Indlela Uhlobo Lwakho Lwe-MS Luthinta Ngayo Ukwelashwa
Ukubikezela ukuthi izimpawu ze- multiple sclerosis (MS) zizoba nzima kangakanani isiguli, nokuthi ngabe ukwelashwa okuthile kuzosebenza, odokotela baye baqaphela izinhlobo ezine ze-MS.
Lezi zinhlobo ezibonisiwe (noma ngezinye izikhathi ezibizwa nge-phenotypes) zichaza inkambo yesifo sakho futhi ziyingxenye ebalulekile yenqubo yokuxilongwa.
Izinhlobo ze-Multiple Sclerosis
Kuye ngezibonakaliso, nobude nobude bokubuyiselwa kabusha (okubizwa nangokuthi "ama-flares," "ukukhushulwa" noma "ukuhlaselwa") nokukhishwa, udokotela wakho uzokwabela uhlobo lwesifo esimweni sakho.
Nakuba umuntu ngamunye ohlala ne-MS ehlangabezana nokugula okuhlukile, futhi uhlobo ngalunye lungaba nenqubo emnene, elinganiselayo noma enzima futhi ngisho nokushintsha izinhlobo ngokuhamba kwesikhathi, ukuqaphela ukuthi yiliphi uhlobo i-MS yakho engena kuyo lingakusiza wena nodokotela wakho ukuba uhlele inkambo yakho ukwelashwa nokuphatha ukunakekelwa kwakho.
I-MS yokubuyisela kabusha (i-RRMS)
Lolu hlobo lwe-MS lubhalwe uchungechunge lokuphindaphinda (izikhathi lapho izimpawu ziba zibi nakakhulu) kanye nokukhipha (izikhathi lapho izimpawu zingcono). Inkambo yinkinobho ye-back-and-out emkhatsini wokwehla nokwenza ngcono kwezimpawu.
Ngesikhathi sesigaba sokubuyela emuva, umuntu uzobona ukulahlekelwa umsebenzi futhi avame ukuthuthukisa izimpawu ezintsha. Phakathi nesikhathi sokuxoxwa, lezi zimpawu ziyabonakala ngokugcwele noma kancane. I-Corticosteroids ivame ukusetshenziselwa ukunciphisa isikhathi sokubuyiselwa kabusha.
Ukubuyiselwa kabusha kwe-MS yihlobo oluvame kakhulu lwe-MS, olumele ama-85penti wezoxilongo ezintsha.
MS Primary Progressive (PPMS)
Kulolu hlobo lwe-MS, abantu babhekana nezimpawu eziphuthumayo kodwa eziqhubekayo.
Ngokuvamile, abantu bahamba kancane kancane ngokuhamba kwesikhathi, nakuba izinga lokubi liyahluka kakhulu phakathi kwabantu. Amaphesenti angaba ngu-10 we-MS iyinhloko eqhubekayo.
I-MS Eqhubekayo Eqhubekayo (i-SPMS)
Abantu abane- MS eqhubekayo eqhubekayo baxilongwa nge-MS ekubuyiseleni kabusha. Laba bantu bayeke ukuba nezinkathi zokuxolelwa futhi babhekana nezimpawu eziphuthumayo kodwa eziqhubekayo.
Lesi sigaba sihluka kakhulu kumuntu ngamunye, nakuba izimpawu zivame ukwedlula isikhathi.
Abantu abangamaphesenti angama-50 abane-MS abalahla kabusha baqala i-MS yesibili eqhubekayo phakathi neminyaka eyishumi. Noma kunjalo, lokhu kwakungaphambi kokusetshenziswa kwezidakamizwa zokuguqula izifo . Abacwaningi basalinde ukufunda imiphumela yale mithi ngokuqhubeka kwe-MS.
I-MS eqhubekayo-ephindaphindiwe (i-PRMS)
Abantu abane-MS eqhubekayo-ephindaphinda bahamba ngokuqhubekayo kwezimpawu kanye nokuzikhukhumeza. Izimpawu eziqhubekayo eziqhubekayo ngaphandle kwesikhathi sokukhipha okutholakala ekubuyiseleni kabusha kwe-MS. Cishe amaphesenti angu-5 kubo bonke abantu abane-MS bane-MS eqhubekayo.
Ezinye Izincazelo ezihambisana no-MS
Ngaphezu kwezinhlobo ezikhulunywe ngazo, kungase kube nama-subtypes we-MS ukuthi udokotela wakho angahlukanisa isimo sakho ngaphansi. Isibonelo, abanye abantu abane-SPMS bahlala bephindaphindiwe, futhi lokhu kubizwa ngokuthi "okusebenzayo". Uma kungabikho ukubuyela emuva, lesi sifo sisho ukuthi "asisebenzi."
Futhi, ngaphambi kokuthi utholakale ukuthi une-MS , kunenye uhlobo, okuthiwa i-Clinically Isolated Syndrome (CIS).
I-CIS ibhekisela ekutheni kwenzeke isiqephu sokuqala sezimpawu zezinzwa ngenxa yokuvuvukala kwisistimu yezinzwa ezisemkhatsini kanye nokwehliswa komzimba (ukulimala kwesembozo sokuzivikela esizungeze izintambo ze-nerve ebuchosheni nasendongeni yomgogodla).
Ku-CIS, okulandelayo kufanele kwenzeke:
- Isiqephu kumele sihlale isikhathi esingaphezu kwamahora angu-24
- Yiba nezici ze-multiple sclerosis kodwa engakahlangabezani nemigomo yokuxilongwa kwe-MS
- Abantu abahlangabezana ne-CIS bangakwazi noma bangaqhubeki ukuthuthukisa i-MS
- Abantu abane-CIS ababhekwa njengengozi enkulu yokuthuthukisa i-MS bangaphathwa nge-FDA-evunyelwe ukuguqulwa kwezifo njengoba ukwelashwa kwesikhashana kuboniswe ukubambezela ukuqala kwe-MS.
Izwi elivela
Uhlobo lwe-MS onalo lubalulekile ukwazi ngoba luthinta indlela udokotela wakho aphatha ngayo. Lokhu kuthiwa, kungcono kakhulu ukuthi ungalokothi uphinde ukhonjiswe ezinqumeni zohlu olulodwa ngokumelene nolunye.
Ekugcineni, i-MS iyigciwane eguquguqukayo, ngakho-ke ngisho nabantu ababili abanezinhlobo ezifanayo ze-MS kungenzeka babe nezimpawu eziyingqayizivele kanye nokuhlangenwe nakho nezifo zabo.
> Imithombo:
> Lublin, FD et al. Ukuchaza Umtholampilo Wama-Multiple Sclerosis: Izibuyekezo Zika-2013. Neurology 2014 Jul 15; 83 (3): 278-286.
> National Multiple Sclerosis Society. Izinhlobo ze-MS.