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MS tünetek a nőkben: a szokásos, korai és ritka

MS tünetek a nőkben: a szokásos, korai és ritka

sclerosis multiplex (MS) egy autoimmun állapot, amely zavarja az információáramlást a központi idegrendszerben. Különböző tüneteket okoz, és a nőstényeket másképp befolyásolhatja, mint a férfiak.

A kutatók nem tudják, mi kiváltja az MS -t. Miután kialakul, az állapot miatt az immunrendszer elpusztítja a mielinnek nevezett szövetfajtát, amely szigeteli az idegrostokat.

Elegendő mielin nélkül az idegek számára nehéz a jelek megfelelő továbbítását és fogadása. A

MS véletlenszerűen befolyásolja az agy, a gerincvelő és a szem idegeit. Ez a kiszámíthatatlan fizikai, mentális és érzelmi tünetek széles skáláját okozhatja, amelyek személyenként változnak.

Ez a cikk megvitatja az MS leggyakoribb tüneteit, és elmagyarázza, hogy a nők miért tapasztalhatják meg a tüneteket, mint a férfiak. Ez a diagnózist és a kezelést is lefedi.

A nem és a nem létezik spektrumokon. Ez a cikk a „férfi”, „nő” vagy mindkettő kifejezéseket fogja használni a születéskor kiosztott szexre. Kattints ide hogy többet megtudj.

Az MS tünetei nőstényekben

A nőstények SM tünetei hasonlóak a férfiakhoz, de a hormonális változások miatt további kérdéseket is tartalmazhatnak. Az MS nőstényekben eltérően befolyásolhatja a szexuális egészség és a hólyag működését is.

MS tünetek nőstényekben a következőket tartalmazzák:

1. Látási problémák

Sok ember számára a látási probléma az MS első észrevehető tünete.

Három látási probléma, amelyek általában a következők:

  • Optikus neuritis, amely vak foltokat és szemfájdalmat okozhat A szemek nem igazodnak helyesen
  • Nystagmus, amelyben a szemek önkéntes mozgásokat hajtanak végre

Körülbelül 1 -ből 1 -ből, az MS -ben szenvedő ember, az optikai neuritis az első tünet.

Egyéb tünetek, amelyek befolyásolhatják az MS -ben szenvedő személy szemét:

  • Homályos látás
  • Rossz színű látás vagy kontraszt látás
  • Fájdalmas szemmozgások
  • Vakság az egyik szemben
  • Sötét folt a látás területén

Az MS -ben szenvedő emberek látási problémákat is kialakítanak Mivel optikai idegeik gyulladnak, vagy az idegkárosodás miatt, amely a vizuális koordinációt és a szemmozgást szabályozza.

Bár az MS miatti látási problémák félelmetesek lehetnek, a legtöbb kezelés nélkül megoldódnak, vagy nagyon kezelhetők.

2. Zsibbadás

Az arc, a test, a karok vagy a lábak zsibbadása az MS másik általános tünete. Ez gyakran az állapot egyik legkorábbi tünete.

A zsibbadás az enyhe és alig észrevehető és elég súlyosig terjedhet ahhoz, hogy zavarja a mindennapi tevékenységeket, például tárgyak tartását és gyaloglását.

A zsibbadás legtöbb periódusa, amelyet az MS gyógyszeres kezelés nélkül feloldanak, és nem válnak véglegesen letiltva.

Az MS -ben szenvedő emberek körülbelül 80% -a zsibbadást vagy bizsergést tapasztal a testük egy részén.

3. Fáradtság

Az MS -ben szenvedő emberek kb. 80% -ánál fáradtság vagy megmagyarázhatatlan kimerültség tapasztalható.

Időnként a fáradtság oka az MS egy másik tünetéhez kapcsolódik. Például a húgyhólyag diszfunkcióval rendelkező embereknek elégtelen alvás lehet, mert fel kell ébredniük, hogy a fürdőszobába menjenek egész éjjel.

Az MS -ben szenvedő emberek, akiknek éjszakai izomgörcsei vannak, előfordulhat, hogy nem alszanak jól, így a nap folyamán fáradtnak érzik magukat. Az MS növelheti a depresszió kockázatát is, ami fáradtságot okozhat.

Egy másik típusú fáradtság, amely az MS -re jellemzőnek tűnik, Hassitude -nak nevezzük. Előfordulhat, hogy egy személynek tapasztalható, ha fáradtságuk:

  • Naponta fordul elő
  • A nap folyamán romlik. A jó éjszakai alvás
  • Hő vagy páratartalom súlyosbodása
  • zavarja a napi aktivitást
  • Nem kapcsolódik a fizikai károsodásokhoz vagy a depresszióhoz

4. A hólyagproblémák

A hólyagproblémák az MS -ben szenvedő emberek legalább 80% -át érintik. Ezek a problémák akkor fordulnak elő, amikor az idegek hegei rontják az idegjelzést, amely a húgyúti és hólyag működéséhez szükséges.

MS megnehezítheti a hólyag számára a vizelet tartását, és csökkentheti a tárolható mennyiséget, olyan tüneteket okozva, mint például:

  • tétovázás a vizelés kezdete
  • Gyakori éjszakai vizelés
  • A hólyag kiürítésének képtelensége
  • Képtelenség vizeletet tartani, vagy a vizelet szivárog. >

5. A bélproblémák

Sok emberben szenvedő ember bélproblémákat tapasztal, például:

  • A bélvezérlés elvesztése

A bélproblémák más MS tüneteket súlyosbíthatják – különösen a hólyagproblémákat, az izom merevségét és az akaratlan izomgörcsöket.

Egyes kutatók úgy vélik, hogy az MS -ben szenvedő embereknek problémái vannak a bélük ellenőrzésével, mivel a betegség okozta neurológiai károkat. Az MS -ben szenvedő embereknek is nehézségekbe ütközhetnek a bélük ellenőrzése, ha székrekedésük van.

Az MS -ben szenvedő emberek kb. Fele egy időben bélproblémákkal járhat.

