Sechiratidzo che multiple multiple sclerosis (MS), kuzvidzora kunongova bummer. Inogona kuva isingaperi, pane kuuya uye kuenda. Iwe unogona kupedza mazuva aripo nekunzwa "kwete kunaka." Inogona kuora mwoyo. Icho hachisiwo chimwe chinhu icho vanhu vazhinji vanonzwa vakasununguka kutaura nezvazvo, saka vanonyarara vanotambura nechinetso, panzvimbo pokuwana tsitsi uye kubatsira zvavanoda.
Zvisinei, zvakakosha kuti iwe utsvake rubatsiro rwekudzivirirwa kwako. Kumirira iyo nderipi pfungwa yakaipa, sezvo izvi zvinogona kukonzera kukanganisa kwe rectum yako kana stool impaction. Mukuwedzera, zvinokwanisika kuti kurapwa kuchava nyore, sekushandura mishonga kana kuwedzerwa kwemvura.
Zvainonzwa Sezvakaita
Vanhu vazhinji vakave vachidzivirirwa pane imwe nguva muupenyu hwavo uye vanoziva kuti zvinonzwa sei. Zvisinei, pane imwe tsanangudzo yakajeka pane "Ini handigone kuenda." Maererano neAmerican College yeGastroenterology, Constipation inotsanangurwa sezvipembenene zvisingabviri, kuoma kunopfuura chigaro, kana zvose. Zvigaro zvinowanzoitika zvinoreva kuti kuva nemaviri kana mashomanana ekufambisa kwemavhiki nevhiki uye kuoma kudarika zvigaro kunogona kusanganisira kushungurudza, kunzwa sokunge iwe usina kubvisa chikwata chose, kana kuva nechigamba chakaoma.
Kuwanda
Izvo zvakaoma kutaura kuti vangani vanhu vane MS vanovhiringidzirwa, sezvo inowanzova pasi pezvakataurwa.
Izvi zvichida nekuda kwezvinhu zvakawanda, zvakadai se:
- varwere vasingabatanidzi chiratidzo ichi kuna MS, saka vasingauyi izvi kune avo vanorwara neurologists
- varwere vari kutarisa kune dzimwe zviratidzo zvinoshamisa panguva yavo yekushanya kweukama
- kushivirira kunyara kunyara kuzivisa kuzvidzora kuvanachiremba
Izvi zvose zvinotaurwa, zvinofungidzirwa kuti pakati pe50 kusvika ku75 muzana yevanhu vane MS vanodzingwa pane imwe nguva.
Ichokwadi, iyo ndiyo inowanzosangana nehutano hwevanhu vane MS.
Zvinokonzera
Zvimwe zvinokonzera zvinosanganisira kurarama kwakanaka, nguva dzose kwechikwama:
- Chigaro chacho chinofanira kuramba chichifamba mumatumbo
- Panofanira kuva nemvura yakakwana muhombodo
Idzi zvinhu chaizvoizvo zvakabatana. Apo gumbo rinonoka kubva parwendo rwayo kuburikidza nemarumbo (kunyanya chikoni, chikamu chekupedzisira chemukati mudumbu), mvura inogadzirirwa kuita kuti chigadziko chive chakasimba. Kana inononoka kudarika, mvura yakawanda inowanikwa nekoloni uye chigaro chinenge chakaoma uye chinonetsa kudarika.
Izvozvo zvichiti, kuvimbiswa muSMS kunogona kukonzerwa nechimwe chezvinhu zvinotevera (kana kusanganiswa):
Kuora Kwemaurological: Sezvakataurwa, mbiru inofanira kuramba ichifamba. Muvanhu vane MS, zvipembenene zvinogona kudzivirira huropi kuti dzisawana zvakajeka kana kutumira zviratidzo zvinodzora kuedza kuedza kufamba kwechikwata. Mune mamwe mazwi, iwe ungasave uri kugamuchira chiratidzo chokuti iwe "unofanira kuenda," kana iwe haugoni kunyarara zvakanaka uye kusundira sezvinodikanwa kuti uve nechikwata chemuviri. Iko kushamwaridzana kusingabatsiri kunochengetedza chibvumirano ichi kufamba mumativi epasi memugwagwa wekudya kunogonawo kukanganisa. Zvakare, matambudziko aya anowanziswa nechigaro chiri chakanyanya kuoma kupfuura nyore nyore, zvichienderana nenguva yakareba mukoni.
