Nemultiple sclerosis: zviratidzo wokutanga. Nemultiple sclerosis: zvinokonzera, nechirwere, kurapwa

Multiple sclerosis chirwere chisingagumi chinokonzera dorsal uye uropi. Izvo zvinoitika semugumisiro wekuputika foci pa myelin. Iko mafuta anowanikwa ari kumativi ose emagetsi emutsara uye uropi, izvo zvinovadzivirira sekusungirirwa kwemagetsi emagetsi. Kukundwa kweheel myelin kunotungamirira pakupararira kwemafuro anopisa mukati meNCS.

Ichi chirwere hachifaniri kukanganiswa ne senile sclerosis. Izwi rokuti "kusina pfungwa" muzita rayo rinoreva zvishoma kudarika kuvepo kwechidiki chechirwere ichi, chinoratidzika sechapararira pamusoro penheyo yenheyo. Asi "sclerosis" inoratidza maitiro ezvinetso. Ichi ndicho chivara chinopenya chinoratidzika sechidimbu. Muchirapa, inonzi inonzi sclerotized.

Kuwanda kwehutachiona

Varwere vane multiple sclerosis vanowanzove vaduku pakati pemakore gumi nemashanu nemakumi mana. Asi chirwere chacho chine zvakawanda. Dzimwe nguva zvinonzwisisika zvose muhuduku uye munguva yakakura. Zvisinei, kana munhu akayambuka muganhu wemakore makumi mashanu, njodzi yehutachiona ichi inoderedza kazhinji.

Multiple sclerosis kuvakadzi kanowanzobatanidzwa katatu kupfuura varume. Asi ivo vanorambidza chirwere ichi nyore nyore.

Kuwanda kwechirwere ichi kunokonzerwa nenharaunda uye madzinza. Saka, kupfuura zvose, multiple sclerosis inobata vanhu vanobva kuNorth America nekuNorthern Europe. Izvi zvinokonzerwa nokushaikwa kwevhitamini D, iyo inobudiswa mumuviri wemunhu pasi pesimba rezuva. Asi maKorea, maChinese uye maJapane vanoziva zvishomanana nezvehutano huno.

Ndivanaani vanobatwa ne multiple multiple sclerosis? Boka revanhu vanotambura ndivo vanhu vanogara mumaguta makuru. Mumaruwa, zvirwere hazviwanzoitiki. Zvose izvi zvinoratidza kuti kukura kwe multiple sclerosis kunoshungurudzwa nenzvimbo isina kunaka.

Chirwere ichi chakajairika. Izvi zvinobva pamakumi maviri kusvika makumi matatu pamatambudziko evanhu vane zviuru zana. Uye pamwe nekuongororwa kwe multiple multiple sclerosis, vechidiki vakawanda vanowana hurema pashure pekukuvara kwavo.

Nei chirwere ichi chichiitika?

Chikonzero nei multiple multiple sclerosis inenge isingazivikanwi. Asi mumakore achangobva kupfuura, masayendisiti akabatanidza kukura kwehutano huno nekuputsa mubasa rejeneti uye maitiro ezvirwere zvemuviri.

Munzvimbo inowanzogara, "muviri" wedu "unodzivirirwa" unopinda zvakasimba kusvika kupinda mukati memuviri wechinhu chisingazivikanwi, chinogona kuva chero hutachiwana kana hutachiona. Anotanga kurwisa "muvengi," ndokubva atora. Nhanho iyi inogadziriswa nekukurumidza kwekubatana pakati pehukama hwehutachiona, pamwe nekugadzirwa kwemasero akagadzirisa kubvisa ngozi.

Chii chinoitika ne multiple sclerosis? Masayendisiti anotenda kuti maitiro ezvirwere zvemuviri anosangana nehutachiona hwehutachiona. Anotanga kuona myelin sechinhu chinotyisa uye kurwisa masero ei adipose tissue. Ichi chinoshamisa chinonzi "autoimmunity."

Mushure mekurwisa kwakadaro, sheath myelin inotanga kupora. Asi kana izvi zvichitora, hutachiona hunodzinga nerve fibers kune imwe nzvimbo. Panzvimbo yekuvhiringidzika kune mutsvuku mutsvuku mumhando yeplates. Vanodzivirirawo kutenderera kwemashoko ekugara kweuropi kuenda kune nhengo dzose. Somugumisiro, munhu anorasikirwa nekwanisi yekugadzirisa zvakanakisisa zviito zvemuviri wake.

