Created at:1/16/2025
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I-multiple sclerosis (MS) iyisimo lapho i-immune system yakho ihlasela ngephutha isivikelo esizungezile izinsimbi zezinzwa ebuchosheni bakho nasemgogweni wakho. Cabanga ngakho njengokuthi ukufakwa kwezintambo zamandla okutholakala konakele, okungaphosa noma kuphazamise izibonakaliso izinzwa zakho ezithumela emzimbeni wakho.
Lokhu kwenzeka ngoba uhlelo lokuvikela lomzimba wakho ludideka futhi luqala ukuphatha inyama yezinzwa ezempilo njengengozi. Nakuba i-MS ithonya wonke umuntu ngokuhlukile, abantu abaningi baphila impilo egcwele, esebenzayo ngokwelashwa okuqondile nokusekelwa.
I-multiple sclerosis yisifo se-autoimmune esithinta uhlelo lwakho oluphakathi lwezinzwa. I-immune system yakho ihlasela i-myelin, into enamafutha ehlanganisa izinsimbi zezinzwa njengokufakwa etambeni.
Uma i-myelin yonakala, yakha inyama ebuhlungu ebizwa ngokuthi i-sclerosis. Lezi zibazi zingabonakala ezindaweni eziningi ebuchosheni bakho nasemgogweni wakho, kungakho kubizwa ngokuthi “i-multiple sclerosis.”
Ukonakala kuya kuphazamisa ukuxhumana phakathi kobuchopho bakho nengxenye ehlala yomzimba wakho. Lokhu kungabangela izimpawu eziningi, kusukela ekuqabukeni okuncane kuya ezingxakeni ezinkulu ngokunyakaza noma ukucabanga.
I-MS ayithwali, futhi nakuba kuyisimo esingapheli, ngokuvamile ayibulali. Ngokwelashwa wanamuhla, abantu abaningi abane-MS bagcina ukuzimela kwabo kanye nekhwalithi yempilo iminyaka eminingi.
I-MS iza ngezinhlobo eziningi ezahlukene, ngayinye ilandela iphethini yayo. Ukuqonda uhlobo lwakho kusiza udokotela wakho ukukhetha indlela yokwelapha engcono kakhulu kuwe.
Uhlobo oluvamile kakhulu yi-relapsing-remitting MS (RRMS), ethinta cishe u-85% wabantu abaqale ukuxilongwa. Uzobhekana nokuqhuma kwezimpawu okulandelelwa yizikhathi zokubuyiselwa okuphelele noma okuphelele.
I-MS eyaqhubekayo yesibili (SPMS) ingakhula kusuka ku-RRMS ngokuhamba kwesikhathi. Esikhundleni sokuphulukana okuqondile nokubuyela esimweni esijwayelekile, izimpawu ziyaqhubeka zibe zimbi ngokungekho emkhatsini noma ngezikhathi ezithile zokwanda kwezinkinga.
I-MS eyaqhubekayo yokuqala (PPMS) ithinta cishe abantu abangu-10-15% abane-MS. Izimpawu ziyaqhubeka zibe zimbi kusukela ekuqaleni ngaphandle kokuphazamiseka noma ukubuyela esimweni esijwayelekile.
I-MS eyaqhubekayo-ephulukayo (PRMS) iwuhlobo oluyimfihlo kakhulu. Ihilela ukwanda okuqhubekayo kusukela ekuqaleni, ngezikhathi ezithile zokwanda kwezinkinga ezibukhali endleleni.
Izimpawu ze-MS zihlukahluka kakhulu ngoba isimo singathinta noma iyiphi ingxenye yesistimu yakho ephakathi yethumbu. Lokho okuhlangenwe nakho kuya ngokuthi ukubhujiswa kwenzeka kuphi nokuthi kunzima kangakanani.
Izimpawu zokuqala zivame ukuza ziye, okwenza kube nzima ukuxilonga i-MS ekuqaleni. Abantu abaningi baphawula izimpawu zabo zokuqala ngezikhathi zokucindezeleka noma ukugula.
