Cishe ingxenye yabantu abane-multiple sclerosis eYurophu ayisebenzi futhi lokhu kuthinta izinga labo lempilo[5]; labo abanomsebenzi esikhundleni sokubika babamba iqhaza elikhulu emisebenzini yansuku zonke, ukubamba iqhaza komphakathi nokweneliseka komuntu siqu kunalabo abangasebenzi, abathi esikhundleni salokho bacindezeleke kakhulu, isizungu nokukhathazeka[1][5].

Uma ngakolunye uhlangothi ukuxhumana phakathi kokukhubazeka ngokomzimba nokungabikho komsebenzi sekufundwe kabanzi[7] (I-82% yabantu eYurophu abane-sclerosis eminingi ne-EDSS ka-0 banomsebenzi, uma kuqhathaniswa namaphesenti angama-25 kuphela alabo abane-EDSS ka-6,5), okuncane kakhulu okuphenyiswayo yi ukuxhumana phakathi kokusilela kwengqondo nokuba nomsebenzi. I-54% nje kuphela yezifundo ezine-EDSS ezi-3 noma eziphansi ezinomsebenzi[7] futhi lokhu kubonakala kunzima ukukuchaza ngokukhubazeka ngokomzimba[4]. Izimpawu ezifana nalezo ezihlobene nokukhathala, imizwa nokuqunjelwa ingqondo kungaba yincazelo[3]. Kuqokonyiswe ukuthi amakhono okuqonda anomthelela ekuzuzweni kwabantu abane-multiple sclerosis kungakhathalekile ukuthi ungakanani ukukhubazeka ngokomzimba[6] futhi, futhi, izivivinyo ze-neuropsychological zingakwazi ukwahlukanisa, phakathi kwabantu abanalesi sifo, abangasebenza kahle, nobunzima futhi abangakwazi[2].

Ucwaningo

Abaphenyi ababili, uClemens noLangdon[4], ifune ukuhlaziya izincwadi zesayensi ezikhona ebudlelwaneni obuphakathi kwamakhono okuqonda kokuqina kwesifo emzimbeni kanye nobunzima bomsebenzi.
Kulokhu, kwenziwa ucwaningo lwe-13 ngezihloko ezinesifo sokuqina kweminyaka eminingi (kusuka eminyakeni eyi-18 kuye kwengama-65), lapho bekuhlaziywa khona ubudlelwane obuphakathi kokushoda kwemizwa nomsebenzi, kuhlolwa futhi kufingqiswa imiphumela. Yilokhu kwavela:


  • Njengoba onkulunkulu bekhula ukusilela kwengqondo amathuba okuba ungabi nawo umsebenzi uyancipha noma, okungenani, amahora omsebenzi anciphe.
  • Iningi lezifundo ezihloliwe libika ukuthi ijubane lokulungiswa kolwazi kuhlobene kakhulu nesimo sokuqashwa. Olunye uvivinyo olusetshenziswa kakhulu kulokhu lwalutholakala Uphawu Lokuhlolwa Kwezimpawu Zedijithali, omhlaba wabo ezifundweni ezahlukahlukene ababandlulula phakathi kwezifundo abanazo noma abangasebenzi, abaza ukubikezela inani lamahora asetshenzisiwe.
    Okunye ukuvivinya okuvamile kule ndawo Isivivinyo Sokwengeza Sezibalo Zokwengeza se-Paced (bheka futhi i sitshelwa) futhi leli thuluzi liphinde lakhombisa ukuthi lingahlukanisa izifundo eziningi ze-sclerosis nomsebenzi kuzo kulabo abangasebenzi; izikolo ziphinde zihambisane nenombolo yamahora okusebenza weviki. Kodwa-ke, lokhu kuvivinya kunikeze nemiphumela ehlukahlukene.
  • Futhi i ukuhlolwa kwememori kanye nokufunda zihlobene nesimo somsebenzi, zombili i-visuo-spatial (Ukubuyekezwa Okumfishane Visuospatial Memory-Kuvuselelwe) ngomlomo, njenga Ukukhetha Kokukhumbuza Abakhethiweyo futhi i I-California Verbal Learning Test (bheka futhi i-athikili yethu ukuhlolwa kwememori yesikhathi eside).  
  • Ekugcineni, njengoba bekulindeleka kalula, ukusebenza ezivivinyweni ku imisebenzi ephezulu behlukile ngokuqhathanisa lezo zifundo ezine-sclerosis eminingi ngaphandle komsebenzi kanye nalezo ezakwazi ukugcina umsebenzi, ikakhulukazi ngezivivinyo ezifana Ukuhlolwa Kokuhlolwa Kwekhadi leWisccinit Ukuhlolwa Kwezinto Eziyisithupha futhi i IGama Lamagama Isizukulwane (bheka futhi i-athikili yethu Ukuhlolwa kwemisebenzi yezokuphatha).

