Ukuhlolwa kwe-Multiple Sclerosis

-Delile

• Ukuhlolwa kwegazi
• Ukucabanga kwemagnetic resonance
• Inhloso
• Ukulungiselela
• Ukubhoboza i-lumbar
• Isivivinyo esingaba khona
• Ukuhlolwa okusha kusenziwa
• Uyini umbono we-MS?

Yini i-multiple sclerosis?

I-Multiple sclerosis (MS) yisimo esingapheli, esiqhubekayo sokuzivikela komzimba esithinta isimiso sezinzwa esiyinhloko. I-MS yenzeka lapho amasosha omzimba ehlasela i-myelin evikela imicu yezinzwa emgogodleni nasebuchosheni. Lokhu kwaziwa ngokuthi yi-demyelination, futhi kudala ubunzima bokuxhumana phakathi kwezinzwa nobuchopho. Ekugcineni kungadala ukulimala kwezinzwa.

Isizathu se-multiple sclerosis asikaziwa okwamanje. Kucatshangwa ukuthi izici zofuzo nezemvelo zingadlala indima. Okwamanje alikho ikhambi le-MS, noma kunezindlela zokwelapha ezinganciphisa izimpawu.

I-Multiple sclerosis ingaba nzima ukuxilongwa; asikho isivivinyo esisodwa esingasithola. Esikhundleni salokho, ukuxilongwa kudinga ukuhlolwa okuningi ukukhipha ezinye izimo ezinezimpawu ezifanayo. Ngemuva kokuthi udokotela wakho ahlole ngokomzimba, kungenzeka ba-oda izivivinyo eziningi ezahlukahlukene uma besola ukuthi ungaba ne-MS.

Ukuhlolwa kwegazi

Ukuhlolwa kwegazi kungenzeka kube yingxenye yokuqalwa kokuqala uma udokotela wakho esola ukuthi ungaba ne-MS. Ukuhlolwa kwegazi akukwazi njengamanje ukuholela ekutholeni ukuxilongwa okuqinile kwe-MS, kepha kungakhipha ezinye izimo. Lezi zimo zifaka:

• Isifo seLyme
• izifo ezingafani zofuzo
• ugcunsula
• I-HIV / AIDS

Zonke lezi zinkinga zingatholakala zisebenza ngegazi kuphela. Ukuhlolwa kwegazi nakho kungaveza imiphumela engajwayelekile. Lokhu kungaholela ekutholeni izifo ezifana nomdlavuza noma ukushoda kwevithamini B-12.

Ukucabanga kwemagnetic resonance

I-Magnetic resonance imaging (MRI) isivivinyo sokhetho sokuthola i-MS ngokuhambisana nokuhlolwa kwegazi kokuqala. Ama-MRIs asebenzisa amaza omsakazo nezinkambu zamagnetic ukuhlola okuqukethwe kwamanzi okuhlobene nezicubu zomzimba. Bangakwazi ukubona izicubu ezijwayelekile nezingajwayelekile futhi bangabona okungajwayelekile.

Ama-MRIs anikela ngemifanekiso eningiliziwe nezwelayo yobuchopho nomgogodla. Ziyahlasela kakhulu kunama-X-ray noma ama-CT scan, womabili asebenzisa imisebe.

Inhloso

Odokotela bazobe befuna izinto ezimbili lapho be-oda i-MRI ngokuxilongwa okusolwayo kwe-MS. Okokuqala ukuthi bazohlola noma ikuphi okunye okungahambi kahle okungakhipha i-MS futhi kukhombe ekuxilongweni okuhlukile, njengesimila ebuchosheni. Bazophinde babheke nobufakazi bokususwa esikhundleni.

Isendlalelo se-myelin esivikela imicu yezinzwa sinamafutha futhi siphindisela amanzi lapho singalimalanga. Uma i-myelin yonakele, noma kunjalo, lokhu okuqukethwe okunamafutha kuyancishiswa noma kuhlulwe ngokuphelele futhi akusaphindisi amanzi. Indawo izobamba amanzi amaningi ngenxa yalokho, angatholwa ama-MRIs.

Ukuthola i-MS, odokotela kumele bathole ubufakazi bokususwa esikhundleni. Ngaphezu kokukhipha ezinye izimo ezingaba khona, i-MRI inganikeza ubufakazi obuqinile bokuthi ukukhishwa phansi kwesigameko kwenzekile.

Ukulungiselela

Ngaphambi kokungena kwi-MRI yakho, susa bonke ubucwebe. Uma unensimbi ezingutsheni zakho (kufaka phakathi uziphu noma izingwegwe zebhodisi), uzocelwa ukuthi ushintshe ugqoke isibhedlela. Uzolala ungaphakathi komshini we-MRI (ovulekile emikhawulweni yomibili) isikhathi senqubo, esithatha phakathi kwemizuzu engama-45 nehora eli-1. Vumela udokotela nochwepheshe wakho bazi ngaphambi kwesikhathi uma une:

• Ukufakwa kwensimbi
• pacemaker
• ama-tattoo
• ukumiliselwa kwezidakamizwa
• ama-valve enhliziyo yokufakelwa
• umlando wesifo sikashukela
• nanoma iziphi ezinye izimo ocabanga ukuthi zingasebenza

Ukubhoboza i-lumbar

Ukubhoboza i-Lumbar, okubizwa nangokuthi umpompi womgogodla, kwesinye isikhathi kusetshenziselwa inqubo yokuthola i-MS. Le nqubo izosusa isampula le-cerebrospinal fluid (CSF) ukuze ihlolwe. Ama-punctures aseLumbar abhekwa njengamakhemikhali. Ngesikhathi senqubo, inaliti ifakwa emhlane ongezansi, phakathi kwama-vertebrae, nasemgodini womgogodla. Le naliti engenalutho izoqoqa isampula le-CSF ukuze ihlolwe.

