Chii Chinonzi Primary Lateral Sclerosis? Zviratidzo, Zvinokonzera, & Kurapa

Primary lateral sclerosis (PLS) chirwere chisingawanzoitika chepfungwa chinotambudza masero enhengo anoita kuti minyoro iite basa rayo. Kusiyana nemamwe marwere emotor neuron, PLS inorwisa chete upper motor neurons muuropi nemuchidzitiro chemuviri, zvichiita kuti minyoro ive yakaoma uye isina simba nekufamba kwenguva.

Chirwere ichi chinoenderera mberi zvishoma nezvishoma, kazhinji kuchitora makore kuti chibude zvizere. Kunyange zvazvo PLS ichigona kuva yakaoma kurarama nayo, kunzwisisa zviri kuitika mumuviri wako kunogona kukubatsira kushanda nechikwata cheutano hwako kuti utungamirire zviratidzo uye kuchengetedza hupenyu hwako hwakanaka.

Chii Chinonzi Primary Lateral Sclerosis?

Primary lateral sclerosis chirwere chemotor neuron chinotambudza upper motor neurons ako. Aya ndiwo masero enhengo muuropi rako anotuma masaini pasi pechidzitiro chemuviri wako kuti utonge kufamba kweminoro, kufamba, kutaura, nekudya.

Kana aya masero enhengo akakuvadzwa, haakwanisi kutaurirana zvakanaka neminoro yako. Izvi zvinoita kuti minyoro ive yakaoma, isina simba, uye kuoma kufamba kwakarongeka. Shoko rokuti "primary" rinoreva kuti ndiro chirwere chikuru, harisi kukonzerwa nechimwe chirwere.

PLS inofungwa kuva chirwere chisingawanzoitika, chinotambudza vanhu vashoma kupfuura 2 pa100,000. Kazhinji chinoitika kune vakuru vane makore ari pakati pe40 ne60, kunyange zvazvo chingaitwa pane chero uremu. Chirwere ichi chinoenderera mberi zvishoma nezvishoma kana tichienzanisa nemamwe marwere emotor neuron, izvo kazhinji zvinopa vanhu nguva yakawanda yekugadzirisa nekugadzirira.

Ndeapi Zviratidzo zvePrimary Lateral Sclerosis?

Zviratidzo zvePLS zvinoonekwa zvishoma nezvishoma uye zvinogona kusiyana kubva kune munhu kune mumwe. Vanhu vazhinji vanotanga kuona kuoma kana kushaya simba mumitsipa yavo, kunyange zvazvo zviratidzo zvingatanga kune dzimwe nzvimbo dzemuviri.

Aya ndiwo zviratidzo zvakajairika zvaunogona kuona:

• Kuomarara kweminoro nekukakama, kunyanya mumitsipa
• Kushaya simba kunowanzo tanga mumitsipa uye kungapararira kumusoro
• Kuomerwa kufamba kana kuchengetedza mwero
• Kufamba kunonoka, kunoda kuedza
• Kukakama kweminoro kana kuchema
• Kuchinja kutaura, kusanganisira kutaura kwakaoma kana kunonoka
• Kuomerwa kudya (dysphagia)
• Kuwedzera kwemareflexes kana kuyedzwa nachiremba

Vamwe vanhu vanogonawo kuona zviratidzo zvisingawanzoitika. Izvi zvinogona kusanganisira kuchinja kwemanzwiro sekuseka kana kuchema kamwe kamwe (kunzi pseudobulbar affect), kuneta, uye dzimwe nguva kuchinja kwepfungwa zvishoma. Kuenderera mberi kunowanzova kunonoka, nezviratidzo zvichiwedzera mumavhiki kana makore panzvimbo pevhiki.

Zvakakosha kuyeuka kuti PLS inokanganisa munhu wese zvakasiyana. Vamwe vanhu vanogona kuva nezviratidzo zvemitsipa chete kwemakore, nepo vamwe vangave nekuoma kutaura kana kudya pakutanga kwechirwere.

Chii Chinokonzera Primary Lateral Sclerosis?

Chikonzero chaicho cheprimary lateral sclerosis hachizivikanwi mune zviitiko zvizhinji. Vatsvakurudzi vanofunga kuti chinobva pakusanganiswa kwezvinhu zvemajini nezvezvakatipoteredza zvinoita kuti upper motor neurons ikukuvare zvishoma nezvishoma.

