Yu gɛt dɛn sayn ya? Lɛ wi tɔk bɔt di sik we dɛn kɔl Multiple Sclerosis (MS)!

Sɔntɛnde yu kin fil lɛk se yu nɔ de balans ɔ yu nɔ de si fayn wantɛm wantɛm? Ɔ yu kin fil lɛk se yu nɔ de balans we yu de waka? Sɔntɛnde, yu kin wɔnda if dɛn tin ya jɔs de pas, ɔ if na di biginin fɔ sɔntin we big pas am? Tide wi go tɔk bɔt wan kɔndishɔn we kɔmplikt smɔl, bɔt i rili impɔtant fɔ no bɔt. Dat na Multiple Sclerosis , ɔ MS fɔ shɔt tɛm.

Wetin na di sik we dɛn kɔl Multiple Sclerosis?

Fɔ tɔk am simpul wan, multiple sclerosis (MS) na wan sik we yu yon imyun sistɛm de atak yu bren ɛn spɛshal kɔd , we na yu sɛntral nervous system . Dɛn kɔl dis wan ɔtoimyun kɔndishɔn .

Tink bɔt di nɛf dɛn na yu bɔdi lɛk ilɛktrik waya. Dɛn waya dɛn ya gɛt wan shea we de protɛkt dɛn rawnd dɛn, nɔto so? Semweso, wi nɛv sɛl dɛn gɛt wan tin we de protɛkt wi we dɛn kɔl maylin . dis maylin sεt dεm de εp di signal dεm fכ travul tru di nεv dεm kwik εn kכrekt wan. Dis kɔmyunikeshɔn impɔtant fɔ ɔltin we wi de si, fil, ɛn muv wi bɔdi.

Naw, wetin kin apin to pɔsin we gɛt MS na dat dɛn yon imyun sistɛm kin mistek atak dɛn maylin sɛl dɛn ya . I tan lɛk se wi yon ami de atak wi yon kɔntri. Dis kin pwɛl di maylin swɛt dɛn. Dɔn dɛn nerv mɛsej dɛn de nɔ kin travul fayn, dɛn kin stɔp na di midul, ɔ dɛn kin go di rɔng we. Dis damej kin apin na di bren, di spεnal kכd, εn sכmtεm ivin na di nεv dεm we de kכnεkt to di yay.

Naw, no mɛrɛsin nɔ de fɔ MS. Bɔt bɔku tritmɛnt dɛn de we go ɛp fɔ mek di prɔblɛm nɔ bɔku ɛn fɔ kɔntrol di sik dɛn. So nɔ wɔri.

Wetin na di men kayn MS?

MS kin afɛkt ɔlman difrɛn we, so dɔktɔ dɛn kin sheb am to difrɛn kayn dɛn bay di sayn dɛn we yu gɛt. Dɛn tin ya nɔto difrɛn sik, na jɔs di we aw di sik de sho insɛf.

Fo men kayn dɛn de:

1. Clinically Isolated Syndrome (CIS): Dis na di fɔs tɛm we MS simptom dɛn kin apia. Bɔt nɔto inɔf pruf de fɔ kɔnfirm fɔ tru se na MS. Dɛn sayn ya kin kam bikɔs di maylin dɔn pwɛl. Nɔto ɔlman we gɛt CIS go gɛt MS, bɔt sɔm kin gɛt MS tumara bambay.

2. Rilapsing-Remitting Multiple Sclerosis (RRMS): Dis na di kayn MS we dɛn kin gɛt mɔ . Na lɛk 85% pan di pipul dɛm wae gɛt MS kin fɔdɔm pan dis kategori. Wetin kin apin na dat nyu sayn dɛm kin kam wantɛm wantɛm, ɔr ol sayn dɛm kin wɔs. Wi kin kɔl dis "rilaps" ɔ "atak ." Dɔn, as tɛm de go, dɛn sayn ya kin stɔp ɔ nɔ de igen. Dɛn kɔl dis "rɛmishɔn."Na tɛm.

3. Sεkɔndari Prכgεsiv Mכltipl Sklεrosis (SPMS): Bɔrku pipul dεm wae gɛt RRMS kin dɔn gɛt SPMS. Na dis stej, di nεv dεm we de pwεl de kכmכt sכmtεm εn di sayn dεm de bכku sכmtεm. Di sik kin kam bak, bɔt di tɛm we di sik nɔ kin kɔmɔt fayn, ɔ di tɛm we di sik kin dɔn, kin shɔt.

