Miedzo ye Multiple Sclerosis

Zvemukati

• Kuongororwa kweropa
• Magnetic resonance imaging
• Chinangwa
• Kugadzirira
• Lumbar kubaya
• Yakabvisa mukana wekuedzwa
• Miedzo mitsva iri kuvandudzwa
• Ndeapi maonero eMS?

Chii chinonzi multiple sclerosis?

Multiple sclerosis (MS) isingagumi, inofambira mberi autoimmune mamiriro ayo anokanganisa iyo yepakati tsinga system. MS inoitika kana immune system ichirwisa iyo myelin inodzivirira tsinga dzemutsipa mumutsipa wepelinha nehuropi. Izvi zvinozivikanwa sekudzora muviri, uye zvinokonzeresa kutaurirana pakati petsinga nehuropi. Pakupedzisira zvinogona kukonzera kukuvara kwemitsipa.

Chikonzero che multiple sclerosis hachizivikanwe parizvino. Izvo zvinofungidzirwa kuti magene uye zvakatipoteredza zvinhu zvinogona kutamba chinzvimbo. Ikozvino hapana mushonga weMS, kunyangwe paine marapirwo anogona kudzikisa zviratidzo.

Multiple sclerosis inogona kunetsa kuongororwa; hapana bvunzo imwe chete inogona kuiongorora. Panzvimbo iyoyo, kuongororwa kunowanzoda bvunzo dzakawanda kutonga kunze mamwe mamiriro ane zviratidzo zvakafanana. Mushure mekunge chiremba wako aongorora muviri, vanozogona kuraira bvunzo dzakasiyana kana vachifungidzira kuti ungave uine MS.

Kuongororwa kweropa

Kuongororwa kweropa kunogona kuve chikamu chekutanga kubatika kana chiremba wako achifungidzira kuti ungave uine MS. Kuongororwa kweropa hakugone ikozvino kuburitsa kuongororwa kwakasimba kweMMS, asi vanogona kutonga mimwe mamiriro. Aya mamiriro anosanganisira:

• Chirwere cheLyme
• zvisingawanzo nyore nhaka nhaka
• njovhera
• HIV / AIDS

Zvese izvi kusagadzikana zvinogona kuongororwa uine ropa chete. Kuongororwa kweropa kunogona zvakare kuratidza zvisina kujairika mhedzisiro. Izvi zvinogona kutungamira kune kuongororwa senge kenza kana kushomeka kwevhitamini B-12.

Magnetic resonance imaging

Magnetic resonance imaging (MRI) ndiyo bvunzo yesarudzo yekuongorora MS pamwe chete nekutanga kuongororwa kweropa. MRIs vanoshandisa masaisai eredhiyo uye magineti minda kuti vaongorore zvinoenderana nemvura zvirimo mumatumbu emuviri. Vanogona kuona zvakajairika uye zvisina kujairika zvinyama uye vanogona kuona zvisina kufanira.

MRIs inopa yakajeka uye yakajeka mifananidzo yehuropi uye musana wesipinha. Izvo zvakanyanya kupokana kupfuura maX-ray kana CT scan, ayo ari maviri anoshandisa radiation.

Chinangwa

Vanachiremba vachange vachitsvaga zvinhu zviviri pavanoraira MRI ine fungidziro yekuongororwa kweMS. Chekutanga ndechekuti ivo vachatarisa kune chero kumwe kusarongeka kunogona kutonga kunze MS uye kunongedzera kune kwakasiyana kuongororwa, senge bundu rehuropi. Vachatarisawo humbowo hwekudzingwa.

Hutaro hwemyelin hunochengetedza tsinga dzesimba hwakakora uye hunodzosera mvura kana isina kukuvara. Kana iyo myelin yakakuvara, zvakadaro, izvi zvemafuta zvemukati zvinoderedzwa kana kubviswa zvachose uye hazvichadzore mvura. Iyo nharaunda inobata yakawanda mvura semhedzisiro, iyo inogona kuwanikwa neMMIs.

Kuti uongorore MS, vanachiremba vanofanirwa kuwana humbowo hwekudzikiswa. Kunze kwekutonga kunze kweimwe inogona kuitika mamiriro, iyo MRI inogona kupa humbowo hwakasimba hwekuti demyelination yaitika.

Kugadzirira

Usati wapinda muMRI yako, bvisa zvishongo zvese. Kana iwe uine chero simbi pahembe dzako (kusanganisira zipi kana zvikorekedzo zvebra), iwe unozokumbirwa kuti uchinje kuva chipfeko chemuhospital. Iwe ucharamba wakarara mukati memuchina weMRI (iyo yakavhurika pamativi ese maviri) kwenguva yekuita, inotora pakati pemaminetsi makumi mana nemashanu neawa rimwe. Rega chiremba wako uye nyanzvi azive nguva isati yasvika kana iwe uine:

• midziyo yesimbi
• pacemaker
• nyora
• akaisirwa mushonga infusions
• mavheji emwoyo ekugadzirwa
• nhoroondo yechirwere cheshuga
• chero mamwe mamiriro iwe aunofunga anogona kunge akakodzera

Lumbar kubaya

Lumbar puncture, inonziwo pombi yemuzongoza, dzimwe nguva inoshandiswa pakuongorora MS. Maitiro aya achabvisa muyero weiyo cerebrospinal fluid (CSF) yekuyedzwa. Lumbar punctures inoonekwa seisina simba. Panguva yekuita kwacho, tsono inoiswa muzasi kumashure, pakati pe vertebrae, uye mumugwagwa wepasipinha. Iyi tsono isina mhodzi inounganidza muyenzaniso weCSF yekuyedzwa.

