Ingqwalaselo yeZinyango zeMicrolet Sclerosis
Imishanguzo yokuguqula izifo ibalulekileyo inyathelo lokuqala lokunyamekela i-MS yakho. Ngelixa bengayi kunceda ngokuthe ngqo impawu zakho, basebenzayo emva kweempawu zokunciphisa imeko yakho.
Oko kuthethwa, kukho iindidi zokwelapha ukulungisa iimpawu zakho ezinzima zama-MS. Ezi ziquka imishanguzo, izicwangciso zokuvuselela, kunye nezonyango ezongezelelweyo, njengokucamngca kunye ne-reflexology.
Nangona kungekho nonyango okwamanje kwi-MS, unokuphila kakuhle kwesi sifo.
Enyanisweni, ukuhlala nokujongana ne-MS kunokususa nje amandla angaphakathi ongeke ukwazi ukuba unayo.
Izifo-Ukuguqula iMithi
Ucwaningo lwezesayensi malunga nokuguqula izifo ze-MS zifumene ukuba ayanciphisi kuphela inani lokubuyela kwakhona komntu kodwa nokuba lukhulu kangakanani okanye lukhulu kangakanani abo bahlaziya. Ukongezelela, uphando lubonisa ukuba imishanguzo yokuguqula izifo iyancipha inani kunye nobukhulu bezilonda (njengoko kuboniswe kwi-MRIs yengqondo kunye / okanye intambo yomgudu) kwaye uyanciphisa ukuqhubela phambili kwe-MS.
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Indlela Antibiotic for Acne Ngamana Ngayiphatha I-Clinically Isolated Syndrome
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Kutheni ukulungisa i-Myelin Sheath Ingqwalasela ephambili kwi-MS Research
Ngenxa yezi zifundo, i-National MS Society icebisa ngokucacileyo abantu abasandul 'ukuxilongwa ngeendlela zokubuyisela kwakhona ii-MS ukuba baqale ukuphathwa ngonyango oluguqula isifo ngokukhawuleza. Kukholelwa ukuba ekuqaleni uqala, ukwandisa amathuba akho okunciphisa umthwalo wakho wesifo.
Kukho amayeza alishumi elinesihlanu avunywe yi-United States yokutya kunye noLawulo lweeDrug (FDA) ekuphatheni iifom ze-MS kwakhona (abantu abane-MS-reing-reing kunye nabantu abane-MS eqhubekayo okanye eyesekondari eqhubekayo). Elinye lala mayeza anikwe imvume kubantu abaneenkqubo eziphambili ze-MS (i-Ocrevus) kwaye enye iyavunywa kwakhona kwi -MS ehamba phambili (Novantrone).
Injections
Kukho imithi eyisibhozo ejoyiweyo okanye isistim (intramuscular) okanye ngaphantsi kwesikhumba kwiinqununu zakho ezinamafutha (ngaphantsi). Ezi zintlanu zala mayeza zonyango lwe-interferon kwaye ziquka:
Iipreferon iiprotheyini eziqhelekileyo eziveliswa ngumzimba womzimba ngokuphendula kwintsholongwane ye-virus. Kukholelwa ukuba kubantu abane-MS, imithi ye-interferon iyalungisa iimpendulo zomzimba zomntu, ezikhokelela ekunciphiseni ukuhlasela kwe-myelin ngaphakathi kwengqondo yomntu kunye nentambo yomgogodla. I-Myelin ifaka i-nerve fibers kwaye, xa ichithwe okanye ibhujiswe (eyenzeka nge-MS), izibilini azikwazi ukunxibelelana omnye nomnye.
Iipreferon zokwelapha ngokuqhelekileyo zinyamezeleke kodwa zingabangela intlungu okanye ubomvu kwindawo yesikhumba apho ijojoza ifakwe khona. Ukongezelela, abanye abantu bafumana iimpawu ezinjenge-flu kunye nohlobo lwonyango, nangona oku kuphucula ukuphucula ixesha.
Ngokuxhomekeke kwi-interferon ethile, uthatha ugqirha (ingathi isibindi okanye iimvavanyo zeeseli zegazi) okanye ukubuza imibuzo malunga nembali yakho yezobugqirha ngaphambi kokuyibeka.
Ngokomzekelo, ugqirha wakho unokubuza ukuba unembali yokudakumba-engadlukisayo kwi-interferon.
