Ukuxilongwa kwe-MS kudinga ukuba ezinye iimeko zilawulwa ngaphandle
Ukuba ufumana iimpawu ze-neurological, ungacingi ukuba une-multiple sclerosis (MS), ingqalelo ukuba kukho ezinye iimeko ezinokuzilinganisa. Kungenxa yoko ukubona ugqirha ukuvavanya kubaluleke kakhulu, ngaphambi kokuba uphumelele kwiziphi izigqibo.
Ngokuxhomekeka kwiimpawu zakho, ukuxilongwa ngokufanelekileyo kungenkqubo ekhawulezayo ebandakanya iimvavanyo zegazi ezilula, okanye ingaba yinto engakumbi, njengokuba idinga i-biopsy.
Nazi ezinye zeemeko zonyango ukuba ugqirha wakho angakubheka njengesifo sokungena kwi-MS.
I-Vitamin B12
Kwi- multiple sclerosis , isithintelo sokukhusela iimbilini ze-nervous in brain and spinal cord (ebizwa ngokuba yi-myelin sheath) ihlaselwa ngamaseli omzimba omntu. Impembelelo yemisipha ngokuqhelekileyo ihamba kunye nale micimbi ye-myelin eneembindi. Xa iimbilini ze-nerve zonakaliswe, ezi ziphumo ziyancipha okanye azifumani nhlobo.
Ngokufanayo, ukungabikho kwe-vitamin B12, i-myelin engxenyeni yamagqabhagqabha enesibindi ayilunganga kakuhle, nto leyo ephazamisa umonakalo weentsimbi. Oku kunokubangela iimpawu ezinjenge-MS, ezifana nobuthathaka, iingxaki ezihambayo, ukungasebenzi komsebenzi kunye nokuphazamiseka kwengqondo njengoLhermitte 'uphawu .
Qinisekisa ukuba, ukuba ugqirha uyabonakala ngokucacileyo phakathi kwe-MS kunye ne-vitamin B12. Esinye, isayensi emva kwezifo iyahluke.
Ubunzima be-Vitamin B12 buchaphazela iintsholongwane kwinkqubo yesantya kunye nendawo ye-nervous system, kanti i-MS kuphela ithintela inkqubo ye-nervous central (equkethe ubuchopho kunye nomthambo womgudu).
Inkqubo ye-nervous system iquka iimbulunga ezithwala ulwazi phakathi kweengqondo kunye nomgudu womgudu kunye nalo lonke umzimba wakho (njengezandla, imilenze kunye nezitho zangaphakathi).
Ukongezelela koko, ukulahleka kwe-vitamin B12 ngokuqhelekileyo kubonakalisa ngendlela yeklasi (ngokungafani ne-MS, eyazibonakalisa ngeendlela ezahlukeneyo).
Ubuninzi be-vitamin B12, iimpawu zivame ukuqala ngokuphazamiseka, ukubetha, kunye nokulahleka kwengqondo, ngaphambi kokuqhubekela phambili ekutheni unobuthakathaka obuthakathaka okanye obunzima. Kwakhona, kwi-vitamin B12 ye-lack, imilenze yomntu ichaphazeleka ngokubanzi ngaphezu kweengalo, kwaye isifo sifana nesiganeko, sichaphazela amacala omabili omzimba ngokulinganayo.
Ekugqibeleni, ukukhubazeka kwe-vitamin B12 kuthatha ukuchaphazela abo baneminyaka eliphakathi okanye abakhulileyo, kanti iimpawu ze-MS ziqala kubantu abadala abaseneminyaka engama-20 no-30. Ukunqongophala kwe-Vitamin B12 kunokubangela nezinye iingxaki ezinjenge-anemia, ezinokubangela ubunzima okanye isantya senhliziyo esheshayo-into engahambelani ne-multiple sclerosis.
Ngokuxhomekeka kokunqongophala kwe-vitamin B12, ukuhlolwa kwegazi okulula kunokukuxelela impendulo: izinga eliphantsi le-vitamin B12 egazini.
Enye into ehlukileyo yokuxilongwa kukuba i-MRI yengqondo kunye / okanye intambo yomgudu kumntu onobunzima be-vitamin B12 yinto eqhelekileyo engafaniyo nomntu one-MS.
Sekunjalo, kubalulekile ukukhumbula ukuba zombini i-MS kunye ne-vitamin B12 inokuthi ikhona. Enyanisweni, ezininzi iintsholongwane ze-neurologists ziya kujonga izinga le-vitamin B12 kwizigulane zabo ezine-sclerosis ezininzi ngenxa yeempawu ezigqithiseleyo, kunye nokuba i-vitamin B12 iyilungiselela lula-kungekhona into yokuba ugqirha ufuna ukuyikhumbula.
Disc Disc
I-disc ye-herniated iyenzeka xa i-disc ephakathi kwamathambo omgogodla (ebizwa ngokuba yi-vertebrae) ikhutshwe ngaphandle, iyicasula iisondlo eziseduze. Okucaphukisa iimbulunga eziseduze kunokukhokelela ekugungqeni okanye obuthathaka kummandla womzimba ohambelana neentsholongwane ezichaphazelekayo. Ezi zimpawu zinokulinganisa abo be-MS.
Oko kuthethwa, nge-disc ye-herniated, umntu ngokuqhelekileyo unentlungu ebuhlungu, engabonakali kwi-MS. Ngaphezu koko, i-disc ye-herniated iyakuthi ifumaneke kwi-MRI yomgudu.
