Nā hoʻāʻo no Multiple Sclerosis

Anter

• Nā hoʻāʻo koko
• Kiʻi resonance ʻume mākenēki
• Pahuhopu
• Hoʻomākaukau
• Pahu lumbar
• Hōʻoia hiki ke hoʻāʻo
• Nā hoʻokolohua hou ma lalo o ka hoʻomohala
• He aha ka manaʻo no MS?

He aha nā sclerosis maha?

ʻO ka sclerosis Multiple (MS) kahi manawa mau, autoimmune holomua e pili ana i ka ʻōnaehana waena. Hana ʻia ʻo MS i ka wā e hoʻouka ka ʻōnaehana pale i ka myelin e pale ai i nā ʻāʻī o ke aʻa i ka iwi kuamoʻo a me ka lolo. ʻIke ʻia kēia he demyelination, a he kumu ia e paʻakikī ai ke kamaʻilio ma waena o nā ʻalalā a me ka lolo. ʻO ka hopena hiki ke hopena i ka hōʻino ʻana i nā aʻalolo.

ʻAʻole ʻike ʻia ke kumu o nā sclerosis he nui. Manaʻo ʻia he hiki i nā kūpuna a me nā wahi kaiapuni ke hoʻokau i kahi kuleana. ʻAʻohe mea ola i kēia manawa no MS, ʻoiai aia kekahi mau hōʻailona e hiki ai ke hōʻemi i nā ʻōuli.

Hiki i ka sclerosis maha ke paʻakikī i ka hōʻoia ʻana; ʻaʻohe hōʻike hoʻokahi e hiki ke hōʻoia iā ia. Ma kahi o kahi diagnose, koi ʻia i nā hoʻokolohua he nui e kāpae i nā kūlana ʻē aʻe me nā ʻōuli like. Ma hope o ka lawelawe ʻana o kāu kauka i kahi hoʻokolohua kino, e kauoha paha lākou i kekahi mau hoʻokolohua like ʻole inā manaʻo lākou he MS kāu.

Nā hoʻāʻo koko

E lilo paha nā hoʻokolohua koko i ʻāpana o ka hana mua inā manaʻo kāu kauka he MS paha kāu. ʻAʻole hiki i nā hoʻokolohua koko ke hopena i ka hōʻoia paʻa o MS, akā hiki iā lākou ke kāpae i nā kūlana ʻē aʻe. Loaʻa kēia mau ʻano:

• Maʻi Lyme
• nā maʻi hoʻoilina maʻamau
• syphilis
• HIV / AIDS

Hiki ke ʻike ʻia kēia mau maʻi āpau me ka hana koko wale nō. Hiki i nā hōʻoia koko ke hōʻike i nā hopena maikaʻi ʻole. Hiki i kēia ke alakaʻi i nā diagnoses e like me ke kanesa a i ʻole ka hemahema o ka wikamina B-12.

Kiʻi resonance ʻume mākenēki

ʻO ke kiʻi resonance ʻume mākenēki (MRI) ka hoʻāʻo o ke koho no ke kuhikuhi ʻana iā MS i ka hui pū ʻia me nā hōʻike koko mua. Hoʻohana ka MRI i nā nalu lekiō a me nā māla uila e loiloi i ka ʻike o ka wai e pili ana i nā kiko o ke kino. Hiki iā lākou ke huai i nāʻaʻaʻa maʻamau a maikaʻi ʻole a hiki ke ʻike i nā kūlike ʻole.

Hāʻawi ʻo MRI i nā kiʻi kikoʻī a maʻalahi hoʻi o ka lolo a me ka iwi kuamoo. ʻOi aku ka nui o ka hoʻowahāwahā ma mua o nā X-ray a i ʻole nā ​​scans CT, kahi e hoʻohana ai i ka radiation.

Pahuhopu

E ʻimi ana nā kauka i ʻelua mau mea ke kauoha lākou i kahi MRI me kahi kānalua i ʻike ʻia he MS. ʻO ka mea mua e nānā lākou no nā ʻano ʻē aʻe ʻē aʻe i hiki ke kāpae iā MS a kuhikuhi i kahi ʻano ʻokoʻa, e like me ka tumo lolo. E nānā pū lākou i nā hōʻike o ka hoʻoliʻiliʻi.

