Multiple Sclerosis (MS)

Multiple sclerosis, known as MS, is a popular disease of recent years. MS is a disease of unknown cause, a disease that we encounter difficulties in treatment because the cause is unknown. Actually, basically multiple sclerosis is a brain and spinal cord disease. Here, the body transforms normal cells and nerve cells into foreign It is tried to be destroyed by the body’s protection cells by perceiving it as such.

The incidence of the disease varies in different regions of the world. It is thought to be related to climatic conditions in some geographies, it is observed more frequently in some geographies and less frequently in others. It is seen most frequently in northern European countries, and at least in distant Asian countries. It is a country where it is seen.

The disease is generally seen in young middle age, female gender. However, the fact that it is more common in women does not mean that it will not be seen in men. Since it affects the young middle age group more frequently, the fact that it has emerged more prominently in the active life periods of the people has caused the disease to be given more importance than necessary. we are a society that can take care of our children more easily and cannot show similar sensitivity towards our elders.

In fact, although MS is not a life-shortening disease, it is a disabling disease that affects daily life. Since there is no elimination of the disease, treatment should be aimed at preventing the progression of the disease, slowing it down if possible, at least protecting the patient’s quality of life, and increasing the quality of life if possible.

However, an even more important problem with MS than the disease itself is, do people with the slightest neurological complaint have MS? Another important problem is related to the diagnosis of MS. Because it is not a disease that we can know by looking at any laboratory test for the diagnosis of MS and saying yes, you have MS. Different laboratory methods, examination findings and the history of the person’s complaints change over time. that is, by evaluating all these parameters together, a person can be diagnosed with MS. Therefore, the evaluation of these different parameters by the physicians who make the diagnosis may differ. The most important stage here is imaging findings. Because the presence of other diseases that are often confused with MS lesions should be carefully considered.

In other words, the main stage in the diagnosis of MS, and even the most important stage in the diagnosis and treatment of the disease, is to distinguish MS from other treatable diseases. Because the existence of a treatable condition is very important. maybe it can regenerate itself.

To summarize briefly; MS is actually not as common a disease as it is thought to be in our country. Therefore, the main important step here is to distinguish the more common diseases from MS. For example, to distinguish very frequently seen neurological diseases such as B12 deficiency and cerebrovascular diseases, which are frequently seen in our geography, from MS. It is very important for the patient to get the correct diagnosis and, as a result, to get the right treatment.

MS is a young middle-age disease, often preferred by women. The cause of the disease is not known exactly. Here the body is at war with itself. The target here is nerve cells and cerebrospinal cells.

MS is actually a neurological disease that progresses with attacks, what we call an attack here is a situation consisting of neurological complaints that the patient feels suddenly.

MS disease is not a homogeneous disease group, it shows a variable course from patient to patient. However, it is the presence of a disease that is frequently encountered, at least in the initial period, with attacks. These clinical complaints, that is, clinical complaints that occur during the attack period, last for about 1 week and 10 days. However, apart from the clinical complaints that make up this attack period, there may be some neurological complaints that may last less than 24 hours in patients. Patients may consider all these complaints as attacks. It should be conveyed to patients in particular that typical MS attacks generally last longer than 24 hours.

Treatment in MS patients is because the cause of the disease is not known exactly, and the attacks of the disease are prevented because each attack may cause some disabilities and some sequelae to remain in the patient. Therefore, it should be ensured that these patients do not have as few or even no attacks as possible. Treatments targeting this are available today. Here, the patient’s expectation from the treatment. It is not the complete elimination of the disease, but the prevention of attacks. The fact that MS patients in the treatment process have frequent attacks during this period raises a question mark about the effectiveness of the treatment. Therefore, treatment changes are at least for these patients, that is, for patients who have frequent attacks and whose attack frequency does not change, treatment changes is considered.

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