6. fájdalom

Egyes kutatások azt sugallják, hogy az SM -ben szenvedő emberek 55% -a klinikailag szignifikáns fájdalmat tapasztal, míg 48% -uk krónikus fájdalommal él. A

Az MS -sel rendelkező nőstények valószínűbb, hogy a férfiak, mint a fájdalom, mint a betegség tünete, egy 2020 -as tanulmány szerint. A tanulmány szerzői utalnak arra, hogy kapcsolatba lépnek a depresszió nagyobb kockázata az MS -ben szenvedő nők körében, mint a férfiak. A

akut MS fájdalom úgy tűnik, hogy az idegek problémái vannak, amelyek elősegítik a központi idegrendszer érzéseinek átadását.

Az MS -hez kapcsolódó akut fájdalom tünetei között szerepel:

  • Trigeminalis neuralgia, amely egy szúró fájdalom az arcon, amelyet az emberek összetéveszthetnek a fogászati fájdalommal
  • Lhermitte jele, egy rövid szenzáció, amely egy elektromos ütéshez hasonlít, amely a fej hátuljáról a nyakon és a gerincen mozog, általában az előrehajlás után
  • A „MS ölelés”, amely egy szúró, szorító, megnyomást ír le , Fájdalmas vagy égő érzés a törzs körül, vagy a lábakban, a lábakban vagy a karokban

A krónikus MS fájdalommal küzdő emberek néhány tünete a következőket tartalmazza:

  • égés
  • fájás
  • Pins és tűk
  • prickling

Sok MS -ben szenvedő ember szintén krónikus fájdalmat tapasztal, mint A feltétel másodlagos hatása. Például ennek oka lehet:

  • A járási változások kompenzálása
  • Izommerevség, görcsök és görcsök
  • A mobilitási segédeszközök helytelen használata
  • Izomváltozások a mobilitás veszteségéből

7. Kognitív változások

Az MS -ben szenvedő emberek több mint 50% -a tapasztalja meg a megismerés változásait, ami azt jelenti, hogy ők néha nehézségei lehetnek:

  • Új információk feldolgozása
  • Az új információk megtanulása és emlékezése
  • Információk szervezése és problémamegoldás és a figyelem fenntartása
  • A körülöttük lévő környezet észlelése
  • A nyelv megértése és használata
  • Számítások elvégzése

A kognitív tünetek Az MS általában enyhe vagy közepes, és csak a megismerés néhány aspektusát érinti.

Ritka esetekben az MS -ben szenvedő emberek kognitív problémák fogyatékossággal élhetnek.

8. Depresszió

A klinikai depresszió az MS egyik leggyakoribb tünete. A depresszió gyakoribb az SM -ben szenvedő embereknél, mint más krónikus egészségi állapotú embereknél. Az MS -ben szenvedő emberek legfeljebb felének depressziója lehet egy időben.

Bár szinte mindenki szomorúság vagy gyász periódusait tapasztalja, a klinikai depresszió depressziós tünetekre utal, amelyek legalább 2 hétig tartanak.

A klinikai depresszió tünetei a következők:

  • A mindennapi tevékenységek iránti érdeklődés elvesztése
  • Az étvágy vagy az étvágyvesztés növekedése
  • Szomorúság
  • Álmatlan vagy túlzott alvás
  • Fáradtság
  • A bűntudat és az értéktelenség érzései
  • Nehéz gondolkodni vagy koncentrálni
  • Viselkedési változások
  • A halál vagy az öngyilkosság gondolatai

A klinikai depresszió súlyosbíthatja az MS más tüneteit is, beleértve:

  • Fáradtság Fájdalom
  • Kognitív változások

9. Izomgyengeség

Sok MS -ben szenvedő ember is izomgyengeséget tapasztal. Ez a tünet az idegrostok károsodásának köszönhető, amelyek segítenek az izmok szabályozásában.

Az MS -ben szenvedő emberek izomgyengeséget is tapasztalhatnak, mivel a használat hiánya miatt izmaik idővel dekondícióba kerülnek.

Az MS-hez kapcsolódó izomgyengeség befolyásolhatja a test bármely részét. Különösen kihívást jelenthet az MS -ben szenvedő emberek számára, hogy sétáljanak és mozogjanak, amikor az izomgyengeség befolyásolja a lábát, a bokáját és a lábát.

Egy régebbi tanulmány szerint az MS -ben szenvedő emberek kb. 80% -ánál izomgyengeséget tapasztalnak.

10. Az izom merevsége és görcsök

MS spaszticitást okozhat, ami az izom merevségére és az akaratlan izomgörcsekre utal a végtagok, különösen a lábakban. Egy bizonyos ponton az MS -ben szenvedő emberek 40–80% -át érinti.

A spaszticitás egyes tünetei a következők:

  • Az ízületekben vagy annak körüli szorosság
  • Fájdalmas, ellenőrizhetetlen görcsök a karokban és a lábakban
  • alsó hátfájás
  • olyan csípő és térd, amely meghajlik és nehéz lesz kiegyenesíteni. H3> 11. Szédülés és vertigo

    Néhány emberben szenvedő ember szédülést és érzést tapasztal, hogy könnyedfejű, zavaros, gyenge vagy elájul. Ritkábban megtapasztalhatják a vertigo -t, ami úgy érzi, mintha ők vagy környezetük forog.

    MS vertigo -t okozhat azáltal, hogy megrongálja azokat az útvonalakat, amelyek koordinálják azt a térbeli, vizuális és szenzoros bemenetet, amelyet az agynak meg kell tartania a test egyensúlyának.

    A vertigo tünetei a következők:

    • Balance problémák
    • Mozgási betegség
    • Narea és hányás
    • Egy fonó szenzáció

    kutatás azt sugallja, hogy az MS -ben szenvedő emberek körülbelül 49–59% -a tapasztal vertigót, szédülést vagy egyensúlyi problémákat.

    12. Szexuális problémák

    Az MS -ben szenvedő emberek gyakran szexuális problémákat tapasztalnak, és nehezen tudnak felébreszteni vagy orgazmust viselni. Például az MS csökkentheti a természetes hüvelyi kenést, potenciálisan fájdalmassá teheti a szexuális kapcsolatot a nők számára.

    Az állapot szexuális problémákat is okozhat azáltal, hogy az agyat és a szexuális szerveket összekötő szexuális reakciós útvonalakban károsodja az idegeket.

