Ukufana kunye nokwahlukana phakathi kwama-multipleple sclerosis kunye neengxaki zikaLou Gehrig
Ngenxa yokuba uluhlu lweempawu ezibonakalayo lude kwaye luhluke, kuphepheka ukuba kuya kubakho ukuphazamiseka phakathi kweempawu ezininzi ze-sclerosis kunye nezinye izifo kunye nokuphazamiseka, ngokukhethekileyo ngeengqondo. I-Amyotrophic lateral sclerosis (ALS) , eyaziwa nangokuthi isifo sikaLou Gehrig, asikho nto. Nangona kunjalo, ukungafani okwehlukeneyo kwiimpawu ze-MS kunye ne-ALS kubonakala kubasebenzi bezempilo ngokukhawuleza.
Ulwahlulo oluphambili phakathi kwe-MS ne-ALS
Omnye umehluko obalulekileyo ekubonisweni kwezi zifo ezimbini ze-neurological isithi iimpawu ze-ALS ziquka zonke iintsholongwane ezilawula ukunyakaza kwemizimba ngokuzithandela, kanti iimbilini ezichaphazelekayo kwi-MS zichaphazela ukuhamba ngokuzithandela nokuzibandakanya. Oku kuthetha, kukho enye ibali.
Iimpawu zokuqala ze-ALS kunye ne-MS
Ubuthakathaka obunamahlombe kolunye uhlangothi lomzimba wabo luphawu lokuqala kwi-80 ekhulwini labantu abane-ALS. Ngokuqhelekileyo ezandleni (njengengxaki yokubhala okanye ukuthabatha izinto ezincinci), umxhelo (njengokunzima ukuphakamisa iingalo ngaphezu kwentloko ukwenza imisebenzi efana nokudibanisa iinwele okanye ukufikelela into), okanye iinyawo / imilenze (ngokuqhelekileyo ibonwa njengento "ukunyuka kweenyawo" okanye ubunzima bokunyuka izitebhisi). Ezinye iimpawu ze-ALS zokuqala ziquka ukuthetha ingxaki (dysarthria) okanye ukugwinya (dysphagia).
Ngokwahlukileyo, iimpawu zokuqala eziqhelekileyo ezifunyanwa ngabantu abane-sclerosis ezininzi zihlala zihamba nge- paresthesias (ukugubha okanye ukubethelela kwimida) okanye i- optic neuritis .
Kakade, naziphi na iimpawu ze-MS zingabonisa kuqala; ezi zibini ziqhelekileyo.
Ukufana kwiimpawu ze-ALS kunye ne-MS
Ngoxa iintetho zokuqala zezi zifo zihluke, ziba nempawu ezifanayo, kodwa zihluke ngokungafaniyo, ezibandakanya:
Ubuthakathaka beMisipha kwiimpahla kunye nemilenze
Abantu abane-ALS baya kulahla ukwehla kwamandla kunye nokukwazi ukusebenzisa izihlunu kwiingalo zabo nasemilenzeni. Iimisipha zinobuhlungu, zikwenza kube nzima ukuhamba. Ekugqibeleni, isistim sokuncedisa (ihambahamba, isihlalo sabakhubazekile okanye i-scooter) iya kufunwa ngulowo nalowo one-ALS. Nangona abantu abaninzi abane-MS behlangabezana neengxaki ezihambayo, oku akusiyo yonke indawo.
Ingxaki yokuthetha
I-Dysarthria yintlupheko yeentetho eziqhelekileyo ezifunyanwa ngabantu abane-ALS kunye nabantu abane-MS. Basenokuthetha ngokukhawuleza, ngokukhawuleza, kwisigqi esingaqhelekanga, okanye ukuthetha amagama abo. Nangona oku kungenza kube nzima ukuqonda intetho yabo, intsingiselo yento abayithethayo iyinto evamile. Kubantu abane-ALS, i-dysarthria ijwayele ukuqhubela phambili. Kwi-MS, ngokuqhelekileyo kuphakathi. Ukongezelela, ngokuqhelekileyo kunzima kakhulu kubantu abane-ALS.
Abantu abanama-MS kaninzi baneempawu ezongezelelweyo eziphazamisana noqhagamshelwano, njenge-dysphasia, eziyiengxaki zokuqonda okanye ukuthetha okuthethayo okanye amagama abhaliweyo. Olu luhlobo olulodwa lwe- MS oluchaphazelekayo nolwazi oluchaphazelekayo . Abantu abane-ALS ngokuqhelekileyo abanakufumana ezi ntlobo zempawu. Nangona abanye abantu abane-ALS bafumana ukungasebenzi kakuhle kwengqondo, ezi zimpawu ziqhelana.
