Kudziwa Zomwe Uyenera Kuyembekezera Kungakuthandizeni Kukonzekera
Ngati mwapezeka posachedwapa ndi amyotrophic lateral sclerosis (ALS) kapena matenda ena a neuron, mwinamwake muli ndi mafunso ndi nkhawa zokhudza tsogolo lanu. Pakadali pano, palibe mankhwala othetsera matendawa. Koma izi sizikutanthauza kuti simungathe kupeza chithandizo. Pali zambiri zomwe zilipo, zomwe zingakupangitseni kukhala omasuka monga momwe mungathere, ndi zina zomwe zingakhudze momwe mutha kukhalira.
Kudyetsa mu ALS
ALS pang'onopang'ono imadula anthu amphamvu kuti athe kusuntha. Popeza chakudya chokwanira ndi chofunikira kuti tikhalebe olimba, n'zosavuta kulingalira momwe zakudya zabwino zingakhalire kwa munthu amene akudwala ALS. Koma kudya sikuli kosavuta nthawi zonse, makamaka pakapita nthawi. Minofu yomwe imathandizira kumeza ingagwirenso ntchito. Kukwanitsa chifuwa ngati chakudya chikutsika kachilombo kolakwika kangathe kusokonezeka. Chotsatira chake, ndikofunika kutsimikizira kuti palibe zizindikiro zogwedeza pamene akudya.
Panthawi ina, odwala omwe ali ndi ALS amapindula ndi kuyesa kuti amatha kumeza, monga kuphunzira kwa Barium . Amatha kudya ndi kumwa kokha chakudya ndi madzi amodzi, monga zakudya zofewa kapena zakumwa zamadzimadzi. Pambuyo pake, phukusi lokhazikika lomwe limakhala lokhazikika (PEG) liyenera kukhala lofunikira kuti lipereke zakudya zokwanira. Ngakhale kuti PEG ikhoza kumapangitsa kuti pakhale nthawi yochulukirapo powonjezerapo kuchuluka kwa zakudya zowonjezereka, palibe vitamini kapena zina zowonjezera zomwe zatsimikiziridwa kuti zithandizira kuthandizira ndi ALS.
Kupuma mu ALS
Simukusowa kuti mukhale wathanzi kuti muzindikire kupuma ndikofunikira, kapena kuti zimatengera mphamvu kuti mupume. Pamene ALS ikupita, komabe kupuma kosavuta kungakhale kovuta, ndipo kumafuna gulu la akatswiri azachipatala. Kuwonjezera pa kupititsa patsogolo moyo wa anthu omwe ali ndi ALS, kusamalira bwino kupuma kungathandizenso mphamvu, mphamvu, usana, kugona, kugona, kuvutika maganizo, ndi kutopa.
Pazifukwa izi, zingakhale bwino kuti mpweya wanu uyesedwe mofulumira komanso nthawi zambiri, ngakhale simukumva kuti mukukumana ndi mavuto.
Thandizo lakupuma likhoza kuyamba usiku ndi njira yopanda mpweya wabwino monga CPAP kapena BiPAP. Izi zimathandizira mlengalenga ndikuonetsetsa kuti ngakhale pamene thupi limapumula, limalandira oxygen yokwanira ndipo imatulutsa carbon dioxide. Pamene ALS ikupita, mpweya wosagwira ntchito ungakhale wofunikira masana komanso usiku. Potsirizira pake, njira zowonongeka kwambiri monga mpweya wabwino zimayenera kuganiziridwa. Njira ina ndiyo kupweteka kwa mpweya, komwe minofu yowonjezera mapapu imakhala ndi mphamvu yogwiritsa ntchito magetsi kuti ithandize kugwirizana pamene magalimoto amatha kutumiza uthengawu. Zosankha zonsezi zikhoza kukambidwa bwino ndi gulu limodzi kuphatikizapo katswiri wa zamagulu, opaleshoni ya kupuma, komanso mwinamwake wamapiratologist.
Kuteteza Mphepete mwa Madzi ku ALS
Kuphatikiza pa kuwonjezera mapapu, kupuma kumafuna kuti mpweya wonse ukhale wotseguka, mmalo mozembedwa ndi mucous, pakamwa pakamwa, kapena chakudya. Pamene tili ndi thanzi timateteza thambo lathu pakumeza nthawi zonse, kutsokomola, ndi kutenga nthawi zina kupuma, onse popanda kuganizira.
