CCSVI: Zizindikiro, Chithandizo, ndi Ubale Wake ndi MS

Zamkati

• Kodi CCSVI ndi chiyani?
• Zizindikiro za CCSVI
• Zomwe zimayambitsa CCSVI
• Kuzindikira CCSVI
• Chithandizo cha CCSVI
• Kuopsa kwa chithandizo chamankhwala
• Ulalo wa CCSVI ndi MS
• Kafukufuku wowonjezera wa CCSVI
• Tengera kwina

Kodi CCSVI ndi chiyani?

Matenda osokoneza bongo (CCSVI) amatanthauza kuchepa kwa mitsempha m'khosi. Chikhalidwe chosafotokozedwayi chakhala chosangalatsa kwa anthu omwe ali ndi MS.

Chidwi chimachokera pamalingaliro ovuta kwambiri omwe CCSVI imayambitsa MS, ndikuti opareshoni yodziyimira payokha (TVAM) ya opaleshoni pamitsempha yamagazi yapakhosi itha kuthana ndi MS.

Kafukufuku wambiri wapeza kuti vuto ili silimalumikizidwa ndi MS.

Kuphatikiza apo, opaleshoniyi siothandiza. Zitha kuchititsanso mavuto owopsa amoyo.

Wapereka chenjezo lokhudza TVAM ndipo waletsa izi. Sichiloledwa ku United States ngati chithandizo cha CCSVI kapena MS.

A FDA akhazikitsa njira yofotokozera kusamvera kulikonse kapena zovuta zina zamankhwala.

Pali lingaliro lakuti kusakwanira kwa magazi m'mitsempha yamagazi kumatha kuphatikizidwa ndi kuchepa kwa mitsempha m'khosi. Akuti kuchepetsedwa kumatha kuyambitsa kuchepa kwa magazi kuchokera muubongo ndi msana.

Zotsatira zake, iwo omwe amalimbikitsa malingaliro ampikisano a CCSVI-MS amati magazi amabwerera muubongo ndi msana, kuyambitsa kupsinjika ndi kutupa.

Lingaliro lina la CCSVI ndikuti vutoli limapangitsa kusungika kwa kuthamanga kapena kuchepetsa kutuluka kwa magazi kusiya dongosolo lamanjenje (CNS).

Zizindikiro za CCSVI

CCSVI sinatanthauzidwe bwino pokhudzana ndi mayendedwe amwazi, ndipo siyokhudzana ndi zizindikilo zilizonse zamatenda.

Zomwe zimayambitsa CCSVI

Chifukwa chenicheni ndi tanthauzo la CCSVI sichinakhazikitsidwe. Mwachitsanzo, kuchuluka kwenikweni kwa ma cerebrospinal venous flow omwe angaoneke ngati abwinobwino kapena oyenera sikuti ndi mulingo wathanzi ayi.

Kutsika kwapakati poyerekeza ndi ma cerebrospinal venous flow amakhulupirira kuti ndi kobadwa nako (komwe kumakhalapo pakubadwa) ndipo sikumabweretsa zovuta zilizonse zathanzi.

Kuzindikira CCSVI

Kuzindikira CCSVI kumatha kuthandizidwa ndimayeso ojambula. Ultrasound imagwiritsa ntchito mafunde akumveka pafupipafupi kuti apange chithunzi chamadzimadzi mkati mwathupi lanu.

Dokotala wanu akhoza kugwiritsa ntchito ultrasound kapena magnetic resonance venography kuti awone mitsempha m'khosi mwanu ndikuwunika zovuta zilizonse zolakwika, koma palibe miyezo yomwe mayendedwe osakwanira kapena ngalande sizimayesedwa.

Mayeserowa sachitika kwa anthu omwe ali ndi MS.

Chithandizo cha CCSVI

Njira yokhayo yothandizira CCSVI ndi TVAM, opaleshoni yotupa angioplasty, yotchedwanso liberation therapy. Cholinga chake ndi kutsegula mitsempha yopapatiza. Dokotalayo amaika chibaluni chaching'ono m'mitsempha kuti chifike.

Njirayi idanenedwa ngati njira yochotsera kutsekeka ndikuwonjezera magazi kuchokera muubongo ndi msana.

Ngakhale anthu ena omwe adachita izi poyesera adanenanso zakusintha kwa mkhalidwe wawo, ambiri anali ndi zolemba za restenosis pamayeso awo ojambula, kutanthauza kuti mitsempha yawo yamagazi idachepetsanso.

