Funsani Katswiri: Malangizo a Anthu Omwe Ali ndi RRMS

Zamkati

• Njira yabwino yosamalira RRMS ndi iti? Kodi ndingachedwetse kukula kwake?
• Kodi ndiyenera kuchita chiyani ndikadwala MS?
• Kodi pali njira iliyonse yochepetsera kuchuluka kwa ziwopsezo za MS zomwe ndimakumana nazo?
• Kodi pali zakudya kapena zakudya zina zomwe mumapereka pa RRMS?
• Kodi ndizabwino kumwa mowa nthawi zina?
• Kodi kuchita masewera olimbitsa thupi kumathandiza bwanji pa RRMS? Ndi machitidwe ati omwe mumapereka, ndipo ndingakhale bwanji olimbikitsidwa ndikatopa?
• Kodi zochitika zolimbikitsa m'maganizo zitha kusintha magwiridwe anga antchito? Nchiyani chimagwira bwino kwambiri?
• Kodi ndiyenera kuchita chiyani ngati mankhwala anga a MS ayambitsa zovuta?
• Kodi ndingapeze bwanji chilimbikitso cha MS?
• Kodi upangiri wanu ndi uti kwa anthu omwe angopezeka ndi RRMS?

Njira yabwino yosamalira RRMS ndi iti? Kodi ndingachedwetse kukula kwake?

Njira yabwino yothetsera kubwerera m'mbuyo kwa multiple sclerosis (RRMS) ili ndi othandizira kusintha matenda.

Mankhwala atsopano amathandiza pakuchepetsa zilonda zatsopano, kuchepetsa kubwereranso, ndikuchepetsa kukula kwa olumala. Kuphatikiza ndi moyo wathanzi, MS imatha kuwongoleredwa kuposa kale.

Kodi ndiyenera kuchita chiyani ndikadwala MS?

Ngati mukumane ndi zizindikiro zatsopano zomwe zimatenga maola 24 kapena kupitilira apo, kambiranani ndi dokotala wanu wamaubongo, kapena pitani kuchipinda chodzidzimutsa. Chithandizo choyambirira ndi ma steroids chitha kufupikitsa kutalika kwa chizindikiritso.

Kodi pali njira iliyonse yochepetsera kuchuluka kwa ziwopsezo za MS zomwe ndimakumana nazo?

Kuchita chithandizo chothandizira kusintha matenda (DMT) kumathandiza kuchepetsa kuchuluka kwa ziwopsezo za MS ndikuchepetsa kukula kwa matenda. Chiwerengero cha ma DMTs pamsika chawonjezeka mwachangu mzaka zaposachedwa.

DMT iliyonse imakhala ndi zotsatira zosiyana pakuchepetsa kubwerera. Ma DMTs ena amakhala othandiza kuposa ena. Lankhulani ndi dokotala wanu za kuopsa kwa mankhwala anu komanso momwe angathetsere zilonda zatsopano ndikuyambiranso.

Kodi pali zakudya kapena zakudya zina zomwe mumapereka pa RRMS?

Palibe chakudya chimodzi chomwe chatsimikiziridwa kuti chimachiritsa kapena kuchiza MS. Koma momwe mumadyera zimakhudza mphamvu zanu komanso thanzi lanu lonse.

akuwonetsa kuti kudya zakudya zambiri zopangidwanso ndi sodium kumatha kuwonjezera kukulira kwa matenda powonjezera kutupa m'matumbo.

Kubetcha kwanu kwabwino ndikudya zakudya zomwe zili ndi michere yambiri komanso mumchere wambiri, shuga, ndi zakudya zopangidwa. Zakudya za Mediterranean kapena DASH ndi zitsanzo zabwino za mtundu wamadyedwe athanzi.

Ndikupangira zakudya zomwe zili ndi zakudya zambiri zachilengedwe. Phatikizani masamba obiriwira obiriwira komanso mapuloteni owonda. Nsomba zimakhala ndi omega-3 fatty acids, omwe atha kupindulitsa anthu ena omwe ali ndi MS.

Idyani nyama yofiira pang'ono. Pewani zakudya zothamanga, monga ma hamburger, agalu otentha, ndi zakudya zokazinga.

Madokotala ambiri amalimbikitsa kumwa vitamini D-3 chowonjezera. Lankhulani ndi katswiri wanu wamaubongo za kuchuluka kwa vitamini D-3 komwe muyenera kumwa. Kuchuluka kwake kumadalira magazi anu apano a D-3.

Kodi ndizabwino kumwa mowa nthawi zina?

Inde, koma nthawi zonse ndikofunikira kumwa mosamala. Anthu ena amatha kuwonongeka (kapena kuwonjezereka kwa zizindikiro zawo za MS) atamwa pang'ono.

