Multiple sclerosis - kutulutsa

Dokotala wanu wakuwuzani kuti muli ndi multiple sclerosis (MS). Izi matenda amakhudza ubongo ndi msana (chapakati mantha dongosolo).

Kunyumba tsatirani malangizo a omwe amakuthandizani pa za kudzisamalira. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso.

Zizindikiro zimasiyanasiyana malinga ndi munthu. Pakapita nthawi, munthu aliyense amatha kukhala ndi zizindikilo zosiyana. Kwa anthu ena, zizindikiro zimatha masiku mpaka miyezi, kenako zimachepa kapena zimachoka. Kwa ena, zizindikiro sizimangokhala bwino kapena zochepa.

Popita nthawi, zizindikilo zimatha kukulirakulira (kupitilira), ndipo kumakhala kovuta kudzisamalira. Anthu ena samayenda pang'ono. Ena ali ndi kupita patsogolo kovuta kwambiri komanso mwachangu.

Yesetsani kukhala okangalika momwe mungathere. Funsani omwe akukuthandizani kuti ndi mtundu wanji wa zochitika ndi masewera olimbitsa thupi oyenera. Yesani kuyenda kapena kuthamanga. Kuyenda njinga mozungulira ndiyabwino kuchita masewera olimbitsa thupi.

Ubwino wochita masewera olimbitsa thupi ndi monga:

• Zimathandizira minofu yanu kukhala yotayirira
• Ikuthandizani kuti musunge bwino
• Zabwino mtima wanu
• Kumakuthandizani kugona bwino
• Zimakuthandizani kuti muzitha kuyenda m'matumbo pafupipafupi

Ngati mukukumana ndi zovuta zakuchulukirachulukira, phunzirani zomwe zimakulisa. Inu kapena omwe amakusamalirani mutha kuphunzira zolimbitsa thupi kuti zisamasuke.

Kuchuluka kwa kutentha kwa thupi kumatha kukulitsa matenda anu. Nawa maupangiri othandiza kupewa kutentha:

• Chitani masewera olimbitsa thupi m'mawa ndi madzulo. Samalani kuti musavalire zovala zochuluka kwambiri.
• Mukasamba ndi kusamba, pewani madzi otentha kwambiri.
• Samalani m'malo otentha kapena sauna. Onetsetsani kuti wina ali pafupi kuti akuthandizeni ngati mwatenthedwa.
• Sungani nyumba yanu yozizira nthawi yotentha ndi mpweya wabwino.
• Pewani zakumwa zoledzeretsa mukawona mavuto akumeza, kapena zizindikilo zina zikuwonjezereka.

Onetsetsani kuti nyumba yanu ndi yotetezeka. Fufuzani zomwe mungachite kuti muteteze kugwa ndikusunga bafa lanu kuti likhale lotetezeka.

Ngati mukuvutika kuyenda mnyumba yanu mosavuta, lankhulani ndi omwe amakupatsani mwayi wopeza thandizo.

Wopereka wanu akhoza kukutumizirani kwa othandizira azakuthandizani ndi:

• Zochita zolimbitsa thupi ndikuyenda mozungulira
• Momwe mungagwiritsire ntchito choyenda, nzimbe, chikuku, kapena zida zina
• Momwe mungakhazikitsire nyumba yanu kuti muziyenda bwinobwino

Mutha kukhala ndi mavuto kuyamba kukodza kapena kutulutsa chikhodzodzo njira yonse. Chikhodzodzo chanu chimatha kutuluka nthawi zambiri kapena nthawi yolakwika. Chikhodzodzo chanu chitha kukhala chodzaza kwambiri ndipo mutha kutuluka mkodzo.

Pofuna kuthandizira pamavuto a chikhodzodzo, omwe amakupatsani akhoza kukupatsani mankhwala. Anthu ena omwe ali ndi MS amafunika kugwiritsa ntchito patheter wamikodzo. Iyi ndi chubu chochepa chomwe chimayikidwa mchikhodzodzo chanu kukhetsa mkodzo.

Wothandizira anu amathanso kukuphunzitsani masewera olimbitsa thupi kuti akuthandizeni kulimbitsa minofu yanu ya m'chiuno.

Matenda a mkodzo amapezeka mwa anthu omwe ali ndi MS. Phunzirani kuzindikira zizindikirazo, monga kutentha mukakodza, kutentha thupi, kupweteka kwa msana mbali imodzi, komanso kufunika kokodza pafupipafupi.

Osasunga mkodzo wanu. Mukafuna kukodza, pitani kuchimbudzi. Mukakhala kuti simuli panyumba, muziyang'ana komwe kuli bafa lapafupi kwambiri.

Ngati muli ndi MS, mutha kukhala ndi zovuta kuwongolera matumbo anu. Khalani ndi chizolowezi. Mukapeza chizolowezi cha matumbo chomwe chimagwira, khalani nacho:

• Sankhani nthawi yanthawi zonse, monga mukatha kudya kapena kusamba mofunda, kuti muyesetse kuyenda.
• Khazikani mtima pansi. Zitha kutenga mphindi 15 mpaka 45 kuti matumbo ayende.
• Yesani kusisita bwino mimba yanu kuti muthandize chopondapo kupyola m'matumbo.

