Mhoroi! Ungave wakanzwa nezvezita rekuti Multiple Sclerosis, kana kuti pamwe mumwe munhu waunoziva ane chirwere ichi. Kana kuti ungave uchida kuziva zvakawanda nezvacho. Ungave uine mibvunzo yakawanda mupfungwa dzako, yakadai sekuti chinonzi chii, nei chichiitika, zviratidzo zvacho ndezvipi, uye pane mushonga here? Saka nhasi tichataura nezveizvi zvese nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi Multiple Sclerosis?
Zvichitaurwa zviri nyore, Multiple Sclerosis chirwere chinokanganisa sisitimu yedu yetsinga , iyo iri uropi nemusana. Funga nezvazvo setsinga dzinomhanya sewaya dzemagetsi mumiviri yedu yese. Tsinga idzi dzinotakura mashoko kubva kuuropi kuenda kumakumbo edu, maziso, uye mumiviri yedu yese, uye dzinotakurawo manzwiro (senge kupisa, kutonhora, kurwadziwa) kudzokera kuuropi.
Kutenderedza tsinga idzi, sekunge purasitiki inoputira waya yemagetsi, kune chifukidziro chekudzivirira. Tinoti iyi myelin sheath . Iyi myelin sheath ndiyo inobvumira mameseji etsinga kufamba nekukurumidza uye nemazvo.
Asi, kune munhu ane multiple sclerosis (MS), chimwe chinhu chakasiyana zvishoma chinoitika. Sistimu yekudzivirira yemuviri wavo, iyo immune system , inotanga kurwisa myelin sheath iyoyo zvisirizvo. Zvakafanana nemasoja avo vachiparadza chimwe chinhu chakakosha kwavari. Isu tinoti ichi chirwere che autoimmune .
Kana sheath ye myelin ikakuvara, kutapurirana kwemashoko etsinga kunova kusina kurongeka. Dzimwe nguva mashoko acho anofamba zvakanaka, dzimwe nguva haafambi zvakanaka, uye dzimwe nguva anovharika zvachose. Funga nezvazvo sechinovhara waya yemagetsi chiri kukwenywa munzvimbo dzakasiyana, uye magetsi anomira kuyerera.
Izwi rekuti "sclerosis" rinoreva "vanga." Izvi zvinodaro nekuti mavanga madiki anoumba panokuvadzwa myelin sheath. "Multiple" zvinoreva "vakawanda." Izvi zvinoreva kuti kukuvara uku kunogona kuitika munzvimbo dzinopfuura imwe chete mutsinga.
Sei chirwere chemultiple sclerosis (MS) chichikura? Ndezvipi zvinokonzera?
Kutaura zvazviri, chikonzero chaicho cheMS hachisati chazivikanwa , asi vanachiremba nemasayendisiti vanotenda kuti zvinogona kunge zviri musanganiswa wezvikonzero.
- Kufarirwa kwemajini: Izvi zvinoreva kuti pane kufarirwa kwemajini. Zvisinei, ichi hachisi chirwere chinopfuudzwa zvakananga kubva kumubereki kuenda kumwana. Zvisinei, kana mumwe munhu mumhuri aine MS, mikana yekuti vamwe vabatwe nayo yakakwira zvishoma. Asi ichikamu chidiki kwazvo.
- Zvinhu zviri munharaunda: Zvimwe zvinhu zviri munharaunda yatinogara zvinogona kutikanganisa.
- Utachiona hwemavhairasi: Mamwe marudzi emavhairasi, semuenzaniso Epstein-Barr virus (EBV)Zvakawanikwa kuti zvinowedzera njodzi yekubatwa neMS.
- Kushaikwa kweVitamin D: Dzimwe ongororo dzinoratidza kuti vanhu vasina Vitamin D yakakwana, yatinowana kubva kuzuva, vane mukana mukuru wekuva neMS.
- Kusvuta: Vanhu vanosvuta vane njodzi huru yekubatwa neMS, uye kusvuta kunogonawo kuwedzera chirwere ichi.
- Nzvimbo: Dzimwe nyika, kunyanya idzo dziri kure neequator, dzine huwandu hwakawanda hweMS.
