Kupitiliza-Kubwezeretsa Multiple Sclerosis (PRMS)

Zamkati

• Kutanthauzira "kubwerera" mu PPMS yogwira
• Zizindikiro za PPMS
• Kupita patsogolo kwa PPMS
• Kuzindikira PPMS
• Kuchiza PPMS
• Maonekedwe a PPMS

Kodi kupita patsogolo mobwerezabwereza kwa multiple sclerosis (PRMS) ndi chiyani?

Mu 2013, akatswiri azachipatala adasinthiratu mitundu ya MS. Zotsatira zake, PRMS simawonedwanso ngati imodzi mwamagawo osiyanasiyana a MS.

Anthu omwe mwina adapezeka kuti ali ndi PRMS m'mbuyomu tsopano akuwerengedwa kuti ali ndi MS yoyambira yomwe ili ndi matenda opatsirana.

Primary progressive multiple sclerosis (PPMS) imadziwika ndi zizindikilo zomwe zimawonjezeka pakapita nthawi. Matendawa amatha kudziwika kuti ndi "otakataka" kapena "osagwira ntchito." PPMS imawerengedwa kuti ikugwira ntchito ngati pali zizindikiro zatsopano kapena zosintha pakuwunika kwa MRI.

Zizindikiro zofala kwambiri za PPMS zimayambitsa kusintha kwa mayendedwe, ndipo atha kukhala:

• kusintha kwa mayendedwe
• mikono ndi miyendo yolimba
• miyendo yolemera
• kulephera kuyenda mtunda wautali

Kupitanso patsogolo kwa multiple sclerosis (PRMS) kumatanthauza PPMS yokhala ndi matenda opatsirana. Anthu ochepa omwe ali ndi multiple sclerosis (MS) ali ndi matendawa obwerezabwereza.

Kutanthauzira "kubwerera" mu PPMS yogwira

Kumayambiriro kwa MS, anthu ena amasintha pakusintha kwazizindikiro. Nthawi zina samawonetsa zizindikiro zilizonse za MS kwa masiku kapena masabata nthawi imodzi.

Komabe, nthawi yakumapuma, zizindikilo zimatha kuwonekera popanda chenjezo. Izi zitha kutchedwa kuti MS kubwerera, kukulirakulira, kapena kuwukira. Kubwereranso ndi chizindikiro chatsopano, kubwereza kwa chizindikiro chakale chomwe chidayamba kukhala bwino, kapena kukulirakulira kwa chizindikiro chakale chomwe chimakhala kuposa maola 24.

Kubwereranso mu PPMS yogwira ndikosiyana ndi kubwereranso pakubwezeretsanso-multiple sclerosis (RRMS).

Anthu omwe ali ndi PPMS amakumana ndi mawonekedwe azizindikiro pang'onopang'ono. Zizindikiro zimatha kukhala bwino koma sizimatha. Chifukwa chakuti kuyambiranso sikumatha mu PPMS, munthu yemwe ali ndi PPMS nthawi zambiri amakhala ndi zizindikilo zambiri za MS kuposa munthu yemwe ali ndi RRMS.

Pomwe PPMS yogwira ikukula, kubwereranso kumatha kuchitika zokha, popanda chithandizo.

Zizindikiro za PPMS

Zizindikiro zakuyenda ndi zina mwazizindikiro za PPMS, koma kuuma kwake ndi mitundu yazizindikiro zimatha kusiyanasiyana pakati pa munthu ndi munthu. Zizindikiro zina zodziwika za PPMS zitha kukhala:

• kutuluka kwa minofu
• minofu yofooka
• kuchepa kwa chikhodzodzo, kapena kusadziletsa
• chizungulire
• kupweteka kosalekeza
• masomphenya amasintha

Matendawa akamakula, PPMS imatha kuyambitsa zizindikilo zochepa monga:

• kusintha kwa malankhulidwe
• kunjenjemera
• kutaya kumva

Kupita patsogolo kwa PPMS

Kupatula pakubwereranso, PPMS yogwira imadziwikanso ndikukula kwakanthawi kochepetsa kuchepa kwamitsempha.

Madokotala sangathe kuneneratu kuchuluka kwa kukula kwa PPMS. Nthawi zambiri, kupitako kumachitika pang'onopang'ono koma modekha komwe kumatha zaka zingapo. Milandu yoyipa kwambiri ya PPMS imadziwika ndikukula mwachangu.

Kuzindikira PPMS

PPMS ikhoza kukhala yovuta kuzindikira koyamba. Izi ndichifukwa choti kubwereranso mu PPMS sikuwonekera kwambiri monga momwe zilili ndi mitundu ina ya MS.

Anthu ena amangobwereranso chifukwa chokhala ndi masiku oyipa m'malo mongoganiza kuti ndi zizindikiro zakukulira kwa matenda. PPMS imapezeka ndi chithandizo cha:

• kuyezetsa labata, monga kuyezetsa magazi komanso kuboola lumbar
• Kujambula kwa MRI
• mayeso amitsempha
• mbiri yazachipatala ya munthu yofotokoza kusintha kwamatenda

Kuchiza PPMS

Chithandizo chanu chiziwunika pakuthandizira kuthana ndi kubwerera m'mbuyo. Mankhwala okhawo ovomerezeka ndi FDA a PPMS ndi ocrelizumab (Ocrevus).

Mankhwala ndi gawo limodzi chabe la chithandizo cha MS. Dokotala wanu angakulimbikitseninso kusintha kwa moyo wanu kuti muchepetse zizindikiritso zanu ndikukhalitsa moyo wabwino. Kuchita masewera olimbitsa thupi nthawi zonse komanso zakudya zopatsa thanzi kumatha kuthandizira chithandizo chamankhwala cha MS.

Maonekedwe a PPMS

Pakadali pano palibe mankhwala a MS.

Monga mitundu ina ya matendawa, chithandizo chitha kuthandiza kuchepetsa kukula kwa PPMS. Chithandizo chitha kuthetsanso zizindikilo.

Kulowererapo koyambirira kwamankhwala kungathandize kupewa matendawa kuti asakhudze kwambiri moyo wanu. Komabe, ndikofunikira kuti mupeze matenda oyenera kuchokera kwa dokotala wanu kuti mutsimikizire kuti mumalandira chisamaliro chokwanira.

Ofufuzawo akupitiliza kuphunzira za MS kuti amvetsetse mtundu wa matendawa ndipo mwina amafunafuna machiritso.

Maphunziro azachipatala a PPMS ndi ocheperako kuposa mitundu ina yamatenda chifukwa siosavuta kuwazindikira. Njira zolembera anthu mayesero azachipatala zimakhala zovuta kutengera mtundu wa MS.

Mayeso ambiri pamankhwala ophunzirira a PPMS kuti athe kuthana ndi zizindikilo. Ngati mukufuna kuchita nawo zoyeserera zamankhwala, kambiranani zambiri ndi dokotala wanu.