4. Primary Progressive Multiple Sclerosis (PPMS): Na dis kayn sik, di sayn dɛm kin wɔs smɔl smɔl frɔm di biginin. Nɔ klia rilaps ɛn rɛmishɔn nɔ de lɛk na RRMS.

Apat frɔm dɛn 4 men kayn ya, sɔm kayn we dɛn de we rili rare fɔ MS:

• Tumefactive Multiple Sclerosis: Dis na wan kayn mכltipכl sklerכsis we de mek dεn de mכtalman na big εria dεm na di bren. Dɛn tin ya kin tan lɛk tumbu. Dɛn kin nid fɔ tek bayɔpsi fɔ no if dis na bren tumbu.
• Balo’s Concentric Sclerosis: Insay dis kכndyushכn, di mεylin dεm we dεn dכn pwεl de sho lεk kכnsantrik ring dεm pan MRI skan, na dat mek dεn gi am di nem.
• Marburg Variant Multiple Sclerosis: Dis na wan kayn we we nɔ kin apin so ɔltɛm, we kin rili bad. Di sik kin go bifo kwik kwik wan ɛn i kin kil pɔsin if dɛn nɔ trit am.

Aw MS kɔmɔn tin?

Stɔdi dɛn we dɛn dɔn du na kɔntri dɛn lɛk Amɛrika sho se na lɛk wan milyɔn big pipul dɛn de liv wit MS. Pipul dɛn de we gɛt dis sik na Sri Lanka bak.

Wetin na di fɔs sayn dɛm fɔ MS?

Di fɔs sayn dɛm fɔ MS kin bi:

• di chenj we yu de si: yu nɔ de si fayn na wan yay, yu de fil pen (dɛn kɔl dis optik nyuraytis ), yu de si tu tɛm, ɛn sɔntɛm yu nɔ de si fayn igen.
• Di mɔsul dɛn we wik: Bɔku tɛm na wan say na di fes ɔ di bɔdi, ɔ dɔŋ di wɛst.
• Yu nɔr de fil fayn ɔr yu nɔr kin fil fayn: Dis kin apin bak na wan say na yu fes ɔr bɔdi, ɔr dɔŋ di wɛst. I kin fil lɛk se yu de fil lɛk yu de fil lɛk yu de fil lɛk yu de fil lɛk yu de fil lɛk yu de fil lɛk yu de fil lɛk se yu nɔ gɛt natin atɔl.

Wetin na ɔda sayn dɛm fɔ MS?

Na sɔm ɔda kɔmɔn sayn dɛm wae kin kam wit MS:

• Taya: Nɔto jɔs taya, bɔt taya we yu nɔ go ebul fɔ bia, ɛn taya pasmak.
• Fɔ mek pɔsin nɔ ebul fɔ du sɔntin
• Diziz we pɔsin kin gɛt
• difεlεns fכ kכntrכl di blad fכnshכn: fכ pis plεnti tεm, i nכ ebul fכ kכntrכl urinate.
• Lɔs fɔ balans ɛn kɔdineshɔn
• Di prɔblɛm dɛn we kin apin we pɔsin de wok na di kɔgnitiv wok:Dat min se di we aw i de tink, mɛmba, pe atɛnshɔn, lan, ɛn jɔjmɛnt go dɔŋ.
• Di chenj we yu de fil: yu kin vɛks, yu at pwɛl, yu kin wɔri.
• di mכsul dεm stiff εn di mכsul dεm de spam / trem

De impɔtant tin na dat, dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Wetin yu gɛt wan de kin difrɛn frɔm wetin yu gɛt di nɛks de. Yu kin gɛt sɔm pan dɛn sik ya, bɔt nɔto ɔl dɛn wan tɛm.

I pɔsibul fɔ liv nɔmal wan wit MS?

Dis kin tranga smɔl fɔ tɔk, bikɔs wetin na "nɔmal" kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Wit MS, yu kin gɛt sɔm tɛm wae yu nɔr de fil fayn . Dat min se na tɛm wae yu sik kin go ɛn yu kin bi lɛk aw yu bin de. Yu kin ivin fɔgɛt se yu gɛt MS, te yu sik kam bak. Wetin dis "nɔmal" kin fil, ɛn aw i kin fil, kin difrɛn difrɛn wan bay di kayn MS ɛn di stej we di sik de.

