Multiple sclerosis: imiqondiso yokuqala. sclerosis Multiple: oonobangela, isifo, unyango

sclerosis Multiple sisifo esingapheliyo echaphazela ingqondo umnqonqo. Oku kuvela njengesiphumo amanxeba ukudumba kwi myelin. Le ijwabu okunamafutha ongqonge i-luvo yomqolo nobuchopho elibakhusela ngathi ubushushu of amacingo ombane. Hlula esingxobeni myelin kukhokelela ekwandeni ngakumbi amanxeba ukudumba kulo lonke CNS.

Isifo kufuneka mazingabhidaniswa isifo i-Alzheimer. Equlethwe igama layo igama elithi "zahanjiswa" kuthetha nto ngaphezu ubukho nakujoliso olutsha encinci sifo, okwakubonakala ukusasaza nge luvo. Kodwa "sclerosis" libhekisela nohlobo zokuphula. Le lolwabo siva, ukuba uhlobo ibhodi. Xa iyeza ibizwa ngokuba sclerotized.

ukwanda leengxaki

Izigulane multiple - kukuthi, njengokuba umthetho, abantu abatsha abaphakathi kweminyaka elishumi iminyaka engamashumi amane. Kodwa sifo ngaphandle. Maxa wambi kwenzeka ebuntwaneni kwaye sele umdala. Noko ke, xa umntu sele bawelela eyimbalasane konyaka-mahlanu, ingozi yokuba esi sifo liyehla kakhulu.

multiple kwenzeka xa amabhinqa kathathu ngaphezu abantu. Kodwa kwangaxeshanye ethwele sifo lula.

Ukuxhaphaka esi sifo iphenjelelwa ngokwemimandla imiba yobuhlanga. Ngoko ke, inkoliso sclerosis ubunzima abahlala Intshona Melika nasemantla eYurophu. Oku kungenxa yokusilela ivithamin D, evela emzimbeni womntu phantsi yesenzo kwelanga. Kodwa ke Korea, IsiJapanese yaseTshayina abazi kwesi sifo.

Ngubani omnye kuchaphazela multiple? Iqela ubungozi - abantu abahlala ezidolophini ezinkulu. Kwiindawo ezisemaphandleni, lo ngezifo kubonakala kunqabile. Zonke ezi zibakala zibonisa ukuba uphuhliso multiple kuchaphazela imeko esibi.

Esi sifo eliqhelekileyo. Kuyinto amatyala 20 ukuya 30 nganye kubemi ezilikhulu lamawaka. Kwaye unesifo "multiple" ukukhubazeka abantu abaninzi abatsha emva abanawo.

Kutheni sifo kwenzeka?

Isizathu sokuba kukho sclerosis, iye nangoku okwangoku icacisiwe. Kodwa kwiminyaka yakutshanje, izazinzulu zithi uphuhliso kwesi sifo kunye ukuphazamiseka kwi yemfuzo kunye amajoni omzimba.

Ngesiqhelo yethu "Ukuphepha komzimba" karhulumente ezibuthathaka ukuya kwii ukuya kumzimba yento ongaziwayo kuyo, nto leyo inokuba yiyo nayiphi yintsholongwane okanye silwanyana. Kuqala sihlasela "libuya", emva koko sisule kuyo. Izinga le nkqubo iphenjelelwa isantya uqhagamshelwano phakathi okukwazi kunye ekuveliseni iiseli ukuphelisa ingozi.

Kwenzeka ntoni xa multiple? Izazinzulu zikholelwa ukuba amajoni omzimba kuxhomekeke ukutshintsha phantsi kwempembelelo ntsholongwane. Uqala ukuqonda myelin nje isixhobo esiyingozi kwaye ihlasela iiseli ijwabu adipose. Le meko ke yaziwa ngokuba "autoimmunity."

