Iziqondiso zamanje zivumela ukuxilongwa kwangaphambili
Ukubona ukubola kwesibindi (MS) kungaba yinkinga enzima futhi evame ukude. Lokhu kungenxa yokuthi azikho izimpawu noma izivivinyo zamalebhu ezingakwazi ukuthi, uma zikhona, zikhona uma umuntu enesimo se-MS.
Igama elithi multiple sclerosis ngokwayo lichaza isifo esibangela izindawo eziningi zokulimala kwamangqamuzana (ngakho-ke, igama lesi- sclerosis lisho ukuthi "ukuyeka" noma "ukuqina").
Njengalokhu, awukwazi ukukhomba umcimbi owodwa noma ukuhlolwa ukuze usho ngokuqondile ukuthi umuntu une-MS.
Ngalokho kuthiwa, imihlahlandlela emisha iye yahlanza kakhulu inqubo, isenza sikwazi ukuxilongwa ngokucacile esikhathini esincane esifushane ngemuva kokubonakala kokuqala kwezimpawu.
Ukuqhubeka kwe-MS
I-multiple sclerosis iyisifo sokuzivikela somzimba esiqhubekela phambili esibangela ukulimala kwisembozo sokuvikelwa kwamangqamuzana omzimba (okuthiwa i- myelin sheath ).
Lo monakalo, owaziwa ngokuthi ukudilizwa phansi komzimba, ungaphazamisa umqondo wezinzwa phakathi kwamangqamuzana futhi uholele ekwakheni izilonda ebuchosheni kanye / noma intambo yomgogodla. Ukwakhiwa nokusabalalisa kwalezi zilonda kungabangela izimpawu eziningi zomzimba nezengqondo ezihluka lapho indawo yomonakalo khona.
I-syndrome ye-Clinic eyodwa (i-CIS) igama elisetshenziselwa ukuchaza uphawu lokuqala lwe-MS olugcina okungenani amahora angu-24 futhi luhambisana nezibonakaliso zokuvuvukala kanye / noma ukudilizwa phansi.
I-CIS ingahlukaniswa njengenye yezinto ezimbili:
- Isiqephu se-monofocal lapho uphawu olulodwa lubangelwa isilonda esisodwa
- Isiqephu se-multitifocal lapho uphawu olungaphezu kweyodwa olubangelwa izilonda ezindaweni ezahlukene
Isixazululo samanje sokuxilongwa
Nakuba kungase kubonakale kunengqondo ukucabanga ukuthi isiqephu se-multifocal se-CIS sikwanele ukuxilonga i-MS-inikezwe ubufakazi obangela imbangela nezimpawu-iqiniso elilula ukuthi abantu abangamaphesenti angu-15 abano-CIS abazange baqhubeke nokuthuthukisa i-MS.
Asiqinisekali ukuthi kungani lokhu kungukuthi, kodwa lokho okusikushoyo ukuthi ukuxilongwa okuqondile kungenziwa kuphela ukuthi lesi sifo siboniswe ukuthi siqhubeka
Ngaphansi kwemihlahlandlela ebuyekeziwe ekhishwe ngonyaka ka-2010, i-MS ingatholakala namuhla ngokulandela imigomo elandelayo:
- Ukuhlaselwa kabili noma ngaphezulu (okuhlala okungenani amahora angu-24 futhi kwahlukaniswa okungenani izinsuku ezingu-30) kanye nezilonda ezimbili ku- scan ye-MRI
- Ukuhlaselwa okubili noma ngaphezulu, isilonda esisodwa, nobufakazi bokuthi izilonda ezintsha ziqala ukwakha ezingxenyeni ezihlukene zobuchopho kanye / noma intambo yomgogodla (okubizwa ngokuthi "ukusakaza emkhathini")
- Ukuhlasela okulodwa, izilonda ezimbili noma ngaphezulu, nobufakazi bokuthi izilonda ezintsha ziqale ukwakha kusukela ku-MRI yokugcina (okubizwa ngokuthi "ukusakaza ngesikhathi")
- Ukuhlasela okulodwa, isilonda esisodwa, nobufakazi bokusabalalisa esikhala nesikhathi
- Ukwehla kwezimpawu noma izilonda kanye nokusabalalisa endaweni (okuqinisekisiwe yi-MRI noma ithempini yomgogodla)
Imikhombandlela inqobe ukushiyeka okuningi kwezinga elidlule (okungukuthi kufanele ulinde ukuphindaphinda okuningi ngaphambi kokuthola ukuxilongwa). Ngenkathi iziqondiso zingavumeli ukuxilongwa ngokuhlaselwa okulodwa, zinciphisa kakhulu inqubo. Esikhundleni sokulinda enye ukuhlaselwa, odokotela manje bangahle bahlele i-MRIs yesibili ngezinyanga ezintathu.
Uma kukhona ubufakazi bezilonda ezengeziwe, ngokuvamile kunganelisa incazelo "yokusakaza ngesikhathi" noma "ukusakaza isikhala."
Ukubaluleka kokutholakala kwesikhathi sokuqala
Ukuxilongwa kwangaphambili kunenzuzo yayo ngendlela yokwelashwa kwasekuqaleni . Iningi ucwaningo namuhla lisikisela ngokuqinile ukuthi ukwelashwa kwasekuqaleni kunganciphisa kakhulu inani lokuphindaphinda umuntu angase abe nakho kanye nengozi yokukhubazeka esikhathini esifushane.
Kodwa-ke, ososayensi abakakaqapheli ukuthi ukwelashwa kwesikhashana kuzothuthukisa yini umphumela wesikhathi eside 10 noma ngaphezulu emgwaqweni. Ucwaningo lwesikhathi esizayo luzophendula ngethemba lokuthi le mibuzo ibuchwepheshe bokuxilonga iyaqhubeka nokuthuthukisa.
> Imithombo:
> Polman, C .; Reingold, S .; UBangwell, B. et al. "I-diagnosis ye-multiple sclerosis: 2010 Ukubuyekezwa kwemigomo ye-McDonald." I- Annals of Neurology. 2011; 69 (2): 292-302.