Ukuxilongwa kwe-MS kudinga ukuthi ezinye izimo zikhishwe ngaphandle
Uma ubhekene nezimpawu ze-neurological, ungacabangi ukuthi une-multiple sclerosis (MS), ikakhulukazi ucabangela ukuthi kunezinye izimo eziningi ezingayilingisa. Yingakho ukubona udokotela ukuze kuhlolwe ukuthi kubalulekile, ngaphambi kokuba uphumelele kunoma yiziphi iziphetho.
Kuye ngezibonakaliso zakho, ukuxilongwa okufanele kungase kube yinkambiso esheshayo ehilela ukuhlolwa kwegazi okulula, noma kungase kube yinto engavamile, njengokudinga i-biopsy.
Nazi ezimbalwa izimo zezokwelashwa udokotela wakho angase azibheke njengezifo zokuhlola ezihlukile ku-MS.
I-Vitamin B12 Ukuntuleka
E- sclerosis eminingi , ukumbozwa okuvikelayo kwamagciwane omzimba obuchosheni nomgogodla (okuthiwa i-myelin sheath) kuhlaselwa amasosha omzimba omuntu. Imisipha yezinzwa ngokuvamile ihamba ngalezi zinkimbinkimbi ezinama-myelin. Uma izintambo zezinzwa zonakalisiwe, lezi zimo zinciphisa noma azitholakali nhlobo.
Ngokufanayo, in vitamin B12 ukuntuleka, i-myelin sheath ezungeze izintambo zezinzwa azikwakhiwa ngendlela efanele, okuphazamisa ukubonakaliswa kwezinzwa. Lokhu kungabangela izimpawu ezifana ne-MS, njengobuthakathaka, izinkinga zokuhamba, ukungasebenzi komqondo, nokuphazamiseka kwemizwa njengoLhermitte 'uphawu .
Kodwa-ke, qiniseka ukuthi udokotela uhle kakhulu phakathi kwe-MS ne-vitamin B12. Ngesinye, isayensi ngemuva kwezifo ihlukile.
Ukwehla kwe-Vitamin B12 kuthinta izinzwa emgodini wesigungu kanye nesiphakamiso sezinzwa ngenkathi i-MS ithinta kuphela isimiso semisipha esiyinhloko (esinobuchopho nentambo yomgogodla).
Uhlelo lwezinzwa zomzimba lubandakanya izinzwa ezithwala ulwazi phakathi kwezingqondo zakho nomgogodla nomzimba wakho wonke (njengezingalo zakho, imilenze, nezitho zangaphakathi).
Ngaphezu kwalokho, ukutholakala kwe-vitamin B12 ngokuvamile kubonakala ngendlela ejwayelekile (ngokungafani ne-MS, okungazibonakalisa ngezindlela ezihlukahlukene).
Ngokuntula kwe-vitamin B12, izimpawu zivame ukuqala ngokugandeleka, ukucubungula nokulahlekelwa umuzwa wokudumala, ngaphambi kokuqhubekela phambili ebuthakathakeni obuthakathaka. Kanti futhi, ekunakekeni kwe-vitamin B12, imilenze yomuntu ngokuvamile ithinteka kakhulu kunezingalo, futhi lesi sifo sihambisana, sithinta izinhlangothi zombili zomzimba ngokulinganayo.
Okokugcina, ukutholakala kwevithamini B12 kuthinta labo abaneminyaka eliphakathi noma asebekhulile, kuyilapho izimpawu ze-MS ziqala kubantu abadala abase-20s nase-30s. Ukuntuleka kwe-Vitamin B12 kungabangela nezinye izinkinga ezinjenge-anemia, ezingabangela ubuhle noma izinga lokushaya kwenhliziyo-into engahlotshaniswa ne-multiple sclerosis.
Ngokuthola ukutholakala kwe-vitamin B12, ukuhlolwa kwegazi okulula kungakutshela impendulo: izinga eliphansi levithamini B12 egazini.
Esinye isici sokuhlonza esihlukile esiwukuthi i-MRI yobuchopho kanye / noma intambo yomgogodla kumuntu onokuntula kwe-vitamin B12 kuvamile ngokungafani nomuntu one-MS.
Noma kunjalo, kubalulekile ukukhumbula ukuthi kokubili i-MS ne-vitamin B12 ikwazi ukuhlala khona. Eqinisweni, eziningi ze-neurologists zizohlola izinga le-vitamin B12 ezigulini zazo ezine-multiple sclerosis ngenxa yezimpawu ezigqamile, nokuthi i-vitamin B12 iyilungiselela kalula-hhayi into edokotela wakho ofuna ukuyilahleka.
I-Disc Herniated
I-disc ye-herniated yenzeka uma i-disc ephakathi kwamathambo amabili omgogodla (okuthiwa i-vertebrae) ixoshwa ngaphandle, icasula izinzwa eziseduze. Lokhu kuthukuthela kwezinzwa eziseduzane kungaholela ekuguleni noma obuthakathaka emzimbeni womzimba ohambisana nemisipha ethintekile. Lezi zimpawu zingalingisa lezo ze-MS.
Uma kuthiwa, nge-disc yakhe, umuntu ngokuvamile unemizwa ebuhlungu, engabonakali ku-MS. Ngaphezu kwalokho, i-disc ye-herniated ingatholakala ku-MRI yomgogodla.
Njengobunzima be-vitamin B12, i -disc herniated ngokuvamile isimo esibucayi kakhulu kune-MS futhi kuvamile. I-disc ye-herniated nayo ingaba khona nge-MS.
