Multiple Sclerosis ndi Incontinence

Zamkati

• Chifukwa chiyani MS imayambitsa kusadziletsa?
• Mankhwala a chikhodzodzo incontinence
• Mankhwala
• Kukondoweza kwamitsempha yama tibial
• Pelvic pansi mankhwala
• Kuyanjana
• Majekeseni a BOTOX
• Mankhwala apanyumba osagwirizana ndi chikhodzodzo
• Kudzipangira nokha catheterization
• Kusamalira madzimadzi mosamala
• Kuchiza kwa matumbo okhudzana ndi MS
• Kukhazikitsa zizolowezi zabwino
• Muzichita masewera olimbitsa thupi
• Taganizirani pulogalamu yophunzitsira matumbo
• Kupewa zakudya zomwe zimayambitsa kusadziletsa
• Kodi pali zovuta zilizonse za MS incontinence?
• Malangizo othandizira kuthana ndi chithandizo

Kodi multiple sclerosis ndi chiyani?

Multiple sclerosis (MS) ndimomwe chitetezo chamthupi "chimagonjetsera" myelin mkatikatikati mwa manjenje. Myelin ndi mnofu wamafuta wozungulira komanso woteteza ulusi wamitsempha.

Popanda myelin, zikhumbo zamitsempha zopita ndi kuchokera kuubongo sizingayendenso. MS imayambitsa zilonda zamiyala kuti zizikula mozungulira ulusi wamitsempha. Izi zitha kukhudza zochitika zingapo zamthupi, kuphatikiza chikhodzodzo ndi matumbo.

Malinga ndi National MS Society, pafupifupi 80% ya anthu omwe ali ndi MS amakumana ndi vuto la chikhodzodzo. Izi zimachitika ngati chitetezo cha mthupi ku MS chiwononga maselo amitsempha omwe amapita kumatumbo kapena chikhodzodzo.

Ngati mukumva kusagwirizana kokhudzana ndi MS yanu, chithandizo ndi chithandizo zilipo.

Chifukwa chiyani MS imayambitsa kusadziletsa?

Matumbo kapena chikhodzodzo chikayamba kukhuta, thupi lanu limatumiza maubongo ku ubongo kuti muyenera kupita kubafa. Mukafika ku bafa, ubongo wanu umatumiza matumbo anu kapena chikhodzodzo kuti ndibwino kuti muchotse chikhodzodzo chanu kapena kuti mukhale ndi matumbo.

MS ikawononga myelin, imapanga malo owopsa otchedwa zotupa. Zilondazi zitha kuwononga gawo lililonse la njira yotumizira kuchokera kuubongo kupita ku chikhodzodzo ndi matumbo.

Zotsatirazi zitha kukhala chikhodzodzo chomwe sichingakhutire kwathunthu, chimagwira ntchito kwambiri, kapena sichikhala ndi mkodzo bwino. Zitsanzo za zizindikiro za munthu amene ali ndi MS mwina zokhudzana ndi chikhodzodzo chake ndi monga:

• kuvuta kugwira mkodzo
• zovuta kuyambitsa mkodzo
• kumverera ngati chikhodzodzo sichidzakhululukiratu
• kupita kusamba usiku pafupipafupi
• kukodza pafupipafupi

Anthu ambiri omwe ali ndi MS amakhala ndi chikhodzodzo chopitirira muyeso. MS imathanso kukhudza mitsempha yomwe imatumiza minofu yomwe imayambitsa matumbo anu. Zotsatira zitha kukhala kudzimbidwa, kusadziletsa, kapena kuphatikiza.

Mankhwala a chikhodzodzo incontinence

Mankhwala onse azachipatala komanso njira zamoyo zilipo zochizira chikhodzodzo chokhudzana ndi MS. Zitsanzo zachitetezo chazachipatala ndi monga:

Mankhwala

Mankhwala angapo amatha kuchepetsa kusadwala kwa munthu yemwe ali ndi MS. Dokotala wanu ayenera kuganizira mankhwala aliwonse omwe mukugwiritsa ntchito pakadali pano okhudzana ndi MS yanu ndi zina zathanzi.

Mankhwala wamba ochiritsira amatchedwa anticholinergics. Mankhwalawa amachepetsa kuchepa kwa minofu.Zitsanzo ndi monga oxybutynin (Ditropan), darifenacin (Enablex), imipramine (Tofranil), tolterodine (Detrol), ndi trospium chloride (Sanctura).

