Wake waba ne-polio futhi manje usulahlekelwa yizitho zakho futhi? Ake sifunde ngale (Post-Polio Syndrome)!

Uyasikhumbula isifo esibizwa ngokuthi i-polio esikhathini esidlule? Mhlawumbe nawe uke waba naso futhi kwaba nzima ukululama. Uma ululama bese uzizwa ukhathele futhi ubuthakathaka iminyaka eminingi, kungaba uphawu lwesimo esibizwa ngokuthi "i-Post-Polio Syndrome". Ake sixoxe ngalokhu ngendlela elula namuhla, ukuze ukwazi ukukuqonda.

Iyini i-Post-Polio Syndrome?

Kalula nje, i-"Post-Polio Syndrome" noma i-"PPS" yilapho umuntu oke walulama ku-polio ephinde abhekane nobuthakathaka bemisipha esikhathini esiyiminyaka ethile - mhlawumbe iminyaka eyi-10, engama-20, noma engama-40. Imisipha ingase futhi iphelelwe amandla noma ishwabane.

Njengoba ungase ukhumbule, i-polio, noma "i-Poliomyelitis", yisifo esibangelwa igciwane elibizwa ngokuthi "i-Poliovirus." Iningi labantu abayitholayo alibonisi zimpawu ezinkulu, futhi abanye abantu baba nomkhuhlane omncane. Kodwa-ke, kwabanye abantu, ingabangela izimo ezibucayi njengokukhubazeka komzimba kanye nokufa ngezinye izikhathi.

Kwakunezinhlobo ezintathu eziyinhloko zalesi `(igciwane lePoliovirus)`. Ziyizinhlobo 1, 2, kanye no-3. Manje, izinhlobo 2 no-3 sezisusiwe emhlabeni. Uhlobo 1 kuphela olusabonakala kwezinye izingxenye zomhlaba. I-polio isicishe iphele eSri Lanka manje. Kodwa abantu abake batheleleka esikhathini esidlule bangathola lesi simo `(i-PPS)`.

Ubani onamathuba amaningi okuthola i-"Post-Polio Syndrome"?

Lesi simo senzeka kuphela kubantu ababene-polio esikhathini esidlule. Ngokuvamile siqala ukuvela ngemva kweminyaka eyi-10 noma ngaphezulu. Ngezinye izikhathi singavela ngisho nangemva kweminyaka engama-40.

Ucwaningo luthole ukuthi phakathi kuka-30% no-40% wabantu abake baba ne-polio bathola lesi simo. Futhi, uma uke waba ne-polio ngaphambilini, okusho ukuthi izitho zakho zazibuthakathaka kakhulu, ungase ube nezimpawu ezimbi kakhulu uma uba ne-PPS.

Ivame kangakanani i-"Post-Polio Syndrome"?

Empeleni `(Post-Polio Syndrome)` yisimo esingavamile kakhulu kulezi zinsuku. Isizathu salokhu ukuthi i-polio nayo ayivamile kakhulu manje. Umuthi wokugomela i-polio usuqede i-polio emazweni amaningi emhlabeni, okuhlanganisa neSri Lanka. Kodwa-ke, njengoba kusenamazwe amaningana lapho i-polio ikhona khona, futhi kusenabantu ababene-polio esikhathini esidlule, iziguli `(PPS)` zibonwa ngezikhathi ezithile.

Ziyini izimpawu ze-`(Post-Polio Syndrome)`?

Uphawu oluyinhloko nolokuqala lwe-"Post-Polio Syndrome" ukuthi imisipha eyayibuthakathaka ngesikhathi sokutheleleka kwe-polio ilahlekelwa amandla ayo kancane kancane. Lezi zimpawu zingahluka kumuntu nomuntu. Abanye abantu bangase bathintwe yizo ngezinga elikhulu noma elincane.