Kuphatikiza apo, sizikudziwika ngati iwo omwe adanenapo zakusintha kwachipatala adasinthiratu pakusunthika kwa magazi.

Kafukufuku wofufuza za kuchitidwa kwa opaleshoni ya CCSVI sikulonjeza.

Malinga ndi MS Society, kafukufuku wazachipatala wa 2017 wa anthu 100 omwe ali ndi MS adapeza kuti angioplasty ya venous sinathetsere zomwe ophunzira akutenga nawo mbali.

Kuopsa kwa chithandizo chamankhwala

Chifukwa chithandizo cha CCSVI sichinatsimikizidwe kuti ndichothandiza, madokotala amalangiza motsutsana ndi opaleshoniyi chifukwa chowopsa cha zovuta zina. Mavutowa ndi awa:

• kuundana kwamagazi
• kugunda kwamtima kosazolowereka
• kulekanitsa mtsempha
• matenda
• Kuphulika kwa mtsempha

Ulalo wa CCSVI ndi MS

Mu 2008, a Paolo Zamboni aku University of Ferrara ku Italy adayambitsa mgwirizano pakati pa CCSVI ndi MS.

Zamboni adachita kafukufuku wa anthu omwe ali ndi MS komanso opanda MS. Pogwiritsa ntchito kujambula kwa ultrasound, anayerekezera mitsempha yamagazi m'magulu onse awiri omwe atenga nawo mbali.

Anatinso gulu lowerengera lomwe lili ndi MS linali ndi magazi osazolowereka kuchokera muubongo ndi msana, pomwe gulu lophunzirira lopanda MS linali ndi magazi oyenda bwino.

Kutengera zomwe adapeza, Zamboni adatsimikiza kuti CCSVI ndi yomwe ingayambitse MS.

Kulumikizana uku, komabe, poyamba inali nkhani yotsutsana kwa azachipatala. Zakhala zikusemphana ndipo, kutengera kafukufuku wotsatira wa timu yake, Zamboni mwiniwake wanena kuti chithandizo chamankhwala sichabwino kapena chothandiza.

M'malo mwake, umboni wochulukirapo ukuwonetsa kuti CCSVI siyogwirizana kwenikweni ndi MS.

Ochita kafukufuku akuti kusamvana pazotsatira kumatha kubwera chifukwa cha zochitika zosiyanasiyana, kuphatikiza zosagwirizana pakulingalira, kuphunzitsa ogwira ntchito, ndi kutanthauzira zotsatira.

Kafukufuku wowonjezera wa CCSVI

Kafukufuku wa Zamboni siwo wokha kafukufuku yemwe adachitika pofuna kupeza ulalo pakati pa CCSVI ndi MS.

Mu 2010, National MS Society ku United States ndi MS Society of Canada adalumikizana ndikumaliza maphunziro asanu ndi awiri ofanana. Koma kusiyanasiyana kwakukulu pazotsatira zawo sikunatanthauze kuyanjana pakati pa CCSVI ndi MS, zomwe zimapangitsa akatswiri ofufuza kuti atsimikizire kuti palibe ulalo.

Kafukufuku wina adachulukirachulukira chifukwa cha njirayi, zomwe zidapangitsa kuti maphunzirowa athe msanga.

Kuphatikiza apo, ena mwa omwe adachita nawo kafukufukuyu adamwalira chifukwa cha mlanduwo, womwe panthawiyo umaphatikizapo kuyika stent mumtsinje.

Tengera kwina

MS imatha kukhala yosayembekezereka nthawi zina, motero ndizomveka kufunafuna mpumulo ndi chithandizo chothandiza. Koma palibe umboni wotsimikizira kuti kuchiza CCSVI kumathandizira MS kapena kuyimitsa kupita patsogolo kwake.

"Chithandizo chomasula" chimapereka chiyembekezo cholakwika cha kuchiritsidwa mozizwitsa kuchokera ku matenda owopsa munthawi yomwe tili ndi njira zenizeni, zopindulitsa.

Izi zitha kukhala zowopsa, popeza tidalibe njira zabwino zokonzera kapena kubwezeretsanso myelin yotayika pochedwetsa chithandizo.

Ngati chithandizo chanu chapano sichikuyang'anira bwino MS yanu, musazengereze kufikira kwa dokotala wanu. Amatha kugwira nanu ntchito kuti apeze chithandizo chomwe chimagwira.