Izimpawu ezivamile abantu abaningi abane-MS abazibhekana nazo zihlanganisa:
Izimpawu ezingavamile kodwa ezingase zenzeke zihlanganisa ukubamba okukhulu kwemisipha, ubunzima bokukhuluma, noma izinkinga zokugwinya. Abanye abantu nabo bahlangabezana nokushintsha kwesimo sengqondo, nakuba kungacaci ukuthi lokhu kuvela ngqo ku-MS noma ekujongeni nesimo esingapheli.
Khumbula ukuthi ukuba nesimpawu esisodwa noma ezimbili akusikho ukuthi une-MS. Izimo eziningi zingabangela izimpawu ezifanayo, ngakho kubalulekile ukusebenzisana nodokotela wakho ukuze uthole ukulinganiswa okufanele.
Imbangela eqondile ye-MS isalokhu iyimfihlo, kodwa abacwaningi bakholelwa ukuthi ithuthukiswa yihlanganisela yezinto ezisebenza ndawonye. I-jini lakho, indawo ohlala kuyo, kanye nokungenzeka kokutheleleka konke kudlala indima.
I-MS ayidluliselwa ngqo, kodwa ukuba nomuntu womndeni one-MS kukwandisa ingozi yakho kancane. Ososayensi bathole ama-jini athile enza abanye abantu babe sengozini enkulu yokuthuthukisa le meko.
Izinto ezingqongile nazo zibalulekile kakhulu. Abantu abahlala kude ne-equator banesilinganiso esiphezulu se-MS, okubonisa ukuthi amazinga e-vitamin D noma ukukhanya kwelanga kungase kuthonye ingozi.
Abanye abacwaningi bacabanga ukuthi ukutheleleka okuthile kwe-viral, ikakhulukazi i-Epstein-Barr virus, kungase kuqalise i-MS kubantu abasengozini ngokufanele. Noma kunjalo, izigidi zabantu bathola lezi zifo ngaphandle kokuthuthukisa i-MS.
Ukubhema kubonakala sengathi kukwandisa kokubili ingozi yokuthuthukisa i-MS nesivinini esithuthuka ngaso. Izindaba ezinhle ukuthi lokhu kukunika ukulawula okuthile kwezinto ezikukhohlisayo.
Ukuqina akubangeli i-MS, kodwa kungase kuqalise ukubuyela kubantu abasenesimo. Ukuphatha ukucindezeleka kuba yingxenye ebalulekile yokuphila kahle ne-MS.
Kufanele ubheke udokotela uma uhlangabezana nezimpawu zezinzwa eziqhubekayo ezikukhathazayo. Ukuxilongwa kwasekuqaleni nokuphathwa kungenza umehluko omkhulu ekulawuleni i-MS ngokuphumelelayo.
Hlela i-aphoyintimenti uma uqaphela ukungathandeki noma ubuthakathaka obuhlala izinsuku ezimbalwa, ikakhulu uma buthinta ohlangothini olulodwa lomzimba wakho. Izinkinga zobono ezinjengobono obukhanyayo, ukubona okubili, noma ubuhlungu beliso nazo zidinga ukunakekelwa kwezokwelapha.
Izinkinga zokulinganisela, ukukhungatheka, noma izinkinga zokuxhumanisa eziphazamisa imisebenzi yakho yansuku zonke kufanele zixoxwe nodokotela wakho. Kufana nalokho ngokukhathala okungavamile okungaphuli ngokuphumula.
Ungalindi uma ubhekene nezimpawu ezibuhlungu neziqubukele ngokushesha, njengokulahleka okukhulu kokubona, ubuthakathaka obukhulu, noma izinkinga zokukhuluma noma ukugwinya. Lokhu kungabonisa ukuphulukana okukhulu okudinga ukwelashwa ngokushesha.
