Vim li cas MS thiaj ua rau Lub Hlwb Hlwb? Qhov Koj Yuav Tsum Tau Paub Txog

Zoo Siab

• Txheej txheem cej luam
• Cov duab ntawm MS hlwb mob
• Kev kuaj rau mob hlwb MS
• Cov tsos mob ntawm MS lub hlwb mob
• Yuav ua li cas koj thiaj li tso tseg qhov chaw txhab mob tshiab los ntawm kev sib sau?
• Yuav mob hlwb hlwb yuav ploj mus?
• Txhab ntawm nqaj qaum
• Cov nqa mus

Txheej txheem cej luam

Cov hlab hauv koj cov paj hlwb thiab pob txha nraub qaum yog qhwv hauv ib qho npog tiv thaiv hu ua myelin sheath. Cov txheej txheem no pab ua kom qhov nrawm nrawm nrawm nrawm nrog koj lub qab haus huv.

Yog tias koj muaj ntau tus kab mob sclerosis (MS), muaj lub zog tiv thaiv kab mob hauv koj lub cev ua rau cov mob o ua rau cov leeg myelin puas tsuaj. Thaum qhov ntawd tshwm sim, thaj chaw puas uas hu ua plaques lossis mob txhab rau lub hlwb lossis tus txha caj qaum.

Ua tib zoo tswj thiab saib xyuas tus mob tuaj yeem pab koj thiab koj tus kws kho mob kom nkag siab yog tias nws hloov siab. Nyeg, kev lo nrog qhov phiaj xwm kho tau zoo yuav txo qis lossis qeeb qeeb ntawm qhov txhab.

Cov duab ntawm MS hlwb mob

Kev kuaj rau mob hlwb MS

Txhawm rau soj ntsuam thiab saib xyuas qhov muaj mob ntawm MS, koj tus kws kho mob yuav xaj qhov kev sim duab. Cov kev sim no hu ua MRI scans. Cov kws kho mob kuj tseem siv cov kev kuaj mob lub cev los saib xyuas lub hom phiaj ntawm koj MS.

MRI scans tuaj yeem siv los tsim cov duab ntawm koj lub hlwb thiab tus txha caj qaum. Qhov no tso cai rau koj tus kws kho mob kuaj xyuas qhov tshiab thiab hloov chaw txhab.

Nrhiav kev txhim kho cov qhov txhab txhab tuaj yeem pab koj tus kws kho mob paub txog seb koj tus mob zoo li cas lawm. Yog tias koj muaj qhov txhab tshiab lossis txhab, nws yog qhov qhia tias tus kab mob tau ua haujlwm.

Kev tswj cov qhov txhab kuj tseem tuaj yeem pab koj tus kws kho mob kawm txog tias koj txoj kev npaj khomob ua haujlwm zoo npaum li cas. Yog tias koj muaj cov tsos mob tshiab los yog mob txhab, lawv yuav pom zoo kom hloov rau koj hom phiaj xwm kho.

Koj tus kws kho mob tuaj yeem pab koj txiav txim siab hais txog cov kev xaiv kho koj. Lawv kuj tuaj yeem qhia koj txog cov kev kho mob tshiab uas yuav muaj txiaj ntsig rau koj.

Cov tsos mob ntawm MS lub hlwb mob

Thaum qhov txhab tshwm ntawm koj lub hlwb lossis tus txha caj qaum, lawv tuaj yeem cuam tshuam kev txav chaw ntawm lub teeb liab raws koj cov hlab ntsha. Qhov no tuaj yeem ua rau ntau yam tsos mob.

Piv txwv, qhov mob txhab yuav ua rau:

• teeb meem tsis pom kev
• leeg tsis muaj zog, ua tau txhav, thiab txhaws
• loog lossis tingling hauv koj lub ntsej muag, lub cev, txhais tes, lossis ceg
• tsis muaj kev sib koom ua ke thiab sib npaug
• teeb meem tswj koj lub zais zis
• mob taub hau tas li

Sij hawm dhau mus, MS tuaj yeem ua rau cov qhov txhab mob tshiab tsim. Cov qhov txhab uas twb muaj lawm tseem yuav loj tuaj ntxiv, uas yuav ua rau rov huam mob los yog mob tuaj. Qhov no tshwm sim thaum koj cov tsos mob mob heev dua lossis cov tsos mob tshiab tshwm sim.

Nws kuj ua tau kom muaj txhab tsis muaj tsos mob tshwm sim. Tsuas yog 1 ntawm 10 qhov chaw mob ua rau sab nraud cuam tshuam raws li National Institute ntawm Neurological Disorder thiab Stroke (NINDS).

