Ubumbulu, ukubetha, nezinye izimpawu zakudala ngezinye izikhathi kuyinto yesikhathi esisodwa
Cabanga ngalokhu: Ngaphandle kwezinsindo izandla zakho nezinyawo zakho ziboshiwe noma ziqala ukungena futhi imisipha yakho ibuthakathaka. Ungase uqaphele lezi zinkinga njengezimpawu zakudala ze-multiple sclerosis (MS) -ngokuba zikhona. Kodwa futhi kungenzeka kube isiqephu esibizwa ngokuthi umcimbi we-clinically isolated syndrome (CIS).
Ukuze ubhalwe umcimbi we-CIS, isiqephu kumele sibandakanye isimpawu esisodwa noma ngaphezulu se-MS esithatha okungenani amahora angu-24.
Kumele futhi kuthinte umuntu ongakaze atholakale ene-MS-kungenjalo, bazobhekwa njenge-MS. Ngaphandle kobuthakathaka obunamahloni kanye nobunzima bokugubha nokuxubha, ezinye izimpawu ezingenzeka ngesikhathi somcimbi we-CIS zihlanganisa ne- neuritis optic (ukulahlekelwa konobuhlungu kaningi, ngokuvamile kwesinye iso, okungenzeka kube okwesikhashana noma okuhlala njalo); inzwa efana nokushaqeka kwamandla kagesi eqala ngemuva kwekhanda futhi ihlwitha umgogodla owaziwa ngokuthi uphawu luka-L'Hermitte; futhi "i-MS hug" -ukuvutha noma ukucindezeleka okuzwa sengathi kugoqa nxazonke.
Kungaba yi-MS?
Umcimbi we-CIS ngokoqobo kungaba yinto eyenzeka kanye kanye kuphela ekuphileni. Futhi kungaba uphawu lwe-diagnostic ye-MS esikhathini esizayo. Nakuba esikhathini esedlule indlela kuphela yokuthola ukuthi umcimbi we-CIS wawuyisimangaliso se-MS esondelayo kulindeleke ukuthi esinye isiqephu senzeke (noma cha). Kodwa manje odokotela bangakwazi ukuxilongwa ngendlela enembile nge-imagination magnetic resonance (MRI) yobuchopho nomgogodla.
I-scan ye-MRI izobonisa uma kukhona izibonakaliso ezitshelayo ze-MS-izindawo zomonakalo wesikhumba okuthiwa izilonda. Uma izilonda ezilodwa noma ngaphezulu zivela kwi-MRI eyenziwe ngemuva kwe-CIS, odokotela bazokwenza ukulandelela okulandelayo emva kwezinyanga ezintathu ngemuva kokuqala. Uma izilonda ezingaphezulu zithuthukile ngaleso sikhathi, ukuxilongwa kwe-MS kungenziwa ngisho noma kungakaze kube khona omunye umcimbi we-CIS.
Uma kungekho izilonda ezingabonakali kwi-MRI yokuqala yokulandelela, enye izokwenziwa izinyanga ezintathu kuya kweziyisithupha kamuva. Uma i-MRI yesibili yokulandelela ingenayo izilonda ezintsha, khona-ke lowo muntu uthathwa njenge-MS-mahhala futhi akudingeki ukuba aqashwe nge-MRI scan scans.
Ukwelapha Noma Ukungahambi
Inzuzo enkulu yokuqapha kwe- MRI ngemuva komcimbi we-CIS ukuthi ingavumela umuntu ukuba athole ukuqaqa kokuqala kokwelashwa uma kubonakala sengathi i-MS isesikhathini. (Ithuba lomuntu one-lesion lizoqala i-MS ngemuva kwe-CIS ngamaphesenti angu-60. Uma kungekho-lesion, lezi zinkinga zihlehlela kumaphesenti angu-20.) Ucwaningo lubonisa ukuthi uma ukuguqulwa kwezifo kuqaliswa ekuqaleni, kungabambezeleka okwesibili ukuhlasela iminyaka emibili.
Ngakolunye uhlangothi, ucwaningo luye lwathola ukuthi ukwelashwa kwasekuqaleni kungase kube nomthelela omncane wendlela ukukhubazeka kakhudlwana umuntu abane-MS kuyoba khona. Lokhu kubalulekile ukucabangela ngoba ukwelashwa kwe-MS kuyintengo. Kungaba yinselele kwabanye abantu: Imithi ye-MS kufanele ijowe. Njengoba unikezwe lezi zinzuzo kanye nokwelashwa ngemuva komcimbi we-CIS, uzofuna ukuqinisekisa ngodokotela wakho uma kuyinto efanele kuwe.
> Umthombo:
> U-Olek, uMichael J. "Ukuxilongwa Kwama-Syndromes Asemphakathini Okusikisela Ukuxoshwa Kwe-Multiple Sclerosis." UpToDate, Mashi 2009.