Mankhwala aliwonse amakhala ndi zovuta zina monga kugona, pakamwa pouma, ndi kudzimbidwa. Ndikofunika kukambirana za kuopsa ndi maubwino ndi dokotala.

Kukondoweza kwamitsempha yama tibial

Chithandizo cha chikhodzodzo chopitilira muyeso chimaphatikizapo kuyika maelekitirodi ang'onoang'ono kudzera mu singano m'chiuno mwanu. Elekitirodi imatha kupatsira mitsempha yomwe imakhudza matumbo ndi chikhodzodzo. Mankhwalawa amaperekedwa kwa mphindi 30 kamodzi pamlungu kwa milungu 12.

Pelvic pansi mankhwala

Chithandizochi chimaphatikizapo kugwira ntchito ndi wochita masewera olimbitsa thupi omwe amagwiritsa ntchito njira zolimbikitsira zolimbitsa thupi kuti zolimbitsa mphamvu ya minofu yanu ya m'chiuno. Izi zitha kukulitsa mphamvu zanu pokodza, pokhalira mkodzo wanu, komanso kutulutsa chikhodzodzo mokwanira.

Kuyanjana

Chithandizochi chimaphatikizapo dokotala wochita opaleshoni kuyika chida pansi pa khungu lanu chomwe chingalimbikitse mitsempha yanu ya sacral. Izi zitha kuchepetsa zizindikilo za chikhodzodzo chopitirira muyeso, kusadziletsa kwamatumbo, komanso kusungidwa kwamikodzo.

Majekeseni a BOTOX

BOTOX ndi mtundu wovomerezeka wa FDA wa poizoni wa botulinum womwe ungayambitse ziwalo kuti zizikhala zolimba kwambiri. Majekeseni a BOTOX mu minofu ya chikhodzodzo ndi njira kwa anthu omwe sanayankhe kapena sangamwe mankhwala ochepetsa chikhodzodzo.

Mankhwalawa amaperekedwa pansi pa anesthesia. Inu dokotala mumagwiritsa ntchito gawo lapadera kuti muwone mkati mwa chikhodzodzo chanu.

Mankhwala apanyumba osagwirizana ndi chikhodzodzo

Dokotala angakulimbikitseni kuti muphatikize zochiritsira zapakhomo mu dongosolo lanu lonse lazithandizo. Izi ndi monga:

Kudzipangira nokha catheterization

Kudziletsa catheterization kumaphatikizira kuyika kachubu kakang'ono, koonda mu urethra yanu. Izi zimakuthandizani kutulutsa chikhodzodzo kwathunthu.

Idzachepetsa kuchepa kwamasana masana. Anthu ena amatha kudziletsa okha mpaka kanayi patsiku.

Kusamalira madzimadzi mosamala

Simuyenera kuchepetsa kudya kwamadzimadzi chifukwa izi zitha kuwonjezera chiopsezo chanu chovulala kwambiri impso (AKI). Komabe, ngati mumapewa kumwa madzi pafupifupi maola awiri musanagone, simufunikira kugwiritsa ntchito bafa usiku.

Muthanso kuchitapo kanthu kuti muwonetsetse kuti mukatuluka mutha kufika msanga msanga. Mungakonzekere kuyima pafupipafupi kuti mukasambe bafa pafupifupi maola awiri aliwonse.

Muthanso kuvala zovala zamkati zotetezera kapena mapadi. Ndipo kusunga thumba laling'ono kapena thumba lokhala ndi zinthu, monga zovala zamkati, padi, kapena catheter zitha kuthandizanso mukakhala kuti mulibe nyumba.

Kuchiza kwa matumbo okhudzana ndi MS

Mankhwala am'mimba amadalira ngati mukumva kudzimbidwa kapena kusadziletsa. Madokotala amalimbikitsa anthu kuti azilandira mankhwala apakhomo ndi azakudya kuti azithandizira pafupipafupi. Zitsanzo zomwe mungachite ndi izi:

Kukhazikitsa zizolowezi zabwino

Chimodzi mwazifungulo zodutsira bwino ndikupeza madzi okwanira patsiku, nthawi zambiri ma ola 64 kapena makapu 8 amadzi. Zamadzimadzi zimawonjezera zochulukirapo pampando wanu ndikupangitsa kuti zikhale zofewa komanso zosavuta kudutsa.

Muyeneranso kudya fiber yokwanira, yomwe imatha kuwonjezera zochulukirapo pampando wanu. Anthu ambiri amafunikira magalamu 20 mpaka 30 patsiku. Zipangizo zabwino kwambiri zimaphatikizira zakudya zambewu zonse, zipatso, ndi ndiwo zamasamba.