iziphetho

Izifundo ezibhekwe kulokhu kubuyekezwa[4] bakhombisa ukuthi abantu abane-multiple sclerosis abangasebenzi (noma abasebenza amahora ancishisiwe) ngokwesilinganiso beba nephrofayli le-neuropsychological eliboniswa inani elikhulu lokushoda kunabantu abane-sclerosis eminingi abaphatha ukugcina umsebenzi. Izindawo ezifanele kakhulu, njengoba kushiwo. inkumbulo, imisebenzi ephezulu futhi ngaphezu kwakho konke, ijubane lokucutshungulwa kolwazi. Lesi sakamuva sibonakala sikwazi ukubandlulula phakathi kwabantu abakwaziyo ukusebenza kunalabo abakhombisa ubunzima obukhulu. Ngalesi sizathu, izivivinyo ekusebenzeni kahle kokulungiswa kwemininingwane zibonakala zibalulekile ekuhlolweni kwe-neuropsychological esimweni se-multiple sclerosis, ikakhulukazi phambi kwabantu abasengozini yezinkinga zomsebenzi.

Bibliografia

  1. I-Balto, JM, Pilutti, LA, & Motl, RW (2019). Isizungu ku-Multiple Sclerosis: Okungenzeka kwenzeke kanye nama-Correlates. Ukuvuselela Intesi Yabahlengikazi, 44(1), i-52-59.
  2. UBenedict, RH, Drake, AS, Irwin, LN, Frndak, SE, Kunker, KA, Khan, AL,… no-Weinstock-Guttman, B. (2016). Amabhentshimakhi wokukhubazeka okubonakalayo ku-MSFC naku-BICAMS. I-Multiple Sclerosis Journal, 22(14), i-1874-1882.
  3. UCadden, M., no-Arnett, P. (2015). Izici ezihlotshaniswa nesimo sokuqashwa kubantu abane-multiple sclerosis. Ijenali yomhlaba wonke yokunakekelwa kwe-MS, 17(6), i-284-291.
  4. UClemens, L., noLangdon, D. (2018). Ukuqonda kuhlobene kanjani nokuqashwa ku-multiple Sclerosis? Ukubuyekezwa okuhlelekile. I-Multiple sclerosis kanye nokuphazamiseka okuhlobene.
  5. UDorstyn, DS, Roberts, RM, Murphy, G., & Haub, R. (2019). Ukuqashwa kanye ne-multiple sclerosis: Ukubuyekezwa kwe-meta-analytic kwama-correlates angokwengqondo. Ijenali yezengqondo yezempilo, 24(1), i-38-51.
  6. UKavaliunas, A., Danylaite Karrenbauer, V., Gyllensten, H., Manouchehrinia, A., Glaser, A., Olsson, T.,… noHillert, J. (2019). Umsebenzi wokuqonda kungukunquma okukhulu kwemali engenayo phakathi kweziguli eziningi ze-sclerosis eSweden ezisebenza ngaphandle kokukhubazeka ngokomzimba. I-Multiple Sclerosis Journal, 25(1), i-104-112.
  7. UKobelt, G., Thompson, A., Berg, J., Gannedahl, M., Eriksson, J., MSCOI Study Group, kanye ne-European Multiple Sclerosis Platform. (2017). Ukuqonda okusha ngomthwalo kanye nezindleko ze-multiple sclerosis eYurophu. I-Multiple Sclerosis Journal, 23(8), i-1123-1136.

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