Mune zviitiko zvizhinji, PLS inoita kunge inoitika kamwe kamwe, zvinoreva kuti inoitika pasina nhoroondo yakajeka yemhuri. Zvisinei, masayendisiti akaona mamwe maitiro anogona kukonzera:

• Kuchinja kwemajini mumajini chaiwo seALS2, kunyange zvazvo izvi zvisingawanzoitika
• Kuunganidzwa kweprotein isina kunaka mumasero enhengo
• Matambudziko ekugadzira simba mumasero
• Kutemwa kwepfungwa muchikamu chepfungwa
• Oxidative stress inokuvadza masero nekufamba kwenguva

Mune zviitiko zvisingawanzoitika, PLS inogona kuwanikwa kubva kumhuri, kunyanya fomu yevechidiki inokanganisa vana nevakuru vechidiki. Iyi fomu inowanikwa kubva kumhuri inowanzobatanidzwa nekuchinja kwemajini muALS2 gene uye inowanzokura zvishoma nezvishoma kupfuura fomu yevanhu vakuru.

Zvinhu zvakatipoteredza zvinogonawo kutamba basa, kunyange hazvo hapana zvinokonzera zvakajeka zvakawanikwa. Kutsvakurudza kuri kuenderera mberi pamusoro pehukama hwakakosha nezvirwere, zvinhu zvinokuvadza, kana zvimwe zvinhu zvakatipoteredza, asi kutsvakurudza kukuru kunodiwa kunzwisisa aya hukama.

Rini Unofanira Kuona Chiremba wePrimary Lateral Sclerosis?

Unofanira kuona chiremba kana ukaona kuomarara kweminoro, kushaya simba, kana kuchinja mufamba rako izvo zvisingavandudzeki nekuzorora. Kuongororwa pakutanga kwakakosha nekuti mamiriro akawanda anogona kukonzera zviratidzo zvakafanana, uye kuongororwa kwakakwana kunotora nguva.

Rongedza musangano kana ukaona chero chimwe chezviratidzo izvi zvinotyisa:

• Kushaya simba kwakawanda mumitsipa yako kana maoko
• Kuwedzera kwekuomarara kweminoro kunokanganisa mabasa ezuva nezuva
• Kuomerwa kufamba kana kudonha kazhinji
• Kuchinja kutaura kwako kana inzwi
• Matambudziko ekudya chikafu kana zvinwiwa
• Kukakama kweminoro kunowedzera kana kuwedzera

Usamirira kana ukaona matambudziko ekudya, sezvo izvi zvingakanganisa chikafu chako nekutonga kwako. Saizvozvo, matambudziko makuru ekutonga anoda kutarisirwa nekukurumidza kwechiremba kudzivirira kudonha nekuzvidzwa.

Chiremba wako wekutanga anogona kuita kuongororwa kwekutanga uye kukutuma kune neurologist kana zvichidiwa. Neurologists vanonyanya kuziva mamiriro anoita kuti chikamu chepfungwa chikanganiswe uye vane ruzivo rwekuongorora nekutonga PLS zvakakwana.

Ndeapi Ngozi Dzinokonzera Primary Lateral Sclerosis?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana primary lateral sclerosis, kunyange zvazvo kuva nezvinhu zvinokonzera ngozi hazvirevi kuti uchawana chirwere ichi. Kunzwisisa izvi zvinhu zvinogona kukubatsira kuramba uchiri kuziva nezviratidzo zvinogona kuitika.

Zvinhu zvikuru zvinokonzera ngozi zvinosanganisira:

• Uremu, kunyanya kuva pakati pemakore 40 ne60
• Nhoroondo yemhuri yezvirwere zvemotor neuron (kunyange zvazvo izvi zvisingawanzoitika)
• Murume, sezvo varume vanowanzova nePLS
• Kuchinja kwemajini, kunyanya mumhuri ine fomu inowanikwa kubva kumhuri

Kusiyana nemamwe mamiriro ezvirwere zvepfungwa, zvinhu zvehupenyu sehukuru, kudya, kana kurovedza muviri hazvina kuoneka kukanganisa ngozi yePLS. Zvisinei, kuchengetedza hutano hwakanaka nguva dzose kunobatsira uye kunogona kukubatsira kugadzirisa zviratidzo kana zvikaitika.