    Az MS -ben szenvedő emberek más MS tünetek eredményeként is problémákat tapasztalhatnak a szexmel, például:

    • Izomgörcsök és merevség
    • Hangulat vagy Az önértékelési változások
    • Fáradtság

    A Nemzeti Sclerosis Multiplex Society (NMS) szerint KISASSZONY. Egy tanulmányban a férfiak 61% -a és a nők 63% -a mondta, hogy a betegség miatt problémákat tapasztalt a nemi közösüléssel.

    13. Érzelmi változások

    Az érzelmi tünetek és változások széles skálája fordul elő az MS -nél, beleértve:

    • A hangulatváltozások
    • ellenőrizhetetlen nevetés vagy sírás periódusai
    • Ingerlékenység
    • Gyász
    • Aggódj, félelem és szorongás
    • Vészhelyzet, harag vagy frusztráció

    Az állapot kiszámíthatatlan, gyakran ingadozó tünetekkel rendelkezik, és fogyatékossá válhat, amelyek mindegyike ijesztő lehet. A

    MS érzelmi változásokat is okozhat az agyban lévő idegrostok károsításával. Azok a gyógyszerek egy része, akik az MS kezelésére szántak, szintén hangulatváltozást okozhatnak.

    Például a kortikoszteroidoknak számos érzelmi mellékhatása lehet, beleértve:

    Néhány változás érzelmi lehet, de valójában az agy neurológiai változásaiból származik.

    A Nemzeti MS Társaság szerint az MS -ben szenvedő emberek kb. 10% -a tapasztalja meg a Pseudobulbar hatást, amely magában foglalja a nevetés vagy a sírás ellenőrzhetetlen küzdelmeit. Ez egy kezelhető neurológiai állapot, amely nem kapcsolódik a depresszióhoz. Az emberek kis százaléka az eufóriát tapasztalja meg, ez egy szélsőséges típusú boldogság, amely nem kapcsolódik az ember valós helyzetéhez.

    Nagyon ritkán, egy személy nem megfelelő magatartást mutathat, például a szexuális disinhibition. Ez valószínűleg a gátláshoz kapcsolódó agyi részek károsodásából származik.

    14. Nehézség a gyaloglás nehézsége

    Az MS -ben szenvedő emberek problémákat okozhatnak a járás vagy a járás több tényező miatt. Egyes MS tünetek, amelyek befolyásolhatják az ember sétáját, a következők:

    • Izommerevség és görcsök Li
    • Fáradtság
    • Izomgyengeség
    • Az egyensúly elvesztése

    A kutatás szerint az MS -ben szenvedő emberek kb. 75% -a mobilitási problémákat tapasztal a sétálási képességük megváltozása miatt.

    15. Hormonális hatások

    Vannak bizonyítékok arra, hogy az MS a hormonális változások miatt eltérően befolyásolhatja a nőket, mint a férfiak, ideértve azokat is, amelyek a következő életszakaszokban fordulnak elő.

    menstruáció

    További kutatásokra van szükség a határozott következtetések levonásához, de az NMSS kijelenti, hogy egyes tanulmányok azt mutatták, hogy az MS -ben szenvedő nőknek rosszabb tünetei vannak az időszak megkezdésétől számított egy héten belül.

    Az MRI vizsgálatot alkalmazó vizsgálatok azt is kimutatták, hogy az MS betegség aktivitása a menstruáció során a különböző hormonális szintek szerint változhat.

    MS befolyásolhatja a rendszeres időszakok bekövetkezésének módját is. Egy 2018. évi tanulmány 181 MS -ben szenvedő ember menstruációs mintázatait vizsgálta, és 202 embernél nem volt állapot. Miután megkezdte az MS megtapasztalását, a szabálytalan menstruáció esélye 21% -ról 40,3% -ra nőtt. Összehasonlításképpen: a szabálytalan menstruáció az MS -nél nem 24,7%volt. Az SM -ben szenvedő emberek több premenstruációs tünetről számoltak be, mint a nélkül.

    Terhesség

    A terhesség alatt alacsonyabb lehet az MS tünetek fellendülésének kockázata, különösen a második és a harmadik trimeszter során.

    A kutatók úgy vélik, hogy a terhesség védőhatást jelenthet az MS ellen, ha megemeli azokat a vegyületek szintjét, amelyek elősegítik a gyulladást és az állapot hatásait.

    A kortikoszteroidok magasabb szintje – egy másik típusú immunszuppresszáns – természetesen kering a testben a terhesség alatt.

    Bár a terhesség ideiglenesen csökkentheti az egyes MS tüneteit, a fellendülések általában a szülés utáni első 3–6 hónapban térnek vissza. A terhesség és a hosszú távú magasabb fogyatékosság kockázata között azonban nincs bizonyított kapcsolat.

    Bár a terhesség ideiglenesen csökkentheti a fellendülés kockázatát, a terhesség sok fizikai stresszt is okoz a testre, ami az MS bizonyos tüneteit még rosszabbá teheti.

    Ezen felül néhány olyan gyógyszer, amelyet az emberek az MS -hez használnak, nem biztonságosak a terhesség alatt, és súlyosbíthatják a tüneteket.

    Az MS -vel rendelkező személyek, akik terhes vagy terhessé terveznek, meg kell vitatnia gyógyszereiket orvosgal.

    MS tünetek, amelyeket a terhesség gyakran súlyosbíthat, a következők:

    • Fáradtság
    • járási problémák
    • hólyag- és bélproblémák

    Egyes kutatások azt sugallják, hogy az MS -ben szenvedő nők kb. 10% -ának nehezen tudnak elképzelni. Azonban a segített reproduktív technikák, például az in vitro megtermékenyítés, más néven IVF, 35 év alatti nőknél akár 39% -os sikerességi arány is lehet.

    menopauza

    MS tünetek a menopauza után súlyosbodhatnak, valószínűleg azért, mert a csökkenő ösztrogénszintek hátrányosan befolyásolják a betegség előrehaladását.

    Ugyanakkor nehéz megmondani, hogy az MS tünetei a menopauza miatt, vagy csak az öregedés vagy az állapot előrehaladásának természetes eredményeként súlyosbodnak -e. Sokkal több kutatásra van szükség a kapcsolat megértéséhez.

