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It's
a disease that strikes young, active, seemingly healthy men and women
without warning, rendering them disabled for days, months, sometimes
even years at a time. There‚s no way to predict how the course this
disease will run within your body -- from mild numbness one day to
paralysis the next. It‚s impossible to anticipate when the disease
will become active and when it will go into remission. This is the
nightmare of Multiple Sclerosis (MS).
MS affects an estimated 250,000-300,000 people in the United
States alone, typically between the ages of 20 and 40. With 10,000 new
cases diagnosed in the United States alone each year, it is the most
common neurological condition of young adults in North America and
Europe. More women develop MS than men, and it is primarily a disease
found in Caucasians with low instances of occurrence in Asians, African
Americans and other ethnic groups.
While the exact cause of the disease is not known, there are a
number of contributing factors that are commonly agreed upon by
scientists researching this potentially devastating disease. MS is a
disease of the central nervous system involving an autoimmune process in
which an abnormal immune response is directed at the central nervous
system. Attacking immune cells destroy myelin, the fatty sheath that
surrounds and insulates nerve fibers. This in turn causes the nerve
impulses to be slowed down or even halted, leading to the symptoms of MS
(numbness, paralysis, etc.). What causes the immune cells to turn
against the central nervous system remains a mystery to researchers.
The symptoms of MS often mimic those found in a number of other
diseases, and as a result, diagnosis of MS is challenging. Symptoms are
often divided into three categories ˆ primary, secondary and tertiary.
By treating the earlier symptoms of the disease, one can attempt to
avoid their symptoms from progressing to the next stage. Primary
symptoms are a direct result of the initial destruction of the myelin
that impairs transmission of nerve impulses to muscles and organs.
Primary symptoms may include difficulty walking; loss of balance;
numbness or "tingling" sensations; impaired vision due to
inflammations of the optic nerves; bladder and bowel dysfunction; and
paralysis.
Secondary symptomsare a result of the primary symptoms. For
example, bladder dysfunction can lead to urinary tract infections;
paralysis can lead to bedsores as a secondary symptom. While secondary
symptoms can be treated, it is best to avoid them by treating the
primary symptoms, attempting to prevent the symptoms from progressing.
Tertiary symptomsare the social, vocational and
psychological symptoms that result from primary and secondary symptoms.
Tertiary symptoms include depression, lack of motivation, and a
disruption of personal relationships, often as a direct result of the
stress from dealing with a chronic illness. Many of the symptoms of MS
can be effectively managed and complications can be avoided with regular
care from a neurologist and allied health professionals.
Currently, there is no cure for MS, but researchers are constantly
striving to find one. Therapy for MS includes FDA approved medications
for relapsing forms of MS, which have shown in studies to lessen the
frequency and severity of MS. Physical therapy and yoga are often
recommended to help patients with flexibility issues as a result of
their MS and a balanced diet and awareness of fatigue also help patients
optimize their quality of life during occurrences of MS.
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