Sclerosis maha - hoʻokuʻu

Ua haʻi aku kāu kauka iā ʻoe he sclerosis (MS) kou. Hoʻopili kēia maʻi i ka lolo a me ka iwi kuamoʻo (kikowaena ʻōnaehana ʻōnaehana).

Ma ka home e hāhai i nā ʻōlelo aʻoaʻo a kāu kahu mālama ola e pili ana iā ʻoe iho. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.

Hoʻololi nā ʻōuli i kēlā me kēia kanaka. Me ka manawa, loaʻa i kēlā me kēia kanaka nā ʻōuli like ʻole. No kekahi poʻe, hōʻailona nā hōʻailona i kekahi mau lā i mau mahina, a laila hoʻemi a hele aku paha. No nā poʻe ʻē aʻe, ʻaʻole hoʻomaikaʻi a ʻaʻole liʻiliʻi wale nō nā ʻōuli.

I ka hala ʻana o ka manawa, e ʻoi aku paha ka maikaʻi o nā ʻōuli (holomua), a lilo i mea paʻakikī ka mālama ʻana iā ʻoe iho. Liʻiliʻi loa ka holomua o kekahi poʻe. ʻOi aku ka nui a me ka holomua o ka holomua.

E hoʻāʻo e noho i ka hana e like me ka hiki. E nīnau i kāu mea hāʻawi i ke ʻano o ka hana a me ka hoʻoikaika kino kūpono iā ʻoe. E hoʻāʻo e hele wāwae a jogging paha. He hoʻoikaika maikaʻi ka holo kaʻa paikikala paʻa.

Nā pōmaikaʻi o ka hoʻoikaika kino:

• Kōkua i kou mau mākala e noho paʻa
• Kōkua iā ʻoe e mālama i kāu kaulike
• Maikaʻi no kou puʻuwai
• Kōkua iā ʻoe e hiamoe maikaʻi
• Kōkua iā ʻoe i ka neʻe mau o ka ʻōpū

Inā loaʻa iā ʻoe nā pilikia me ka spasticity, e aʻo e pili ana i ka mea e ʻoi ai ka maikaʻi. Hiki iā ʻoe a i kāu mea mālama paha ke aʻo i nā hoʻoikaika kino e wehe ai nā mākala.

Hiki i ka hoʻonui ʻia o ka mahana o ke kino ke hōʻeha i kāu mau ʻōuli. Eia kekahi ʻōlelo aʻoaʻo e pale aku ai i ka wela nui:

• ʻO ka hoʻoikaika kino i ke kakahiaka a me ke ahiahi. E makaʻala i ʻole komo i nā lole he nui loa.
• Ke lawe ʻana i ka ʻauʻau a me nā ʻauʻau nui, pale i ka wai wela loa.
• E akahele i nā paipu wela a i ʻole nā ​​saunas. E hōʻoia inā kokoke kahi mea e kōkua iā ʻoe inā lilo ʻoe i overheated.
• E mālama i kou hale i ke kauwela me ka lewa.
• Hōʻalo i nā mea inu wela inā ʻike ʻoe i nā pilikia me ka ale ʻana, a i ʻole nā ​​hōʻailona ʻē aʻe iʻoi aʻe ka maikaʻi.

E mālama pono i kou home. E ʻike i kāu mea e hiki ai ke pale aku i ka hāʻule a mālama i kou lumipaku e palekana e hoʻohana.

Inā pilikia ʻoe i ka neʻe ʻana i kou hale me ka maʻalahi, e kamaʻilio me kāu mea lawelawe e pili ana i ka loaʻa ʻana o ke kōkua.

Hiki i kāu mea hāʻawi ke kuhikuhi iā ʻoe i kahi mea hoʻoponopono kino e kōkua me:

• Nā hoʻoikaika kino no ka ikaika a neʻe a puni
• Pehea e hoʻohana ai i kāu mea hele wāwae, ʻōkuhi, noho huila, a i ʻole nā ​​hāmeʻa ʻē aʻe
• Pehea e hoʻonohonoho ai i kou home e neʻe me ka palekana

Hiki paha iā ʻoe ke loaʻa nā pilikia e hoʻomaka ana i ka mimiki a waiho ʻana paha i kāu ʻōpala ma nā ala āpau. E hakahaka pinepine paha kāu ʻōmole a i ʻole i ka manawa kūpono ʻole. Piha piha paha kāu kīʻaha a kulu paha ʻoe i ka mimi.

I mea e kōkua ai i nā pilikia o ke kīloi, kuhikuhi paha kāu mea hāʻawi i ka lāʻau. Pono kekahi poʻe me MS e hoʻohana i ka catheter urinary. ʻO kēia kahi paipu lahilahi i hoʻokomo ʻia i loko o kāu pēpē e hoʻokahe i ka mimi.

E aʻo aku paha kāu mea hāʻawi iā ʻoe i kekahi mau hoʻomaʻamaʻa e kōkua iā ʻoe e hoʻoikaika i nā mākala pelvic.

Kūleʻa nā maʻi urinary i ka poʻe me MS. E aʻo e ʻike i nā ʻōuli, e like me ka puhi ʻana ke mimi ʻoe, ke kuni, ka ʻehaʻeha o ke kua ma kekahi ʻaoʻao, a me ka pono pinepine e mimi.

Mai paʻa i kou mimi. Ke ʻike ʻoe i ka makemake e mimi, e hele i ka lua. Ke noho ʻole ʻoe ma ka home, e nānā i kahi o ka lua kokoke.