Zvakakosha kucherechedza kuti PLS yakasiyana kwazvo, saka kunyange kuva nezvinhu zvinokonzera ngozi hazvirevi kuti une mukana wekuwana chirwere ichi. Vanhu vazhinji vane izvi zvinhu zvinokonzera ngozi havambovi nePLS, uye vanhu vazhinji vanoiona havaoneki kuva nezvinhu zvinokonzera ngozi.

Ndeapi Matambudziko Anogona Kuitika muPrimary Lateral Sclerosis?

Kunyangwe PLS ichikura zvishoma nezvishoma, inogona kukonzera matambudziko akawanda nekufamba kwenguva. Kuziva izvi zvinogona kukubatsira iwe nechikwata chako cheutano kugadzirira kutarisirwa kwakakodzera nekubatsirwa.

Matambudziko akajairika anosanganisira:

• Matambudziko ekufamba anogona kupedzisira adzora zvinhu zvinobatsira
• Kuwedzera kengozi yekudonha nekuda kwekushaya mwero nekufamba kwakaoma
• Matambudziko ekudya anogona kukonzera kutsva kana aspiration pneumonia
• Matambudziko ekukurukura anogona kuda zvinhu zvinobatsira pakukurukura
• Kuomarara kweminoro kubva pakuomarara kwenguva refu
• Kusurukirwa kwevanhu nekuda kwekushaya simba nekukurukura

Vamwe vanhu vanogona kuwana matambudziko akakomba, kunyanya mumamiriro ezvinhu akakomba. Izvi zvinogona kusanganisira matambudziko makuru ekudya anoda zvikwata zvechikafu, matambudziko ekumhanya kana minyoro yekumhanya ikakanganiswa, uye kuwedzera kwekukanganiswa nezvirwere nekuda kwekushaya simba.

Mashoko akanaka ndeawo kuti matambudziko akawanda anogona kudzivirirwa kana kutungamirirwa nekuchengetedzwa kwakakodzera. Kurapa kwemuviri kunogona kubatsira kuchengetedza kufamba, kurapa kutaura kunogona kugadzirisa matambudziko ekukurukura, uye kurapa kwemabasa kunogona kukubatsira kugadzirisa nharaunda yako nezvinodiwa zvako zvichichinja.

Primary Lateral Sclerosis Inogona Kudzivirirwa Sei?

Parizvino, hapana nzira inozivikanwa yekudzivirira primary lateral sclerosis sezvo chikonzero chaicho chisingazivikanwi. Zvisinei, kuchengetedza hutano hwepfungwa hwakakwana kunogona kubatsira, kunyange zvazvo zvisingavimbisi kudzivirira.

Mabasa ehutano hwepfungwa nehutsinye hwepfungwa anosanganisira kuramba uchiita zvemuviri, kudya chikafu chakaenzana chine antioxidants, kurara zvakakwana, uye kutonga kushushikana zvakanaka. Aya maitiro anotsigira hutano hwese uye anogona kubatsira chikamu chepfungwa chako kushanda zvakanaka.

Kune mhuri ine nhoroondo yePLS inowanikwa kubva kumhuri, mazano emajini anogona kupa ruzivo rwakakosha nezvengozi nezvinhu zvekugadzirira mhuri. Zvisinei, izvi zvinoshanda kune zviitiko zvishoma sezvo PLS yakawanda inoitika kamwe kamwe pasina nhoroondo yemhuri.

Kutsvakurudza pamusoro pezvirongwa zvekudzivirira kuri kuenderera mberi, asi parizvino kunonyanya kufunga nezvekunzwisisa nzira dzechirwere pane zviyero zvakakosha zvekudzivirira. Chinhu chakakosha chaunogona kuita ndechekuramba uchiri kuziva nezviratidzo uye kutsvaka rubatsiro rwechiremba nekukurumidza kana zviratidzo zvinotyisa zvikaitika.

Primary Lateral Sclerosis Inooongororwa Sei?

Kuongorora primary lateral sclerosis kunoda kuongororwa kwakanyatsojeka ne neurologist, sezvo pasina bvunzo imwe chete inogona kusimbisa chirwere ichi. Kuongororwa kazhinji kunoitika nekubvisa mamwe mamiriro anoita kuti zviratidzo zvakafanana zviitike.

