Kuyesedwa kwa Multiple Sclerosis

Zamkati

• Kuyesa magazi
• Kujambula kwama maginito
• Cholinga
• Kukonzekera
• Lumbar kuboola
• Kutulutsa mayeso omwe angakhalepo
• Mayeso atsopano omwe akupangidwa
• Kodi malingaliro a MS ndi otani?

Kodi multiple sclerosis ndi chiyani?

Multiple sclerosis (MS) ndi matenda osachiritsika, omwe amapita patsogolo omwe amakhudza dongosolo lamanjenje. MS imachitika pamene chitetezo cha mthupi chimagwiritsa ntchito myelin chomwe chimateteza ulusi wamitsempha ya msana ndi ubongo. Izi zimatchedwa demyelination, ndipo zimayambitsa zovuta kulumikizana pakati pa mitsempha ndi ubongo. Pamapeto pake zimatha kuwononga mitsempha.

Zomwe zimayambitsa matenda a sclerosis sizikudziwika pakadali pano. Zimaganiziridwa kuti zinthu za majini ndi zachilengedwe zitha kugwira ntchito. Pakalipano palibe mankhwala a MS, ngakhale pali mankhwala omwe angachepetse zizindikiro.

Multiple sclerosis imatha kukhala yovuta kupeza; palibe mayeso amodzi omwe angawapeze. M'malo mwake, matendawa amafunika kuyesedwa kangapo kuti athetse mavuto ena omwe ali ndi zofananira. Dokotala wanu atakuyesa, atha kuyitanitsa mayeso osiyanasiyana ngati akuganiza kuti muli ndi MS.

Kuyesa magazi

Mayeso amwazi atha kukhala gawo lantchito yoyamba ngati dokotala akukayikira kuti mwina muli ndi MS. Kuyezetsa magazi sikungayambitse matenda a MS, koma amatha kuthana ndi zina. Izi ndi monga:

• Matenda a Lyme
• zovuta zobadwa nazo zochepa
• chindoko
• HIV / Edzi

Matenda onsewa amatha kupezeka ndi magazi okha. Mayeso amwazi amathanso kuwonetsa zotsatira zosazolowereka. Izi zitha kubweretsa matenda monga khansa kapena kuchepa kwa vitamini B-12.

Kujambula kwama maginito

Kujambula kwamaginito (MRI) ndi mayeso osankhira matenda a MS kuphatikiza kuyesa magazi koyambirira. Ma MRIs amagwiritsa ntchito mafunde amawu ndi maginito kuti athe kuyesa kuchuluka kwa madzi m'matumba amthupi. Amatha kuzindikira minyewa yabwinobwino komanso yachilendo ndipo amatha kuwona zosakhazikika.

Ma MRIs amapereka zithunzi mwatsatanetsatane za ubongo ndi msana. Zimakhala zochepa kwambiri kuposa ma X-ray kapena ma scan a CT, omwe onse amagwiritsa ntchito radiation.

Cholinga

Madokotala adzakhala akuyang'ana zinthu ziwiri akamalamula MRI ndikudziwika kuti ali ndi MS. Choyamba ndikuti adzawunika zovuta zina zilizonse zomwe zingathetse MS ndikuwonetsa matenda ena, monga chotupa chaubongo. Afufuzanso umboni woti akuchotsedwa.

Mzere wa myelin womwe umateteza ulusi wamitsempha ndi wamafuta ndipo umathamangitsa madzi akawonongeka. Ngati myelin yawonongeka, komabe, mafutawa amachepetsedwa kapena kuchotsedwa kwathunthu ndipo samathamangitsanso madzi. Malowa azisunga madzi ochulukirapo chifukwa, omwe amatha kupezeka ndi ma MRIs.

Kuti adziwe MS, madokotala ayenera kupeza umboni woti akuchotsedwa. Kuphatikiza pakuwongolera zina zomwe zingachitike, MRI ikhoza kupereka umboni wotsimikizika kuti kuchotsedwako kwachitika.

Kukonzekera

Musanalowe mu MRI yanu, chotsani zodzikongoletsera zonse. Ngati muli ndi chitsulo pazovala zanu (kuphatikiza zipi kapena zikopa za bra), mudzafunsidwa kuti musinthe chovala chaku chipatala. Mudzagonabe mkati mwa makina a MRI (omwe amatseguka kumapeto onse awiri) kwa nthawi yonse ya njirayi, yomwe imatenga pakati pa mphindi 45 ndi ola limodzi. Lolani dokotala ndi katswiri wanu adziwe pasadakhale ngati muli:

• Zitsulo zazitsulo
• wopanga pacemaker
• mphini
• Kulowetsedwa mankhwala osokoneza bongo
• mavavu amtima wokumba
• mbiri ya matenda ashuga
• zinthu zina zilizonse zomwe mukuganiza kuti zingakhale zofunikira

Lumbar kuboola

Kubowola lumbar, komwe kumatchedwanso kupopera msana, nthawi zina kumagwiritsidwa ntchito pozindikira MS. Njirayi ichotsa zitsanzo za cerebrospinal fluid (CSF) kuti ziyesedwe. Kuphulika kwa Lumbar kumawerengedwa kuti ndi kovuta. Pogwiritsa ntchito njirayi, singano imayikidwa kumbuyo, pakati pa mafupa a msana, ndi mumsewu wa msana. Singano yopanda pake idzatengera zitsanzo za CSF kuti ziyesedwe.