ʻO ka papa o ka myelin e pale ai i nā olonā nā momona a momona hoʻi i ka wai ke maikaʻi ʻole. Inā ua hōʻino ʻia ka myelin, akā naʻe, hoʻemi ʻia a holehole ʻia paha kēia mea momona a ʻaʻole hoʻi e kipaku hou i ka wai. E paʻa ka wahi i kahi wai hou aʻe ma ke ʻano he hopena, i hiki ke ʻike ʻia e MRI.

No ke kuhikuhi ʻana iā MS, pono i nā kauka ke ʻike i ka hōʻike demyelination. Ma waho o ka hoʻoholo ʻana i nā kūlana kūpono ʻē aʻe, hiki i kahi MRI ke hāʻawi i kahi hōʻike paʻa i ka hana demyelination.

Hoʻomākaukau

Ma mua o kou hele ʻana i loko no kāu MRI, hemo i nā mea hoʻonaninani āpau. Inā he metala kāu ma kou lole (me nā ziper a i nā lou bra), e noi ʻia ʻoe e hoʻololi i ke kapa komo no ka haukapila. E moe mālie ʻoe i loko o ka mīkini MRI (e hāmama ana ma nā wēlau ʻelua) no ka lōʻihi o ke kaʻina hana, ma waena o 45 mau minuke a me 1 hola. E hoʻomaopopo i kāu kauka a me ka ʻenehana ma mua o ka manawa inā iā ʻoe:

• implants hao
• pacemaker
• kāhiko
• hoʻokomo infusion lāʻau lāʻau
• kiwikā puʻuwai puʻuwai
• moʻolelo o ka maʻi kō
• nā kūlana ʻē aʻe āu i manaʻo ai he pili

Pahu lumbar

Hoʻohana ʻia ʻo Lumbar puncture, i kapa ʻia hoʻi ʻo ka pākino, i kekahi manawa i ke kaʻina hana o ka hōʻoia ʻana iā MS. E lawe kēia hana i kahi laʻana o ka wai cerebrospinal (CSF) no ka hoʻāʻo ʻana. Lumbar punctures i manaʻo invasive. I ka wā o ke kaʻina hana, hoʻokomo ʻia kahi nila i loko o ke kua i lalo, ma waena o ka vertebrae, a i loko o ka canal spinal. E hōʻiliʻili kēia nila kolo hollow i ka laʻana o CSF ​​no ka hoʻāʻo ʻana.

Ma kahi o 30 mau minuke e hana ai ke kaola kuamoʻo, a hāʻawi ʻia iā ʻoe kahi anesthetic kūloko. Nonoi ʻia ka mea hoʻomanawanui e moe ma ko lākou ʻaoʻao me ko lākou iwi kuamoʻo. Ma hope o ka hoʻomaʻemaʻe ʻia o kahi a lawelawe ʻia kahi anesthetic kūloko, e hoʻokomo kahi kauka i ka nila kuha i loko o ka canal spinal e huki i hoʻokahi i ʻelua punetēpō o CSF. ʻO ka maʻamau, ʻaʻohe hoʻomākaukau kūikawā. E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi.

ʻO nā kauka nāna e kauoha i nā lumbar punctures i ke kaʻina o kahi hōʻike MS e hoʻohana i ka hoʻokolohua e kāpae i nā kūlana me nā ʻōuli like. E ʻimi pū lākou i nā hōʻailona o MS, kikoʻī:

• nā pae kiʻekiʻe o nā mea pale i kapa ʻia ʻo IgG antibodies
• i kapa ʻia nā proteins nā pēpē oligoclonal
• kahi kiʻekiʻe kiʻekiʻe o nā kiko keokeo

ʻO ka helu o nā hunaola keʻokeʻo i loko o ka wai o ka iwi o ka poʻe me MS hiki i ʻehiku mau manawa ke kiʻekiʻe ma mua o ka maʻamau. Eia nō naʻe, hiki ke hoʻokumu ʻia kēia mau pane pale pale ʻino e nā ʻano ʻē aʻe.