Chiremba wako anotanga nenhoroondo yakakwana yehutano uye kuongororwa kwemuviri, achinyanya kufunga nezvemareflexes ako, simba reminoro, nekutonga. Vachatsvaga zviratidzo zve upper motor neuron dysfunction, sekukwira kwemareflexes nekuomarara kweminoro.

Bvunzo dzakati wandei dzinogona kushandiswa kutsigira kuongororwa:

• Electromyography (EMG) kuongorora basa renhengo neminoro
• MRI scans yeuropi rako nechidzitiro chemuviri
• Kuongororwa kweropa kubvisa mamwe mamiriro
• Kuongororwa kwemajini mune dzimwe nguva
• Lumbar puncture (spinal tap) dzimwe nguva

Maitiro ekuongorora anogona kutora nguva nekuti vanachiremba vanofanira kutarisa zvakanyatsojeka kuti zviratidzo zvako zvinoenderera sei. PLS inosiyaniswa neALS nekuda kwekushayikwa kwe lower motor neuron signs uye kuenderera mberi kwakanyanya kunonoka. Neurologist yako inogona kuda kukutevera kwemavhiki kana makore kuti uite kuongorora kwakakwana.

Kuita kuongorora kwakakwana kwakakosha nekuti kunokanganisa sarudzo dzekurapa uye kunokubatsira kunzwisisa zvaunofanira kutarisira. Usanetseka kubvunza mibvunzo pamusoro pemaitiro ekuongorora uye kutsvaka imwe pfungwa kana usingazivi nezvinhu.

Kurapa kwePrimary Lateral Sclerosis Ndeapi?

Kunyangwe pasina mushonga weprimary lateral sclerosis parizvino, kurapa kwakasiyana-siyana kunogona kubatsira kutonga zviratidzo uye kuvandudza hupenyu hwako hwakanaka. Chinangwa ndechekuchengetedza basa, kudzivirira matambudziko, uye kukubatsira kugadzirisa kuchinja sezvazvinoitika.

Sarudzo dzemishonga inonyanya kufunga nezvekutonga kuomarara kweminoro nekukakama:

• Baclofen kuderedza kuomarara kweminoro nekukakama
• Tizanidine sechinhu chinogadzirisa minyoro
• Botulinum toxin injections yekukakama kwakatarwa
• Gabapentin yekukakama kweminoro neruvira
• Antidepressants kana kuchinja kwemanzwiro kukaitika

Kurapa kwemuviri kunotamba basa rinokosha mukutonga PLS. Munhu anorapa muviri anogona kukudzidzisa maekisesaizi ekugara uine simba, kusimbisa minyoro isina kukanganiswa, uye kuvandudza mwero. Vachazokubatsirawo kudzidza kushandisa zvinhu zvinobatsira zvakachengeteka sezvinodiwa zvako zvichichinja.

Kurapa kutaura kunova kukosha kana ukaona matambudziko ekukurukura kana kudya. Vanachiremba vanorapa kutaura vanogona kudzidzisa nzira dzekuvandudza kujeka kutaura uye kukubatsira kudzidza nzira dzakachengeteka dzekudya. Vangavewo vachigona kukupa nzira dzakasiyana dzekukurukura kana zvichidiwa.

Kurapa kwemabasa kunokubatsira kugadzirisa mabasa ako ezuva nezuva nenharaunda yako kuti urambe uine rusununguko. Izvi zvinogona kusanganisira kukurudzira zvinhu zvinobatsira, kuchinja imba yako, kana kudzidzisa nzira dzekudzikisa simba.

Maitiro Ekurapa Kumba Panguva yePrimary Lateral Sclerosis?

Kutonga PLS kumba kunosanganisira kugadzira nharaunda inotsigira uye kuchengetedza maitiro anobatsira kuchengetedza basa rako nehutano hwako. Kugadzirisa zvishoma zuva nezuva kunogona kuita musiyano mukuru mukunyaradza kwako nerusununguko.

Kune kuomarara kweminoro nekukakama, maekisesaizi ekunyatsotendeuka anogona kubatsira kwazvo. Kugeza kwemvura inodziya kana maheating pads zvinogonawo kubatsira, nepo kudzivirira chando chakakomba chinogona kuwedzera kuomarara. Kufamba zvishoma nezvishoma zuva rese kunodzivirira minyoro kubva pakuomarara kwazvo.