Tepi ya msana nthawi zambiri imatenga pafupifupi mphindi 30, ndipo mudzapatsidwa mankhwala oletsa kupweteka m'deralo. Wodwalayo amafunsidwa kuti agone chammbali ndi msana wokhotakhota. Dera litatsukidwa ndikumwa mankhwala oletsa kupweteka m'deralo, dokotala amalowetsa singano yopanda kanthu mumtsinje wa msana kuti atenge supuni imodzi kapena ziwiri za CSF. Kawirikawiri, palibe kukonzekera kwapadera. Mutha kufunsidwa kuti musiye kumwa magazi ochepa.

Madokotala omwe amalamula ma lumbar punctures panthawi yoyezetsa matenda a MS adzagwiritsa ntchito mayeso kuti athetse mavuto omwe ali ndi zofananira. Ayang'ananso zizindikiro za MS, makamaka:

• magulu okwera a ma antibodies otchedwa IgG antibodies
• mapuloteni otchedwa oligoclonal band
• kuchuluka kwakukulu kwamaselo oyera

Chiwerengero cha maselo oyera am'magazi a msana a anthu omwe ali ndi MS amatha kupitilira kasanu ndi kawiri kuposa momwe zimakhalira. Komabe, mayankho achilendo amtunduwu amathanso kuyambitsidwa ndi zina.

Akuyerekeza kuti 5 mpaka 10 peresenti ya anthu omwe ali ndi MS samawonetsa zovuta zina mu CSF yawo.

Kutulutsa mayeso omwe angakhalepo

Mayeso omwe atulutsidwa (EP) amayesa magwiridwe antchito amagetsi muubongo omwe amapezeka potengera kukondoweza, monga phokoso, kukhudza, kapena kuwona. Mtundu uliwonse wazopatsa chidwi umabweretsa ma sign amagetsi amphindi, omwe amatha kuyezedwa ndi ma elekitirodi oyikika pamutu kuwunika zochitika m'malo ena aubongo. Pali mitundu itatu ya mayeso a EP. Kuyankha kotsitsimutsa (VER kapena VEP) ndiye omwe amagwiritsidwa ntchito kwambiri pofufuza MS.

Madokotala akaitanitsa mayeso a EP, adzafunafuna kufalikira komwe kulipo panjira ya mitsempha ya optic. Izi zimachitika koyambirira kwambiri mwa odwala ambiri a MS. Komabe, asanatsimikizire kuti ma VER osazolowereka amachokera ku MS, zovuta zina zamagulu kapena zam'maso ziyenera kuchotsedwa.

Palibe kukonzekera kofunikira kuti mutenge mayeso a EP. Mukamayesa, mumakhala kutsogolo kwa chinsalu chomwe chili ndi kachitidwe kosinthira pa bolodi. Mutha kupemphedwa kuti mutseke diso limodzi nthawi imodzi. Zimafunikira chidwi, koma ndizotetezeka komanso sizowukira. Ngati muvala magalasi, funsani dokotala wanu pasanapite nthawi ngati muyenera kubweretsa.

Mayeso atsopano omwe akupangidwa

Chidziwitso cha zamankhwala nthawi zonse chimapita patsogolo. Pamene ukadaulo komanso kudziwa kwathu MS kumapita patsogolo, madokotala amatha kupeza mayeso atsopano kuti njira yodziwitsa za MS ikhale yosavuta.

Kuyezetsa magazi pakadali pano kukukonzedwa komwe kudzatha kudziwa ma biomarkers omwe amagwirizana ndi MS. Ngakhale kuti mayeserowa sangathe kudziwa kuti ali ndi MS palokha, atha kuthandiza madotolo kuwunika zomwe zingayambitse matendawa ndikupangitsa kuti matendawa akhale osavuta.

Kodi malingaliro a MS ndi otani?

Kuzindikira MS pakadali pano kungakhale kovuta komanso kodya nthawi. Komabe, zizindikilo zothandizidwa ndi ma MRIs kapena mayeso ena opezeka kuphatikiza kupatula zina zomwe zingayambitse matendawa zitha kuthandiza kuti matendawa amveke bwino.

Ngati mukukumana ndi zizindikiro zomwe zikufanana ndi MS, pangani msonkhano ndi dokotala wanu. Mukazindikira kuti ndi achangu, mutha kulandira chithandizo mwachangu, zomwe zingathandize kuchepetsa zizindikilo zovuta.

Kungakhalenso kothandiza kulankhula ndi ena omwe akukumana ndi zomwezo. Pezani pulogalamu yathu yaulere ya MS Buddy kuti mugawane upangiri ndi chithandizo m'malo otseguka. Tsitsani kwa iPhone kapena Android.