Muzichita masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi kumatha kulimbikitsa matumbo anu ndikukuthandizani kuti mukhale okhazikika.

Taganizirani pulogalamu yophunzitsira matumbo

Mapulogalamuwa ndi ofanana ndi lingaliro lakuthira chikhodzodzo pafupipafupi. Dokotala amatha kugwira nanu ntchito mukamapita ku bafa tsiku lililonse.

Ndizotheka kuti anthu ena "amaphunzitsa" matumbo awo kuti azisuntha nthawi yoikika. Pulogalamuyi imatha kutenga miyezi itatu kuti muwone zotsatira.

Kupewa zakudya zomwe zimayambitsa kusadziletsa

Zakudya zina zimadziwika kuti zimakwiyitsa matumbo anu. Izi zitha kuyambitsa kusadziletsa. Zitsanzo za zakudya zomwe zingapewe kuphatikiza zakudya zamafuta ndi zokometsera.

Dokotala wanu amathanso kukambirana zakusalolera komwe kungachitike, monga kusalolera kwa lactose kapena gluten, zomwe zitha kukulitsa zizindikiritso za kusadziletsa.

Kodi pali zovuta zilizonse za MS incontinence?

Chithandizo chazovuta zokhudzana ndi MS sichingasinthe matenda anu. Koma ndizofunikira pakuwonetsetsa kuti simukumana ndi zovuta zina. Mwachitsanzo, anthu omwe sangathe kutulutsa chikhodzodzo ali pachiwopsezo chachikulu cha UTIs.

Ngati kusadziletsa kwanu kumabweretsa matenda obwereza a chikhodzodzo kapena UTIs, izi zimatha kusokoneza thanzi lanu lonse. Nthawi zina UTI imatha kuyambitsa mayankho ena amthupi mwa munthu yemwe ali ndi MS. Izi zimadziwika ngati kubwereranso kwachinyengo.

Munthu amene amabwereranso mwachinyengo akhoza kukhala ndi zizindikiro zina za MS, monga kufooka kwa minofu. Dokotala akangotenga UTI, mabodza obwerezabwereza nthawi zambiri amatha.

Komanso, chikhodzodzo ndi matumbo osagwirizana zimatha kubweretsa matenda pakhungu. Matenda owopsa kwambiri amatchedwa urosepsis, omwe amatha kupha.

Kufunafuna chithandizo mwachangu momwe zingathere kungathandize kuchepetsa kapena kuchepetsa kukula kwa zizindikiritso zokhudzana ndi MS. Izi zitha kuchepetsa mwayi womwe chikhodzodzo chanu chitha kufooka kapena kupindika.

Kuphatikiza pa zovuta zakuthupi zosadziletsa, pakhoza kukhala zovuta zamaganizidwe. Omwe ali ndi MS angapewe kupita pagulu poopa kuti angapeze vuto lodziletsa. Izi zitha kubweretsa kuti achoke kwa abwenzi komanso abale omwe nthawi zambiri amakhala othandizira.

Malangizo othandizira kuthana ndi chithandizo

Kulankhula momasuka ndi dokotala wanu za matenda anu osadziletsa komanso kupeza njira zothetsera mavutowo ndi njira zabwino zothanirana ndi mavuto.

Magulu othandizira akupezeka kwa omwe ali ndi MS ndi mabanja awo. Maguluwa amakupatsani mwayi wogawana zomwe mukuopa komanso nkhawa zanu, ndikumva malingaliro ndi mayankho ochokera kwa ena.

Mutha kukaona tsamba la National MS Society Support Groups kuti mukayang'ane gulu lothandizira m'dera lanu. Ngati simukumva bwino ndi gulu lothandizira anthu, pali magulu othandizira pa intaneti.

Palinso mabungwe omwe amathandiza anthu omwe ali ndi nkhawa. Chitsanzo ndi National Association for Continence, yomwe ili ndi bolodi lamauthenga ndikukonzekera zochitika.

Gulu lanu lazachipatala nthawi zambiri limatha kukuthandizani kupeza zofunikira m'deralo. Ndipo mutha kuyankhula ndi abale anu odalirika komanso abwenzi ngakhale atakhala kuti samamvetsetsa chizindikiritso chilichonse chomwe muli nacho.

Nthawi zina kuwadziwitsa momwe angakuthandizireni, monga kusankha malo amacheza ndi bafa zopezeka mosavuta, kumatha kusintha moyo wanu.