Wetin na RRMS? Yu tink se de sik kin kam ɛn go? Lɛ wi fɛn ɔl wetin i bi (Relapsing-Remitting Multiple Sclerosis) .

Yu kin imajin se yu wek wan mɔnin ɛn gɛt sɔm sayn dɛn lɛk we yu nɔ de fil fayn na wan say na yu bɔdi ɛn yu nɔ de si fayn, ɛn afta sɔm dez ɔ wik, ɔl dat go kɔmɔt kpatakpata. Dɔn yu nɔ gɛt ɛni prɔblɛm fɔ mɔnt, sɔntɛm ivin fɔ lɔng lɔng tɛm. Ɔltin kin go bak to nɔmal. Dɔn wantɛm wantɛm yu kin gɛt ɔda sayn dɛn, sɔntɛm i kin ivin at fɔ waka. Wi de tɔk bɔt wan kɔndishɔn wae gɛt wan patɛn fɔ simptom dɛm wae kin kam ɛn go lɛk dis. Dis na wetin wi kin kɔl RRMS na mɛrɛsin.

Fɔ tɔk am simpul wan, wetin na RRMS?

RRMS na abbrevieshɔn fɔ `Rilaps-Rɛmitin Mɔltipɛl Sklɛrosis`. Dis na di kayn we we dɛn kin kɔl `Multiple Sclerosis` (MS). Infakt, lɛk 80-85 pan ɛvri 100 pipul dɛm wae gɛt MS gɛt dis kayn `RRMS`.

Okay, naw mek wi luk di minin of dis nem.

• Rilapsing: Dis kin min fɔ sɔm tɛm wae de sik kin kam wantɛm wantɛm ɔr kin wɔs. Sɔm pipul dɛn kin kɔl dis bak `flare-up`. Dis tɛm kin te frɔm sɔm dez to sɔm wiks.
• Rimit: Dis kin tɔk bɔt di tɛm we di sik dɛn kin stɔp smɔl smɔl ɛn yu kin kam bak to nɔmal, ɔl ɔ sɔm pat pan am. Yu kin nɔr gɛt ɛni sik pan dis tɛm.

Fɔ tɔk am simpul wan, RRMS na wan kɔndishɔn we dɛn kin kɔl ɔltɛm di tɛm dɛn we di simptom dɛn kin flay ɛn di tɛm dɛn we di simptom kin rilif.

MS na wan ɔtoimyun kɔndishɔn we wi bɔdi in yon imyun sistɛm, di sistɛm we de protɛkt wi frɔm sik, kin mistek atak wi yon sɛntral nɛvɔ sistɛm. I impɔtant fɔ mek yu ɛn yu dɔktɔ no di kayn sik kɔrɛkt wan, we na RRMS, bikɔs na so yu go ebul fɔ no di tritmɛnt we fit yu pas ɔl.

Wetin na di kɔmɔn sayn dɛm wae dɛn kin si pan RRMS?

Dɛn sayn ya nɔ kin apin to ɔlman di sem we. Dɛn kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Sɔmtɛm sɔm pan dɛn sik ya kin apin togɛda. Wan ɔ mɔ pan dɛn tin ya kin apin we pɔsin gɛt di sik bak.

Pan ɔl we sɔm pipul dɛn kin gɛt sɔm kayn sik dɛn we kin lɛf fɔ apin. If dɛn kayn tin ya, fisiotɛrapi, mɛrɛsin, ɔ injɛkshɔn lɛk Botox®, lɛk aw yu dɔktɔ tɛl yu, kin ɛp fɔ kɔntrol yu sik dɛn.

Sɔm tin dɛn de we kin mek di sik wɔs?

Yɛs, sɔm tin kin mek yu sik kam bak ɔr kin wɔs. Bɔt dɛn `trig` ya nɔ de afɛkt ɔlman di sem we. Wetin kin afɛkt wan pɔsin nɔ kin afɛkt ɔda pɔsin.

Na sɔm tin dɛn we kin mek pɔsin gɛt prɔblɛm:

• Stret: We yu strɛs pasmak, dat kin bi wan men tin we kin mek yu gɛt di sik.
• Tɛmpratura: Wae yu gɛt ay tempɔret, fiva, ɔr ivin kol pasmak fɔ sɔm pipul dɛm kin mek di sayn dɛm wɔs.
• Infεkshכn: Ivin sכm sכm infεkshכn, lεk kכmכn kol כ urinary tract infεkshכn, kin mek ol MS simptom dεm kכmכt bak.
• Yuz tin dɛn we dɛn kin yuz fɔ smok: If pɔsin smok, i kin mek di sik go bifo kwik kwik wan ɛn i kin mek di sik wɔs.
• Vitamin D we nɔ de: Risach dɔn sho se we di vaytamɛn D smɔl kin afɛkt bak MS sik ɛn di sayn dɛm we i kin gɛt.

Wetin mek dis MS kin kam? Wetin na di kɔz?

Infakt, dɛn nɔ dɔn no yet di rayt tin we kin mek pɔsin gɛt MS , bɔt risach dɔn sho se bɔku tin dɛn kin mek i gɛt am.

