Ukuba wena okanye othandekayo usandululwazi ukuba unesibini eqhubekayo ye-MS (SPMS), unokuzibuza ukuba indlela yakho ye-neurologist ifike njani kwesi sigqibo.
Ngenye indlela, mhlawumbi ubuyele kwakhona kwi-MS (RRMS) kwaye uzibuze ukuba ugqirha uyazi njani xa (okanye ukuba) uza kutshintsha ukusuka kwi-RRMS kwi-SPMS.
Ezi ngcinga eziqhelekileyo, kwaye njengomntu ohlala ne-MS , ukuqonda ukuguquka kwesifo se-MS kubalulekile.
Ngaloo ndlela ulungele ngakumbi kwixesha lakho elizayo kunye nemingeni onokujamelana nayo.
Ukuxilongwa kweNgcaciso yeCandelo eliPhezulu leStell Sclerosis
I-Multiple Sclerosis (MS) isifo esiyinkimbinkimbi segazi esingaba nzima ukuyihlola. Kwelinye, iimpawu ziyakulinganisa ezinye zeemeko zempilo. Okwesibini, akukho vavanyo olulodwa lokuqinisekisa ukuxilongwa. Kunoko, ukuxilongwa kwe-MS kufana nokuhlanganisa i-puzzle, kwaye ngamanye amaxesha izicatshulwa azihambelani ngokugqibeleleyo.
Ngokuchanekileyo, ukuxilongwa kwe-MS kubandakanya ukuhlanganisa intsebenziswano yobungqina obunenjongo (umzekelo, iziphumo ezivela kwi- MRI okanye i- lumbar puncture ), kunye nedatha ephantsi, njengembali yomntu yeziganeko ze-neurological examination.
Oku kuthethi, xa kuziwa ekufumaneni i-MS encinci yokuqhubeka, ugqirha wakho kufuneka acinge ngamanyathelo amabini afunekayo:
Inyathelo lokuqala: Qinisekisa iMbali yeRRMS
Ukuqinisekisa imbali yokubuyiselwa kwakhona kwe-MS (kutheni kuthiwa "okwesibini") kunzima, njengoko abanye abantu banokufumana isigaba seRRMS ngaphandle kokukwazi.
Mhlawumbi abazange baphathwe kakubi okanye iimpawu zabo zibuqilima, abazange babone ugqirha.
Inyathelo lesibini: Qinisekisa ukuba i-MS yakho ihamba phambili
Emva kokuqinisekisa imbali ye-RRMS, ugqirha wakho kufuneka ke uchaze ikhosi yakho yesifo njengokuba "ihamba phambili," okanye ihamba ngokunyuka ngakumbi ngexesha.
Ukuqonda ngokucacileyo oko "ukuqhubela phambili" kuthetha, kulula ukuqwalasela i-biology ye-SPMS kunye nomfanekiso wekliniki, nto leyo ithetha ukuba ngumntu onamava e-SPMS.
Biology ye-SPMS
Kwi-RRMS, siyazi ukuba isistim somzimba somntu sihlasela i- myelin sheath ( isithintelo sokukhusela iimbilini ze-nerve), kwaye le nkqubo ibizwa ngokuba yi-demyelination. Njengoko i-myelin sheath yonakaliswe okanye ibhujiswe, iimpawu zesibindi azikwazi ukuhanjiswa ngokufanelekileyo ukusuka kwingqondo nasemgodleni kumnye umzimba.
Le ntsholongwane yokuhlasela emlonyeni we-myelin yinkqubo yokuvuvukala, njengoko kubonakaliswe ngamathambo amhlophe (abizwa ngokuba yi- gadolinium ).
Nangona kunjalo, kwi-SPMS, kukho utshintsho oluncinci kwinkqubo yesantya ephakathi. Esikhundleni saloo ndawo, iziganeko ze-SPMS zichithwa yinkcenkcesha yemeko ebomvu kunye nomxholo omhlophe kunye ne-atrophy (ukulahlekelwa kwamaseli enyantya), njengoko kuboniswe kwi-MRIs yengqondo kunye nomgudu womgudu.
Enyanisweni, i-atrophy yomthambo womgudu ibaluleke kakhulu kwi-SPMS kune-RRMS kunye neqondo le-atrophy lihambelana nendlela umntu akhubazekileyo ngayo. Ngokubandakanyeka kwentambo yomthambo, abantu abane-SPMS bangabangela ubunzima obuninzi bokuhamba, kunye neengxaki zesisu kunye neembilini.
Kubalulekile ukuqonda ukuba kusekhona ukutshabalalisa umoya okwenzeka kwi-SPMS, kodwa kuninzi ngokubanzi, ngokuchasene nokugxilwa, njengoko ku-RRMS. Kwakhona, ngelixa kusekho ukuvutha okuqhubekayo okuqhubekayo kwi-SPMS, akukona nje ngokukhawuleza njengoko ku-RRMS.
