Multiple Sclerosis (MS) Zoyambitsa

Zamkati

• Chifukwa 1: Chitetezo cha mthupi
• Chifukwa 2: Chibadwa
• Chifukwa 3: Chilengedwe
• Chifukwa 4: Matenda
• Zina zowopsa
• Kodi chingayambitse zizindikiro za MS ndi chiyani?
• Kupsinjika
• Kusuta
• Kutentha
• Mankhwala
• Kusowa tulo
• Matenda
• Chithandizo cha MS
• Kutenga

Kumvetsetsa multiple sclerosis (MS)

Multiple sclerosis (MS) ndimatenda amtsogolo omwe amatha kukhudza dongosolo lamanjenje lamkati (CNS).

Nthawi iliyonse mukatenga sitepe, kuphethira, kapena kusuntha mkono, CNS yanu ikugwira ntchito. Maselo mamiliyoni ambiri muubongo amatumiza zizindikilo mthupi lonse kuti ziwongole izi:

• mayendedwe
• zotengeka
• kukumbukira
• kuzindikira
• kulankhula

Maselo amitsempha amalumikizana potumiza ma magetsi kudzera m'mitsempha ya mitsempha. Chingwe chotchedwa myelin sheath chimakwirira ndikuteteza ulusiwu. Chitetezo chimenecho chimatsimikizira kuti khungu lililonse lamitsempha limakwaniritsa bwino lomwe cholinga chake.

Mwa anthu omwe ali ndi MS, ma cell a chitetezo amalakwitsa ndikuwononga myelin sheath. Kuwonongeka kumeneku kumabweretsa kusokonezeka kwa ziwonetsero zamitsempha.

Zizindikiro zowononga zaminyewa zimatha kuyambitsa zofooka, kuphatikiza:

• kuyenda ndi kulumikizana
• kufooka kwa minofu
• kutopa
• mavuto a masomphenya

MS imakhudza aliyense mosiyanasiyana. Kukula kwa matendawa komanso mitundu yazizindikiro zimasiyanasiyana malinga ndi munthu. Pali mitundu yosiyanasiyana ya MS, ndipo chifukwa chake, zizindikilo, kukula kwa chilema kumatha kusiyanasiyana.

Zomwe zimayambitsa MS sizikudziwika. Komabe, asayansi akukhulupirira kuti pali zinthu zinayi zomwe zingathandize kuti matendawa akule.

Chifukwa 1: Chitetezo cha mthupi

MS amawerengedwa kuti ndi matenda otetezedwa ndi chitetezo cha mthupi: Chitetezo cha mthupi chimalowerera ndikuukira CNS. Ofufuzawa amadziwa kuti mchira wa myelin umakhudzidwa mwachindunji, koma sakudziwa chomwe chimayambitsa chitetezo chamthupi kuti chiwononge myelin.

Kafufuzidwe komwe ma cell amthupi amayambitsa matendawa akupitilira. Asayansi akufuna kupeza zomwe zimayambitsa ma cell awa. Akusakanso njira zothanirana kapena kuletsa kupitilira kwa matendawa.

Chifukwa 2: Chibadwa

Mitundu yambiri imakhulupirira kuti imagwira ntchito mu MS. Mwayi wanu wopanga MS ndiwokwera pang'ono ngati wachibale wapafupi, monga kholo kapena m'bale, ali ndi matendawa.

Malinga ndi National Multiple Sclerosis Society, ngati kholo limodzi kapena m'bale wawo ali ndi MS, mwayi wopeza matendawa akuti ndi pafupifupi 2.5 mpaka 5% ku United States. Mwayi wa munthu wamba ndi pafupifupi 0.1%.

Asayansi amakhulupirira kuti anthu omwe ali ndi MS amabadwa ali ndi chiwopsezo chotengera zinthu zina zosadziwika zachilengedwe. Kuyankha kwadzidzidzi kumayambika akakumana ndi awa.

Chifukwa 3: Chilengedwe

Epidemiologists awona kuchuluka kwa milandu ya MS m'maiko akutali kwambiri ndi equator. Kuphatikizana kumeneku kumapangitsa ena kukhulupirira kuti vitamini D itha kutenga nawo mbali. Vitamini D amapindulitsa chitetezo chamthupi.

Anthu omwe amakhala pafupi ndi equator amawunikira dzuwa. Zotsatira zake, matupi awo amatulutsa vitamini D. wambiri.

Khungu lanu litakhala lowala nthawi yayitali, m'pamenenso thupi lanu limatulutsa vitamini. Popeza MS amadziwika kuti ndi matenda opatsirana ndi chitetezo cha mthupi, vitamini D komanso kuwunika kwa dzuwa kumatha kulumikizidwa.

Chifukwa 4: Matenda

Ofufuza akuganiza zotheka kuti mabakiteriya ndi ma virus angayambitse MS. Mavairasi amadziwika kuti amayambitsa kutupa komanso kuwonongeka kwa myelin. Chifukwa chake, ndizotheka kuti kachilombo kangayambitse MS.

