Multiple Sclerosis (MS) yog kab mob autoimmune uas cuam tshuam rau hauv nruab nrab lub paj hlwb, tshwj xeeb yog lub hlwb thiab tus txha caj qaum. Raws li MS nce zuj zus, koj lub paj hlwb tuaj yeem ua rau puas tsuaj thiab koj lub neej zoo tuaj yeem txo qis. Muaj ntau txoj hauv kev sib txawv uas koj tuaj yeem kho tus mob MS, tab sis hom kev kho mob yuav nyob ntawm seb koj qhov MS tau nce zuj zus thiab koj cov tsos mob zoo li cas. Tsis muaj tshuaj kho rau MS, tab sis kawm paub kho tus tsos mob ntawm MS tuaj yeem ua rau tus kab mob qeeb zuj zus thiab pab txhim kho koj lub neej kom zoo.
Cov kauj ruam
Ntu 1 ntawm 3: Kho Tus Mob MS
Kauj Ruam 1. Siv tshuaj corticosteroids
Corticosteroids tuaj yeem pab txo qis kev mob ntawm lub paj hlwb, thawj qhov chaw ntawm MS cuam tshuam. Cov tshuaj corticosteroids ntau uas tau hais los ntawm kws kho mob tshwj xeeb rau MS suav nrog prednisone (feem ntau yog hais lus) thiab methylprednisolone (feem ntau yog txhaj tshuaj). Txawm hais tias feem ntau ua tau zoo, corticosteroids muaj ntau qhov tsis zoo tshwm sim, suav nrog kev tsaug zog, nce ntshav siab, kev hloov pauv/chim siab, thiab kua dej hauv lub cev.
Kauj Ruam 2. Tshaj tawm cov ntshav sib pauv
Plasma pauv, tseem hu ua plasmapheresis, pab ntau tus neeg mob MS thaum lub sijhawm MS tawm tsam. Thaum plasmapheresis, ntshav tau kos thiab cov ntshav sib xyaw nrog albumin (cov tshuaj protein) ua ntej yuav rov qab los rau hauv lub cev.
- Kev sib pauv ntshav ntshav feem ntau yog siv rau cov neeg mob nrog cov tsos mob tshiab, cov tsos mob hnyav, lossis cov tsos mob uas tsis tau teb rau lwm txoj kev kho mob zoo li steroids.
- Kev hloov ntshav ntshav tuaj yeem ua tau thaum koj nyob hauv kev saib xyuas ntawm MS tus kws tshaj lij.
Kauj Ruam 3. Sim kho lub cev
Coob leej neeg ntsib MS tawm tsam/ua rau raug kev txom nyem los ntawm cov tsos mob zoo li qhov muag tsis pom lossis tshwj xeeb nqaij ntshiv. Ib txoj hauv kev los pab txo cov teeb meem ntsig txog kev tswj cov leeg nqaij thiab rov tswj koj txhais ceg yog los ntawm kev kho lub cev, txawm hais tias qee tus kws tshaj lij pom zoo siv kev kho lub cev ua ke nrog rau chav kawm ntawm corticosteroids kom ua haujlwm tau zoo tshaj plaws.
Ntu 2 ntawm 3: Tswj Cov tsos mob ntawm MS
Kauj Ruam 1. Noj cov leeg nqaij
Coob leej neeg raug kev txom nyem los ntawm MS ntsib kev mob nqaij tawv thiab/lossis nqaij leeg. Qhov no tej zaum yuav tsom mus rau ib feem ntawm lub cev tab sis zoo li muaj feem ntau nyob hauv ob txhais ceg. Noj cov nqaij so tuaj yeem pab txo qis thiab ua kom yooj yim qhov mob cuam tshuam nrog cov leeg nruj.
