Kusokonezeka kwa maganizo ndi zotsatira zosiyana kwambiri
Nthawi zina anthu amasokoneza multiple sclerosis (MS) ndi matenda a Alzheimer's (AD) , matenda awiri omwe amadziwika ndi kuwonongeka kwa ntchito zina zamaganizo. Aliyense amayamba kukhala wopititsa patsogolo pa zizindikiro, ndipo zonsezi zingathe kupangitsa kuti anthu omwe ali ndi vutoli azilemala kwambiri.
Koma, kupyola zotsatirazi, zonse za MS ndi AD zimayambitsa, zizindikiro, ndi mankhwala omwe ali osiyana.
Potero, iwo akhoza kuonedwa kuti ali ngati asuweni apatali, omwe ali otchuka ndipo nthawi zina amawoneka mofanana, osati kulumikizana.
Kusiyanitsa pa Zomwe Zimayambitsa
Ambiri a sclerosis amaonedwa ndi ambiri kuti ndi matenda omwe amachititsa kuti munthu azikhala ndi chitetezo cha chitetezo cha mthupi mwake chitayipitsa chitetezo choteteza mitsempha (yotchedwa myelin sheath ). Momwemonso, MS imatchulidwa ngati matenda othetsera mphamvu zomwe zizindikiro zimagwirizana ndi kuwonongeka kwa mbali za mitsempha yamkati, kuphatikizapo ubongo, msana, ndi mitsempha ya optic.
Ngakhale kuti pali zotsutsana zokhudzana ndi njira zenizeni za MS, asayansi ena amakhulupirira kuti matendawa akhoza kugwirizanitsidwa ndi kachilombo ka Epstein-Barr , matenda obadwa nawo kapena zachilengedwe, kapena ngakhale mavuto a vitamine D.
Chifukwa cha zitsulo za Alzheimer ndi zovuta kwambiri. Monga momwe alili ndi MS, zinthu monga ma genetic, moyo, ndi chilengedwe zimakhulupirira kuti zimakhala ndi gawo, ngakhale kuti zomwe zilipo ndi zingati sizikudziwikiratu.
Pamene AD sichiti chidziwitso chothetsa matenda, kutaya thupi nthawi zina kumawonekeratu kusanatuluke kwa zizindikiro (nthawi zambiri zokhudzana ndi kuchepetsa kukumbukira kukumbukira). Koma mosiyana ndi MS, chiwerengero cha matendawa sichigwirizana ndi kubwezeretsedwa. Chomwe timachiwona mmalo mwake ndicho kuwonongeka koyamba ndi imfa ku maselo a mitsempha ( neurons ) mu ubongo wokha.
Kusiyana kwa Zizindikiro
Njira yokha yomwe MS imayambitsa kuwonongeka kwa mitsempha imasiyana ndi AD, komanso, zizindikiro zake. Ngakhale pali matenda ena, MS imagwirizanitsidwa ndi zidziwitso zambiri, magalimoto, ndi zizindikiro za thupi, pomwe Alzheimer ikuwonetseratu kuwonongeka kwa chidziwitso.
Ndi matenda a MS, kupweteka, kunjenjemera, ndi kupweteka kwa mitsempha kumagwirizanitsa ndi mavuto a ubweya, maso, ndi maganizo. Koma, AD, matendawa amasonyeza kuperewera kwa cognition (maganizo, kukumbukira, mayanjano) maganizo ndi zovuta za khalidwe.
Kusiyana kumeneku kumagwirizana ndi njira iliyonse ya matendawa, kuphatikizapo maselo omwe amakhudzidwa, momwe amachitira, komanso liti.
- Ndi ma MS, zizindikiro zimadalira makamaka kumene kumataya thupi. Njirayi sikuti imangotulutsa mitsempha, koma imatha kusokoneza mauthenga pakati pa maselo a mitsempha. Ndi njira yachilendo yomwe ikhoza kuchitika pa msinkhu uliwonse kuchokera pa 20 kupita patsogolo.
- Ndi AD, zizindikiro zimagwirizana ndi mapuloteni omwe amamangidwa, omwe amachititsa kuti pakhale maselo, pakati pa maselo a mitsempha mu ubongo. Ngakhale kuti ichi ndi chizolowezi chokhala ngati munthu wa zaka zambiri, chifulumizitsa ndi kukulitsa anthu omwe ali ndi Alzheimer's. Momwemo, zimakhala zikupezeka kwambiri mwa anthu oposa 50 ndi 60.
Kusiyanasiyana kwa Matenda ndi Zotsatira
Malingana ndi kusiyana kwa zizindikiro, sizingadabwe kuti chithandizo cha MS ndi AD chikusiyana, komanso.
Kuchiza kwa MS kumadalira makamaka zinthu ziwiri: kuchepa kwa kutupa m'magulu ndi matenda ndi steroids ndi mankhwala odana ndi kutupa, komanso kutentha kwa chitetezo cha mthupi ndi mankhwala osokoneza bongo. Mankhwala ena ndi mankhwala angagwiritsidwe ntchito kuyendetsa kapena kukonza kusadziletsa , kusokonezeka kwa kugonana , mavuto a masomphenya , kapena matenda a maganizo .
Ngakhale palibe mankhwala a MS, ndi chisamaliro ndi chithandizo choyenera thanzi la moyo likhoza kusintha kwambiri, ndi 40 peresenti amakhala bwino mpaka zaka makumi asanu ndi awiri.
Chithandizo cha AD sichidziwika kwambiri pa zotsatira zake. Ngakhale pali mankhwala osokoneza maganizo omwe alipo masiku ano, yankho likhoza kusiyana. Palibe mankhwala omwe amadziwika kuti amachiza, kubwerera, kapena ngakhale kuchepetsa kukula kwa matendawa. Pambuyo pozindikira, anthu osachepera atatu mwa anthu 100 alionse omwe ali ndi AD amakhala ndi moyo zaka zoposa 14.
> Zotsatira:
> Kuwotcha, A. "Kuwongolera Zipatala: Matenda a Alzheimer." BMJ. 2009; 338: b158.
> Tsang, B. ndi Macdonnell, A. "Multiple sclerosis - matenda, matenda, ndi matenda". Aus Fam Phys . 2011: 40 (12): 948-55.