Multiple sclerosis - A very variable condition, which does notThere is a predictable, firmly establish the nature of the flow. Each patient may have their own, different from the other set of symptoms that can vary from time to time, as well as the severity and duration of symptoms.
Symptoms depend on what departmentsthe central nervous system were struck with multiple sclerosis. Among the patients with multiple sclerosis, there are those who have suffered so far only one small attack, manifested in the loss of visual acuity as well as those who have symptoms more pronounced. Most multiple sclerosis begins with a sudden attack, also known as exacerbation followed by remission, i.e. period without any apparent clinical signs of the activity of multiple sclerosis.
After a few days or weeks, the intensity of the symptoms can be reduced, which leads to a complete or partial recovery.
In patients with multiple sclerosis, usuallyhave the following symptoms seat: fatigue, muscle stiffness, weakness, spasticity of arms and legs, abnormal sensations, such as itching, pain or numbness, disruption of the bladder and bowel, sexual disorders. Some of them occur frequently, others - only in rare cases.
Because the symptoms in different people greatlyThey differ, the flexibility required for their correction. In addition to medication, there are additional strategies, such as physical therapy or diet. Therefore, no matter how good or bad may feel sick, and how pronounced the symptoms, there is a wide variety of what he is, doctors and nurses can make in each case, in order to achieve improvement. Pledge of good general health - care of the body and maintaining a healthy lifestyle.
Fatigue or tiredness - one of the mostand typical unpleasant symptoms of multiple sclerosis. Fatigue occurs in about two-thirds of patients with multiple sclerosis and can persist for months or even longer.
We know of at least two types of fatigue. The first - is the constant fatigue, because of which even the simplest tasks difficult to complete. Tired of the second type occurs suddenly after a few minutes of physical activity. As a rule, this fatigue is felt in the legs, and then disappears after a short rest, but may be tired and her eyes while reading vision deteriorates, but then recovered again after a short break.
Fatigue usually becomes more pronounced in hot weather or after a hot bath and also can be exacerbated with an increase in body temperature, for example when cold.
As a consequence, patients with multiple sclerosis,prone to fatigue, complaining of a sharp deterioration in the quality of life in connection with this symptom. Bouts of fatigue can also lead to a general wasting, depression and sleep disorders.
If fatigue is not due to scatteredmultiple sclerosis and some other factors, such as sleep disorders, resulting in a feeling of sleepiness during the day, it is necessary to determine the initial disease and treat it immediately. If fatigue becomes a paramount concern for the patient with multiple sclerosis, it is necessary to conduct a thorough neurological examination to rule out any other causes of fatigue. If the main cause of fatigue is multiple sclerosis, should make changes to your lifestyle and occupation. Few drugs have been effective in combating fatigue. However, patients with multiple sclerosis are subject to excessive fatigue, reported positive results achieved by them with the help of therapy. Ask your doctor which medication is suitable for your particular case.
There are non-drug methods of dealing withfatigue. For example, you should go to bed at the same time, take frequent rest breaks in their daily activities and carry out a complex exercise with moderate muscle load. To control the fatigue can also be applied to methods that help to cope with stressful situations and to properly allocate their time, set priorities, plan ahead for their business and simplify the work. Also useful are a cold shower or bath, and in hot weather - the air conditioning.
Others may achieve the effect of using yogaor meditation in conjunction with exercise. Since multiple sclerosis symptoms are aggravated by fatigue, it is necessary to avoid that will make the life of patients with multiple sclerosis less tense, though, is not likely to affect the course of the disease.
Spasticity is increased muscle tone,and arising from this muscle cramps can be accompanied by pain. In the course of the disease may occur loss of muscle strength in the arms and legs. These symptoms can gradually deteriorate, resulting in an increased need for support while walking.
Correction of spasticity with the help of physiotherapy or hippotherapy. Special facilities include stretching exercises inner thigh muscles and hip, leg and back muscles. These exercises can be performed both independently and with the help of someone else.
Stretching exercises help to deal with spasticity and muscle shortening. To teach these exercises should be an experienced physiotherapist.
Spasticity Treatment depends on the extent of itsseverity. There are common medicines to reduce spasticity, which are dispensed from a pharmacy without a prescription. In recent years, it developed a number of other drugs that have a positive effect on the symptoms of spasticity. Your doctor can advise which medications can help reduce these symptoms.
Violations of balance and coordination
Problems with coordination and balance occur inif multiple sclerosis was affected by the cerebellum - part of the brain in charge is responsible for the coordination of movements. This can lead to loss of balance when walking. It may also be difficult to take small objects with his hands. Furthermore, jitter may limbs (tremor).
Adjusting imbalances and coordination
Exercise is usually recommended (physiotherapy)different levels of complexity and intensity, which are chosen depending on the affected muscle groups. These exercises help to improve coordination and balance, which in patients with multiple sclerosis are often violated. Patients with moderate neurological deficits, as well as those who suffer from the symptoms associated with fever, may be easier to perform these exercises in the water. Tremor often persists drugs.
Water provides support, which helps notlose balance during class. Furthermore, the water prevents physical stress associated with hyperthermia, which is capable of multiple sclerosis exacerbate symptoms in some patients.
For many years it was thought that multiple sclerosispainless. Now, it turned out that in some patients the disease process actually experience pain and discomfort. Pain can occur directly as a result of multiple sclerosis activity in the nervous system, or be a consequence of other symptoms thereof. By their pain intensity can be both weak and very strong.
