Qhov sib txawv tseem ceeb ntawm RRMS thiab PPMS yog tias RRMS yog hom kab mob ntau yam sclerosis uas zoo li muaj mob ntau dua, thaum PPMS yog hom kab mob ntau yam sclerosis uas zoo li mob tsawg dua.
Ntau yam sclerosis yog ib qho mob ntev uas ua rau cov hlab ntsha puas. Ntau tus kab mob sclerosis yog ib qho piv txwv ntawm tus kab mob demyelinating qhov twg myelin sheath (kev tiv thaiv npog ntawm cov paj hlwb) ua puas. Muaj plaub yam tseem ceeb ntawm ntau tus kab mob sclerosis: kev kho mob cais tawm (CIS), rov ua dua ntau tus kab mob sclerosis (RRMS), thawj tus kab mob ntau yam sclerosis (PPMS), thiab theem nrab ntau yam sclerosis (SPMS).
RRMS yog dab tsi (Relapsing Remitting Multiple Sclerosis)?
RRMS (relapsing remitting multiple sclerosis) yog hom kab mob ntau yam sclerosis. Nws cuam tshuam txog 85% ntawm txhua tus neeg uas kuaj pom muaj ntau yam sclerosis. Feem ntau cov neeg feem ntau raug kuaj pom thawj zaug nrog RRMS. Txawm li cas los xij, RRMS feem ntau hloov pauv tom qab ntau xyoo caum mus rau hom kev vam meej dua hu ua Secondary progressive multiple sclerosis.
RRMS feem ntau cuam tshuam nrog lub sijhawm mob hnyav thiab lub sijhawm tso tawm. Thaum rov tshwm sim, cov tsos mob tshiab tuaj yeem tshwm sim; Qee zaum, tib cov tsos mob tuaj yeem tshwm sim los yog hnyav dua. Ntawm qhov tod tes, thaum kev zam txim, tib neeg yuav muaj cov tsos mob tsawg dua, lossis cov tsos mob tuaj yeem tsis tshua hnyav rau lub lis piam, hli, lossis xyoo. RRMS yog hom kab mob ntau yam sclerosis uas zoo li muaj ntau qhov mob. Cov tsos mob ntawm RRMS tej zaum yuav muaj teeb meem nrog kev sib koom tes thiab kev sib npaug, loog loog, qaug zog, tsis muaj peev xwm xav tsis meej, teeb meem tsis pom kev, kev nyuaj siab, teeb meem nrog kev tso zis, teeb meem ua kom sov, cov leeg tsis muaj zog, thiab teeb meem taug kev.
Daim duab 01: Hom Ntau Yam Sclerosis
RRMS tuaj yeem kuaj tau los ntawm kev kuaj MRI, keeb kwm kev kho mob, kuaj lub cev, thiab kuaj mob hlwb. Tsis tas li ntawd, kev kho mob rau RRMS tuaj yeem suav nrog cov tshuaj xws li tshuaj so, tshuaj tua kab mob thiab tshuaj steroids, kev kho lub cev, kev kho haujlwm, kev hais lus, kev kho mob hlwb, kab mob, kev kho mob hloov kho (DMTs) los tiv thaiv kev rov qab los thiab txo lawv cov zaus, saib xyuas thiab txhawb nqa tus neeg lub peev xwm. kom paub txog cov tsos mob ntawm tus kab mob los yog paj hlwb puas thiab cov tshuaj xws li Ocrelizumab, Siponimod, thiab Cladribin rau relapses.
PPMS (Primary Progressive Multiple Sclerosis) yog dab tsi?
PPMS (thawj yam mob ntau yam sclerosis) yog ib hom kab mob tsis tshua muaj ntau yam sclerosis, cuam tshuam txog 15% ntawm txhua tus neeg mob MS. Thaum lwm hom kab mob sclerosis feem ntau tshwm sim los ntawm kev mob hnyav hu ua hloov, uas tau ua raws li lub sijhawm tsis ua haujlwm hu ua kev tshem tawm, PPMS ua rau cov tsos mob tshwm sim zuj zus. Cov tsos mob ntawm PPMS yuav muaj xws li teeb meem tsis pom kev, teeb meem hais lus, teeb meem taug kev, teeb meem nrog kev sib npaug, mob dav dav, txhav thiab tsis muaj zog ceg, teeb meem nrog kev nco, qaug zog, teeb meem nrog lub zais zis thiab lub plab, kev nyuaj siab, teeb meem kev sib deev, tshee, prickling xav, loog, tuag tes tuag taw, hluav taws xob poob siab, teeb meem nyob twj ywm, thiab cov leeg tsis muaj zog.
Ntxiv mus, PPMS tau kuaj pom los ntawm kev sib tham, kuaj lub cev, MRI scan ntawm lub hlwb thiab tus txha caj qaum, kho qhov muag pom kev sib raug zoo tomography (OCT), tus txha caj qaum, thiab qhov muag pom kev muaj peev xwm. Nws tuaj yeem kho tau los ntawm kev siv tshuaj xws li ocrelizumab (ocrevus), kev kho lub cev, kev ua haujlwm kho mob, kev hais lus kho, kev tawm dag zog, lwm yam tshuaj rau cov leeg nruj, zais zis thiab plab hnyuv, teeb meem kev sib deev, qaug zog, thiab kev tawm tswv yim rau kev mob hlwb.
Qhov Zoo sib xws ntawm RRMS thiab PPMS yog dab tsi?
- RRMS thiab PPMS yog ob hom kab mob sclerosis.
- Ob hom MS yog vim cov txheej txheem autoimmune uas ua rau muaj kev puas tsuaj rau myelin sheath.
- Ob hom MS tej zaum yuav muaj cov tsos mob zoo sib xws xws li teeb meem tsis pom kev, teeb meem taug kev, qaug zog, thiab kev nyuaj siab.
- Lawv tau kho los ntawm cov tshuaj xws li ocrelizumab (ocrevus) thiab lwm yam kev pabcuam txhawb nqa.
Qhov txawv ntawm RRMS thiab PPMS yog dab tsi?
RRMS yog ib hom kab mob ntau yam sclerosis uas zoo li muaj mob ntau dua, thaum PPMS yog hom kab mob ntau yam sclerosis uas feem ntau ua rau mob tsawg. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm RRMS thiab PPMS. Tsis tas li ntawd, RRMS cuam tshuam rau cov neeg nyob rau hauv lawv 20s thiab 30s, thaum PPMS cuam tshuam rau cov neeg nyob rau hauv lawv 40s thiab 50s.
Cov hauv qab no infographic nthuav tawm qhov sib txawv ntawm RRMS thiab PPMS hauv daim ntawv tabular rau ib sab ntawm kev sib piv.
Summary – RRMS vs PPMS
RRMS thiab PPMS yog ob hom kab mob sclerosis. RRMS yog hom kab mob ntau yam sclerosis uas zoo li muaj mob ntau dua, thaum PPMS yog hom kab mob ntau yam sclerosis uas zoo li muaj mob tsawg. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm RRMS thiab PPMS.