    Kevés bizonyíték van annak bemutatására, hogy a menopauza hogyan befolyásolja az MS és annak tüneteit. Az Egyesült Királyság MS Bizalma három tanulmányt vizsgált meg, ám ezek kicsik voltak, és egy régebbi tanulmány volt 1992 -től. Összességében a három tanulmány nem adott meggyőző bizonyítékot.

    Az 1992. évi tanulmány 30 nővel foglalkozott MS -sel. Ezek közül 54% -uk szerint tüneteik a menopauza körül súlyosbodtak, 8% -uk azt mondta, hogy javult, és 38% -uk azt mondta, hogy nem változtak. 2016 -ban egy 124 nővel foglalkozó tanulmány arra a következtetésre jutott, hogy a rokkantsági arány felgyorsulhat a menopauza után.

    Ugyanakkor egy 37 nő 2018. évi tanulmánya arra a következtetésre jutott, hogy a rokkantsági arány nem növekedett a menopauza után. Ehelyett a nők a menopauza utáni 5 évben a visszaesés arányának csökkenését jelentették.

    A 2020-ban közzétett egy felülvizsgálat szerzői megjegyzik, hogy az MS hajlamos a menopauza előtti relapszus-remegési MS-ről a menopauza idején progresszívre változik. A relapszus-remegő MS-ben az ember felmerülhet, amikorA tünetek súlyosbodnak és a remisszió idején javulnak. A progresszív MS -ben az emberek kevesebb időt töltenek a remisszióban, és a tünetek általában folyamatosan súlyosbodnak.

    korai tünetek

    Az MS néhány korai tünete a következők:

    • A látás átmeneti vesztesége
    • Színvakság
    • A szemmozgással súlyosbodó szemfájdalom
    • Fény villogása szemmozgással
    • Zsibbadás vagy bizsergés a test különböző részein

    Ritkább tünetek

    Bár a fenti tünetek a leggyakoribbak, az MS mindenkit másképp érint. Az MS néhány kevésbé gyakori tünete a következők:

    • Beszédproblémák
    • hallásvesztés
    • Nyelési problémák

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συμπτώματα MS στις γυναίκες: Κοινή, πρώιμη και σπάνια

συμπτώματα MS στις γυναίκες: Κοινή, πρώιμη και σπάνια

Η σκλήρυνση κατά πλάκας (MS) είναι μια αυτοάνοση κατάσταση που παρεμβαίνει στη ροή πληροφοριών στο κεντρικό νευρικό σύστημα. Προκαλεί μια ποικιλία συμπτωμάτων και μπορεί να επηρεάσει τα θηλυκά διαφορετικά από τα αρσενικά.

Οι ερευνητές δεν γνωρίζουν τι ενεργοποιεί τα MS. Μόλις αναπτυχθεί, η κατάσταση αναγκάζει το ανοσοποιητικό σύστημα να καταστρέψει έναν τύπο ιστού που ονομάζεται μυελίνη, ο οποίος μονώνει τις νευρικές ίνες.

Χωρίς αρκετή μυελίνη, είναι δύσκολο για τα νεύρα να μεταδίδουν και να λαμβάνουν σωστά σήματα.

MS επηρεάζει τυχαία τα νεύρα στον εγκέφαλο, τον νωτιαίο μυελό και τα μάτια. Μπορεί να προκαλέσει ένα ευρύ φάσμα απρόβλεπτων σωματικών, ψυχικών και συναισθηματικών συμπτωμάτων που ποικίλλουν από άτομο σε άτομο.

Αυτό το άρθρο θα συζητήσει μερικά από τα πιο συνηθισμένα συμπτώματα της MS και θα εξηγήσει γιατί τα θηλυκά θα μπορούσαν να παρουσιάσουν συμπτώματα κάπως διαφορετικά από τα αρσενικά. Θα καλύψει επίσης τη διάγνωση και τη θεραπεία.

Το φύλο και το φύλο υπάρχουν στα φάσματα. Αυτό το άρθρο θα χρησιμοποιήσει τους όρους “αρσενικό”, “θηλυκό”, ή και τα δύο για να αναφερθούν στο σεξ που έχει εκχωρηθεί κατά τη γέννηση. Κάντε κλικ εδώ για να μάθετε περισσότερα.

Τα συμπτώματα των MS σε θηλυκά

Τα συμπτώματα των MS σε θηλυκά είναι παρόμοια με αυτά των αρσενικών, αλλά μπορούν να περιλαμβάνουν πρόσθετα ζητήματα λόγω ορμονικών αλλαγών. Το MS μπορεί επίσης να επηρεάσει τη σεξουαλική υγεία και τη λειτουργία της ουροδόχου κύστης διαφορετικά στα θηλυκά.

MS Τα συμπτώματα στα θηλυκά περιλαμβάνουν τα εξής:

1. Προβλήματα όρασης

Για πολλούς ανθρώπους, ένα πρόβλημα όρασης είναι το πρώτο αξιοσημείωτο σύμπτωμα της MS.

Τρία προβλήματα όρασης που εμφανίζονται συνήθως είναι: Τα μάτια δεν ευθυγραμμίζονται σωστά

  • nystagmus, στο οποίο τα μάτια κάνουν ακούσια κινήματα
  • Για περίπου 1 στα 5 άτομα με MS, η οπτική νευρίτιδα είναι το πρώτο σύμπτωμα που βιώνουν.

    Άλλα συμπτώματα που μπορούν να επηρεάσουν τα μάτια ενός ατόμου με MS περιλαμβάνουν:

    • θολή όραση
    • Κακή έγχρωμη όραση ή αντίθεση όραση
    • Οι οδυνηρές κινήσεις των ματιών
    • τύφλωση σε ένα μάτι
    • Ένα σκοτεινό σημείο στον τομέα της όρασης

    άτομα με MS αναπτύσσουν προβλήματα όρασης είτε Επειδή τα οπτικά νεύρα τους γίνονται φλεγμονή ή λόγω βλάβης των νεύρων στα μονοπάτια που ελέγχουν τον οπτικό συντονισμό και την κίνηση των ματιών.