Zvinokanganisa

Kubudirira kwe multiple multiple sclerosis kunoshandiswa ne:

- kushaya vitamini D mumuviri;
- kushushikana kukuru;
- genetic predisposition, iyo inoratidzwa muhupo hwekuchinjwa majini;
- mabhakitiriya uye zvirwere zvehutachiona.

Vamwe masayendisiti vanodavira kuti kukura kwe multiple multiple sclerosis kunobatsira nekudzivirira kurwara kwehepatitis B. Zvisinei, dzidziso iyi haisati yakasimbiswa kusvika panguva ino.

Panewo maonero ekuti hutachiona hunogona kukonzerwa nehutachiona. Somuenzaniso, vangave vane mutant musle pathogen. Iyi nyanzvi inosimbiswa nechokwadi chokuti mukuita mamiriro ezvinhu evarwere kunovandudzwa mushure mekuiswa kwevanopirisa ma-interferon.

Mafomu ehutano

Ndezvipi zviratidzo zvekutanga zvechirwere ichi? Multiple sclerosis inotanga kuzviratidza pachayo zvichienderana nedzimwe chirwere chacho, chinogona kuva:

- benzi;
- Primary-progressive;
- kurega;
- Secondary-progressive;
- Progressive-remitting.

Ikuratidzwa kwekutanga kwe multiple multiple sclerosis yechirwere chengwena yakawanda. Zvisinei, mushure mechinguva nguva dzekuregererwa dzinowedzera nguva refu. Izvi zvinoitika maererano nekudzorerwa kwe myelin sheath. Murwere, uyo ane benign multiple sclerosis, kurapa kunoguma kunenge kwakakwana kupora. Ichi chimiro, chakacherechedza mu20% yevarwere vakadai, haambotungamiri nekuremara.

Ndezvipi zviratidzo zvekutanga zvekufambira mberi? Multiple sclerosis munyaya ino inozviratidza nekuwedzera kuwedzera kwezviratidzo zvepfungwa. Muchiitiko ichi, kune nguva dzekusimudza kwekuwedzera, izvo zvinoonekwa mu 15% yevarwere. Pasinei nokuti iyo multiple sclerosis inonyanya kufambira mberi inopfurikidza inopfuura pasina kuwedzera kwakanyanya, inowanzoita kuti kurasikirwa kwekwanisi kushanda. Kazhinji inowanikwa mune avo vanhu avo vakarwara mushure memakore makumi mana.

Nehupenyu hunogadziriswa hwehutachiona, chii chine zviratidzo zvekutanga? Multiple sclerosis munyaya iyi inoitika nekuratidzwa kwezviratidzo zvakaoma. Zvakanyanya kuoma kufanoona zvichazove kune mumwe murwere mumwe nomumwe nekuda kwekusiyana kwavo. Semuenzaniso, muna 85% yevarwere panotangira danho pane maitiro ekusawirirana kwepfungwa. Zuva rinotevera ivo vakakwana kana zvishoma nezvishoma vanotanga kudzokera zvakare. Asi dzimwe nguva nguva yekutsvaira yakareba. Vanotambudza munhu kwemazuva mazhinji kana masvondo. Kuti hutachiona hwakakonzerwa hudzoke kune yakarongeka, inotora mwedzi yakawanda. Chero bedzi panguva iyi munhu anorega kutambura zviratidzo zve multiple multiple sclerosis (kana pasina chigadziro chinogara chiripo chekugadzira autoimmune). Nenzira inogadziriswa ye multiple multiple sclerosis, nhengo dzezvikamu zvinorwara zvinogona kungodzorerwa zvishoma.

Nechipiri chifambira mberi, zviratidzo zvehutano zvinowedzera zvishoma nezvishoma. Zviratidzo zvehutano munyaya ino zvinoratidzwa mushure mekutuhwa kana mushure mekuvhiringidza kwemapfupa ekufema. Zviratidzo zvechipiri-kufambira mberi kwomufambiro we multiple multiple sclerosis inogona kuteverwa nechekuguma kwehutachiona hwehutachiona. Pakutanga danho urwu rwehutano hunoita sechirongwa chekuregererwa, kureva, nekugadzirisa kuwedzera kwekuwedzera nekuvandudza kwechiitiko. Asi zvino chirwere chinobudirira. Mumakadaro akadaro, multiple sclerosis, kunyange makore mashanu mushure mekutanga zviratidzo, zvinotungamirira kukuremara.

