Konke Mayelana Ne-Radiologically Isolated Syndrome nokuxhuma Kwayo ku-Multiple Sclerosis

-Delile

• Ukuxhuma ku-multiple sclerosis
• Izimpawu ze-RIS
• Ukuxilongwa kwe-RIS
• RIS ezinganeni
• Ukwelashwa kwe-RIS
• Uyini umbono?

Siyini isifo esikude nge-radiologically?

I-Radiologically isolated syndrome (i-RIS) yisimo sezinzwa-sobuchopho nesimo sezinzwa. Kulesi sifo kunezilonda noma izindawo eziguquke kancane ebuchosheni noma emgogodleni.

Izilonda zingenzeka noma yikuphi ohlelweni lwezinzwa oluphakathi (CNS). I-CNS yakhiwe ubuchopho, umgogodla, nezinzwa ze-optic (iso).

I-Radiologically isolated syndrome ukutholakala kwezokwelapha ngesikhathi sokuskena ikhanda nentamo. Akwaziwa ukudala ezinye izimpawu noma izimpawu. Ezimweni eziningi, ayidingi ukwelashwa.

Ukuxhuma ku-multiple sclerosis

I-Radiologically isolated syndrome ixhunyaniswe ne-multiple sclerosis (MS). Ukuskena ubuchopho nomgogodla womuntu one-RIS kungahle kubonakale njengobuchopho nokuskena komgogodla komuntu one-MS. Kodwa-ke, ukutholakala une-RIS akusho ukuthi uzoba ne-MS.

Abanye abacwaningi baphawula ukuthi i-RIS ayihlali ixhunyaniswa ne-multiple sclerosis. Izilonda zingenzeka ngenxa yezizathu eziningi nasezindaweni ezahlukahlukene zesistimu yezinzwa emaphakathi.

Olunye ucwaningo lukhombisa ukuthi i-RIS ingaba yingxenye ye- "multiple sclerosis spectrum." Lokhu kusho ukuthi le syndrome ingaba uhlobo "lokuthula" lwe-MS noma uphawu lokuqala lwalesi simo.

Kutholwe ukuthi cishe ingxenye eyodwa kwezintathu zabantu abane-RIS ikhombise izimpawu ezithile ze-MS esikhathini esiyiminyaka emihlanu. Kulawa, cishe amaphesenti ayishumi atholakale ene-MS. Izilonda zakhula noma zaba zimbi ngamaphesenti angaba ngu-40 wabantu abatholakala bene-RIS. Kodwa bebengakabi nazo izimpawu.

Lapho izilonda zenzeka khona kuyi-radiologically isolated syndrome nakho kungabalulekile. Iqembu elilodwa labaphenyi lithole ukuthi abantu abanezilonda endaweni yobuchopho ebizwa nge-thalamus basengozini enkulu.

Olunye ucwaningo lwathola ukuthi abantu ababenezilonda engxenyeni engenhla yomgogodla kunokuba ebuchosheni babenamathuba amaningi okuthuthukisa i-MS.

Ucwaningo olufanayo luphawule ukuthi ukuba ne-RIS kwakungeyona ingozi kunezinye izimbangela ze-multiple sclerosis. Iningi labantu abahlakulela i-MS bazoba nezici ezingaphezu kweyodwa zobungozi. Izingozi ze-MS zifaka:

• izakhi zofuzo
• izilonda zomgogodla
• ukuba ngowesifazane
• ngaphansi kweminyaka engama-37
• ukuba seCaucasian

Izimpawu ze-RIS

Uma uthola ukuthi une-RIS, ngeke ube nezimpawu ze-MS. Ungahle ungabi nazimpawu nhlobo.

