Ukumangalisa kunye nokungafani
Unokumangaliswa ukwazi ukuba kukho iintlobo ezahlukeneyo ze-sclerosis. Ngelixa babelana ngezinto ezithile, inzululwazi emva kwabo, ikhosi yabo, kunye neempawu zabo zingafani kakhulu.
I-MS yokubuyisela kwakhona
Ukubuyiselwa kwakhona kwe-MS yinto eqhelekileyo, echaphazela malunga nama-85 ekhulwini kulabo abane-MS. Kulo hlobo lwe-MS, umntu uya kubuya aphinde aphinde aphinde asebenze-abuye asebenze-ezi zibuye zibizwa ngokuba yiirharensi, ukutshatyalaliswa, ukuhlaselwa, okanye ukunyuka.
Ngethuba lokuphindaphinda, iingcali zikholelwa ukuba kukho ukuhlaselwa okuvuthayo kwi-myelin sheath-isimbozo esikhuselayo kwaye sivuselele iimbilini ze-nerve. I-myelin sheath ivumela ukukhulumisana okukhawulezayo phakathi kweeseli zentsholongwane, ngoko ke xa zonakaliswe, iingxaki azikwazi ukuthetha ngokufanelekileyo kwaye iimpawu zeengqondo zivela.
Izibonakaliso ezichanekileyo zemivo yokuba umntu uncike kwiindawo zokubuyela kuphantsi kwengqondo okanye umgogodla. Ngokomzekelo, ukuba i-nertic optic iyona njongo yokuphindaphinda, umntu unokuhlakulela intlungu kunye nombono ophazamisayo. Ukuba indawo ye brainst ichaphazelekayo, umntu unokufumana ukugungqiswa okanye iingxaki ngokulinganisela kwazo.
Abanye abantu baphinde baphinde benze umsebenzi wabo wegazi emva kokuphindaphinda, oku kuthetha ukuba iimpawu zabo zibuyiselwa. Abanye bafumana kuphela (okanye akukho) kuphela. Iguquke kakhulu kwaye iimpawu zingapheli iintsuku, kwangeenyanga. Njengoko esi sifo siqhubeka, kunjalo, abantu bavame ukuphinda baphinde baphumelele, kwaye ngoko banokukhubazeka.
Iindaba ezilungileyo kukuba kukho inani lamachiza avunyelwe ukunyanga ukubuyisela-ukubuyisela i-MS-13 ukuba ibe yinto echanekileyo. Bonke baye baboniswa kwizifundo zesayensi ukuze banciphise zombini inani lokubuyela kwakhona kunye nenani lezilonda ezintsha kwi-MRI. Ukuba uye wafumanisa ukuba unokubuyiselwa kwakhona kwe-MS, kusenokwenzeka ukuba i-neurologist yakho iya kuncomela ukuqala enye yale mizimba yokuguqula izifo ngokukhawuleza.
I-Primary Progressive MS
I-MS ephambili ye-MS ihluke kakhulu kwi-MS yokubuyisela kwakhona. Kwenye, itholakala ngokulinganayo kumadoda kunye nabasetyhini-akukho ukungafani kwesini. Kwakhona kuchaphazela abo baphakathi kweminyaka engama-40 no-60, kanti ukubuyiswa kwakhona kwe-MS kuthintela abantu abancinci, abo kuma-20s no-30.
Ukongeza, abantu abaneenkqubela phambili ze-MS bahlala becinga ubunzima ngokuhamba njengempawu zabo zokuqala. Ngokomzekelo, banokuyibona enye okanye imilenze yomibini idonsa okanye iba nzima okanye iqine. Oku kungenxa yokuba, kwi-MS ephambili-phambili, isifo sichaphazela kakhulu intambo yomgogodla, ngoko ke iingxaki zokuhamba, isondo, kunye nesibindi kunye nesilonda sisebenza ngokulawula.
Kwakhona, iingcali zikholelwa ukuba inzululwazi emva kwe-MS eyona nto ihamba phambili ihluke kwi-MS yokubuyisela kwakhona. Kwi-MS yokubuyisela kwakhona kwakhona, kukho ukuhlaselwa kwe-immune system kwinqanaba lomkhuhlane (i- myelin ). Kwi-MS eyimpumelelo ephambili, kukho ukungonakaliswa ngokuthe gqithwa kwemibhobho yesibindi, ukuthanda ngaphezulu kwenkqubo yokukhubazeka, kunokuba kuvuke.
Yingakho izifo eziguqulwa zizifo azibonakali ukuba zisebenze (kwaye azikavunywanga yi-FDA) kwi-MS ephambili. Izifo eziguqula izifo zijolise ekuvukeleni, okwenzeki ngokwenene kwi-MS ephambili ephambili.
