Kodi pali vuto ndi chitetezo cha mitsempha yanu? Tiyeni tiphunzire za matenda ochepetsa mitsempha!

Dongosolo lathu la mitsempha lili ngati dongosolo lovuta la mawaya. Ndi kudzera mu mawaya awa pomwe mauthenga amachoka muubongo wathu kupita ku ziwalo zonse za thupi. Chifukwa chake 'mawaya' awa, kutanthauza maselo amitsempha '(Neurons), ali ndi 'chidendene' chaching'ono choteteza. Timatcha ichi '(Myelin) . Ichi chili ngati chidendene cha pulasitiki pamwamba pa waya wamagetsi. Chidendene ichi cha '(Myelin)' ndicho chimateteza maselo amitsempha ndipo chimalola mauthenga amagetsi kudutsamo mwachangu. Tangoganizirani, ngati china chake chawonongeka mu chidendene ichi cha '(Myelin)`, mauthenga omwe amadutsa m'mitsempha yathu amasokonezeka, monga ngati waya wokhala ndi chidendene cha pulasitiki chosweka. Ndicho chomwe timatcha '(Demyelinating Disease)' .

Kodi Matenda Ochotsa Miyeloni Ndi Chiyani?

Mwachidule, matenda ochotsa myelin ndi vuto lomwe limawononga myelin muubongo wanu, msana, ndi mitsempha . Monga ndanenera kale, myelin ndi chigoba choteteza chomwe chimazungulira ma neuron mu dongosolo lathu lapakati la mitsempha ndi dongosolo la mitsempha yozungulira. Chigoba cha myelin ichi chimalimbitsa, chimateteza, ndikuteteza maselo a mitsempha. Sikuti zokhazo, komanso chimathandiza kuti magetsi aziyenda pakati pa maselo.

Kotero, ngati muli ndi matenda ochotsa myelin m'thupi, izi ndi zomwe zimachitika: chitetezo chanu cha mthupi chimaukira molakwika sheath ya myelin iyi, kapena maselo omwe amapanga myelin. Taganizirani izi ngati chitetezo chathu cha mthupi, chomwe chili ngati chitetezo cha thupi lathu, chikuukira anthu ake. Izi zimasintha momwe mitsempha imalumikizirana, momwe imagwirira ntchito, ndipo zizindikiro zosiyanasiyana zimayamba kuwonekera.

Kodi mitundu ya matenda ochotsa myelin ndi iti?

Matendawa omwe amachotsa myelin m'mitsempha amatha kubwera m'njira zosiyanasiyana. Amatha kugawidwa m'magulu monga omwe amakhudza kwambiri dongosolo lathu la mitsempha (ndiko kuti, ubongo ndi msana) ndi omwe amakhudza dongosolo la mitsempha la m'mphepete mwa ubongo (ndiko kuti, mitsempha ina yomwe imatuluka mu ubongo ndi msana).

Matenda ofala omwe amakhudza dongosolo la mitsempha:

• Multiple Sclerosis (MS) : Iyi ndi matenda omwe amaonekera kwambiri amtunduwu omwe anthu ambiri adamvapo.
• Matenda a Neuromyelitis Optica Spectrum (NMOSD)
• Transverse Myelitis (TM)
• Kufalikira kwa Encephalomyelitis (ADEM)
• Progressive Multifocal Leukoencephalopathy (PML)
• Central Pontine Myelinolysis (yomwe imatchedwanso Osmotic Demyelination Syndrome)

Matenda ofala omwe amakhudza dongosolo la mitsempha ya m'mitsempha:

• Matenda a Guillain-Barré (GBS)
• Matenda a Charcot-Marie-Tooth (CMT)
• Matenda Otupa Osatha Ochepetsa Miyeloni (CIDP)

"Mukanena kuti `Demyelinating Disease`, kodi nthawi zonse mumatanthauza `(MS)`?"

Ayi, sichoncho. Pali matenda ena angapo omwe amagwera m'gulu la Matenda Ochotsa Miyeloni. Komabe, m'maiko ngati North America, MS ndiye yofala kwambiri mwa matenda amenewa.

