Amanqanaba eMMS: Yintoni Ongayilindela

Umxholo

• Ukuchonga iimpawu ze-MS
• Ukuxilongwa ngokutsha
• Isifo esizimeleyo kwiklinikhi (CIS)
• Ukubuyisela kwakhona i-MS (RRMS)
• Inkqubela phambili ye-MS (SPMS)
• Inkqubela phambili ye-MS (PPMS)
• Iintsholongwane MS
• Izinketho zonyango
• Ukuthatha
• Q:
• A:

Multiple sclerosis (MS)

Ukuqonda ukuqhubela phambili kwesiqhelo kwe-multiple sclerosis (MS) kunye nokufunda into onokuyilindela kunokukunceda ufumane imeko yolawulo kunye nokwenza izigqibo ezingcono.

I-MS yenzeka xa amajoni omzimba ejolise ngokungaqhelekanga kwinkqubo ye-nervous system (CNS), nangona ingabonwa njengengxaki yokuzimela. Ukuhlaselwa kwe-CNS konakalisa i-myelin kunye neentsinga zemithambo-luvo ezikhuselwa yi-myelin. Umonakalo uphazamisa okanye uphazamisa iimpembelelo zentsholongwane ezithunyelwa phantsi kwintambo yomgogodla.

Abantu abane-MS ngokubanzi balandela esinye sezifundo ezine zezifo ezahluka kakhulu.

Ukuchonga iimpawu ze-MS

Isigaba sokuqala sokuqwalasela siqala ngaphambi kokuba ugqirha wakho enze ukuxilongwa kwe-MS. Kweli nqanaba lokuqala, unokuba neempawu onomdla kuzo.

Izinto zemfuza nezokusingqongileyo kucingelwa ukuba zidlala indima kulowo ufumana i-MS. Mhlawumbi i-MS ibaleka kusapho lwakho, kwaye ukhathazekile ngamathuba akho okuphuhlisa esi sifo.

Mhlawumbi ukhe wafumana iimpawu ugqirha wakho akuxelele ukuba unokuba ngumqondiso we-MS.

Iimpawu eziqhelekileyo zibandakanya:

• ukudinwa
• Ukuba ndindisholo nokubetha
• ubuthathaka
• isiyezi
• intlungu
• ubunzima bokuhamba
• utshintsho lokuqonda
• i-vertigo

Kule nqanaba, ugqirha wakho unokumisela ukuba usemngciphekweni omkhulu wokuphuhlisa imeko esekwe kwimbali yakho yonyango kunye novavanyo lomzimba.

Nangona kunjalo, akukho luvavanyo luchanekileyo lokuqinisekisa ubukho be-MS kwaye uninzi lweempawu zenzeka nakwezinye iimeko, ke esi sifo kunokuba nzima ukusixilonga.

Ukuxilongwa ngokutsha

Isinyathelo esilandelayo ekuqhubekekeni kukufumana ukuxilongwa kwe-MS.

Ugqirha wakho uya kukufumanisa ukuba une-MS ukuba kukho ubungqina obucacileyo bokuba, kumanqaku amabini ahlukeneyo ngexesha, ubuneziqendu ezahlukileyo zomsebenzi wesifo kwi-CNS yakho.

Rhoqo kungathatha ixesha ukwenza esi sifo kuba ezinye iimeko kufuneka zikhutshwe kuqala. Oku kubandakanya usulelo lwe-CNS, ukuphazamiseka kokudumba kwe-CNS, kunye nokuphazamiseka kwemfuza.

Kwinqanaba elitsha lokuchongwa, uya kuthi uxoxe ngeendlela zonyango kunye nogqirha wakho kwaye ufunde iindlela ezintsha zokulawula imisebenzi yemihla ngemihla kunye nemeko yakho.

Kukho iintlobo ezahlukeneyo kunye namanqanaba eMMS. Funda ngakumbi ngezantsi malunga neentlobo ezahlukeneyo.

Isifo esizimeleyo kwiklinikhi (CIS)

Esi sisiqendu sokuqala seempawu ezibangelwa kukudumba kunye nomonakalo kwi-myelin egubungele kwimithambo-luvo yobuchopho okanye intambo yomqolo. Ngokobuchwephesha, i-CIS ayizifezekisi iikhrayitheriya zokuchongwa kwe-MS njengoko sisiganeko esizimeleyo esinendawo enye kuphela yokuchithwa kwisifo esinoxanduva lweempawu.

Ukuba i-MRI ibonisa esinye isiqendu kwixesha elidlulileyo, ukuxilongwa kwe-MS kunokwenziwa.

Ukubuyisela kwakhona i-MS (RRMS)

Uhlobo lokubuyela umva kwakhona lwe-MS ngokubanzi lulandela ipateni enokuxelwa kwangaphambili kunye nexesha apho iimpawu ziya zisiba mbi kwaye ziphuculwe. Ekugqibeleni inokuqhubela phambili kwi-MS eqhubela phambili.

Ngokwe-National Multiple Sclerosis Society (NMSS), malunga neepesenti ezingama-85 zabantu abane-MS baqala ukufumanisa ukuba bane-MS ebuyayo.

Abantu abane-RRMS bane-flare-ups (ebuyela umva) kwi-MS. Phakathi kokubuyela umva, banamaxesha oxolelo. Kwiminyaka embalwa edlulileyo, ikhosi yesi sifo inokuthi itshintshe kwaye ibe nzima ngakumbi.