Khumbula ukuthi izimo eziningi zingabangela izimpawu ezifana ne-MS. Udokotela wakho angakusiza ukuthi uthole ukuthi yini ebangela izimpawu zakho futhi akuqondise ekwelapheni okufanele.
Izici eziningi zingandisa amathuba akho okukhula kwe-MS, yize ukuba nezici ezingozi akusho ukuthi uzokhula ngalesi simo. Ukuqonda lezi zici kungakusiza wenze izinqumo ezinolwazi mayelana nempilo yakho.
Ubudala buwumsebenzi obalulekile, ngabantu abaningi abaxilongwe phakathi kweminyaka engu-20 no-50. Noma kunjalo, i-MS ingakhula kunoma iyiphi iminyaka, kufaka phakathi ezinganeni nasezikhulile.
Abesifazane banethuba elingaphezulu kabili noma kathathu lokukhula kwe-MS kunabesilisa. Izici ze-hormonal zingase zinikeze le nkinga, yize abacwaningi besafunda uxhumano.
I-geography ibalulekile futhi. Abantu abahlala ezindaweni ezifudumele, ikakhulu labo abaqhele kakhulu e-equator, banesilinganiso esiphezulu se-MS. Lokhu kufaka i-United States enyakatho, iCanada, iYurophu enyakatho, ne-Australia eningizimu.
Ubuzwe bakho bungathinta ingozi futhi. Abantu abavela eYurophu enyakatho banengozi enkulu, kanti labo abavela e-Afrika, e-Asia, noma e-Hispanic banesilinganiso esincane.
Ukuba nezimo ezithile ze-autoimmune njengomgogodla, i-type 1 diabetes, noma isifo sokuvuvukala sezisu kukhuphula kancane ingozi yakho ye-MS. Ukuthambekela kwesistimu yakho yokuziphepha ekulweni nezinhlangothi ezempilo kungase kukwenze ube sengozini yezimo eziningi ze-autoimmune.
Ukubhema kukhuphula kakhulu ingozi yakho yokukhula kwe-MS kanye nesivinini esikhulayo. Uma ubhema futhi unesongo le-MS, ukuyeka kungaba yinyathelo elibaluleke kakhulu ongalithatha empilweni yakho.
Nakuba abantu abaningi abane-MS bephila impilo egcwele, lesi simo ngezinye izikhathi singabangela izinkinga ezihlupha imisebenzi yakho yansuku zonke. Ukuqonda lezi zinto kukunceda ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuvimbela noma ukuziphatha kahle.
Izinselele zokunyakaza ziphakathi kwezinkinga ezivame kakhulu, yize zingathinti bonke abane-MS. Abanye abantu bahlushwa ukubopha kwemisipha, ubuthakathaka, noma ukungasebenzi kahle kwemisipha okwenza kube nzima ukuhamba.
Ukushintsha kwengqondo kungenzeka cishe kwesigamu sabantu abane-MS. Lokhu kungafaka izingqinamba ekukhumuleni, ukunaka, noma ukucubungula ulwazi ngokushesha, yize ukungasebenzi kahle kwengqondo okuqatha kungavamile.
Izinkinga zesibofu namanoni zithinta abantu abaningi abane-MS ngesinye isikhathi. Lokhu kungafaka ukuphuma kwesisu njalo kuya ezinkingeni ezinkulu zokulawula, kepha kukhona ukwelashwa okuphumelelayo okutholakala.
Ukudideka nokukhathazeka kwenzeka ngokukhulu kubantu abane-MS kunabantu abavamile. Lokhu kungaba ngenxa yengcindezi yokuphila nesimo esingapheli nemiphumela eqondile ezihlathini zengqondo.
Izinkinga ezingavamile kepha ezingathi sína zingafaka ukulahlekelwa amandla okunyakaza, ukungasebenzi kahle kwengqondo, noma ubunzima bokuqeda umoya. Noma kunjalo, lezi zinkinga ezinzima zingezona ezivamile, ikakhulukazi ngokwelashwa okuhle.
