Yuav paub Dab Tsi Txog Kev Tiv Thaiv Kab Mob Npaum Thaum Koj Muaj MS

Zoo Siab

• Qhov txaus ntshai ntawm kev tau tus mob khaub thuas rau cov neeg nrog MS yog dab tsi?
• Tus mob khaub thuas txuas rau MS rov mob li cas?
• Cov neeg nrog MS puas tsim nyog txhaj tshuaj tiv thaiv khaub thuas?
• Yam tshuaj tiv thaiv khaub thuas twg koj yuav tsum tau txais?
• Yuav ua li cas koj thiaj li tsis kis mob khaub thuas thiab mob khaub thuas?
• Cov nqa mus

Tus mob khaub thuas yog kis tau rau tus mob ua pa uas feem ntau ua rau kub ib ce, mob ib ce, tshee, mob taub hau, thiab qee zaum muaj teeb meem loj dua. Nws yog qhov txhawj xeeb tshaj plaws yog tias koj nyob nrog ntau tus mob sclerosis (MS).

Cov kws tshawb fawb tau txuas tus mob khaub thuas rau MS rov tshwm sim. Yog li ntawv thiaj li txhaj tshuaj tiv thaiv khaub thuas thiaj li tseem ceeb. Tib lub sijhawm, nws yog ib qho tseem ceeb rau cov neeg nyob nrog MS txhawm tshuaj tiv thaiv khaub thuas uas yuav tsis cuam tshuam nrog lawv cov phiaj xwm kho mob tam sim no.

Nyeem rau kom paub seb qhov mob khaub thuas yuav ua rau cov neeg nrog MS thiab li cas koj tuaj yeem tiv thaiv koj tus kheej.

Qhov txaus ntshai ntawm kev tau tus mob khaub thuas rau cov neeg nrog MS yog dab tsi?

Feem ntau ntawm cov neeg nrog MS los nrog ib nrab ntawm ob qhov kev mob ua pa loj hauv ib xyoos, raws li kev tshuaj xyuas 2015 ntawm Frontiers hauv Immunology. Cov kws tshawb fawb tau pom tias hom mob no, xws li mob khaub thuas thiab mob khaub thuas, ua rau muaj kev pheej hmoo ob tus neeg uas nyob nrog MS muaj kev huam mob.

Qhov kev tshuaj xyuas tseem tau sau tseg ntxiv tias tom qab cov neeg nrog MS tau mob ntsws, mob kwv yees li 27 txog 41 feem pua ​​tau rov huam mob dua li 5 lub lis piam. Cov kws tshawb fawb kuj tseem pom tau tias qhov ntxim li yuav muaj kev huam mob rov qab yog lub caij nyoog, feem ntau thaum lub caij nplooj ntoo hlav.

Ib qho ntxiv, qee cov tshuaj uas koj tuaj yeem noj rau MS tuaj yeem cuam tshuam rau koj lub cev tiv thaiv kab mob thiab ua rau koj muaj kev pheej hmoo loj rau qhov mob hnyav los ntawm tus mob khaub thuas.

Tus mob khaub thuas txuas rau MS rov mob li cas?

Txawm hais tias xav tau kev tshawb fawb ntau ntxiv, kev tshawb fawb hauv cov tsiaj pom tias kev ua pa ntawm tus kab mob tuaj yeem txhawb kev txav ntawm cov kabmob tiv thaiv mus rau hauv lub hauv nruab nrab cov hlab ntsha. Nyeg, qhov no yuav ua rau muaj kev cuam tshuam MS.

Hauv kev tshawb nrhiav xyoo 2017 uas tau tshaj tawm hauv PNAS, cov kws tshawb fawb tau txhaj cov nas uas yog cov caj ces ua mob rau cov kabmob autoimmune nrog rau tus kabmob npaws A. Lawv tshawb pom tias kwv yees li 29 feem pua ​​ntawm cov nas uas tau kis tus kabmob kis tau tus kabmob tshwm sim ntawm cov mob tshwm sim li ntawm ob asthiv tom qab kis tau tus kabmob.

Cov kws tshawb nrhiav kuj tseem saib xyuas lub cev tiv thaiv kab mob hauv cov nas, ceeb toom cov haujlwm muaj zog hauv nruab nrab lub paj hlwb. Lawv qhia tias qhov kis tus mob kis rau qhov kev hloov no, thiab nyeg, nws yuav yog lub hauv paus hauv paus uas qhov kev kis tus kab mob MS hnyav zuj zus.

Cov neeg nrog MS puas tsim nyog txhaj tshuaj tiv thaiv khaub thuas?

Asmeskas Academy of Neurology (AAN) suav tias kev txhaj tshuaj yog ib qho tseem ceeb ntawm kev kho mob rau cov neeg nyob nrog MS. AAN xav kom txhua tus neeg nrog MS tau txais koob tshuaj tiv thaiv khaub thuas txhua xyoo.

Txawm li cas los xij, ua ntej tau txais cov tshuaj tiv thaiv, nws yog ib qho tseem ceeb nrog koj tus kws kho mob tham. Lub sijhawm thiab hom tshuaj MS uas koj siv, nrog koj kev noj qab haus huv feem ntau yuav cuam tshuam koj cov kev xaiv tshuaj tiv thaiv khaub thuas.