Emva uhlaselo olunjalo esingxotyeni salo myelin aqalise ukubuyisa. Kodwa okoko nje kule nkqubo iqhubeka, amajoni omzimba ubhenca luvo kwezinye indawo. Kwisayithi ye ukudumba, alaqhenqetha: kukuqulungana izicwili ivela ngohlobo umonakalo. Bona yokuthintela ukosulelwa eliqhelekileyo neemvakalelo yobuchopho kuwo onke amalungu. Ngenxa yoko, umntu ulahlekelwa ukukwazi ukulawula ngempumelelo kwimisebenzi yeziko.

mandundu

Uphuhliso multiple isandla:

- ukungabikho ivithamin D;
- kugci- abanamandla;
- yofuzo, nto leyo ichazwe phambi zofuzo modified;
- bacteria kunye nezifo wentsholongwane egazini.

Ezinye izazinzulu zikholelwa ukuba uphuhliso multiple ikhuthaza kunjalo ugonyo nxamnye hepatitis B, le ngcamango ukuya kumhla yesiqinisekiso bangaze efika.

Kukwakho uluvo, nokuba kwegazi ibangelwa yintsholongwane. Ngokomzekelo, ukuze mutated imasisi gciwane. Le mbono ixhaswa yi le yokuba isiko imeko izigulane baphucuka emva kokuba ukuqaliswa interferon antiviral.

iintlobo zezifo

Yintoni na le sifo iimpawu yokuqala? multiple siqala ukuvela kuxhomekeka sifo, esenokuba:

- umsindo;
- ebalulekile eqhubekayo;
- mthetho nokucima;
- secondary eqhubekayo;
- ngokuqhubekayo-mthetho nokucima.

Nokubonakaliswa lokuqala multiple uhlobo elihle kakhulu ukuhlaselwa ezininzi. Noko ke, emva kwexesha elithile amaxesha Ngoxolelo iya elide. Oku kungenxa ukubuyiselwa esingxobeni myelin. Nomonde ababona sclerosis ingozi ezininzi, unyango kukhokelela recovery phantse ngokupheleleyo. Loo imilo, waphawula ngowe-20% yezi izigulane zange kukhokelela nokukhubazeka.

Yintoni na le fom ephambili ngcembe imiqondiso yokuqala? multiple kule meko kubonakala kunye ukunyuka okuthe chu iimpawu luvo. Ngenxa yoko kukho nexesha exacerbations uzinziso eziye kwabikwa kwi-15% yezigulane. Ngaphandle kokuba multiple sclerosis kunye uhlobo ephambili okuqhubekayo wokupasa ngaphandle aggravations, oko kudla ngokukhokelela nokukhubazeka. Kaninzi kwenzeka abantu wagula emva kweminyaka engamashumi amane.

Xa nokucima uhlobo leengxaki oko yayingako imiqondiso bayo bokuqala? sclerosis Multiple, kule meko kukho wabona iimpawu ahlekise. Ukulindela into baya kuba nomonde ngamnye, kuba kunzima kakhulu ngenxa yeengxaki zabo. Umzekelo, 85% lwezigulana isanda Ukwakheka ukuphazamiseka luvo. Ngosuku olulandelayo bayaphinda ngokupheleleyo okanye aqalise umva kancinci. Kodwa maxa wambi kukho nexesha exacerbation nangaphezulu. Ke batyakatywa umntu iintsuku eziliqela okanye iiveki. Yomonakalo ifayibha yenzekile ukuya kwimo yesiqhelo, kuya kuthatha iinyanga ezininzi. Kuphela ngeli xesha, siyeke kusithuthumbisa iimpawu zabantu sclerosis (ukuba akukho uhlobo abasisigxina inkqubo sokuhlasela). Xa nokucima uhlobo umsebenzi isifo multiple amalungu ochaphazelekayo nga kubuyiselwa inxalenye kuphela.

Xa ifomu yesibini-okuqhubekayo iimpawu zesifo ukwandisa ngcembe. Iimpawu zesi sifo zibonakale kulo mzekelo emva kokwenziswa inflammations ezibandayo okanye nokuphefumla emva. Iimpawu uhlobo zasesekondari okuqhubekayo multiple ingalandwa kwi imvelaphi kwezifo. Ngelo lokuqala olu hlobo sifo kwenzeka ifomu nokucima, ngamanye amazwi kunye alternating exacerbations kunye nophuculo karhulumente njengoko. Kodwa ke isifo iqhubeka. Ekubeni le ndlela multiple kwiminyaka emihlanu emva kokuba iimpawu zokuqala ikhokelela umntu onesiphene.