Ukusebenza okungalungile kwezocansi kungenzeka ngenxa yomonakalo wezinzwa, ukukhathala, noma imiphumela emibi yemithi. Lena yinkinga engaphatheka kalula ongayixoxa ngokukhululekile neqembu lakho lokunakekelwa kwezempilo.
Ukuqondana kukusebenzisana eduze neqembu lakho lezokwelapha ukuqapha izinkinga nokuzixazulula ngokushesha lapho zingaqondwa kalula.
Ukuxilonga i-MS kungaba inselele ngoba awekho uvivinyo olulodwa oluqinisekisa ngokuqinisekile lesi simo. Udokotela wakho uzosebenzisa ukuxuba kwezivivinyo, ukuhlolwa, nomlando wezokwelapha ukuze afinyelele ekuxilongweni.
Inqubo ivame ukuseqala ngokuhlolwa okuphelele kwemizwa. Udokotela wakho uzohlola ukuphendula kwakho, ukuhambisana, ukulinganisela, kanye nokuphendula komuzwa ukuze afune izimpawu zokulimala kwama-nerve.
I-MRI scans iyithuluzi elibaluleke kakhulu lokuthola i-MS. Lezi zithombe ezinemininingwane zingabonisa izindawo zokulimala noma izibazi ebuchosheni nasemgogweni wakho, ngisho nangaphambi kokuba uqaphele izimpawu.
Udokotela wakho angase ayalele ukuhlolwa kwegazi ukuze asuse ezinye izimo ezingafana nezimpawu ze-MS. Nakuba kungekho ukuhlolwa kwegazi kwe-MS ngokwayo, le mihlolo iyasisiza ukuba sisuse ezinye izinto.
Ukuthungwa komgogodla (spinal tap) kungase kunconywe kwezinye izimo. Lo mkhuba ufuna amaprotheni athile namasosha omzimba e-spinal fluid akhombisa i-MS.
Ukuhlolwa kwe-evoked potential kuyilinganisa ukuthi uhlelo lwakho lwezinzwa luphendula kanjani ekukhuthazweni. Le mihlolo ingathola ukulimala kwama-nerve ngisho nalapho imiphumela ye-MRI ingacaci.
Udokotela wakho uzokubheka futhi iphethini yempawu yakho ngokuhamba kwesikhathi. I-MS ivame ukubandakanya izimpawu ezivela bese ziya noma zibe zimbi kancane kancane, okusisiza ukuba siyihlukanise nezinye izimo.
Ukuphathwa kwe-MS kugxila ekulawuleni izimpawu, ekuthambiseni ukuqhubeka kwesifo, nasekusizeni ukuba ugcine ikhwalithi yokuphila kwakho. Nakuba kungekho ukwelashwa okuphelele okusekhona, ukwelashwa namuhla kunomphumela kakhulu kunangaphambili.
I-Disease-modifying therapies (DMTs) iyisisekelo sokwelashwa kwe-MS. Le miyekezo inganciphisa ubukhulu nobunzima be-relapses ngenkathi ihambisa ukuqhubeka kokukhubazeka.
Kunezinhlobo eziningi ze-DMTs ezitholakalayo, kufaka phakathi imithi eyenziwa ngokuqhafaza, amaphilisi omhlathi, kanye ne-infusion therapies. Udokotela wakho uzokusiza ukhethe indlela engcono kakhulu ngokuya ngohlobo lwe-MS yakho, izimpawu, kanye nendlela yokuphila.
Nge-relapses ebukhali, udokotela wakho angase anikeze i-corticosteroids efana ne-prednisone noma i-methylprednisolone. Le miyekezo enamandla yokulwa nokuvuvukala ingasheshisa ukuphulukiswa kokubhebhetheka.