Wetin kin mek pɔsin gɛt MS?

di men tin we kin mek yu gɛt MS na di pwɛl pwɛl we di maylin de pwɛl (demyelination) . as wi bin dכn tכk bifo, maylin na di protεktiv kכva we de rawnd di nεv sεl dεm (nyuron dεm) na yu bren εn spεnal kכd. Na di tin we de sɛn mɛsej bitwin yu bren ɛn di ɔda pat na yu bɔdi, we de kɔntrol tin dɛn lɛk fɔ si, fɔ fil, ɛn fɔ muv.

Yu imyun sistɛm in wok na fɔ protɛkt yu frɔm tin dɛn we de ambɔg yu bɔdi, lɛk baktri ɛn vayrɔs. Bɔt pan MS, yu imyun sistɛm kin wok pasmak ɛn mistek kin tink se di maylin we gɛt wɛlbɔdi (ɛn sɔntɛnde di nɛv sɛl dɛn we de ɔnda am) na trɛtin. we di imyun sistεm atak dis hεlty maylin, i de pwεl am. Dɛn kɔl dis dimyelineshɔn .

Dɔktɔ kin yuz wan imej tɛst, lɛk MRI, fɔ fɛn pruf fɔ se dis maylin dɔn pwɛl. Dɛn kin kɔl am skata, lɛsin, ɔ plek . usay di maylin dεn dכn pwεl, di mεsej dεm bitwin di nεv sεl dεm nכ de travul fayn fayn wan. Na dat kin mek di sayn dɛm fɔ MS.

Masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek sɔm pipul dɛn kin gɛt MS, bɔt risach dɔn sho se dɛn tin ya kin mek dɛn gɛt mɔ MS:

• Fɔ smok
• We pɔsin gɛt pɔyzin: Fɔ ɛgzampul, we pɔsin de smok we i de smok, we dɛn kin yuz peshɛnt sayd.
• Di smɔl smɔl vaytamɛn D
• We pɔsin gɛt vayrɔs: Fɔ ɛgzampul, Epstein-Barr vayrɔs ɔ mononucleosis .
• Fat pasmak we i smɔl
• Jɛnɛtik prɛdispɔzishɔn:Dis min se if pɔrsin na yu famili gɛt dis sik, ɔr if yu gɛt jin dɛm wae de mek yu gɛt dis sik, yu go gɛt dis sik.

Udat de pan big risk fɔ gɛt MS?

Yu kin gɛt ay risk fɔ gɛt MS if yu:

• If yu ol bitwin 20 ɛn 40 ia.
• If yu gɛt Nɔtan Yuropian dɛn gret gret granpa dɛn.
• If yu na uman (uman dɛn kin gɛt MS mɔ).

Bɔt mɛmba se MS kin afɛkt ɛnibɔdi. Sɔntɛnde, i kin afɛkt pikin dɛn bak .

Us kɔmplikɛshɔn kin apin bikɔs ɔf MS?

If di MS simptom dɛn de wɔs ɔr de wɔs smɔl smɔl, prɔblɛm dɛn lɛk:

• I nɔ izi fɔ waka we pɔsin nɔ ɛp am.
• Lɔs fɔ kɔntrol di bɔdi ɔ blad .
• Di mɛmori we yu nɔ de mɛmba .
• Di prɔblɛm we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs .
• Pwɛl hat ɛn wɔri .

Aw dɛn kin no se pɔsin gɛt MS?

No wan tɛst nɔ de we go ebul fɔ no if pɔsin gɛt MS. Bifo dat, dɔktɔ go tɔk se yu gɛt MS afta i dɔn du ɛgzam fɔ yu bɔdi, ɛgzam fɔ yu nyurolɔjik, ɛn sɔm ɔda tɛst dɛn .

We dɛn de du ɛgzamin, yu dɔktɔ go lan mɔ bɔt di sayn dɛn we yu gɛt ɛn di mɛdikal istri. Di tɛst dɛn kin gɛt fɔ du wit blɔd tɛst, MRI (Magnetic Resonance Imaging) skan fɔ yu bren ɛn spɛshal kɔd, ɛn fɔ chɛk yu spaynal wata .