    Αν και τα προβλήματα όρασης που οφείλονται σε MS μπορεί να είναι τρομακτικά, τα περισσότερα επιλύονται χωρίς θεραπεία ή είναι εξαιρετικά θεραπευτικά.

    2. Mumbness

    μούδιασμα στο πρόσωπο, το σώμα, τα χέρια ή τα πόδια είναι ένα άλλο κοινό σύμπτωμα της MS. Είναι συχνά ένα από τα πρώτα συμπτώματα της κατάστασης.

    Η μούδιασμα μπορεί να κυμαίνεται από ήπια και ελάχιστα αξιοσημείωτα έως αρκετά σοβαρή για να παρεμβαίνει στις καθημερινές δραστηριότητες, όπως η κατοχή αντικειμένων και το περπάτημα.

    Οι περισσότερες περιόδους μούδιασμα που οφείλονται στην επίλυση της MS χωρίς φαρμακευτική αγωγή και δεν γίνονται μόνιμα απενεργοποιημένες.

    Περίπου το 80% των ατόμων με MS εμπειρία μούδιασμα ή μυρμήγκιασμα σε κάποιο μέρος του σώματός τους.

    3. Κόπωση

    Περίπου το 80% των ατόμων με κόπωση κόπωσης ή ανεξήγητη εξάντληση.

    Μερικές φορές, η αιτία της κόπωσης σχετίζεται με ένα άλλο σύμπτωμα της MS. Για παράδειγμα, τα άτομα με δυσλειτουργία της ουροδόχου κύστης μπορεί να έχουν ανεπαρκή ύπνο επειδή πρέπει να ξυπνήσουν για να πάνε στο μπάνιο όλη τη νύχτα.

    Τα άτομα με MS που έχουν νυχτερινούς μυϊκούς σπασμούς μπορεί να μην κοιμούνται καλά, αφήνοντάς τους να αισθάνονται κουρασμένοι κατά τη διάρκεια της ημέρας. Το MS μπορεί επίσης να αυξήσει τον κίνδυνο κατάθλιψης, ο οποίος μπορεί να προκαλέσει κόπωση.

    Ένας άλλος τύπος κόπωσης που φαίνεται να είναι μοναδικός για το MS ονομάζεται Lassitude. Ένα άτομο μπορεί να βιώνει κοίλο εάν η κόπωση του:

    • εμφανίζεται καθημερινά
    • επιδεινώνεται καθώς η μέρα συνεχίζεται το πρωί, ακόμη και μετά από ένα Good Night’s Sleep
    • επιδεινώνεται με θερμότητα ή υγρασία
    • παρεμβαίνει στην καθημερινή δραστηριότητα
    • δεν σχετίζεται με φυσικές βλάβες ή κατάθλιψη

    4. Προβλήματα της ουροδόχου κύστης

    Τα προβλήματα της ουροδόχου κύστης επηρεάζουν τουλάχιστον το 80% των ατόμων με MS. Αυτά τα ζητήματα εμφανίζονται όταν τα ουλές στα νεύρα βλάπτουν τη σηματοδότηση των νεύρων που είναι απαραίτητες για τη λειτουργία των σφιγκτήρων και της ουροδόχου κύστης.

    ms μπορεί να δυσκολέψει την ουροδόχο κύστη να κρατήσει τα ούρα και μπορεί να μειώσει το ποσό που μπορεί να αποθηκεύσει, προκαλώντας συμπτώματα όπως:

    • πιο συχνή ή επείγουσα ούρηση
    • Διστακτική αρχική ούρηση
    • Συχνές ολονύκτια ούρηση >

    5. Προβλήματα του εντέρου

    Πολλά άτομα με προβλήματα έμμεσης MS, όπως:

    • Απώλεια ελέγχου εντέρου

    Τα προβλήματα του εντέρου μπορούν να κάνουν τα άλλα συμπτώματα MS χειρότερα – ειδικά τα προβλήματα της ουροδόχου κύστης, τη δυσκαμψία των μυών και τους ακούσιους μυϊκούς σπασμούς.

    Ορισμένοι ερευνητές πιστεύουν ότι τα άτομα με MS έχουν προβλήματα που ελέγχουν τα έντερά τους λόγω της νευρολογικής βλάβης που προκαλεί η κατάσταση. Τα άτομα με MS μπορεί επίσης να έχουν πρόβλημα να ελέγξουν τα έντερά τους όταν έχουν δυσκοιλιότητα.

    Περίπου τα μισά άτομα με MS μπορεί να έχουν προβλήματα εντέρου κάποια στιγμή.

    6. Πόνος

    Ορισμένες έρευνες υποδηλώνουν ότι το 55% των ατόμων με MS βιώνουν κλινικά σημαντικό πόνο, ενώ το 48% ζει με χρόνιο πόνο.

    Τα θηλυκά με MS μπορεί να είναι πιο πιθανό από τα αρσενικά να βιώσουν πόνο ως σύμπτωμα αυτής της κατάστασης, σύμφωνα με μια μελέτη του 2020. Οι συγγραφείς της μελέτης προτείνουν μια σχέση μεταξύ αυτού και ενός υψηλότερου κινδύνου κατάθλιψης μεταξύ των γυναικών με MS σε σύγκριση με τα αρσενικά.

    Οξεία πόνος MS φαίνεται να οφείλεται σε προβλήματα με τα νεύρα που βοηθούν στη μετάδοση αισθήσεων στο κεντρικό νευρικό σύστημα.

