Multiple sclerosis is one of the leading causes of incapacity in young patients, according to Dra. Yadira Dacosta, neurologist.
Daniela Osorio Rivera
Agencia Latina de Noticias Medicina y Salud Pública
Multiple Sclerosis (EM) is a demyelinating condition of the central nervous system that, in addition to the typical motor or sensory sensory symptoms, can present complications and comorbidities at the systemic level. It is of great importance to identify these symptoms without neurological necessities in order to avoid major complications that can increase the risk of relapse and progression of the condition.
“The patient’s quality of life can be affected if it fails to identify and provide adequate treatment for this complication. Ante is the neurologist who needs to work with a multidisciplinary team of specialists assisting with the maneuver and treatment of comorbidities associated with the disease ”, said the president of the Puerto Rican Academy of Neurology.
The American Academy of Neurology has established a guide that facilitates integral evaluation that mediates the level of patient disability. These guides are known as “Multiple Sclerosis Disability Medicine Scale” evaluating aspects such as: risk of urination, urinary system problems, fatigue, depression, physical activity and quality of life monitoring.
Chronicle of fatiga chronicle
This is one of the most common syndromes of the condition with a prevalence of 80%, also tithes to be multifactorial, associated with the use of multiple drugs. It is recommended to have a diagnosis of neuropsychiatric symptoms such as depression and the fact that pudiesen contributes to chronic fatigue symptoms.
“Once these causes of poverty have been adequately treated, they should establish a program that includes techniques such as moderate exercise, adequate relaxation and ambient temperature management, adequate nutrition and hydration”, explained Dr. Yadira.
Maneuvering disorder of cognition and depression
“The cognitive disorders have a 50% prevalence in EM patients. These problems tend to manifest in patients late in the illness, although they can be presented in temporary states of the condition and have a clinically ill syndrome. The annual formal neuropsychological evaluation is recommended, “said Dr. Yadira Dacosta.
Urological Manejo
Urological problems are very common in patients with EM, usually associated with spinal cord injuries and cerebral palsy. Urinary neurogenic tests are usually divided into urinary retention problems or incontinence. It is recommended to have a formal evaluation with a urologist in any patient who presents with urinary symptoms.
“The strategies used for the management of neurogenic weight loss are the reduction of antidepressant liquid intake, avoiding irritating conditions such as caffeine, alcohol, tobacco and citrus fruits. A relatively new alternative in patients with hyperactive pathway is neuromodulation using percutaneous nerve percutaneous estimation, ”said the President of the Puerto Rican Academic Department of Neurology.
Sexual dysfunction manejo
The problems of sexual intercourse with my mother are common in patients with EM, usually in men manifest themselves with problems of impotence or ejaculation; in women with problems of anorgasmia lubrication and libido is reduced. Male impotence is usually associated with spinal cord lesions, however, as many women as psychologist have problems investigating psychological disorders such as depression and anxiety, and those who may be contributing to the problem of sexual dysfunction.
Maneuvering of neuro-muscular symptoms
The most common sinuses are elasticity and weakness, these sinuses can also be associated with pain, calamity and rigidity. These symptoms directly affect the quality of life of the patient limiting in many cases the activities of the diary live. There is a significant amount of flexibility in dealing with stress and there are many ways in which patient compensation mechanisms can be used to help, transfer and postural support. The initial treatment as flexible as the disability should be a physical therapy program usually recommended by the physiotherapist.
Laboratory problems
The EM usually affects young patients, due to the large number of these patients can have problems in the labor camp. Some of the effective techniques for mitigating impact in the labor camp are: reasonable accommodation and avoid long hours of day, avoid work that the mayor of physics works to work on or operate with weighted machinery.
“Maintain hydration and avoid excessive hours of excessive calorie burning or sun is critical to avoid exacerbation of symptoms” says the Dra. Yadira Dacosta, neurologist.