Ukuhlawula iingxaki
Abantu abane-ALS nabo bafumana i- dysphagia , oko kuthetha ukuba banzima ukugwinya. Oku kuza kuqhubela phambili kwinqanaba lokuba ityhulo yokutya okanye ezinye iindlela zokondla ziza kufuneka ziqaliswe. Ngelixa abantu abane-MS banako ukufumana le mpawu, ngokuqhelekileyo kunzima kakhulu kwaye abantu abanakho ukungazi. Basenokuba neengxaki zokugwinya ezinxulumene ne-MS ezivakalelwa njengokugubha okanye ukukhwehlela xa bedla.
Iingxaki zokuphefumula
Xa izihlunu zilawula ukuphefumla ziqala ukunyuka kwe-atrophy, umntu onama-ALS uqala ukufumana iingxaki zokuphefumla, njengoko bengenakukwazi ukuthatha umoya owaneleyo emiphakeni yabo.
Ngexesha elithile, abantu abaninzi abane-ALS baya kusebenzisa ifowuni ukubanceda baphefumle, ngokuqhelekileyo baqala ngokungenwa kwamandla okuphuphuma umoya- ukufaka imaski ehambisa umoya-mpilo.
Iingxaki zokuphefumula nazo zenzeka kubantu abane-MS, kodwa ngokuqhelekileyo azikho kumgangatho ofanayo. Kunqabile kakhulu kwiingxaki zokuphefumula ezinxulumene ne-MS ukufuna uncedo lokuphefumla. Kuye waboniswa ukuba umsebenzi wamaphaphu uphantsi kuneyona nto ininzi kubantu abaninzi abane-MS, kodwa abaninzi abantu abayiqapheli okanye baxhatshazwa yimfutho yokuphefumula ekusebenziseni, njengokuba ukhuphuka izitebhisi okanye uhamba ngokukhawuleza.
Ukungafani kwiimpawu
Umbono
Kwi-ALS, abantu balahlekelwa ukulawula ukunyakaza kwemizimba yokuzithandela, kodwa ngokuqhelekileyo bahlala bekwazi ukubona. Kwi-MS, umbono ungathinteka yi- optic neuritis okanye i- nystagmus .
Iimpawu ezibonakalisa
Abanye abantu abane-ALS baxela i-tingling, eyaziwa ngokuba yi-paresthesia; Nangona kunjalo, oku akusona uphawu oluqhelekileyo kwaye luhlala luhamba. Izimpawu ezibonakalayo zininzi kakhulu, zixhaphake kakhulu kubantu abane-MS, njengoko abantu abane-MS bahlala befumana iimpawu ezintle ezingathandekiyo, ezinjengobungqingili kunye nokubetha .
Iimpawu zeBladder and Bowel Symptoms
Kulinganiselwa ukuba abangaphezu kwama-90 ekhulwini abantu abane-MS bafumana ukungasebenzi komsebenzi , kuquka ukungahambisi , ngexesha elithile. Abantu abanama-ALS ngokuqhelekileyo abanakufumana ukungabikho kwamanzi; nangona kunjalo, kuyafana. Bobabini abantu abane-MS kunye ne-ALS baxhamla , kodwa abantu abane-MS banako ukufumana ukungabikho komzimba (urhudo) kunabantu abane-ALS.
Okukwintsusa
Ngenxa yokuba izisombululo ezilawula imisebenzi emzimbeni eminingi (ngokuzithandela kunye nokungenakuzibandakanya) zichaphazeleka kwi-MS, ezinye iimpawu ze-MS kunye ne-ALS zifana-ngokuqhelekileyo iimpawu ezingabonakali ze-MS ziyimpawu eziqhelekileyo ze-ALS.
Ukuba unesifo esingaqhelekanga enokukhathazeka okanye esichaphazela ubomi bakho ngendlela engafanelekanga, thetha kwi-neurologist yakho. Mhlawumbi uya kukuqinisekisa ukuba yinto enye engabonakaliyo, engathandekiyo "into ye-MS" okanye ekutshilo ukuba akukho nxu lumano, kodwa akukho nto inokukhathazeka ngayo. Nangona kunjalo, ukuba unomdla okwenene, ugqirha wakho unokukuhlalutya ukuba ulawulwe ezinye izifo.
> Imithombo:
> I-Amyotrophic Lateral Sclerosis (ALS) Iphepha leNkcazo. Isiko seSizwe seNational Psychology and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Amyotrophic-Lateral-Sclerosis-ALS-Fact-Sheet.
> Multiple Sclerosis. I-American Academy yeeNgcali zoLuntu. https://familydoctor.org/condition/multiple-sclerosis/?adfree=true.