ʻO nā mea āpau e pili ana i ka Radiologically Isolated Syndrome a me kona pilina i ka Sclerosis Multiple

Anter

• Hoʻohui i nā sclerosis he nui
• Nā ʻōuli o RIS
• Kuhi o RIS
• RIS i nā keiki
• Lapaʻau o RIS
• He aha ke kuanaʻike?

He aha ka radiologically kaʻawale maʻi?

ʻO Radiologically integrated syndrome (RIS) kahi neurological - lolo a me ke aʻalolo - kūlana. I kēia maʻi, aia kekahi mau leona a i ʻole hoʻololi iki ʻia i nā wahi i ka lolo a i ʻole ka iwi kuamoo.

Hiki i nā leona ke hana ma nā wahi āpau o ka ʻōnaehana waena (CNS). Hana ʻia ka CNS o ka lolo, ka iwi kuamoo, a me nā aʻa optic (maka).

ʻO kahi maʻi i hoʻokaʻawale ʻia ʻo Radiologically kahi maʻi i loaʻa i ka scan poʻo a me ka ʻāʻī. ʻAʻole ʻike ʻia ke kumu o nā ʻōuli a i ʻole nā ​​hōʻailona ʻē aʻe. I ka hapanui o nā hihia, ʻaʻole ia e koi i ka lāʻau.

Hoʻohui i nā sclerosis he nui

Ua hoʻopili ʻia ka maʻi o Radiologically isolised i mau sclerosis (MS). Hiki ke nānā ʻia kahi lolo a me ka iwi kuamoʻo o kekahi me RIS e like me ka lolo a me ka iwi kuamoʻo o kahi kanaka me MS. Eia naʻe, ʻo ka hōʻoia ʻana me RIS ʻaʻole ia he kumu e loaʻa iā ʻoe ka MS.

Hoʻomaopopo kekahi mau mea noiʻi ʻaʻole pili mau ʻo RIS i nā sclerosis he nui. Hiki i nā leona ke hana no nā kumu he nui a ma nā wahi like ʻole o ka ʻōnaehana waena.

Hōʻike kekahi mau noiʻi ʻē aʻe he ʻāpana ʻo RIS o ka "spectrum sclerosis spectrum." ʻO kēia ke ʻano o kēia maʻi he ʻano "kūmau" o MS a i ʻole kahi hōʻailona mua o kēia ʻano.

Ua ʻike ʻia ma kahi o ka hapakolu o ka poʻe me RIS i hōʻike i kekahi mau hōʻailona o MS i loko o kahi mau makahiki he ʻelima. ʻO kēia mau mea, ʻaneʻane he 10 pākēneka i ʻike ʻia me MS. Ua ulu a ʻinoʻino paha nā ʻino ma kahi o 40 pākēneka o ka poʻe i ʻike ʻia me RIS. Akā ʻaʻohe o lākou hōʻailona.

Ma kahi e nui ai nā liona i ka maʻi radiologically kaawale. Ua ʻike ʻia kahi hui o nā kānaka noiʻi he nui ka makaʻu o ka poʻe me nā ʻino ma kahi o ka lolo i kapa ʻia ʻo ka thalamus.

Ua ʻike ʻia kekahi noiʻi ʻē aʻe i ka poʻe i loaʻa nā ʻeha ma ka ʻaoʻao luna o ka iwi kuamoʻo ma mua o ka lolo e hoʻomohala MS.

Ua ʻike ʻia ka hoʻopaʻa like ʻana i ka loaʻa ʻana o ka RIS ma mua o nā kumu kūpono ʻē aʻe o ka sclerosis. ʻO ka hapanui o ka poʻe e hoʻomohala iā MS e loaʻa i kahi mea ʻoi aku ka pilikia. Nā pilikia no MS me:

• genetics
• lesion kaulaʻi iwi kuamoʻo
• he wahine
• ma lalo o ka makahiki 37
• ʻo ia ʻo Caucasian

Nā ʻōuli o RIS

Inā kuhi ʻia ʻoe me RIS, ʻaʻole ʻoe e loaʻa i nā ʻōuli o MS. ʻAʻohe paha ou ʻōuli.