Lezi ezinye zezimpawu ezivamile:

• Ubuthakathaka bemisipha kancane kancane: Umuzwa wokuthi ingalo, umlenze, noma omunye umsipha owawubuthakathaka ngenxa ye-polio uya ngokuya uba buthakathaka futhi.
• Ukukhathala:Akusikho ukukhathala nje kuphela, kungumzwelo wokukhathala ongabekezeleleki, oqeda amandla. Kufana nokuthi uyakhathala ngisho nangemva kokwenza umsebenzi omncane.
• Ukuwohloka kwemisipha: Lokhu kusho ukuthi imisipha iyancipha kancane kancane bese iba mincane.
• Ubuhlungu nokudikiza kwemisipha: Imisipha iyabuhlungu, ngezinye izikhathi kuzwakala sengathi imisipha imane igxumagxuma phezulu naphansi, idikiza.
• Ubuhlungu bamalunga: Ubuhlungu bungase buvele emalungeni anjengamadolo nezindololwane.
• Ukukhubazeka kwamathambo: Isibonelo, kungase kube nezinto ezifana nokugoba komgogodla (i-scoliosis).

Cabanga nje, kunomuntu ogama lakhe linguNimal, owathola i-polio eseyingane futhi umlenze wakhe wesokudla wawubuthakathaka kancane. Waphila impilo evamile iminyaka eminingi. Kodwa manje, eneminyaka engu-50, uzizwa sengathi umlenze wakhe wesokudla uyaphela kancane kancane amandla awo futhi. Uzizwa ekhathele kakhulu lapho ekhuphuka izitebhisi noma ehamba ibanga elifushane. Yileyo ndlela okumthinta ngayo.

Ngaphezu kwalokho, uma lokhu "(PPS)" kuthinta imisipha esetshenziselwa ukuphefumula noma imisipha esetshenziselwa ukugwinya, kungaba nobunzima bokuphefumula kanye nobunzima bokugwinya.

Kwezinye izimo ezinzima ze-PPS, izimpawu zingafana nezesifo sezinzwa i-Amyotrophic Lateral Sclerosis (ALS). Kodwa-ke, kubalulekile ukukhumbula ukuthi lokhu akufani ne-ALS.

Yini ebangela `(Post-Polio Syndrome)`?

Ososayensi abakakatholi ukuthi yini ngempela ebangela i-Post-Polio Syndrome. Kodwa-ke, kukhona umbono owodwa ngakho. Okusho ukuthi, uma ululama ku-polio, isimiso sezinzwa somzimba wakho siyashintsha.

Cabanga ngale ndlela, igciwane le-polio `(Poliovirus)` lilimaza amanye amangqamuzana ethu ezinzwa `(Neurons).` Lawa maseli ezinzwa yiwo athwala imiyalezo yokwenza imisipha isebenze. Ngakho-ke, lapho i-polio isiphelile, esikhundleni samangqamuzana ezinzwa alimele, amangqamuzana ezinzwa asele aphilile aqala ukusebenza kakhulu. Lawa maseli ezinzwa aphilile, avela emagatsheni awo amakhulu `(Axons)`, enza amanye amagatsha amancane `(Dendrites)`, futhi athatha ukulawula imicu yemisipha elawulwa amangqamuzana ezinzwa alimele. Kufana nesisebenzi esisodwa esithatha umsebenzi wabanye.

Ngakho-ke, ososayensi bacabanga ukuthi ngemva kweminyaka eminingi besebenza ngaphezu kwamandla abo, lawo maseli ezinzwa aphilile ekuqaleni ayancipha kancane kancane futhi akhathale. Lawo magatsha amancane (ama-dendrite) ayancipha kancane kancane. Bese lezo misipha ezazisebenza kahle ngaphambili nazo ziqala ukuncipha futhi. Cishe yisona sizathu salesi simo "se-PPS", okucatshangwa ukuthi siyimbangela njengamanje.

Ingabe i-`(Post-Polio Syndrome)` iyisifo esithathelwanayo?

Cha. ``I-Post-Polio Syndrome`` akuyona isifo esingadluliselwa kusuka komunye umuntu siye komunye. Kodwa-ke, igciwane le-polio liyigciwane elithelelanayo kakhulu. Yingakho kubaluleke kakhulu ukuzivikela kulesi sifo ngokuthola umuthi wokugomela i-polio.

Ungayibona kanjani i-`(Post-Polio Syndrome)`?

Okwamanje akukho ukuhlolwa okuqondile okungaqinisekisa ngokunembile ukuba khona kwe-"Post-Polio Syndrome".