Ifom ezinqabileyo leengxaki na udidi ngcembe-mthetho nokucima. Kulo mzekelo imeko yesigulane zimbi ngokuthe ngcembe. Ukongeza, ukuqhubeka kwesifo lukhatshwa ukuhlaselwa etsolo, emva koko kukho abathile kuphuculo lwempilo.

Indlela ukuqaphela esi sifo?

Xa ngezifo ibonisa imiqondiso bayo bokuqala? multiple luphawulwa ixesha elide efukamileyo, kwezinye iimeko okumane kwiminyaka emininzi. Oku kubangelwa yinto yokuba ekuqaleni umsebenzi luvo umonakalo zincitshiswe macandelo esempilweni. Iimpawu zokuqala multiple kwenzeka xa izilonda, olubalelwa 40 ekhulwini okanye ngaphezulu.

Multiple sclerosis umntu ngamnye buzibonakalisa ngeendlela ezahlukeneyo. ngeentlobo ezithile iimpawu eziphambili kwesi sifo akanayo. Kodwa ke amaxesha amaninzi ubukho sifo emzimbeni bathi umbono awucaci kunye nelahleko koluvo.

Iimpawu zokuqala sisifo zixhomekeke phi na iziko esingundoqo multiple. Kulo mzekelo, iimpawu zayo kuba lokuqala, lesibini nelesithathu.
Eyokuqala zivele ngenxa umonakalo esingxobeni myelin. Le nkqubo kukhokelela ngezimvo permeability neemvakalelo-luvo. Iimpawu Secondary kuvela sele kwisiqalo ezisemqoka. Ephakamileyo agcwele ngokupheleleyo ngokupheleleyo zesi sifo.

Wabonakala zokuqala zokugula

Ukuqaphela esi sifo nisaqala ukubonakaliswa wayo akakwazi ngamanye amaxesha wakufanelekela. Izizathu abo okanye ezinye izifo bethetha nezinye izigulo. Kuyimfuneko ke ngoko ukuba ulwazi malunga uphawu lokuqala multiple. Oku kuya kunceda ukuchonga ngokukhawuleza isifo kwaye uqale unyango.

Ngenxa yoko, xa lokuqala multiple ngu:

1. ukunyhashwa umbono. Attack izifo luvo optic abakhuselekanga. Ukuba umzimba iphuhlisa sclerosis, iintlungu emehlweni umntu uziva njalo. Ngamanye amaxesha ke kwenzeka kuphela xa uqhuba leminyaka. Ngamanye amaxesha ukhathaze unaliso linye kuphela, kubonakala ukuba yinto embi. Into yokuba ixesha lomntu ukuya kugqirha, wathi umfanekiso norhatyazo okanye olusabufolokhwe, kunye neentshukumo ngokuzenzekelayo le amehlo.

2. Ukulahlekelwa eseleyo. izigulane MS kuvela kaninzi mzuzu vertigo xa efumana evele ukhuko ukusuka okanye ukugcina umzimba wakho (umzekelo, ngelixa ukudanisa okanye ngebhayisekile). Oku kungenxa yokuba esi sifo uyeza iiseli zemithambo-luvo umnqonqo, nto leyo ebangela ilahleko eseleyo.

3. Ukophulwa uvakalelo. Olunye lweempawu zokuqala sclerosis ezininzi iminqweno sokudlathuka kweenwele, ukutsha, ukuntlontlozela okanye "ziinaliti" kwi imilenze okanye iingalo, ukuba ngabo bahlala. Le uphawu kubalulekile ukunikela ingqalelo, nangona oogqirha bavame ukuba ezinye izifo. Olunye uphawu zokulahleka ubuntununtunu maxa ubushushu nengqele. utshintsho obushushu phakathi iimeko zemozulu ezizinzileyo kufuneka umntu ahlale evule amehlo.

Ngamanye amaxesha abantu ngalo ilahleko eziva umhlaba phantsi kweenyawo zabo. Kulo mzekelo, ukuze siyakhubeka, kufuneka sihlale khangela phantsi. Kubalulekile kwakhona lokuqala njengophawu multiple.

