kuti pali njira zosiyana zothandizira kumwa mankhwalawa. Sizochita zonse kapena kanthu kalikonse. Mwachitsanzo, munthu yemwe ali ndi MS angatenge okha Provigil awo ngati akudziwa kuti adzakhala ndi tsiku lalitali, lolemetsa. Munthu wina angafunike Ritalin tsiku ndi tsiku kuti athetsetu kutopa kwawo.
Pezani ZZZ Zanu
Kugona ndi chinthu chokongola, ndipo, mwatsoka, ambirife sitingakwanitse. Kwa iwo omwe ali ndi MS, zizindikiro ngati kudzuka pakati pa usiku kuti muzigwiritsa ntchito bafa ndi kupweteka, miyendo yopopera nthawi zambiri imayesayesa kuti mugone bwino komanso nthawi yaitali. Matenda ogona ndi omwe angayambitse vuto lanu la kugona, monga matenda osabisala kapena kugona tulo .
Mutha kusintha kuchuluka kwa ubwino wanu ndi kugwiritsira ntchito zizoloŵezi za kugona monga:
- Kugona nthawi imodzimodzi usiku uliwonse, mosasamala za tsiku la sabata
- Kukhala ndi nthawi yausiku (mwachitsanzo, kusambiranso kutentha komwe kumabwera ndi zosangalatsa zosawonetsa TV ndi wokondedwa wanu m'chipinda chokhalamo / kupewa maulendo opondereza, imelo, TV pa bedi)
- Bwerezeraninso nthawi yanu yopuma, ngati zikutsutsana ndi kugona kwanu usiku
- Pewani kapena kuchepetsa kubwereka pa khofi, makamaka madzulo
- Kulepheretsa kapena kupewa kumwa mowa, zomwe zingasokoneze kugona kwanu
- Kuchiza zizindikiro zanu za MS (mwachitsanzo, taganizirani mankhwala kuti muzitha kutulutsa mpweya wanu ngati mukudzuka usiku kuti mutenge ndi kupewa madzi pa usiku)
Kuwona dokotala wanu chifukwa cha kupweteka kwa matenda oyambirira a kugona (phunziro la kugona lingakhale lothandiza)
Onaninso Ma ARV Amakono
Zingadabwe kuti mankhwala omwe mumalandira kuti mukhale ndi zizindikiro za MS mwina angakhale omwe amachititsa kuti mukutopa kapena kuti muwathandize. Mwachitsanzo, mankhwala oletsa anticholinergic omwe amachititsa kuti mitsempha yanu isagwedezeke, ingayambitse kutopa, monga momwe zingathandizire mankhwala othandizira matenda. Zosangalatsa za mitsempha zomwe zimagwiritsidwa ntchito pochita zinthu mosakanikirana zingayambitsenso kutopa.
Lankhulani ndi dokotala wanu za momwe mungathetsere zotsatira za mankhwalawa. Dokotala wanu angapangire kuti asinthe mankhwala anu kapena kusintha nthawi ya dosing, monga kutenga Avonex yanu pamapeto a sabata pamene mutha kupuma kapena kungotenga minofu yanu kukhala yosangalala madzulo.
Onani Dokotala Wanu pa Zomwe Mumamva Zosoni
Kuvutika maganizo sikungayambitse kufooka kwanu, koma kungakhale kukuipiraipira. Kuchiza matenda anu, nthawi zambiri pogwiritsa ntchito mankhwala ndi mankhwala, monga chongoganizira-khalidwe lachidziwitso, zingathandize kwambiri kutopa kwanu kwa MS.
Ndipotu simungazindikire kuti mumatopa bwanji, kapena kuti kutopa kwanu kumakhudza bwanji maganizo anu. Nthawi zambiri zimakhala zovuta kwambiri zomwe zimayambitsa china. Kuwonjezera pa kukhumudwa ndi kusakhala ndi chidwi chochita zinthu zomwe poyamba munkazipeza, zizindikiro zina za kupsinjika maganizo zimaphatikizapo kusintha kwa njala ndi tulo, kukwiya, ndikudzimva wopanda chiyembekezo kapena kudziimba mlandu.
Mawu Ochokera
Nthawi zambiri zimatenga njira zingapo zothandizira kutaya kwanu kwa MS, koma zingatheke ndi kudzipatulira ndi kuyesetsa tsiku ndi tsiku. Musataye zolinga kapena kutsika ngati njira zanu nthawi zina zimakulepheretsani, ndipo mumangotenga "kugona pabedi ndi kugona" tsiku. Dzisokonezeni nokha, komanso khalani bwenzi lanu lapamtima.
Zotsatira:
Cramer, H., Lauche, R., Azizi, H., Dobos, G. & Lanhhorst, J. (2014). Yoga kwa multiple sclerosis: ndondomeko yowonongeka ndi kusanthula meta. PLoS One , Nov 12/9 (11): e112414.
Krupp, LB, Serafin, DJ, & Christodoulou, C. (2010). Matenda ambiri okhudzana ndi matenda a sclerosis. Kukambirana kwa akatswiri a Neurotherapeutics, Sep; 10 (9): 1437-47.
Namjooyan, F., Ghanavati, R., Majdinasab, N., Jokari, S., & Janbozorgi, M. (2014). Kugwiritsa ntchito mankhwala othandizira komanso osakaniza mu multiple sclerosis. Journal of Medicine Complementary Medicine , Jul-Sep; 4 (3): 145-52.