Uma wena noma othandekayo usanda kutholakala ukuthi une- MS eqhubekayo ye-MS (SPMS), ungase uzibuze ukuthi i-neurologist yakho ifike kanjani kulesi siphetho.
Ngaphandle kwalokho, mhlawumbe ubuyele kabusha MS (RRMS) futhi uzibuze ukuthi udokotela wakho uzokwazi kanjani uma (noma uma) uzoguquka kusuka ku-RRMS kuya ku-SPMS.
Lezi imicabango ezijwayelekile, futhi njengomuntu ohlala ne-MS , ukuqonda ushintsho lwesifo se-MS kubalulekile.
Ngale ndlela uzilungiselele kangcono ukuthi ikusasa lakho linalo yini nezinselele ongabhekana nazo.
Ukuqaphela Ukuthuthuka Kwesibili Kwesibindi Ukuqhuma
I-Multiple Sclerosis (MS) yisifo esiyinkimbinkimbi segazi esingaba yinselele ukuxilonga. Ngenye, izimpawu zingalingisa ezinye zezimpilo zezempilo. Okwesibili, akukho ukuhlolwa okulodwa okuqinisekisa ukuxilongwa. Kunalokho, ukuhlola i-MS kufana nokuhlanganisa iphazili, futhi ngezinye izikhathi izingcezu azivumelani kahle.
Ngokuqondile, ukuxilongwa kwe-MS kuhlanganisa ukuhlanganisa ukuhlanganiswa kobufakazi obomgomo (ngokwesibonelo, imiphumela evela kwi- MRI noma i- lumbar puncture ), kanye nedatha ephathekayo, njengomlando womuntu wemicimbi yezinzwa nokuhlola ngokomzimba.
Lokhu kusho, uma kuziwa ekuhloleni i-MS yesibili eqhubekayo, udokotela wakho kumele acabangele izinyathelo ezimbili ezibalulekile:
Isinyathelo sokuqala: Qinisekisa i-RRMS yomlando
Ukuqinisekisa umlando wokubuyiselwa kabusha kwe-MS (ukuthi kubizwa ngokuthi "okwesibini") kungaba nzima, njengoba abanye abantu bangase babe nesigaba seRRMS ngaphandle kokukwazi.
Mhlawumbe babengaqondakali kahle noma izibonakaliso zabo zazingacabangi, abazange babone nodokotela.
Isinyathelo Sokubili: Qinisekisa ukuthi i-MS yakho i-Progressive
Ngemuva kokuqinisekisa umlando we-RRMS, udokotela wakho kumele achaze inkambo yakho yesifo njenganje "eqhubekayo," noma eqhubeka kancane kancane ngokuhamba kwesikhathi.
Ukuze uqonde kangcono ukuthi yikuphi "okuqhubekayo" kusho, kulula ukucabangela kokubili i-biology ye-SPMS nesithombe somtholampilo, okusho ukuthi umuntu onjani nge-SPMS.
I-Biology ye-SPMS
Ku-RRMS, siyazi ukuthi amasosha omzimba ahlasela isisindo se- myelin (ukuzivikela okuvikelayo emigodini yemisipha), futhi le nqubo ibizwa ngokuthi ukuxoshwa komzimba. Njengoba umgogodla we-myelin ubonakalisiwe noma ubhujiswe, izimpawu zesisindo azikwazi ukudluliselwa kahle kusuka ebuchosheni nasemgqeni womgogodla kuwo wonke umzimba.
Lesi simiso sokuzivikela emzimbeni esihlaselweni se-myelin yindlela yokuvuvukala, njengoba kuboniswa izindawo ezimhlophe ezikhanyayo (ezibizwa ngokuthi izilonda zokukhulisa i-gadolinium ) ezivela kumama we-MRIs uma uqala ukubuyela emuva.
Kodwa-ke, ku-SPMS, kunezinguquko ezincane zokuvuvukala ohlelweni lwezinzwa zomphakathi. Esikhundleni salokho, izimpawu ze-SPMS zishintshashintsha kahle ngendaba ebomvu kanye nendaba emhlophe kanye ne-atrophy (ukulahlekelwa kwamangqamuzana omzimba), njengoba kuboniswa kwi-MRIs yobuchopho nomgogodla.
Empeleni, i-atrophy yezintambo zomgogodla ivelele kakhulu kwi-SPMS kune-RRMS kanye nezinga le-atrophy correlates nokuthi umuntu ukhubazekile kanjani. Ngokubandakanyeka kwentambo yomgogodla, abantu abane-SPMS bangathuthukisa ubunzima obuningi bokuhamba, kanye nezinkinga zesibindi nesibilini.
Kubalulekile ukuqonda ukuthi kukhona ukudilizwa phansi okuqhubekayo okwenzeka ku-SPMS, kodwa kusakazeka kakhulu, ngokungafani nokugxila, njenge-RRMS. Futhi, ngenkathi kusekhona ukuvuvukala okuqhubekayo okuqhubekayo ku-SPMS, akulula nje njengokuthi ku-RRMS.