Pewani kudzimbidwa:

• Imwani madzi ambiri.
• Khalani achangu kapena khalani achangu kwambiri.
• Idyani zakudya zokhala ndi ulusi wambiri.

Funsani omwe akukuthandizani za mankhwala omwe mukumwa omwe angayambitse kudzimbidwa. Izi zimaphatikizapo mankhwala ena okhumudwa, kupweteka, kuwongolera chikhodzodzo, komanso kutuluka kwa minofu.

Ngati mumakhala pa njinga ya olumala kapena pabedi tsiku lonse, muyenera kuyang'ana khungu lanu tsiku lililonse ngati muli ndi zilonda. Yang'anani pafupi:

• Zitsulo
• Ankolo
• Maondo
• Chiuno
• Mchira
• Zigongono
• Mapewa ndi masamba amapewa
• Kumbuyo kwa mutu wanu

Phunzirani momwe mungapewere zilonda.

Dziwani za katemera wanu. Pezani chimfine chaka chilichonse. Funsani omwe akukuthandizani ngati mukufuna chibayo.

Funsani omwe akukuthandizani za mayeso ena omwe mungafune, monga kuyesa kuchuluka kwa cholesterol yanu, kuchuluka kwa shuga m'magazi, ndikufufuza fupa la kufooka kwa mafupa.

Idyani zakudya zopatsa thanzi kuti musakhale onenepa kwambiri.

Phunzirani kuchepetsa nkhawa. Anthu ambiri omwe ali ndi MS amamva chisoni kapena kukhumudwa nthawi zina. Lankhulani ndi abwenzi kapena abale za izi. Funsani omwe akukuthandizani kuti muwone katswiri kuti akuthandizeni ndi izi.

Mutha kupeza kuti mukutopa mosavuta kuposa kale. Dzichepetseni mukamachita zinthu zomwe zingakhale zotopetsa kapena zosowa chidwi.

Wopereka wanu atha kukhala ndi inu pamankhwala osiyanasiyana kuti muchiritse MS yanu ndi mavuto ena omwe amabwera nawo:

• Onetsetsani kuti mukutsatira malangizo. Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani.
• Dziwani zoyenera kuchita ngati mwaphonya mlingo.
• Sungani mankhwala anu pamalo ozizira, owuma komanso kutali ndi ana.

Itanani omwe akukuthandizani ngati muli ndi:

• Mavuto kumwa mankhwala osokoneza bongo
• Mavuto akusuntha ziwalo zanu (mgwirizano wophatikizika)
• Mavuto oyenda mozungulira kapena kutuluka pabedi kapena mpando wanu
• Zilonda za khungu kapena kufiira
• Ululu womwe ukukula kwambiri
• Kugwa kwaposachedwa
• Kutsamwa kapena kutsokomola mukamadya
• Zizindikiro za matenda a chikhodzodzo (malungo, kutentha pamene mukukodza, mkodzo wonyansa, mkodzo wamtambo, kapena kukodza pafupipafupi)

MS - kumaliseche

Calabresi PA. Multiple sclerosis ndikuwononga mawonekedwe amkati amanjenje. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 383.

Fabian MT, Krieger SC, Lublin FD. (Adasankhidwa) Multiple sclerosis ndi matenda ena otupa omwe amachititsa kuti matendawa asokonezeke. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 80.

Webusayiti ya National Multiple Sclerosis Society. Kukhala bwino ndi MS. www.nationalmssociety.org/Living-Well-With-MS. Inapezeka pa Novembala 5, 2020.

• Multiple sclerosis
• Chikhodzodzo cha Neurogenic
• Chamawonedwe neuritis
• Kusadziletsa kwamikodzo

• Chitetezo cha bafa cha akulu
• Kusamalira kuchepa kwa minofu kapena kupindika
• Kuyankhulana ndi munthu yemwe ali ndi dysarthria
• Kudzimbidwa - kudzisamalira
• Kudzimbidwa - zomwe mungafunse dokotala
• Pulogalamu yamasiku onse yosamalira matumbo
• Gastrostomy yodyetsa chubu - bolus
• Thumba lodyetsera la Jejunostomy
• Zochita za Kegel - kudzisamalira
• Zilonda zamagetsi - zomwe mungafunse dokotala wanu
• Kupewa kugwa
• Kuteteza kugwa - zomwe mungafunse dokotala wanu
• Kupewa zilonda zamagetsi
• Kudziletsa catheterization - wamkazi
• Kudzipangira catheterization - wamwamuna
• Chisamaliro cha catheter cha Suprapubic
• Kumeza mavuto
• Matumba otulutsa mkodzo
• Mukakhala ndi vuto la kukodza mkodzo

• Multiple Sclerosis