4. Izifo zengqondo kunye neemvakalelo. Isizathu sokuba afune unyango ayanceda imvakalelo ukudinwa emva luphumlo elide. Lo umqondiso multiple yokuqala. Babonakaliswa sifo yaye kwezo meko xa umntu kunzima ukukhumbula ubalise ulwazi. Iimpawu zokugula nawo ucaphuka rhoqo kwaye unxunguphalo, ukunqongophala namabhongo ezidlulileyo nokudandatheka, kwakunye ezigqithisileyo "umdlalo kuluntu." Kakade ke, emva kweminyaka 40-45, nabani na athwale zonke ezi sayini ukuya ebudaleni. Noko ke, abantu abaselula kwityala enjalo kuyimfuneko ukuba udibane nogqirha.

5. A ingqondo ukudinwa rhoqo. Kakade ke, yinto eqhelekileyo ukuba yomsebenzi, oomama abatsha kunye nabafundi. Noko ke, xa iindleko rhoqo obubonakala, funa iingcebiso zobugqirha. Imvakalelo ukudinwa rhoqo likufikela izigulane MS sele kwiiyure ekuseni. Nkqu elele ebhedini zibe imvakalelo enzima efana emva besebenza triple. Ngamanye amaxesha le imvakalelo ibandakanya ilungelo yomguli esitratweni.

6. Ukungaphumeleli ukuba sexesheni kwabasetyhini. Ukubakho amanxeba zophendlo lwezifo kwi luvo kukhokelela ukuphazamiseka kumanqanaba hormone sigulo jikelele uhlelo zokuzala.

7. kwekhono wamathumbu. Kwi uphawu lokuqala multiple na onokumxelela umntu nkqubo wokugaya. Ukuba wenza kwaba ukusetyenziswa encinane iimveliso somgubo ocoliweyo woba ixesha elide, kunqabile iya yangasese yaye ukuqhina rhoqo, ngoko oku kufuneka kube nesizathu inkxalabo. Kakade ke, ezi mpawu kaninzi kwenzeka ebudeni ukutyeba ngesiquphe, xa utshintsha ukutya ukunciphisa umzimba okanye yokukhulelwa. Kwaye apha kuyimfuneko ukuba uhlaziye ukuthi namanje naziphi na iimpawu multiple.

8. kulingisa ngesandla. Ukuba abantu uqaphela ukuba ngenkankulu amaqhosha okanye ufaka msonto yenaliti, kunokuba ube ngumqondiso wokuqala multiple. Ngapha koko, omnye iimpawu zesifo - ukuba nedumbe izandla.

multiple - sisifo singanyangekiyo ngenxa Ukwahluka iimpawu.

Namhlanje, umntu buhlungu amehlo, yaye ngomso uya Ndinesiyezi kalujaca kuphela. Ngaphezu koko, bonke bayeke kwaye isigulane liya kuziva yinto eqhelekileyo.

ekuxilongweni

Ukuze ukufumanisa ubukho sifo, ingcali ziqhuba uviwo luvo lwe kumguli ukuphindwa yakhe. Sebenzisa iindlela ezongezelelweyo zophando.

Eyona ulwazi lawo namhlanje ingqalelo ngemagnethi livakale umfanekiso yobuchopho kunye umnqonqo. Ukongeza, ngokugcina isigulane, ugqirha ayithumele esweni ngumzimba, okt ukuba iimvavanyo zegazi rhoqo.

Unyango lwe multiple

Ukuza kuthi ga ngoku, izazinzulu ziye engekalifumani iziyobisi, abantu ubuncothule sifo. Amagqirha izigulane une iziyobisi "multiple" ngethuba unyango emiselweyo yokuba lulekani iimpawu zesi sifo, ukuququzelela urhulumente, kwakunye kongeza ixesha kuxolelwe nokuthintela kukuvela iingxaki ezahlukeneyo.

