Kuziva Zvaunotarisira Kungakubatsira Kugadzirira
Kana iwe uchangobva kuongororwa ane amyotrophic lateral sclerosis (ALS) kana zvimwe zvirwere zvemotokari, iwe unogona kunge une mibvunzo uye zvinetseka pamusoro pehupenyu hwako. Sezvo zvakadaro, hapana mushonga wezvirwere izvi. Asi izvi hazvirevi kuti haugone kuwana rubatsiro. Pane zvakawanda zvezvinhu zvinowanikwa, izvo zvinogona kuita kuti uve wakasununguka sezvinobvira, uye zvimwe zvinogona kuchinja kuti unokwanisa kurarama kwenguva yakadini.
Kudyisa mu ALS
ALS zvishoma nezvishoma inobvisa vanhu vesimba rinodiwa kuti rifambe. Sezvo chikafu chakakwana chakakosha pakuchengeta simba, zviri nyore kufungidzira kuti kukosha kwakakosha kungave kune munhu anotambura neAA. Asi kudya hakusi nyore nguva dzose, zvikurukuru mumatanho akapfuura echirwere. Mishonga inobatsira kumedza ingasashanda zvakare. Kugona kukwezva kana chikafu chichikwira pasi chinenge chisina kunaka chingakanganisa. Somugumisiro, zvakakosha kuve nechokwadi kuti hapana zviratidzo zvekucheka pavanenge vachidya.
Pane imwe nguva, varwere vane ALS vanozobatsirwa nekuongororwa kwekugona kwavo kumedza, zvakadai sekugadzira chirongwa cheBabum . Vangangokwanisa kudya uye kunwa zvekudya uye mvura yehumwe hunoenderana, zvakadai sezvokudya zvakaderera kana zvakasvibiswa mvura. Pakupedzisira, chirwere chinonzi endoscopy tube (PEG) chinenge chichidikanwa kuti chiwane mizinga yakakwana yezvokudya. Kunyange zvazvo PEG zvichida inovandudza kupona nguva nekuwedzera huwandu hwehuwandu hwezvokudya, hapana vitamini chaiyo kana imwewo yezvekuwedzera yakave yakaratidza kubudirira mukubatsira neAIDS.
Kupisa muA ALS
Iwe haufaniri kuva chiremba wehutano kuti uzive kuti kufema kunokosha, kana kuti kunotora mamwe mishonga yekufema. Sezvo ALS ichifambira mberi, zvisinei, chiito chakareruka chokufema chinogona kuva chakaoma, uye chinoda boka rezvenyanzvi dzezvokurapa. Mukuwedzera pakuwedzera hupenyu hwevanhu vane ALS, kunaka kwekuporesa kunogonawo kuwedzera simba, hutano, kurara kwemasikati, kuoma kuisa pfungwa, kurara kwehupenyu, kushushikana, uye kuneta.
Nokuda kwezvikonzero izvi, zvinogona kuva pfungwa yakanaka yekufema kwako kuongororwa kare uye kazhinji, kunyange kana iwe usingafungi uri kune dambudziko.
Rubatsiro rwekuputira rungatanga kutanga usiku nemutambo usingasviki wemhepo yokuputika zvakadai seCPAP kana BiPAP. Izvi zvinotsigira mhepo uye inoita kuti kunyange kana muviri uchizorora, inogamuchira oksijeni yakakwana uye inoputika zvakakwana carbon dioxide. Sezvo ALS ichifambira mberi, mhepo isina kuputika inogona kudiwa masikati uye usiku. Pakupedzisira, nzira dzakawanda dzisingasviki dzakadai semichina inopisa inofanira kuonekwa. Imwe nzira ndeyekutengesa kwemafupa, umo musimba unoita kuti kuwedzere mapapu inogadziriswa nemagetsi kuti ubatsire kubvumirana apo motokari dzemotokari dzisingatumizve iyi mharidzo. Zvose izvi zvinosarudzwa zvinokurukurwa neboka rinosanganisira nyanzvi yezveuropi, murwere wekuporesa, uye zvichida mupulistologist zvakare.
Kuchengetedza Mhepo yeAway muAlS
Mukuwedzera kune chiito chekuwedzera mapapu, kufema kunoda kuti mhepo dzose dzomumhepo dzive dzakasununguka, panzvimbo pokudururwa nemucheka, mumuromo, kana kudya. Kana tine hutano tinochengetedza mhepo yedu kuburikidza nekumedza nguva dzose, kukwezva, uye kutora nguva nenguva kufema kwakadzika, vose vasina kunyatsofunga nezvazvo.
