Demyelination: O le a le mea ma aisea e tupu ai?

Anotusi
- Neula
- Myelin
- Mafuaʻaga o le faʻaleagaina
- Faʻailoga o demyelination
- Vave faʻailoga o le faʻafanoina o fale
- Faʻailoga e fesoʻotaʻi ma le aʻafiaga o demyelination i neula
- Ituaiga o demyelination
- Faʻaleagaina demyelination
- Viral demyelination
- Demyelination ma tele sclerosis
- Togafitiga ma faʻamaoniga
- Demyelination MRI
- Statins
- Tui ma faʻaleagaina
- Ave ese
O le a le demelelination?
E tatau ona lafo ma maua e tagata ni feau mai vaega uma o lou tino ma faʻagaioia i lou faiʻai. Latou te faʻatagaina oe e:
- tautala
- vaai
- lagona
- mafaufau
Tele neura e ufiufi i le myelin. Myelin o se mea faʻamama. A tuai loa pe faʻaletonu, neura e mafai ona faʻaleagaina, mafua ai faʻafitauli i le faiʻai ma le atoa tino. O le faʻaleagaina o le myelin o loʻo taʻua neura e taʻua ole demyelination.
Neula
O neura e faia i neura. Neuron e aofia ai:
- o le sela sela
- dendrites
- o se au
O le akoni e lafoina feau mai le tasi neuron i le isi. E fesoʻotaʻi foi axons i neula i isi sela, pei o maso maso.
O ni au o loʻo matuaʻi pupuu, aʻo isi e 3 futu le umi. O loʻo ufiufi ia faʻasau i myelin. Myelin puipuia ia au ma fesoasoani fesoasoani ave feau feau i se vave e mafai ai.
Myelin
O le Myelin e faia i vaega o le membrane e faʻapipiʻi ai le au. E tali tutusa lea ma le manatu ole uaea eletise ma le ufiufi e puipui ai le uʻamea i lalo.
Ua faʻatagaina e Myelin se faʻailoga o neula e malaga vave. I neura e leʻi faʻamamaina, e mafai e se faʻailoga ona fealualuaʻi i neula pe a ma le 1 mita ile sekone. I totonu o le neuronini sela, o le faʻailo e mafai ona malaga 100 mita ile sekone.
Nisi tulaga faʻafomaʻi ono mafai ona faʻaleagaina myelin. Demyelination faifai lemu feʻau lafoina faʻasolo axons ma mafua ai le axon e leaga leaga. Faʻamoemoeina i le tulaga o le faʻaletonu, axon leiloa mafai mafua ai faʻafitauli ma:
- lagona
- minoi
- vaai
- faʻalogo
- mafaufau manino
Mafuaʻaga o le faʻaleagaina
Fula o le sili ona masani ai mafuaʻaga o myelin faʻaleagaina. Isi mafuaaga aofia ai:
- nisi faʻamaʻi pipisi
- faʻafitauli tau faʻafitauli
- leiloa o le okesene
- taofiofia o le tino
Faʻailoga o demyelination
Demyelination puipuia neura mai le mafai ona faia savali i ma mai le faiʻai. O le aafiaga o demyelination mafai ona tupu vave. I le Guillain-Barré syndrome (GBS), e ono faʻatoa osofaʻia le myelin mo ni nai itula ae le i aliali mai ni faʻailoga.
Vave faʻailoga o le faʻafanoina o fale
E le o tagata uma e aafia i demyelinating tulaga i le tutusa auala. Peitai, o nisi demyelinating faʻailoga e taatele.
Vave auga - o nisi ia o faʻailoga muamua o le faʻafanoina o le tino - aofia ai:
- leiloa se vaʻai
- faʻafitauli i tagāmimi poʻo le manava
- tiga o neura e le masani ai
- lelava atoa
Faʻailoga e fesoʻotaʻi ma le aʻafiaga o demyelination i neula
O nea o se vaega taua o lou tino, o lona uiga o le tele o faʻailoga e mafai ona tupu pe a aʻafia neura i le faʻafitauli o le tino, e aofia ai:
- gase
- leiloa reflexes ma uncoordinated gaioiga
- le taofiofia lelei le toto
- le malamalama le malamalama
- niniva
- tuʻituʻi fatu tata pe palpitations
- faafitauli o le manatuaina
- tiga
- leiloa o le tago tagāvai ma le manava manava
- lelava
Faʻailoga e mafai ona sau ma alu i taimi masani, pei o le tele sclerosis (MS), ma alualu i luma i le tele o tausaga.
Ituaiga o demyelination
E i ai ituaiga eseese o demyelination. E aofia ai ma le faʻafanoina o le tino ma le faʻamaʻi o le viral.
Faʻaleagaina demyelination
O le faʻafefeteina o le tino e tupu pe a osofai e le tino o le tino le myelin. Ituaiga o demyelination pei o MS, optic neuritis, ma ogaoga-faʻasalalauina encephalomyelitis e mafua mai i le fulafula i le faiʻai ma tuulaula maea.
GBS aofia ai faʻaleagaina demyelination o peripheral neura i isi vaega o le tino.
Viral demyelination
Viral demyelination tupu ma alualu i luma multifocal leukoencephalopathy (PML). PML e mafua mai le siama o le JC. Myelin faʻaleagaina e mafai foi ona tupu ma:
- ava malosi
- afaina le ate
- eletise le paleni
O le Hypoxic-ischemic demyelination e tupu ona o faamaʻi vaskula poʻo le leai o se okesene i le faiʻai.