Ngokuvamile, ukunciphisa ukuvuvukala ku-SPMS kusiza ukuthi kungani abantu abane-SPMS bengabi ngcono ngezokwelapha eziningi eziguqulwa izifo ezisetshenziselwa ukuphatha i-RRMS (eyenza ngokunciphisa ukuvuvukala).
Isithombe somtholampilo se-SPMS
Umuntu onama-RRMS (uhlobo oluvame kakhulu lwe-MS) ama-episodes noma ama-flares (okubizwa ngokuthi aphinde abuyele) kwezinkinga ze-neurological ezizelelwe.
Isibonelo, ukuphindaphinda okuvamile okuvamile kwe-optic neuritis , lapho i-optic nererve yomuntu (i-nerve cranial ehlanganisa ubuchopho ku-retina) ivuvukala. Ukuphindaphinda kwe-optic neuritis kubangela izimpawu ezifana nobuhlungu bamehlo ekuhambeni nasekuboneni okufiphalayo.
Uma kunoma yikuphi ukubuyela emuva, izimpawu zomuntu zezinzwa zingase zixazulule ngokuphelele noma ngandlela-thile.
Ngamanye amazwi, kungase kube khona izinkinga zesifo sezinzwa ngemuva kokuphindaphinda, kodwa zizinzile futhi azibi nakakhulu (ngaphandle uma enye ibuyele endaweni efanayo yesistimu yezinzwa kwenzeka).
Ngakolunye uhlangothi, ku-MS okuqhubekayo, i-MS yomuntu ilandela ukwehla kwesinyathelo, ihamba ngokubi ngokuhamba kwesikhathi. Isibonelo, umuntu onama-SPMS angabona ukuthi ukuhamba kwakhe kuye kwanda kakhulu ezinyangeni eziyisithupha ezedlule, kodwa awukwazi ukukhumbula usuku oluthile noma iphuzu ngesikhathi sokuhamba ngokuzumayo kuye kwaba nzima nakakhulu.
Isikhathi Sokuguquka Phakathi kweRRMS ne-SPMS
Ingxenye ekhohlisayo nge-SPMS yukuthi ochwepheshe manje bayaqaphela ukuthi kuvame ukuba yisikhathi sokushintsha phakathi kwe-RRMS bese i-SPMS iqala. Ngamanye amazwi, isithombe somtholampilo somuntu singase senzeke phakathi kwalezi zinhlobo ezimbili ze-MS-ngakho i-MS yomuntu ingase iqhubeke ikhula kakhulu, ngenkathi ibuyela emuva lapha nalapha.
Yini Okumele Uyikhumbule Ngemva Kokuthola I-SPMS
Uma wena noma othandekayo uthola ukuthi unesimo se-SPMS, kunezinto ezimbalwa okufanele uzikhumbule.
Okokuqala, kubalulekile ukwazi ukuthi ukuhamba esigabeni se-SPMS kusuka ku-RRMS akuyona iphutha lakho. Empeleni, iningi labantu lizoshintshela ku-SPMS ekugcineni, nakuba izinga lapho lolu shintsho lwenzeka khona namanje. Lokhu kungenxa yokuthi ukuvela kwezifo ezintsha zokuguqula izifo kubangela ukuthi ezinye izifo zabantu zithuthuke ukuze zihambe kancane.
Okwesibili, kubalulekile ukuqaphela ukuthi njenge-RRMS, izimpawu ze-SPMS ziyahlukahluka, njengendlela izinga lokuqhubekela phambili, okusho ukuthi abanye abantu baba abakhubazekile kunabanye (futhi ngesivinini esheshayo kunabanye).
Okwesithathu, uma i-MS yakho ithuthuka, isazi sakho sezinzwa zezinzwa singase sibuyekeze ukungenelela kokuvuselela, ngaphezu kwemithi yakho, nokwandisa ukusebenza kwakho futhi usize ukugcina amandla akho omzimba nokuhamba.
Izwi elivela
Okubalulekile lapha ukuthi ukuxilongwa kwe-SPMS kudinga inhlanganisela yamasu okuxilonga, kufaka hlangana ukuhlolwa kwe-neurological epheleleko nokuphinda i-MRIs . NjengamaRRMS, azikho izivivinyo ze-slam-dunk. Esikhundleni salokho, ukuxilongwa kuyinto yokwelashwa futhi kusekelwe ikhono likadokotela lokuhlanganisa ndawonye i-MS yakho.
> Imithombo:
> Ontaneda D, i-Fox RJ. I-multiple sclerosis eqhubekayo. I-Curr Opin Neurol. 2015 Jun; 28 (3): 237-43.
> National MS Society. (nd). Ukubona i-MS yesibili eqhubekayo (i-SPMS).
> National MS Society. (nd). Imibuzo evame ukubuzwa mayelana ne-SPMS.
> Schlaeger R et al. Umgogodla umthamo wegrey atrophy correlates ne-multiple sclerosis ukukhubazeka. Ann Neurol. 2014 Oct; 76 (4): 568-80.