Kunalokho, odokotela baxilonga lesi simo ngokwenza ukuhlolwa ngokomzimba, bathathe umlando wezokwelapha onemininingwane (njengokuthi wake waba ne-polio esikhathini esidlule nokuthi nini), bese bebuza ngezimpawu zakho zamanje. Bafuna nokuqinisekisa ukuthi izimpawu azibangelwa esinye isimo sezokwelapha.

Udokotela wakho angenza izivivinyo eziningana ukuze ahlole i-PPS futhi akhiphe ezinye izimo, njenge:

• Ukuskena kwe-Spinal MRI (Magnetic Resonance Imaging) kanye ne-CT (Computed Tomography): Lokhu kungahlola noma yiziphi izinkinga ngomgogodla kanye nezinzwa ezihambisana nawo.
• Ukuhlolwa kwe-Electromyogram (EMG): Lokhu kuhlola ukusebenza kukagesi kwemisipha kanye nezinzwa ezilawulayo. Lokhu kusiza ekunqumeni ukuthi ubuthakathaka bemisipha bubangelwa yini inkinga yezinzwa noma inkinga ngemisipha ngokwayo.
• I-Muscle Biopsy: Ngezinye izikhathi, ingxenye encane yemisipha iyathathwa bese ihlolwa ngaphansi kwe-microscope. Lokhu kungasiza ekuboneni izinguquko emisipheni.
• Ukuhlaziywa Koketshezi Lomgogodla: Ukuhlolwa okuthatha inani elincane loketshezi emgogodleni wakho. Lokhu kungasiza ekuhloleni ezinye izinkinga zezinzwa.

Iphathwa kanjani i-`(Post-Polio Syndrome)`?

Ngeshwa, okwamanje akukho ukwelashwa okuqondile okungayelapha ngokuphelele i-"Post-Polio Syndrome (PPS)". Ngakho-ke, umgomo oyinhloko wodokotela ukulawula izimpawu nokuthuthukisa "ikhwalithi yempilo" yakho.

Uma une-PPS, kubaluleke kakhulu ukubona udokotela ochwepheshe ezimweni zemisipha.

Nazi ezinye izindlela zokusiza ukuphatha izimpawu ze-PPS:

• Ukuzivocavoca okungakhathali: Ukuzivocavoca okungabangeli ubuhlungu noma ukukhathala ngokweqile kungathuthukisa amandla emisipha futhi kunciphise ukukhathala okuphelele. Ungathola ukuthi lokhu kuyini ngokubuza udokotela wezokwelapha umzimba.
• Ukuqeqeshwa kokukhuthazela kwenhliziyo nokuphefumula: Lena inqubo yokuthuthukisa izinga lomsebenzi inhliziyo yakho, amaphaphu kanye nemisipha engakwenza ndawonye ngesikhathi sokuzivocavoca isikhathi eside. Kufanele nakanjani ukhulume nodokotela wakho ngaphambi kokuqala lolu hlobo lokuqeqeshwa.
• Izinsiza zokuhamba: Ukusebenzisa izinto ezifana nezinduku, izinqola zokuhamba, izihlalo zabakhubazekile, noma ama-scooter kungenza kube lula ukuhambahamba futhi kunciphise ukukhathala kwemisipha.
• Ukwelashwa emsebenzini:Udokotela wezokwelapha angenza izinguquko ezidingekayo endaweni okuyo ukuze imisebenzi yansuku zonke yasekhaya (isib. ukugqoka, ukupheka) ibe lula.
• Ukwelashwa Kwenkulumo: Uma unenkinga yokugwinya ngenxa ye-PPS, udokotela wezifo zokukhuluma angakusiza.
• Izinguquko zendlela yokuphila: Udokotela wakho cishe uzokweluleka ukuthi udle ukudla okunempilo, ulawule isisindo sakho, ulale ngokwanele, futhi uyeke ukubhema . Lezi zinto zingasiza ekulawuleni izimpawu futhi zithuthukise impilo yakho iyonke.

Ngaphezu kwalokho, ukwelashwa kwengqondo kungakusiza wena nomndeni wakho ukuthi nibhekane ne-PPS. Kungasiza futhi ukujoyina amaqembu okusekelana lapho ningakhuluma khona nabanye ababhekene nento efanayo futhi nihlanganyele okuhlangenwe nakho kwenu.

Ingabe i-`(Post-Polio Syndrome)` ingelapheka?

