Chirongwa chekuona MS Disease Kufambira Mberi Kunoshandiswa Kunyanya muStudies
The Expanded Disability Status Scale (EDSS) chirongwa chekuyera icho chinowanzoshandiswa pakugadzirisa uye kuenzanisa kuoma uye kufambira mberi kwe multiple multiple sclerosis (MS).
Kunyange zvazvo EDSS ine zvikanganiso zvakawanda uye yakaoma kushandisa uye kunzwisisa, zvinokosha kuti vanhu vane MS vasaziva kuti chii uye kuti chinoshandiswa sei. Dzimwe nyanzvi dzezveuropi dzinoshandisa iyo kuronga kuti varwere vavo veSMS vari kufambira mberi sei (sekunge vari kuve vakaremara).
EDSS inoshandiswawo zvikuru mumakiriniro emakiriniki, zvose kutarisa kuti ndiani anogona kutora chikamu uye mukuzvipira kwehupfumi (sekunge kuti mushonga we MS unoshanda).
Kuti EDSS Score yakaverengwa sei
Dhigirii ye EDSS inobva pakuongorora kwehuroyi uye kuongororwa kwemaitiro (FS), ayo ari nzvimbo dzenheyo yenheyo inoita kuti muviri uite basa. Aya maitiro ekushanda ndeaya:
- Pyramidal (kukwanisa kufamba)
- Cerebellar (kubatana)
- Ubongo hwepfungwa (kutaura uye kumedza)
- Sensory (kubata uye kurwadziwa)
- Bowel uye shanje inoshanda
- Kuonekwa
- Mental
- Zvimwe (zvinosanganisira chero humwe hutsva hwehutano hunokonzera MS)
Mushure mokuongorora maitiro aya, nyanzvi yezvehutano ichabva yatora murwere kubva pane zvaakawana. Mavhesi eEEDSS mazera kubva kubva ku00 kusvika ku10.0.
0.0: Kazhinji neurological test.
1.0: Hapana kuremara, asi zvishoma zviratidzo mune rimwe sarudzo (FS) iripo.
1.5: Hapana kuremara, asi zvishoma zviratidzo mune zvinopfuura rimwe FS zviripo.
2.0: Kuremara kuduku mune imwe FS iripo.
2.5: Kune urema hwakanaka mune imwe FS kana kuti hurema huviri muFS mbiri.
3.0: Kune hurema hwakakwana mune imwe FS kana kuremara kwakadzika mumatatu matatu kana mana. Zvisinei, munhu wacho achiri kunyatsoziva.
3.5: Munhu anonyatsoziva, asi ane uwandu hwepamuviri mune imwe FS uye urema huri mune imwe kana mbiri dzeFS, kana kuti hurema hwemaviri muFS mbiri; kana kuremara kwakanyanyisa kune mashanu FS.
4.0: Munhu anonyatsozvifungidzira asina rubatsiro, uye aripo uye pamusoro pezuva rose (maawa 12) pasinei nekuremara kwakaoma. Anokwanisa kufamba mamita 500 pasina rubatsiro kana kuzorora.
4.5: Munhu anonyatsozvipira pasina rubatsiro, uye aripo uye anenge mazuva akawanda. Anokwanisa kushanda zuva rose, asi angave ane zvimwe zvisingakwanisi kuita basa rose kana kuti anoda rubatsiro rukuru. Izvi zvinoonekwa sekuremara kwakanyanya. Inokwanisa kufamba mamita 300 pasina rubatsiro.
5.0: Munhu anokwanisa kufamba mamita mazana maviri pasina rubatsiro kana kuzorora. Kuremara kunokanganisa mabasa ezuva nezuva, zvakadai sokushanda zuva rakazara pasina zvakakosha.
5.5: Munhu anokwanisa kufamba mamita zana pasina rubatsiro kana kuzorora. Kuremara kunopedza mabasa ezuva nezuva.
6.0: Munhu wacho anoda rubatsiro rwemazuva mashoma kana kuti rimwechete (simbi, chikwata kana kuti bhande) kufamba mamita 100 kana kuti pasina kuzorora.
6.5: Munhu anoda rubatsiro rwekusimudzirana (mudha, chiganda kana brasti) kufamba mamita makumi maviri pasina kupumha.
7.0: Munhu wacho haakwanisi kufamba kupfuura mamita mashanu kunyange nemubatsiro, uye zvinowanzochengetwa pachigaro chevasimba. Zvisinei, iye kana mavhiri ari oga uye anoshandiswa ari oga uye ari kushanda muwiricheya anenge maawa gumi nemaviri.
7.5: Munhu wacho haakwanisi kutora matanho mashomanana uye anongororerwa kumhepo yevasimhu, uye angada rubatsiro rwekutumira. Iye kana mavhiri ari oga, asi angada chigaro chemotokari nokuda kwezvinhu zvakazara zvezuva.
