Cutar Sclerosis mai Rarrafe da Ci Gaban Kasa (PRMS)

Wadatacce

• Bayyana “sake dawowa” a cikin PPMS mai aiki
• Kwayar cutar PPMS
• Ci gaban PPMS
• Binciken PPMS
• Yin maganin PPMS
• Outlook na PPMS

Menene ci gaba-sake kamuwa da cutar sikeli (PRMS)?

A cikin 2013, masana masana kiwon lafiya sun sake bayyana nau'ikan MS. A sakamakon haka, ba a ƙara ɗaukar PRMS ɗayan ɗayan fitattun nau'ikan MS.

Mutanen da wataƙila suka sami ganewar asali na PRMS a baya ana ɗaukarsu yanzu cewa suna da MS na ci gaba na farko tare da cutar mai aiki.

Matsanancin cutar sikandire na farko (PPMS) sananne ne don alamun bayyanar da ke taɓarɓarewa lokaci. Ana iya bayyana cutar a matsayin "mai aiki" ko "ba ta aiki." Ana ɗaukar PPMS mai aiki idan akwai sababbin bayyanar cututtuka ko canje-canje akan sikanin MRI.

Mafi yawan alamun PPMS suna haifar da canje-canje a cikin motsi, kuma suna iya haɗawa da:

• canje-canje a cikin tafiya
• hannuwa da kafafu masu tauri
• kafafu masu nauyi
• rashin iya tafiya na dogon zango

Cigaba da sake kamuwa da cutar sankarau da yawa (PRMS) yana nufin PPMS tare da cuta mai aiki. Percentageananan mutanen da ke da cutar sclerosis da yawa (MS) suna da wannan sigar da ke haifar da cutar.

Bayyana “sake dawowa” a cikin PPMS mai aiki

A farkon farawa na MS, wasu mutane suna wucewa ta cikin canje-canje a cikin alamun bayyanar. Wasu lokuta ba sa nuna alamun MS na kwanaki ko makonni a lokaci guda.

Koyaya, yayin lokutan bacci, bayyanar cututtuka na iya bayyana ba tare da gargaɗi ba. Ana iya kiran wannan komawar MS, taɓarɓarewa, ko hari. Sake dawowa wata sabuwar alama ce, sake dawowa tsohuwar alama ce wacce a da ta samu ingantuwa a baya, ko kuma taɓarɓarewar wata tsohuwar alama da ta wuce sama da awanni 24.

Rushewa a cikin PPMS mai aiki ya bambanta da sake dawowa cikin sake-sakewa da cututtukan sclerosis (RRMS).

Mutanen da ke tare da PPMS suna fuskantar saurin bayyanar cututtuka. Kwayar cututtukan na iya samun ɗan sauƙi amma ba zai tafi gaba ɗaya ba. Saboda alamomin sake komowa baya tafiya a cikin PPMS, mutum mai cutar PPMS galibi yana da alamun alamun MS fiye da wanda ke da RRMS.

Da zarar PPMS mai aiki ta ci gaba, sake dawowa zai iya faruwa kwatsam, tare da ko ba tare da magani ba.

Kwayar cutar PPMS

Alamun motsi suna cikin alamun yau da kullun na PPMS, amma tsanani da nau'ikan alamun na iya bambanta daga mutum zuwa mutum. Sauran alamun yau da kullun na PPMS masu aiki na iya haɗawa da:

• jijiyoyin tsoka
• tsokoki marasa ƙarfi
• rage aikin mafitsara, ko rashin jituwa
• jiri
• ciwo na kullum
• hangen nesa ya canza

Yayinda cutar ke ci gaba, PPMS na iya haifar da alamun bayyanar cututtuka kamar:

• canje-canje a cikin magana
• rawar jiki
• rashin jin magana

Ci gaban PPMS

Baya ga sake dawowa, PPMS mai aiki yana alama ta ci gaba mai ƙarfi na rage aikin jijiyoyin jiki.

Doctors ba za su iya hango ainihin ƙimar ci gaban PPMS ba. A lokuta da yawa, ci gaba abu ne mai sauƙi amma tsayayye wanda ke ɗaukar shekaru da yawa. Mafi munin yanayi na PPMS ana alama da ci gaba cikin sauri.

Binciken PPMS

PPMS na iya zama da wahala a gano asali. Wannan wani bangare ne saboda sake dawowa a cikin PPMS ba abu ne mai lura kamar yadda suke a cikin wasu nau'ikan MS marasa ƙarfi sosai.

Wasu mutane suna barin sake komowa sakamakon samun kwanaki marasa kyau maimakon ɗauka cewa alamu ne na taɓarɓarewar cuta. An gano PPMS tare da taimakon:

• gwaje-gwajen gwaje-gwaje, kamar gwajin jini da hujin lumbar
• Binciken MRI
• gwajin neurological
• tarihin lafiyar mutum mai cikakken bayani game da canje-canje na alamomi

Yin maganin PPMS

Maganinku zai mai da hankali kan taimakawa don gudanar da sake dawowa. Magunguna guda ɗaya da aka yarda da FDA don PPMS shine ocrelizumab (Ocrevus).

Magunguna bangare ɗaya ne na maganin MS. Hakanan likitanku na iya bayar da shawarar canje-canje na rayuwa don taimakawa sauƙin alamunku da haɓaka ƙimar rayuwa. Motsa jiki na yau da kullun da abinci mai gina jiki na iya haɓaka aikin likita na MS.

Outlook na PPMS

A halin yanzu babu magani ga MS.

Kamar sauran nau'o'in cutar, jiyya na iya taimakawa jinkirin ci gaban PPMS. Hakanan jiyya na iya sauƙaƙe bayyanar cututtuka.

Sa hannun likita na farko zai iya taimakawa hana cutar ta tasiri sosai game da rayuwar ku. Duk da haka, yana da mahimmanci don samun ganewar asali daga likitan ku don tabbatar kun sami kulawar da ta dace.

Masu bincike suna ci gaba da nazarin MS don fahimtar yanayin cutar kuma wataƙila su nemi warkarwa.

Karatun asibiti na PPMS ba su da yawa fiye da sauran nau'o'in cutar saboda ba ta da sauƙin ganowa. Tsarin daukar ma'aikata don gwaji na asibiti na iya zama da wahala idan aka ba da irin wannan nau'in MS.

Yawancin gwaji don PPMS suna nazarin magunguna don gudanar da bayyanar cututtuka. Idan kuna sha'awar shiga cikin gwaji na asibiti, tattauna cikakkun bayanai tare da likitanku.