Ngaba wakha waba nepoliyo kwaye ngoku uphulukana namalungu akho kwakhona? Masifunde ngale (Post-Polio Syndrome)!

Uyasikhumbula isifo esibizwa ngokuba yipoliyo ngaphambili? Mhlawumbi nawe ukhe wanayo waza wasokola ukuchacha. Ukuba uyachacha uze uzive udiniwe kwaye ubuthathaka kangangeminyaka, oko kungaba luphawu lwesifo esibizwa ngokuba yi-"Post-Polio Syndrome". Makhe sithethe ngale nto ngendlela elula namhlanje, ukuze uyiqonde.

Yintoni iPost-Polio Syndrome?

Ngamafutshane, "I-Post-Polio Syndrome" okanye "I-PPS" kuxa umntu oye waphila kwi-polio ngaphambili ephinda abe buthathaka kwimisipha emva kweminyaka ethile - mhlawumbi iminyaka eli-10, engama-20, okanye engama-40. Imisipha isenokuphelelwa ngamandla okanye ide ishwabane.

Njengoko usenokuba ukhumbula, ipoliyo, okanye "iPoliomyelitis", sisifo esibangelwa yintsholongwane ebizwa ngokuba yi "Poliovirus." Uninzi lwabantu abayifumanayo ababonisi zimpawu zibalulekileyo, kwaye abanye abantu bafumana umkhuhlane omncinci. Nangona kunjalo, kwabanye abantu, inokubangela iimeko ezinzima ezifana nokukhubazeka komzimba kwaye ngamanye amaxesha nokufa.

Bekukho iintlobo ezintathu eziphambili zale `(iPoliovirus)`. Ziintlobo 1, 2, kunye no-3. Ngoku, iintlobo 2 kunye no-3 zisusiwe ehlabathini. Luhlobo 1 kuphela olusabonwa kwiindawo ezithile zehlabathi. Ipoliyo sele iphantse yaphela eSri Lanka ngoku. Kodwa abantu ababenosulelo ngaphambili banokuyifumana le `(PPS)`.

Ngubani onokuba nethuba elikhulu lokufumana i-"Post-Polio Syndrome"?

Le meko yenzeka kuphela kubantu ababenepoliyo ngaphambili. Idla ngokuqala ukubonakala emva kweminyaka eli-10 nangaphezulu. Ngamanye amaxesha ingenzeka nasemva kweminyaka engama-40.

Uphando lufumanise ukuba phakathi kwama-30% nama-40% abantu abakhe baba nepoliyo banesi sifo. Kwakhona, ukuba ukhe waba nepoliyo ngaphambili, oko kuthetha ukuba amalungu akho ayebuthathaka kakhulu, unokufumana iimpawu eziqatha ngakumbi ukuba unesifo sePPS.

Ixhaphake kangakanani i-"Post-Polio Syndrome"?

Enyanisweni `(Post-Polio Syndrome)` yimeko engaqhelekanga kakhulu kule mihla. Isizathu soku kukuba ipoliyo nayo ayiqhelekanga kakhulu ngoku. Ugonyo lwepoliyo luyisusile ipoliyo kumazwe amaninzi ehlabathini, kuquka neSri Lanka. Nangona kunjalo, ekubeni kusekho amazwe aliqela apho ipoliyo ikhona khona, kwaye kusekho abantu ababenayo ngaphambili, izigulane ze`(PPS)` zibonwa ngamanye amaxesha.

Zithini iimpawu ze-`(Post-Polio Syndrome)`?

Uphawu oluphambili nolokuqala lwe-"Post-Polio Syndrome" kukuba izihlunu ezazibuthathaka ngexesha losulelo lwepoliyo ziyaphelelwa ngamandla kwakhona kancinci kancinci. Ezi mpawu zinokuhluka ukusuka kumntu ukuya komnye. Abanye abantu banokuchaphazeleka zizo kakhulu okanye kancinci.