- Kusashanda zvakanaka kwemasoja emuviri: Sezvambotaurwa, apa ndipo apo masoja emuviri anorwisa masero awo. Chikonzero chaicho cheizvi hachisati chazivikanwa.
Chinhu chinonyanya kukosha ndechekuti MS haisi chirwere chinotapuriranwa. Izvi zvinoreva kuti haigone kupararira kubva kune mumwe munhu kuenda kune mumwe nekungohotsira kana kukwazisana maoko.
Ndezvipi zviratidzo zvinowanzoonekwa zvechirwere ichi?
Zviratidzo zveMS zvinosiyana kubva pamunhu nemunhu . Vamwe vanhu vanogona kunge vaine zviratidzo izvo vamwe vangave vasina. Zvakare, zviratidzo zvinogona kuchinja nekufamba kwenguva. Dzimwe nguva zviratidzo zvinogona kunge zvisina kunyanya kuoma, uye dzimwe nguva zvinogona kunge zvakanyanya. Tinodaidza idzi nguva dzekuwedzeredza (kudzokazve) uye kuregeredzwa (kuregeredzwa) .
Heano mamwe ezviratidzo zvakajairika:
- Matambudziko ekuona:
- Kuona kusina kujeka.
- Kutanga kuona munzira mbiri (diplopia).
- Kurwadziwa kana uchitendeudza maziso ako kurutivi rumwe, dzimwe nguva kurasikirwa kwenguva pfupi kwekuona muziso rimwe chete (rinonziwo optic neuritis ).
- Kushaya simba kwetsandanyama uye kuputika kwetsandanyama:
- Kunzwa sekunge makumbo ako ari kupera simba, zvichikuomera kufamba.
- Kurasikirwa nepfungwa dzakadzikama uye kudonha.
- Kuoma kwetsandanyama dzemakumbo, kuoma kwekukotama nekutambanudza ( spasticity ).
- Kunzwa kusanzwa kana kukwenya:
- Kunzwa kusanzwa zvakanaka, kukwenya, kana kunzwa sekunge kuvhunduka kwemagetsi mumaoko, tsoka, kumeso, kana dzimwe nhengo dzemuviri.
- Kuneta/kuneta kwakanyanya:
- Ichi chinhu chinogona kukanganisa vanhu vane MS. Hakusi kuneta kwakajairika chete, asi kunzwa kuneta kwakanyanya kusingapere zvisinei nekuti unowana hope dzakadini kana kuzorora zvakadii. Fungidzira, vamwe vanhu vanogona kumuka mangwanani vachinzwa sekunge vanga vachishanda zuva rese.
- Matambudziko edundira neura:
- Kuita weti kakawanda, kuda kuita weti nekukurumidza, uye kuoma kudzora weti.
- Kuzvimba.
- Dzungu uye vertigo:
- Kungonzwa dzungu uye kuoma kumira.
- Marwadzo:
- Kurwadziwa kwetsinga dzeropa netsandanyama zvinogona kuitika.
- Kuchinja kwekufunga:
- Kuomerwa nekurangarira zvinhu.
- Kuomerwa nekuisa pfungwa pachinhu chimwe chete.
- Zvinotora nguva kuita sarudzo uye kuronga.
- Kuchinja kwemanzwiro:
- Kunzwa kusuruvara pasina chikonzero kusuruvara .
- Kutya nguva dzose, kunetseka , uye kuzvidya mwoyo .
- Kuchinja pfungwa nekukurumidza.
- Matambudziko ekutaura:
- Kutaura kusina kunyatsojeka ( dysarthria) kunogona kuitika, sezvo mashoko achiramba asina kunyatsojeka.
- Matambudziko ekumedza:
- Vamwe vanhu vanogona kunzwa kudzipwa kana vachimedza chikafu nechinwiwa ( dysphagia ).
Usafunge kuti une MS nekuti une chimwe kana zviviri zvezviratidzo izvi. Izvi zvinogonawo kukonzerwa nezvimwe zvirwere. Saka, zvakakosha kutsvaga rubatsiro rwechiremba.