Kugadzirisa kuchengetedzeka kumba kunova kukosha sezvo chirwere ichi chichienderera mberi:

• Isa mahandrails muhomwe nemakamuri okugezesa
• Bvisa zvinhu zvinogona kukonzera kudonha semakarpeti asina kunamatira
• Ita shuwa kuti kune chiedza chakanaka mumba mako
• Funga nezvechirongwa chekurapa chekurapa
• Chengeta zvinhu zvaunoda kazhinji zviri nyore kusvika kwazviri

Kuchengetedza chikafu chakanaka kunotsigira hutano hwese nemazinga esimba. Kana kudya kuchiomera, shanda nemunhu anodzidzisa nezvechikafu kugadzirisa zvinhu zvekudya uchinge uchiita shuwa kuti une chikafu chakakwana. Gara wakanyorova, asi kurukura chero matambudziko ekudya nechikwata chako cheutano.

Usarega hutano hwako hwepfungwa. Kugara uine hukama nemhuri neshamwari, kutevera zvinofadza zvakagadziridzwa, uye kufunga nezvekurapa kana mapoka ekutsigira kunogona kukubatsira kugadzirisa matambudziko ekurarama nePLS.

Unofanira Kugadzirira Sei Musangano Wako Wechemba?

Kugadzirira misangano yako yechiremba kunogona kukubatsira kushandisa nguva yako zvakanaka uye kuita shuwa kuti ruzivo rwakakosha harusiyiwi. Kugadzirira zvakanaka kunotungamira muhurukuro dzakabereka pamusoro pekuchengetedzwa kwako.

Usati wasangana nechikwata chako, nyora zviratidzo zvako zvese, kusanganisira pavakatanga uye maitiro avo akachinja sei nekufamba kwenguva. Cherechedza zvinhu zvinoita kuti zvive nani kana zvakanyanya kuipa, uye maitiro avo anokanganisa mabasa ako ezuva nezuva. Iva chaiwo pamusoro pekuchinja kwemabasa, sekunetsa kukwira matanho kana kuchinja mukunyora kwako.

Uya nehutsanangudzo yakakwana yemishonga yako, kusanganisira mishonga yekutengesa pasina chinyorwa chechiremba nemapilisi. Gadzirawo rondedzero yemibvunzo yaunoda kubvunza:

• Ndeapi bvunzo dzandinoda, uye zvichaita sei?
• Chirwere changu chinoenderera sei nekukurumidza?
• Ndeapi kurapa kuripo kwezviratidzo zvangu?
• Rini ndinofanira kufunga nezvezvinhu zvinobatsira?
• Kune miedzo yekurapa yandinofanira kuziva nezvayo?
• Ndeapi zviratidzo zvinofanira kundikurudzira kukufonera?

Funga nezvekukoka nhengo yemhuri kana shamwari kukubatsira kuyeuka ruzivo rwakakosha uye kupa mamwe mazano pamusoro pezviratidzo zvako. Vangave vachiona kuchinja kwausingazivi.

Usakanganwa kuuya nehutsanangudzo yeinshorenzi yako nechero pepa rekutumira kana uchienda kune nyanzvi. Kuva nezvinyorwa zvese zvakakosha zvakagadzirira kunobatsira kuita kuti musangano wako uende zvakanaka.

Chii Chinonyanya Kukosha NezvePrimary Lateral Sclerosis?

Primary lateral sclerosis chirwere chisingawanzoitika asi chinogona kutungamirirwa chinotambudza upper motor neurons ako, zvichiita kuti minyoro iome uye isina simba inokura zvishoma nezvishoma nekufamba kwenguva. Kunyangwe pasina mushonga uripo parizvino, kurapa kwakawanda kunogona kukubatsira kuchengetedza basa nehupenyu hwakanaka.

Chinhu chakakosha chekuyeuka ndechekuti PLS inokanganisa munhu wese zvakasiyana, uye kuenderera mberi kwakanyanya kunonoka kazhinji kunoita kuti pave nenguva yekugadzirisa nekugadzirira. Kushanda pedyo nechikwata cheutano chinosanganisira neurologists, vanachiremba, nevamwe nyanzvi kunokupa mukana wakanaka wekutonga zviratidzo zvakanaka.

Kuongororwa pakutanga nekurapa kwakakurumidza kunogona kuita musiyano mukuru mune zvauchaona nePLS. Usanetseka kutsvaka rubatsiro rwezviratidzo zvitsva, uye yeuka kuti kuchengetedza hutano hwako hwese nekugara uine hukama nevamwe kunoramba kuri kukosha mukufamba kwako nechirwere ichi.