Nazi ezinye zeempawu eziqhelekileyo:

• Ubuthathaka bemisipha kancinci kancinci: Ukuziva ngathi ingalo, umlenze, okanye esinye isihlunu esasibuthathaka ngaphambili ngenxa yepoliyo siphinda sibuthathaka kancinci kancinci.
• Ukudinwa:Asikuko ukudinwa nje kuphela, yimvakalelo yokudinwa enganyamezelekiyo nengapheliyo. Kufana nokuba uyadinwa nasemva kokuba wenze umsebenzi omncinci.
• Ukuwohloka kwemisipha: Oku kuthetha ukuba izihlunu ziyancipha kancinci kancinci zize zibe ncinci.
• Intlungu yemisipha kunye nokuxhuzula: Imisipha iyabuhlungu, ngamanye amaxesha kuvakala ngathi imisipha iyaxhumaxhuma nje phezulu nasezantsi, ishukuma.
• Intlungu yamalungu: Intlungu inokubakho kumalungu afana namadolo kunye neengqiniba.
• Ukukhubazeka kwamathambo: Umzekelo, kunokubakho izinto ezifana nokugoba komqolo (i-scoliosis).

Khawucinge nje, kukho umntu ogama linguNimal, owafumana isifo sepoliyo esengumntwana kwaye umlenze wakhe wasekunene wawubuthathaka kancinci. Waphila ubomi obuqhelekileyo iminyaka emininzi. Kodwa ngoku, eneminyaka engama-50 ubudala, uziva ngathi umlenze wakhe wasekunene uyaphelelwa ngamandla kwakhona kancinci. Uziva ediniwe kakhulu xa enyuka izinyuko okanye ehamba umgama omfutshane. Yileyo ndlela oku kumchaphazela ngayo.

Ukongeza, ukuba le ``(PPS)`` ichaphazela izihlunu ezisetyenziselwa ukuphefumla okanye izihlunu ezisetyenziselwa ukuginya, ubunzima bokuphefumla kunye nobunzima bokuginya bunokubakho.

Kwezinye iimeko ezinzima ze-PPS, iimpawu zinokufana nezo zesifo semithambo-luvo i-Amyotrophic Lateral Sclerosis (ALS). Nangona kunjalo, kubalulekile ukukhumbula ukuba oku akufani ne-ALS.

Yintoni ebangela `(Post-Polio Syndrome)`?

Izazinzulu azikafumani ukuba yintoni kanye kanye ebangela iPost-Polio Syndrome. Nangona kunjalo, kukho ingcamango enye ngayo. Oko kukuthi, xa uphila kwipoliyo, inkqubo yemithambo-luvo yomzimba wakho iyatshintsha.

Cinga ngale ndlela, intsholongwane yepoliyo `(Poliovirus)` yonakalisa ezinye zeeseli zethu zemithambo-luvo `(Neurons).` Ezi seli zemithambo-luvo zezo zithwala imiyalezo yokwenza izihlunu zisebenze. Ngoko ke, xa ipoliyo iphelile, endaweni yeeseli zemithambo-luvo ezonakeleyo, iiseli zemithambo-luvo eziseleyo eziphilileyo ziqala ukusebenza ngakumbi. Ezi seli zemithambo-luvo eziphilileyo, ezivela kumasebe azo aphambili `(Axons)`, zenza amanye amasebe amancinci `(Dendrites)`, kwaye zithatha ulawulo lweefayibha zemisipha ezilawulwa ziiseli zemithambo-luvo ezonakeleyo. Kufana nomsebenzi omnye othatha umsebenzi wabanye.

Ngoko ke, izazinzulu zicinga ukuba emva kweminyaka zisebenza ngaphaya kwamandla azo, ezo seli zemithambo-luvo ezisempilweni ekuqaleni ziyaphela kancinci kancinci zize zidinwe. Loo masebe mancinci (i-dendrites) ayaphela kancinci kancinci. Emva koko ezo zihlunu ezazisebenza kakuhle ngaphambili nazo ziqala ukuncipha kwakhona. Mhlawumbi yiloo nto ibangela le meko "ye-PPS", ekucingelwa ukuba yimbangela ngoku.

Ingaba `(Post-Polio Syndrome)` sisifo esosulelayo?

Hayi. ``I-Post-Polio Syndrome`` ayisosifo esinokudluliselwa komnye umntu siye komnye. Nangona kunjalo, intsholongwane yepoliyo yintsholongwane eyosulelayo kakhulu. Yiyo loo nto kubaluleke kakhulu ukuzikhusela kwesi sifo ngokufumana i-polio vaccine.

Ungayiqaphela njani `(Post-Polio Syndrome)`?