Ukuphathwa kwemizimba kubaluleke kakhulu. Imithi ingasiza ngezimpawu ezithile njengokukhahlela kwemisipha, izinkinga zesibofu, ukukhathala, noma ubuhlungu be-neuropathic.
Ukwelashwa komzimba kudlala indima ebalulekile ekugcineni ukuhamba nokomelela. Uchwepheshe wezokwelapha komzimba angakufundisa imizamo nezinqubo zokuphatha izimpawu nokuvimba izinkinga.
Ukwelashwa komsebenzi kuzokusiza ukulungisa imisebenzi yansuku zonke nokugcina ukuzimela. Lokhu kungafaka ukufunda izindlela ezintsha zokwenza imisebenzi noma ukusebenzisa amadivayisi okusiza.
Ezimweni ezingavamile lapho ukwelashwa okujwayelekile kungasebenzi kahle, udokotela wakho angase acabangele izinketho ezinzima njengokushintshwa kwe-plasma noma ukwelashwa kwe-stem cell, nakuba lokhu kuvame ukugcinelwa izimo ezinzima, eziqhubekayo.
Ukuphatha i-MS ekhaya kuhilela ukwakha indawo yokusekela nokuthuthukisa imikhuba enempilo ehambisana nokuphathwa kwakho kwezokwelapha. Izinguquko ezincane zingenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku.
Ukusebenza kuyinye yezinto ezibaluleke kakhulu ongayenza. Ukuzivocavoca okuvamile, okulula kungasiza ekugcineni amandla, ukuqina, nengqondo ngenkathi kunciphisa ukukhathala nokucindezeleka.
Ukuphathwa kokushisa kuba yinto ebalulekile ngoba abantu abaningi abane-MS banesizungu ekushiseni okuphezulu. Sebenzisa abalandeli, ama-vest okupholisa, noma i-air conditioning ukuze uhlale ukhululekile, ikakhulukazi ngesikhathi sokuzivocavoca noma isimo sezulu esishisayo.
Amathuluzi okuphatha ukucindezeleka njengokucamngca, ukuphefumula okujulile, noma i-yoga angasiza ekunciphiseni amathuba okuphindaphinda. Thola izindlela zokunciphisa ukucindezeleka ezisebenza ngendlela yakho yokuphila futhi uzisebenzise njalo.
Ukulala okwanele kubalulekile ekuphatheni izimpawu ze-MS. Hlose amahora angu-7-9 okulala okuhle ubusuku ngabunye, bese ukhuluma nodokotela uma ukukhathala kuqhubeka naphezu kwemikhuba emihle yokulala.
Ukudla ukudla okulinganiselayo, okulwa nokuvuvukala kungasiza ekuphatheni izimpawu. Gxila ezithelo, imifino, ukudla okugcwele, nama-omega-3 fatty acids ngenkathi ugcina ukudla okucutshunguliwe noshukela ngokweqile.
Cabanga ngokujoyina iqembu lokusekela, noma ngokomuntu siqu noma online. Ukuthinta nabanye abantu abaqonda isipiliyoni sakho kungakunika izindlela ezisebenzayo kanye nokusekelwa ngokomzwelo.
Gcina idayari yezimpawu ukuze uqaphele izindlela nezici ezibangela. Ulwazi lolu lungakusiza wena nodokotela wakho ukuba nithathe izinqumo ezingcono zokwelashwa.
Nakuba ungayivimba ngokuphelele i-MS, izinqumo ezithile zokuphila zinganciphisa ingozi yakho noma ulibambezele ukuqala kwayo. Lezi zindlela ezifanayo zingakusiza futhi ukuba uphathe izimpawu uma usuvele unayo le meko.
Ukugcina amazinga afanele e-vitamin D kubonakala kuvikeleka e-MS. Chitha isikhathi elangeni ngokuphepha, udla ukudla okunama-vitamin D amaningi, noma ucabange ngezincedisi njengoba kunconywe udokotela wakho.