Nzira inonyanya kuwanikwa yehutachiona ndiyo inofambira mberi-yakagadzirisa. Muchiitiko ichi, mamiriro ezvinhu emuurwere anowedzera zvishoma nezvishoma. Mukuwedzera, kufambira mberi kwechirwere ichi pamwe chete nekurwiswa kwakaoma, mushure mokunge kune humwe huri nani mune hutano hwehutano.

Nzira yekuziva sei chirwere?

Ndeipi nguva iyo chirwere chinoratidza zviratidzo zvayo zvekutanga? Multiple sclerosis inoratidzwa neverefu latent period, iyo mune dzimwe mimwe makore akawanda. Izvi zvinotsanangurwa nechokwadi chokuti pakutanga kwekutanga basa rekuvhiringidzika kwemigodhi yakagadziriswa kune nzvimbo dzakanaka. Zviratidzo zvekutanga multiple sclerosis zvinowanikwa nemaronda makumi mana kubva muzana kana kupfuura.

Multiple sclerosis mumunhu mumwe nomumwe anozviratidza nenzira dzakasiyana. Mimwe mhando dzezviratidzo zvepakutanga hadzina chirwere ichi. Asi kazhinji kacho kuvapo kwechirwere mumuviri kunotadza kuona uye kurasikirwa kwekunzwa.

Zviratidzo zvekutanga zvehutano zvinotarisa pane iyo nzvimbo huru ye multiple multiple sclerosis iripo. Muchiitiko ichi, zviratidzo zvinogona kuva chekutanga, zvidzidzo uye zvepamusoro.
Chokutanga chazvo chinoonekwa nekuda kwekukuvadzwa kwe myelin sheath. Izvi zvinotungamirira ku kuora kwehutano hwehutano hwemutsipa. Secondary zviratidzo zvinopesana nemamiriro ekutanga emiratidzo. Vana vepamusoro vanofananidzira zvizere zvikamu zvose zvechirwere.

Kuratidzwa kwokutanga kwehutano

Kuziva chirwere ichi mukutanga kwekuratidzwa kwayo hakukwanisi kunyange dzimwe nguva kuva nyanzvi dzinyanzvi. Zvinokonzera izvi kana zvimwe zvirwere zvinotarisa zvimwe zvirwere. Ndosaka zvakakosha kuva neruzivo pamusoro pezviratidzo zvokutanga zve multiple multiple sclerosis. Izvi zvichabatsira nenzira yakakodzera yekuziva chirwere ichi uye kutanga chirongwa chacho.

Saka, pakutanga kwekutanga, multiple sclerosis inokonzera:

1. Kuona kuora mwoyo. Kurwiswa kwechirwere ichi iropa reziso. Kana muviri unovaka multiple sclerosis, munhu wacho anonzwa marwadzo mumaziso nguva dzose. Dzimwe nguva vanogona kusimuka chete panguva yekufamba kwezana remakore. Dzimwe nguva kungoona ziso rimwe chete, rinoratidzika kuti chimwe chinhu chine mairi. Ichokwadi kuti inguva yokuti munhu ataure nechiremba inoratidzwa nemifananidzo yakasvibiswa kana yepamusoro, pamwe chete nekufamba kusingabatsiri kwemaziso ebiso.

2. Kurasikirwa kwechiyero. Mune murwere ane multiple sclerosis, chirwere chinowanzoitika kana achibva pamubhedha kana kuti anofanira kuchengeta muviri wake (somuenzaniso, panguva yekutamba kana kutasva bhasikoro). Izvi zvinokonzerwa nekuti chirwere ichi chinosvika masero emagetsi emutsipa wepelinha, izvo zvinokonzera kurashikirwa kweyero.

3. Kushungurudzika kwekunzwisisa. Pakati pezviratidzo zvokutanga zve multiple multiple sclerosis zvinoshungurudzika, zvinopisa, kuputika, kana "kumhanya" mumakumbo kana maoko, sekunge vainge vasungwa. Ichi chiratidzo chinofanirwawo kubhadharwa, kunyange kazhinji vanachiremba vachichibata kune dzimwe zvirwere. Chimwe chiratidzo chekurasikirwa kwekunzwisisa kunorwisana nekupisa uye kutonhora. Kuchinja kwakadaro mukushisa mumamiriro ekunze akachengetedzeka kunofanira kukonzera munhu kuchenjerera.