Txhawm rau ua kom qeeb ntawm qhov nce ntawm MS, ntau yam kev kho mob muaj nyob. Kev paub thiab kho ntxov yuav pab tiv thaiv kom tsis txhob muaj qhov txhab tshiab.

Yuav ua li cas koj thiaj li tso tseg qhov chaw txhab mob tshiab los ntawm kev sib sau?

Muaj ntau cov tshuaj muaj kho MS. Qee cov tshuaj yuav pab ua rau koj cov tsos mob zoo thaum mob huam tuaj lossis muaj teeb meem loj. Lwm qhov txo qis qhov mob tshiab tawm los ntawm kev sib sau thiab pab qeeb qhov mob ntawm tus mob.

Lub Chaw Tswj Xyuas Khoom Noj thiab Tshuaj (FDA) tau pom zoo ntau tshaj li kaum-ob hom tshuaj kho kab mob (DMTs) los pab qeeb qhov kev mob tshwm sim tshiab.

DMT feem ntau tau tsim los kho cov ntawv rov huam tuaj ntawm MS. Txawm li cas los xij, qee qhov ntawm lawv siv los kho lwm hom MS.

Ntau DMTs tau qhia cov lus cog tseg rau kev tiv thaiv cov qhov txhab tshiab hauv cov neeg nrog MS. Piv txwv, cov tshuaj hauv qab no tuaj yeem pab tiv thaiv qhov mob txhab:

• interferon beta-1b (Betaseron)
• ocrelizumab (Ocrevus)
• interferon-beta 1a (Avonex, Extavia)
• alemtuzumab (Lemtrada)
• cladribine (Mavenclad)
• teriflunomide (Aubagio)
• fumaric acid
• dimethyl fumarate (Tecfidera)
• ntsis ntiv tes (Gilenya)
• natalizumab (Tysabri)
• mitoxantrone
• glatiramer acetate (Copaxone)

Raws li NINDS, cov kev soj ntsuam kuaj mob tseem tab tom kawm kom paub ntau ntxiv txog qhov muaj txiaj ntsig thiab kev pheej hmoo ntawm kev siv cov tshuaj no. Qee qhov ntawm lawv yog sim, thaum lwm tus tau pom zoo los ntawm FDA.

Yuav mob hlwb hlwb yuav ploj mus?

Ntxiv nrog rau qhov ua kom qeeb qeeb ntawm qhov txhab txhab, nws yuav muaj peev xwm rau ib hnub zoo kho lawv.

Cov kws tshawb fawb tab tom ua haujlwm los tsim kho myelin cov tswv yim kho, lossis rov ua kom rov zoo li qub, uas yuav pab ua kom myelin rov qab los.

Piv txwv li, pom tias clemastine fumarate yuav pab txhawb kev kho myelin hauv cov neeg muaj kev puas tsuaj rau optic los ntawm MS. Clemastine fumarate yog tshuaj tiv thaiv kev tsis haum (OTC) uas yog siv los kho kev ua xua raws caij nyoog.

Kev tshawb fawb ntxiv yog xav tau los ntsuas cov txiaj ntsig zoo thiab kev pheej hmoo ntawm kev siv cov tshuaj no los kho MS. Cov kev tshawb fawb tseem tab tom tshawb pom thiab sim lwm cov tswv yim uas yuav muaj los txhawb rau kev kho dua tshiab.

Txhab ntawm nqaj qaum

Cov qhov txhab ntawm tus txha nraub qaum yog tseem tshwm sim hauv cov neeg nrog MS. Qhov no yog vim hais tias demyelination, uas yog dab tsi ua rau mob txhab rau cov hlab ntsha, yog tus yam ntxwv ntawm MS. Demyelination tshwm sim hauv cov hlab ntsha ntawm ob lub hlwb thiab nqaj qaum.

Cov nqa mus

MS tuaj yeem ua rau qhov mob txhab rau lub hlwb thiab tus pob txha caj qaum, uas tuaj yeem ua rau ntau yam tsos mob. Txhawm rau pab qeeb kev txhim kho cov qhov txhab thiab tswj cov tsos mob uas lawv tuaj yeem ua, koj tus kws kho mob yuav sau ntawv rau ib lossis ntau txoj kev kho mob.

Ntau txoj kev sim tshuaj kho mob kuj tseem tab tom raug tsim tsis tsuas yog los txwv qhov kev kho mob tshiab, tab sis tseem kho lawv kom zoo.