Eqinisweni, bekungeke kube yinto engavamile ukuba udokotela abone umuntu onama-MS, owathi futhi ngesikhathi esithile sokuphila kwakhe ahlakulele i-disc herniated.
Njengengxenye, kuhle ukuphawula ukuthi i-MRI eyenziwe kumuntu onomsebenzi we-MS (ngezinjongo ezihlobene ne-MS) ingabonisa i-disc yakhe. Akuwona wonke ama-discs aphikisiwe abangela izimpawu, futhi kulezi zimo, ushiya nje uqobo.
Ezinye Izinkinga Zengqalasizinda Zengqalasizinda
Esinye isimo esivamile somgogodla ongabangela izimpawu ze-neurologic ezifana ne-MS yi- spondylitis yomlomo wesibeletho , ene-arthritis entanyeni eyenzeka ngokuguga okujwayelekile.
Ngokuvamile, enye inkinga yesakhiwo ngaphakathi komgogodla njenge-tumor ingalingisa izimpawu ze-MS. Futhi, i-MRI yomgogodla ingasiza ukuhlukanisa lezi zinkinga zomgogodla ezivela esibhedlela sokuvuvukala njenge-multiple sclerosis.
Izifo
Izifo ezihlukahlukene zingabangela izimpawu ze-neurologic ezilingisa labo abonwa ku-MS. Izibonelo ezimbili zakudala ziyisifo seLyme kanye ne-syphilis.
I-Lyme Disease
Isifo se-Lyme yisifo esithwala umuthi esithinta isistimu yezinzwa emaphesenti angaba ngu-10 ukuya kwangu-15 abantu abathintekayo. Isifo se-Lyme singadideka nge-MS ngoba i-MRI yobuchopho bomuntu one-Lyme sifo ingaba nokuthola okufanayo kumqondo we-MRI womuntu one-MS
Ngaphezu kwalokho, ukuthola okuvela emathinini omgogodla kungafana nezifo ze-MS ne-Lyme, njengoba amasampuli e-cerebrospinal amakhemikhali angaba nenhlobo yeprotheyini ebizwa ngokuthi i-oligoclonal band.
Ukuhlukanisa phakathi kwalaba ababili kudinga ukuhlolwa kwe-neurologic ngokucophelela nokuhlolwa okungeziwe, njengokuhlolwa kwe-antibody ku- Borrelia burgdorferi (amabhaktheriya abangela isifo seLyme) egazini kanye / noma e-cerebrospinal fluid.
I-Syphilis
I-Syphilis , isifo esithathelwana ngocansi, singabangela izimpawu ze-neurologic ezifana nezinkinga zememori, inkulumo ephikisayo, ukuthuthumela, ukuphazanyiswa kwezinzwa, nobunzima ukuhamba. Ama-antibodies ahlobene ne-syphilis egazini noma i-cerebrospinal fluid angasiza ukuhlukanisa lokhu ukutheleleka kusuka ku-MS.
Izifo ezizenzakalelayo
Izifo eziningi ezizimele zingabangela izimpawu ze-neurologic ezifana nalabo abonwa ku-MS. Isibonelo, i-sarcoidosis, i-sjogren's syndrome, kanye ne- systic lupus erythematosus kungabangela i-myelitis engezansi, okuyisimo esingavamile sezinzwa zegazi esibhekene nokuvuvukala esakazeka kuyo yonke ingxenye yomgogodla. I-myelitis eguquguqukayo ibonakala nase-multiple sclerosis.
Ngezinye izikhathi kunengqondo ukuthi i-neurologist ihlukanise i-MS nesinye isifo esizimele. Ngokwesibonelo, i-lupus njengesizathu sezimpawu ze-neurologic cishe kune-MS uma umuntu evivinya kahle ukuhlolwa kwegazi okuhlobene ne-lupus, njengama-antibodies e-DNA kabili. I-Lupus nayo ingaba amathuba uma lowo muntu enezinye izimpawu ezihlobene ne-lupus ezifana nezinhlungu ezihlangene, i-anemia, noma izinso.
Ngezinye izikhathi ukuxilongwa kuyinkimbinkimbi futhi kungadinga okuthile okunamandla, njenge-biopsy ye-lip (njengokusho kwe- Sjogren's syndrome ) noma amaphaphu (njengase- sarcoidosis ).
Izwi elivela
Kungaba yisikhathi esesabekayo uma wena noma othandekayo esesimweni sokwelashwa ngaphandle noma ngenxa ye-multiple sclerosis (noma ezinye izimo ezifanayo). Ekugcineni, inqubo ecacile izoqinisekisa ukuxilongwa okufanele, ngakho-ke ungakwazi ukuqhubeka phambili nehlelo lokuphatha ngendlela efanele.
> Imithombo:
> Birnbaum, MD George. (2013). I-Multiple Sclerosis: Umhlahlandlela Wabahlengikazi Wokuthola Ukuxilongwa Nezokwelashwa, 2 Edition. ENew York, eNew York. I-Oxford University Press.
> Brinar VV, Habek M. Izifo ezinzima zilinganisa i-MS. I-Clin Neurol Neurosurg . 2010 Sep; 112 (7): 625-8.
> Langan RC & Zawistoski KJ. Buyekeza ku-Vitamin B12 Ukuntuleka. Am Fam Physician . 2011 Jun 15; 83 (12): 1425-30.