Cha, ngokolwazi lwamanje, alikho ikhambi le-"Post-Polio Syndrome". Ukwelashwa kuhloselwe ukulawula izimpawu nokusiza ukwenza impilo ibe lula.

Ungakuvimbela kanjani `(Post-Polio Syndrome)`?

Okuwukuphela kwendlela yokuvimbela i-polio ukuvimbela ukuthola i-polio. Okuwukuphela kwendlela yokwenza lokho ukuthola umuthi wokugomela i-polio. Izingane zivame ukunikezwa imithamo emine yomthi wokugomela i-polio kusukela ezinyangeni ezimbili ubudala. Uma ungawutholanga lo muthi wokugomela useyingane, ungawuthola usumdala.

Kodwa-ke, uma usuvele une-polio futhi walulama, akukho ongakwenza ukuvimbela ukuthola i-PPS esikhathini esizayo. Ososayensi abakaqondi kahle ukuthi kungani abanye abantu abaye baba ne-polio beba ne-PPS kanti abanye abanayo.

Iyini iphrojekthi ye-`(Post-Polio Syndrome)`?

Umbono we-Post-Polio Syndrome (PPS) uyahlukahluka kumuntu nomuntu. Kuya ngokuthi yimiphi imisipha ethintekile nokuthi izimpawu zimbi kangakanani.

Izimpawu ze-PPS zingenza kube nzima ngawe ukwenza izinto wedwa. Kodwa-ke, izinto ezifana nokusiza ukuhamba kanye nokwelashwa ngokomsebenzi, esixoxe ngakho ekuqaleni, zingasiza kakhulu.

Impilo yakho iyonke isengozini enkulu uma imisipha yakho yokuphefumula ibuthakathaka ngenxa ye-PPS, noma uma imisipha yakho yokugwinya ibuthakathaka.

Ingabe i-"Post-Polio Syndrome" ifinyeza isikhathi sokuphila?

Ezimweni eziningi, isikhathi sokuphila somuntu one-"Post-Polio Syndrome" sivamile. I-"PPS" yisimo esisongela impilo esingavamile kakhulu.

Kufanele ubonane nini nodokotela mayelana `(Post-Polio Syndrome)`?

Uma uke waba ne-polio esikhathini esidlule, futhi eminyakeni kamuva uzizwa sengathi imisipha yakho iya ngokuya iba buthakathaka futhi,Ngokuqinisekile bonana nodokotela bese nixoxa ngalokhu.

Uma utholakale une-PPS, kufanele ubonane nodokotela wakho njalo ukuqinisekisa ukuthi uhlelo lwakho lokwelashwa luyasebenza futhi wenze noma yiziphi izinguquko ezidingekayo.

Into ebalulekile ukuthi akubona bonke abantu abane-Post-Polio Syndrome abathinteka ngendlela efanayo. Indlela engcono kakhulu yokwazi kahle ukuthi lesi simo sikuthinta kanjani nokuthi yini ongayilindela ukubona udokotela ochwepheshe bezifo ze-neuromuscular kanye ne-PPS. Balapha ukuzokusiza.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kulokho esikuxoxile, ngithemba ukuthi usuthole ukuqonda okungcono nge-`(Post-Polio Syndrome)`. Ngamafuphi:

• "(PPS)" yisimo sobuthakathaka bemisipha esenzeka eminyakeni eminingi kamuva kubantu abake baba ne-polio ngaphambilini.
• Nakuba kungekho ikhambi eliqondile lalokhu, kunezinto eziningi ongazenza ukulawula izimpawu nokwenza impilo ibe lula.
• Ukuvivinya umzimba okungadingi ukucindezeleka, ukwelashwa ngokomzimba, izinsiza zokuhamba uma kudingeka, kanye nokushintsha indlela yokuphila okuhle kubaluleke kakhulu.
• Uma unalezi zimpawu, qiniseka ukuthi ubonana nodokotela wezinzwa.
• Khumbula, awuwedwa. Kunabantu abangakusiza ukuthi uphathe lesi simo futhi uphile kahle.

Ungesabi, into ebaluleke kakhulu ukwaziswa nokulandela iseluleko sezokwelapha esidingekayo.

i- post-polio syndrome, i-polio, ubuthakathaka bemisipha, isifo sezinzwa, i-PPS, i-post-polio syndrome, ukuvuselelwa ngokomzimba