N'kuthekanso kuti mabakiteriya kapena kachilombo kamene kali ndi zigawo zofanana ndi maselo aubongo kumayambitsa chitetezo cha mthupi kuti molakwika chizindikiritse maselo abongo abwinobwino kuti ndi achilendo ndi kuwawononga.

Mabakiteriya angapo ndi ma virus amafufuzidwa kuti awone ngati angathandize pakukula kwa MS. Izi zikuphatikiza:

• chikuku mavairasi
• kachilombo ka herpes kachilombo-6, kamene kamayambitsa zikhalidwe monga roseola
• Vuto la Epstein-Barr

Zina zowopsa

Zina mwaziwopsezo zingakulitsenso mwayi wanu wopanga MS. Izi zikuphatikiza:

• Kugonana. Azimayi ali ndi mwayi wochulukirapo wobwezeretsa-remitting multiple sclerosis (RRMS) kuposa amuna. Mu fomu yoyambira-kupita patsogolo (PPMS), ziwerengero za amuna ndi akazi ndizofanana.
• Zaka. RRMS nthawi zambiri imakhudza anthu azaka zapakati pa 20 ndi 50. PPMS nthawi zambiri imachitika pafupifupi zaka 10 kuposa mitundu ina.
• Mtundu. Anthu ochokera kumadera akumpoto kwa Europe ali pachiwopsezo chachikulu chotenga MS.

Kodi chingayambitse zizindikiro za MS ndi chiyani?

Pali zoyambitsa zingapo zomwe anthu omwe ali ndi MS ayenera kupewa.

Kupsinjika

Kupsinjika kumatha kuyambitsa ndikukulitsa zizindikiritso za MS. Zizolowezi zomwe zimakuthandizani kuti muchepetse komanso kuthana ndi kupsinjika zitha kukhala zopindulitsa. Onjezani miyambo yopondereza tsiku lanu, monga yoga kapena kusinkhasinkha.

Kusuta

Utsi wa ndudu umatha kuwonjezera kukula kwa MS. Ngati mumasuta, yang'anani njira zothandiza zosiya kusuta. Pewani kukhala pafupi ndi utsi wa fodya.

Kutentha

Sikuti aliyense amawona kusiyana kwa zizindikilo chifukwa cha kutentha, koma pewani dzuwa kapena malowa otentha mukapeza kuti mumawachitapo.

Mankhwala

Pali njira zingapo zomwe mankhwala angawonjezerere zizindikiro. Ngati mukumwa mankhwala ambiri ndipo samayanjana bwino, lankhulani ndi dokotala wanu. Amatha kusankha mankhwala omwe ali ofunikira komanso omwe mungaleke kumwa.

Anthu ena amasiya kumwa mankhwala a MS chifukwa amakhala ndi zovuta zambiri kapena amakhulupirira kuti sizothandiza. Komabe, mankhwalawa ndi ofunikira kuthandiza kupewa kubwereranso ndi zotupa zatsopano, chifukwa chake ndikofunikira kukhalabe pa izo.

Kusowa tulo

Kutopa ndi chizindikiro chofala cha MS. Ngati simukugona mokwanira, izi zitha kuchepetsa mphamvu zanu kwambiri.

Matenda

Kuchokera kumatenda amkodzo mpaka kuzizira kapena chimfine, matendawa amatha kuyambitsa matenda anu. M'malo mwake, matenda amayambitsa pafupifupi gawo limodzi mwa atatu mwa ziwonetsero zonse za MS, malinga ndi Cleveland Clinic.

Chithandizo cha MS

Ngakhale kulibe mankhwala a MS, pali njira zamankhwala zothandizira kuthana ndi zisonyezo za MS.

Gawo lodziwika bwino la mankhwala ndi corticosteroids, monga oral prednisone (Prednisone Intensol, Rayos) ndi intravenous methylprednisolone. Mankhwalawa amachepetsa kutupa kwa mitsempha.

Zikakhala kuti sizimayankha ma steroids, madokotala ena amapereka kusinthana kwa plasma. Pachithandizochi, gawo lamadzi m'magazi anu (plasma) limachotsedwa ndikulekanitsidwa ndi maselo amwazi wanu. Kenako imasakanikirana ndi protein protein (albumin) ndikubwezeretsanso m'thupi lanu.

Mankhwala osinthira matenda amapezeka ku RRMS ndi PPMS, koma atha kukhala pachiwopsezo chazaumoyo. Lankhulani ndi dokotala wanu ngati ali oyenera kwa inu.

Kutenga

Ngakhale zambiri zomwe zimayambitsa ndikuletsa MS ndichinsinsi, chomwe chimadziwika ndikuti omwe ali ndi MS akukhala moyo wochuluka kwambiri. Izi ndi zotsatira za njira zamankhwala komanso kusintha kwakusintha kwa moyo ndi zisankho zathanzi.

Ndikufufuza kopitilira, tsiku ndi tsiku zikuyenda bwino kuti zithandizire kuyimitsa patsogolo kwa MS.