Inā he MS kāu, pilikia paha ʻoe i ka kaohi ʻana i kou ʻōpū. Loaʻa i kahi papa hana. Ke ʻike ʻoe i kahi hana ʻōpū e holo pono, pili me ia:

• E koho i kahi manawa maʻamau, e like me ma hope o ka papa ʻaina a i ʻole ka ʻauʻau mahana, e hoʻāʻo e loaʻa kahi ʻōpū.
• E hoʻomanawanui. 15 a 45 paha minuke ka lōʻihi o ka neʻe ʻana o kou ʻōpū.
• E hoʻāʻo e ʻānai mālie i kou ʻōpū e kōkua i ka neʻe e neʻe ma waena o kou kolone.

Hōʻalo i ka paʻa paʻa:

• E inu hou i nā wai.
• E noho hana a e lilo i mea ʻeleu.
• ʻAi i nā meaʻai me nā puluniu he nui.

E noi i kāu mea hoʻolako e pili ana i nā lāʻau āu e lawe nei i hiki ke kumu i ka constipation. Hoʻopili kēia i kekahi mau lāʻau no ke kaumaha, ʻeha, ka mālama ʻana i ka maʻi ʻaʻa, a me nā spasms muscle.

Inā ʻoe ma kahi noho huila a moe paha i ka hapa nui o ka lā, pono ʻoe e nānā i kou ʻili i kēlā me kēia lā no nā hōʻailona o ka ʻeha puʻe. E nānā pono ma:

• Kahikina
• Nā kuʻekuʻe wāwae
• ʻO nā kuli
• Hip
• ʻO Tailbone
• Kuʻekuʻe lima
• Nā poʻohiwi a me nā poʻohiwi
• Hope o kou poʻo

E aʻo pehea e pale ai i ka ʻeha puʻe.

E hoʻomau i kēia lā me kāu lāʻau āpau. E kiʻi i ka maʻi flu i kēlā me kēia makahiki. E noi i kāu mea nāna e hāʻawi inā pono ʻoe i kahi kīponia.

E noi i kāu mea hoʻolako e pili ana i nā checkups ʻē aʻe āu e pono ai, e like me ka hoʻāʻo ʻana i kāu pae kolesterol, ka pae kō kō, a me ka scan iwi no ka osteoporosis.

ʻAi i nā meaʻai olakino a mālama i ka lilo i ke kaupaona.

E aʻo e hoʻokele i ke koʻikoʻi. Nui ka poʻe me MS kaumaha a kaumaha i kekahi manawa. E kamaʻilio me nā hoaaloha a ʻohana paha e pili ana i kēia. E noi i kāu mea hāʻawi e pili ana i ka ʻike ʻana i kahi ʻoihana e kōkua iā ʻoe me kēia mau manaʻo.

E luhi paha ʻoe ma mua o ka luhi. E hoʻopaʻa iā ʻoe iho ke hana ʻoe i nā hana e luhi a pono paha i ka nui o ka noʻonoʻo.

Loaʻa paha iā ʻoe kāu mea hāʻawi i nā lāʻau like ʻole e mālama ai i kāu MS a me nā pilikia he nui i hiki ke hele pū me ia:

• E mālama pono i nā ʻōkuhi. Mai hōʻoki i ka lawe ʻana i nā lāʻau me ke kamaʻilio mua ʻole ʻana i kāu mea hāʻawi.
• ʻIke i ka mea e hana ai inā ʻike ʻoe i kahi lāʻau.
• E mālama i kāu mau lāʻau i kahi me, a me kahi maloʻo, a mamao aku i nā keiki.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Nā pilikia i ka lawe ʻana i nā lāʻau no ka spasms muscle
• Nā pilikia e neʻe ana i kou mau ami (hoʻohui kuʻina)
• ʻO nā pilikia e neʻe a puni ana paha i kou wahi moe a noho paha
• ʻEha ʻula a ʻulaʻula paha
• ʻEha e ʻinoʻino ana
• Heleleʻi hou
• ʻO ke kuke a ʻū paha i ka wā e ʻai ana
• Nā hōʻailona o ka maʻi o ka maʻi puhā (fever, burn when you urencing, foul urine, cloudy urine, or pinepine urination)

MS - hoʻokuʻu

ʻO Calabresi PA. ʻO ka sclerosis maha a me nā kūlana demyelinating o ka ʻōnaehana waena. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 383.

Fabian MT, Krieger SC, Lublin FD. ʻO nā sclerosis he nui a me nā maʻi demyelinating maha o ka ʻōnaehana waena. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 80.

Pūnaewele ʻo Multiple Sclerosis Society. Noho maikaʻi me MS. www.nationalmssociety.org/Living-Well-With-MS. Loaʻa iā Nowemapa 5, 2020.

• Sclerosis lehulehu
• Bladder Neurogenic
• Optical neuritis
• Miki ʻole

• Ka palekana i ka lumipaku no nā mākua
• Ke mālama nei i ka spasticity muscle a i ʻole nā ​​spasms
• Ke kamaʻilio nei me kekahi me ka maʻi disarthria
• Constipation - mālama pono iā ʻoe iho
• Constipation - he aha e nīnau aku ai i kāu kauka
• Polokalamu mālama ʻōpū i kēlā me kēia lā
• Tube hānai Gastrostomy - bolus
• Paipu hānai Jejunostomy
• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• ʻO ka ulcer pressure - ka mea e nīnau ai i kāu kauka
• Pāleʻa ka pale ʻana
• Ke pale nei i ka hāʻule - he aha e nīnau aku ai i kāu kauka
• Kāohi ʻana i nā ulia puʻe
• ʻO ka catheterization ponoʻī - wahine
• ʻO ka catheterization ponoʻī - kāne
• Mālama pōpoki Suprapubic
• Pilikia i nā pilikia
• Nā ʻeke hoʻokahe mimi
• Ke loaʻa ʻoe i ka incontinence urinary

• Sclerosis maha