Multiple sclerosis - kubuda

Chiremba wako akakuudza kuti une multiple sclerosis (MS). Ichi chirwere chinokanganisa uropi uye musana (central nervous system).

Pamba tevera kuraira kwemupi wako wehutano nezve kuzvitarisira. Shandisa ruzivo rwuri pazasi sechiyeuchidzo.

Zviratidzo zvinosiyana pamunhu nemunhu. Nekufamba kwenguva, munhu wega wega anogona kunge aine zviratidzo zvakasiyana. Kune vamwe vanhu, zviratidzo zvekupedzisira mazuva kusvika pamwedzi, zvobva zvadzikira kana kuenda. Kune vamwe, zviratidzo hazvivandudze kana zvishoma chete.

Nekufamba kwenguva, zviratidzo zvinogona kuwedzera (kufambira mberi), uye zvinova zvakaoma kuzvitarisira. Vamwe vanhu vane zvishoma zvishoma zvinofambira mberi. Vamwe vane kukura kwakanyanya uye nekukurumidza.

Edza kuramba uchishingaira sezvaunogona. Kumbira mupiki wako kuti ndeupi rudzi rwechiitiko uye kurovedza muviri zvakakunakira iwe. Edza kufamba kana kumhanya. Kumira bhasikoro kuchovha zvakare kwakanaka kurovedza muviri.

Zvakanakira kurovedza muviri zvinosanganisira:

• Inobatsira nyama dzako kuti dzirambe dzakasununguka
• Inokubatsira kuti uchengetedze muyero wako
• Yakanakira moyo wako
• Inobatsira iwe kurara zvirinani
• Inobatsira iwe kugara uchiita ura

Kana iwe uine matambudziko nekukasira, dzidza nezve chii chinoita kuti zviwedzere. Iwe kana iye anokuchengeta iwe unogona kudzidza kurovedza kuitira kuti tsandanyama dzisununguke.

Kuwedzera kwekushisa kwemuviri kunogona kuita kuti zviratidzo zvako zviwedzere. Heano mamwe matipi ekudzivirira kupisa.

• Rovedza muviri mangwanani nemanheru. Ngwarira kuti usapfeke marita akawandisa ehembe.
• Paunenge uchigeza nekugeza, dzivisa mvura yakanyanyisa kupisa.
• Ive nekuchengetera mune anopisa matabhu kana saunas. Ita shuwa kuti mumwe munhu aripo kuti akubatsire kana iwe ukawedzera kupisa.
• Chengetedza imba yako kutonhorera muzhizha nemhepo inotonhorera.
• Dzivisa zvinwiwa zvinopisa kana ukaona matambudziko nekumedza, kana zvimwe zviratidzo zvinowedzera.

Iva nechokwadi chekuti imba yako yakachengeteka. Tsvaga zvaunogona kuita kudzivirira kuwira uye chengetedza imba yako yekugezera yakachengeteka kushandisa.

Kana iwe uchinetseka kufamba-famba mumba mako zviri nyore, taura nemupi wako nezve kuwana rubatsiro.

Mupiki wako anogona kukuendesa kune chiremba wepanyama kuti ubatsire ne:

• Kudzidzira simba uye kufamba-famba
• Mashandisiro aungaita kufamba kwako, nzimbe, wiricheya, kana zvimwe zvishandiso
• Maitiro ekumisikidza imba yako kuti ufambe zvakanaka

Unogona kunge uine matambudziko ekutanga kuita weti kana kubvisa dundira munzira yose. Dundira rako rinogona kubuda kakawanda kana panguva isiriyo. Dundira rako rinogona kunge rakazara uye unogona kubuda weti.

Kubatsira nematambudziko edundira, mupi wako anogona kupa mushonga. Vamwe vanhu vane MS vanofanirwa kushandisa iyo urinary catheter. Iyi itepu yakatetepa inoiswa mudundira rako kubvisa weti.

Wako mupi anogona zvakare kukudzidzisa iwe mamwe maekisesaizi kuti akubatsire iwe kusimbisa yako yepasviro pasi tsandanyama.

Urinary zvirwere zvakajairika kune vanhu vane MS. Dzidza kuziva zviratidzo, sekutsva kana iwe uchiita weti, fivha, kurwadziwa kwepashure kudivi, uye kazhinji kuda kuita weti.

Usabate weti yako. Paunonzwa kuda kuita weti, enda kuchimbuzi. Paunenge usiri pamba, ona kuti imba yekugezera iri padyo ndeipi.

Kana uine MS, unogona kunetseka kudzora ura hwako. Iva netsika. Paunenge iwe wawana ura hwetsika hunoshanda, namatira pairi:

• Sarudza nguva yakajairwa, senge mushure mekudya kana yekugeza inodziya, kuyedza kuita ura.
• Iva nemwoyo murefu. Zvinotora maminetsi gumi nemashanu kusvika makumi mana nemashanu kuti ubve ura.
• Edza zvinyoronyoro kukwiza dumbu rako kuti ubatsire chigaro kufamba kuburikidza nekoloni yako.