Demyelination ma tele sclerosis
MS o le sili ona taatele demyelinating tulaga. Faʻailoa e le National MS Society, e aʻafia ai le 2.3 miliona tagata i le lalolagi atoa.
I le MS, demyelination e tupu i le papaʻe mea o le faiʻai ma i le tuasivi ua.Lesona poʻo "plaques" ona faʻatupuina lea o le myelin o loʻo osofaʻia e le malosi puipuia. Ole tele o nei papamaa, poʻo ni maʻila sela, e tupu atoa ile faiʻai ile tele o tausaga.
O ituaiga o MS e:
- falemaʻi ua tuʻua e le falemaʻi
- toe faʻamavaeina MS
- muamua MS alualu i luma
- tulaga lua alualu i luma MS
Togafitiga ma faʻamaoniga
E leai se fofo mo demyelinating tuutuuga, ae fou myelin tuputupu aʻe mafai ona tupu i vaega o le faʻaleagaina. Ae ui i lea, e masani ona manifinifi ma le aoga. O suʻesuʻe suʻesuʻe o loʻo suʻesuʻeina i ni auala e faʻateleina ai le mafai e le tino ona faʻatupuina ni myelin fou.
Ole tele o togafitiga mo faʻamaʻi eseʻesega tulaga e faʻaititia ai le tali atu ile puipuiga. Togafitiga aofia ai le faʻaaogaina o vailaʻau pei o interferon beta-1a poʻo le glatiramer acetate.
O tagata e maualalo le vailaʻau D maualuga e faʻafaigofie ona atiaʻe le MS poʻo isi faʻamaʻi. Ole maualuga ole vaitamini D e ono faʻaititia ai le tali atu ile tali atu ile faʻamaʻi.
Demyelination MRI
O faʻamaʻi tuga, aemaise MS ma optic neuritis, poʻo le fulafula o neura mata, e mafai ona maua i faʻataʻi MRI. MRI e mafai ona faʻaalia ni faʻamaʻa tuʻulafoaʻi i faiʻai ma neula, ae maise lava mea na mafua mai i le MS.
Atonu e mafai e lau tausi soifua maloloina ona suʻe ni maa poʻo ni faʻamaʻi e aʻafia ai lou tino. Togafitiga mafai ona faʻatonutonu faʻapitoa i le mafuaʻaga o demyelination i lou tino.
Statins
O le ogatotonu sisitema sisitema (CNS) e mafai ona gaosia lava ia lava kulimi. I le taimi nei faʻaalia afai e te ave statins e faʻaititia ai le cholesterol i lou tino, e ono le afaina ai lau CNS cholesterol.
Tele suesuega ua maua foi o statin togafitiga ono puipuia mai le Alzheimer's faamaʻi (AD) i tagata latou te leʻi mauaina muamua le mafaufau le atoatoa ma o loʻo talavou lava.
ua maua o statins ono faʻatelegeseina le fua faatatau o le mafaufau faʻafiti ma faʻatuai le amataga o le AD. O loʻo faʻaauau pea suʻesuʻega, ma e leai lava se matou tali mautinoa. O nisi suʻesuʻega faʻaalia ai statins le aafia ai le CNS poʻo remyelination, ae o isi fai mai latou te faia.
I le taimi nei, o le tele o faʻamaoniga e le faʻaalia ai le statin togafitiga e faʻaleagaina le toe faʻafouina i totonu o le CNS. Tusa lava, o aʻafiaga o faʻamaumauga i luga o le mafaufau mafaufau e tumau pea le fefinauʻi i lenei taimi.
Tui ma faʻaleagaina
O le faʻagaoioia o le puipuiga ma le tui e mafai ai ona faʻaosofia se tali atu i le autoimmune. O lenei e matele ina tupu naʻo nai tagata toʻaitiiti ma le hypersensitive immune system.
Nisi tamaiti ma tagata matutua maua "matuitui demyelinating syndromes" pe a maeʻa aafia i nisi tui, pei o na mo le fulū poʻo le HPV.
Ae naʻo le 71 lava faamaumauga na faʻamaonia mai le 1979 i le 2014, ma e leʻo mautinoa o tui na mafua ai le faʻafanoga.
Ave ese
Demyelinating tulaga mafai ona foliga tiga ma le mafai ona faʻatautaia muamua. Peitai, e mafai lava ona ola lelei ma MS ma isi tulaga masani.
O loʻo iai ni suʻesuʻega fou e uiga i mafuaʻaga o le faʻaleagaina o le tino ma faʻafefea ona togafitia le faʻavaeina o meaola o le myelin. Togafitiga o loʻo faʻaleleia foʻi mo le puleaina o tiga na mafua mai i le faʻaleagaina.
Demyelinating tulaga atonu e le mafai ona togafitia. Peitai, e mafai ona e talanoa i lau soifua maloloina e uiga i vailaʻau ma isi togafitiga e ono fesoasoani ia te oe e aʻoaʻo atili ai e uiga i lou tulaga.
O le tele o lou iloa, o le tele o mea e mafai ona e faia e foʻia ai faʻailoga, pei o le faia o suiga olaga, e fesoasoani ia oe lelei faʻatautaia le tiga.