Okwangoku akukho vavanyo luthile olunokuqinisekisa ngokuchanekileyo ukuba kukho "iPost-Polio Syndrome".

Kunoko, oogqirha bayayixilonga le meko ngokwenza uvavanyo lomzimba, bathathe imbali yezonyango eneenkcukacha (njengokuba ukhe waba nepoliyo ngaphambili kwaye nini), baze babuze ngeempawu zakho zangoku. Bakwafuna ukuqinisekisa ukuba iimpawu azibangelwa yenye imeko yezonyango.

Ugqirha wakho unokwenza iimvavanyo ezininzi ukujonga i-PPS aze akhuphe ezinye iimeko, ezinje:

• Iiskeni zeSpinal MRI (Magnetic Resonance Imaging) kunye ne-CT (Computed Tomography): Ezi zinokujonga naziphi na iingxaki zomqolo kunye nemithambo-luvo enxulumene nawo.
• Uvavanyo lwe-Electromyogram (EMG): Olu vavanyo luvavanya umsebenzi wombane wezihlunu kunye nemithambo-luvo ezilawulayo. Oku kunceda ekuqinisekiseni ukuba ubuthathaka bezihlunu bubangelwa yingxaki yemithambo-luvo okanye yingxaki yezihlunu ngokwazo.
• I-Biopsy yeMisipha: Ngamanye amaxesha, iqhekeza elincinci lemisipha liyathathwa lize lihlolwe phantsi kwe-microscope. Oku kunokunceda ekuchongeni utshintsho kwimisipha.
• Uhlalutyo lwe-Spinal Fluid: Uvavanyo oluthatha ulwelo oluncinci kumqolo wakho. Oku kunokunceda ukujonga ezinye iingxaki ze-neurological.

Inyangwa njani `(Post-Polio Syndrome)`?

Ngelishwa, okwangoku akukho nyango luthile olunokunyanga ngokupheleleyo i-"Post-Polio Syndrome (PPS)". Ke ngoko, injongo ephambili yoogqirha kukulawula iimpawu nokuphucula "uMgangatho woBomi" bakho.

Ukuba une-PPS, kubaluleke kakhulu ukubona ugqirha ogxile kwiimeko zemithambo-luvo.

Nazi ezinye iindlela zokunceda ukulawula iimpawu ze-PPS:

• Imithambo engadinisiyo: Imithambo engabangeli ntlungu okanye ukudinwa okugqithisileyo inokuphucula amandla emisipha kwaye inciphise ukudinwa ngokubanzi. Ungafumanisa ukuba zithini ezi ngokubuza ingcali ye-physiotherapist.
• Uqeqesho lokunyamezela intliziyo nokuphefumla: Le yinkqubo yokuphucula umgangatho womsebenzi intliziyo yakho, imiphunga kunye nezihlunu ezinokwenziwa kunye ngexesha lokuzilolonga ixesha elide. Ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho ngaphambi kokuba uqale olu hlobo loqeqesho.
• Izinto ezincedisayo ekuhambeni: Ukusebenzisa izinto ezifana neenduku, abahamba ngeenyawo, izitulo ezinamavili, okanye ii-scooter kunokwenza kube lula ukuhambahamba kwaye kunciphise ukudinwa kwemisipha.
• Unyango lomsebenzi:Ingcali yezonyango ingenza utshintsho olufunekayo kwindawo okuyo ukuze imisebenzi yemihla ngemihla yendlu (umz., ukunxiba, ukupheka) ibe lula.
• Unyango lokuthetha: Ukuba unengxaki yokuginya ngenxa ye-PPS, ingcali yokuthetha inokukunceda.
• Utshintsho kwindlela yokuphila: Ugqirha wakho unokukucebisa ukuba utye ukutya okunempilo, ulawule ubunzima bakho, ulale ngokwaneleyo, kwaye uyeke ukutshaya . Ezi zinto zinokukunceda ukulawula iimpawu kwaye ziphucule impilo yakho iyonke.

Ukongeza, unyango lwengqondo lunokukunceda wena nosapho lwakho ukuba nijongane ne-PPS. Kunganceda nokujoyina amaqela enkxaso apho unokuthetha nabanye abajongene nento efanayo kwaye wabelane ngamava akho.

Ngaba i-`(Post-Polio Syndrome)` inganyangeka?