Uma ukhubaza, ukuyeka kuyinye yezinyathelo ezibaluleke kakhulu ongazithatha. Ukukhubaza kukhulisa kokubili ingozi ye-MS kanye nokuqhubeka kwesifo, kuyilapho ukuyeka kunganciphisa ukuqhubeka kwale meko.
Ukusebenza ngokomzimba njalo ekuphileni kwakho kungakusiza ukunciphisa ingozi ye-MS. Ukuzivocavoca njalo kusekela impilo yesistimu yokuvikela umzimba kanye nempilo yonke.
Ukuphatha ukucindezeleka ngokuphumelelayo kungasiza ukuvimbela ukuphindaphinda kwe-MS kubantu abathintekayo. Thuthukisa amasu okuqondisa kahle futhi ufuna usizo uma uyakudinga.
Ukugwema ukusetshenziswa okukhulu kotshwala kusekela impilo yonke yesistimu yokuvikela umzimba. Uma uphuza, yenza kanjalo ngokulinganisela njengoba kunconywe yiqoqo lemithetho yempilo.
Ucwaningo oluthile luphakamisa ukuthi ukuvimbela ukutheleleka okuthile kwezifo eziwumkhuhlane, ikakhulukazi i-Epstein-Barr virus, kunganciphisa ingozi ye-MS. Sebenzisa ukuhlanzeka okuhle futhi ugweme ukuxhumana eduze nabantu abanokutheleleka okusebenzayo uma kungenzeka.
Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zempilo. Ukulungiselela okuhle kuholela ekuxhumaneni kangcono nasekulungiseni kahle kokwelashwa.
Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zazide isikhathi esingakanani, nokuthi yini ezenzayo zibe ngcono noma zimbi. Faka izimpawu ezingabonakali ukuthi zihambelana, njengoba zingase zihlangene.
Letha uhlu oluphelele lwazo zonke izidakamizwa, izithasiselo, namavithamini owathathayo. Faka imithamo nokuthi ubathatha kangakanani, njengoba ezinye zingase zihlangane nokwelashwa kwe-MS.
Lungiselela uhlu lwemibuzo ofuna ukuyibuza. Imibuzo evamile ihlanganisa ukubuza ngezinketho zokwelashwa, ukuguqulwa kwesitayela sokuphila, nokuthi yini okulindelekile kusukela manje.
Butha amarekhodi akho ezempilo, ikakhulu noma yimaphi ama-MRI scans, ukuhlolwa kwegazi, noma ukuhlolwa kwezinzwa. Lokhu kusiza udokotela wakho ukuthi aqonde ukuqhubeka kwesimo sakho.
Cabanga ngokuletha umngani othembekile noma ilungu lomndeni ekuqokweni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo.
Cabanga ngezinhloso zakho zokwelashwa. Ingabe ufuna ukugxila ekunciphiseni ukuqhubeka, ukuphatha izimpawu ezithile, noma ukugcina izinga lakho lamanje lomsebenzi? Ukwabelana ngalezi zinto eziyinhloko kusiza ekuqondiseni izinqumo zokwelashwa.
Lungela ukuxoxa ngomlando wakho wezokwelapha womndeni, ikakhulu noma yiziphi izimo ze-autoimmune noma izifo zezinzwa. Lolu lwazi lungathinta ukuxilongwa kwakho ncebo yokwelashwa.
I-Multiple sclerosis iyimo ehlala isikhathi eside elapheka elisebenza ngendlela ehlukile kubantu bonke. Nakuba ukwamukela ukuxilongwa kwe-MS kungase kuzwakale kukhulu, abantu abaningi baqhubeka bephila impilo egcwele, enenjongo ngokwelashwa okufanele nokusekelwa.
Ukuxilongwa kwasekuqaleni nokwelashwa kwenza umehluko omkhulu emiphumeleni yesikhathi eside. Ngokushesha nje lapho uqala ukwelashwa okufanele, yingcono amathuba akho okuthambisa ukuqhubeka kwesifo nokugcina amakhono akho.