Ngokubanzi, ukwehla kokuvuvukala kwi-SPMS kukunceda ukuba uchaze ukuba kutheni abantu abane-SPMS bengaphucula ngakumbi unyango olutshintshiselwa izifo ezisetyenziselwa ukuphatha i-RRMS (eyenza ngokunciphisa ukuvuvukala).
Umfanekiso wezonyango ze-SPMS
Umntu onama-RRMS (uhlobo oluqhelekileyo lwe-MS) amava episodes okanye iirayi (ezibizwa ngokuthi zibuye kwakhona) zeengxaki ze-neurological.
Ngokomzekelo, ukuqala okuqhelekileyo ukuphindaphindiwe kwakhona kwe- optic neuritis , apho i-nertic optic nervous (i-nerve cranial edibanisa ingqondo kwi-retina) iyavutha. Ukuphindaphinda kwe-optic neuritis kubangela iimpawu ezinjengeentlungu zamehlo ekuhambeni nasekubonweni okuphazamisayo.
Naluphi na ukuphindaphinda, iimpawu zomntu ze-neurological mayingasombulula ngokupheleleyo okanye mhlawumbi.
Ngamanye amazwi, kunokuba kubekho iingxaki zegazi ezinomdla emva kokuphindaphinda, kodwa zizinzile kwaye azibi nakakhulu (ngaphandle kokuba enye ibuyele kwakhona kuloo ndawo yenkqubo ye-nervous).
Ngakolunye uhlangothi, kwi-MS eqhubela phambili, i-MS yomntu ilandela ukuhla kweyantlukwano, ukunyuka ngakumbi ngexesha. Ngokomzekelo, umntu onokwi-SPMS unokuphawula ukuba ukuhamba kwakhe kuye kwanda ngaphezu kweenyanga ezintandathu zokugqibela, kodwa akakwazi ukukhumbula imini okanye indawo ethile ngexesha lokuhamba ngokukhawuleza kwanda.
Ixesha lokutshintsha phakathi kweRRMS ne-SPMS
Inxalenye ekhohlisayo malunga ne-SPMS kukuba iingcali ngoku ziyaqonda ukuba kukho ixesha lokutshintsha phakathi kokuba iRRMS iphela kwaye i-SPMS iqala. Ngamanye amazwi, umfanekiso weklinikhi yomntu unokungafihli phakathi kweentlobo ezimbini ze-MS-ngoko i-MS yomntu ingaqhubeka ikhula ngakumbi, ngelixa iqhubeka iphinda iphinde iphinde ibuyele kwakhona apha naphandle.
Yintoni Okumele Uyikhumbule Emva kokuxilongwa kwe-SPMS
Ukuba wena okanye othandekayo ufumaneka nge-SPMS, kukho izinto ezimbalwa zokugcina engqondweni.
Okokuqala, kubalulekile ukwazi ukuba ukuhamba kwisigaba se-SPMS ukusuka kwi-RRMS akusiyo iphoso lakho. Enyanisweni, uninzi lwabantu luya kutshintshwa kwiSSPMS ekugqibeleni, nangona isantya apho lo tshintsho lwenzeka khona lusetshentshile. Oku kungenxa yokuba ukuvela kwezifo ezitsha zokuguqula izifo kubangela ukuba ezinye izifo zabantu ziqhubekele ukunyuka kakhulu.
Okwesibini, kubalulekile ukuqaphela ukuba njenge-RRMS, iimpawu ze-SPMS ziyahlukahluka, njengokuba isantya sokuqhubela phambili, kuthetha ukuba abanye abantu bayakhubazeka ngakumbi kunabanye (kwaye ngesivinini esheshayo kunabanye).
Okwesithathu, ukuba i-MS yakho iyaqhubeka, i-neurologist yakho iya kuphinda ilungiselele ukungenelela kokuvuselela, ngokubhekisele kumayeza akho, ukuphucula ukusebenza kwakho kwaye uncede ukugcina amandla akho omzimba kunye nokuhamba.
ILizwi
Umgca olapha apha kukuba ukuxilongwa kwe-SPMS kudinga ukudibanisa ubuchule bokuxilonga, kubandakanywa uphando lwe-neurological kunye nokuphinda i-MRIs . Njenga-RRMS, akukho mvavanyo ye-slam-dunk. Kunoko, ukuxilongwa kwinklinikhi kwaye kusekelwe kwikhono logqirha lokubeka i-puzzle yakho ye-MS ndawonye.
> Imithombo:
> Ontaneda D, Fox RJ. I-sclerosis. Curr Opin Neurol. 2015 Juni; 28 (3): 237-43.
> I-MS Society Society. (nd). Ukufumanisa i-MS yesibili (SPMS).
> I-MS Society Society. (nd). Imibuzo ebuzwa rhoqo nge-SPMS.
> Schlaeger R et al. Intambo yomgca into ebomvu i-atrophy idibene ne-multiple sclerosis. Ann Neurol. 2014 Oct; 76 (4): 568-80.