MS Theem: Dab Tsi Los Cia Siab

Zoo Siab

• Txheeb xyuas cov tsos mob ntawm MS
• Kev kuaj mob tshiab
• Clinically raug mob sib cais (CIS)
• Cov Relapsing-remitting MS (RRMS)
• Secondary-vam meej MS (SPMS)
• Thawj MS-kev vam meej MS (PPMS)
• Tshuaj kho mob MS
• Cov kev kho mob xaiv
• Cov nqa mus
• Q:
• A:

Ntau yam sclerosis (MS)

Nkag siab txog qhov kev vam meej ntawm tus mob sclerosis (MS) thiab kev kawm paub dab tsi yuav muaj kev cia siab tuaj yeem pab koj kom muaj kev tswj hwm thiab txiav txim siab tau zoo dua.

MS tshwm sim thaum lub cev tiv thaiv kabmob lub cev tsis raug lub hom phiaj ntawm lub hauv nruab nrog cev (CNS), txawm hais tias nws tsis suav hais tias yog lub cev tsis muaj zog. Kev tua ntawm CNS ua kev puas tsuaj rau myelin thiab cov hlab ntaws uas myelin tiv thaiv. Cov kev puas tsuaj cuam tshuam los yog distorts cov leeg puas raug xa mus rau tus txha caj qaum.

Cov neeg uas muaj MS feem ntau ua raws ib ntawm plaub yam kab mob uas sib txawv ntawm qhov mob hnyav.

Txheeb xyuas cov tsos mob ntawm MS

Thawj qib uas yuav tau xav txog tshwm sim ua ntej koj tus kws kho mob tau kuaj pom MS. Hauv thawj theem no, koj yuav muaj cov tsos mob uas koj txhawj xeeb txog.

Tej yam muaj raws caj ces thiab ib puag ncig tau xav ua lub luag haujlwm ntawm leej twg tau txais MS. Tej zaum MS khiav hauv koj tsev neeg, thiab koj txhawj xeeb txog koj qhov yuav muaj tus mob no.

Tej zaum koj tau muaj cov kev mob tshwm sim dhau los uas koj tus kws kho mob tau hais rau koj tias yuav yog MS.

Cov tsos mob tshwm sim suav nrog:

• nkees
• loog thiab tingling
• tsis muaj zog
• kiv taub hau
• kev mob
• taug kev nyuaj
• kev txawj ntse hloov pauv
• ntsug

Nyob rau theem no, koj tus kws kho mob tuaj yeem txiav txim siab saib koj puas muaj qhov pheej hmoo siab tsim kev mob raws li koj li keeb kwm kev kuaj mob thiab kuaj mob lub cev.

Txawm li cas los xij, tsis muaj kev kuaj pom tseeb tias kev kuaj pom muaj MS thiab ntau tus tsos mob kuj tshwm sim nrog lwm yam mob, yog li tus kab mob yuav tawv tuaj yeem kuaj pom.

Kev kuaj mob tshiab

Cov kauj ruam tom ntej ntawm kev ncua ntxiv yog tau txais kev kuaj mob ntawm MS.

Koj tus kws kho mob yuav txheeb xyuas koj nrog MS yog tias muaj pov thawj pom tseeb tias, ntawm ob lub ntsiab lus sib txawv hauv lub sijhawm, koj tau muaj cais ntu ntu kab mob ntawm cov haujlwm hauv koj CNS.

Feem ntau nws tuaj yeem siv sijhawm los ua qhov kev kuaj mob no vim tias lwm yam xwm txheej yuav tsum tau ua ntej. Cov no suav nrog kev kis tus kabmob CNS, kev mob CNS, thiab kev mob caj ces.

Hauv txoj kev kuaj mob tshiab, koj yuav tau tham nrog kev kho mob nrog koj tus kws kho mob thiab kawm txoj kev tshiab los tswj cov haujlwm txhua hnub nrog koj tus mob.

Muaj ntau ntau yam thiab ntau theem ntawm MS. Kawm paub hauv qab no ntxiv txog ntau hom.

Clinically raug mob sib cais (CIS)

Qhov no yog thawj zaug ntawm cov tsos mob tshwm sim los ntawm o thiab ua kom cov myelin npog rau cov leeg hauv lub hlwb lossis tus txha caj qaum. Technically, CIS tsis muaj raws li cov qauv rau kev kuaj mob ntawm MS vim nws yog qhov xwm txheej raug cais nrog tsuas yog ib thaj chaw ntawm demyelination ua lub luag haujlwm tshwm sim.

Yog tias MRI qhia lwm qhov xwm txheej yav dhau los, kev kuaj mob ntawm MS tuaj yeem tsim.

Cov Relapsing-remitting MS (RRMS)

Hom rov ua dua-ntawm cov MS feem ntau ua raws cov qauv kev paub nrog cov ntu uas cov tsos mob zuj zus thiab tom qab ntawd txhim kho. Nws thiaj li nws tuaj yeem hloov mus rau theem siab-nce qib MS.

Raws li National National Sclerosis Society (NMSS), nyob ib ncig ntawm 85 feem pua ​​ntawm cov neeg muaj tus mob MS pib muaj tus mob MS rov huam tuaj.

Cov neeg nrog RRMS muaj qhov muag tshwm sim (rov ua haujlwm dua) ntawm MS. Nruab nrab ntawm cov mob rov huam, lawv muaj lub sijhawm ntawm kev zam txim. Dhau li ob peb xyoo lawm, cov kab mob yuav hloov thiab ua ntau yam nyuaj.