8.0: Munhu wacho anongorambidzwa pamubhedha, chigaro kana chigaro chevashuga, asi angave ari pamubhedha mazuva mazhinji. Anenge ane zvekutarisira uye anowanzoshandiswa kushandisa zvombo.
8.5: Munhu wacho anongorambidzwa kurara masikati, asi ane zvimwe zvishandiso zvemaoko uye anochengetedza mamwe mabasa ekuzvitarisira.
9.0: Munhu wacho anongorara pamubhedha, asi achiri kukwanisa kutaura uye kudya.
9.5: Munhu wacho haakwanisi kubatsira uye ari oga uye haana kukwanisa kutaura zvakanaka kana kudya uye kumedza.
10.0: Rufu nekuda kwe MS.
Kukanganiswa kwekushandisa EDSS ye MS
Vanotsvakurudza uye nyanzvi vakaona kukanganisa kunotevera kweDSS kushandura varwere veSMS nekukura kwavo kwezvirwere:
- IEEDS inonyanya kusimbisa kukwanisa kufamba.
- Hazvirevi kukanganisa kusagadzikana muSMS (kufanana nezviyero zvakawanda zvichienderana nehutano hwekuongorora kwehutano).
- Kuverenga dhidhi dzeSDSS kwakaoma, sezvo mitemo yekutarisa kuwanikwa pakutsvaga kwepfungwa uye kuishandura izvi muzvikamu zvehutano hwehutano hwakanaka uye hwakaoma.
- Nokuda kwenzira iyo iyo yakagadzirirwa (ona mapeji apfuura), EDSS haisi kunyanya kuchinja kwechipatara akawanda iyo munhu ane MS anowanikwa. Mune mamwe mazwi, vanhu vanoita se "kutamba" kubva kune rumwe rutivi rwechiyero kune rumwe, pane kuratidzira kuparara kunononoka.
Mukureva kududzirwa, kusiyana kwechimwechete muzvikwata hazvina kuenzana, zvichienderana nokuti uri pachiyero chauri kuongorora. Semuenzaniso, kubva kune chikamu che8,0 kusvika ku9,0 chinhu chikuru, sezvo zvinoreva munhu anenge achibva pakuzvibata iye oga kumubhedha-akasungwa. Kune rumwe rutivi, kubva pa1 1.0 kusvika kune 2.0 zvinoreva munhu ari kubva kubva hakuna hurema kune hurema huri nani. Pasi rose, iyi caveat inogona kuita shanduko muzvikamu zvakaoma kududzira mune zvidzidzo zvezesayenzi.
Rini EDSS Rinobatsira?
Zvingaita kuti ufambe mberi uye mberi pamusoro pezinga. Semuenzaniso, murwere anoshanda zvakakwana ane zviratidzo zvinonzwisisika angave ane chikamu cheDSS che 1.0 nguva zhinji. Kudzoka kunobatanidza optic neuritis kunogona kukonzera chikwangwani chavo kusvika ku 3.0, kusvikira vatariswa kana zviratidzo zvichibva kune zvavo. Vaizodzokera shure kune 1.0 (kana 1.5 kana paine zvimwe zviratidzo zvishoma ).
Kunyange zvazvo vazhinji vane maitiro emagetsi vasingashandisi zvikamu zveDDS kuti vaongorore varwere, vamwe vanoshandisa iyo kuti vaone nguva yekuita saiyo kana chirwere cheSolu-Medrol kana kuti chirwere chepanyama chakakodzera.
Shoko Rinobva
Kunyange zvazvo uchidzidzira zvose zvinyorwa uye zvikamu zveDSS zvinenge zvisingakodzeri nguva yako, zvakanaka kuti iwe zvino unokwanisa kuona zvino kuti EDSS ndeipi paunoiverenga mune chidzidzo cheMMS, kana kana iwe uchinzwa nyanzvi yako yeuroyoti ichitaura. Inogona kupawo nyaradzo kune vamwe venyu, muchiziva kuti kune nzira yakasarudzwa yekugadzirisa hurema kune MS.
Sources:
Meyer-Moock S., Feng YS., Maeurer M., Dippel FW., & Kohlmann T. Kuongorora kwezvinyorwa zvekuongorora uye kugadzirisa kuongorora kweWeded Disability Status Scale (EDSS) uye Multiple Sclerosis Functional Composite kune varwere vane multiple sclerosis. BMC Neurol . 2014 Mar 25; 14: 58.
National MS Society. Inoshandiswa Nedzidzo Zvikoro (FSS) uye Kuwedzera Kwekuremara Kwemaitiro Scale (EDSS).