Jɔs tink bɔt wi nɛf dɛn lɛk ilɛktrik waya. dis waya dεm de rawnd wan protεktiv sεt, lεk `insulation`. Wi de kɔl dis `myelin` . dis myelin sheath na in de alaw mεsej fכ travul kwik εn kכrekt tru di nεv dεm.

Insay MS, wi yon imyun sistɛm, di sojaman dɛn we de protɛkt wi frɔm sik, kin mistek atak dis maylin sheath. Dis atak de damej di myelin sheath. Dɔn di transmishɔn fɔ di nerve mɛsej dɛn kin ambɔg. Jɔs lɛk we di `insuleshɔn` fɔ waya dɔn pwɛl, i de `shɔt-sɔrkwit`. Na da tɛm de di sayn dɛm wae wi bin dɔn tɔk bɔt fɔs kin kam.

dεn biliv se di tin dεm we de na di envayroment, inklud di jεnεtik prεdispכzishכn εn vayral infεkshכn lεk di Epstein–Barr vayrus, kin mek di imyun sistεm mistek atak dis we.

Aw dɛn kin no RRMS?

Fɔ no if yu gɛt MS kin tranga, bikɔs no wan tɛst nɔ de we go mek yu no se yu gɛt di sik. Yu dɔktɔ go chɛk yu sik dɛn, yu mɛdikal istri, yu bɔdi ɛgzam, ɛn di rizɔlt fɔ sɔm ɔda tɛst dɛn fɔ no if yu gɛt di sik.

Di tɛst dɛn we dɛn kin du fɔ dis na:

• MRI skan: we dεn du MRI (Magnetic Resonance Imaging) skan fכ di bren εn di spεnal kכd kin no di εria dεm we dεn dכn pwεl (lεsin dεm) na di maylin sεt.
• di lכmba pankshכn: dis involv fכ put wan rili sכm nidul insay di spεnal kanal εn tek sכm sכm sכm sεribrospεnal fכluid fכ chεk fכ prεsεns fכ protin dεm we spεsifi k fכ MS, lεk oligoklonal bכnd dεm.
• Blɔd tɛst: Dɛn kin du blɔd tɛst fɔ mek shɔ se yu nɔ gɛt ɔda tin dɛn we kin mek yu gɛt sayn dɛn we fiba MS.
• OCT tεst: ``Optical Coherence Tomography`` na tεst we nכ de fil pen we de egzamin di optik nεv na di bak pat pan di yay fכ si if MS dεn dכn pwεl am.

Wetin na di tritmɛnt dɛm fɔ RRMS?

Pan ɔl we no mɛrɛsin nɔ de yet fɔ RRMS, naw, tritmɛnt dɛn de we rili fayn we go ɛp yu fɔ kɔntrol di sik ɛn liv nɔmal layf.

Di men gol dɛm fɔ tritmɛnt na:

• Fɔ ridyus di nɔmba fɔ di wan dɛn we kin gɛt di sik bak.
• fכ ridyus di damej pan di sεntri nεv sεstem.
• Fɔ delay fɔ bigin fɔ gɛt disabled wae de sik kin kam wit.

Dɛn kɔl di mɛrɛsin dɛn we dɛn kin yuz fɔ dis sik-modifying therapies (DMT) . Dɛn kin gɛt dɛn mɛrɛsin ya difrɛn we dɛn.

• Injɛkshɔn: Injɛkshɔn we dɛn kin gi ɔnda di skin ɔ insay wan mɔsul.
• Mɛrɛsin we dɛn kin tek bay mɔt: Na mɛrɛsin we dɛn kin tek as pils ɛvride ɔ pan di de dɛn we dɛn dɔn sɛt.
• Infushɔn: Na mɛrɛsin dɛn we dɛn kin gi insay di bɔdi tru wan vein, lɛk salin. Dɛn kin gi dɛn tin ya wan tɛm insay di mɔnt ɔ ɛvri sɔm mɔnt.

Tin dɛn fɔ aks yu dɔktɔ

Bikɔs RRMS na wan sik wae de kam fɔ lɔng tɛm, na nɔrmal tin fɔ gɛt bɔrku kwɛstyɔn na yu maynd. We yu go to yu dɔktɔ, rayt dɛn kwɛstyɔn ya.

Sɔm kwɛstyɔn dɛn we go fayn fɔ aks yu dɔktɔ:

• Us kayn MS a gɛt?
• Us tritmɛnt yu go rɛkɔmɛnd fɔ mi? Wetin du?
• Wetin na di bad tin dɛn we da tritmɛnt de kin du?
• Wetin a fɔ du if mi sik dɛn de wɔs wantɛm wantɛm (relaps)?
• Aw a go no di tin dɛn we kin mek a gɛt mɔ sik?

Fɔ liv wit RRMS kin tranga. Bɔt mɛmba se nɔto yu wangren de. If yu gɛt di rayt tritmɛnt, chenj yu layf, ɛn sɔpɔt yu mɛdikal tim, yu kin liv rili gud, aktif layf. Fɔ aks fɔ ɛp frɔm pɔrsin wae sabi bɔt mɛntɛl hεlth, if nid de, kin ɛp bak.