I kin tek sɔm tɛm fɔ gɛt difinitiv diagnosis fɔ MS. Yu kin nid fɔ go to yu dɔktɔ bɔku tɛm bifo yu no fɔ tru. Dis na bikɔs di sayn dɛm fɔ MS kin tan lɛk sɔm ɔda kɔmɔn sik dɛm. Pan ɔl we if yu delay fɔ no if yu gɛt di sik, dat kin mek yu at pwɛl, if yu no di sik kɔrɛkt wan , dat kin ɛp yu dɔktɔ fɔ trit yu sik dɛn fayn fayn wan.

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt MS?

Test fɔ no if yu gɛt di sik kin ɛp yu dɔktɔ fɔ pul ɔda sik dɛn we gɛt di sem sayn dɛn lɛk MS. Di tɛst dɛn kin inklud:

• Blɔd tɛst ɛn urine tɛst
• Magnɛtik Rizɔnans Imej (MRI) tɛst
• Optical Coherence Tomography (OCT) test: Dis de chɛk fɔ si if di optik nɛv dɛn dɔn pwɛl.
• di lכmba pankshכn: insay dis, dεn de tek sεmpl fכ di spεnal fכluid frכm di spayna εn dεn de egzamin am.
• Evoked Potential (EP) test: Dis de mכsu aw fast di nεv impuls dεm de travul.

Udat kin no se i gɛt MS?

If di pɔsin we de kia fɔ yu fɔs tink se yu go gɛt MS, dɛn go sɛn yu to dɔktɔ we de mɛn yu nyuro . Nyurolɔjis na dɔktɔ we spɛshal fɔ trit sik dɛn we de na di nervɔs sistɛm, we inklud di bren ɛn di spɛnal kɔd.

Yu tink se dɛn kin mɛn MS ɔltogɛda?

Bɔt i sɔri fɔ no se naw, no we nɔ de fɔ mɛn MS ɔltogɛda .

Wetin na di tritmɛnt dɛm fɔ MS?

Di men gol dɛm fɔ tritmɛnt fɔ di sik we dɛn kɔl multiple sclerosis na fɔ mek dɛn nɔ gɛt mɔ damej, fɔ kɔntrol di sayn dɛm, ɛn fɔ mek dɛn nɔ gɛt prɔblɛm dɛn . Yu tritmɛnt plan kin gɛt fɔ du wit:

• Di mɛrɛsin dɛn we dɛn kin yuz
• Fizik tritmɛnt, wok tɛrapi, ɔ tɔk tɛrapi
• Mental wɛlbɔdi advays

Ɔda we fɔ mɛn di sik kin difrɛn difrɛn wan fɔ no aw de sik de afɛkt yu. Dɛn tin ya kin bi:

• We yu wɛr glas ɔ tek mɛrɛsin fɔ prɔblɛm wit yu yay.
• Dip Bren Stimulation fɔ Mɔsul Tremor.
• Yuz tin dɛn we go ɛp yu lɛk ken, waka, ɔ wilchia fɔ di prɔblɛm dɛn we yu de waka.
• Antiseizure mεdikesh כn כ antispasmodic mεdikesh כn fכ pen (e.g. , gabapentin כ nortriptyline ).
• Mεdikeshכn dεm lεk donepezil fכ di kכgnitiv simptom dεm.
• Ɔda tritmɛnt dɛn lɛk akupankcha ɛn yoga .

If yu bɔdi nɔ de ansa sɔm mɛrɛsin dɛn we yu gɛt MS, yu dɔktɔ kin tɛl yu fɔ chenj plasma (plasmapheresis) . Dis kin wok fayn fɔ ridyus di damej we pɔsin kin gɛt frɔm atak we dɔn de pas fɔ mek dɛn nɔ atak ɔda pipul dɛn fɔ lɔng tɛm.

Yu kin tɔk bak to yu dɔktɔ bɔt if ɛni klinik trial de we yu kin tek pat pan.Klinik trial na tɛst pan pipul dɛn fɔ fɛn nyu tritmɛnt fɔ MS ɛn ɔda sik dɛn, ilɛksɛf na nyu mɛrɛsin ɔ nyu we fɔ yuz di mɛrɛsin dɛn we dɔn de.

