Nekutarisirwa uye kutarisirwa, matambudziko aya anogona kudziviswa
Vanhu vane multiple multiple sclerosis (MS) vanogara kana kurara kwenguva yakareba nekuda kwekukwanisa kuperevedzwa vari pangozi yakawanda yekuwedzera matambudziko sezvinoita maronda ekumanikidzwa, zvibvumirano (apo mubatanidzwa unenge wakaoma), uye kushaya simba (kunonzi osteoporosis).
Kunyange zvazvo kusagadzikana kunzwa, zvakashata ndezvokuti zvinetso izvi zvinogona kudzivirirwa nekufungisisa uye rubatsiro kubva kune vadiwa kana kutarisirwa.
Pressure Sores
Zvinodzvinyirira maronda (anonziwo maronda emubhedha, kukuvadzwa kwezvinetso, kana kushungurudzwa kwechirwere) inzvimbo dzekuparara kweganda dzinovapo nekuda kwekuwedzera kwenguva yakaoma. Kunyanya kudzvinyirira kunoita kuti ropa riyerere kusvika paganda uye mavara pasi payo. Pasina oksijeni yakakwana, maitiro akaipa.
Zvinodzvinyirira zvipembenene zvinoumba pa "bony" chikamu chemuviri, kazhinji kacho tailbone, hip, uye sacrum, iyo ndiyo nzvimbo yakaderera pamusana wako pamusoro pemakumbo ako. Mimwe mimwe mienzaniso yenzvimbo umo zvironda zvinodzvinyirira zvingave zvakasanganisira chitsitsinho, mapepa, gumbo romukati, zvigaro, uye kumashure kwomusoro.
Chinhu chinonyengera pamusoro pemaronda ekumanikidza ndechokuti havatangi kutarisa zvakaipa, (kazhinji kacho nzvimbo duku yeganda rutsvuku), asi vanogona kukurumidza kufambira mberi kuti vave vakaoma zvikuru kana vasati varapwa nekukurumidza kusunungurwa.
Chimwe chezvertale zviratidzo zvokutanga zvekudzvinyirira kwakaoma chikamu chine ruvara kana chakakanganiswa cheganda iro kana rakamanikidzwa, rinogara rakatsvuka, pane kudzokera kune rumwe ruvara rwemuvara (iyi inonzi danho rekutanga rinonzi cheponda).
Sezvo kushungurudzika kunonyanya kufambira mberi, nzvimbo yakatsvuka yeganda ingatanga kuvhara, kufema, uye pakupedzisira inopera. Donda racho rinogona kuwedzera, richiwedzera kusvika kune mafuta pasi peganda, uye pakupedzisira kumusana, uye zvichida pfupa (iyi inonzi danho rechina rinoda kuonda ).
Imwe yezvinonyanya kunetseka nemaronda ekumanikidzwa ndiyo njodzi yehutachiona, iyo inogona kutyisa upenyu.
Zviratidzo zvehutachiona hunobvumidza kurapwa panguva pfupi zvinosanganisira:
- Fever
- Inhuhwirira inonhuwira inobva kuhosha
- Kuwedzera kwekubwinya, kuzvimba, kana kushambidzika
- Muchena mutsvuku / tsvuku / kubuda kwemavara
Pakupedzisira, zvakakosha kutaura kuti kunze kwekusava nekugadzirisa, kune zvimwe zviitiko zvinoita kuti munhu awedzere njodzi yekudzivirira zvironda. Zvimwe zvezvi zvinosanganisira:
- Kudya kwakashata
- Kuderedza mvura
- Kuva nezvimwe zvirwere zvakadai sechirwere cheshuga kana chirwere chemwoyo
- Unhu huri munzvimbo dzemuviri wakazarurirwa kumanikidziro
- Kuva wanyanyisa (kuwedzera uremu hunoiswa paganda rinenge rakasimbiswa)
- Kuva uwandu hwemaviri (zvimwe bony zvikamu zvemuviri zvakaiswa pachena kumanikidziro)
Kudzivirira
Kudzivirira chinhu chinokosha pazvinouya kumaronda ekumanikidza. Izvi zvinoreva kuramba uchiita sefoni sezvaunokwanisa (kana uchikwanisa), uchigara hydrated, uye kudya kudya kunovaka muviri, kwakanyatsonaka-imwe yakazara muzvibereko, miriwo, mbeu yose, uye mapuroteni ane utano (hove hove, nyama dzine simba, nyemba, uye legumes).
