Abstract | Multipla skleroza (MS) je upalna autoimuna bolest središnjeg živčanog sustava (SŽS) karakterizirana multicentričnom upalnom destrukcijom mijelina i oštećenjem aksona. Točan uzrok MS-a nije poznat. Najčešći simptomi MS-a su: gubitak vida i / ili dvostruko viđenje, krutost, slabost, neravnoteža, gubitak koordinacije i spretnosti, ukočenost, bol, problemi s kontrolom mjehura i crijeva, umor, poremećaji govora i gutanja, seksualnih poteškoća, emocionalnih promjena i intelektualnog oštećenja. Vrsta i broj simptoma uvelike variraju od pojedinaca do pojedinca, ovisno o tome gdje se oštećenje javlja (mozgu ili leđnoj moždini) . MS je najčešći uzrok neurološke invalidnosti koji utječe na ljude javljajući se između 15 i 55 godina. Ukupni broj osoba s MS u Europi procjenjuje se na više od 600.000. MS pogađa žene dvostruko više nego muškarace. MS nije klasična nasljedna bolest.
Multipla skleroza ima fizičke i psihosocijalne posljedice koje dugoročno utječu na gotovo svaki aspekt života ljudi oboljelih od MS i njihovih obitelji. Rehabilitacija stoga treba poboljšati njihovu sposobnost obavljanja osnovnih dnevnih potreba,i čim manju ovisnost o pomagalima ili pomoći obitelji. Rehabilitacija je potrebna u različitim vrstama oštećenja i invaliditeta, posebice kod smanjene pokretljivosti i spretnosti, kod disfunkcije mokraćnog mjehura i crijeva, poremećaja komunikacije i gutanja te kognitivnim oštećenja. |
Abstract (english) | Multiple Sclerosis (MS) is a chronic neurological disease with an unpredictable course, affecting the insulation surrounding nerve fibres (axons) of the central nervous system (CNS) and the axons themselves. The exact cause of MS is not known. The most common symptoms of MS include loss of vision and/or double vision, stiffness, weak-ness, imbalance, loss of co-ordination and dexterity, numbness, pain, problems with bladder and bowel control, fatigue, speech and swallowing disorders, sexual difficulties, emotional changes and intellectual impairment. The type and number of symptoms vary greatly from one individual to another, depending on where the damage occurs in the brain or spinal cord. MS is the most common cause of neurological disability affecting people in their productive years, between 15 and 55 years of age. The total number of people with MS in Europe is estimated to be more than 600.000. MS affects women twice as much than men. MS is not a classic hereditary disease. Multiple Sclerosis has physical and psychosocial consequences, which usually have enormous longterm impacts on almost every aspect of the lives of persons with MS and their families. Rehabilitation should therefore improve the ability to perform basic daily functional activities, mobility, occupation, communication and social integration. It is required in many different kinds of impairments and disabilities, especially decreased mobility and dexterity, bladder and bowel dysfunction, communication and swallowing disorders, and cognitive impairment. |