Mɛrɛsin fɔ mɛn di sik we dɛn kɔl multiple sclerosis

di mεdikeshכn fכ mכltipכl sklεrosis kin rεdכks di frεkuεns we di sik kin kam bak, rεdכks di divεlכpmεnt fכ nyu lεsin/ska na di bren εn spεnal kכd, εn slo di prכgreshכn fכ di sik. Di kayn mɛrɛsin dɛn we dɛn kin yuz fɔ MS na:

1. Di tritmɛnt dɛn we de chenj di sik (DMT): .DMT dεm de ridyus di nכmba fכ di rilaps we yu gεt, slo di prכgreshכn fכ MS, εn mek nyu lεsin dεm nכ fכm na yu bren εn spεnal kכd. Bɔku mɛrɛsin dɛn de we di U.S. Food and Drug Administration (FDA) dɔn gri fɔ fɔ mɛn MS fɔ lɔng tɛm.

2. Rilaps mɛnejɛmɛnt mɛrɛsin: Fɔ siriɔs atak, mɛrɛsin lɛk kɔtikosterɔyd (lɛk methylprednisolone ) de stɔp yu imyun sistɛm ɛn ridyus di swel kwik kwik wan. Dɛn mɛrɛsin ya kin mek yu wɛl kwik afta yu dɔn atak yu. Dɛn kin ridyus bak di damej we di maylin swɛt we de rawnd yu nɛv sɛl dɛn kin pwɛl. Yu dɔktɔ kin gi yu dɛn mɛrɛsin ya tru IV (intravenously) . Ɔda tritmɛnt dɛn fɔ shɔt tɛm fɔ siriɔs atak na IV immunoglobulin therapy ɔ plasma exchange .

DMTs fɔ MS

Na di DMT dɛm we dɛn kin yuz fɔ MS ɛn di we aw dɛn kin gi dɛn:

• Injɛkshɔn dɛn na yu skin: Beta intafɛron, glatiramer acetate, ɔ ofatumumab.
• Infushɔn dɛn insay wan vein (IV): Alemtuzumab, natalizumab, rituximab, ocrelizumab, ɔ ublituximab.
• Di mɛrɛsin dɛn we dɛn kin tek bay mɔt: Kladribin, dimɛtil fumarɛt, dirɔksimɛl fumarɛt, monomɛtil fumarɛt, fingolimod, siponimod, ponesimod, ɔzanimod, ɔ tɛriflunomid.
• Stem sɛl we dɛn kin transplant

Yu tink se dɛn kin ebul fɔ avɔyd di sik we dɛn kɔl multiple sclerosis?

Naw, no we nɔ de we dɛn no fɔ mek dɛn nɔ gɛt MS.

Aw fɔ ridyus di MS simptom flare-ups?

Di bɛst we fɔ ridyus di nɔmba fɔ di flare-up, rilaps, ɛn atak we yu gɛt na fɔ tek di sik-modifying therapies (DMT) .

I impɔtant bak fɔ liv fayn layf . De tin wae yu kin disayd kin ɛp fɔ mek de sik nɔr de go bifo kwik kwik wan. Fɔ mek yu gɛt wɛlbɔdi, yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya:

• Fɔ it tin dɛn we gɛt fayn fayn tin dɛn fɔ it.
• Fɔ gɛt bɛtɛ slip.
• Fɔ du tin dɛn we yu de du ɔltɛm.
• Nɔ yuz tin dɛn we dɛn mek wit tabak.

Fɔ dil wit sik we nɔ de mɛn kin tranga fɔ yu maynd. Sɔntɛnde, MS kin afɛkt yu mud ɛn mɛmori. Nyurosaykolojist ɔ mental wɛlbɔdi advaysaFɔ wok togɛda na impɔtant tin fɔ mɛn di sik fɔ lɔng tɛm.

Wetin na di lukin-grɔn fɔ MS?

Multiple sclerosis na wan sik wae de kam wae yu de liv yu layf wae nɔr gɛt ɛni mɛrɛsin . Bɔt di tritmɛnt opshɔn dɛm we de naw kin rili ɛp fɔ mɛn di sik dɛm ɛn fɔ ridyus di frɛkuɛns fɔ flare-up. Wit ɔ atɔl tritmɛnt, MS kin bi disabled as tɛm de go, we kin mek i nɔ izi fɔ du ɛvride wok we dɛn nɔ gɛt ɛp. Yu kia tim de fɔ sɔpɔt yu ɔlsay na yu MS joyn, fɔ tek step fɔ mek yu nɔ gɛt prɔblɛm ɛn fɔ mek yu kwaliti layf bɛtɛ.

