Uyini umehluko phakathi kwe-Acute Disseminated Encephalomyelitis ne-MS?

-Delile

• Izimpawu
• I-ADEM
• I-MS
• Izici zobungozi
• I-ADEM
• I-MS
• Ukuxilongwa
• I-MRI
• Okunye ukuhlolwa
• Okubalulekile
• Izimbangela
• Ukwelashwa
• I-ADEM
• I-MS
• Umbono wesikhathi eside

Izimo ezimbili zokuvuvukala

I-encephalomyelitis (ADEM) kanye ne-multiple sclerosis (MS) esatshalaliswa kakhulu yizinkinga zokuvuvukala komzimba. Amasosha ethu omzimba asivikela ngokuhlasela abahlaseli bangaphandle abangena emzimbeni. Kwesinye isikhathi, amasosha omzimba ahlasela ngephutha izicubu ezinempilo.

Ku-ADEM naku-MS, ilitshe lokuhlaselwa yi-myelin. I-Myelin yi-insulation evikelayo ehlanganisa imicu yezinzwa kulo lonke uhlelo oluphakathi lwezinzwa (CNS).

Ukulimala kwe-myelin kwenza kube nzima ukuthi amasiginali avela ebuchosheni afinyelele kwezinye izingxenye zomzimba. Lokhu kungadala izimpawu ezahlukahlukene, kuya ngezindawo ezilimele.

Izimpawu

Kuzo zombili i-ADEM ne-MS, izimpawu zifaka ukulahleka kombono, ubuthakathaka bemisipha, nokuba ndikindiki ezithweni.

Izinkinga ngokulinganisela nokuxhumanisa, kanye nobunzima bokuhamba, zivamile. Ezimweni ezinzima, ukukhubazeka kungenzeka.

Izimpawu ziyahluka ngokuya ngendawo yomonakalo ngaphakathi kwe-CNS.

I-ADEM

Izimpawu ze-ADEM ziza ngokuzumayo. Ngokungafani ne-MS, zingafaka:

• ukudideka
• imfiva
• isicanucanu
• ukuhlanza
• ikhanda
• isithuthwane

Isikhathi esiningi, isiqephu se-ADEM yinto eyodwa. Ukululama kuvame ukuqala ezinsukwini ezimbalwa, futhi iningi labantu lenza ukululama okugcwele ezinyangeni eziyisithupha.

I-MS

I-MS ihlala impilo yonke. Ezinhlotsheni zokubuyisela emuva ze-MS, izimpawu ziyafika zidlule kepha zingaholela ekuqongeleleni ukukhubazeka. Abantu abanezinhlobo eziqhubekayo ze-MS babhekana nokuwohloka okuqhubekayo nokukhubazeka unomphela. Funda kabanzi mayelana nezinhlobo ezahlukahlukene ze-MS.

Izici zobungozi

Ungathuthukisa noma yisiphi isimo nganoma yisiphi isikhathi. Kodwa-ke, i-ADEM inamathuba amaningi okuthinta izingane, kuyilapho i-MS kungenzeka ukuthi ithinte abantu abadala abasebasha.

I-ADEM

Ngokusho kweNational Multiple Sclerosis Society, ngaphezu kwamaphesenti angama-80 amacala e-ADEM ebuntwaneni avela ezinganeni ezingaphansi kweminyaka eyishumi ubudala. Iningi lamanye amacala avela kubantu abaphakathi kweminyaka eyishumi nengama-20 ubudala. I-ADEM ayitholakali kutholakala kubantu abadala.

Ochwepheshe bakholelwa ukuthi i-ADEM ithinta umuntu oyedwa kwabangu-125,000 kuye kwabangu-250,000 e-United States minyaka yonke.

Kuvame kakhulu kubafana kunamantombazane, kuthinta abafana ngamaphesenti angama-60 esikhathi. Kubonakala kuzo zonke izinhlanga emhlabeni jikelele.

Kungenzeka kakhulu ukuthi ivele ebusika nasentwasahlobo kunasehlobo nasekwindla.

I-ADEM ivame ukukhula ngaphakathi kwezinyanga ezimbalwa zokutheleleka. Ezimweni ezithile, kungahle kudalwe ukugoma. Kodwa-ke, odokotela abakwazi ngaso sonke isikhathi ukukhomba umcimbi odalayo.

I-MS

I-MS ivame ukutholakala iphakathi kweminyaka engama-20 nengama-50. Abantu abaningi bathola ukuxilongwa beseneminyaka engama-20 noma engama-30.

I-MS ithinta abesifazane kakhulu kunabesilisa. Uhlobo oluvame kakhulu lwe-MS, i-RRMS, luthinta abesifazane ngesilinganiso esiphindwe kabili kuya kathathu kunabesilisa.

Izifo zezifo ziphakeme kubantu baseCaucasus kunabantu bezinye izinhlanga. Kuba ngokuvama kakhulu lapho umuntu ekude nenkabazwe.

Ochwepheshe bakholelwa ukuthi cishe abantu abayizigidi ezi-1 e-United States bane-MS.

