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known as disseminated
sclerosis or
encephalomyelitis
disseminata is an
autoimmune condition in
which the immune
system attacks the
central nervous system,
leading to demyelination.
Multiple sclerosis is more common in
individuals of northern European
descent.
MYELIN
Exacerbations
= aharacterized by a sudden worsening of
symptoms.
x Lasts at least 24 hours
x Separated from last exacerbation by at least
one month
= aan last from a couple days to a few weeks.
= Followed by demyelinazation.
¦ EUDOEXACERBATION
= Symptoms are present in the same form as
regular exacerbations except:
x Something triggers the symptoms to come
out.
Fever, infection, hot weather, etc.
x When the trigger disappears the symptoms
disappear as well.
G G
Relapsing-remitting M
¦rogressive Relapsing
aharacterized by relapses
followed by periods of remission,
however, during those periods of
remission there is a general
worsening of symptoms.
G G
¦rimary ¦rogressive
G
¦ GENES S F MULG ¦LE SaLERS S
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COGNITIVE ¦ROBLEM
You may have too low Àuid intake thus making the
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MANAGEMENT
nterferons are naturally occurring
substances in the body, produced in
response to µinvasion¶ by a foreign
substance, such as a virus. Gwo different
kinds of beta-interferons have shown a
signi¿cant effect in MS by reducing the
number and severity of its µattacks¶: beta-
interferon 1b (trade name Betaferon) and,
more recently, beta-interferon 1a (trade
names vonex and Rebif). Ghey seem to
stabilize the immune system but there is
conÀicting evidence as to whether it also
slows disease progression.
MANAGEMENT
Rehabilitation
Ghere are many forms of massage. Some of them are very vigorous
and seek to realign any muscles of the body that the therapists believe
are out of line. Such forms of massage should be avoided by people
with MS, for many of the problems faced by people with the disease,
such as spasticity, are a result of neurological damage, and cannot
just be µreworked¶ by a very vigorous massage. Ghe more relaxing and
gentle forms of massage, on the other hand, are potentially of
considerable value, not only in relaxing muscles and reducing
spasticity, but also in promoting a general sense of wellbeing. t is very
important that you check what form of massage the therapist is
offering, and ensure that the therapist has been well trained and,
above all, knows about MS.
MANAGEMENT
Types of Exercises
Exercises to improve your cardiovascular ¿tness will increase your heart rate,
and are good for your circulation.
Stretching exercises will decrease the risk of spasticity and contractures. Ghese
exercises work by stretching muscles and tendons to increase their Àexibility and
elasticity.
Resistance exercises, with the use of weights or other devices, help increase the
strength of muscles that have been weakened.
Very little intake of saturated fat (with very limited dairy produce, and
generally only certain speci¿c cuts of meat, liver for example);
plenty of ¿sh;
¦ulses;
good intake of most nuts, seeds and seed oils (but excluding those
containing saturated oils and certain nuts containing saturated fats,
such as brazil nuts);
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