Kodi kuchita masewera olimbitsa thupi kumathandiza bwanji pa RRMS? Ndi machitidwe ati omwe mumapereka, ndipo ndingakhale bwanji olimbikitsidwa ndikatopa?

Kuchita masewera olimbitsa thupi kumathandiza kukhala ndi thupi labwino komanso malingaliro. Zonsezi ndizofunikira polimbana ndi MS.

Zochita zosiyanasiyana zimakhala zothandiza kwa anthu omwe ali ndi MS. Ndikulangiza makamaka masewera olimbitsa thupi, kutambasula, komanso kuchita masewera olimbitsa thupi, kuphatikiza yoga ndi Pilates.

Tonsefe timalimbana ndi chidwi. Ndimaona kuti ndikutsatira ndandanda yomwe ndakhazikitsa ndikukhazikitsa zolinga zenizeni kumathandizira kukhala ndi chizolowezi chotheka.

Kodi zochitika zolimbikitsa m'maganizo zitha kusintha magwiridwe anga antchito? Nchiyani chimagwira bwino kwambiri?

Ndikulimbikitsa odwala anga kuti azitha kuchita zinthu mozindikira komanso mwamaganizidwe podzitsutsa pamasewera omwe amachita, monga sudoku, Luminosity, ndi ma crossword.

Kuyanjana pakati pa anthu kumathandizanso pakuzindikira. Chinsinsi chake ndi kusankha ntchito yomwe ili yosangalatsa komanso yolimbikitsa.

Kodi ndiyenera kuchita chiyani ngati mankhwala anga a MS ayambitsa zovuta?

Nthawi zonse kambiranani za zovuta zilizonse zamankhwala anu ndi katswiri wanu wamankhwala. Zotsatira zoyipa zambiri ndizosakhalitsa ndipo zimatha kuchepetsedwa ndikumwa mankhwala anu ndi chakudya.

Mankhwala owonjezera, monga Benadryl, aspirin, kapena ma NSAID ena, atha kuthandiza.

Khalani owona mtima ndi katswiri wanu wamaubongo ngati zovuta sizikusintha. Mankhwalawa sangakhale oyenera kwa inu. Pali njira zambiri zochiritsira zomwe dokotala angakulimbikitseni kuti muziyesera.

Kodi ndingapeze bwanji chilimbikitso cha MS?

Zambiri zopezeka kwa anthu omwe ali ndi MS masiku ano. Chimodzi mwazothandiza kwambiri ndi chaputala kwanuko cha National MS Society.

Amapereka chithandizo ndi chithandizo, monga magulu, zokambirana, zokambirana, mgwirizano wothandizana nawo, mapulogalamu othandizira anzawo, ndi zina zambiri.

Kodi upangiri wanu ndi uti kwa anthu omwe angopezeka ndi RRMS?

Tsopano tili ndi zithandizo zambiri zothandiza komanso zotetezeka zochizira anthu pa MS spectrum. Ndikofunikira kugwira ntchito ndi katswiri wa MS kuti muthandizire pakuyang'anira ndi kuwongolera.

Kumvetsetsa kwathu kwa MS kwapita patsogolo kwambiri pazaka 2 zapitazi. Tikuyembekeza kupitilirabe patsogolo m'munda ndi cholinga choti pamapeto pake tipeze chithandizo.

Dr. Sharon Stoll ndi katswiri wodziwitsa zaubongo ku Yale Medicine. Ndi katswiri wa MS komanso pulofesa wothandizira mu department of neurology ku Yale School of Medicine. Anamaliza maphunziro ake okhudza ubongo ku Thomas Jefferson University Hospital ku Philadelphia, komanso chiyanjano chake cha neuroimmunology ku Yale New Haven Hospital. Dr. Stoll akupitilizabe kugwira nawo ntchito yopititsa patsogolo maphunziro ndikupitiliza maphunziro azachipatala, ndipo akutumikiranso monga director director wamaphunziro a Yale a MS CME apachaka. Ndiwofufuza pamayeso angapo azachipatala apadziko lonse lapansi, ndipo pano akutumikirabe pama board angapo othandizira, kuphatikiza BeCare MS Link, Forepont Capital Partners, One Touch Telehealth, ndi JOWMA. Dr. Stoll walandila mphotho zambiri, kuphatikiza mphotho yophunzitsira ya Rodney Bell, ndipo ndiwothandizidwa ndi National MS Society kuchipatala. Atumikiridwa posachedwa kwambiri papulatifomu yophunzirira maziko a Nancy Davis, Race to Erase MS, ndipo ndi wokamba nkhani wodziwika padziko lonse lapansi.