Ngati ndife ofooka kwambiri kuti tisawononge kapena tikakokera bwino, chithandizo chili chofunika kuti tipewe ulendo wodutsa.
Njira zambiri zowathandiza kuti mapapu atsegule. Kugona ndi mutu wongowonongeka kungathandize kuteteza kusungunuka kuti usayambe kugwiritsira ntchito chubu. Odwala opuma opaleshoni angaphunzitse abwenzi ndi abambo momwe angathandizire kuti chifuwa chiwathandize. Njira zina zamakono zamakono zimaphatikizapo kutsekemera / kutuluka kwapadera (MIE), yomwe imaphatikizapo chipangizo chomwe chimapepuka m'mapapu pang'onopang'ono. Mphepete mwa khoma lapamwamba (HFCWO) imaphatikizapo chovala chogwedeza chimene, ngati chovala ndi wodwala, chimathandiza kupweteka mu mapapo kuti chikhomere mosavuta.
Ngakhale mauthenga oyambirira a momwe mphamvu ya HFCWO yathandizira, odwala ambiri amamva kuti ndi othandiza.
Mbali ina ya kutetezera mpweya ndi kuchepetsa kuchuluka kwa zobisika zopangidwa ndi mphuno ndi pakamwa. Zingayambitse kupweteka, komanso kuika wodwalayo pangozi yowonjezera kupuma mpweyawo m'mapapo. Mankhwala osiyanasiyana amapezeka kuti athandizidwe kuteteza chinsinsichi.
Sungani Patsogolo mu ALS
Palibe njira yozungulira izo. Potsirizira pake, tonsefe timamwalira, ndipo anthu okhala ndi ALS amafa posachedwa kuposa ena. Pomwe nthawi zambiri zowonjezera zowonjezereka zikufunika, anthu omwe ali ndi ALS amavutika chifukwa cha kusintha kwawo kwakukulu kwa kuyankhula kwawo. Ena adzavutika ndi matenda a EDS, ndipo ena adzangotayika pakamwa pawo, m'zinenero zawo, ndi pamtundu wawo. Panthawi imeneyi, akatswiri azachipatala omwe amasamalira wodwalayo ayenera kudalira pazomwe adanena kale zomwe wodwala angafunire pokhudzana ndi chisamaliro chawo, kapena kudalira wopanga chisankho.
Mulimonse mmene zingakhalire, ngati mulipo, kodi mungafune kuti chithandizo chamoyo chithera ndi mpweya wabwino, kudyetsa ma tubes, ndi zina? Izi ndi zosankha zaumwini, zomveka, zoyenera, komanso zachipembedzo. Ndikofunika kukonzekera patsogolo pakukonzekera chifuniro cha moyo kapena mphamvu ya woweruza milandu , kuti muthe kuyandikira mapeto a moyo ndi ulemu womwe mukuyenera.
Zotsatira:
Miller, RG, et al. (2009). Gwiritsani ntchito ndondomeko ya Parameter: Chisamaliro cha wodwala ndi amyotrophic lateral sclerosis: Mankhwala, zakudya, ndi mankhwala opuma. Lipoti la Quality Standards Subcommittee ya American Academy of Neurology, Neurology , 73 (15): 1218-26
Miller, RG, et al. (2009). Gwiritsani ntchito ndondomeko ya Parameter: Chisamaliro cha wodwala ndi amyotrophic lateral sclerosis: Kusamalidwa kwa mitundu mitundu, kusamalidwa kwa zizindikiro, ndi kukhumudwa / khalidwe lachidziwitso. Lipoti la Quality Standards Subcommittee ya American Academy of Neurology, Neurology, 73 (15): 1227-33.
Orla Hardiman, (2011). Kusamalira zizindikiro za kupuma mu ALS. Journal of Neurology , 258 (3): 359-65.
KUDZIZIRANI: Zomwe zili pa tsamba ili ndi zolinga za maphunziro okha. Sitiyenera kugwiritsidwa ntchito ngati choloweza m'malo mwa chisamaliro cha munthu wodwala wovomerezeka. Chonde funsani dokotala wanu kuti apeze matenda ndi chithandizo cha chilichonse chokhudza zizindikiro kapena matenda .