    Ορισμένα από τα συμπτώματα οξείας πόνου που σχετίζονται με το MS περιλαμβάνουν:

    • Τριγεμική νευραλγία, η οποία είναι ένας πόνος στο πρόσωπο που οι άνθρωποι μπορεί να συγχέουν με οδοντικό πόνο
    • Το σημάδι του Lhermitte, μια σύντομη αίσθηση που μοιάζει με ηλεκτρικό σοκ που κινείται από το πίσω μέρος του κεφαλιού κάτω από το λαιμό και τη σπονδυλική στήλη, συνήθως μετά την κάμψη προς τα εμπρός
    • , οδυνηρή ή καύση αίσθηση γύρω από τον κορμό ή στα πόδια, τα πόδια ή τα όπλα

    Μερικά από τα συμπτώματα που μπορούν να αναφέρουν τα άτομα με χρόνιο πόνο MS περιλαμβάνουν:

    μια δευτερεύουσα επίδραση της κατάστασης. Για παράδειγμα, αυτό θα μπορούσε να οφείλεται σε:

    • Αντισταθμίζοντας τις αλλαγές στο βάδισμα
    • μυϊκή δυσκαμψία, κράμπες και σπασμούς
    • /li>

    • Μεταβολές των μυών από την απώλεια κινητικότητας

    μπορεί μερικές φορές να έχει δυσκολία:

    • Επεξεργασία νέων πληροφοριών
    • Εκμάθηση και ανάμνηση νέων πληροφοριών
    • Οργάνωση πληροφοριών και επίλυσης προβλημάτων
    • εστίαση και τη διατήρηση της προσοχής
    • αντιλαμβανόμενος το περιβάλλον γύρω τους
    • Κατανόηση και χρήση της γλώσσας
    • Κάνοντας υπολογισμούς

    Τα γνωστικά συμπτώματα του Τα MS είναι συνήθως ήπια έως μέτρια και επηρεάζουν μόνο μερικές πτυχές της γνώσης.

    Σε σπάνιες περιπτώσεις, τα άτομα με ΣΚ μπορεί να αντιμετωπίσουν απενεργοποιώντας τα γνωστικά προβλήματα.

    8. Η κατάθλιψη

    Η κλινική κατάθλιψη είναι ένα από τα πιο κοινά συμπτώματα της MS. Η κατάθλιψη είναι πιο συνηθισμένη σε άτομα με MS από ό, τι σε άτομα με άλλες χρόνιες υγειονομικές συνθήκες. Μέχρι το ήμισυ όλων των ατόμων με MS μπορεί να έχουν κατάθλιψη κάποια στιγμή.

    Παρόλο που σχεδόν όλοι βιώνουν περιόδους θλίψης ή θλίψης, η κλινική κατάθλιψη αναφέρεται σε καταθλιπτικά συμπτώματα που διαρκούν για τουλάχιστον 2 εβδομάδες.

    Τα συμπτώματα της κλινικής κατάθλιψης περιλαμβάνουν:

    • απώλεια ενδιαφέροντος για καθημερινές δραστηριότητες
    • θλίψη
    • αϋπνία ή υπερβολικός ύπνος
    • Κόπωση
    • συναισθήματα ενοχής και δυσκολίας
    • Δυσκολία σκέψης ή συγκέντρωσης
    • Οι αλλαγές συμπεριφοράς
    • Σκέψεις θανάτου ή αυτοκτονίας

    Η κλινική κατάθλιψη μπορεί επίσης να επιδεινώσει άλλα συμπτώματα MS, συμπεριλαμβανομένων:

    • Πόνος
    • Γνωστικές αλλαγές

    9. Αδυναμία μυών

    Πολλοί άνθρωποι με MS αντιμετωπίζουν επίσης μυϊκή αδυναμία. Αυτό το σύμπτωμα οφείλεται σε βλάβη στις νευρικές ίνες που βοηθούν στον έλεγχο των μυών.

    Τα άτομα με MS μπορεί επίσης να βιώσουν μυϊκή αδυναμία, επειδή η έλλειψη χρήσης έχει προκαλέσει τους μυς τους να αποκατασταθούν με την πάροδο του χρόνου.

    MS που σχετίζεται με την αδυναμία των μυών μπορεί να επηρεάσει οποιοδήποτε μέρος του σώματος. Μπορεί να είναι ιδιαίτερα δύσκολο για τα άτομα με MS να περπατούν και να παραμείνουν κινητά όταν η μυϊκή αδυναμία επηρεάζει τα πόδια, τους αστραγάλους και τα πόδια τους.

    Σύμφωνα με μια παλαιότερη μελέτη, περίπου το 80% των ατόμων με MS βιώνουν μυϊκή αδυναμία.

    10. Η δυσκαμψία των μυών και οι σπασμοί

    ms μπορεί να προκαλέσουν σπαστικότητα, η οποία αναφέρεται στην δυσκαμψία των μυών και τους ακούσιους μυϊκούς σπασμούς στα άκρα, ειδικά στα πόδια. Επηρεάζει το 40-80% των ατόμων με MS σε κάποιο σημείο.

    Ορισμένα από τα συμπτώματα της σπαστικότητας περιλαμβάνουν: >

  • Κάτω πόνος στην πλάτη
  • γοφούς και γόνατα που λυγίζουν και γίνονται δύσκολο να ισιώσουν
  • γοφούς και γόνατα που σκληρύνουν ενώ βρίσκονται κοντά ή διασχίζουν
  • < H3> 11. Η ζάλη και ο ίλιγγος

    Μερικοί άνθρωποι με ζάλη της MS και την αίσθηση του να είναι ζοφερές, ζοφερές, αδύναμες ή αμυδρά. Λιγότερο συχνά, μπορεί να βιώσουν ίλιγγο, γεγονός που το κάνει να αισθάνεται σαν να περιστρέφονται αυτοί ή το περιβάλλον τους.

    MS μπορεί να προκαλέσει ίλιγγο με την καταστροφή των οδών που συντονίζουν την χωρική, οπτική και αισθητηριακή είσοδο που ο εγκέφαλος πρέπει να διατηρήσει την ισορροπία στο σώμα.

    Τα συμπτώματα του ίλιγγου περιλαμβάνουν:

    • Προβλήματα ισορροπίας
    • Μια αίσθηση περιστροφής

    δείχνει ότι περίπου το 49-59% των ατόμων με MS βιώνουν Vertigo, ζάλη ή προβλήματα ισορροπίας.

    12. Τα σεξουαλικά προβλήματα

    Οι άνθρωποι με MS συχνά αντιμετωπίζουν σεξουαλικά προβλήματα και μπορεί να δυσκολεύονται να γίνουν διεγερμένοι ή να έχουν οργασμό. Για παράδειγμα, η MS μπορεί να μειώσει τη φυσική κολπική λίπανση, ενδεχομένως να κάνει τη σεξουαλική επαφή οδυνηρή για τα θηλυκά.