Dzivisa kupatirwa:

• Inwa zvimwe zvinwiwa.
• Ramba uchishanda kana kuwedzera kushanda.
• Idya chikafu chine yakawanda fiber.

Bvunza mupiki wako nezve mishonga yauri kutora iyo inogona kukonzera kupatira. Izvi zvinosanganisira mimwe mishonga yekushungurudzika, kurwadziwa, kudzora kwedundira, uye mhasuru.

Kana iwe uri muwiricheya kana mubhedha nguva zhinji yezuva, iwe unofanirwa kutarisa ganda rako zuva rega rega nezviratidzo zvekumanikidza maronda. Tarisa zvakanyanya pa:

• Zvitsitsinho
• Ankles
• Mabvi
• Chiuno
• Muswe
• Magokora
• Mapfudzi nemapendekete
• Kudzoka kwemusoro wako

Dzidza maitiro ekudzivirira kumanikidza maronda.

Ramba uchiziva nezvako majekiseni ako. Tora chirwere chinoputika gore negore. Kumbira mupiki wako kana iwe uchida pneumonia kupfura.

Kumbira mupiki wako nezve kumwe kuongorora uko ungangoda, sekuyedza cholesterol yako, huwandu hweshuga yeropa, uye pfupa kuongorora osteoporosis.

Idya chikafu chine hutano uye chengetedza kubva pakureba zvakanyanya.

Dzidza kudzora kushushikana. Vanhu vazhinji vane MS vanonzwa vakasuruvara kana kuora mwoyo dzimwe nguva. Taura kushamwari kana mhuri nezve izvi. Kumbira mupiki wako nezvekuona nyanzvi kuti ikubatsire nemanzwiro aya.

Unogona kuzviwana uchineta zviri nyore kupfuura pakutanga. Zvimise pachezvako iwe paunoita zviitwa zvinogona kunge zvichinetesa kana kuda kuwanda kwakanyanya.

Wako mupi anogona kuve newe pamishonga yakasiyana siyana yekurapa yako MS uye mazhinji ematambudziko anogona kuuya nayo:

• Iva nechokwadi chekutevera mirairo. Usarega kutora mishonga usati watanga kutaura nemupi wako.
• Ziva zvekuita kana ukarasikirwa neiyo dose.
• Chengetedza mishonga yako munzvimbo inotonhorera, yakaoma, uye kure nevana.

Fonera mupiki wako kana iwe uine:

• Zvinetso zvekutora zvinodhaka zvemhasuru
• Matambudziko ekufambisa majoini (chibvumirano chakabatana)
• Zvinetso zvekutenderera kana kubuda kubva pamubhedha wako kana chigaro
• Maronda eganda kana kutsvuka
• Marwadzo ari kuramba achiwedzera
• Nguva pfupi yadonha
• Kukachidza kana kukosora kana uchidya
• Zviratidzo zvehutachiona hwechiropa (fivhiri, kupisa kana iwe uchiita weti, yakasviba weti, makore ane weti, kana kugara uchiita weti)

MS - buditsa

Calabresi PA. Multiple sclerosis uye demyelinating mamiriro epakati sisitimu system. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 383.

Fabian MT, Krieger SC, Lublin FD. Multiple sclerosis uye zvimwe zvinokonzeresa zvirwere zvinokonzeresa zvepakati tsinga. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 80.

National Multiple Sclerosis Society webhusaiti. Kurarama zvakanaka neMS. www.nationalmssociety.org/Kurarama-Well-With-MS. Yakasvika munaNovember 5, 2020.

• Multiple sclerosis
• Neurogenic dundira
• Optic neuritis
• Urinary kusagadzikana

• Kuchengetedzwa kwekugezera kwevakuru
• Kuchengetedza mhasuru kusimba kana kupaza
• Kutaurirana nemumwe munhu ane dysarthria
• Kuzvimbirwa - kuzvitarisira
• Kuzvimbirwa - chii chekubvunza chiremba wako
• Zuva nezuva chirongwa chekuchengeta ura
• Gastrostomy yekudyisa chubhu - bolus
• Jejunostomy yekudyisa chubhu
• Kegel kurovedza muviri - kuzvitarisira
• Kumanikidza maronda - chii chekubvunza chiremba wako
• Kudzivirira kudonha
• Kudzivirira kudonha - chii chekubvunza chiremba wako
• Kudzivirira kumanikidzwa nemaronda
• Kuzvidzora catheterization - mukadzi
• Kuzvidzora catheterization - murume
• Suprapubic catheter kuchengetedza
• Kumedza matambudziko
• Weti mabhegi emvura
• Paunenge uine weti kusagadzikana

• Multiple Sclerosis