Kodi matenda amenewa ndi ofala bwanji?

Matenda a Multiple Sclerosis ndi amodzi mwa matenda ofala kwambiri omwe amachepetsa myelin. Kafukufuku wa mu 2019 adapeza kuti anthu pafupifupi miliyoni imodzi ku United States kokha ali ndi MS. Palinso anthu omwe ali ndi matendawa ku Sri Lanka, koma n'zovuta kupeza ziwerengero zolondola zokhudza matendawa.

Kodi zizindikiro za matenda ochotsa myelin ndi ziti?

Zizindikiro za matendawa zimatha kusiyana kwambiri, komanso zimasiyana malinga ndi mtundu wa matenda. Nazi zizindikiro zodziwika bwino za matenda ochotsa myelin omwe amakhudza dongosolo la mitsempha:

• Kusintha kwa masomphenya: Kusawona bwino, kulephera kusiyanitsa mitundu (makamaka yofiira ndi yobiriwira), kupweteka posuntha maso, kapena kuona zinthu ziwiri nthawi imodzi (kuona kawiri).
• Kumva dzanzi kapena kutaya kumva m'mbali zosiyanasiyana za thupi. Ngati kuti wina wakuphwanya manja kapena miyendo.
• Matenda otchedwa 'MS hug': Amatanthauza kumva ngati wina akukugwira mwamphamvu, mozungulira chifuwa kapena m'mimba mwako, kapena kukufinya.
• Kutopa: Kumva kutopa popanda chifukwa, kungokhala kutopa.
• Mavuto a mkodzo ndi matumbo: Kuvutika kukodza, kapena kulakalaka kukodza mwadzidzidzi (kutanthauza, kupita mwachangu mukafunika kupita), kudzimbidwa, ndi zina zotero.
• Mukaweramitsa khosi lanu patsogolo, mumamva kunjenjemera ngati magetsi akutsika kumbuyo kwanu, m'manja, ndi m'miyendo.
• Kuyenda movutikira. Miyendo imasokonekera, thupi limaoneka ngati latayika.
• Kufooka kapena kuuma kwa minofu.

Mungakumane ndi chimodzi mwa zizindikirozi, kapena zingapo nthawi imodzi. Komanso, kuopsa kwa zizindikirozi kumatha kusintha pakapita nthawi.Izi zikutanthauza kuti, nthawi zina, zizindikiro zimatha kuipiraipira pang'ono (kumva ngati zamphamvu kwambiri), kenako zimatha kwakanthawi.

Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a Demyelinating Disease?

Chifukwa chachikulu cha matendawa ndi kuwonongeka kwa myelin ndi maselo omwe amapanga myelin. Monga ndanenera kale, kuwonongeka kumeneku kumachitika chifukwa chitetezo chathu chamthupi chimaukira myelin wathanzi molakwika. Nthawi zambiri, chitetezo chathu chamthupi chimateteza thupi ku zinthu zomwe zimayambitsa matenda monga mabakiteriya ndi mavairasi. Koma nthawi zina, popanda malangizo oyenera, chitetezo chamthupi ichi molakwika chimaona maselo athu a myelin ngati owopsa kwa thupi. Zikatero, kutupa kumachitika m'malo amenewo, zomwe zimayambitsa zizindikiro za matenda ochotsa myelin.

Zinthu zina zingapo zingathandize kuti matenda a demyelinating ayambe:

• Chifukwa cha matenda a mavairasi kapena mabakiteriya .
• Kutengera kwa majini (ndiko kuti, kusintha kwina mu DNA yanu komwe kumawonjezera chiopsezo chanu chokhala ndi matenda a autoimmune).
• Chifukwa cha matenda ena, monga kusowa kwa mavitamini .

Nthawi zina, chifukwa chenicheni cha matendawa sichingapezeke . Kafukufuku wina akuchitidwa pa izi.

Kodi matenda a Demyelinating Disease amapezedwa bwanji?

