Iwe wakwegura here kuti uwane kurapwa?
Kana zvasvika pazera, multiple sclerosis (MS) haina kusarura. Kunyange zvazvo vanhu vakawanda vari pakati pe20 ne50 apo vanoongororwa, maererano neNational MS Society chirwere chinogona kukonzera vanhu vakura. Kana iwe uchangobva kuziva kuti une MS uye uri pakati pe50s kana 60s kana kupfuura, iwe unogona kunge usina matanho ehutano akafanana nemunhu muduku, asi izvi hazvirevi kuti hauna zvingasarudzwa zvachose.
Imi neurologist yako ichaenda kune mazano ekugadzirisa MS ayo achakushanda zvikuru kwauri, asi haambotambudzi kuti uwane ruzivo rwemashoko apo iwe ugere pasi kuti uitaure navo. Pano pane zvimwe zvinhu zvekuziva nezvemishonga ye MS kuitira vanhu vakwegura.
Mhando yeiyo Mhando yeMS Determines Treatment
Vanhu vazhinji vanovandudza MS gare gare muhupenyu vane chimiro chinopfuurira chechirwere, umo kunononoka uye kunogara kwakasimba mubasa nekuda kwekuparadzwa kwekusingaperi kwemitsipa. Inowanzotanga nematambudziko achifamba-tsoka-kuruka kana kuoma mukati rimwe kana makumbo maviri. Pamusoro pemwedzi nemakore, chirwere chekuremara chinowedzera.
Izvi zvinopesana nekudzoka zvakare-kuregera MS (RRMS) umo vanhu vane zviputi-zvinyorwa zvekuremara zvinokonzera nenguva dzemazuva ose-izvo zvinoitika semugumisiro wesirusununguko remusununguko kurwisa myelin, chidziviriro chekudzivirira chinoputira mitsipa. Kamwe apo kurwisa kwapera, zviratidzo zveMMS zvinogona kupera.
Zvichienzanisa kusiyana kwakaita pakati pemhando mbiri dzeSMS, zviri nyore kuona kuti mishonga kune imwe haigone kubudirira kune imwe. Mishonga yekurapa RRMS inonzi chirwere-chinoshandiswa kurapwa (DMTs) inoshandiswa nekuronga maitiro ezvirwere zvemuviri. Kune 15 mishonga yakadaro inogamuchirwa neU.S. Food and Drug Administration (FDA) yekurapa RRMS.
Iviri chete yeiyi inobvumirwawo kurapa MS inofambira mberi, maererano neNational MS Society, uye kunyange iyo haina kubvumirwa kune marudzi ese ehosha. Zvakakosha kuziva kuti kune marudzi matatu ekufambira mberi MS: Primary-progressive MS (PPMS), MS-secondary-progressive MS (SPMS), uye MS-progressive-relapsing MS (PRMS).
Iyo yekutanga yemishonga miviri inogona kushandiswa kugadzirisa mafambiro ekufambisa e MS ndiyo Ocrevus (ocrelizumab). Ichi chemishonga inopiwa intravenously, 600 mg kamwe mwedzi mitanhatu, kunze kweiyo yekutanga muzana inoparadzaniswa nemaviri-milligram (mg) inodarika masvondo maviri oga. Chechipiri chemishonga, Novantrone (mitoxantrone), inogamuchirwa kurapa SPMS uye PRMS (asi hapana PPMS). Yakapiwa mu 12 mg maitiro mumwedzi mitatu.
Sezvine mishonga ipi neipi ine simba, mishonga iyi yose ine migumisiro yechirwere, kusanganisira zvimwe zvingave zvinonetsa zvikuru kune vakwegura. Ocrevus inogona kuwedzera zvirwere zvokufema. Novantrone, iyo yaimbova kurapwa kwekenza, inokuvadza kune ani zvake ane chirwere chemotherapy kana ane zvinetso zvemwoyo kuti ashandise.
Kwete-Zvinodhaka Mishonga
Kunyange zvazvo mishonga yemafomu eMS akawanda inogona kuchinja munhu akwegura asingakwanisi uye angave asina kunyatsochengeteka, kune dzakawanda kurapwa kunowanikwa kubatsira nemararamiro eMS .
Izvi zvinosanganisira chirwere chepanyama kubatsira kubatsira kuvaka musimba uye kudzidzisa nzira dzekubhadhara kurasikirwa kwebasa.
Occupational therapy (OT) inogona kukubatsira kuti uchinje imba yako kuitira kuti iwe uve wakakwanisa kushanda zvakapoteredza zvikanganiso zvako kuitira kuzvitarisira iwe pachako. Izvi zvinogona kusanganisira zvinhu zvakadai kuwedzera bhenji yekutsvaga bhadha mubhagi rako uye kugadzirisazve makabati makikani saka zvinhu zvaunoda zviri nyore kusvika. Iwewo unogona kudzidza nzira dzakasiyana dzekutamisa muviri wako neTestamente yekare.
Chinhu
> National Multiple Sclerosis Society. Clinical Bulletin. " Kukwegura ne Multiple Sclerosis. " 2011.