Kodi matenda a RRMS ndi chiyani? Kodi zizindikiro zimabwera ndi kutha? Tiyeni tidziwe bwino lomwe kuti ndi chiyani (Relapsing-Remitting Multiple Sclerosis)

Kodi mungaganizire kudzuka m'mawa wina ndikukhala ndi zizindikiro monga dzanzi mbali imodzi ya thupi lanu ndi kusawona bwino, kenako pakatha masiku kapena milungu ingapo, zonsezi zimatha kwathunthu. Kenako simudzakhala ndi mavuto kwa miyezi ingapo, mwina zaka zambiri. Chilichonse chimabwerera mwakale. Kenako mwadzidzidzi mumakhala ndi zizindikiro zina, mwinanso kuvutika kuyenda. Tikulankhula za vuto lomwe lili ndi zizindikiro zomwe zimabwera ndi kutha motere. Izi ndi zomwe timatcha RRMS mu zamankhwala.

Mwachidule, kodi RRMS ndi chiyani?

RRMS ndi chidule cha `Relapsing-Remitting Multiple Sclerosis`. Uwu ndiye mtundu wofala kwambiri wa `Multiple Sclerosis` (MS). Ndipotu, pafupifupi anthu 80-85 mwa anthu 100 aliwonse omwe ali ndi MS ali ndi mtundu uwu wa `RRMS`.

Chabwino, tsopano tiyeni tiwone tanthauzo la dzinali.

• Kubwereranso: Izi zikutanthauza nthawi yomwe zizindikiro zimaonekera mwadzidzidzi kapena kuipiraipira. Anthu ena amanenanso kuti izi ndi 'kuphulika'. Nthawi imeneyi imatha kuyambira masiku angapo mpaka milungu ingapo.
• Kuchepetsa: Izi zikutanthauza nthawi imene zizindikirozo zimachepa pang'onopang'ono ndipo mumabwerera ku moyo wabwinobwino, kaya kwathunthu kapena pang'ono. Mwina simungakhale ndi zizindikiro panthawiyi.

Mwachidule, RRMS ndi vuto lomwe limasinthana pakati pa nthawi ya kuphulika kwa zizindikiro ndi nthawi ya mpumulo wa zizindikiro.

MS ndi matenda omwe chitetezo chamthupi chathu, chomwe chimatiteteza ku matenda, chimaukira molakwika dongosolo lathu la mitsempha. Ndikofunikira kuti inu ndi dokotala wanu mudziwe bwino mtundu wa matenda, RRMS, chifukwa ndi momwe mungadziwire chithandizo choyenera kwambiri kwa inu.

Kodi zizindikiro zofala zomwe zimapezeka mu RRMS ndi ziti?

Zizindikirozi sizimachitika mwa aliyense mofanana. Zimasiyana kwambiri kuchokera kwa munthu ndi munthu. Nthawi zina zizindikiro zingapozi zimatha kuchitika limodzi. Chimodzi kapena zingapo mwa izi chingawonekere munthu akabwereranso ku matendawa.

Ngakhale anthu ena amatha kumva bwino zizindikiro zawo, ena amatha kukhala ndi zizindikiro zina zotsala. Muzochitika zotere, physiotherapy, mankhwala, kapena jakisoni monga Botox®, monga momwe dokotala wanu walangizira, zingathandize kuchepetsa zizindikiro zanu.

Kodi pali zinthu zomwe zimayambitsa zizindikiro zomwe zingawonjezere?

Inde, zinthu zina zingayambitse zizindikiro zanu kubwerera kapena kukulirakulira. Koma 'zoyambitsa' izi sizikhudza aliyense mofanana. Chomwe chimakhudza munthu mmodzi sichingakhudze wina.

Nazi zina mwa zinthu zomwe zimayambitsa vutoli:

• Kupsinjika Maganizo: Kupsinjika maganizo kwambiri kungakhale chifukwa chachikulu cha zizindikiro.
• Kutentha: Kutentha kwambiri, malungo, kapena kuzizira kwambiri kwa anthu ena kungapangitse zizindikirozo kukhala zovuta kwambiri.
• Matenda: Ngakhale matenda ang'onoang'ono, monga chimfine kapena matenda a mkodzo, angayambitsenso zizindikiro zakale za MS.
• Kugwiritsa ntchito fodya: Kusuta fodya kungathandize kuti matendawa apitirire msanga komanso kuti zizindikiro zake ziwonjezeke.
• Kusowa kwa Vitamini D: Kafukufuku wapeza kuti kuchepa kwa vitamini D kumakhudzanso matenda a MS ndi zizindikiro zake.

N’chifukwa chiyani MS imayamba? Kodi chifukwa chake n’chiyani?

Ndipotu, chifukwa chenicheni cha MS sichinapezekebe , koma kafukufuku wapeza kuti pali zinthu zingapo zomwe zingayambitse vutoli.