Ngati muli ndi zizindikiro izi, choyamba muyenera kuonana ndi dokotala. Iye adzamvetsera zizindikiro zanu ndikukuyesani. Adzalembanso mbiri yonse yachipatala. Ngati akukayikira kuti muli ndi matenda ochotsa myelin, mutha kutumizidwa kwa katswiri wa mitsempha . Katswiri wa mitsempha ndi dokotala yemwe ali ndi maphunziro apadera pa matenda a mitsempha.

Katswiri wa mitsempha adzayesa mitsempha ndipo, ngati pakufunika kutero, adzayitanitsa mayeso ena. Palibe mayeso amodzi oti azindikire demyelination. Dokotala wanu adzagwiritsa ntchito mayeso amodzi kapena angapo otsatirawa kuti athetse matenda ena omwe ali ndi zizindikiro zofanana ndikupeza matenda olondola:

• Kujambula kwa MRI (Magnetic Resonance Imaging): Izi zimatha kupanga zithunzi zatsatanetsatane za ubongo ndi msana.
• Kuboola Lumbar kapena Spinal Tap: Izi zimaphatikizapo kutenga madzi ochepa a msana kuchokera ku msana ndikuwayang'ana.
• Optical Coherence Tomography (OCT): Iyi imafufuza mitsempha ya optic.
• Electromyography (EMG):Izi zimayesa ntchito yamagetsi ya minofu ndi mitsempha.
• Kuyezetsa Magazi: Kupewa matenda ena ndi kuwona kuchuluka kwa mavitamini.
• Mayeso Okhudza Mphamvu Zochokera ku Evoked Potentials: Amayesa liwiro limene zizindikiro zamagetsi zimadutsa m'mitsempha.

Kodi matenda a demyelinating amapezedwa bwanji ndi MRI?

MRI ndi mayeso omwe amagwiritsa ntchito maginito ndi mafunde a wailesi kuti apange zithunzi za ubongo wanu ndi msana wanu. Izi zimapatsa dokotala wanu chithunzi chabwino cha zomwe zikuchitika m'thupi lanu. Ngati muli ndi matenda ochotsa myelin, MRI scan ingawonetse malo omwe awonongeka (otchedwa zilonda) mu ubongo wanu ndi msana wanu.

Kodi matenda a Demyelinating Disease amachiritsidwa bwanji?

Chithandizo cha matenda ochotsa myelin chimasiyana malinga ndi mtundu wa matenda omwe muli nawo . Dokotala wanu adzagwira nanu ntchito kuti akuthandizeni kuthana ndi zizindikiro zanu, ndipo nthawi zina, kuchepetsa kufalikira kwa matendawa. Njira zina zochiritsira zingaphatikizepo:

• Mankhwala: Mankhwala omwe amachepetsa mphamvu ya matenda, kuwongolera zizindikiro, kapena kusintha magwiridwe antchito a chitetezo cha mthupi.
• Kuchiza Thupi ndi Kuchiza Ntchito: Kukuthandizani pa zinthu monga kuyenda movutikira, kufooka kwa minofu, komanso kukuthandizani kuchita ntchito za tsiku ndi tsiku mosavuta.

Dokotala wanu adzasankha njira yabwino kwambiri yothandizira kutengera zizindikiro ndi momwe mulili. Musanayambe kulandira chithandizo, phunzirani za zotsatirapo zake ndi zomwe mungayembekezere . Ngati mukupeza zizindikiro zatsopano kapena zikuipiraipira mutayamba kulandira chithandizo, uzani dokotala nthawi yomweyo. Mukayamba kulandira chithandizo mwachangu, zotsatira zanu zidzakhala zabwino.

Kodi chiyembekezo cha matenda amenewa ndi chiyani?

Malingaliro amasiyana kwambiri kutengera matenda omwe amayambitsa zizindikiro zanu. Matendawa angakhudze mbali zambiri za moyo wanu, kuphatikizapo momwe mumaganizira, kusuntha, ndi momwe mumamvera. Mwachitsanzo, mungakhale ndi vuto loyenda kapena kuchita ntchito za tsiku ndi tsiku. Anthu ena angafunike thandizo kuchokera kwa achibale kuti akhale pamalo otetezeka.

