2024-07-08 17:25:51
“Multiple sclerosis”. a disease that is very often identified with the well-known memory loss, while multiple sclerosis has nothing to do with it.
Multiple sclerosis is a chronic inflammatory disease of the central nervous system and, mostly, occurs among young people.
Aysor.am spoke with Professor Hovhannes Manvelyan, Head of the Department of Neurology at “Astghik”, Head of the Department of Neurology at YSU University, Vice President of the Association of Neurologists of Armenia, Doctor of Medical Sciences, Professor, to understand what it is and what are its causes. the first signs of the disease and whether complete treatment is possible.
“By sclerosis, we mean a scar. When we talk about the problem of old age and call memory deterioration sclerosis, we do not have the right to do so, it is something unrelated to multiple sclerosis. Multiple sclerosis is a disease that is chronic in nature, affects the nervous system, is inflammatory, has a genetic orientation and is certainly autoimmune in nature, that is, several conditions must coincide in one patient: bad genetics, the place where he lives i.e., changes in immunity, being sick with certain viruses in childhood or youth,” says Dr. Manvelyan.
This of young people disease is, usually, medium the age 20-from 40 per year is
Sclerosis means inflammation, the focus of sclerosis means that we have a scar in the brain tissue, that scar, which is formed after an inflammatory reaction, leads to sclerosis. Diffuse means there is a focus in different parts of the brain.
“There are criteria for diagnosing the disease, the main criterion is that we must see the formation and dispersion of new foci over time. Multiple sclerosis is a disease that affects the central nervous system. what enters the central nervous system can be affected during this disease, the disease has a “favorite beginning”, it can be like this: the optic nerve undergoes an inflammatory reaction and the patient becomes blind. Today, most ophthalmologists know and are informed that the blindness of a young person may be due to multiple sclerosis, and after diagnosing blindness, he necessarily requires a neurologist’s examination and magnetic resonance imaging (MRI). In other cases, we can treat, restore vision and not have the diagnosis of multiple sclerosis”, says Professor Manvelyan.
There is this disease don’t how many shape
There can be damage only to the optic nerve and spinal cord, it is a special syndrome, it can be damage only to the brain, it can be damage to the brain and spinal cord. Therefore, if there is a problem, you should consult a competent neurologist, who must perform a neurological examination, evaluate the neurological deficit and decide on further examinations: eye examination, visual field examination and, of course, an MRI examination of the brain.
The doctor assures that the MRI allows to visualize the involvement of the brain tissue in this process. today there is a clear opportunity to do this examination and see whether the disease is in an acute stage, whether there is inflammation, whether there is an attack or not.
early the diagnosis and correct the diagnosis scattered sclerosis management in most important is
“The young woman, whose hand is numb, goes to the doctor, they say: ‘Well, maybe you wrote too much.’ They turn it into a joke and pass. Emotional complaints are difficult to diagnose. All the symptoms that last more than a day should be checked by a doctor, if it is numb for a day, you should go to the doctor, the doctor will tell if it is inflammation of the shoulder plexus or if it is a central lesion,” he says. Head of the Neurological Department of Astghik Medical Center.
Vision the loss can is to be disease «the debut». need is apply doctor
Falling down, dizziness, transient dizziness, leg weakness are the various complaints of this disease. usually, according to Professor Manvelyan, when these signs appear, they see an emotional component in it and do not pay attention, while specialists want those people who have these problems to see a doctor.
Scattered sclerosis as a result can is develop also invalid
“Since we are talking about an inflammatory disease of the brain, of course, if there are many foci, a problem of disability may also develop after some time, but today we have all the opportunities to diagnose and treat it in time. The main therapeutic goal is to remove the inflammatory cells from the blood, which allow the cerebral inflammatory reaction to develop. If we see that the patient has an attack, then we must eliminate the attack very quickly, we must perform hormonal and anti-inflammatory treatment. If it is necessary to treat spasticity, it is with appropriate drugs. All those drugs are available today. The patient must become the director of his own life. He should be educated and know what is allowed and what is not allowed.
For example, sauna is not allowed. Before, when it was difficult to make a diagnosis, they said: “take a hot bath at night” and if the patient did not come in the morning, but was brought, then the patient has multiple sclerosis, that is, overheating is prohibited, extreme cold is prohibited, negative emotions can become a reason for an attack. The patient should be physically active. very often they say, “ride a bicycle,” because everyone has the idea that a bicycle is healthy, but while riding a bicycle, spasticity develops and it can be worse for the patient,” explains Hovhannes Manvelyan.
Scattered sclerosis as a result young at age can are to be sexual problems or women approx, թե՝ men
“Usually, women have dryness, sexual intercourse becomes very unpleasant, men have a problem with potency and it can become impossible, but this can be solved with the appropriate team treatment,” assures the specialist.
Medicinal the treatment how much soon to begin, will be prevented further of hearths the design, disability further the risk
“Today in Armenia we have internationally recognized accepted medicines, they are registered. The problem remains in availability, because I know a few unique cases when the insurance was agreed to be bought for the patient, usually by relatives, friends or with their own funds. It is a heavy burden, getting that medication once or twice a year becomes quite a heavy burden. We had a discussion with the Ministry of Health in order to make the medicine available to patients, we are talking about about 200 patients who need it at this stage, and the total number, on average, is about 800 patients in Armenia. Of course, the number of patients is variable. Compared to European countries, it is an average number, which is neither more nor less. 20-30 years ago, the number was not so many, because the possibilities of diagnosis were not so many. “Persian doctors always say that they only see multiple sclerosis in Armenians, it’s interesting, because genetically we are not that far from each other,” says Professor Manvelyan.
Scattered with sclerosis patients need have social adaptation
“The same patient, even in a wheelchair, should be able to go to a public place, it should be possible for him to go everywhere, to communicate. Educational work is certainly being done, we often speak about this disease, we have many literate patients and literate relatives of the patient, who themselves support us and spread the information. Today they are even trying to create an association of patients with multiple sclerosis. it is a very important thing. everyone hears not from another person, but the patient hears from the patient about successes, failures and solutions”, adds Hovhannes Manvelyan.
Հեղինակ՝ Ani Vardanyan, operator: Hovik Grigoryan
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