Ukufana Nokuhlukahluka Phakathi Kwe-Multiple Sclerosis Nezifo ZaseLou Gehrig
Ngenxa yokuthi uhlu lwezimpawu ezibonakalayo lude kakhulu futhi luhlukahluka, akunakugwema ukuthi kuzoba nokunye okungafani phakathi kwezibonakaliso eziningi ze-sclerosis nezinye izifo eziningi nokukhathazeka, ikakhulukazi izinzwa ze-neurological. I-Amyotrophic lateral sclerosis (ALS) , eyaziwa nangokuthi isifo sikaLou Gehrig, ayinjalo. Kodwa-ke, umehluko ohlukile ezimpawu ze-MS kanye ne-ALS kubonakala kubachwepheshe bezempilo ngokushesha ngokushesha.
Umehluko omkhulu phakathi kuka-MS ne-ALS
Omunye umehluko ophawulekayo ekubonisweni kwezifo ezimbili ze-neurolo ukuthi izimpawu ze-ALS zonke zibandakanya izinzwa ezilawula ukunyakaza kwemisipha yokuzithandela, kanti izinzwa ezithintekayo ku-MS zithinta kokubili ukuzikhandla kwemisipha ngokuzithandela nokuzibandakanya. Lokho kusho ukuthi kukhona okunye endabeni.
Izimpawu Zokuqala ze-ALS ne-MS
Ubuthakathaka bemisipha ngakolunye uhlangothi lomzimba wabo uphawu oluqala ngamaphesenti angu-80 abantu abane-ALS. Lokhu kuvame ezandleni (njengokukhathazeka ukubhala noma ukuqoqa izinto ezincane), ihlombe (njengokungathi kunzima ukuphakamisa izingalo ngaphezulu kwekhanda ukwenza imisebenzi efana nokuhlanganisa izinwele noma ukufinyelela into), noma izinyawo / imilenze (ngokuvamile ibonakala njenge "ukwehla kwezinyawo" noma ubunzima ukukhuphuka izitebhisi). Ezinye izimpawu ze-ALS zokuqala ngokuvamile zibandakanya inkinga yokukhuluma (i-dysarthria) noma ukugwinya (i-dysphagia).
Ngokuphambene nalokho, izimpawu zokuqala ngokuvamile ezihlangenwe ngabantu abane-multiple sclerosis ngokuvamile zi- paresthesias (ukuphazamiseka noma ukugoqa emaphethelweni) noma i- optic neuritis .
Yiqiniso, noma yiziphi izimpawu ze-MS zingabonisa kuqala; lezi zibili zivame kakhulu.
Ukufaniswa kwezibonakaliso ze-ALS ne-MS
Ngenkathi iziboniso zokuqala zalezi zifo zihlukile, zihlanganyela izimpawu ezifanayo, kodwa futhi zihluke ngokuphelele, ezihlanganisa:
Ubuthakathaka obunzima emigodini nasezintweni
Abantu abane-ALS bayothola ukwehla kwamandla namandla okusebenzisa imisipha emilenzeni nasemilenzeni yabo. Imisipha empeleni i-atrophy, eyenza kube nzima ukuhamba. Ekugcineni, idivayisi yokusiza (ihamba ngezinyawo, isihlalo sabakhubazekile noma isithuthuthu) iyodinga wonke umuntu onama-ALS. Nakuba abantu abaningi abane-MS behlangabezana nezinkinga zokuhamba, lokhu akuyona yonke indawo.
Izinkinga zokukhuluma
I-Dysarthria yinkinga ejwayelekile yenkulumo ehlangene nabantu abane-ALS kanye nabantu abane-MS. Bangase bakhulume kancane kancane, ngokushelelayo, ngesimiso esingavamile, noma basho amagama abo. Nakuba lokhu kungenza kube nzima ukuqonda inkulumo yabo, incazelo yalokho abakushoyo ijwayelekile. Kubantu abane-ALS, i-dysarthria ijwayele ukuqhubeka ihamba kancane. Ku-MS, ngokuvamile kuvumelana. Ngaphezu kwalokho, ngokuvamile kunzima kakhulu kubantu abane-ALS.
Abantu abane-MS kaningi banezimpawu ezengeziwe eziphazamisa ukuxhumana, njenge-dysphasia, okuyizinkinga ukuqonda noma ukukhuluma amagama akhulunywe noma abhalwe phansi. Lezi zinguhlobo olulodwa lokusebenza okungaqondakali okuhlobene ne-MS . Abantu abane-ALS ngokuvamile abahlangabezane nalezi zinhlobo zezimpawu. Nakuba abanye abantu abane-ALS bebona ukungasebenzi kahle, lezi zimpawu ngokuvamile ziyizicabha.