Along with pain in joints and muscles, and ligamentstendons also note a sharp, knife-like shock paroxysmal pain. Such pain can arise, for example, in the face if struck by facial nerves. Also painful cramps in the hands or feet, unless of course a long time remained stationary.
However, most in multiple sclerosiscommon chronic neurogenic pain caused by faulty nerve signals that are generated by multiple sclerosis centers in the brain and spinal cord. For this kind of pain include sensations that are usually described as "tingling."
How to cope with pain
Fighting pain involves the use of drugs and non-drug approaches depending on the type of pain, and pain their specific origin of each individual patient.
An important component of overcoming pain inMultiple sclerosis can be a self-help, as it has a direct impact on the quality of life of the patient. Exercise, meditation and progressive muscle relaxation (by the method of Jacobsen) to help cope with the cramps and soreness of muscles.
Exercise called "progressive relaxation" was introduced by psychologist Edmund Jacobsen
We need to find a quiet place with a carpet on the floor. Take your shoes off, unfasten clothes, lie on your back and close your eyes. Firmly squeeze the fist ten seconds and focus on the degree of hand pressure. Then, unclench the hand - and you will notice a feeling of heaviness and warmth. It does not need repeating. Then bend your elbows, biceps straining, at the same time. Continue - strain and ten seconds, relax your facial muscles, then the shoulders, chest, abdomen, back, buttocks, thighs, calves and feet. And then tell yourself that you are really getting more and more relaxed. When finished, soak a bit before slowly rise. At first you may feel dizzy. This is perfectly normal, but try to move carefully in the next few minutes. One caveat: do not do this exercise if you have any disease of the muscles. Maybe you can somehow adjust to your condition, but first it is necessary to consult a doctor.
Other methods of pain relief include physiotherapy, hydrotherapy, massage, electrical nerve stimulation, acupuncture and manual therapy
Violation of bladder and bowel
Many people with MS are constantlysearching toilet concerned due to the fact that in multiple sclerosis may be affected muscles controlling the operation of the bladder and intestine. Bowel problems are less noticeable and are usually expressed as constipation due to lack of physical activity in the late stages of the disease. Violation of the bladder, by contrast, is often found in multiple sclerosis and leads to urinary incontinence. In addition, some patients are not able to completely empty the bladder.
Correcting problems with bladder and bowel
If you encounter problems such as incontinenceincontinence or incomplete emptying of the bladder, the doctor must first rule out infection of the bladder, which in the case of detection require separate treatment.
The symptoms can be successfully alleviated but treatmentIt should be based on the individual needs of the patient. For effective control of bladder function is useful to train the bladder and pelvic floor muscles. When urgent need to urinate frequently used medication.
In mild cases, you can change the reception modeliquids, as well as to refuse alcohol and drinks containing caffeine. Bowel problems that arise in the later stages of the disease, often easily eliminated by changing the diet. It should consume more foods rich in fiber, less fat and plenty of fluids. You could also try taking laxatives such as lactulose. It may be advantageous to use mineral oil. For the normalization of the bowel are also recommended regular exercise.
You should not observe any special dietwithout prior consultation with the doctor. If you find any information on this subject on the internet, be sure to consult your doctor!
In multiple sclerosis may experience sexualproblems such as impotence, decreased sexual arousal or pain during intercourse. Moreover, multiple sclerosis can result in loss of sensitivity in women, or erectile dysfunction in men. Sometimes there are also psychological problems that may be a source of difficulties in intimate relationships.
Correction of sexual problems
Many couples have found a way to maintain normal sexual relations, moreover, they communicate with each other, so that "multiple sclerosis there is no chance to get them into bed."
Apparently, the key to overcoming many of the problems is to discuss the role of the partners in the relationship and what each partner expects from the other.
For men on sale, there are a number ofeffective medications and assistive devices. Women who feel a lack of lubrication in the vagina can use lubricating gels to reduce discomfort due to dryness of the vagina.
Also, there are a lot of sexual devices, such as vibrators attachable straps on batteries that can be purchased without a prescription.
For further advice please contact your healthcare provider.
Disorders due to the sensitivity ofnerve damage in the spinal cord. Typically, such disorders occur in one or more limbs and are common initial symptoms of multiple sclerosis. In the later stages of MS, these disorders are present in almost all patients and include discomfort, which can occur in different parts of the body and appear as tingling, tingling, tingling and tinnitus. Some patients suffering from these disorders, feel as if their body or a limb wrapped tight belt, or experience burning, itching, swelling and moisture.
Numbness can manifest itself in insensitivity to light touch, needle sticks, as well as cold and heat.
Activity in multiple sclerosis brainIt can cause abnormal eye movements (nystagmus) and double vision (diplopia). One of the most common symptoms is the inflammation of the optic nerve (optic neuritis). This is often an early sign of multiple sclerosis. Optic neuritis leads to blurred vision, loss of color perception and / or pain behind the eyeball, which are amplified when moving eyes. During remission recovery is not always complete. It is advisable to be examined by an ophthalmologist. For example, to eliminate the double vision goggles will help with prismatic glass.
The term "paroxysmal" is used todescribe the symptoms that appear suddenly, often repeated and eventually disappear completely. By paroxysmal symptoms may include motor, sensory or visual disturbances. They tend to be developed on one and always the same pattern, and last several minutes or even less than 20 seconds. These symptoms are often caused by motor or sensory stimuli. Touch - related to physical sensations, such as pain, smell, taste, temperature, vision, hearing, acceleration, and position in space.
Some paroxysmal symptoms such asspeech disorder (dysarthria) and seizures, are very common in multiple sclerosis. They are usually characterized by the early stages of the disease, but usually respond well to treatment.