Kwa anthu ena, zizindikiro zake zimakhala zochepa kwambiri ndipo sizimakhudza nthawi yayitali . Kwa ena, zizindikiro zake zimakhala zazikulu ndipo zimakhudza kwambiri moyo watsiku ndi tsiku . Mkhalidwe wa aliyense ndi wosiyana. Palibe mankhwala a matendawa , koma dokotala wanu angakuthandizeni kuthana ndi zizindikiro zanu pa moyo wanu wonse.

Kodi Kuchotsa Miyeloni ya Matenda Kumasintha Nthawi Yokhala ndi Moyo Wosatha?

Matenda Ochotsa Miyeloni Amakhudza Moyo Wanu, Koma Matenda Ambiri Sakhudza Mwachindunji Kutalika Kwa Moyo Wanu . Kawirikawiri, kafukufuku wina akusonyeza kuti moyo wa munthu amene ali ndi matenda ochotsa Miyeloni ukhoza kukhala wofupikitsa pang'ono ndi zaka zingapo kuposa munthu amene alibe matendawa. Koma izi zimadalira kuchuluka kwa kuwonongeka kwa mitsempha yanu. Zimasiyana malinga ndi munthu. Dokotala wanu angayankhe bwino funsoli kutengera momwe zinthu zilili.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro izi za matenda ochotsa myelin, pitani kwa dokotala nthawi yomweyo:

• Kusintha kwa masomphenya
• Kusamva bwino kapena kutayika kwa kumverera
• Ntchito yolimba
• Mavuto akukodza kapena kuchita chimbudzi
• Kuyenda movutikira
• Kuuma kwa minofu kapena kufooka

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukazindikira kuti muli ndi matenda ochotsa myelin m'thupi, mungakhale ndi mafunso ambiri. Musazengereze kufunsa dokotala wanu mafunso monga awa:

• Ndi matenda amtundu wanji omwe amachotsa myelin m'thupi mwanga omwe ndili nawo?
• Kodi matendawa adzakula kwambiri (monga, kodi 'adzapita patsogolo')?
• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Kodi pali zotsatirapo zilizonse za mankhwalawa?
• Kodi chiyembekezo changa cha matenda chili bwanji?

Myelin ndi gawo lofunika kwambiri m'thupi lanu. Imateteza maselo a mitsempha yanu ndikuwapangitsa kugwira ntchito bwino. Ngati yawonongeka, mungakumane ndi zizindikiro monga kupweteka, kuvutika kuyenda, komanso kuvutika kuganiza bwino. Dokotala akhoza kuzindikira ndikuchiza matenda omwe amakukhudzani. Popeza palibe mankhwala a matendawa, muyenera kuthana ndi zizindikiro zanu moyo wanu wonse mothandizidwa ndi gulu lanu lachipatala. Nthawi zonse lankhulani ndi dokotala wanu za matenda anu, njira zochiritsira, zizindikiro zatsopano, kapena ngati mukuona kuti zizindikiro zanu zikuipiraipira.

Chinthu chofunika kwambiri chomwe muyenera kudziwa (Uthenga Wopita Nawo Kunyumba)

Chifukwa chake, Matenda Ochotsa Miyeloni ndi vuto lomwe limachitika pamene chipolopolo cha myelin m'mitsempha yathu chawonongeka. Izi zitha kumveka zoopsa, koma kumbukirani kuti simuli nokha. Zizindikiro zimatha kusiyana malinga ndi munthu, komanso momwe matendawa amakhudzira. Chofunika kwambiri ndichakuti ngati muli ndi zizindikiro zomwe zatchulidwa m'nkhaniyi, musanyalanyaze ndipo pitani kwa dokotala mwachangu momwe mungathere. Ngati mwazindikira matendawa msanga ndikuyamba kulandira chithandizo moyenera, mutha kuwongolera kwambiri zizindikiro zanu ndikukhala moyo wabwinobwino. Dokotala wanu ndi banja lanu adzakhala chithandizo chabwino paulendowu.

Matenda Ochepetsa Miyeloni, Myelin, Mitsempha, Multiple Sclerosis, MS, Zizindikiro, Chithandizo