Kushamisika Kufanana Uye Kusiyana
Iwe unogona kushamisika kuziva kuti kune marudzi akasiyana een multiple sclerosis. Kunyange zvazvo vachigovana zvimwe zvinhu, sayenzi shure kwavo, maitiro avo, uye zviratidzo zvavo zvinogona kunge zvakasiyana.
Kudzokorora-Kuyeuchidza MS
Kudzokorora-kugadzirisa MS ndiyo inonyanya kurudzirwa, inopupurira anenge 85 muzana yevaya vane MS. Mune rudzi urwu rweMS, munhu achaonazve kuchinja kwehutano husina kunaka-izvi zvinodzokorora zvinonziwo mirres, maitiro, kurwisa, kana kuwedzera.
Munguva yekudzokazve, nyanzvi dzinofunga kuti pane kuputika kwechirwere che myelin sheath-chifukidzo chinodzivirira uye chinopinza mitsetse yemaitiro. Iyo myelin sheath inobvumira kutaurirana kwakakodzera, nekukurumidzira pakati pemasero emagetsi, saka kana yakaipa, mitsipa haigone kutaura zvakanaka uye zviratidzo zvehutano zvinobuda.
Icho chiratidzo chakakwana cheurouro (s) icho munhu ane chikonzero chinobva pane nzvimbo yekudzokazve mukati meuropi kana musungo wemupemvu. Somuenzaniso, kana chirwere chep optic chiri chinangwa chekudzokazve, munhu angava nekurwadziwa kweziso uye kuonesa. Kana imwe nzvimbo yeuropiyo yakagadziriswa, munhu angasangana nekudengenyeka kana matambudziko nemari yavo.
Vamwe vanhu vanowanazve maitiro avo ese emagetsi pashure pokudzokazve, zvinoreva kuti zviratidzo zvavo zvinodzokorora. Vamwe vanowana chete (kana kuti hakuna) yadzo zvakare. Yakasiyana zvikuru uye zviratidzo zvinogona kupedza mazuva, kunyange mwedzi. Sezvo chirwere ichi chichipfuurira, zvakadaro, vanhu vanowanzodzoka zvakare zvishoma nezvishoma basa, uye nokudaro vanova vakaremara.
Mashoko akanaka ndeokuti kune mishonga yakawanda inobvumirwa kuporesa kudzoka-kurega MS-13 kuti ive yakarurama. Zvose zvave zvichiratidzwa mune zvidzidzo zvezesayenzi kuti kuderedze zvose nhamba yekudzokorora uye nhamba yezviremera zvitsva paMRI. Kana wakamboonekwa kuti une relapsing-remitting MS, zvinonyanya kuitika kuti nyanzvi yako yezveuroyoti inokurudzira kutanga imwe yezvirwere-kuchinja zvirwere pakarepo.
Primary Progressive MS
Primary PR progressive MS yakasiyana zvikuru nekudzoka zvakare-kuregedza MS. Kune imwe, inowanikwa zvakaenzana kune varume nevadzimai-hapana kuwirirana kwepabonde. Iyo inowanzobatawo avo vari pakati pemakore makumi mana nemakumi matanhatu, asi kudzorera-kuregera MS kunobata vechidiki vaduku, avo vari mumakore avo makumi maviri nemakumi matatu.
Mukuwedzera, vanhu vane chekuita chekutanga MS vanowanzotora matambudziko nekufamba sechiratidzo chekutanga. Somuenzaniso, vanogona kuona rimwe kana makumbo ose ari kukwevera kana kuti kuoma kana kuoma. Izvi ndechokuti, mumutungamiri-wekutanga-MS, chirwere ichi chinonyanya kukanganisa marara emusana, saka zvinetso zvekufamba, zvepabonde, uye chikwata uye maronda zvinowanzotonga.
Uyezve, nyanzvi dzinofunga kuti sayenzi yekutanga yekutanga MS inopesana neyo yekudzorera zvakare-kuregedza MS. Mukudzorerazve-kuregesa MS, pane maitiro ezvirwere zvekudzivirira zvirwere pamusana wekuchengetedzwa kwemutsipa ( myelin ). Muchikamu chekutanga cheSMS, kune kuwedzera kuderera kwehutachiona hwemitsipa, zvichida zvimwe zvekugadzirisa, pane kupisa.
Ichi ndicho chikonzero chirwere-kuchinja kurapwa hakuratidzi kushanda (uye hachisati chave kupiwa FDA) chekutanga cheSMS. Zvirwere-kugadzirisa kurapwa kunokonzera kuvhiringidza, izvo zvisiri chaizvoizvo zvinoitika mumusoro wekutanga MS.