Ua manaʻo ʻia ʻaʻole 5 a 10 mau pākēneka o ka poʻe me MS e hōʻike i nā mea kūpono ʻole i kā lākou CSF.

Hōʻoia hiki ke hoʻāʻo

ʻO nā hoʻāʻo Evokes hiki (EP) ke ana i ka hana uila i ka lolo e kū i ka pane ʻana i ka hoʻonāukiuki, e like me ke kani, ka pā, a me ka ʻike maka. Hoʻopuka kēlā me kēia ʻano stimulus i nā hōʻailona uila minuke, hiki ke ana ʻia e nā electrodes i kau ʻia ma ka ʻili e nānā i ka hana ma kekahi mau wahi o ka lolo. ʻEkolu ʻano o nā hoʻokolohua EP. ʻO ka pane i hoʻonā ʻia i ka ʻike (VER a i ʻole VEP) ka mea i hoʻohana pinepine ʻia e hōʻoia iā MS.

Ke kauoha nā kauka i kahi hōʻike EP, e ʻimi lākou i ka lawe pilikia maikaʻi ʻole e kū nei ma nā ala nerve optic. Hana maʻamau kēia i ka wanaʻao i ka hapa nui o nā maʻi MS. Eia nō naʻe, ma mua o ka hoʻopau ʻana no V MS nā VER maʻamau, pono e kāpae ʻia i nā maʻi ʻē aʻe a i ʻole retinal.

ʻAʻole pono kahi hoʻomākaukau e lawe i kahi hōʻike EP. I ka wā o ka hoʻāʻo, e noho ʻoe ma ke alo o ka pale i loaʻa i kahi kumu checkerboard alternating ma luna. E noi paha ʻoe iā ʻoe e uhi i hoʻokahi maka i ka manawa. Pono ia i ka noʻonoʻo hana, akā palekana a noninvasive ia. Inā komo ʻoe i nā aniani, e nīnau i kāu kauka ma mua o ka manawa inā ʻoe e lawe iā lākou.

Nā hoʻokolohua hou ma lalo o ka hoʻomohala

Ke holomua mau nei ka ʻike lapaʻau. I ka neʻe ʻana o ka ʻenehana a me ko mākou ʻike o MS, hiki i nā kauka ke ʻike i nā hoʻokolohua hou e hana i ka ʻoihana ʻike MS he maʻalahi.

Ke hoʻomohala ʻia nei kahi hoʻokolohua koko e hiki ai ke ʻike i nā meaolaolaola e pili ana me MS. ʻOiai ʻaʻole hiki i kēia hoʻokolohua ke kuhikuhi pono iā MS nona iho, hiki iā ia ke kōkua i nā kauka e loiloi i nā mea weliweli a hana maʻalahi wale nō ka hōʻoia ʻana.

He aha ka manaʻo no MS?

Ke hōʻike nei iā MS i kēia manawa hiki ke lilo i mea paʻakikī a hoʻolilo manawa. Eia naʻe, ʻo nā ʻōuli i kākoʻo ʻia e MRI a i ʻole nā ​​hopena hōʻike ʻē aʻe i hui pū ʻia me ka hoʻopau ʻana i nā kumu kūpono ʻē aʻe hiki ke kōkua i ka hoʻomaʻemaʻe ʻana o ka hōʻailona.

Inā ʻoe e ʻike nei i nā ʻōuli e like me MS, e hoʻopaʻa i kahi manawa me kāu kauka. ʻO ka loaʻa koke o kāu hōʻailona, ​​ʻo ka hiki koke iā ʻoe ke loaʻa i ka lāʻau, a hiki ke kōkua i ka hōʻemi ʻana i nā ʻōuli pilikia.

He mea kōkua paha ke kamaʻilio pū me nā poʻe ʻē aʻe e hele like ana i ka mea like. E kiʻi i kā mākou polokalamu MS Buddy manuahi e kaʻana like i nā ʻōlelo aʻoaʻo a me ke kākoʻo ma kahi ākea. Hoʻoiho no ka iPhone a me ka Android.