Oko kuthethwa, kubantu abathile, kunokubakho ukuphazamiseka phakathi kwezi ntlobo zombini, okwenza ukuxilongwa kukukhohlise. Oku kuchaza nokuba kutheni ezinye i-neurologists ziza kuzama ukuguqulwa kwezifo kwizigulane zabo, ingakumbi ukuba inzuzo enokuthi ixhamle nayiphi na ingozi.
MS Progressive Progressive
I-MS eqhubekayo yesibini iyenzeka xa umntu eguqukela ekubeni abuyele kwakhona (ukubuyisela kwakhona i-MS) kwiinkqubo ezithe gqolo, eziqhubekayo (njenge-MS ehamba phambili). Ngokufanayo, imifanekiso ye-MRI iya kubonisa izilonda zokunciphisa okungafaniyo (uphawu lokuvuvukala okunzulu) kunye ne-atrophy engaphezulu okanye ukuncipha kweentambo ze-nerve (uphawu lokuguga).
Kuyathakazelisa ukuqaphela ukuba utshintsho ukusuka ekubuyiseleni kwakhona-ukubuyisela kwi-MS eqhubekayo yesibini kunokuhamba ngokukhawuleza okanye ngokukhawuleza, kwaye le nguqu ayisoloko isicacile. Ngamanye amaxesha umntu uya kuthatha inkqubo eqhubela phambili ye-MS kuphela ukuze ahlakulele ukuphindaphinda ngesilonda esitsha kwi-MRI yabo.
Ngokwonyango , i- mitoxantrone yiyo kuphela i-FDA-avunywe ukuguqulwa kwezifo ukunyanga i-MS yesibili. Imiphumo emibili yezona ziphumo ezinomda wecala unokubangela ukuba umonakalo wentliziyo kunye ne -leukemia enesifo esibi , umhlaza wesifo somongo.
I-MS eqhubela phambili
Ngowe-1996, i-MS eqhubekayo yokubuyiselwa phambili yayichazwa okokuqala njengoluhlobo lwe-MS apho umntu ekwenyuka ngokuqhubekayo komsebenzi wakhe we-neurological ekuqaleni, kunye nokuphindaphindiwe kwakhona. Kodwa ngo-2013, inkcazelo yahlaziywa-ngoku abo baqale baxilongwa ngokuba ne-MS eqhubekayo yokubuyiselwa phambili bayabonwa njengento ephambili "esebenzayo" okanye "engasebenzi" ("esebenzayo" esithetha ukuba umntu okwangoku uyaphinda aphinde aphumelele kwi-MS kwaye "akayi esebenzayo "nto ithetha ukuba umntu akangokubuyiselwa kwakhona).
Iingcali zikholelwa ukuba abantu abane-MS eqhubekayo yokubuyiselwa ngokutsha bayakhubazeka ngokukhawuleza kunezo ezine-MS eziphambili (umntu ongenabuyiselwa kwakhona). Oku kwenzeka ngenxa yokuba umntu ohamba phambili-abuyele kwakhona amava aphindwe kabini-aphinde aphinde ahlawule ngokunyuka kokuqhubeka komsebenzi we-neurological.
I-Clinically Isolated Syndrome (CIS)
I-CIS ithetha ukuba umntu uye wafumana isiqhelo esichaphazelekayo se-MS kwakhona, kodwa loo mntu akayihlangabeza imigaqo yokufumana i-MS eyiyo. Ngoko kuyacaca ukuba loo mntu uya kuqhubeka nokuphuhlisa i-MS. Abanye abantu abane-CIS baya kuqalisa unyango olutshintsha isifo, ngakumbi ukuba i-neurologist yabo ikholelwa ukuba basengozini enkulu ekugqibeleni bavelise i-MS.
ILizwi
Nangona iinjongo ezilungileyo ukuqonda iintlobo ezahlukeneyo ze-MS, umfanekiso omkhulu apha uqonda ukuhluka okuphawulekayo kwe-MS njengesifo. Ngaphandle kwendlela efana ne-MS, iimpawu zomntu, ukukhubazeka, ubuchopho kunye nemifanekiso yesigxina, nendlela abavakalelwa ngayo kwaye isebenza ngayo imihla ngemihla iyingqayizivele.
Yingakho kubalulekile ukugxila kwimikhwa yakho ye-MS yokunyamezela nokuphulukisa nodokotela kunye nabathandekayo bakho. Ngoko xa umhlobo (kunye neenjongo ezilungileyo) uthi unayo i-MS kwaye uyakwazi ukusebenza ixesha elipheleleyo okanye ingadi yonke imihla, ungazivumi. I-MS yakho ihluke kwi-MS yakhe. Mamela umzimba wakho kwaye ube nomusa kuwe.
Imithombo:
Birnbaum, MD George. (2013). Multiple Sclerosis: Isikhokelo seNtsholongwane yokuHlola kunye noNyango, 2 iNguqulelo . ENew York, eNew York. I-Oxford University Press.
National Society of MS. (2016). I-MS Izifo-Ukuguqula iMithi .
National Society of MS. I-MS eqhubekayo yokubuyela kwakhona.