Kumvetsetsa Sekondale-Progressive Multiple Sclerosis

Zamkati

• Kodi SPMS ndi chiyani?
• Momwe MS yobwererera imakhalanso SPMS
• Kuzindikira SPMS
• Kuchiza SPMS
• Mayesero azachipatala
• Kupita patsogolo
• Zosintha
• Kutalika kwa moyo
• Maonekedwe a SPMS

Kodi SPMS ndi chiyani?

Secondary-progressive multiple sclerosis (SPMS) ndi mtundu wa multiple sclerosis. Imawerengedwa gawo lotsatira pambuyo pobwezeretsanso-MS (RRMS).

Ndi SPMS, palibenso zizindikiro zakukhululukidwa. Izi zikutanthauza kuti vutoli likuipiraipira ngakhale amalandila chithandizo. Komabe, chithandizo chimalimbikitsidwanso nthawi zina kuti chithandizire kuchepetsa ziwopsezo ndikuyembekeza kuti zichepetse kukula kwaumalema.

Gawo ili ndilofala. M'malo mwake, anthu ambiri omwe ali ndi MS amakhala ndi SPMS nthawi ina ngati sangakhale ndi mankhwala osintha matenda (DMT). Kudziwa zizindikiro za SPMS kungakuthandizeni kuti muzindikire msanga. Mukangoyamba kumene kulandira chithandizo, dokotala wanu adzakuthandizani kuti muchepetse zizindikilo zatsopano komanso kukulirakulira kwa matenda anu.

Momwe MS yobwererera imakhalanso SPMS

MS ndi matenda osachiritsika omwe amabwera mosiyanasiyana ndipo amakhudza anthu mosiyanasiyana. Malinga ndi a Johns Hopkins Medicine, pafupifupi 90% ya omwe ali ndi MS amayamba kupezeka ndi RRMS.

Mu gawo la RRMS, zizindikilo zoyambirira zowonekera ndizo:

• dzanzi kapena kumva kulasalasa
• kusadziletsa (mavuto owongolera chikhodzodzo)
• kusintha kwa masomphenya
• zovuta kuyenda
• kutopa kwambiri

Zizindikiro za RRMS zimatha kubwera ndikupita. Anthu ena sangakhale ndi zisonyezo kwa milungu ingapo kapena miyezi, chodabwitsa chotchedwa kukhululukidwa. Zizindikiro za MS zitha kubwereranso, ngakhale izi zimatchedwa flare-up. Anthu amathanso kukhala ndi zizindikilo zatsopano. Izi zimatchedwa kuukira, kapena kubwereranso.

Kubwereranso kumatenga masiku angapo mpaka milungu ingapo. Zizindikiro zimatha kukulira pang'onopang'ono pang'onopang'ono kenako kusintha pang'onopang'ono pakapita nthawi popanda chithandizo kapena posachedwa ndi IV steroids. RRMS sizimadziwika.

Nthawi ina, anthu ambiri omwe ali ndi RRMS salinso ndi nthawi yakukhululukidwa kapena kubwereranso mwadzidzidzi. M'malo mwake, zizindikiro zawo za MS zimapitilira ndipo zimaipiraipira popanda kupuma.

Kupitilira, kuwonjezeka kwa zizindikiro kukuwonetsa kuti RRMS yapita patsogolo kupita ku SPMS. Izi zimachitika zaka 10 mpaka 15 pambuyo pazizindikiro zoyambirira za MS. Komabe, SPMS ikhoza kuchedwa kapena kutetezedwa ngati itayambika pa MS DMTs yogwira ntchito koyambirira kwamatendawa.

Zizindikiro zofananira zimapezeka m'mitundu yonse ya MS. Koma zizindikiro za SPMS zikupita patsogolo ndipo sizimasintha pakapita nthawi.

M'magawo oyambilira a RRMS, zizindikilo zimawonekera, koma sizikhala zokwanira kusokoneza zochitika za tsiku ndi tsiku. MS ikayamba kupita patsogolo, zizindikiro zimakhala zovuta kwambiri.

Kuzindikira SPMS

SPMS imayamba chifukwa cha kuchepa kwa mitsempha ndi atrophy. Mukawona kuti zizindikiro zanu zikuipiraipira popanda kukhululukidwa kapena kubwereranso, kuwunika kwa MRI kumatha kuthandizira kuzindikira.

Kujambula kwa MRI kumatha kuwonetsa kuchuluka kwa kufa kwa cell ndi atrophy yaubongo. MRI iwonetsa kusiyana kwakukulu pakamenyedwa chifukwa kutuluka kwa ma capillaries panthawi ya chiwonongeko kumapangitsa kuti utoto wa gadolinium womwe umagwiritsidwa ntchito pakuwunika kwa MRI utengeke kwambiri.

Kuchiza SPMS

SPMS imadziwika chifukwa chosabwereranso, komabe ndizotheka kukhala ndi ziwonetsero, zomwe zimadziwikanso kuti flare-up. Zoyipa nthawi zambiri zimakhala zotentha kwambiri komanso munthawi yamavuto.

Pakadali pano pali ma 14 DMTs omwe amagwiritsidwa ntchito pobwereranso mitundu ya MS, kuphatikiza SPMS yomwe ikupitilizabe kubwereranso. Mukadakhala kuti mumamwa imodzi mwa mankhwalawa kuti muchiritse RRMS, dokotala wanu akhoza kukhala nawo mpaka atasiya kuyang'anira zochitika zamatenda.

