I-CCSVI: Izimpawu, Ukwelashwa, Nobudlelwano Bayo ne-MS

-Delile

• Yini iCCSVI?
• Izimpawu zeCCSVI
• Izimbangela zeCCSVI
• Ukuhlonza i-CCSVI
• Ukwelashwa kweCCSVI
• Izingozi zokwelashwa kwenkululeko
• Isixhumanisi seCCSVI neMS
• Ucwaningo olwengeziwe lweCCSVI
• Ukudla okudlela endlini

Yini iCCSVI?

Ukungasebenzi kahle kwe-cerebrospinal venous insufficiency (CCSVI) okungapheli kubhekisa ekunciphiseni kwemithambo entanyeni. Lesi simo esichazwe ngokungaqondakali besinentshisekelo kubantu abane-MS.

Intshisekelo ivela kusiphakamiso esinempikiswano enkulu ukuthi i-CCSVI ibangela i-MS, nokuthi ukuhlinzekwa kwe-transvascular autonomic modulation (TVAM) emithanjeni yegazi entanyeni kunganciphisa i-MS.

Ucwaningo olunzulu luthole ukuthi lesi simo asixhunyiwe ku-MS.

Ngaphezu kwalokho, ukuhlinza akusizi. Kungadala nezinkinga ezisongela impilo.

Lowo ukhiphe isexwayiso maqondana neTVAM futhi uvimbele inqubo. Akugunyaziwe e-United States njengokwelapha i-CCSVI noma i-MS.

I-FDA isebenzise uhlelo lokubika noma ikuphi ukungathobeli noma izinkinga zezokwelapha ezihambisanayo.

Kunombono wokuthi ukugeleza kwegazi emithanjeni enganele kungahlanganiswa nokuncipha kwemithambo entanyeni. Kuphakanyisiwe ukuthi ukuncipha kungadala ukwehla kwegazi okuvela ebuchosheni nakumgogodla.

Ngenxa yalokhu, labo abagqugquzela umbono we-CCSVI-MS onempikiswano basikisela ukuthi igazi libuyele emuva ebuchosheni nasemgogodleni, kubangele ingcindezi nokuvuvukala.

Umbono owodwa weCCSVI ngukuthi isimo sidala ukulondolozwa kwengcindezi noma kunciphise ukuphuma kwegazi okushiya uhlelo oluphakathi lwezinzwa (CNS).

Izimpawu zeCCSVI

I-CCSVI ayichazwanga kahle ngokwezinyathelo zokugeleza kwegazi, futhi ayihlotshaniswa nanoma yiziphi izimpawu zomtholampilo.

Izimbangela zeCCSVI

Imbangela ngqo nencazelo yeCCSVI ayitholakalanga. Isibonelo, inani eliqondile lokugeleza kwama-venous cerebrospinal okungathathwa njengokujwayelekile noma okuhle empeleni akusona isilinganiso sempilo.

Ukugeleza kwemithambo yegazi engaphansi kwesilinganiso esezingeni eliphansi kunenkolelo yokuthi kungokokuzalwa (okukhona ngesikhathi sokuzalwa) futhi akuholeli kunoma yiziphi izindaba zezempilo.

Ukuhlonza i-CCSVI

Ukuhlonza i-CCSVI kungasizwa ukuhlolwa kwesithombe. I-ultrasound isebenzisa amaza omsindo wemvamisa ephezulu ukwakha isithombe soketshezi ngaphakathi komzimba wakho.

Udokotela wakho angasebenzisa i-ultrasound noma i-magnetic resonance venography ukubuka imithambo entanyeni yakho nokuhlola noma yiziphi izinkinga ezingalungile zesakhiwo, kodwa awekho amazinga lapho kulinganiswa ukugeleza noma ukugeleza okunganele.

Lezi zivivinyo azenziwa kubantu abane-MS.

Ukwelashwa kweCCSVI

Ukuphela kokwelapha okuhlongozwayo kweCCSVI yiTVAM, i-angioplasty enesibindi yokuhlinzwa, eyaziwa nangokuthi ukwelashwa kwenkululeko. Kuhloselwe ukuvula imithambo emincane. Udokotela ohlinzayo ufaka ibhaluni elincane emithanjeni ukuze anwebe.

Le nqubo ichazwe njengendlela yokusula ukuvimba nokwandisa ukugeleza kwegazi ebuchosheni nakumgogodla.

Yize abanye abantu ababenenqubo kusimo sokuhlola babika ukuthuthuka esimweni sabo, abaningi babenemibhalo yokuvuselelwa kokuhlolwa kwabo kwe-imaging, okusho ukuthi imithambo yabo yegazi yancipha futhi.

