Kuzindikira kwa MS kumafuna kuti zinthu zina ziwonongeke
Ngati muli ndi zizindikiro za ubongo, musamaganize kuti muli ndi multiple sclerosis (MS), makamaka mukuganiziranso kuti pali zinthu zina zomwe zingathe kuzifanizira. Ichi ndi chifukwa chake kuwona dokotala kuti ayese kuunika n'kofunika, musanayambe kumasulira.
Malingana ndi zizindikiro zanu, matenda oyenera akhoza kukhala njira yofulumira yoyezetsa magazi, kapena zingakhale zovuta kwambiri, monga kufunikira kwa chiwopsezo.
Nazi zina mwazochitika zachipatala zomwe dokotala angaganize kuti ndizovuta kupeza kwa MS.
Vitamini B12 Kulephera
Mu multiple sclerosis , chophimba chotetezera cha mitsempha ya ubongo mu ubongo ndi msana wam'mimba (wotchedwa sheel myelin) imayesedwa ndi maselo a munthu. Maganizo a mitsempha nthawi zambiri amayenda pamagetsi amenewa a myelin. Pamene mitsempha ya mitsempha yowonongeka, zofuna izi zimachepetsedwa kapena sizilandiridwa nkomwe.
Mofananamo, mu vitamini B12, vuto la mitsempha la myelin lozungulira mitsempha silimapangidwa bwino, lomwe limasokoneza mitsempha ya mitsempha. Izi zingayambitse zizindikiro za MS, monga kufooka, mavuto oyenda, kusokonezeka maganizo, komanso kusokonezeka maganizo monga Lhermitte 'chizindikiro .
Komabe, mutsimikizidwe kuti kwa dokotala ndi zosiyana kwambiri pakati pa MS ndi kusowa kwa vitamini B12. Chifukwa chimodzi, sayansi ya matendawa ndi yosiyana.
Kulephera kwa Vitamini B12 kumakhudza mitsempha m'katikati ndi m'kati mwa mitsempha ya mitsempha pamene MS imangokhudza machitidwe a mitsempha (omwe ali ndi ubongo ndi msana).
Njira yamanjenje ya mitsempha imaphatikizapo mitsempha yomwe imanyamula mbiri ndi ubongo pakati pa ubongo ndi msana ndi thupi lanu lonse (monga mikono, miyendo, ndi ziwalo za mkati).
Kuwonjezera pamenepo, kusowa kwa vitamini B12 kawirikawiri kumawonekera m'njira yachikale (mosiyana ndi MS, yomwe ingadziwonetsere mwa njira zosiyanasiyana).
M'thupi la vitamini B12, zizindikiro zimayambira ndi kufooka, kugwedeza, ndi kutayika kwa mphamvu, kusanamwalire kuperewera kwa thupi kapena kupunduka. Komanso, mavitamini B12 akusowa, miyendo ya anthu imakhudzidwa kwambiri kuposa mikono, ndipo matendawa ndi osiyana, mbali zonse ziwiri za thupi.
Potsirizira pake, kusowa kwa vitamini B12 kumakhudza anthu omwe ali okalamba kapena okalamba, pomwe zizindikiro za MS zimayambika mwachinyamata omwe ali ndi zaka za m'ma 20 ndi 30. Kulephera kwa Vitamini B12 kungayambitsenso mavuto ena monga kuchepa kwa magazi m'thupi, omwe angapangitse kukula kapena kuthamanga kwa mtima-chinachake chosagwirizanitsidwa ndi multiple sclerosis.
Pofuna kupeza vitamini B12, vuto lochepa la magazi lingakuuzeni yankho lanu: mlingo wa vitamini B12 wochepa m'magazi.
Chinthu china chodziŵikiratu ndi chakuti MRI ya ubongo ndi / kapena msana wa m'mimba mwa munthu amene ali ndi vuto la vitamini B12 ndilochibadwa mosiyana ndi la munthu yemwe ali ndi MS.
Komabe, nkofunika kukumbukira kuti zonsezi ndi MS ndi vitamini B12 zitha kukhalapo. Ndipotu, akatswiri ambiri a m'magulu a maso amayesa kuchuluka kwa vitamini B12 mu odwala ndi multiple sclerosis chifukwa cha zizindikiro zowonjezereka, komanso kuti vitamini B12 ndi yovuta-osati chinachake chimene dokotala akufuna kuchiphonya.
Herniated Disc
Dothi la herniated limapezeka pamene diski yomwe ili pakati pa mafupa awiri a msana (wotchedwa vertebrae) imatulutsidwa kunja, imayambitsa mitsempha yoyandikana nayo. Kukhumudwitsidwa kwa mitsempha yapafupi kumayambitsa kufooka kapena kufooka mmalo mwa thupi lomwe limagwirizana ndi mitsempha yokhudzidwa. Zizindikiro izi zimatha kufanana ndi za MS.
Izi zikunenedwa, ndi disk ya herniated, munthu amakhala ndi ululu waukulu, womwe suwoneka mu MS. Komanso, kafukufuku wa herniated angathe kupezeka pa MRI ya msana.
Monga kuchepa kwa vitamini B12, kafukufuku wa herniated nthawi zambiri amakhala woipa kwambiri kuposa MS ndipo ndi wamba. Dothi la herniated lingakhalenso ndi MS.