Kutsvakurudza pamusoro pePLS kuri kuenderera mberi, richikupa tariro yekurapa kwakanaka mune ramangwana. Panguva ino, tarisa pane zvaunogona kutonga: kuramba uchiita zvakawanda sezvinobvira, kuchengetedza chikafu chakanaka, uye kuvaka network yakasimba yekutsigira kukubatsira kufamba nematambudziko ari mberi.

Mibvunzo Inowanzo Bvunzwa NezvePrimary Lateral Sclerosis

Primary lateral sclerosis yakafanana here neALS?

Kwete, primary lateral sclerosis neALS zviri zvirwere zvakasiyana, kunyange zvazvo zviri zvese zvirwere zvemotor neuron. PLS inorwisa chete upper motor neurons muuropi rako nechidzitiro chemuviri, nepo ALS ichirwisa upper ne lower motor neurons. PLS inokura zvishoma nezvishoma kupfuura ALS uye ine ramangwana rakanaka kwenguva refu. Vamwe vanachiremba vanofunga kuti PLS imhando yeALS, asi musiyano wacho wakakosha pakunzwisisa zvaunofanira kutarisira nezvisarudzo dzekurapa.

Munhu anogona kurarama kwenguva yakareba sei neprimary lateral sclerosis?

Vanhu vazhinji vane PLS vane hupenyu hwakajairika kana huzere, kunyanya kana tichienzanisa nemamwe marwere emotor neuron. Chirwere ichi chinoenderera mberi zvishoma nezvishoma kwemakore mazhinji, uye kunyange zvazvo chingakanganisa hupenyu hwakanaka, kazhinji hachityisidziri hupenyu nekukurumidza. Zvisinei, matambudziko mumamiriro ezvinhu akakomba, sekudya kwakaoma, anogona kuisa ngozi inoda kutarisirwa kwakanyatsojeka nechikwata chako cheutano.

Ndichagara muchigaro chemaoko here nePLS?

Havasi vese vane PLS vanoda chigaro chemaoko, uye nguva inosiyana zvikuru pakati pevanhu. Vamwe vanhu vanoramba vachikwanisa kufamba kwemakore mazhinji nezvinhu zvinobatsira sekakani kana mawalkers. Vamwe vangave vachida magariro emaoko kure kure nepo vachiri kufamba nzvimbo pfupi kumba. Kuenderera mberi kwakanyanya kunonoka kwePLS kazhinji kunoita kuti pave nenguva yekugadzirisa kuchinja kwemufamba uye kutsvaga sarudzo dzakasiyana dzinobatsira.

Kurovedza muviri kunogona kubatsira here nezviratidzo zveprimary lateral sclerosis?

Hongu, kurovedza muviri kwakakodzera kunogona kubatsira kwazvo kune vanhu vane PLS. Kuita maekisesaizi ekunyatsotendeuka kunobatsira kuchengetedza simba uye kuderedza kuomarara, nepo kusimbisa maekisesaizi kune minyoro isina kukanganiswa kunogona kubatsira kudzora kushaya simba. Maekisesaizi emvura kazhinji anobatsira nekuti kusimuka kwemvura kunoderedza kushushikana pamusoro pemapfupa nepo uchibvumira kufamba. Gara uchishanda nemunhu anorapa muviri kuti uite purogiramu yakachengeteka yekurovedza muviri yakagadzirirwa zvinodiwa zvako nesimba.

Kune kurapa kwitsva kuri kuongororwa here kwePLS?

Kutsvakurudza pamusoro pekurapa kwePLS kuri kuenderera mberi, kunyange zvazvo kufambira mberi kuri kunonoka kupfuura kune mamiriro akajairika nekuda kwekurasika kwaro. Kutsvakurudza parizvino kunonyanya kufunga nezvekunzwisisa nzira dzechirwere, kugadzira kurapa kwakanaka kwemishonga, uye kutsvaga kurapa kunogona kudzivirira kukuvara kwemasero. Mimwe miedzo yekurapa kweALS inogonawo kusanganisira varwere vePLS. Bvunza neurologist yako nezve mikana yekutsvakurudza iripo uye kana ungakodzera chero miedzo yekurapa.