Secondary-vam meej MS (SPMS)

Cov mob rov huam dua qub MS tuaj yeem hloov mus rau ntau hom kab mob sai dua. NMSS tau tshaj tawm tias, yog tias tsis kho, ib nrab ntawm cov neeg uas muaj tus mob rov huam mob tuaj ntawm MS-theem ob uas muaj kev vam meej nyob rau kaum xyoo ntawm thawj qhov kev kuaj mob.

Nyob hauv theem nrab-nce qib MS, koj tseem yuav muaj kev huam mob rov tuaj. Cov no tom qab los ntawm kev rov zoo los yog qee ntu kev zam txim, tab sis tus kab mob tsis ploj ntawm cov mus.Hloov chaw, nws tsis tsuam zuj zus.

Thawj MS-kev vam meej MS (PPMS)

Kwv yees li 15 feem pua ​​ntawm cov neeg tau txheeb pom tias muaj tus kabmob sib txawv ntawm tus kabmob, uas hu ua MS-theem tus thawj-nce qib.

Daim foos no yog pom los ntawm kev hloov kho qeeb qeeb thiab khov kho yam tsis muaj lub sijhawm tshem tawm. Qee tus neeg uas muaj mob thawj qhov hnyav-MS muaj qee zaus nyob rau hauv lawv cov tsos mob thiab kev txhim kho me hauv kev ua haujlwm uas nyiam ua ib ntus. Muaj cov kev hloov pauv ntawm cov txheej txheem hloov zuj zus nyob rau lub sijhawm.

Tshuaj kho mob MS

Ntxiv rau cov laus, menyuam yaus thiab tub ntxhais hluas tuaj yeem kuaj pom tus mob MS. NMSS tau tshaj tawm hais tias nruab nrab ntawm 2 thiab 5 feem pua ​​ntawm tag nrho MS cov neeg mob tau pom cov tsos mob uas tau pib ua ntej lawv muaj 18 xyoo.

Pediatric MS ua raws cov txheej txheem zoo sib xws ntawm tus neeg laus daim ntawv ntawm tus kab mob nrog cov tsos mob zoo li no. Txawm li cas los xij, qee tus menyuam yaus pom cov tsos mob ntxiv, xws li qaug dabpeg thiab qaug zog. Tsis tas li, chav kawm raug tus kabmob yuav vam meej qeeb dua rau cov neeg hluas dua li nws ua rau cov neeg laus.

Cov kev kho mob xaiv

Muaj ntau txoj kev kho mob muaj rau ib tus neeg kuaj mob nrog MS. Koj tus kws kho mob thiab pab neeg kho mob tuaj yeem pab koj nrhiav txoj kev kho mob zoo tshaj plaws los tswj koj cov tsos mob thiab txhim kho koj lub neej kom zoo.

Cov kev kho mob tsis txaus suav nrog:

• mob tshuaj pleev ib ce xws li tshuaj aspirin lossis ibuprofen
• cov quav muag muag thiab tso quav kom quav, rau qhov siv tsis tau

Cov kev kho mob sau tseg thiab cov kev kho mob suav nrog:

• corticosteroids rau MS tawm tsam
• ntshav sib pauv rau MS kev tawm tsam
• beta interferons
• txha cajqaum (Copaxone)
• teriflunomide (Aubagio)
• dimethyl fumarate (Tecfidera)
• kev pab kho lub cev
• leeg ua kom mob

Lwm txoj kev kho ntxiv suav nrog:

• kev tawm dag zog
• yoga
• tshuaj pleev ib ce
• kev qhia so kom txaus

Cov kev hloov hauv lub neej muaj xws li:

• qoj ib ce ntau dua, suav nrog ncab ib ce
• noj zaub mov zoo
• txo cov kev ntxhov siab

Txhua lub sijhawm koj hloov pauv ntawm koj txoj kev npaj khomob, sab laj nrog koj tus kws khomob uantej. Txawm tias cov tshuaj ntsuab tseem tuaj yeem cuam tshuam nrog cov tshuaj lossis cov kev kho koj tau noj tam sim no.

Cov nqa mus

Thaum koj paub tias yuav tsum saib dab tsi hauv txhua theem ntawm MS, koj tuaj yeem tswj hwm koj lub neej zoo dua thiab nrhiav kev kho kom haum.

Cov kws tshawb nrhiav tseem mob siab kho lawv txoj kev nkag siab txog tus mob. Txhim kho cov kev kho mob kho kom zoo dua tshiab, cov thev naus laus zis tshiab, thiab FDA-pom zoo tshuaj muaj feem cuam tshuam rau cov hauv paus ntawm MS.

Siv koj txoj kev paub thiab ua haujlwm zoo nrog koj tus kws kho mob tuaj yeem ua rau MS yooj yim los tswj txhua lub sijhawm tus kabmob.

Q:

Puas muaj lwm txoj hauv kev ua rau qeeb ntawm qhov hnyav ntawm MS? Yog tias muaj, lawv yog dab tsi?

Cov neeg tsis qhia npe

A:

Dhau li ntawm kev noj zaub mov zoo rau lub cev thiab tawm dag zog nrog kev ncab, nco ntsoov tias koj noj tshuaj Vitamin D txaus vim MS cov neeg mob tau pom tias tsis muaj txaus. Thiab ib txwm, kev noj tshuaj MS tsis tu ncua tau pom tias qeeb tus mob vam meej thiab tiv thaiv kom rov huam dua.

Mark R. Laflamme, MDAnswers sawv cev rau kev xav ntawm peb cov kws paub khomob. Txhua cov ntsiab lus yog cov ntaub ntawv nruj me ntsis thiab yuav tsum tsis txhob txiav txim siab cov lus ntuas kho mob.