Sayniska Dabagalkaaga Dib-u-eegistaada iyo sida aad uga hortagi karto Them
Dib u soo noqoshada MS waa mid ka sii xumaanaysa calaamadaha aad horay u lahayd ama muuqaalka calaamadaha cusub. Waxay sababtay MS lesion maskaxdaada ama xudunta lafdhabarta. Dib-u-kicinta waxaa sidoo kale loo yaqaannaa sii xumeyn, weeraro, foori, ama cirbad.
Sababaha
Dib-u-kicinta waxaa sababa gubasho dhacaya marka nidaamka difaaca jirka uu weeraro myelin ku wareegsan maskaxdaada maskaxdaada ama xudunta lafdhabarka.
Si khaas ah, myelin waa daboolka ilaalinta ee daboolaya fareemka dareemayaasha waxayna ka caawisaa inay u sameeyaan calaamado isku mid ah.
Marka maskaxdu ay ku dhacdo unugyada difaaca jirka, "lesion" ama aalado caabuq ah iyo waxyeellada ugu dambaysa (demyelination) ayaa dhacaya, samaynta xasaasiyadaha si wax ku ool ah u socodka calaamadaha.
Calaamadaha MS waxay markaa ku xiran yihiin meesha uu kudhaco maskaxda, maskaxda laf-dhabarta, ama dareemaha indhaha. Tusaale ahaan, barar ku dhaca miyir-beelka ayaa sababi karta dheelitirka isu-dheellitirka iyo isku-duwidda, halka bararka indhaha ee indhaha uu keeni karo aragti yar.
Calaamadaha iyo Calaamadaha
Dib u soo noqoshada qaarkeed ayaa aad u muuqda, tusaale ahaan, indhahaaga oo isha ku haya hal isha sababtoo ah weerarka nuucka indhaha . Si kastaba ha ahaatee, dib u soo noqoshada kale ma noqon karto mid lama filaan ama lama filaan ah. Tusaale ahaan, waxaa laga yaabaa inaad dareentid "wobbly" dheeraad ah ama daal.
Sida dhabta ah ee aad u ogaan karto haddii aad ku soo noqotey waa inaad leedahay MRI leh gadolinium - taas oo ka duwan maaddada laysku duro inta lagu jiro sawirka MRI .
Gadolinium waxaa lagu sawiraa meelaha gubashada iyo "iftiinka" marka jirku uu "firfircoon yahay". Xaaladdan, demyelination hadda waa dhacdaa, oo waxaad leedahay dib-u-dhac dhab ah, intii aad dareemaysid calaamado ay sababaan dhaawacyo waaweyn.
Pseudoexacerbation
Pseudoexacerbation waa ciriiri ku-meel-gaar ah oo astaamo ah oo keena arrin dibadda ah.
Inta badan waxaa keena kororka heerkulka jidhka sababtoo ah kuleylka hawada kulul, jimicsi, ama qandho, tanina waxaa loo yaqaan ' Uhthoff phenomenon' . Marka heerkulka jidhku uu ku noqdo mid caadi ah, calaamadaha maskaxda ayaa hoos u dhacaya.
Intee in Lagu Heli Karaa Dambe?
Si aad u noqoto runta dhabta ah ee MS, astaamaha waa ineey kudhawaadaan ugu yaraan 24 saacadood. Taas oo la sheegay, in dib loo soo celiyo badanaa la soo dhaafay dhowr toddobaad, inkastoo ay noqon karaan kuwo gaaban sida dhowr maalmood, ama ilaa dhowr bilood.
Waxa kale oo muhiim ah in la ogaado in soo noqoshada cusub waa in laga soocaa soo noqoshada hore ugu yaraan hal bil. Tani waa in la kala saaro astaamaha laga yaabo inay ka soo jeedaan nabar hore oo firfircoon, taas oo u beddeli karta sida infakshanka bararka, remyelination dhacdo, iyo / ama foomamka unugyada unugyada.
Daaweynta
Calaamado badan oo soo noqnoqda ayaa lagu daaweyn karaa corticosteroids-sare, badanaa Solu-Medrol. Go'aanka waxaa loo sameeyay in lagu daaweeyo dib u soo kabasho taasoo ku saleysan inta ay le'egtahay calaamadaha ay keenayaan, iyo inta ay farageliyaan dhaqdhaqaaqyada maalin kasta.
Daaweynta steroid waxay si weyn u yarayn kartaa mudada calaamadaha aadka u daran, taasoo u ogolaaneysa in si degdeg ah dib ugu noqoto hawlaha caadiga ah. Si kastaba ha noqotee, calaamadaha qaarkood waxay qaadan karaan wakhti dheer si ay u tagaan oo aysan marnaba si cad u tirin, taasina waxay macnaheedu tahay in qofku qabo naafonimo haraaga ah.
Ka hortagga
Waxa ugu muhiimsan ee aad samayn karto si aad uga hortagto soo noqoshada waa inaad bilowdo isticmaalka iyo adeecida mid ka mid ah daaweynta-wax ka bedelidda cudurka . Daawooyinkan ayaa lagu muujiyey in ay yareeyaan lambarka iyo darnaanta MS dib u soo noqoshada, horumarinta maskaxda cusub iyo laf-dhabarka laf-dhabarka, oo dib u dhigo naafonimada qofka. Warka fiicani waa in ay jiraan fursado badan oo la heli karo hadda daaweynaya MS, si wadajir ah ula shaqeeya dhakhtarkaaga neerfaha, waxaad ka heli kartaa adiga kugu habboon.
Ereyga
Dib-u-soo-noqoshada MS waxay noqon kartaa mid aad u jahwareersan oo walwalsan-xanbaarsiga labadaba bukaanka iyo dadka ay jecel yihiin, waana caan u ah dadka in ay su'aal ka keenaan in dhab ahaantii ay la kulmaan soo noqoshada cusub, dareemidda astaamaha dib u soo noqoshada hore, ama haysashada faamil xumo.
Ugu dambeyntii, waxaa ugu wanaagsan in aad la hadasho dhakhtarkaaga neerfaha ee ku saabsan calaamadahaaga haddii aadan hubin, gaar ahaan haddii ay faragalinayaan waxqabadyada maalinlaha ah ama kuu keenaya raaxo.
> Ilo:
> Birnbaum, MD George. 2013. Cudurka Sklerosis ee Multiple: Tilmaamaha Hagaajinta Tijaabada iyo Daaweynta, Koobka 2aad. New York, New York. Jaamacadda Oxford University.
> Ururka Shaqaalaha Qaran ee MS. (2017). Cudurrada Is-beddelidda Daawooyinka MS.