Dzimwe nguva vanhu vanogunun'una pamusoro pokurasika kwekunzwa kwevhu pasi petsoka dzavo. Kuti varege kudzigumbusa, vanomanikidzwa kugara vachitarisa pasi. Ichi ndicho chiratidzo chekutanga che multiple multiple sclerosis.

4. Kushungurudzika mupfungwa uye mupfungwa. Chikonzero chekuenda kuna chiremba chinogona kushanda sekunzwa kwokuneta pashure pekuzorora kwenguva refu. Ichi chiratidzo chekutanga che multiple multiple sclerosis. Chirwere ichi chinozviratidzawo mumatambudziko aya kana zvakaoma kuti munhu ayeuke kana kuti adzokere ruzivo. Zviratidzo zvehutano zvinogara zvichiratidza kusagadzikana uye kusagutsikana, kushayikwa kwechido chekare uye kuora mwoyo, pamwe chete ne "kutamba" kwevanhu vakawanda. Ichokwadi, mushure memakore makumi mana nemakumi mana nemashanu, munhu chero upi zvake acharatidza kuti zvose izvi zvinoratidza kuzera kwekare. Zvisinei, vechidiki munyaya ino vanofanira kubvunza chiremba.

5. Kunzwa kushevedza nguva dzose. Zvechokwadi, inowanzozivikanwa kune workaholics, vanaamai vaduku nevadzidzi. Zvisinei, nekuratidzwa kwayo nguva dzose, zvakakosha kuona chiremba. Kunzwa kuti kuneta nguva dzose kunotora vanhu vane multiple sclerosis ikozvino mangwanani. Vachiri kurara pamubhedha, vane manzwiro ekurwadziwa sekunge vashanda kuchinja katatu. Dzimwe nguva manzwiro aya anofukidza murwere chaiwo mumugwagwa.

6. Kukundikana kwekuenda kumwedzi kuvakadzi. Kuvapo kwechipi chechirwere chemashuga chinokonzera kukanganisa kwemashure ehomoni uye chirwere chikuru chekubereka.

7. Chirwere chisingaiti. Zviratidzo zvokutanga zve multiple multiple sclerosis zvinogona kuudza munhu chirwere chake chekudya. Kana iye, pasi pemamiriro ekudyiwa zvishoma kwezvigadzirwa zveupfu kwenguva yakareba, haawanzoenda mudzimba rega uye kuvigwa kwake kunowanzogara, izvi zvinofanira kuva chikonzero chekufunganya. Ichokwadi kuti zviratidzo zvakadaro zvinowanzoitika neine yakakosha yehutatu hwemuviri, nekudya kunorema kana panguva yekudzivirira. Uye pano zvakakosha kuongorora kana iwe uchinge uine zviratidzo zve multiple multiple sclerosis.

Kutya kwemaoko. Kana munhu akacherechedza kuti haasi kuomesa mabhodhi kana kuisa tsvimbo mujinga, iyi inogona kuva chiratidzo chokutanga che multiple multiple sclerosis. Mushure mezvose, chimwe chezviratidzo zvehutachiona ndechekudedera.

Multiple sclerosis chirwere chinonyangadza nekuda kwezviratidzo zvisingaenderani.

Mazuva ano munhu anogona kuva neziso, uye mangwana iye achanzwa kungova neruzivo uye kushaya simba. Zvadaro zvose zvinogona kumira, uye murwere anonzwa akanaka zvakakwana.

Diagnostics

Kuti ave nechokwadi chekuvapo kwechirwere ichi, nyanzvi inobata chirwere chepfungwa chechirwere uye murwere wake wemubvunzo. Dzimwe nzira dzokuongorora dzinoshandiswa zvakare.

Izvo zvinonyanya kuzivikanwa navo nhasi maginist resonance imaging yemutsipa wepelinha uye uropi. Mukuwedzera, kuburikidza nokucherechedza murwere, chiremba anomutungamirira kuzvirwere zvekudzivirira, izvo zvinoreva, kuongororwa kweropa nguva dzose.

Kurapa kwe multiple multiple sclerosis

Kusvika iye zvino, masayendisiti asati awana mishonga inobatsira vanhu kubvisa chirwere ichi. Vanachiremba vevarwere vanoonekwa kuti vane "multiple sclerosis" vanorapa mishonga panguva yekurapa iyo inoderedza zviratidzo zvechirwere, kuita kuti chiitiko chacho, uye kuwedzera nguva yekuregererwa uye kudzivirira kuonekwa kwezvinetso zvakasiyana-siyana.