Kune vanhu vanoshayiwa zvokudya, kuona chikafu chekudya kwakakosha kunokosha, sezvaanogona kukupa iwe (kana kuti waunoda) mukugadzirisa mapuroteni nekodori.
Kana iwe uri kufamba-usina simba, iwe uchada mateti chaiwo pamubhedha wako uye / kana kukwira kwechikwama chako chevasimbe chinogona kubatsira kudzivirira zvirwere zvinopesana (zvinonzi kushandiswa kwekugadzirisa mafungiro ekushandisa).
Kuti uone kuti iwe unogamuchira zvigadzirwa zvakakodzera, zvakanakisisa kuita musangano ne physiatrist (chiremba wekudzorera uyo ane ruzivo rwekudzivirira nekugadzirisa migumisiro ine chokuita nekudzivirira).
Kana iwe usingakwanisi kuchengetedza chero kufamba, (iwe uri mubhedha-wakasungwa kana chigaro-wakasungwa), zvinokosha kuti uchinje nzvimbo yako maawa maviri oga oga. Izvi zvinogona kuda kutarisira rubatsiro rwekuyamwisa kana mutariri.
Mikangano
Nekuderera kwekufamba, kune kurasikirwa kwekusimba muzvibvumirano zvinobatanidza zvakabatana nemapfupa kana musungo mukati memubatanidzwa. Kurasikirwa uku kwehutano kunotungamirira kukumanikidzwa kwemaviri uye chidziro mubatanidzani chekufamba kwekufamba.
Mukuwedzera kune kumira mune multiple multiple sclerosis, zvibvumirano zvinogona kuitika mumasumbu (apo musuru inopera munguva yakareba uye inosimbisa). Zvibvumirano zvemasumbu muSMS zvinoitika semugumisiro wechirwere -chiratidzo chinowanzokonzerwa nehutano husina simba hwekutenderera kwemasuru.
Mumatambudziko akakura ekuperesa, munhu anogona kukura zvinorwadza uye zvisingadzorwi musumbu dzomukati uye kusagadzikana. Zvinosuruvarisa, nekunyanyisa kwakanyanya, nyaya dzinofamba dzichimuka, izvo zvinowedzera mukana wemunhu wekugadzira zvibvumirano (chinotyisa).
Kudzivirira
Kurapa kupararira kunokosha pakudzivirira zvibvumirano. Izvi zvinosanganisira mazano maviri makuru:
- Chirwere chepanyama chekuita mukutarisa maitiro
- Mishonga yekudzikinura mishonga, sezvinoita musuru dzinozorodza (somuenzaniso, baclofen). Botox injections mukati memisimba yakakanganisika inogona kubatsirawo kuderedza kusagadzikana, kuwedzera kufamba, uye nokudaro, kudzivirira zvibvumirano.
Kazhinji, kuvhiyiwa kunoda kuwedzerwa musuru uye tendon uye kuvandudza mararamiro ekufamba.
Bhuti Kuora
Kuve nekutadza-kusaremara kana kushaya hutano nekuda kwezvinetso zvakabatana neE-MS, sekurwadziwa kana kuneta, zvinogona kubatsira pakuvandudzwa kwehutano hwehuputi -hutano hwekufukidzira uye kurasikirwa kunoita kuti munhu awedzere njodzi yemapfupa mapfupa kana kuputika.
Chikamu chinonyengedzera pamusoro pehutachiona ndechekuti chirwere chisingarevi, chinoreva kuti hachikonzeri zviratidzo, semarwadzo emakumbo kana majoka aches. Muzvokwadi, kazhinji nguva osteoporosis haisati yaongororwa kusvikira munhu aona kuwira uye kuputsika kwekupedzisira, kufanana nehudyu, musana, kana chiuno.
Kunze kwekudzikama, zvimwe zvipingamupinyi zvinokonzera kukura kwehutachiona zvinosanganisira kuva nemhuri yekare, makore akakura, kusvika pakuguma, ane nhoroondo yekusvuta kana kudhakwa zvinodhaka, uye kuva akaonda. Mimwe mishonga, yakafanana neye corticosteroids (iyo vanhu vazhinji vane MS vakatora pane imwe nguva) inogonawo kuwedzera mungozi yako yekuvandudza osteoporosis.
