Paunenge Uchirega Kudzoka Asi Wako MS Worsens
Inofungidzirwa kuti 85 kubva muzana yevanhu vane multiple sclerosis (MS) ndivo vanotanga kuonekwa kuti vane relapsing-remitting MS (RRMS). Vazhinji vevanhu ava vachazopedzisira vawedzera MS-progressive MS (SPMS), iyo inoratidzwa nekufambira mberi kwakasimba kwezviratidzo nekuremara uye kudarika kana kusadzoka zvakare .
Pamberi pehutano-kuchinja mararamiro akazove akawanikwa zvikuru, vanenge 90 muzana yevanhu vane RRMS vakazopedzisira vagadzira SPMS mumakore makumi maviri nemashanu uye nehafu mukati memakore gumi.
Iye zvino hazvizivikanwi kuti chii chinokonzerwa nehutano-kuchinja hurapa huri pamusoro pekuenderera kweSMS, asi inofungidzirwa (uye inotarisira) kuti ichi chikamu chiri pasi, uye SPMS inononoka kukura.
Ndiani Anowanzoenda Kubva kuRRMS kuPSMS?
Vanhu vanogona kuchinja kubva pakuva neRRMS kuPSMS chero nguva, uye izvi zvinowanzowedzera. Ichokwadi, pane kazhinji ganda rakasvibiswa pakati peRRMS neSMS-apo munhu ari kufamba muchikamu chinopfuurira cheMS asi achiri kuwana dzimwe nguva MS zvakare. Kazhinji kutaura, kunyange zvakadaro, kuchinja uku kunoitika mukati memakore mashanu kusvika makumi maviri mushure mokutanga kwezvirwere.
Mukutaura kwezvinhu zvinogona kuchinja kuchinja kubva pakudzoka zvakare-kuregedza MS kuenda kune MS yechipiri yekufambira mberi, zvidzidzo (mune vasina kurapwa MS varwere) zvinoratidza kuti varume vanoita sevari kukura SPMS nokukurumidza uye vachiri vaduku kupfuura vakadzi. Mukuwedzera, avo vane motokari zviratidzo pakutanga kwe MS, sekutambudzika kufamba, kuwedzera SPMS nekukurumidza.
Zviratidzo Zvakaita RRMS Kana Kuti Kuva SPMS
Zvakakosha kunzwisisa kuti hapana mazano akajeka kana zvirevo zvinotsanangura kana munhu achifamba kubva kuRRMS kuenda kuPSMS. Pasi, kunyange zvakadaro, pane zvimwe zviratidzo kana zviratidzo zvekuti munhu ane MS uye chiremba wake angashandisa paanoona kana kuchinja uku kwaitika kana kuti kwakaitika.
Mishonga yako haishande zvakanaka: Pasinei nekuedza kwako uye kushingaira , vamwe vanhu vane RRMS pane zvirwere zvino-zvinoshandiswa zvinodhaka zvinotanga kuratidza kuwedzera kwekuremara pasina kuwedzera kwakafanana muhuwandu hwezvionda paMRI dzavo. Izvi zvinogona kuva chiratidzo chekuti vari kufamba muchikamu chinopfuurira cheMS kana SPMS.
Kune rumwe rutivi, mushonga wako usingashandisi unogona kunge uri nokuda kweimwe chikonzero. Semuenzaniso, kana kusagadzirisa zvirwere zvemishonga kune rimwe remakiriniki e-interferon aripo, nyanzvi yezveuropiyo inogona kukuendesa kune imwe.
Zvimwewo, vamwe vanhu vanozvidya mwoyo vari kupinda muchikamu chinopfuurira cheSMS nokuti vanorega kuvazvezve. Asi izvi zvinogona kuva chinhu chakanakisisa, sezvo zvingareva kuti kurapa kwako-kuchinja mararamiro kunoshanda.
Kudzokorora kuri kuchinja: Nhoroondo yezvakasikwa yeRRMS ndeyekuti nhamba yekudzoka zvakare inonoke kudarika nguva. Zvisinei, kudzoka kunoitika kunogona kuva kwakaoma, kuunza zviratidzo zvakawanda, kwete kungoita imwe nzvimbo yekushanda. Mukuwedzera, kupora kubva pakudzokorora kunowanzove kusina kukwana, kureva kuti kunyange mushure mokunge chikamu chakaoma chekudzokazve kuchipfuura, zvimwe zviratidzo uye / kana hurema huripo. Uyezve, munhu wacho haasati apindura (kana zvachose) kuna Solu-Medrol munguva idzi zvakare.