Mitundu ina yamankhwala imatha kuthandiza kusintha zizindikiritso komanso moyo wabwino. Izi zikuphatikiza:

• chithandizo chamankhwala
• chithandizo pantchito
• kuchita masewera olimbitsa thupi pafupipafupi
• kukonzanso kuzindikira

Mayesero azachipatala

Mayesero azachipatala amayesa mitundu yatsopano yamankhwala ndi njira zochiritsira kwa anthu ongodzipereka kuti apititse patsogolo chithandizo cha SPMS. Izi zimapatsa ochita kafukufuku malingaliro omveka bwino pazomwe zili zothandiza komanso zotetezeka.

Odzipereka m'mayesero azachipatala atha kukhala m'gulu la oyamba kulandira chithandizo chamankhwala chatsopano, koma ngozi zina zimakhalapo. Mankhwalawa sangathandize ndi SPMS, ndipo nthawi zina, atha kubwera ndi zovuta zoyipa.

Chofunika kwambiri, kusamala kuyenera kukhazikitsidwa kuti odzipereka azikhala otetezeka, komanso kuteteza zidziwitso zawo.

Ophunzira nawo mayesero azachipatala amafunika kukwaniritsa malangizo ena. Posankha kutenga nawo mbali, ndikofunikira kufunsa mafunso ngati kuti mayeserowo atenga nthawi yayitali bwanji, zomwe zingakhale zovuta zomwe zingaphatikizepo, komanso chifukwa chomwe ofufuza amaganiza kuti zingakuthandizeni.

Tsamba la National Multiple Sclerosis Society limatchula mayesero azachipatala ku United States, ngakhale mliri wa COVID-19 mwina utachedwetsa maphunziro omwe adakonzekera.

Mayesero azachipatala omwe adalembedwapo kuti ndi olemba ntchito akuphatikizira imodzi ya simvastatin, yomwe ingachedwetse kupita patsogolo kwa SPMS, komanso kufufuza ngati mitundu ingapo yamankhwala ingathandize anthu omwe ali ndi MS kuthana ndi ululu.

Chiyeso china chimayesa kuyesa ngati lipoic acid ingathandize anthu omwe ali ndi MS kuti azitha kuyenda ndikuteteza ubongo.

Ndipo kuyesa kwachipatala kukuyenera kumaliza kumapeto kwa chaka chino cha maselo a NurOwn. Cholinga chake ndikuti ayese chitetezo ndi mphamvu ya mankhwala am'magazi a tsinde mwa anthu omwe ali ndi MS.

Kupita patsogolo

Kupita patsogolo kumatanthauza kuti zizindikiro zimayamba kukulira kuposa momwe zimakhalira pakapita nthawi. Nthawi zina, SPMS itha kufotokozedwa kuti "yopanda kupita patsogolo," kutanthauza kuti sikuwoneka kuti ikuipiraipira.

Kupita patsogolo kumasiyana mosiyanasiyana pakati pa anthu omwe ali ndi SPMS. M'kupita kwa nthawi, ena angafunike kugwiritsa ntchito chikuku, koma anthu ambiri amatha kuyenda, mwina pogwiritsa ntchito ndodo kapena choyenda.

Zosintha

Zosintha ndi mawu omwe akuwonetsa ngati SPMS yanu ikugwira ntchito kapena ayi.Izi zimathandiza kukambirana ndi dokotala wanu za chithandizo chomwe mungakhale nacho komanso zomwe mungayembekezere kupita mtsogolo.

Mwachitsanzo, pankhani ya SPMS yomwe ikugwira ntchito, mutha kukambirana njira zatsopano zamankhwala. Mosiyana ndi izi, ngati mulibe ntchito, inu ndi dokotala mungakambirane pogwiritsa ntchito njira zothanirana ndi njira zothetsera matenda anu mwina ndi DMT yomwe ili pachiwopsezo chochepa.

Kutalika kwa moyo

Nthawi yokhala ndi moyo kwa anthu omwe ali ndi MS imakhala pafupifupi zaka 7 kufupikitsa kuposa anthu onse. Sizikudziwika bwinobwino chifukwa chake.

Kupatula milandu yayikulu ya MS, yomwe imapezeka kawirikawiri, zoyambitsa zazikulu zimawoneka ngati matenda ena omwe amakhudzanso anthu ambiri, monga khansa ndi matenda amtima ndi m'mapapo.

Chofunika kwambiri, chiyembekezo cha moyo kwa anthu omwe ali ndi MS chawonjezeka mzaka zaposachedwa.

Maonekedwe a SPMS

Ndikofunika kuchiza MS kuti muchepetse zizindikilo ndikuchepetsa kukulira. Kuzindikira ndikuchiza RRMS koyambirira kumatha kuthandiza kupewa kuyambika kwa SPMS, komabe palibe mankhwala.

Ngakhale matendawa apitilira, ndikofunikira kuchiza SPMS mwachangu momwe angathere. Palibe mankhwala, koma MS siipha, ndipo chithandizo chamankhwala chitha kusintha kwambiri moyo. Ngati muli ndi RRMS ndipo mukuwona zizindikiro zowonjezereka, ndi nthawi yolankhula ndi dokotala wanu.