    Η κατάσταση μπορεί επίσης να προκαλέσει σεξουαλικά προβλήματα με την καταστροφή των νεύρων στις οδούς σεξουαλικής αντίδρασης που συνδέουν τον εγκέφαλο και τα σεξουαλικά όργανα.

    Τα άτομα με MS μπορεί επίσης να αντιμετωπίσουν προβλήματα με το σεξ ως αποτέλεσμα άλλων συμπτωμάτων MS, όπως:

    • μυϊκοί σπασμοί και δυσκαμψία
    • Οι αλλαγές αυτοεκτίμησης
    • κόπωση

    Σύμφωνα με την Εθνική Εταιρεία Πολλαπλής Σκλήρυνσης (NMSS), τα σεξουαλικά προβλήματα μπορεί να επηρεάσουν έως και το 91% των αρσενικών και το 72% των γυναικών με ΚΥΡΙΑ. Σε μία μελέτη, το 61% των ανδρών και το 63% των γυναικών δήλωσαν ότι αντιμετώπισαν προβλήματα με τη σεξουαλική επαφή λόγω της κατάστασης.

    13. Συναισθηματικές αλλαγές

    Ένα ευρύ φάσμα συναισθηματικών συμπτωμάτων και αλλαγών εμφανίζονται συνήθως με MS, συμπεριλαμβανομένων:

    • Μετατοπίσεις διάθεσης
    • < Li> Περίοδοι ανεξέλεγκτου γέλιου ή κλάματος

    • Ερεθιστικότητα
    • θλίψη
    • Ανησυχία, φόβος και άγχος

    Η κατάσταση είναι απρόβλεπτη, συχνά έχει διακυμάνσεις των συμπτωμάτων και μπορεί να γίνει απενεργοποιημένη, τα οποία μπορούν να είναι τρομακτικά.

    MS μπορεί επίσης να προκαλέσει συναισθηματικές αλλαγές με την καταστροφή των νευρικών ινών στον εγκέφαλο. Ορισμένα από τα φάρμακα που λαμβάνουν οι άνθρωποι για να διαχειριστούν το MS μπορούν επίσης να προκαλέσουν αλλαγές στη διάθεση.

    Για παράδειγμα, τα κορτικοστεροειδή μπορούν να έχουν πολλές συναισθηματικές παρενέργειες, συμπεριλαμβανομένων:

    Ορισμένες αλλαγές μπορεί να φαίνονται συναισθηματικές, αλλά στην πραγματικότητα προέρχονται από νευρολογικές αλλαγές στον εγκέφαλο.

    Σύμφωνα με την Εθνική Εταιρεία MS, περίπου το 10% των ατόμων με MS Experial Pseudobulbar Affect, η οποία περιλαμβάνει ανεξέλεγκτες περιόδους γέλιο ή κλάμα. Είναι μια θεραπευτική νευρολογική κατάσταση που δεν σχετίζεται με την κατάθλιψη. Ένα μικρό ποσοστό των ανθρώπων βιώνουν την ευφορία, έναν ακραίο τύπο ευτυχίας που δεν σχετίζεται με την πραγματική κατάσταση του ατόμου.

    Πολύ σπάνια, ένα άτομο μπορεί να παρουσιάσει ακατάλληλη συμπεριφορά, όπως η σεξουαλική αποθάρρυνση. Αυτό πιθανότατα προέρχεται από ζημιά σε τμήματα του εγκεφάλου που σχετίζονται με την αναστολή.

    14. Δυσκολία περπάτημα

    Τα άτομα με MS μπορούν να αναπτύξουν προβλήματα με το βάδισμα ή πώς περπατούν λόγω πολλών παραγόντων. Ορισμένα συμπτώματα MS που μπορεί να επηρεάσουν τον τρόπο με τον οποίο ένα άτομο περπατά περιλαμβάνει:

  • Κόπωση
  • Αδυναμία μυών
  • Απώλεια ισορροπίας
  • Λόγω αλλαγών στην ικανότητά τους να περπατούν.

    15. ορμονικές επιδράσεις

    Υπάρχουν κάποιες ενδείξεις που υποδηλώνουν ότι τα MS μπορούν να επηρεάσουν τα θηλυκά διαφορετικά από τα αρσενικά λόγω ορμονικών αλλαγών, συμπεριλαμβανομένων εκείνων που συμβαίνουν κατά τους επόμενους χρόνους της ζωής.

    εμμηνόρροια

    Περισσότερη έρευνα είναι απαραίτητη για την εξαγωγή σταθερών συμπερασμάτων, αλλά το NMSS δηλώνει ότι μερικές μελέτες έχουν διαπιστώσει ότι τα θηλυκά με MS έχουν χειρότερα συμπτώματα μέσα σε μια εβδομάδα από την έναρξη της περιόδου τους.

    Μελέτες που χρησιμοποίησαν σάρωση MRI έδειξαν επίσης ότι η δραστηριότητα της νόσου MS μπορεί να αλλάξει ανάλογα με τα διαφορετικά ορμονικά επίπεδα κατά τη διάρκεια της εμμηνόρροιας.

    MS μπορεί επίσης να επηρεάσει τον τρόπο με τον οποίο εμφανίζονται τακτικά περιόδους. Μια μελέτη του 2018 εξέτασε τα πρότυπα εμμηνόρροιας σε 181 άτομα με MS και 202 άτομα χωρίς την κατάσταση. Αφού άρχισε να βιώνει κράτη μέλη, η πιθανότητα ακανόνιστης εμμηνόρροιας αυξήθηκε από 21% σε 40,3%. Για σύγκριση, η αναφερόμενη ακανόνιστη εμμηνόρροια σε εκείνους χωρίς MS ήταν 24,7%. Τα άτομα με MS ανέφεραν επίσης περισσότερα προεμμηνορροϊκά συμπτώματα από αυτά που δεν έχουν.

    εγκυμοσύνη

    Κατά τη διάρκεια της εγκυμοσύνης, μπορεί να υπάρχει χαμηλότερος κίνδυνος φλεγμονώδους συμπτωμάτων MS, ειδικά κατά τη διάρκεια του δεύτερου και του τρίτου τριμήνου.