Kusagadzikana Kwekuita Zvepanyama: Chimwe chinhu chinokosha chemuviri wemukati (kufamba kwezvokudya zvakagadzirwa kuburikidza nematumbo) kuita basa, sekufamba. Vanhu vazhinji vane MS havagoni kufamba-famba nekufamba zvakawanda, nekuda kwekushaya simba, kusarura, kutora hexia kana kuneta .
Mugumisiro Wemigumisiro Yemishonga : Kuvhara muviri kunoguma nemagumisiro akawanda emishonga iyo vanhu vane MS vanotora kudzora zviratidzo. Izvi zvinosanganisira:
- Anodzvinyirira, kunyanya tricyclic zvinodzvinyirira zvinosanganisira Amitriptyline (Elavil, Endep), Desipramine (Norpramin), Doxepin (Sinequan), Imipramine (Tofranil-PM), nortriptyline (Pamelor)
- Painkillers, kunyanya avo vane morphine kana codeine, uyewo mamwe marwadzo-kuderedza zvinodhaka zvakadai seUltram (tramadol).
- Mishonga yechipfuva chisingaiti chinonzi anticholinergics seDetrol mapiritsi uye Detrol LA extended-release capsules (tolterodine)
- Mishonga yekusaziva, kusanganisira baclofen uye Zanaflex (tizanidine)
Kwete Kunywa Mvura Yakakwana: Zvakajairika kune vanhu vane MS kuti vadzike pamvura, kunyanya kana vakatarisana nezvinetso nekukurumidzira kwekuvhota kana nocturia . Vamwe vanhu vane MS vanoitawo kuderedza kudya kwemvura kana vachibuda kana kufamba, sezvo kuenda kune imwe imba kunogona kuva kwakaoma. Izvo zvataurwa, zvichiri kukosha kuti unwe mvura yakawanda zuva rose kana iwe une MS. Yeuka zvakare, mvura yakanakisisa. Caffeine uye doro zvinoshandisa diuretics uye zvinogona kuita kuti uwedzere kuderedza. Kana mvura isiri iyo inofadza iwe, edza kuisa marimu kana lime mukati maro kuti upe imwe nyota.
Zvichida Kuoma
Kuvharirwa kusina kukwaniswa kunogona kuita kuti kuve nechisimba, izvo zvinoitika apo kuvimbiswa kwakaoma zvikuru zvokuti rectum yose inozadzwa nebhora guru, rakaoma rechigaro. Muzviitiko izvi, kusavhura kwekunyora kunodiwa, umo chiremba kana mukoti anobvisa kuvhara manyore (achishandisa munwe wakagadzirwa).
Shoko Rinobva
Kunyanya kunowanzoitika muSMS, asi mashoko akanaka ndeokuti pane zvinhu zvaunogona kuita kuti uzvidzivirire kana kuti zvideredze. Nzira dzinosanganisira:
- Imwai makirasi 6 kusvika ku8 emvura zuva nezuva
- Itai kuti fibhi ive mukati mekudya kwenyu (somuenzaniso, zviyo zvakakwana uye muraraungu wezvibereko nemiriwo)
- Ramba uchishingaira, zvakanyanya sezvinobvira
- Ita nguva zuva rimwe nerimwe raunoshandisa dzimba-iyi inonzi chirwere chekudzivirira
- Funga dzimwe nguva mazamu kana kubatwa kwako kuchikwira, asi kurukurai nzira dzingaitwa nachiremba wenyu pakutanga, sezvinogona kuita kuti vamwe vatarise
Pakupedzisira, zvakakosha kucherechedza kuti unofanirwa kuonana nachiremba wako nechinangwa chipi nechipi chekuchinja kwemuviri. Kuzvimirira pachako kunogona kuva chiratidzo chechimwe chinhu chakakomba, sekenza yekoloni, saka ita kuti iongorore.
Sources
American College of Gastroenterology. (2016). Kuvharwa uye Matambudziko Okudzivirira.
Gallien P et al. Kunyanya kuwanda mumatomu akawanda ekurasikirwa pamusoro peboka revarwere 81. Ann Phys Rehabil Med . 2016 Sep; 59S: e39-e40.
> National MS Society. (2014). Dambudziko Matambudziko: The Basic Facts.
Randall T. Shapiro. Kutarisira Zviratidzo zve Multiple Sclerosis (5th ed.) . New York: Demos Medical Publishing, 2007.