Feem ntau tau sau tseg cov leeg so rau cov neeg mob MS suav nrog baclofen (Lioresal) thiab tizanidine (Zanaflex)
Kauj Ruam 2. Tswj teeb meem ntawm lub zais zis/plab
Cov tsos mob tshwm sim ntawm MS vim tias tus kab mob ua rau lub paj hlwb tsis muaj zog thiab tsis muaj lub zais zis thiab tswj lub plab. Koj tswj hwm cov tsos mob no yuav sib txawv li cas, nyob ntawm qhov mob hnyav thiab nce qib ntawm koj li MS. Txhawm rau pab tswj cov teeb meem ntawm lub zais zis thiab lub plab, koj tus kws kho mob yuav qhia koj kom:
- Nyob twj ywm raws sijhawm - daim ntawv teev sijhawm txhua hnub tuaj yeem pab tau zoo rau cov teeb meem hauv plab. Tab sis nws kuj tseem tuaj yeem pab tswj cov teeb meem tso zis. Los ntawm kev nyob raws sijhawm raws sijhawm thiab "kev qhia" koj lub zais zis kom ncua qhov xav tau tso zis mus txog rau lub sijhawm chav da dej so tom ntej, koj tuaj yeem tuaj yeem nce koj lub peev xwm los tswj koj cov kev xav tau tawm.
- Ua Kegel ce - Kegel qoj ib ce ntxiv dag zog rau cov leeg hauv koj lub plab, uas tuaj yeem pab txhim kho kev zais zis. Txhawm rau pib ua Kegel qoj ib ce, koj yuav tsum tau nyem/nruj cov leeg koj siv los tswj cov dej ntws. Tuav qhov nyem rau peb vib nas this, tom qab ntawd tso tawm. Rov ua cov txheej txheem 10 txog 15 zaug hauv ib ntu, thiab sim xyaum tsawg kawg peb zaug hauv ib hnub. Raws li koj ntxiv dag zog rau koj cov leeg, ntxiv ib thib ob ntxiv txhua lub lim tiam kom txog thaum koj tuaj yeem nruj cov leeg rau 10 vib nas this ib zaug.
- Noj tshuaj rau koj lub zais zis - muaj ntau cov tshuaj uas tuaj yeem pab tswj cov leeg uas tuaj yeem pab txhawb koj cov teeb meem ntawm lub zais zis. Cov tshuaj nquag siv rau teeb meem ntawm lub zais zis suav nrog Darifenacin (Enablex), Fesoterodine (Toviaz), Imipramine (Tofranil), thiab Oxybutynin (Ditropan).
- Noj cov fiber ntau - Ntxiv fiber ntau rau koj cov zaub mov, nrog rau haus dej ntau dua, tuaj yeem pab tswj qee yam teeb meem hauv plab. Sim noj cov qhob cij tag nrho, cov nplej, thiab txiv hmab txiv ntoo thiab zaub tshiab, lossis nug koj tus kws kho mob txog kev noj cov tshuaj fiber ntau.
- Siv cov quav muag muag - yog tias koj nquag muaj cem quav, tham nrog koj tus kws kho mob txog kev siv cov quav muag los pab ua kom yooj yim rau lub plab.
- Tham nrog koj tus kws kho mob txog cov tshuaj uas yuav tom khw uas koj tab tom txiav txim siab, tshwj xeeb tshaj yog tias koj muaj mob raws plab.
Kauj Ruam 3. Tau txais kev tawm dag zog ntau dua
Txawm hais tias cov tsos mob ntawm MS tuaj yeem txwv koj txoj kev muaj peev xwm koom nrog kev tawm dag zog lub cev, qee cov neeg mob pom tias kev tawm dag zog lub cev tuaj yeem pab txhim kho lub cev thiab lub paj hlwb kom nyob zoo. Cov dej num nquag muaj xws li kev tawm dag zog, yoga, thiab kev xav.
Kauj Ruam 4. Sim cannabis kho mob
Koj tuaj yeem pom qee qhov nyem ntawm koj cov leeg nqaij thiab mob los ntawm kev sim cannabis, yog tias koj nyob hauv ib qho chaw uas tso cai rau nws siv tshuaj kho mob. American Academy of Neurology lees paub tias kev kho mob cannabis, thaum haus luam yeeb lossis noj qhov ncauj (rho tawm nrog rau cov khoom siv hluavtaws cannabinoids), tuaj yeem pab cov neeg mob uas muaj tus mob MS. Txawm li cas los xij, tshuaj maj tsis yog rau txhua tus. Tham nrog koj tus kws kho mob txog qhov muaj txiaj ntsig zoo thiab txaus ntshai ntawm kev siv cov yeeb tshuaj xas.