Ezinye ezimbini ze-MS ezinokuguqulwa kwezifo ezinokuguqulwa kwezifo ziyiCopaxone kunye neGlatopa (i-generic, ifom ephantsi kakhulu yeCopaxone). Njengonyango lwe-interferon, izazinzulu azikho kakuhle ukuba iCopaxone okanye i-Glatopa isebenza njani, kodwa ikholelwa ukuba le myeza ifana neprotheni eyenza i-myelin, ekugqibeleni idibanisa isistim somzimba ekuhlaseleni i-myelin yangempela.
Umphumo oqhelekileyo weCopaxone kunye neGlatopa uyayiphendula kwisayithi yejoza, efana ne-interferon therapy. Iziza zokujikeleza iijojo kunye nokusebenzisa i-compress efudumele ngaphambi kokuba injecting inganceda ekunciphiseni impendulo enjalo.
Kwakhona, malunga neepesenti ezili-16 zabantu abathatha iCopaxone okanye i-Glatopa bafumana impendulo ye-post-injection engabangela iimpawu eziphazamisayo njengentliziyo yokuxhoma okanye ukuxhalabisa. Iindaba ezilungileyo kukuba ezi mpawu zihlala ziphela kwimizuzu engama-15 kwaye akukho miphumo yesikhathi eside.
Enye imithi eguqulwayo yesifo isinzryta (daclizumab).
Eli nyanga liyi-antibody ngokumelene ne-molecule ebizwa nge-CD25 kwi-T-seli, ezise-cell-anti-cell cells. I-Zinbryta ikholelwa ukuba iyanciphisa izilonda ze-MS ngokunciphisa inani lama-T-cell emzimbeni owaziwayo ukuhlasela i-myelin kwi-MS. I-Zinbryta inikwa kanye ngenyanga, ngaphantsi kwesikhumba. Ngenxa yokuba inokubangela ukhathazeka, iingxaki zesifo ezisongela ubomi kunye neengxaki ze-immune ezinxulumene neenkqubo, iZinbryta zinokumiselwa kuphela kwinkqubo eyodwa.
ZoNyango
Kukho izilwanyana ezintsholongwane ze-MS zomlomo ezi-5, okunye okulungileyo kubantu abangenako ukunyamezela ii-injections okanye abantu abane-MS abaqhubeka beqhubeka nangona unyango lwe-interferon kunye / okanye i-Copaxone.
UGilyena (fingolimod) ipilisi ethathwa kanye ngosuku. Ngokuyinhloko isebenza ngokuthintela amangqamuzana athile omzimba omzimba ukuba ashiye i-lymph nodes. Ekubeni i-T-seli ihlanganiswe kwi-lymph nodes, ayikwazi ukungena ebuchosheni kunye nentambo yomgudu kwaye ngoko kubangela izilonda .
Kukho imiphumo emibi ehambelana noGilyena njengentloko, umkhuhlane, isifo sohudo kunye nentlungu.
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Yintoni I-Copaxone Ephendulayo emva kwe-Post-Injection Reaction?
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Iimpawu kwiGilenya Ngaphandle kokuba I-MS yokuqala ye-Oral Treatment
U-Gilyena unokudala nemiphumo emibi kakhulu njengemibono ephosakeleyo, iingxaki zokuphefumula okanye isibindi, kunye nezifo. Ngenxa yobuchule bukaGilyena obangela ukuthotywa kwentliziyo, ukubeka iliso kwieyure ezintandathu emva kokuba umthamo wokuqala ufunwa kwindawo yokunakekelwa kwezempilo.
Olunye unyango lomlomo we-MS nguTecfidera (dimethyl fumarate) -pilisi ithathwa kabini imihla ngemihla. Eli nyanga lenza umendo emzimbeni ovulwe ngokuqhelekileyo xa iiseli zigxininiswe. Ngamanye amagama, unceda ukukhusela iiseli, nangona ngokuchanekileyo ukuba oku kusebenza njani kumntu onomsebenzi we-MS akucaci.
Iziphumo eziqhelekileyo ze-Tecfidera ziyaxubha, isisongomso, isifo sohudo, kunye nentlungu yesisu. Imiphumo emibi kakhulu ibandakanya ukusabela okunzima, ukuphuhliswa kwe- letifencephalopathy (i-brain-threatening brain condition), kunye nokunciphisa isifo somntu-isifo.
I-Aubagio (teriflunomide) ithathwa kanye imihla ngemihla kwaye inokubangela intloko, iinwele ezinqamlekileyo, isifo sohudo, isisongela, okanye ukuhlolwa kwegazi okungavamile. UAubagio usebenza ngokunciphisa i-immune system, ngoko ke inokubangela ukuba abantu bafumane iintsholongwane.