Njengobunzima be-vitamin B12, i -disc ye-herniated ngokuqhelekileyo yimeko enobungozi ngaphezu kwe-MS kwaye iyaqhelekileyo. I-disc ye-herniated inokuthi ikhona kunye ne-MS.
Enyanisweni, akuyi kuba yinto engavamile ukuba ugqirha abone umntu one-MS, owathi ngethuba lokuphila kwakhe wavelisa i-disc yakhe.
Njengengcambu, kukuhle ukukhankanya ukuba i-MRI eyenziwe kumntu onomsebenzi we-MS (ngeenjongo ezinxulumene ne-MS) ingabonakalisa i-disni heritiated disc. Akuzona zonke ii-disnied discs ezibangela iimpawu, kwaye kula maxesha, ushiya nje kuphela.
Ezinye iingxaki zengqungquthela
Olunye uhlobo oluqhelekileyo lomgudu ongabangela iimpawu ze-neurologic ezifana ne-MS yi- spondylitis yomlomo wesibeleko , ene-arthritis entanyeni eyenzeka ngokuguga ngokuqhelekileyo.
Ngokuqhelekileyo, enye ingxaki esakhiweyo emgodini njengengqumbo ingafana neempawu ze-MS. Kwakhona, i-MRI yomgudu inokukunceda ukuhlukanisa izi ngxaki zengqungquthela kwisifo esivuthayo njenge-multiple sclerosis.
Izifo
Izifo ezahlukeneyo zingabangela iimpawu ze-neurologic ezilinganisa abo babonwa kwi-MS. Imizekelo emibili yeklasi yeliLyme isifo kunye ne-syphilis.
Izifo zeLyme
Isifo seLyme sisifo esiphethwe yi-tick echaphazelekayo esichaphazela kwinkqubo ye-nervous malunga nama-10 ukuya kwe-15 ekhulwini labantu abanentsholongwane. Isifo seLyme sinokudideka kunye ne-MS kuba i-MRI yengqondo yomntu osulelekileyo isifo seLyme sinokufumana iziphumo ezifanayo kwi-MRI yengqondo yomntu one-MS
Ukongezelela, ukufunyanwa kwipompo yomgudu kunokuba kufane nezifo ze-MS kunye neziLyme, njengoko iisampuli zamanzi ezicerebrospinal zingaba luhlobo lweprotheni ebizwa ngokuba yi-oligoclonal band.
Ukuhlukana phakathi kwezi zibini kudinga uvavanyo lwe-neurologic kunye nolunye uvavanyo, njengolu vavanyo lwe-antibody ku- Borrelia burgdorferi (ibhaktheriya ebangela isifo seLyme) kwigazi kunye / okanye kwi-cerebrospinal fluid.
Syphilis
I-Syphilis , isifo sesifo esithathelwana ngesondo, sinokubangela iimpawu ze-neurologic ezifana neengxaki zeememori, intetho edibeneyo, inyikima, ukuphazamiseka kwengqondo kunye nobunzima bokuhamba. Ama-antibodies anxulumene ne-Syphilis egazini okanye i-cerebrospinal fluid anganceda ukuhlukanisa le ntsholongwane evela kwi-MS.
Izifo eziziThatywayo
Inani lezifo ezizimeleyo zingabangela iimpawu ze-neurologic ezifana nezibonwa kwi-MS. Ngokomzekelo, i-sarcoidosis, i-Sjogren's syndrome, kunye ne- systemic lupus erythematosus inokubangela ukuba i-myelitis eguquguqukayo, imeko enqabileyo ye-neurological ebonakaliswe ukuvuvukala kwinqanaba le-spinal cord. I-myelitis ejikelezayo ibonakala kwi-multiple sclerosis.
Ngamanye amaxesha kulula ukuba i-neurologist ihlukanise i-MS kwesinye isifo esisodwa. Ngokomzekelo, i-lupus njengobangela weempawu ze-neurologic inokwenzeka ngaphezu kwe-MS ukuba umntu uphinde ahlole iimvavanyo ezithile zegazi, ezifana ne-antibodies kwi-DNA ephindwe kabini. I-Lupus yayiya kuba yinto enokwenzeka ukuba loo mntu wayeneminye impawu ezinxulumene ne-lupus ezinjengeenhlungu zomzimba, i-anemia, okanye iingxaki zeengso.
Ngamanye amaxesha ukuxilongwa kukuxhomekeka kwaye kunokufuna into engakumbi engavumelekanga, njenge-biopsy yomlomo (njengokuba kunjalo kwimeko ye- Sjogren's syndrome ) okanye umphunga (njengase- sarcoidosis ).
ILizwi
Ingaba yinto eyoyikisayo xa wena okanye umntu obathandayo uhlala ekulawulwa ngaphandle okanye kwi-multiple sclerosis (okanye ezinye iimeko ezifanayo). Ekugqibeleni, ekugqibeleni, inkqubo echanekileyo iya kuqinisekisa ukuxilongwa ngokuchanekileyo, ngoko unako ukuqhubela phambili ngecebo elifanelekileyo lokunyango.
> Imithombo:
> Birnbaum, MD George. (2013). Multiple Sclerosis: Isikhokelo seNtsholongwane yokuHlola kunye noNyango, 2 iNguqulelo . ENew York, eNew York. I-Oxford University Press.
> Brinar VV, Habek M. Izifo ezithathayo zifana ne-MS. Iklinikhi yaseNeurol Neurosurg . 2010 Sep; 112 (7): 625-8.
> Langan RC & Zawistoski KJ. Ukuhlaziywa kwi-Vitamin B12. I-Phys Physician . 2011 Juni 15; 83 (12): 1425-30.