Kwezinye izimo, abantu abanalesi sifo bangaba nezinye izimpawu ezimnene zokuphazamiseka kwemizwa. Lokhu kufaka phakathi ukuncipha kobuchopho obuncane kanye nesifo sokuvuvukala. Izimpawu zingafaka:

• ikhanda noma ubuhlungu be-migraine
• ukulahleka kwengqondo emilenzeni
• ubuthakathaka bomlenze
• izinkinga ngokuqonda, inkumbulo, noma ukugxila
• ukukhathazeka nokudangala

Ukuxilongwa kwe-RIS

I-Radiologically isolated syndrome ivame ukutholakala ngengozi ngesikhathi sokuskena ngezinye izizathu. Izilonda zobuchopho seziyinto etholakala ngokujwayelekile njengoba ukuskena kwezokwelapha kuthuthuka futhi kusetshenziswa njalo.

Ungase ube ne-MRI noma i-CT scan yekhanda nentamo yezinhlungu zekhanda, i-migraines, ukungaboni kahle, ukulimala ekhanda, isifo sohlangothi nokunye okukhathazayo.

Izilonda zingatholakala ebuchosheni noma emgogodleni. Lezi zindawo zingabukeka zihlukile kunemicu yezinzwa nezicubu ezizungezile. Kungabonakala njengokukhanya noma mnyama kuskena.

Cishe amaphesenti ama-50 abantu abadala abane-syndrome ekhethiwe nge-radiologically bahlolwe ubuchopho okokuqala ngenxa yekhanda.

RIS ezinganeni

I-RIS ayivamile ezinganeni, kodwa iyenzeka. Ukubuyekezwa kwamacala ezinganeni nasebusheni kwathola ukuthi cishe amaphesenti angama-42 ayenezimpawu ezithile ze-multiple sclerosis ngemuva kokuxilongwa. Cishe amaphesenti angama-61 ezingane ezine-RIS akhombise izilonda ezingaphezulu konyaka owodwa kuya kwemibili.

I-Multiple sclerosis ivame ukwenzeka ngemuva kweminyaka yobudala engama-20. Uhlobo olubizwa nge-multipleatric sclerosis lungenzeka ezinganeni ezingaphansi kweminyaka eyi-18. Ucwaningo oluqhubekayo lubheka ukuthi ngabe isifo esihlukaniswe ngemisebe ezinganeni siyisibonakaliso yini sokuthi bazosithola lesi sifo besakhula.

Ukwelashwa kwe-RIS

Ukuhlolwa kwe-MRI nobuchopho sekuthuthukile futhi kuvame kakhulu. Lokhu kusho ukuthi i-RIS manje seyilula odokotela ukuyithola. Ucwaningo oluningi luyadingeka ukuthi ngabe izilonda zobuchopho ezingabangeli izimpawu kufanele zilashwe yini.

Abanye odokotela bacwaninga ukuthi ukwelashwa kwangaphambi kwesikhathi kwe-RIS kungasiza yini ukuvimbela i-MS. Abanye odokotela bakholelwa ukuthi kungcono ukubuka nokulinda.

Ukutholakala une-RIS akusho ukuthi uyoke udinge ukwelashwa. Kodwa-ke, ukuqapha ngokucophelela nangokujwayelekile ngudokotela onguchwepheshe kubalulekile. Kwabanye abantu abanalesi simo, izilonda zingakhula ngokushesha. Abanye bangathuthukisa izimpawu ngokuhamba kwesikhathi. Udokotela wakho angakuphatha ngezimpawu ezihlobene, ezinjengezinhlungu ezingapheli zekhanda noma i-migraines.

Uyini umbono?

Iningi labantu abane-RIS abanazo izimpawu noma baba ne-multiple sclerosis.

Kodwa-ke, kusabalulekile ukubona i-neurologist yakho (uchwepheshe wezobuchopho nowezinzwa) nodokotela womndeni ukuze kuhlolwe njalo. Uzodinga ukuskena kokulandelela ukuze ubone ukuthi izilonda zishintshile yini. Ukuskena kungadingeka minyaka yonke noma kaningi ngisho noma ungenazo izimpawu.

Vumela udokotela wakho azi nganoma yiziphi izimpawu noma izinguquko empilweni yakho. Gcina iphephabhuku ukurekhoda izimpawu.

Tshela udokotela wakho uma uzizwa ukhathazekile ngokuxilongwa kwakho. Bangakwazi ukukukhomba kuzithangami namaqembu okusekela abantu abane-RIS.