Momwe Mtundu Wanu wa MS umakhudzira Chithandizo
Kulosera kuti zizindikiro za multiple multiple sclerosis (MS) zimakhala zovuta bwanji kwa wodwalayo, ndipo ngati chithandizo china chidzagwira ntchito, madokotala apeza mitundu ina ya MS.
Mitundu imeneyi (kapena nthawi zina imatchedwa phenotypes) imalongosola momwe matenda anu alili ndipo ndi mbali yofunika kwambiri ya matendawa.
Mitundu ya Multiple Sclerosis
Malingana ndi zizindikiro, ndi kutalika kwa nthawi yomwe imabwereranso (yomwe imatchedwanso "flares," "kuchulukitsa" kapena "kuukira") ndi kuchotsedwa, dokotala wanu amapereka mtundu wa matenda anu.
Ngakhale kuti munthu aliyense amakhala ndi matendawa mosiyana, ndipo mtundu uliwonse ukhoza kukhala wofatsa, wochepetsera kapena wovuta komanso kusintha mitundu yonse, podziwa mtundu umene MS umalowa nawo ungathandize iwe ndi dokotala kukonza njira yako chithandizo ndi kusamalira chisamaliro chanu.
Kubwezeretsa-Kutumiza MS (RRMS)
Mtundu uwu wa MS umasindikizidwa ndi zizindikiro zobwerezabwereza (nthawi yomwe zizindikiro zimakhala zoipira) ndi mphotho (nthawi pamene zizindikiro ziri bwino). Maphunzirowa ndi osinthika kumbuyo ndi kutsogolo pakati pa zizindikiro zowonjezereka komanso zowonjezereka.
Panthawi yomwe munthu angabwererenso, munthu amatha kutaya ntchito ndipo nthawi zambiri amakhala ndi zizindikiro zatsopano. Pa nthawi ya chikhululukiro, zizindikirozi zimatha kwathunthu kapena pang'ono. Corticosteroids nthawi zambiri amagwiritsidwa ntchito kufikitsa nthawi yobwereranso.
Kubwezeretsa-MS kutsegula ndi mtundu wochuluka wa MS, womwe ukuimira 85percent ya matenda atsopano.
MS Primary Progressive (PPMS)
Mu mtundu uwu wa MS, anthu amakhala ndi zizindikiro zochepa koma zowonjezereka.
Kawirikawiri, anthu amayamba kuchepa pang'onopang'ono, ngakhale kuti kuwonjezereka kumakhala kosiyana kwambiri pakati pa anthu. Pafupifupi 10 peresenti ya MS ndizopambana patsogolo.
MS Progressive MS (SPMS)
Anthu omwe ali ndi MS akupita patsogolo adapezeka kuti ali ndi MS kachiwiri. Anthu awa asiya kukhala ndi nthawi ya kukhululukidwa ndikukumana ndi zizindikiro zochepa koma zofooka.
Gawoli limasiyanasiyana kwambiri kwa munthu aliyense, ngakhale kuti zizindikiro zimakhala zikuipiraipira nthawi.
Pafupifupi anthu 50 peresenti ya anthu omwe ali ndi kachilombo koyambiranso kachilombo koyambitsa matenda opatsirana kachilombo ka HIV adapanganso MS yomwe ikupita patsogolo mkati mwa zaka khumi. Komabe, izi zisanayambe kugwiritsidwa ntchito kwakukulu kwa mankhwala osinthidwa ndi matenda . Ochita kafukufuku akudikira kuti adziwe zotsatira za mankhwalawa potsatira njira ya MS.
Kupitilira-Kubwezeretsa MS (PRMS)
Anthu omwe ali ndi kachilombo koyambanso kubwereza MS amakhala ndi zizindikiro zowonjezereka komanso zovuta. Zizindikiro zowonjezereka zowonjezereka pokhapokha nthawi ya kukhululukidwa imapezeka mu kubwezeretsanso MS. Pafupifupi 5 peresenti ya anthu onse omwe ali ndi MS ali ndi kachiwiri kobwereza MS.
Mafotokozedwe Ena Ogwirizana ndi MS
Kuwonjezera pa mitundu yomwe yatchulidwa, pakhoza kukhalanso ndi magawo ena a MS kuti dokotala akhoze kugawa mkhalidwe wanu pansi. Mwachitsanzo, anthu ena omwe ali ndi HIV amawombanso nthawi zina, ndipo izi zimatchedwa matenda "yogwira". Ngati palibe kubwezeretsanso, matendawa amatchedwa "osagwira ntchito."
Komanso, musanazindikire kuti muli ndi MS , palinso mtundu wina wotchedwa Clinically Isolated Syndrome (CIS).
CIS imatchula zochitika pa nthawi yoyamba ya zizindikiro za ubongo chifukwa cha kutupa m'katikatikati mwa mitsempha ndi kuwonongeka kwa magazi (kuwonongeka kwa chophimba chotetezera chomwe chimayambitsa mitsempha ya ubongo mu ubongo ndi msana).
Kwa CIS, zotsatirazi ziyenera kuchitika:
- Chochitikachi chiyenera kukhala kwa maola oposa 24
- Khalani ndi zizindikiro za multiple sclerosis koma musakumane ndi momwe mungapewere matenda a MS
- Anthu omwe ali ndi CIS akhoza kapena sangapite patsogolo kuti apange MS
- Anthu omwe ali ndi CIS omwe amaonedwa kuti ali pachiopsezo chachikulu chokhala ndi MS angathe kuthandizidwa ndi mankhwala omwe amavomereza matenda a FDA ngati mankhwalawa akuwonetsedwa kuti achepetse kuyambika kwa MS.
Mawu Ochokera
Mtundu wa MS womwe uli nawo ndi wofunika kudziwa chifukwa umakhudza momwe dokotala akuchitira iwe. Izi zanenedwa, ndibwino kuti musagwedezeke kwambiri mumasewero a mtundu umodzi kusiyana ndi wina.
Pamapeto pake, MS ndi matenda osiyanasiyana, choncho ngakhale anthu awiri omwe ali ndi MS omwewo ali ndi zizindikiro zosiyana kwambiri ndi zochitika zawo ndi matenda awo.
> Zotsatira:
> Lublin, FD ndi al. Kufotokozera Chipatala cha Ambiri Ambiri: Kukonzekera kwa 2013. Neurology 2014 Jul 15; 83 (3): 278-286.
> National Multiple Sclerosis Society. Mitundu ya MS.