Kana isu tisingakwanisi kumedza kana kukakandira zvakanaka, rubatsiro runodiwa kuti tidzivirire mhepo.
Nzira dzakawanda dzinowanikwa kuti dzibatsire kuchengetedza mapapu. Kurara nemusoro zvishoma zvakakwana kunogona kudzivirira kuchengetedza kubva pakuderera pasi zvisina kunaka tube usiku. Vanachiremba vanoputira mweya vanogona kudzidzisa shamwari nemhuri kuti vangabatsira sei kurudzidzira kuitira kuti ibudirire. Zvimwe zvinoshandiswa pakugadzirwa kwekombiki zvinosanganisira kushandiswa kwemagetsi / kuwedzera (MIE), iyo inosanganisira chigamba chinononoka kuputika mapapu, uye inokurumidza kuchinja kumira kwekufananidza kuora. Nzvimbo yakakwirira-yepamusoro pfupa yekufugama (HFCWO) inosanganisira chipfeko chinoputika icho, kana chakapfekwa nemurwere, chinobatsira kuputsa mucous mumapapu kuitira kuti inogona kuputika nyore nyore.
Pave paya mishumo yekuti kubudirira kweHFCWO kwakave kwakasanganiswa, varwere vakawanda vanofunga kuti zvinobatsira.
Chimwe chikamu chekuchengetedza gwara rekumhepo ndechekuderedza kuwanda kwezvinyorwa zvinogadzirwa nemhino nemuromo. Zvinogona kukonzera drooling, uye zvakare kuisa murwere pane ngozi yakawanda yokufema izvozvi mumapapu. Mishonga yakasiyana-siyana inowanika kubatsira kubatsira kudzora izvozvi.
Ronga Pamberi mu ALS
Hapana nzira yakapoteredza. Pakupedzisira, isu tose tinofa, uye vanhu vane ALS vanokurumidza kupfuura vamwe. Nenguva iyo yakawanda yezvinhu zvinowedzera kuipa zvinowanikwa pamusoro apa zvinodiwa, vanhu vane ALS vangangodaro vanotambura nekuchinja kukuru mukugona kwavo kukurukurirana. Vamwe vachatambura nehutano hweAIDS-uyewo vamwe vanongorasikirwa nemiromo yavo, mutauro, uye mazwi. Panguva ino, vashandi vezvechiremba vanobatana nekuchengeta murwere uyo vachada kuvimba kana pane zvataurwa kare pamusoro pezvingadiwa nemurwere pamusoro pekutarisira kwavo, kana kuvimba nemunhu anenge aita chisarudzo.
Pasi pemamiriro api, kana pane, ungada here kurapwa kwehupenyu nekuwedzera kwemajini, kufudza mabhute, nezvimwe kumira? Aya ndiwo mazvisarudzo evanhu pachedu, nemutemo, maitiro, uye zvechitendero zvinorehwa. Zvakakosha kuronga mberi nekugadzirira hupenyu huno kana simba regweta , kuitira kuti iwe ugone kusvika kumagumo ehupenyu nechiremerera chaunofanirwa.
Sources:
Miller, RG, et al. (2009). Dzidzira Parameter update: Kutarisira murwere neamyotrophic lateral sclerosis: Zvinodhaka, chikafu, uye kuporesa maitiro (kubvunzurudzwa kwakaratidza uchapupu). Nhoroondo yeBumbiro reMitemo yeBhuku reAmerican Academy of Neurology, Neurology , 73 (15): 1218-26
Miller, RG, et al. (2009). Dzidzira Parameter update: Kutarisira kwomurwere neamyotrophic lateral sclerosis: Kuchengetedza kwezviratidzo, zviratidzo zvekugadzirisa, uye kugunun'una / kushaya hutachiona (kubvunzurudza kwakaratidza uchapupu). Mharidzo yeUnhu hweMitemo yeMitemo yeAmerican Academy of Neurology, Neurology, 73 (15): 1227-33.
Orla Hardiman, (2011). Kutungamirirwa kwezvirwere zvekufema mu ALS. Nhamba yeNeurology , 258 (3): 359-65.
ZVINOKUDZIDZA: Mashoko ari panzvimbo ino ndeongangwa dzekudzidzisa chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti aongororwe uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chechiremba .