Mishonga pakunyanyisa

Kusvika iye zvino, maviri emhando yerapi anoshandiswa kupedza multiple sclerosis. Chokutanga chazvo ndiko kugamuchirwa kwezvinodhaka kana zvichiitika kuwedzera uye kuwedzera kwemamiriro emurwere. Rudzi rwechipiri rwerapi ndiyo nguva. Inoshandiswa kune avo varwere vanove nekuvandudza kwenguva refu kwemamiriro avo neanoonekwa "multiple sclerosis". Mushonga munyaya ino varwere vanotora nguva refu.

Kuwedzeresa kuora kwehutano, kunogara kwenguva refu kupfuura zuva. Muchiitiko ichi, murwere anorayirwa adrenocorticotropic hormone uye cortisone nenzira yejojo kana mapiritsi. Izvi zvinobvumira kwete chete kubvisa kuvhiringidza, asiwo kudzivirira kuitika kwehutano hwebasa. Chiitiko chikuru pane chirwere ichi chinopiwa nekubatanidzwa kwemishonga yakadaro seCortisone uye Cyclophosphamide. Uyezve, chiremba achasarudza nemishonga kuti abvise zviratidzo zvinouya mumurwere.

Kubatana kwakanaka

Chinangwa chekurapa uku ndechekudzorera masero emironda munguva iyo pakati pekuwedzera. Panguva imwechete yakatemwa nachiremba mishonga inodzivirira murwere wepelinha uye uropi kubva kuzvidziviriro zvemuviri wechirwere chemuviri.

Munguva iyi uye apo multiple sclerosis iri padanho rekuregererwa, kurapwa kunoitwa nekubatsirwa nemishonga yakadaro se "Cyclosporin A", "Azathioprin", "Mitoksatron" nevamwe.

Dzimwe nguva murwere anopiwa uye kurapwa. Kuti vadzivirire masimba ekuzvidzivirira, vanogona kubvisa spleen kana thymus gland. Dzimwe nguva varwere vakadai vanoita kuti mafuta emapfupa apinde.

Mazano emishonga chaiyo

Iwe unogona kutsigira murwere uye kumba. Saka, chii, mushonga we multiple multiple sclerosis? Mishonga yevanhu yakakurudzirwa nevanoita:

1. Mafuta kubva mugarisi. Pamusoro pokugadzirira kwayo, iyo yakapwanyika yemusoro yemichero inomiririra pafuta yearideri. Shandisa nerimu remuoni.
2. Uchi neeiii. Iyi mishonga inosimbisa midziyo yemakumbo uye inoparadza ropa. Nekugadzirira kwayo, yakamanikidzwa jisi yeiii inosanganiswa nouchi.
3. Tincture inonamatira yegariki. Izvi zvinogadzirisa kurwisana nemaitiro ekushongedza uye zvinobatsira kubvisa tsvina yemidziyo yeropa.

Uyezve, mushonga chetsika rinorumbidza kuti vanhu vose vane MS hadzirishandisi kwenyu zuva ndaisazombodya zvihwitsi. The Muterere inofanira kuvapo zvinhu pamwe yakaderera kwevari remafuta akawandisa, uyewo avo kuti urege kukonzera kuwedzera kumanikidza. Muchiitiko chino, zviri chinodiwa kuti vazadze dhishi pamwe muriwo anonhuwirira. Zvinonzi Dzakamukurudzirawo kakawanda kunwa girini tea dzinongoitika facial.

Hunotarisirwa upenyu vanhu nemultiple sclerosis

How wevekare hwaiitirwa varwere vanenge chetsinga chirwere mashoko? It zvinoenderana:

- the timeliness ose nechirwere;
- zera chirwere ratanga;
- kubudirira kurapwa;
- kukura yematambudziko siyana;
- kuvapo mamwe pathologies.

Vangani kurarama nemultiple sclerosis? Nechekwokutanga kwezana remakore rechi20, varwere chirwere ichi akanga hwaiitirwa vaifanira makumi matatu. Uye chete chiitiko dziri akanakira chirwere.

Vangani mhenyu nemultiple sclerosis nhasi? Muzana remakore rechi21 nokuda kutanga zvokurapa, vanhu ava awane kurapwa. Paavhareji, upenyu hwavo ichienzaniswa nevezera ravo mapfupi pane makore manomwe. Asi kutonga ose ane kunze kwayo, saka yakavimbika kufanotaura pokumuka zviitiko zvakaoma chaizvo.