Feem ntau, AAN xav kom tawm tsam cov neeg uas muaj MS noj tshuaj tiv thaiv muaj sia, xws li tshuaj tiv thaiv kab mob npaws qhov ntswg txhaj tshuaj. Qhov no tseem ceeb heev rau cov neeg uas siv qee yam kev kho mob-kho mob (DMTs) los kho MS.

Yog tias koj muaj qhov tus mob hnyav, koj tus kws kho mob yuav pom zoo kom koj tos 4 rau 6 lub lis piam tom qab pib qhov tsos mob kom tau txhaj tshuaj.

Yog tias koj tab tom txiav txim siab hloov kev kho mob lossis pib kho tshiab, koj tus kws kho mob yuav qhia koj kom txhaj tshuaj 4 mus rau 6 lub lis piam ua ntej pib kev kho mob uas yuav txwv lossis hloov kho koj lub cev.

Raws li Rocky Mountain MS Center, txhaj tshuaj tiv thaiv khaub thuas yog li ntawm 70 txog 90 feem pua ​​zoo, tab sis qhov kev ua tau zoo ntawd yuav qis dua rau cov neeg uas MS noj tshuaj uas cuam tshuam rau lawv lub cev tiv thaiv kab mob.

Yam tshuaj tiv thaiv khaub thuas twg koj yuav tsum tau txais?

Feem ntau, AAN xav kom cov neeg uas MS tau txais daim ntawv uas tsis nyob nrog hom tshuaj tiv thaiv khaub thuas. Cov tshuaj tiv thaiv tuaj rau ntau hom:

• Tsis-nyob. Cov tshuaj tiv thaiv no suav nrog kev ua tsis tiav, lossis tua, tus kab mob lossis cov protein tsuas ua mob xwb.
• Ciaj sia. Cov tshuaj tiv thaiv uas muaj sia nyob muaj ib hom kab mob uas tsis muaj zog tiv thaiv kab mob.

Cov tshuaj tiv thaiv khaub thuas tam sim no muaj nyob ntawm cov tshuaj tiv thaiv tsis ciaj sia, thiab feem ntau suav tias yog kev nyab xeeb rau cov neeg uas muaj MS.

Qhov tshuaj tiv thaiv khaub thuas qhov ntswg yog tshuaj txhaj muaj sia, thiab nws tsis raug pom zoo rau cov neeg uas muaj MS. Nws yog ib qho tseem ceeb tshwj xeeb uas yuav zam kev txhaj tshuaj muaj sia yog tias koj siv, tsis ntev los no siv, lossis npaj siv qee yam kev kho mob hloov kho (DMTs) rau MS.

Lub National MS Society sau tseg uas DMTs, thiab sijhawm sijhawm ntawm kev kho mob, yuav ua rau muaj kev txhawj xeeb yog tias koj tab tom txiav txim siab siv tshuaj tiv thaiv.

Nws tau pom tias muaj kev nyab xeeb kom tau txais qhov tshuaj tiv thaiv kev mob ua npaws uas tsis ciaj txawm tias koj tau noj ib yam ntawm cov tshuaj no:

• interferon beta-1a (Avonex)
• interferon beta 1-b (Betaseron)
• interferon beta 1-b (Extavia)
• peginterferon beta 1-a (Plegridy)
• interferon beta 1-a (Rebif)
• teriflunomide (Aubagio)
• glatiramer acetate (Copaxone)
• ntsis ntiv tes (Gilenya)
• glatiramer acetate txhaj (Glatopa)
• alemtuzumab (Lemtrada)
• mitoxantrone hydrochloride (Novantrone)
• dimethyl fumarate (Tecfidera)
• natalizumab (Tysabri)
• ocrelizumab (Ocrevus)

Rau cov neeg laus hnub nyoog 65 thiab laus dua, Fluzone High-Dose yog muaj. Nws yog ib qho tshuaj tiv thaiv tsis muaj sia, tab sis cov kws tshawb nrhiav tsis tau kawm seb nws ua haujlwm li cas rau cov neeg uas muaj MS. Tham nrog koj tus kws kho mob yog tias koj xav txoj kev xaiv tshuaj tiv thaiv no.

Yuav ua li cas koj thiaj li tsis kis mob khaub thuas thiab mob khaub thuas?

Ntxiv nrog rau kev txhaj tshuaj tiv thaiv, koj tuaj yeem ua ntau yam los txo koj txoj kev pheej hmoo kom mob khaub thuas thiab mob npaws. Cov lus pom zoo uas koj:

• Zam kev sib cuag nrog cov neeg muaj mob.
• Nyob hauv tsev yog koj muaj mob.
• Ntxuav koj txhais tes tsis tu ncua nrog xab npum thiab dej los sis cov tshuaj ntxuav dej muaj cawv.
• Npog koj lub qhov ntswg thiab qhov ncauj thaum koj txham.
• Disinfect feem ntau siv chaw.
• Pw kom txaus thiab noj zaub mov zoo.

Cov nqa mus

Yog tias koj nyob nrog MS, nws tseem ceeb heev uas yuav tsum tau txhaj tshuaj tiv thaiv khaub thuas txhua xyoo. Sib tham txog cov tshuaj uas koj siv nrog koj tus kws kho mob, thiab txiav txim siab txog lub sijhawm los txhaj tshuaj tiv thaiv kev mob ua npaws.

Tus mob khaub thuas tuaj yeem mob nyhav dua rau cov neeg uas nyob nrog MS, thiab nws nce feem ua kom rov zoo mob. Yog tias koj tau pom cov tsos mob khaub thuas, mus ntsib koj tus kws kho mob sai li sai tau.