Umpompi womgogodla uqobo uthatha cishe imizuzu engama-30, futhi uzonikezwa umuthi wokubulala izinzwa wendawo. Isiguli sivame ukucelwa ukuba sibeke ohlangothini lwaso ngomgogodla ogobile. Ngemuva kokuthi indawo ihlanziwe futhi kwafakwa umuthi wokubulala izinzwa, udokotela uzofaka inaliti engenalutho emgodini womgogodla ukuze akhiphe isipuni esisodwa kuya kwamabili e-CSF. Ngokuvamile, akukho ukulungiselela okukhethekile. Ungacelwa ukuthi uyeke ukuthatha izinciphisi zegazi.

Odokotela aba-oda ama-lumbar punctures ngesikhathi senqubo yokuxilongwa kwe-MS bazosebenzisa isivivinyo ukukhipha izimo ezinezimpawu ezifanayo. Bazobheka nezimpawu ze-MS, ikakhulukazi:

• amazinga aphakeme ama-antibodies abizwa ngama-antibodies e-IgG
• amaprotheni abizwa ngama-oligoclonal band
• inani eliphakeme ngokungajwayelekile lamaseli amhlophe egazi

Inani lamangqamuzana amhlophe egazi emgogodleni womgogodla wabantu abane-MS lingaphakama lifike kasikhombisa kunokujwayelekile. Kodwa-ke, lezi zimpendulo ezingavamile zomzimba womzimba nazo zingabangelwa ezinye izimo.

Kucatshangelwa futhi ukuthi amaphesenti ama-5 kuye kwayishumi abantu abane-MS abakhombisi okungajwayelekile kwi-CSF yabo.

Isivivinyo esingaba khona

Ukuhlolwa okungahle kwenzeke (EP) kukala umsebenzi kagesi ebuchosheni obenzeka ngokuphendula ekuvuseleleni, njengomsindo, ukuthinta noma ukubona. Uhlobo ngalunye lwezinto ezishukumisayo zivusa amasiginali kagesi amaminithi, angalinganiswa ngama-electrode abekwe ekhanda ukuze aqaphe ukusebenza ezindaweni ezithile zobuchopho. Kunezinhlobo ezintathu zokuhlolwa kwe-EP. Impendulo ekhishwe ebonakalayo (i-VER noma i-VEP) iyona esetshenziswa kakhulu ukuthola i-MS.

Lapho odokotela be-oda ukuhlolwa kwe-EP, bazobheka ukudluliswa okungakhubazeki okukhona ezindleleni ze-optic nerve pathways. Lokhu kwenzeka kakhulu ekuqaleni kweziguli eziningi ze-MS. Kodwa-ke, ngaphambi kokuphetha ngokuthi ama-VER angajwayelekile abangelwa yi-MS, ezinye izinkinga ze-ocular noma ze-retinal kufanele zikhishwe.

Akukho ukulungiselela okudingekayo ukuthatha ukuhlolwa kwe-EP. Ngesikhathi sokuhlolwa, uzohlala phambi kwesikrini esinephethini yebhodi lokuhlola elishintshayo kuso.Ungacelwa ukuthi umboze iso elilodwa ngesikhathi. Kudinga ukugxilwa okusebenzayo, kepha kuphephile futhi akuhlaseli. Uma ugqoka izibuko, cela udokotela wakho ngaphambi kwesikhathi ukuthi kufanele uzilethe.

Ukuhlolwa okusha kusenziwa

Ulwazi lwezokwelapha luqhubeka njalo. Njengoba ubuchwepheshe nolwazi lwethu lwe-MS luqhubekela phambili, odokotela bangathola izivivinyo ezintsha zokwenza inqubo yokuxilongwa kwe-MS ibe lula.

Okwamanje kwenziwa ukuhlolwa kwegazi okuzokwazi ukuthola ama-biomarker ahlobene ne-MS. Ngenkathi lokhu kuhlolwa kungenzeka kungakwazi ukuxilonga i-MS kukodwa, kungasiza odokotela ukuhlola izinto eziyingozi nokwenza ukuxilongwa kube lula nje kancane.

Uyini umbono we-MS?

Ukuthola i-MS njengamanje kungaba yinselele futhi kudle isikhathi. Kodwa-ke, izimpawu ezisekelwa yi-MRIs noma okunye okutholakele ekuhlolweni okuhlangene nokuqedwa kwezinye izimbangela ezingasiza kungasiza ukwenza ukuxilongwa kucace.

Uma uhlangabezana nezimpawu ezifana ne-MS, yenza i-aphoyintimenti nodokotela wakho. Uma usheshe utholakala, usheshe uthole ukwelashwa, okungasiza ekunciphiseni izimpawu eziyinkinga.

Kungasiza futhi ukukhuluma nabanye ababhekene nesimo esifanayo. Thola uhlelo lwethu lwamahhala lwe-MS Buddy ukuze wabelane ngezeluleko nokusekelwa endaweni evulekile. Landa okwe-iPhone noma kwe-Android.