Yu tink se di sik we dɛn kɔl multiple sclerosis kin afɛkt yu layf?

Yu kin ɛkspɛkt fɔ liv nɔmal layf wit MS. Pan ɔl we ol stɔdi dɛn dɔn sho se MS kin mek yu layf shɔt bay lɛk 10 ia, dis dɔn impɔtant pasmak wit di advans we dɛn dɔn mek pan di tritmɛnt dɛn we yu kin gɛt. Na insay rili rare kes dɛm nɔmɔ MS kin kil.

Pɔsin wae gɛt MS kin liv nɔrmal layf?

Yɛs. MS kin bi wan tranga sik fɔ no ɛn manej, bɔt yu kia tim go ɛp yu ɛvri step na di rod. Pan ɔl we no mɛrɛsin nɔ de, yu kin liv layf we go mek yu fil fayn ɛn we de wok tranga wan wit MS. Frɔm mɛrɛsin to tritmɛnt, we dɛn de fɔ ɛp yu fɔ mek yu bɔdi ɛn maynd wok fayn fayn wan. Ivin sɔpɔt grup dɛn de we kin ɛp yu fɔ kɔnɛkt wit ɔda pipul dɛn we dɔn gɛt di sem kayn ɛkspiriɛns.

Ustɛm yu fɔ go to dɔktɔ?

Yu fɔ go to dɔktɔ if yu gɛt sɔm kayn sik dɛn lɛk dis:

• Fɔ fil se yu de fil pasmak we di wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam wam ples.
• If yu fil se yu nɔ stedi ɔ yu nɔ balans.
• I nɔ izi fɔ mɛmba tin dɛn.
• Ɛspɛshali if yu gɛt numbness ɔ tingling na yu an ɔ fut.
• Di vishɔn kin chenj wantɛm wantɛm.
• If yu fil se yu an ɔ yu fut wik.

If yu gɛt MS ɛn yu gɛt nyu sayn dɛn, ɔ if di sik dɛn we yu dɔn gɛt de wɔs, tɛl yu dɔktɔ.

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

Yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn tritmɛnt yu kin advays?
• Aw ɔltɛm a fɔ go na di fizik tɛrapi?
• Ɛni sayd ɛfɛkt de pan di mɛrɛsin dɛn we yu bin gi yu?
• Ustɛm ɛn aw ɔltɛm a fɔ tek di mɛrɛsin?
• Us sayn dɛn a fɔ luk fɔ?
• Yu kin gi mi advays fɔ mek a gɛt gud wɛlbɔdi?
• Ɛni sɔpɔt grup dɛn de we yu go rɛkɔmɛnd?

Mɛsej we dɛn kin kɛr go na os

Multiple sclerosis (MS) na wan sik wae de mek pɔrsin fil bad, wae kin mek pɔrsin in layf de pan denja. Di sayn dɛm kin kam wantɛm wantɛm ɛn wɔs. MS kin mek bak yu gɛt aksidɛnt if yu nɔr balans.

Bɔt, nɔto yu wan de. Dɔktɔ kin ɛp yu fɔ kɔntrol di sik ɛn kɔntinyu fɔ du tin dɛn we yu de du ɛvride sef wan. As di sik de go bifo, yu kin nid fɔ chenj smɔl smɔl na yu layf, lɛk fɔ yuz tin fɔ ɛp yu fɔ waka ɔ fɔ wɛr glas. Bɔt bɔrku pipul dɛm wae gɛt MS de liv ful ɛn aktif layf wit di ɛp fɔ dɛn kia tim. If yu gɛt ɛni kwɛstyɔn bɔt yu tritmɛnt opshɔn, simptom ɔr kɔmplikeshɔn fɔ wach fɔ, nɔr shek fɔ aks yu dɔktɔ dɛm. Fɔ no ɛn gɛt di rayt sɔpɔt na di bɛst we fɔ liv fayn fayn wan wit MS.

` Mכltipכl Sklεrosis, MS, Nyurolכjik Sik, Maylin, Bren, Spinal Kכd, Simptom dεm, Tritmεnt, כtoimyun sik, mכltipכl sklεrosis