I-MS ayiyona ifa, kepha abacwaningi bakholelwa ukuthi kukhona ukuthambekela kofuzo ekuthuthukiseni i-MS. Ukuba nesihlobo esisezingeni lokuqala - njengengane yakini noma umzali - one-MS kwandisa ubungozi bakho.

Ukuxilongwa

Ngenxa yezimpawu ezifanayo nokuvela kwezilonda noma izibazi ebuchosheni, kulula ukuthi i-ADEM iqale ikhonjwe ngokungeyikho njengokuhlaselwa yi-MS.

I-MRI

I-ADEM ngokuvamile iqukethe ukuhlaselwa okukodwa, kuyilapho i-MS ifaka ukuhlaselwa okuningi. Kulesi simo, i-MRI yobuchopho ingasiza.

Ama-MRIs angahlukanisa phakathi kwezilonda ezindala nezintsha. Ukuba khona kwezilonda ezindala eziningi ebuchosheni kuhambisana kakhulu ne-MS. Ukungabikho kwezilonda ezindala kungakhombisa noma yisiphi isimo.

Okunye ukuhlolwa

Lapho bezama ukuhlukanisa i-ADEM kwi-MS, odokotela bangahle futhi:

• cela umlando wakho wezokwelapha, kufaka phakathi umlando wakamuva wezifo nokugoma
• buza ngezimpawu zakho
• yenza i-lumbar puncture (umpompi womgogodla) ukuhlola izifo ezithweni lomgogodla, njenge-meningitis ne-encephalitis
• yenza ukuhlolwa kwegazi ukubheka ezinye izinhlobo zezifo noma izimo ezingadidaniswa ne-ADEM

Okubalulekile

Izici ezimbalwa ezibalulekile ku-ADEM ziyayihlukanisa ne-MS, kufaka phakathi umkhuhlane ongazelelwe, ukudideka, futhi mhlawumbe nekhoma. Lokhu akuvamile kubantu abane-MS. Izimpawu ezifanayo ezinganeni zivame ukuba yi-ADEM.

Izimbangela

Isizathu se-ADEM asiqondakali kahle. Ochwepheshe baqaphele ukuthi, ngaphezu kwengxenye yazo zonke izimo, izimpawu zivela ngemuva kokutheleleka kwamagciwane noma kwegciwane. Ezimweni ezingavamile kakhulu, izimpawu zikhula ngemuva kokugoma.

Kodwa-ke, kwezinye izimo, awukho umcimbi oyimbangela owaziwayo.

I-ADEM mhlawumbe ibangelwa amasosha omzimba asabela ngokweqile ekuthelelekeni noma emuthini wokugoma. Amasosha omzimba ayadideka futhi akhombe futhi ahlasele izicubu ezinempilo njenge-myelin.

Abaphenyi abaningi bakholelwa ukuthi i-MS ibangelwa ukuthambekela kofuzo ekuthuthukiseni lesi sifo kuhlangene nesikhuthazi segciwane noma semvelo.

Asikho isimo esithelelanayo.

Ukwelashwa

Izidakamizwa ezifana ne-steroids nezinye izijovo zingasetshenziswa ukwelapha lezi zimo.

I-ADEM

Inhloso yokwelashwa kwe-ADEM ukumisa ukuvuvukala ebuchosheni.

I-corticosteroids efakwa ngomlomo nangomlomo ihlose ukunciphisa ukuvuvukala futhi imvamisa ilawula i-ADEM. Ezimweni ezinzima kakhulu, kunganconywa ukwelashwa kwe-immunoglobulin ngemithambo.

Imithi yesikhathi eside ayidingekile.

I-MS

Ukwelashwa okuhlosiwe kungasiza abantu abane-MS ukuphatha izimpawu zomuntu ngamunye nokuthuthukisa ikhwalithi yabo yokuphila.

Izindlela zokwelapha eziguqula izifo zisetshenziselwa ukwelapha i-MS (RRMS) kanye ne-MS (PPMS) eyisisekelo eqhubekayo.

Umbono wesikhathi eside

Cishe amaphesenti angama-80 ezingane ezine-ADEM azoba nesiqephu esisodwa se-ADEM. Iningi lilulama ngokuphelele ezinyangeni ezimbalwa kulandela ukugula. Ezimweni ezimbalwa zamacala, ukuhlaselwa kwesibili kwe-ADEM kwenzeka ezinyangeni ezimbalwa zokuqala.

Amacala abucayi kakhulu angabangela ukukhubazeka okuhlala njalo awavamile. Ngokwe-Genetic and Rare Disease Information Center, “ingxenye encane” yabantu okutholakala ukuthi bane-ADEM ekugcineni iba ne-MS.

I-MS iba nzima ngokuhamba kwesikhathi, futhi alikho ikhambi. Ukwelashwa kungaqhubeka.

Kungenzeka ukuthi uphile impilo enempilo, esebenzayo kanye nalezi zimo. Uma ucabanga ukuthi wena noma othandekayo ningaba ne-ADEM noma i-MS, xhumana nodokotela ukuthola ukuxilongwa okufanele.