Ukwehlisa Izinkinga
Abantu abane-ALS nabo bavame ukuzwa i- dysphagia , okusho ukuthi banenkinga yokugwinya. Lokhu kuzovame ukuthuthuka kuze kube yilapho ithubhu lokudla noma ezinye izindlela zokudla kuzodingeka zisetshenziswe. Ngenkathi abantu abane-MS bangase babe nalesi sibonakaliso, ngokuvamile kunzima kakhulu futhi abantu bangase bangazi. Kungenzeka babe nezinkinga zokugwinya ezihlobene ne-MS ezizizwa zikhahlela noma zikhwehlela uma zidla.
Izinkinga zokuphuza
Lapho imisipha yokulawula ukuphefumula iqala ukushaya i-atrophy, umuntu onama-ALS uqala ukubhekana nezinkinga zokuphefumula, njengoba nje bengakwazi ukuthatha umoya owanele emaphashini abo.
Ngesinye isikhathi, abantu abaningi abane-ALS bazosebenzisa idivayisi ukuze babasize baphefumule, ngokuvamile baqale nge- ventilation engeyona engavamile- ephethe imaski ehambisa umoya-mpilo.
Izinkinga zokuphefumula nazo zenzeka kubantu abane-MS, kodwa ngokuvamile azikho ezingeni elifanayo. Kuyinto engajwayelekile kakhulu ngezinkinga zokuphefumula ezihlobene ne-MS zidinga usizo lokuphefumula. Kuye kwaboniswa ukuthi umsebenzi wamaphaphu uphansi kunejwayelekile kubantu abaningi abane-MS, kodwa abantu abaningi abawuqapheli noma bahlukunyezwa ukuphefumula kokuzikhandla, njengalapho bekhuphuka izitebhisi noma behamba ngokushesha.
Umehluko Embonisweni
Umbono
E-ALS, abantu balahlekelwa ukulawula ukuhamba kwemisipha ngokuzithandela, kodwa ngokuvamile balondoloza ikhono lokubona. E-MS, umbono ungathinteka nge- optic neuritis noma i- nystagmus .
Izimpawu ezibonakalayo
Abanye abantu abane-ALS babika ukukhipha, okubizwa nangokuthi i-paresthesia; Nokho, lokhu akuwona uphawu oluvamile futhi ngokuvamile luyahamba. Izimpawu ezibonakalayo zikhulu kakhulu, zivame kakhulu kubantu abane-MS, njengoba abantu abane-MS bevame ukuzwa izimpawu ezingenangqondo ezizwakalayo, njengokunganxibilika nokugubha nokuhlunguphazwa .
Izimpawu zesisu nesibindi
Kulinganiselwa ukuthi abangaphezu kwamaphesenti angama-90 abantu abane-MS abanokukhubazeka kwesisindo , kufaka phakathi ukungaziphathi kahle , ngesinye isikhathi. Abantu abanama-ALS ngokuvamile abahlangabezane nokungahambisani nokuvuthwa kwe-urinary; Nokho, kujwayelekile. Bobabili abantu abane-MS kanye ne-ALS bahlangabezana nokuqothulwa , kodwa abantu abane-MS banamathuba amaningi okuzwa ukungenwa kwamathumbu (isifo sohudo) kunabantu abane-ALS.
Ngaphansi
Ngenxa yokuthi izinzwa ezilawula imisebenzi eminingi yomzimba (ngokuzithandela nokuzibandakanya) zithinteka ku-MS, ezinye izimpawu ze-MS ne-ALS zifana-ngokuvamile izimpawu ezingavamile ze-MS ziyizimpawu ezivamile ze-ALS.
Uma unesifo esingavamile osikhathazayo noma esithinta impilo yakho ngendlela engafanele, khuluma ne-neurologist yakho. Kungenzeka ukuthi akuqinisekisile ukuthi kungenye nje into engafaneleki, engamanga "ye-MS" noma akutshele ukuthi ayikho uxhumano, kodwa akudingeki sikhathazeke. Kodwa-ke, uma ukhathazekile ngempela, udokotela wakho angakuhlola ukuthi uzolawula ezinye izifo.
> Imithombo:
> I-Amyotrophic Lateral Sclerosis (ALS) I-Fact Sheet Sheets. I-National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Amyotrophic-Lateral-Sclerosis-ALS-Fact-Sheet.
> Multiple Sclerosis. I-American Academy of Family Family. https://familydoctor.org/condition/multiple-sclerosis/?adfree=true.