Ndiani ane mukana mukuru wekuwana MS?
Kunyange zvazvo MS inogona kukura chero panguva ipi zvayo, inonyanya kuonekwa mu:
- Pakati pevaya vane makore ari pakati pe20 ne50 .
- Vakadzi vane mukana wekuwana MS kaviri kana katatu kupfuura varume.
- Kana mumwe munhu mumhuri aine MS (sezvambotaurwa, izvi hazvisi zvenhaka yekuzvarwa nayo zvakananga, asi pane njodzi diki).
- MS inowanikwa zvakanyanya pakati pemamwe mapoka emadzinza, semuenzaniso, avo vanobva kuNorthern Europe. Zvisinei, kune varwere veMS muSri Lanka zvakare.
MS inoonekwa sei? (Kuongororwa)
Hapana bvunzo imwe chete yekuongorora MS. Vanachiremba vanoshandisa musanganiswa wezviratidzo, nhoroondo yezvekurapa, uye mhedzisiro yebvunzo dzakasiyana-siyana kuti vasvike pakuongororwa kweMS.
- Nhoroondo yezvekurapa uye kuongororwa kwetsinga: Chiremba achakubvunza nezvezviratidzo zvako uye nhoroondo yezvekurapa yemhuri, uye achaongororawo kuona kwako, simba rako, kuenzana kwako, uye simba rako rekuita zvinhu.
- MRI (Magnetic Resonance Imaging) scan: Iyi bvunzo inokosha zvikuru pakuongorora MS. Inogona kuona zvakajeka kana myelin sheath iri muuropi nemumusana yakakuvara uye kana maronda avapo.
- Zvidzidzo zvinogona kuratidzwa: Bvunzo iyi inoyera kumhanya kunoita tsinga dzeropa kumhinduro yechinhu chinoshandiswa pamaziso, nzeve, kana ganda. Mhinduro iyi inogona kunonoka nekuda kwekukuvara kwe myelin.
- Kuboorwa kwemusana/Kupomba kwemusana: Muongororo iyi, tsono diki kwazvo inopinzwa mumusana uye huwandu hushoma hwe cerebrospinal fluid (CSF) hunobviswa. Kumwe kuchinja kwemvura iyi kunogona kuonekwa kune vanhu vane MS.
- Kusabatwa kwezvimwe zvirwere: Kuongororwa kunoitwawo kuti pave nechokwadi chekuti hapana zvimwe zvirwere zvinokonzera zviratidzo zvakafanana neMS (semuenzaniso, mamwe hutachiona, kushomeka kwemavhitamini, zvimwe zvirwere zvetsinga).
Ndeapi marapirwo aripo?
Chekutanga, hapana mushonga weMS parizvino . Asi musazvidya moyo! Kune mishonga yakawanda inoshanda inogona kubatsira kudzora chirwere ichi, kuderedza zviratidzo, uye kuvandudza hupenyu hwenyu.
Kurapa kunogona kukamurwa kuita zvikamu zvikuru zvakasiyana:
1. Mishonga Inochinja Zvirwere (DMTs):
- Mishonga iyi inoshanda nekuderedza kurwiswa kwemasero emuviri ekudzivirira chirwere pa myelin sheath.
- Izvi zvinogona kuderedza huwandu hwekudzoka kwechirwere, kuderedza kuoma kwacho, uye kunonotsa kuremara kwenguva refu kunokonzerwa nechirwere.
- Kune mhando dzakasiyana dzeDMTs (semuenzaniso, jekiseni, mapiritsi, netsinga). Chiremba wetsinga ndiye achasarudza kuti ndeipi DMT yakakunakira.
2. Kurapa kwekudzokera shure kwechirwere:
- Kana zviratidzo zvikawedzera kamwe kamwe (kudzokazve), mishonga yakaita se corticosteroids inogona kupihwa kwenguva pfupi. Iyi inogona kuderedza kuzvimba nekukurumidza uye kubatsira kuderedza zviratidzo.
3. Kurapa kudzora zviratidzo (Kutarisira zviratidzo):
- Kune nzira dzakasiyana dzekurapa zviratidzo zvakasiyana zvinokonzerwa neMS.