Chiremera chikuru chekuremara: Kana ichienzaniswa neW Expanded Disability Status Scale (EDSS), vanhu vane RRMS vanogona kuva nezvikamu zvina kana zvishoma. Vanhu vane SPMS, kune rumwe rutivi, vanowanzova nezvikamu zvitanhatu kana kupfuura-zvichireva kuti mamwe mazano anobatsira kufamba. Vanhu vane RRMS vanosvika pahuwandu hwe4 kusvika ku55 (inoratidzirwa nekushaya kukwanisa kufamba mamita mazana mashanu pasina kupora) kazhinji kuumba SPMS munguva isina nguva.
Ikoko pachavawo nekusaremara kwakawedzerwa munguva yekuongorora kwepfungwa. Izvi zvinoratidza kuti uropi hahukwanise kubhadhara kuregererwa kubva kune MS.
Pakupedzisira, vanhu vanosimbisa SPMS vanowanzoratidza kukanganisika kwepfungwa. Izvi zvinogona kunge zvichida nekuda kwechirwere chetrophyti muuropi, iyo yakanyanyobatana nekunzwisisa kusagadzikana . Izvi zvinorevei ndezvokuti uropi hahugoni kubhadhara kuipa, kunyanya apo kune zvakakwana axonal (nerve fiber) kuparadzwa, zvichiguma nemakomba matsvuku.
Mvura yakawanda yemarara yakaratidzwa paMRI:
- Chiremera chikuru chechiremera : Izvi zvinoreva kuti kune huwandu huwandu hwezvionda, izvo zvinowanzova:
- Pasi pemhepo inobhururuka (makumbo muuropi ayo azere newaini inonzi fluid)
- Kudzora
- Yakanyanya muuropi yakagadzirwa uye musana werwonzi
- Zvimwe zvinokanganisa kukanganiswa kwe "axonal" uye "mashizha matema:" Nharaunda dzinoratidzika serima (hypointense) mavara paT1 scan dzinozivikanwa se "mashizha matsvuku." Iyi ndiyo nzvimbo dzakave dzichirwirwa zvakare, zvichiita kuti kuparadzwa kwakakwana kwemyelin uye izvo zvinokonzerwa pachavo.
- Kuwedzerwa kwe-CSF-kuzadza mishonga yemhepo muuropi: Ichi ndicho chiyero chetrophy , sezvo pane hutachiona hushoma huno, saka nzvimbo dzakapoteredza uye mukati meuropi dzinowedzera.
- Kuderedza gadolinium-enhancing zilonda: Zvinotyisa, nhamba yezvitsva, zvinoshanda gadolinium-enhancing zilonda zvinoderera muzvikamu zvekare zveRRMS. Ichi ndechokuti chirwere ichi chinowanzova chinopisa kudarika kupisa.
Shoko Rinobva
Kunyange zvazvo chirwere chako-chinogadzirisa chirwere chinogona kubatsira kuderedza kuchinja kubva pakudzoka zvakare-kuregedza MS kune MS yechipiri yekufambira mberi, izvi zvinogona kuitika kune vamwe. Saka usazviisa pamhosva kana iwe wakabva kubva muchikamu chekudzoka zvakare cheSMS kusvika kune chikwata chinopfuurira-iyo inongoitika, yakasikwa kune umwe neumwe, uye kwete nekuda kwechinhu chawakaita.
Sources
Coyle, Patricia K. uye Halper, June. Kurarama neProgressive Multiple Sclerosis: Kukunda Matambudziko (2nd Ed.) New York: Demos Medical Publishing. 2008.
Koch M, Kingwell E, Rieckmann P, Tremlett H, UBC MS Clinic Neurologists. Nhoroondo yechisikigo yechipiri yekufambira mberi multiple sclerosis. Nhamba yeNeurology, Neurosurgery, & Psychiatry, 2010; 81 (9): 1039-43.
Lublin FD et al. Kurondedzera kliniki ye multiple multiple sclerosis. Neurology. 2014 Jul 15; 83 (3): 278-86.
National MS Society. Secondary Progressive MS.
Tremlett H, Yinshan Zhao, Devonshire V. Nhoroondo yezvechipiri-progressive multiple sclerosis. Multiple Sclerosis , 2008; 14 (3): 314-24.