Hayi, ngokolwazi lwangoku, akukho nyango lwe-"Post-Polio Syndrome". Unyango lujolise ekulawuleni iimpawu kunye nokunceda ukwenza ubomi bube lula.

Ungayithintela njani `(Post-Polio Syndrome)`?

Eyona ndlela yokuthintela ipoliyo kukuthintela ukufumana ipoliyo. Eyona ndlela yokwenza oko kukufumana igonyo lepoliyo. Abantwana badla ngokunikwa iidosi ezine zegonyo lepoliyo ukususela kwiinyanga ezi-2 ubudala. Ukuba awuzange ufumane olu gonyo usengumntwana, ungalufumana usemdala.

Nangona kunjalo, ukuba sele unepoliyo kwaye uphilile, akukho nto unokuyenza ukuthintela ukufumana i-PPS kwixesha elizayo. Izazinzulu azikaqondi kakuhle ukuba kutheni abanye abantu abaye baba nepoliyo beba ne-PPS ngelixa abanye bengenayo.

Ithini ingqikelelo ye-`(Post-Polio Syndrome)`?

Imeko yePost-Polio Syndrome (PPS) iyahluka ukusuka kumntu ukuya komnye. Kuxhomekeke ekubeni zeziphi izihlunu ezichaphazelekileyo kunye nokuba iimpawu zinzima kangakanani.

Iimpawu ze-PPS zinokwenza kube nzima kuwe ukwenza izinto wedwa. Nangona kunjalo, izinto ezinje ngokuncedisa ukuhamba kunye nonyango lomsebenzi, esixoxe ngazo ngaphambili, zinokunceda kakhulu.

Impilo yakho iyonke isengozini enkulu ukuba izihlunu zakho zokuphefumla zenzeka buthathaka yi-PPS, okanye ukuba izihlunu zakho zokuginya zibuthathaka.

Ngaba i-"Post-Polio Syndrome" iyabunciphisa ubomi obulindelekileyo?

Kwiimeko ezininzi, ubomi bomntu one-"Post-Polio Syndrome" buqhelekile. "PPS" yimeko esongela ubomi engaqhelekanga.

Ufanele uye nini kugqirha malunga ne-`(Post-Polio Syndrome)`?

Ukuba ukhe waba nepoliyo ngaphambili, kwaye emva kweminyaka uziva ngathi izihlunu zakho ziya zisiba buthathaka kancinci kancinci,Ngokuqinisekileyo bonana nogqirha uze uthethe ngale nto.

Ukuba ufunyaniswe une-PPS, kufuneka ubonane nogqirha wakho rhoqo ukuqinisekisa ukuba isicwangciso sakho sonyango siyasebenza kwaye wenze naluphi na utshintsho olufunekayo.

Into ebalulekileyo kukuba ayinguye wonke umntu onePost-Polio Syndrome ochaphazeleka ngendlela efanayo. Eyona ndlela ilungileyo yokwazi kakuhle indlela le meko ekuchaphazela ngayo kunye nento onokuyilindela kukubona ugqirha ogxile kwizifo zemithambo-luvo kunye nePPS. Balapha ukukunceda.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ngokwezinto esizithethileyo, ndiyathemba ukuba ufumene ukuqonda okungcono `(Post-Polio Syndrome)`. Ngamafutshane:

• ``(PPS)`` yimeko yobuthathaka bemisipha eyenzeka kwiminyaka kamva kubantu ababekhe baba nepoliyo ngaphambili.
• Nangona kungekho ndlela ithile yokunyanga oku, zininzi izinto onokuzenza ukulawula iimpawu nokwenza ubomi bube lula.
• Ukuzilolonga okungekho nzima, unyango lomzimba, izixhobo zokuhamba xa kuyimfuneko, kunye notshintsho oluhle kwindlela yokuphila zibaluleke kakhulu.
• Ukuba unale mpawu, qiniseka ukuba ubonana nogqirha wezifo zengqondo.
• Khumbula, awuwedwa. Kukho abantu abanokukunceda ulawule le meko kwaye uphile ubomi obusempilweni.

Musa ukoyika, eyona nto ibalulekileyo kukwaziswa nokulandela iingcebiso zonyango ezifunekayo.

isifo se-post-polio, i-polio, ubuthathaka bemisipha, isifo se-neurological, i-PPS, isifo se-post-polio, ukuvuselelwa komzimba