- Kurapa muviri: Kunobatsira pazvinhu zvakaita sekufamba netsoka, kuomarara kwetsandanyama, uye kuenzana.
- Kurapa kwemabasa: Kunobatsira mabasa ezuva nezuva, mabasa epamba, uye maturusi nemidziyo inodiwa pabasa.
- Mishonga yezviratidzo zvakananga: Kune mishonga yakasiyana yezvinhu zvakaita sekuneta kwakanyanya, kurwadziwa, matambudziko edundira, uye kuomarara kwetsandanyama (spasticity).
- Rutsigiro rwehutano hwepfungwa: Kupiwa mazano uye, kana zvichidikanwa, mishonga zvakakosha pakugadzirisa kushushikana, kuora mwoyo, uye kuzvidya mwoyo kunogona kuitika kana uchirarama neMS.
- Kurapa kwekutaura nekumedza: Kana uchinetseka kutaura kana kumedza, unogona kutsvaga rubatsiro rwenyanzvi.
4. Kugadzirisa mararamiro:
- Kudya kwakanaka: Zvakakosha kudya chikafu chakakwana.
- Kurovedza muviri nguva dzose: Kuita maekisesaizi akakodzera iwe kunogona kuvandudza simba, kuchinjika, uye hutano hwese.
- Dzivisa kusvuta: Kana uchisvuta, unofanira kurega zvachose.
- Zorora uye hope dzakakwana: Izvi zvinobatsira kudzora kuneta kwakanyanya.
- Kudzora kushushikana: Zvinhu zvakaita seyoga nekufungisisa zvinogona kubatsira.
Nezvekurarama neMS
MS chirwere chinonetsa, asi izvozvo hazvirevi kuti hupenyu hwapera.Kana vanhu vazhinji vane MS vachirapwa zvakanaka uye vachitsigirwa, vanorarama hupenyu hunofadza uye hunobudirira.
Yeuka kuti hausi wega. Vaka rutsigiro rwakasimba rwevamwe vanhu vane MS, mhuri, shamwari, uye vanachiremba.
Hunhu hweMS ndehwekuti mamwe mazuva akanaka, uye mamwe mazuva akaoma zvishoma. Saka, zvakakosha kuteerera muviri wako, kunzwisisa zvaunogumira, uye kukumbira rubatsiro kana uchida rubatsiro. Kuva neruzivo rwakakwana nezvechirwere chako, kutevedzera zano rachiremba wako, uye kuva nemafungiro akanaka kunogona kuita mutsauko mukuru.
Pakupedzisira, zvinhu zvekurangarira
Zvakanaka, saka tataura zvakawanda nezveMultiple Sclerosis nhasi. Ndinovimba wanzwisisa izvi zvakanaka.
- MS chirwere chakaoma chekudzivirira muviri chinokanganisa uropi nemusana.
- Zviratidzo zvinosiyana kubva pamunhu kuenda kune mumwe uye zvinogona kuchinja nekufamba kwenguva.
- Kunyange hazvo pasina mushonga wakakwana, kune mishonga inoshanda zvikuru yekudzora chirwere ichi uye kuderedza zviratidzo.
- Zvakakosha zvikuru kuongorora chirwere ichi uye kutanga kurapwa nekukurumidza.
- Kana uchifungidzira kuti iwe kana mumwe munhu waunoziva ane zviratidzo zveMS, tsvaga rubatsiro rwechiremba nekukasika.
- Kupa rutsigiro nekunzwisisa kune avo vanorarama neMS kwakakosha zvikuru.
Tsvagiridzo pamusoro peMS iri kuenderera mberi. Panogona kunge paine marapirwo ari nani mune ramangwana. Saka, chinhu chakakosha ndechekugara uine tariro uye wakashinga. Kana uine mimwe mibvunzo, usazeza kutaura nachiremba.
` Multiple Sclerosis, Multiple Sclerosis, MS, Chirwere chetsinga, Myelin, Chirwere cheAutoimmune, Zviratidzo zveMS, Kurapwa kweMS











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