Ngaphezu kwalokho, akucaci ukuthi labo ababike ukwenziwa ngcono kwemitholampilo babenalo yini ushintsho oluhambisana nokuhamba kwegazi labo.

Ucwaningo oluphenya ngokusebenza kokuhlinzwa kweCCSVI aluthembisi.

Ngokusho kwe-MS Society, ucwaningo lwesilingo somtholampilo lwango-2017 lwabantu abayi-100 abane-MS luthole ukuthi i-venous angioplasty ayizinciphisanga izimpawu zabahlanganyeli.

Izingozi zokwelashwa kwenkululeko

Ngoba ukwelashwa kweCCSVI akuboniswanga ukuthi kuyasebenza, odokotela beluleka ngokuqinile ngokuhlinzwa ngenxa yobungozi bezinkinga ezinkulu. Lezi zinkinga zifaka:

• amahlule egazi
• ukushaya kwenhliziyo okungavamile
• ukwehlukaniswa komthambo
• ukutheleleka
• ukuqhuma kwemithambo

Isixhumanisi seCCSVI neMS

Ngo-2008, uDkt Paolo Zamboni wase-University of Ferrara e-Italy wethula isixhumanisi esihlongozwayo phakathi kweCCSVI neMS.

UZamboni wenze ucwaningo ngabantu abane-MS nabangenayo. Usebenzisa i-ultrasound imaging, uqhathanise imithambo yegazi kuwo womabili amaqembu ababambiqhaza.

Ubike ukuthi iqembu lokutadisha eline-MS lalinokugeleza kwegazi okungajwayelekile okuvela ebuchosheni nasentanjeni yomgogodla, kanti iqembu lokufunda elingenayo i-MS lalinokugeleza kwegazi okujwayelekile.

Ngokuya ngokuthola kwakhe, uZamboni uphethe ngokuthi i-CCSVI iyimbangela ye-MS.

Lokhu kuxhumana, noma kunjalo, ekuqaleni bekuyindaba yenkulumompikiswano emphakathini wezokwelapha. Kusukela lapho kwaphikiswa futhi, ngokususelwa ocwaningweni lweqembu lakhe olulandelayo, uZamboni uqobo ushilo ukuthi ukwelashwa okuhlinzekwayo akuphephile futhi akusebenzi.

Eqinisweni, ubufakazi obandayo bukhombisa ukuthi i-CCSVI ayixhumene ngqo ne-MS.

Abaphenyi basikisela ukuthi ukungafani kwemiphumela kungabangelwa izimo ezahlukahlukene, kufaka phakathi ukungahambelani kwamasu wokucabanga, ukuqeqeshwa kwabasebenzi, nokuchazwa kwemiphumela.

Ucwaningo olwengeziwe lweCCSVI

Ucwaningo lukaZamboni bekungelona kuphela ucwaningo olwenziwe ngomzamo wokuthola ukuxhumana phakathi kweCCSVI neMS.

Ngo-2010, iNational MS Society e-United States kanye ne-MS Society of Canada bajoyina futhi baphothula izifundo ezifanayo eziyisikhombisa. Kodwa ukuhluka okukhulu emiphumeleni yabo akubonisanga ukuhlangana phakathi kweCCSVI ne-MS, okuholele ekutheni abacwaningi baphethe ngokuthi akukho ukuxhumana.

Olunye ucwaningo empeleni lube nokukhuphuka okukhulu kwamazinga wokubuyela emuva kwe-MS ngenxa yenqubo, okwaholela ekutheni izifundo ziphele kusenesikhathi.

Ngaphezu kwalokho, abanye ababambe iqhaza ocwaningweni bafa ngenxa yesivivinyo, okwakukhona ngaleso sikhathi ukufaka i-stent emthanjeni.

Ukudla okudlela endlini

I-MS ingalindeleka ngezikhathi ezithile, ngakho-ke kuyaqondakala ukufuna ukukhululeka nokwelashwa okusebenzayo. Kodwa abukho ubufakazi bokuqinisekisa ukuthi ukwelapha i-CCSVI kuzothuthukisa i-MS noma kumise ukuqhubeka kwayo.

"Ukwelashwa kwenkululeko" kunikeza ithemba elingalungile lokuphulukiswa okuyisimangaliso kwesifo esibuhlungu ngesikhathi lapho sinezindlela zokwelashwa zangempela ezinengqondo.

Lokhu kungaba yingozi, njengoba namanje singenazo izinketho ezinhle zokulungisa noma ukubuyisela i-myelin elahlekile ngenkathi ibambezela ukwelashwa.

Uma ukwelashwa kwakho kwamanje kungaphathi i-MS yakho kahle, unganqikazi ukufinyelela kudokotela wakho. Bangasebenza nawe ukuthola ukwelashwa okusebenzayo.