- Hauv Tebchaws Meskas, 23 lub xeev thiab Cheeb Tsam Tsev Kawm Ntawv Columbia tau dhau txoj cai lij choj uas tso cai rau cov neeg mob uas tsim nyog tau txais kev yuav lossis loj hlob raug cai, muaj, thiab siv tshuaj maj kho mob.
- Kev siv cov tshuaj maj kho mob kuj tau tso cai hauv Canada.
- Tshawb nrhiav seb koj lub xeev, xeev, lossis lub tebchaws tso cai siv cov tshuaj maj kho mob los ntawm kev tshawb nrhiav txoj cai kho mob cannabis hauv koj cheeb tsam. Yog tias koj nyob hauv ib qho chaw uas tso cai siv yeeb tshuaj xas thiab koj ntseeg tias nws yuav pab tau koj cov tsos mob MS, nrog koj tus kws kho mob tham txog cov txiaj ntsig thiab kev phiv ntawm kev siv tshuaj maj.
Ntu 3 ntawm 3: Tswj Cov Ntawv Rov Qab Los ntawm MS nrog Tshuaj
Kauj Ruam 1. Noj beta interferons
Beta interferons feem ntau tau sau tseg thiab tshuaj xyuas los ntawm tus kws kho mob tshwj xeeb hauv MS txhawm rau tswj kev rov ua dua ntawm MS. Cov tshuaj no tau txhaj rau hauv cov hlab ntshav thiab tau ua pov thawj los txo ob qho tib si thiab qhov hnyav ntawm MS rov qab los. Kev puas tsuaj rau lub siab yog qhov tshwm sim tshwm sim ntawm kev siv beta interferons, yog li nws tseem ceeb heev uas yuav tsum tau kuaj ntshav tas li los ntawm koj tus kws kho mob txhawm rau saib xyuas koj lub siab enzymes rau kev puas tsuaj.
Common beta interferons suav nrog interferon beta-1a (xws li Avonex thiab Rebif) thiab interferon beta-1b (zoo li Betaseron thiab Extavia)
Kauj Ruam 2. Sim glatiramer acetate
Cov tshuaj no yuav tsum tau sau tseg thiab saib xyuas los ntawm kws kho mob MS. Nws tau muab tshuaj rau hauv cov hlab ntshav thiab nws tuaj yeem pab tswj lub cev tiv thaiv kab mob hauv lub cev myelin paj hlwb. Cov protein no tuaj yeem pab txo tus naj npawb ntawm cov neeg mob rov qab los, thiab tuaj yeem ncua lossis tseem tiv thaiv kev xiam oob khab tas mus li.
Copaxone yog cov tshuaj glatiramer acetate feem ntau tau sau tseg
Kauj Ruam 3. Siv dimethyl fumarate
Dimethyl fumarate yog tshuaj noj hais qhia thiab tshuaj xyuas los ntawm kws kho mob tshwj xeeb uas tuaj yeem pab txo qis MS rov qab los. Feem ntau nws tau noj ob zaug ib hnub. Cov kev mob tshwm sim tuaj yeem suav nrog raws plab, yaug, xeev siab, thiab txo qis cov qe ntshav dawb.
Tecfidera yog ib qho feem ntau tau sau tseg dimethyl fumarate
Kauj Ruam 4. Sim fingolimod
Cov tshuaj no uas tseem tau sau tseg thiab tshuaj xyuas los ntawm tus kws kho mob MS tuaj yeem pab txo qis kev rov kis los ntawm kev tiv thaiv koj lub cev tiv thaiv kab mob los ntawm kev ua rau lub paj hlwb hauv koj lub hlwb thiab/lossis tus txha caj qaum. Kev siv fingolimod kuj tseem yuav ncua lossis tseem tiv thaiv kev xiam oob khab tas mus li.
- Fingolimod feem ntau yog hais lus, ib zaug txhua hnub.
- Kev siv fingolimod tuaj yeem ua rau koj lub plawv dhia qeeb thiab ua rau muaj ntshav siab lossis tsis pom kev. Koj tus kws kho mob yuav tshuaj xyuas koj lub plawv dhia tsawg kawg rau teev tom qab siv koj thawj koob tshuaj ntawm fingolimod.