Ingoganizirani za mitsempha yathu ngati mawaya amagetsi. Mawaya awa ali ndi chigoba choteteza, monga `insulation`. Timachitcha ichi `myelin` . Chigoba cha myelin ichi ndi chomwe chimalola mauthenga kuyenda mwachangu komanso molondola kudzera mu mitsempha.

Mu MS, chitetezo chathu chamthupi, asilikali omwe amatiteteza ku matenda, amaukira molakwika chigoba cha myelin ichi. Kuukira kumeneku kumawononga chigoba cha myelin. Kenako kutumiza mauthenga a mitsempha kumasokonekera. Monga momwe 'kuteteza' kwa waya kumawonongeka, 'kumafupikitsa'. Pamenepo ndi pomwe zizindikiro zomwe tidakambirana kale zimawonekera.

Amakhulupirira kuti zinthu zachilengedwe, kuphatikizapo majini ndi matenda opatsirana monga kachilombo ka Epstein-Barr, zingayambitse chitetezo cha mthupi kuukira molakwika mwanjira imeneyi.

Kodi matenda a RRMS amapezedwa bwanji?

Kuzindikira matenda a MS kungakhale kovuta, chifukwa palibe mayeso amodzi omwe angatsimikizire matendawa. Dokotala wanu adzafufuza zizindikiro zanu, mbiri yanu yachipatala, mayeso akuthupi, ndi zotsatira za mayeso ena angapo kuti apeze matenda.

Mayeso omwe nthawi zambiri amachitidwa pa izi ndi awa:

• Kujambula kwa MRI: Kujambula kwa MRI (Magnetic Resonance Imaging) kwa ubongo ndi msana kumatha kuzindikira madera omwe awonongeka (mabala) ku sheath ya myelin.
• Kuboola Lumbar: Izi zimaphatikizapo kulowetsa singano yaying'ono kwambiri mu ngalande ya msana ndikutenga madzi ochepa a m'mitsempha kuti muwone ngati pali mapuloteni enaake okhudzana ndi MS, monga oligoclonal bands.
• Kuyezetsa magazi: Kuyezetsa magazi kumachitika kuti muwonetsetse kuti mulibe matenda ena omwe amayambitsa zizindikiro zofanana ndi za MS.
• Mayeso a OCT: ``Optical Coherence Tomography`` ndi mayeso osapweteka omwe amafufuza mitsempha ya maso kumbuyo kwa diso kuti awone ngati yawonongeka ndi MS.

Kodi mankhwala a RRMS ndi ati?

Ngakhale kuti palibe mankhwala a RRMS pakadali pano, pakadali pano pali mankhwala othandiza kwambiri omwe angakuthandizeni kuthana ndi matendawa ndikukhala moyo wabwinobwino.

Zolinga zazikulu za chithandizo ndi izi:

• Kuchepetsa chiwerengero cha kubwereranso m'mbuyo.
• Kuchepetsa kuwonongeka kwa dongosolo la mitsempha yapakati.
• Kuchedwetsa kuyamba kwa zilema zomwe zimayambitsidwa ndi matendawa.

Mankhwala omwe amagwiritsidwa ntchito pa izi amatchedwa ma disease-modifying therapies (DMTs) . Mankhwalawa amapezeka m'njira zosiyanasiyana.

• Jakisoni: Jakisoni woperekedwa pansi pa khungu kapena mu minofu.
• Mankhwala omwa: Mankhwala omwe amatengedwa ngati mapiritsi tsiku lililonse kapena masiku oikika.
• Mankhwala olowetsedwa m'thupi: Mankhwala omwe amaperekedwa m'thupi kudzera m'mitsempha, monga saline. Mankhwalawa angaperekedwe kamodzi pamwezi kapena miyezi ingapo iliyonse.

Zinthu zoti mufunse dokotala wanu

Popeza matenda a RRMS ndi matenda omwe amatenga nthawi yayitali, ndi zachilendo kukhala ndi mafunso ambiri m'maganizo mwanu. Mukapita kukaonana ndi dokotala wanu, lembani mafunso awa.

Mafunso ena omwe angakuthandizeni kufunsa dokotala wanu:

• Kodi ndili ndi mtundu wanji wa MS?
• Kodi mungandilimbikitse chithandizo chanji? Chifukwa chiyani?
• Kodi zotsatirapo zake ndi ziti?
• Kodi ndingatani ngati zizindikiro zanga zikuwonjezeka mwadzidzidzi (kubwereranso)?
• Kodi ndingadziwe bwanji zinthu zomwe zimayambitsa zizindikiro zanga?

Kukhala ndi matenda a RRMS kungakhale kovuta. Koma kumbukirani kuti simuli nokha. Ndi chithandizo choyenera, kusintha kwa moyo wanu, ndi chithandizo kuchokera kwa gulu lanu lachipatala, mutha kukhala ndi moyo wabwino kwambiri komanso wokangalika. Kufunafuna thandizo kwa katswiri wa zamaganizo, ngati pakufunika, kungathandizenso kwambiri.