Ekubeni iAubagio ingabangela ukuhluleka kwesibindi, ugqirha wakho uya kuhlola iimvavanyo zegazi zesibindi ngaphambi kokuqala iyeza kwaye emva koko. I-Aubagio iphinda ikhusele i-X yonyango, ngoko ayikwazi ukusetyenziswa ngelixa umfazi ukhulelwe okanye ukuba uceba ukukhulelwa.
Infusions
I-Lemtrada (alemtuzumab) yonyango eguqulelwe isifo se-MS esinikwe iintsuku ezintlanu ngokulandelelana kwaye emva kweentsuku ezintathu emva komnyaka omnye. Ngenxa yokuba kukho izilumkiso ze-FDA ezinxulumene neLimtrada, inokunikezelwa kuphela kwinkqubo eyodwa kwaye igcinelwe abantu abane-MS abaye bangenayo impendulo enganeleyo kwimiba emibini okanye ngaphezulu kwamanye amayeza okuguqula izifo.
Olunye olwenziwe ngamachiza aguqula izifo nguNovantrone (mitoxantrone), isichemotherapy isifo esenziwa ngeenyanga ezintathu. Ukongezelela ekuphatheni iifom ze-MS kwakhona , i-mitoxantrone ingasetyenziselwa ukunyanga i- MS yesibili . I-Mitoxantrone ingabangela umonakalo wentliziyo, ngoko ke inokunika kuphela inani elincinane. Kuye kwadibaniswa nokuphuhliswa kwe -leememiaid leyemiaid (AML).
Isithathu sesithintela imishanguzo yokuguqula isifo se-MS nguTysabri (natalizumab) , enikwa zonke iintsuku ezingama-28. Iyakwazi kuphela ukulawulwa kwiziko elimkelekileyo lokungenisa umbane ngenxa yengozi yokuphuhlisa i-leukoencephalopathy ye-multifocal (i-PML) eqhubekayo-ingozi yokufa kwengqondo ehlanganiswe ne-JC .
I-Ocrevus (ocrelizumab) yonyango entsha e-FDA evunywe yi-FDA, yamkelwe kokubili i-MS kwakhona kunye ne-MS eyona nto ihamba phambili. Inikwe njengengeniso lokunyanga zonke iinyanga ezintandathu.
Njenge-antibody monoclonal antibody, i-Ocrevus ibophelela kwi-molecule kwii-B ezithiwa ngama-CD20, ngaloo ndlela ukunciphisa inani lamaseli eB egazini lomntu. Ngaphandle kweeseli ze-T, iiseli ze-B enye inhlobo yesistim somzimba esasisithenjwa sokuthi idlala indima kumonakalo we-myelin kunye nokulahleka.
Iingonyango ezizayo
Iindaba ezilungileyo kukuba izazinzulu zifunda ngakumbi nge-MS ngalunye suku, oku kuthetha ukuba inombolo, iindlela zokwelapha ezingcono zikhulayo. Amanye amayeza anokwenzeka (njengamanqindi athile e-monoclonal) asekuqaleni kwezigaba zokufunda. Ezinye iindlela zokwelapha, njenge- stem cell transplantation kunye ne- estriol , ziphikisana kakhulu-ikakhulu ngenxa yokuba akukho zifundo ezinkulu zenzululwazi zokubuyisela ukusetyenziswa kwazo.
Ekugqibeleni, indawo enye yophando iyingxenye yokutya kwi-MS, kubandakanya ukuxhaswa kwe- vitamin D kunye ne- bacterial gut . Nangona kungekho nto yokutya (njengokutya kwe- Swank) ukuba abantu abane-MS bafanele balandele ngokupheleleyo, ukutya okunesondlo esipheleleyo e-fiber kunye namafutha amaninzi kunconywa ngu-MS National Society.
UkuPhatha iZimpawu
Nangona kubalulekile ukuba ube kwiyeza lokuguqula izifo kwi-MS yakho, kubalulekile ukuba ukwandise induduzo kunye nokusebenza kwakho. Enyanisweni, ukuhlangabezana ne-MS yinkqubo yemihla ngemihla kubantu abaninzi, abafuna isicwangciso esicinga ukuba ungayisebenzisa njani umhla ngokufanelekileyo ubunzima beemingalo zakho.