Kauj Ruam 5. Siv teriflunomide
Teriflunomide tau sau tseg thiab tshuaj xyuas los ntawm kws kho mob MS. Cov tshuaj no tau noj ntawm ncauj, ib zaug ib hnub, txhawm rau tiv thaiv lossis txo qis MS rov qab los. Teriflunomide tuaj yeem muaj ntau cov kev mob tshwm sim ntawm qib sib txawv ntawm qhov hnyav, suav nrog daim siab puas thiab plaub hau poob. Teriflunomide yuav tsum tsis txhob noj los ntawm cov poj niam uas cev xeeb tub lossis leej twg yuav xeeb tub, lossis los ntawm tus txiv neej koom nrog poj niam uas tuaj yeem cev xeeb tub, vim nws tuaj yeem ua rau muaj kev puas tsuaj loj heev rau tus menyuam hauv plab.
Kauj Ruam 6. Siv natalizumab
Natalizumab tuaj yeem pab tiv thaiv cov kab mob tiv thaiv kab mob los ntawm kev mus rau lub hlwb thiab tus txha caj qaum, yog li txo txoj kev pheej hmoo ntawm cov hlab ntsha puas tsuaj ntawm cov chaw no. Nws feem ntau muaj txiaj ntsig zoo ntawm kev kho tus mob MS rov qab los, txawm tias nws tseem tuaj yeem ua rau muaj kev pheej hmoo kis tus kab mob sib kis hauv lub hlwb. Tham nrog koj tus kws kho mob txog cov txiaj ntsig thiab muaj peev xwm txaus ntshai ntawm natalizumab.
Yuav tsum muaj ntawv yuav tshuaj thiab tshuaj xyuas los ntawm kws kho mob tshwj xeeb hauv MS
Kauj Ruam 7. Sim alemtuzumab
Alemtuzumab ua haujlwm los ntawm kev tsom mus rau cov protein uas nyob ntawm qhov chaw tiv thaiv kab mob hauv koj lub cev. Nws kuj tseem ua rau koj lub cev suav cov qe ntshav dawb tsawg, uas tuaj yeem txo qhov muaj feem cuam tshuam rau cov hlab ntsha, tab sis nws tseem muaj kev pheej hmoo. Qee cov neeg mob muaj kev pheej hmoo kis mob ntau ntxiv thiab cov teeb meem autoimmune vim txo qis cov qe ntshav dawb suav.
Alemtuzumab tau sau tseg thiab tshuaj xyuas los ntawm MS tus kws tshaj lij, ua haujlwm dhau tsib hnub sib law liag, tom qab ntawd ua raws nrog peb hnub ntxiv ntawm cov tshuaj infusions ib xyoos tom qab pib kho
Kauj Ruam 8. Noj mitoxantrone
Mitoxantrone yog ib qho tshuaj tiv thaiv kab mob uas tuaj yeem pab kho tus mob hnyav thiab theem siab MS. Txawm li cas los xij, nws txoj kev siv feem ntau txwv vim muaj kev pheej hmoo ntawm lub plawv puas tsuaj thiab mob qog noj ntshav. Tham nrog koj tus kws kho mob txog cov txiaj ntsig thiab muaj peev xwm txaus ntshai ntawm kev siv mitoxantrone.
Cov tshuaj no tseem xav tau daim ntawv yuav tshuaj thiab tshuaj xyuas los ntawm kws kho mob tshwj xeeb MS
Lub tswv yim
Yog tias koj muaj qhov tshwm sim tshwm sim ntawm MS "puag" qhov kev xav, koj tuaj yeem ua cov kauj ruam los kho MS puag
Lus ceeb toom
- Mus ntsib koj tus kws kho mob yog tias koj muaj cov tsos mob ntxiv lossis cov tsos mob tshiab.
- Koj tuaj yeem tuaj yeem rov kho qee qhov myelin uas ploj lawm uas siv kev tawm dag zog thiab noj zaub mov, uas tuaj yeem txhim kho koj lub neej zoo, tab sis cov kev kho mob no yuav tsis kho qhov mob hauv qab.