I kekahi mau hihia, hiki i nā poʻe me kēia maʻi ke loaʻa nā ʻōuli ʻino ʻē aʻe o kahi maʻi nerve. Hoʻopili kēia i ka liʻiliʻi o ka lolo a me ka maʻi hōʻeha. Pākuʻi ʻia paha nā ʻōuli:

• ʻeha poʻo ʻeha a me migraine
• nalo o nā reflexes i nā lālā
• nāwaliwali o ka lālā
• nā pilikia me ka hoʻomaopopo, ka hoʻomanaʻo ʻana, a i ʻole ka nānā ʻana
• hopohopo a me ke kaumaha

Kuhi o RIS

ʻIke pinepine ʻia ka maʻi Radiologically isolised e ka ulia i ka scan no nā kumu ʻē aʻe. Ua lilo nā liona o ka lolo i ʻike pinepine ʻia e like me ka hoʻomaikaʻi ʻana o ka scan scans a hoʻohana pinepine ʻia.

Loaʻa paha iā ʻoe kahi scan MRI a CT paha o ke poʻo a me ka ʻāʻī no ka ʻeha o ke poʻo, migraines, ʻike maka, kahi ʻeha poʻo, hahau, a me nā mea hopohopo ʻē aʻe.

Hiki ke loaʻa nā leona i ka lolo a i ʻole ke kaula o ka iwi. Hiki ke nānā ʻokoʻa kēia mau wahi mai nā aʻa aʻa a me nā aʻa a puni lākou. ʻIli paha lākou a pouli hoʻi i kahi scan.

ʻAneʻane 50 pākēneka o nā mākua me ka radiologically isolised syndrome ka nānā mua o ko lākou lolo ma muli o ka ʻeha poʻo.

RIS i nā keiki

He kakaikahi ʻo RIS i nā keiki, akā hiki nō ia. Ua ʻike ʻia kahi loiloi o nā hihia i nā keiki a me nā ʻōpio aia ma kahi o 42 pākēneka i loaʻa i kekahi mau hōʻailona kūpono o ka sclerosis maha ma hope o kā lākou ʻike ʻia. Ma kahi o 61 pākēneka o nā keiki me RIS i hōʻike hou aku i nā leona i loko o hoʻokahi a ʻelua mau makahiki paha.

Hana pinepine ka sclerosis maha ma hope o ka makahiki 20. Hiki ke hana ʻia kahi ʻano i kapa ʻia he sclerosis pediatric he nui i nā keiki ma mua o 18 mau makahiki. Ke nānā nei ka noiʻi hoʻomau inā he radiologically isolised syndrome i nā keiki kahi hōʻailona e ulu lākou i kēia maʻi i ka wā ʻōpio.

Lapaʻau o RIS

Ua hoʻomaikaʻi ʻo MRI a me ka lolo a ʻoi aku ka maʻamau. ʻO kēia ka maʻalahi ʻo RIS i kēia manawa no nā kauka e loaʻa ai. Pono e noiʻi hou aʻe inā e mālama ʻia nā ʻeha o ka lolo ʻaʻole kumu o nā ʻōuli.

Ke ʻimi nei kekahi mau kauka inā kōkua paha ka hoʻomaʻamaʻa mua ʻana iā RIS i ka pale ʻana iā MS. Manaʻo nā kauka ʻē aʻe he ʻoi aku ka maikaʻi ke nānā a kali.

Ke kuhikuhi ʻia nei me RIS, ʻaʻole ia he manaʻo no ke koi ʻana iā ʻoe i kahi lāʻau. Eia nō naʻe, mea nui ka makaʻala a mālama mau ʻia e ke kauka loea. I kekahi poʻe me kēia ʻano, hiki i nā leona ke hōʻino koke. Hiki i nā poʻe ʻē aʻe ke hoʻomōhala i nā ʻōuli ma ka manawa. Hiki i kāu kauka ke mālama iā ʻoe no nā ʻōuli e pili ana, e like me ka ʻeha mau loa o ka ʻeha a me ka migraines.

He aha ke kuanaʻike?

ʻO ka hapa nui o ka poʻe me RIS ʻaʻohe o lākou mau hōʻailona a hoʻomōhala paha i nā sclerosis he nui.

Eia nō naʻe, he mea nui ia e ʻike i kāu neurologist (lolo a me ka loea nerve) a me ke kauka ʻohana no ka nānā maʻamau. Pono ʻoe i nā scanner ukali e ʻike inā ua loli nā liona. Pono paha nā scans i kēlā me kēia makahiki a ʻoi aku paha inā ʻaʻole ʻoe e loaʻa i nā ʻōuli.

E hoʻomaopopo i kāu kauka e pili ana i nā ʻōuli a i ʻole nā ​​loli i kou olakino. E mālama i kahi puke pai e hoʻopaʻa i nā ʻōuli.

E haʻi i kāu kauka inā hopohopo ʻoe e pili ana i kāu kuhi. Hiki iā lākou ke kuhikuhi iā ʻoe i nā kolamu a me nā pūʻulu kākoʻo no ka poʻe me RIS.