Inkqubela phambili ye-MS (SPMS)

Ukubuyisela kwakhona i-MS kunokuqhubela phambili kwimeko yesi sifo. I-NMSS inika ingxelo yokuba, ukuba ishiywe inganyangwa, isiqingatha sabo banendlela yokubuyela kwimeko yesiqhelo baphuhlisa i-MS yesibini eqhubela phambili kwisithuba seminyaka elishumi yokufumanisa isifo okokuqala.

Kwi-MS yesibini eqhubela phambili, usenokuba namava okuphinda ubuye. Oku kulandelwa kukuphinda kufumaneke okanye amaxesha oxolelo, kodwa esi sifo asipheli phakathi kwemijikelo.Endaweni yoko, iya isiba mandundu.

Inkqubela phambili ye-MS (PPMS)

Phantse iipesenti ezili-15 zabantu bafumanisa ukuba banesifo esingaqhelekanga, esibizwa ngokuba yi-MS ephambili.

Le fomu ibonakaliswa kukuhamba kancinci kwesifo ngokuthe ngcembe kungekho xesha lokuxolelwa. Abanye abantu abane-MS ephambili-yokuqhubela phambili bafumana amava ngamatye athile kwiimpawu zabo kunye nophuculo oluncinci ekusebenzeni okuhlala okwethutyana. Kukho umahluko kwinqanaba lokuqhubela phambili ngokuhamba kwexesha.

Iintsholongwane MS

Ukongeza kubantu abadala, abantwana kunye nolutsha banokuchongwa ukuba bane-MS. I-NMSS inika ingxelo yokuba phakathi kwe-2 kunye ne-5 yepesenti yazo zonke izigulana ze-MS ziqaphele iimpawu eziqale ngaphambi kokuba babe neminyaka eli-18 ubudala.

I-MS yezonyango ilandela ikhosi efanayo yokuqhubela phambili njengohlobo lwabantu abadala besifo esineempawu ezifanayo. Nangona kunjalo, abanye abantwana bafumana iimpawu ezongezelelekileyo, ezinje ngokuxhuzula kunye nokudinwa. Kwakhona, isifundo sesifo sinokuqhubela phambili kancinci kubantu abancinci kunokuba sisenza kubantu abadala.

Izinketho zonyango

Kukho iindlela ezahlukeneyo zonyango ezikhoyo kumntu ofunyenwe ene-MS. Ugqirha wakho kunye neqela lezonyango banokukunceda ufumane olona manyano lonyango lonyango ukuze ulawule iimpawu zakho kunye nokuphucula umgangatho wobomi bakho.

Unyango olungaphezulu kwekhawuntali lubandakanya:

• Ukuthomalalisa iintlungu njenge-aspirin okanye ibuprofen
• izitulo zokuthambisa kunye ne-laxatives, zokusetyenziswa rhoqo

Unyango lwamayeza kunye nongenelelo lonyango lubandakanya:

• ii-corticosteroids kuhlaselo lwe-MS
• Ukutshintshana kweplasma kuhlaselo lwe-MS
• ii-beta interferon
• I-glatiramer (iCopaxone)
• iteriflunomide (Aubagio)
• idimethyl fumarate (Tecfidera)
• ulungiso lwenyama
• izihlunu eziphumlayo

Olunye ulungiso lubandakanya:

• umthambo
• iyoga
• ukutshiza
• iindlela zokuphumla

Utshintsho kwindlela yokuphila lubandakanya:

• ukuzilolonga ngakumbi, kubandakanya ukuzolula
• ukutya ukutya okusempilweni
• ukunciphisa uxinzelelo

Nangaliphi na ixesha usenza utshintsho kwisicwangciso sakho sonyango, qhagamshelana nogqirha wakho kuqala. Nokuba amayeza endalo anokuphazamisa amayeza okanye unyango oluthatha ngoku.

Ukuthatha

Xa usazi ukuba ujonge ntoni kwinqanaba ngalinye le-MS, ungathatha ulawulo olungcono kubomi bakho kwaye ufune unyango olufanelekileyo.

Abaphandi bayaqhubeka nokwenza imigudu ekuqondeni kwabo esi sifo. Ukuphuculwa kwenkqubela phambili kwezonyango, ubuchwepheshe obutsha, kunye neyeza ezivunyiweyo ze-FDA zinempembelelo kwi-MS.

Ukusebenzisa ulwazi lwakho kunye nokusebenza ngokusondeleyo kunye nogqirha wakho kungenza i-MS ibe lula ukulawula kulo lonke ixesha lesi sifo.

Q:

Ngaba zikhona iindlela zokucothisa ukuqhubela phambili kwe-MS? Ukuba kunjalo, ziziphi?

Isigulana esingaziwayo

A:

Ngaphandle kokutya okusempilweni kunye nokuzilolonga ngokuzolula, qiniseka ukuba uthatha iVithamin D eyoneleyo kuba izigulana ze-MS zifunyenwe zisilela. Kwaye njengamaxesha onke, ukuthatha amayeza e-MS rhoqo kubonisiwe ukunciphisa inkqubela yesifo kunye nokuthintela ukubuyela umva.

UMark R. Laflamme, iimpendulo ze-MDA zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.