Izvozvo zvichiti, kune vamwe vanhu, pangava nekupindirana pakati pemhando mbiri, zvichiita kuti kuongororwa kunetseke. Izvi zvinotsanangurawo kuti nei vamwe vezveuropiritsi vachatsvaga chirwere chinoshandura zvirwere kune varwere vavo, kunyanya kana ruzivo runobatsira runopfuura humwe hutsinye.
Secondary Progressive MS
Secondary progressive MS inoitika kana munhu achinja kubva pakudzoka zvakare (relapsing-remitting MS) kune imwe nguva zvishoma, progressive course (sokutanga primary progressive MS). Saizvozvowo, mifananidzo yeMRI icharatidza zvishoma kuderedza kusiyanisa zvipembenene (chiratidzo chekudzikama kwakanyanya) nekuwedzerwa kweatrophy kana kupera kwehutachiona (chiratidzo chekupera).
Zvinonakidza kuziva kuti kuchinja kubva pakudzoka zvakare-kuregererwa kune MS yechipiri inofambira mberi kunogona kuitika nokukurumidza kana zvishoma nezvishoma, uye kuchinja uku hakusi nguva yakajeka. Dzimwe nguva munhu achabata pane imwe nzira inofambira mberi yeSMS chete kuitira kuti pave nekuvandudza kudzoka kwechirwere chitsva paMRI yavo.
Mukuronga kwehutano, mitoxantrone ndiyo chete FDA-inogamuchirwa chirwere-chinogadzirisa kurapa kurapa MS yechipiri yekufambira mberi. Zviviri zvaro zvakakosha zvinokonzerwa nemigumisiro inokonzera kukanganisa kwemwoyo uye muteyumu myeloid yeukemia , kenza yemukaka wemapfupa.
Kufambira mberi-Kudzokorora MS
Muna 1996, MS-yekudzoka zvakare MS yakatanga kurondedzerwa sechimiro cheSMS umo munhu anowedzera kuwedzera kweaurological basa kubva pakutanga, pamwe chete nenguva inodzoka zvakare. Asi muna 2013, tsanangudzo yacho yakadzokororwa-ikozvino avo avo vaimboonekwa kuti vane MS-progressive-relapsing MS inonzi inokosha-inofambira mberi "inoshanda" kana "isingashandi" ("kushanda" zvinoreva kuti munhu iye zvino ari kuwanikwazve neMS uye "kwete kushingaira "zvinoreva kuti munhu haasi iye zvino anodzokororazve).
Nyanzvi dzinofunga kuti vanhu vane MS-progressive-relapsing MS vanove vakaremara nokukurumidza kupfuura avo vane primary progressive MS (mumwe munhu asingadzokizve). Izvi zvinokonzerwa nemhaka yokuti munhu ane kufambira mberi-kudzokerazve pane zvakaitika kune zvakapetwa kaviri-zvakarezve pamusoro pekuramba kuri kuenderera mberi mune zvehutano.
Clinically Isolated Syndrome (CIS)
CIS inoreva kuti munhu akawana chiitiko icho chiri chimiro cheSMS zvakare, asi munhu uyu haasati awana zvinodiwa zveSMS chaiyo kuongorora. Saka hazvisi pachena kana munhu iyeye acharamba achivandudza MS. Vamwe vanhu vane CIS vachatanga chirwere chinoshandura zvirwere, kunyanya kana nyanzvi yezvematongerwo enyika inofunga kuti vari pangozi yekupedzisira yekudzikisa MS.
Shoko Rinobva
Kunyange zvazvo iri pfungwa yakanaka kunzwisisa marudzi akasiyana-siyana eMS, mufananidzo mukuru pano unobata kuchinja kukuru kweSMS sechirwere. Kunyange mukati memhando imwechete yeMS, zviratidzo zvemunhu, urema, ubongo nemumumvuri wemifananidzo, uye manzwiro avanoita nekushanda zuva rimwe nerimwe zvinoshamisa.
Ndicho chikonzero nei zvakakosha kuisa pfungwa dzako pamweya wako MS maitiro ekurwisana uye kuporesa nachiremba wako uye vadikanwa. Saka kana munhu waunoziva (ane vavariro dzakanaka) anotaura kuti ane MS uye anokwanisa kushanda nguva yakazara kana bindu mazuva ose, usanetseka. Your MS yakasiyana naye MS. Teerera kune muviri wako uye uve nemutsa kwauri.
Sources:
Birnbaum, MD George. (2013). Multiple Sclerosis: Muongorori weChipiri weKubata uye Kurapa, 2nd Edition. New York, New York. Oxford University Press.
National MS Society. (2016). Iyo MS Disease-Kuchinja Mishonga .
National MS Society. Progressive-relapsing MS.