    Οι ερευνητές πιστεύουν ότι η εγκυμοσύνη μπορεί να έχει προστατευτικό αποτέλεσμα κατά της MS αυξάνοντας τα επίπεδα των ενώσεων που συμβάλλουν στη μείωση της φλεγμονής και των επιδράσεων της κατάστασης.

    Υψηλότερα επίπεδα κορτικοστεροειδών – ένας άλλος τύπος ανοσοκατασταλτικού – κυκλοφορούν φυσικά στο σώμα κατά τη διάρκεια της εγκυμοσύνης.

    Αν και η εγκυμοσύνη μπορεί να μειώσει προσωρινά ορισμένα συμπτώματα MS, οι φλόγες τείνουν να επιστρέφουν κατά τους πρώτους 3-6 μήνες μετά τον τοκετό. Ωστόσο, δεν υπάρχει αποδεδειγμένη σύνδεση μεταξύ της εγκυμοσύνης και ενός υψηλότερου κινδύνου αναπηρίας μακροπρόθεσμα.

    Παρόλο που η έγκυος μπορεί να μειώσει προσωρινά τον κίνδυνο φλόγας, η εγκυμοσύνη δίνει επίσης πολύ σωματική πίεση στο σώμα, γεγονός που μπορεί να κάνει ορισμένα συμπτώματα της MS χειρότερα.

    Επιπλέον, ορισμένα από τα φάρμακα που χρησιμοποιούν οι άνθρωποι για τα ΣΚ δεν είναι ασφαλή κατά τη διάρκεια της εγκυμοσύνης και μπορούν να επιδεινώσουν τα συμπτώματα.

    Όποιος με MS που είναι έγκυος ή σχεδιάζει να μείνει έγκυος θα πρέπει να συζητήσει τα φάρμακά τους με γιατρό.

    MS συμπτώματα που η εγκυμοσύνη μπορεί συχνά να επιδεινώσει περιλαμβάνει: >

    Ορισμένες έρευνες υποδηλώνουν ότι περίπου το 10% των γυναικών με ΣΚ μπορεί να δυσκολεύονται να συλλάβουν. Ωστόσο, οι υποβοηθούμενες τεχνικές αναπαραγωγής, όπως η in vitro γονιμοποίηση, επίσης γνωστές ως IVF, μπορούν να έχουν ποσοστό επιτυχίας μέχρι 39% σε γυναίκες ηλικίας κάτω των 35 ετών.

    Η εμμηνόπαυση

    Τα συμπτώματα MS μπορεί να επιδεινωθούν μετά την εμμηνόπαυση, ενδεχομένως επειδή τα μειωμένα επίπεδα οιστρογόνων επηρεάζουν δυσμενώς την εξέλιξη της νόσου.

    Ωστόσο, είναι δύσκολο να διαπιστωθεί εάν τα συμπτώματα MS επιδεινώνονται λόγω της εμμηνόπαυσης ή ακριβώς ως φυσικό αποτέλεσμα της γήρανσης ή της εξέλιξης της κατάστασης. Πολύ περισσότερη έρευνα είναι απαραίτητη για την κατανόηση της σχέσης.

    Υπάρχουν λίγα στοιχεία που δείχνουν πώς η εμμηνόπαυση επηρεάζει την πορεία της MS και των συμπτωμάτων της. Το MS Trust του Ηνωμένου Βασιλείου επανεξέτασε τρεις μελέτες, αλλά ήταν μικρές και η μία ήταν μια παλαιότερη μελέτη από το 1992. Συνολικά, οι τρεις μελέτες δεν έδειξαν τεκμηριωμένα στοιχεία.

    Η μελέτη του 1992 αφορούσε 30 γυναίκες με ΣΚΠ. Από αυτά, το 54% δήλωσε ότι τα συμπτώματά τους επιδεινώθηκαν γύρω από την εμμηνόπαυση, το 8% δήλωσαν ότι βελτιώθηκαν και το 38% δήλωσε ότι δεν άλλαξαν. Το 2016, μια μελέτη που αφορούσε 124 γυναίκες κατέληξε στο συμπέρασμα ότι τα ποσοστά αναπηρίας θα μπορούσαν να επιταχυνθούν μετά την εμμηνόπαυση.

    Ωστόσο, μια μελέτη 2018 με 37 γυναίκες κατέληξε στο συμπέρασμα ότι τα ποσοστά αναπηρίας δεν αυξήθηκαν μετά την εμμηνόπαυση. Αντ ‘αυτού, οι γυναίκες ανέφεραν πτώση των ποσοστών υποτροπής στα 5 χρόνια μετά την εμμηνόπαυση.

    Οι συντάκτες μιας ανασκόπησης, που δημοσιεύθηκαν το 2020, σημειώστε ότι η MS τείνει να αλλάξει από την υποτροπιάζουσα MS πριν από την εμμηνόπαυση στην προοδευτική κατά τη διάρκεια της εμμηνόπαυσης. Σε υποτροπιάζουσα MS, ένα άτομο μπορεί να βιώσει φωτοβολίδες ότανΤα συμπτώματα επιδεινώνονται και οι χρόνοι ύφεσης όταν βελτιώνονται. Σε προοδευτική ΣΚΠ, οι άνθρωποι ξοδεύουν λιγότερο χρόνο στην ύφεση και τα συμπτώματα τείνουν να επιδεινώνονται σταθερά.

    Πρώιμα συμπτώματα

    Ορισμένα πρώιμα συμπτώματα της MS περιλαμβάνουν:

    • Μια προσωρινή απώλεια όρασης
    • Ο πόνος των ματιών που επιδεινώνεται με κίνηση των ματιών
    • αναβοσβήνει το φως με κίνηση των ματιών
    • μούδιασμα ή μυρμήγκιασμα σε διάφορα μέρη του σώματος

    Σπανιότερα συμπτώματα

    Αν και τα παραπάνω συμπτώματα είναι τα πιο συνηθισμένα, τα MS επηρεάζουν όλους διαφορετικά. Ορισμένα λιγότερο συνηθισμένα συμπτώματα της MS περιλαμβάνουν:

    • Προβλήματα ομιλίας
    • Απώλεια ακοής
    • Προβλήματα κατάποσης

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