Iyo pombi yemuzongoza inowanzo kutora maminetsi makumi matatu, uye iwe unozopihwa anesthetic yemuno. Murwere anowanzobvunzwa kuti aise parutivi rwavo nemusana wavo wakakombama. Mushure mekunge nzvimbo yacheneswa uye mushonga wekurapa wapaitwa, chiremba anojowa tsono isina chinhu mumugwagwa wepelinha kubvisa imwe kana maviri mashupuni eCSF. Kazhinji, hapana chakakosha kugadzirira. Iwe unogona kukumbirwa kumira kutora vanotapudza ropa.

Vanachiremba vanoraira lumbar punctures panguva yekuongororwa kweMS vanozoshandisa iyo bvunzo kutonga kunze mamiriro ane zviratidzo zvakafanana. Vachatarisawo zviratidzo zveMS, kunyanya:

• akakwirisa emazinga ezvirwere anonzi IgG antibodies
• mapuroteni anonzi oligoclonal mabhendi
• huwandu husingaenzanisike hwemasero machena eropa

Huwandu hweropa jena reropa remuzongoza revanhu vane MS hunogona kusvika kanomwe zvakapetwa pane zvakajairwa. Zvisinei, idzi mhinduro dzisina kujairika dzedziviriro yemuviri dzinogona kukonzerwawo nemamwe mamiriro.

Inofungidzirwawo kuti 5 kusvika kugumi muzana muzana yevanhu vane MS havaratidze chero kusanzwisisika mu CSF yavo.

Yakabvisa mukana wekuedzwa

Kubviswa kweanogona (EP) bvunzo kuyera chiitiko chemagetsi muuropi chinoitika mukupindura kwekusimudzira, senge kurira, kubata, kana kuona. Mhando yega yega yezvinhu zvinokwezva inomutsa maminiti emasaini masaini, ayo anogona kuyerwa nema electrode akaiswa pamusoro wemusoro kuongorora zviitiko mune dzimwe nzvimbo dzehuropi. Kune matatu marudzi eEEP bvunzo. Iyo yekuona yakadzora mhinduro (VER kana VEP) ndiyo inonyanya kushandiswa kuongorora MS.

Kana vanachiremba varaira EP bvunzo, ivo vari kuenda kunotsvaga kwakakanganisika kutapurirana kunowanikwa munzira ye optic nerve nzira. Izvi zvinowanzoitika nekukurumidza pakutanga kwevarwere veMS. Nekudaro, usati wapedzisa kuti maVER asina kujairika ari kukonzerwa neMS, mamwe matambudziko ocular kana retinal anofanirwa kusiiwa.

Hapana kugadzirira kunodiwa kutora EP bvunzo. Panguva yekuyedzwa, iwe uchagara pamberi pechidzitiro chine imwe nzira yekuchinjanisa pabhodhi pairi. Iwe unogona kukumbirwa kuvhara rimwe ziso panguva. Izvo zvinoda kushanda kwakasimba, asi zvakachengeteka uye zvisingaite. Kana iwe ukapfeka magirazi, bvunza chiremba wako nguva isati yasvika kana uchifanira kuvaunzira.

Miedzo mitsva iri kuvandudzwa

Ruzivo rwekurapa rwunogara ruri mberi. Sezvo tekinoroji uye ruzivo rwedu rweMS runofambira mberi, vanachiremba vanogona kuwana miedzo mitsva yekuita iyo MS kuongororwa maitiro ive iri nyore.

Kuongororwa kweropa parizvino kuri kugadziridzwa kuchakwanisa kuona biomarkers ayo akabatana neMS. Nepo bvunzo iyi ingangodaro isingakwanise kuongorora MS iri yega, inogona kubatsira vanachiremba kuongorora zvinhu zvine njodzi uye kuita kuti kuongororwa kuve nyore zvishoma.

Ndeapi maonero eMS?

Kuongorora MS parizvino kunogona kunetsa uye kunotora nguva. Zvisinei, zviratidzo zvinotsigirwa neMRI kana zvimwe zviongororwa zvekuedzwa pamwe nekubviswa kwezvimwe zvikonzero zvinogona kubatsira kuita kuti kuongororwa kujekeswe.

Kana iwe uri kusangana nezviratidzo zvakafanana neMS, ita musangano nachiremba wako. Kana ukakurumidza kuongororwa, unokurumidza kuwana kurapwa, izvo zvinogona kubatsira kudzikisira zviratidzo zvinonetsa.

Zvinogona zvakare kubatsira kutaura kune vamwe vari kupfuura nechinhu chimwe chete ichocho. Tora yedu yemahara MS Buddy app kuti ugovane mazano nerutsigiro munzvimbo yakavhurika. Dhawunirodha ye iPhone kana Android.