Treatment of exacerbations

Ukuza kuthi ga ngoku, iintlobo ezimbini zonyango kusetyenziswa ukuphelisa multiple. Eyokuqala kwezi obuyiyo iziyobisi exacerbations kunye ukonakala kweendlela isigulane. Uhlobo lwesibini unyango lo lekhefu. Usebenza kwabo izigulane kuye imeko ukuphuculwa ixesha elide emsebenzini xa kwafunyaniswa ukuba "multiple". Ichiza, kulo mzekelo, izigulane abafumana elide.

Ukuqhubela kubhekwa yempilo enkenenkene, elide ngaphezulu ngemini. Kulo mzekelo isigulane eyabelwe ulwamkelo ihomoni adrenocorticotropic kunye cortisone ngohlobo lwezitofu okanye zithutha. Oku kwenza kube lula hayi kuphela ukususa nangokurhala, kodwa ukunqanda kukuvela ukuphazamiseka ezisebenzayo. Enempembelelo enkulu kuzuzwa ngokudibanisa iziyobisi ezifana 'cortisone "kunye" Cyclophosphamide "kwi kunyango ezinjalo. Kwakhona ugqirha ngabanye khetha amayeza ukuphelisa evela iimpawu yesigulana.

unyango ebalulekile

Injongo yale unyango kukuba ukubuyisela iiseli zemithambo kwixesha eliphakathi exacerbations. Xa amayeza kagqirha enye ukukhusela ingqondo umnqonqo ekuhlaseleni kwamajoni omzimba.

Ngeli xesha, yaye xa kukho multiple esweni, unyango yenziwa usebenzisa imixube ezifana "Cyclosporin A", "Azathioprine", "Mitoksatron" kunye nabanye.

Ngamanye amaxesha isigulane ezifundiswayo kunye nonyango yotyando. Ukwenzela ukunciphisa uhlaselo omzimba, ukuze asuse udakada okanye thymus. Ngamanye amaxesha izigulane enjalo esinye umongo wethambo.

Izindululo of Medicine Traditional

Ukuxhasa isigulana kwaye inga ekhaya. Yintoni, ke, imphathe multiple? amayeza Folk ekucetyiswa ngamaxhwele:

1. I-oyile begalikhi. Ukupheka intloko otyunyuziweyo nimane oyile kajongilanga yemifuno. Selani intlama yejusi yelamuni.
2. Honey anyanisi. Le ndlela kuqinisa izitya lomzimba kwaye iyachithakala thrombi. Ukuyenza, incindi onamaqhakuva ecinezelweyo, ogalelwe nobusi.
3. tinctures utywala begalikhi. Oku kuthetha ukulwa namaqonga sclerotic kwaye kuyanceda ukuba aphelise ziba nemithambo.

Ukongeza, amayeza emveli lithethelela ukuba bonke abantu abane MS musa ukufaka kwi sityiswe yakho yemihla ngemihla iilekese. Le menu kufuneka iimveliso kunye amaqondo aphantsi cholesterol, kwakunye nezo ukuba ungabi sisizekabani ukwanda koxinzelelo. Kulo mzekelo, kungakuhle ukuba bazalise esityeni ngeoli yemifuno. Kukwacetyiswa kwakhona ukusela rhoqo leti eluhlaza kunye lwemvelo.

Iminyaka yokuphila yabantu sclerosis

begwetyiwe ubudala njani ukuba izigulane abaphethwe data izifo luvo? Kuya:

- ukufaneleka loxilongo;
- yobudala apho sifo sele iqalile;
- ukusebenza zonyango;
- uphuhliso iingxaki ezahlukeneyo;
- ubukho nezinye izinto ezimbi.

Bangaphi baphila sclerosis? Ngenkulungwane yama-20, izigulane lo unesifo ke walinganisa ezona imashumi mathathu. Kwaye kuphela xa evuna esi sifo.

Zingaphi live sclerosis namhlanje? Kwinkulungwane yama-21 ngenxa kuphuhliso amayeza, aba bantu ufumane unyango olufanelekileyo. Kwi-avareji, ubomi babo xa kuthelekiswa kunye noontanga babo mfutshane iminyaka esixhenxe. Kodwa yonke kubusa ngaphandle zayo, ngoko ngokuthembekileyo ukuqikelela uphuhliso kweziganeko kunzima kakhulu.