Kudzivirira
Kufamba nekusimbisa mapfupa ako kuburikidza nekurema-kutakura maitiro ndiyo nzira yakanakisisa yekudzivirira osteoporosis, uye kunyanya mapfupa anoputika.
Usati watanga regimen yakasimudza pfupa, zvakanakisisa kuona chiremba wepanyama ane ruzivo rwekushanda nevanhu vane kuderera kufamba. Nenzira iyi anogona kuronga chirongwa chinorema-kuraira chinenge chakanakira iwe, sezvaunofanirwa kuongorora mamwe matambudziko ako eE MS, semasimba asina simba, kuneta , uye kupararira.
Mienzaniso yezviito zvinoremesa zvinosanganisira tennis, kutamba, kusimudza zvisikwa, kufamba nekukurumidza, nekugogera (asi kushambira nekubheji hazvisi kurema kwekutakura).
Kana uri muwiricheya, usafunga kuti hauna kukwana-iwe unogona kuedza wheelchair yoga, Tai chi, basketball, kana track uye munda. Kana izvi zvakanyanya kuoma kana kwete mukombe wako weii, edzai maitiro ekusimbisa simba mushure mokugara muwiricheya yenyu nebandanendi band kana dumbbell.
Pakupedzisira, zvishoma zvinogona kufamba munzira refu, asi edza kushanda kusvika pamaminitsi makumi matatu pazuva kuti uwedzere mararamiro emapfupa ako.
Mukuwedzera pakurovedza muviri, kudya zvakanaka kunokosha pakuchengetedza mapfupa akasimba. Sezvo nekudzivirira zvironda zvinopesana, izvi zvinoreva kudya zvokudya zvakapfuma muzvibereko, miriwo, uye zvipembenene zvine mapuroteni.
Calcium inobatsirawo mapfupa ako, kunyange chengeta nachiremba wako nezvekuti kana kwete calcium supplement yakakunakira iwe. Vamwe vanhu vanogona kuwana calcium yakakwana kubva pakudya kwavo, asi vamwe vanoda kutora mupiro wekuwedzera kune kuwedzera kuvepa kudya kwavo kwekudya.
Pakupedzisira, kuvimbisa kuti mavitamini D akakwana chikamu chinokosha pakuvaka mapfupa akasimba. Mashoko akanaka ndeokuti vanhu vazhinji vane MS vave nemazinga avo e vitamini D akaongororwa uye / kana vari kutora vitamini D kuwedzera. Kunyange zvazvo pasina mazano pamusoro pekutora vitamini D kune vanhu vane MS, tsvakurudzo inokurudzira zvakasimba kubatsirwa kwayo.
Shoko Rinobva
Kunyange zvazvo zvichikuvhiringidza kuverenga pamusoro pezvinetso izvi, nhau dzakanaka ndeyokuti nekuchengetedza kwakanaka uye kuderedzwa kwezvipingamupinyi zvako, zvinetso izvi zvinogona kudzivirirwa-uye apo maitiro okudzivirira angave ari kunetsa, vanobhadhara.
Ramba uchishingaira mukudzidza pamusoro peSMS uye ramba uchiona nyanzvi yako yehutano (uye zvichida physiatrist uye / kana muviri wechiremba).
Kurarama neSV nderwendo, saka tora zuva rimwe chete kamwe chete panguva imwe, zvive nemoyo munyoro mumazuva ekupedzisira, dzidza zvaunokwanisa, famba mberi, uye uchengetedze zvese.
> Sources:
> Berlowitz D. (2017). Kliniki yekugadzirisa uye kutungamira kwezvinokonzerwa ne-skin-induced skin and soft tissue injury. Berman RS, Schmader KE, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Bethoux F, Bennett S. Kutanga: Kuvandudza kufamba kwe multiple multiple sclerosis. Int J MS Care. 2011 Zuva; 13 (1): 1-3.
> Akaberekwa CT, Gil JA, Goodman AD. Sangano rekubatana rinobva pakugara kwenguva refu: Etiology, kudzivirira, uye kutungamira. J Am Acad Orthop Surg . 2017 Feb; 25 (2): 110-16.
> National MS Society. (nd). Pressure Sores.