Ukwelashwa kwe-MS kuye kwathuthuka kakhulu eminyakeni yamuva. Imithi yanamuhla isebenza kangcono futhi inethonya eliphansi kunokwelashwa kwangaphambili, ikunikeza izinketho eziningi zokuphatha isimo sakho.
Ukuhlanganyela kwakho ngokugcwele ekwelapheni kubalulekile. Ukuthatha imithi njengoba kulotshiwe, ukuhlala usebenza ngokomzimba, ukuphatha ukucindezeleka, nokuya njalo kudokotela konke kuholela eziphumeleni ezinhle.
Khumbula ukuthi i-MS iyizinto zomuntu ngamunye. Okuhlangenwe nakho kwakho kungase kuhluke kakhulu kunokwabalandeli obekukhulume nabo, ngakho gxila ekuhambeni kwakho kunokuzifanisa nabanye.
Ukukwakha inethiwekhi eqinile yokusekela yabahlinzeki bezempilo, umndeni, abangane, kanye mhlawumbe nabanye abantu abane-MS kungenza umehluko omkhulu ezingeni lokuphila kwakho nasempilweni yakho jikelele.
I-MS ayidluliselwa ngqo, kodwa i-genetics idlala indima engokwengozi yakho. Uma unembele yomzali noma umfowenu onayo i-MS, ingozi yakho iphakeme kancane kunabantu abavamile, kodwa isalula. Abantu abaningi abane-MS abanawo umlando womndeni wesimo, futhi abantwana abaningi babantu abane-MS abayitholi.
Abantu abaningi abane-MS baphila ukuphila okuzele, okusebenzayo ngokwelashwa okulungile nokuphathwa kwendlela yokuphila. Nakuba i-MS iyisimo esingapheli esidinga ukunakekelwa okuqhubekayo, akudingeki ukuthi lichaze ukuphila kwakho noma kukuvimbe ekufinyeleleni imigomo yakho. Isifuba ukusebenza neqembu lakho lezempilo ukulawula izimpawu nokunciphisa intuthuko ngenkathi ugcina imisebenzi nobudlelwano obubalulekile kuwe.
Akuyona njalo. I-MS ithonya wonke umuntu ngokuhlukile, futhi abantu abaningi bahlangabezana nezinkathi ezinde zokuzinzile ngezimpawu ezincane. Izindlela zokwelapha eziguqula isifo zinganciphisa kakhulu intuthuko, futhi abanye abantu bane-MS ephansi ebangela izinkinga ezimbalwa ekuphileni kwabo konke. Nakuba i-MS iqhubeka ngokuvamile, izinga nokuthuthuka kwayo kuyahlukahluka kakhulu phakathi kwabantu.
Nakuba kungekho ukudla okuqondile okungaphilisa noma okungaphatha i-MS, ukudla okunempilo, okulinganisekile kungasiza ekulawuleni izimpawu nasekusekeleni impilo yonke. Abanye abantu bathola ukuthi ukudla okulwa nokuvuvukala okunomafutha amaningi e-omega-3, izithelo, nemifino kubasiza ukuthi bazizwe bekhulu. Noma kunjalo, qaphela ukudla okukhulu okuthi kuphilisa i-MS, njengoba lokhu kungasekelwe ubufakazi besayensi.
Abantu abaningi abane-MS banezimo zokukhulelwa ezinempilo nezingane. Ukukhulelwa kuvame ukunikeza isivikelo, ngabesifazane abaningi ababhekana nokuncipha kwezinkinga phakathi kokukhulelwa. Noma kunjalo, kuzodingeka usebenzisane eduze nodokotela wakho wezinzwa nodokotela wakho wokubeletha ukuze ulawule imithi yakho ye-MS uphangule ngemuva kokubeletha. Eminye imithi ye-MS ayiphephile ngesikhathi sokukhulelwa, ngakho-ke ukuhlela kusengaphambili kubalulekile.