Izikhokelo zangoku zivumela ukuxilongwa kwangaphambili
Ukuchonga i- multiple sclerosis (MS) ingaba yinkqubo enzima kwaye ihlala ide. Oku kungenxa yokuba akukho zibonakaliso okanye iimvavanyo zelabhu ezinokuthi, ngaphakathi kunye nazo ngokwawo, zichonga ukuba umntu unayo i-MS.
Ixesha le- multiple sclerosis lichaza isifo esibangela imimandla emininzi yomonakalo wamangqamuzana (ngoko, i-term sclerosis ithetha "ukutshatyalaliswa" okanye "ukuqina").
Ngaloo ndlela, awukwazi ukubhekisela kwisiganeko esinye okanye ukuvavanya ukutsho ngokucacileyo ukuba umntu unayo i-MS.
Xa kuthethwa oko, izikhokelo ezitsha ziye zahlenga kakhulu inkqubo, esivumela ukuba sikwazi ukuxilongwa ngokucacileyo kwisithuba esincinane sexesha emva kokubonakala kokuqala kweempawu.
Ukuqhubela phambili kwe-MS
I-Multiple sclerosis yintlupheko yokuzikhusela yamagciwane eqhubekayo ebangela ukulimala kwisigqubuthelo sokukhusela iiseliti ze-nerve (ebizwa ngokuba yi- myelin sheath ).
Lo monakalo, owaziwa ngokuba yi-demyelination, unokuphazamisa impembelelo yeentsholongwane phakathi kweeseli kunye nokukhokelela ekubunjweni kwezilonda kwi-ingqondo kunye / okanye kumgca wesipelini. Ukwakhiwa kunye nokusabalalisa kwezi zilonda kunokubangela izibonakaliso ezibonakalayo kunye nezengqondo ezahlukileyo apho indawo yomonakalo.
I-CIS i-syis (isolation) yegama eliqhelekileyo (i-CIS) igama elisetyenziswe ukuchaza uphawu lokuqala lwe-MS oluhlala ubuncinane ubuncinane iiyure ezingama-24 kwaye luhamba kunye nemiqondiso yokuvuvukala kunye / okanye ukudibanisa.
I-CIS ingafakwa njengento yezinto ezimbini:
- Isiqephu se-monofocal apho uphawu olunye lubangelwa lilonda elilodwa
- Isiqendu se-multipletifocal apho kukho uphawu olungaphezulu kwesinye esibangelwa zizilonda kwiindawo ezahlukeneyo
Iingqinisiso ezikhoyo zoNgcaciso
Nangona kubonakala kunengqiqo ukucinga ukuba isiqendu se-CIS sanele ngokwaneleyo ukuxilonga i-MS-inikezelwa ubungqina bangela kunye neempawu-into elula kukuba abantu abangama-15 e-CIS abazange baqhubeke nokuphuhlisa i-MS.
Asiqinisekanga ukuba kutheni le nto, kodwa oko kusitshelayo kukuba ukuxilongwa ngokucacileyo kungenziwa kuphela ukuba isifo siboniswe ukuba sihamba phambili
Ngaphantsi kwikhokelo ehlaziyiweyo ekhutshwe ngo-2010, i-MS ingayifumana ingqalelo ngoku kusekelwe kwimiqathango elandelayo:
- Ukuhlaselwa kabini okanye ngaphezulu (ukuhlala ubuncinane ubuncinane iiyure ezingama-24 kwaye kwahlukaniswa ubuncinane iintsuku ezingama-30) kunye nezilonda ezimbini kwi- MRI scan
- Ukuhlaselwa kabini okanye ngaphezulu, isilonda esisodwa kunye nobungqina bokuba izilonda ezintsha ziqala ukwenza kwiindawo ezahlukeneyo zobuchopho kunye / okanye intambo yomgudu (ebizwa ngokuthi "ukusasazwa kwithuba")
- Ukuhlaselwa omnye, izilonda ezimbini okanye ngaphezulu, kunye nobungqina bokuba izilonda ezintsha sele ziqalise ukwakha ukususela kwi-MRI yokugqibela (ekubhekiswe kuyo "ukusasazwa ngexesha")
- Ukuhlaselwa omnye, isilonda esisodwa kunye nobungqina bokusabalalisa kwixesha kunye nexesha
- Ukugqitywa kweempawu okanye izilonda kunye nokuhanjiswa kwendawo (eqinisekisiwe yi-MRI okanye iphepheni yomthambo)
Izikhokelo zinqobile ezininzi iimpazamo zenkcazo yangaphambili (kukuthi kufuneka ulinde ukuphindaphinda amaninzi ngaphambi kokuba ufumane ukuxilongwa). Ngelixa izikhokelo zingavumelekanga ukuba zixilongwe ngokuhlaselwa okunye, zenza ifutshane inkqubo. Esikhundleni sokulinda olunye uhlaselo, oogqirha banokuyalela i-MRIs yesibini kwiinyanga ezintathu.
Ukuba kukho ubungqina bezilonda ezongezelelweyo, kunokusoloko kunelisa intsingiselo "yokusabalalisa ngexesha" okanye "ukusabalalisa indawo."
Ukubaluleka kokuxilongwa kwangaphambili
Ukuxilongwa kwangaphambili kunenzuzo yayo ngendlela yokwelashwa kwangaphambili . Uninzi lwaphando namhlanje lubonisa ngokucacileyo ukuba unyango lwangaphambili lunokunciphisa kakhulu inani lokubuyiswa kwakhona komntu onokufumana kunye nomngcipheko wokukhubazeka ngexesha elifutshane.
Iingcali zenzululwazi, nangona kunjalo, azikafumani ukuba unyango lokuqala luya kuphucula umphumo wexesha elide okanye ngaphezulu kweminyaka. Uphando lwexesha elizayo luya kuphendulwa ngethemba lokuphendula le mibuzo njengoko ubuchwepheshe bokuxilonga buqhubeka nokuphucula.
> Imithombo:
> Polman, C; Reingold, S .; Banwell, B. et al. Inkqubo yokuxilonga kwi-multiple sclerosis: i-2010 Imbuyekezo kwi-McDonald. "I- Annals ye-Neurology. 2011; 69 (2): 292-302.