Iindaba ezilungileyo kukuba kukho iindlela ezininzi zokwelapha ukunceda umntu one-MS okanye othandekayo wakhe uzive kakuhle kwaye aziphathe kakuhle okanye aziphathe kakuhle. Ezi zonyango ziquka:
- Mayeza
- Indlela yokuphila
- Cwangciso so ku hlaziya
- Zonyango
Isibonakaliso esisodwa esiyingozi kakhulu kubantu abaninzi abane-MS kukuba ukukhathala -kunjalo konke, ukudinwa okunobundlobongela okunokwenza imisebenzi elula efana nokugqoka ngokusa okanye ukugxila kwi-movie ebunzima kwaye ingathandeki. Kodwa kukho izicwangciso ezininzi zokulwa nalo, kuquka:
- Ukuzivocavoca nge-daily aerobic kwiimfuno zakho ngoncedo lomgulana womzimba
- Imizimba yengqondo efana ne yoga
- Impilo yokulala yokulala ifana nokugcina inkqubo efanayo yokulala imihla ngemihla
- Kuphephe ukushisa
- Amachiza afana ne- Symmetrel (amantadine) , i- Provigil (modafinil) , okanye i-Ritalin (i-methylphenidate)
Njengokukhathala, kukho iindlela ezahlukeneyo zokwelapha kwezinye iimpawu ezihlobene ne-MS. Ngokomzekelo, ukucamngca kweengxaki ezincedisayo kungasetyenziselwa ukuphatha intlungu enxulumene ne-MS njengokuba unakho unyango olunjenge-gabapentin oluneentlungu ezinxulumene neentliziyo kunye nezihlunu ze-muscle zoxinzelelo ezinxulumene nemisipha ( ukungabonakali ).
Ukubona ingcali ingaba luncedo ekulawuleni iimpawu zakho. I-urologist okanye i-gynecologist inokukwazi ukululeka okanye ukubonelela ngeendlela zokulawula ukungasebenzi kwezesondo ezinxulumene ne-MS, njenge-dysfunction erectile kumadoda okanye ukunciphisa ubuncwane bamanzi / i-clitoral kubafazi. I-neuropsychologist ingamnceda umntu onenkathazo yokuqonda . Kubantu abane-MS abafuna iifowuni zokuhamba ezincedisayo, oogqirha bomzimba kunye nomsebenzi unokuba luncedo ekukhuliseni ukuzimela nokusebenza ngaphakathi kwekhaya lakho nasemsebenzini.
ILizwi
Zama ukunyamezela njengoko wena kunye neqela lakho lokunakekelwa kwezempilo le-MS lucwangcisa i-regimen yonyango engcono-ibhalansi ephosakeleyo phakathi kokunciphisa i-MS yakho ngexesha lokunciphisa imiphumo emibi kunye nokwandisa indlela oziva ngayo. Khumbula i-MS sisifo esiyingqayizivele, ngoko oko kusebenza kumhlobo okanye othandekayo kungenakukulungela.
Kwakhona, njengoko isifo sakho siqhubeka okanye siphucula emva kokuphindaphinda, iimpawu zakho kunye nezigqibo zonyango zingatshintsha. Zama ukuhlala uguquguqukayo kwaye uxubushe iingcamango zakho kunye nexhala le-neurologist yakho. Qhubeka uhlala uqinile kwindlela yakho ye-MS.
> Imithombo:
> Bloomgren G et al. Ingozi ye-natalizumab-ehambelanayo ne-leukoencephalopathy. N Engl J Med . 2012 Meyi 17; 36620): 1870-80.
> Ukunyuka kwe-CB & Deeks ED. I-dimethyl fumarate: ukuhlaziywa kokusetyenziswa kwayo kwizigulane ngokuphindaphindiweyo-ukuhambisa i-sclerosis ezininzi. CNS Iziyobisi . 2014 Ngo-Apr; 28 (4): 373-87.
> Fazekas F et al. I-fingolimod (Gilyena) yenzani i-algorithm yonyango yokuvuselela ngokutsha-ukuphelisa i-multiple sclerosis? Front Neurol . 2013; 4: 10.
> I-Lycke J. Monoclonal antibody treatments zokwelapha ukubuyisela kwakhona-ukubuyisela i-sclerosis ezininzi: iindlela ezahlukileyo kunye neziphumo zekliniki. I-Adv Adv Neurol Disord . 2015 Nov; 8 (6): 274-293.
> I-MS Society Society. Izifo-Ukuguqulwa kwezilwanyana ze-MS .
> Namjooyan, F., Ghanavati, R., Majdinasab, N., Jokari, S., & Janbozorgi, M. (2014). Ukusetyenziswa kweyeza elongezelelweyo kunye nelinye kwi-sclerosis. Umbhalo weMpilo yoLuntu oluNcedisayo, uJulayi-Sep; 4 (3): 145-52.