Ndipotu, sizingakhale zachilendo kuti dotolo awone munthu yemwe ali ndi MS, yemwe panthawi inayake pamoyo wake anapanga dothi la herniated.
Monga pambali, ndi bwino kunena kuti MRI yachitidwa kwa munthu yemwe ali ndi MS (mwachindunji chokhudzana ndi MS) ikhoza kusonyeza chidziwitso cha herniated. Sikuti ma discs onse amachititsa kuti zizindikiro ziziyenda, ndipo m'mayesero amenewa mumangozisiya nokha.
Zina Zowonongeka Zowonongeka
Chinthu china chofala cha msana zomwe zingayambitse zizindikiro za m'mimba ngati zofanana ndi MS ndi chiberekero cha spervylitis , chomwe chiri nyamakazi ya khosi yomwe imakhala ndi ukalamba wabwino.
Kawirikawiri, vuto linalake la msana ngati chiwombankhanga lingathe kutsanzira zizindikiro za MS. Kachiwiri, MRI ya msana ingathandize kusiyanitsa matendawa ndi matenda otupa monga multiple sclerosis.
Matenda
Matenda osiyanasiyana angayambitse zizindikiro za m'mimba zomwe zimafanana ndi zomwe zimawonedwa mu MS. Zitsanzo ziwiri zoyambirira ndi matenda a Lyme ndi syphilis.
Matenda a Lyme
Matenda a Lyme ndi matenda opatsirana ndi nkhuku omwe amakhudza dongosolo la mantha pakati pa 10 mpaka 15 peresenti ya anthu omwe ali ndi kachilomboka. Matenda a Lyme akhoza kusokonezeka ndi MS chifukwa MRI ya ubongo wa munthu amene ali ndi matenda a Lyme angakhale ndi zofanana zofanana ndi ubongo wa MRI wa munthu yemwe ali ndi MS
Kuonjezera apo, zofufuza kuchokera pampopu wamtsempha zingakhale zofanana ndi matenda a MS ndi Lyme, monga zowonongeka zamadzimadzi zingakhale zabwino kwa mtundu wa mapuloteni otchedwa oligoclonal band.
Kusiyanitsa pakati pa awiriwa kumafuna kuyeza kachipangizo kowona bwino ndi mayesero ena, monga kuyesa kwa antibody kwa Borrelia burgdorferi (mabakiteriya omwe amachititsa matenda a Lyme m'magazi ndi / kapena cerebrospinal fluid).
Chizindikiro
Chiwindi , matenda opatsirana pogonana, angayambitse matenda a m'maganizo monga mavuto a kukumbukira, mawu osokonezeka, mantha, kusokonezeka maganizo, ndi mavuto kuyenda. Mankhwala okhudzana ndi khungu m'magazi kapena cerebrospinal fluid angathandize kusiyanitsa matendawa ku MS.
Matenda Odzidzimutsa
Matenda angapo omwe amatha kudzipha okha amachititsa zizindikiro za m'mimba mofanana ndi zomwe zimawonedwa mu MS. Mwachitsanzo, sarcoidosis, Sjogren's syndrome, ndi systemic lupus erythematosus zimatha kupangitsa kuti myelitis, yomwe imakhala ndi ubongo, imatha kufalikira pambali ya msana. Kutembenukira kwa myelitis kumawonekeranso mu multiple sclerosis.
Nthawi zina zimakhala zophweka kwa katswiri wa sayansi ya ubongo kusiyanitsa MS ndi matenda ena. Mwachitsanzo, lupus monga chifukwa cha zizindikiro za m'mimba ndizosavuta kuposa MS ngati munthu ayesa kachilombo koyambitsa magazi, monga ma antibodies a DNA opangidwa ndi magawo awiri. Lupus akanakhalanso ndi mwayi ngati munthuyo anali ndi zizindikiro zina zokhudzana ndi lupus monga ululu wamaliseche, matenda a magazi, kapena impso.
Nthawi zina matendawa ndi ovuta kwambiri ndipo angafunike chinthu china chosokoneza, monga chiwombankhanga cha mkamwa (monga momwe zilili ndi Sjogren's syndrome ) kapena mapapo (monga sarcoidosis ).
Mawu Ochokera
Kungakhale nthawi yowopsya ngati inu kapena wokondedwa wanu mukuyesedwa kuti mukhale kunja kapena mu multiple sclerosis (kapena zofanana zina). Pamapeto pake, ndondomeko yowonjezereka idzaonetsetsa kuti matendawa akuyendera bwino, kotero kuti mukhoza kupita patsogolo ndi ndondomeko yoyenera ya chithandizo.
> Zotsatira:
> Birnbaum, MD George. (2013). Multiple Sclerosis: Buku la Clinician la Kufufuza ndi Chithandizo, 2 Edition. New York, New York. Oxford University Press.
> Brinar VV, Habek M. Matenda ambiri amatsanzira MS. Clin Neurol Neurosurg . 2010 Sep; 112 (7): 625-8.
> Langan RC & Zawistoski KJ. Sinthani kufunika kwa Vitamini B12. Am Phys Physician . 2011 Jun 15; 83 (12): 1425-30.