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As for the first and most important symptoms caused by diabetes, it is a loss of sensation of heat and pain, where a lack of a sense of extremities in changes in the external temperature is a prominent sign in diabetes, and although we are not exposed to severe cold episodes, we often find some diabetics subject to burns Severe in the feet as a result of sitting adjacent to the heat in the winter, as the lack of a sense of heat leads to damage to the tissues of the body without causing any pain, also a diabetic patient can walk the feet on the hot sand in the summer without feeling any pain and therefore should avoid walking without proper shoes under All circumstances, as is the sense of the great mother blessings that God has bestowed on us. Without feeling a mother, we lose an important characteristic that alerts us to danger and prompts us to avoid. Therefore, we find that many diabetics suffer from various injuries without feeling it. The diabetic patient may be pricked with a needle or nail prick without feeling it. Also, foreign bodies may infiltrate the patient’s shoe, and the diabetic patient may wear shoes without feeling these objects. The result is serious foot injuries that would have been very easy to avoid if the patient had examined the shoes inside from before each use. It is worth noting that symptoms can affect a diabetic patient or a pre-diabetic patient or at risk of diabetes, and inflammation often begins in one nerve, and the effect is more in terms of sensory (sensation) more than it is from movement, and begins as a pain in the muscles of a man Then the loss of the feeling of the muscles, and the loss of the feeling is in the form of gloves and scarves (the areas of the feeling of the feeling are the hand to the middle of the arm and the foot almost to the middle of the leg) and there are other symptoms such as: sexual impotence, lack of control in the urine, a feeling of urination without the ability to do so Difficulty digestion, hair loss, ulcers on the skin, and diabetic diarrhea This type of diarrhea may come at any time during the day or night, which is sometimes embarrassing, thus changing the speed at which food passes through the intestine causes a random change in the number of sugar. And now we move to an annoying symptom of peripheral neuritis patients where many complain of burning foot pain that ranges between light and superficial that can be treated easily, including serious and deep and that require more tests and medical follow-up, and there are many factors feeling the burning foot pain which is more common when Those over 50, but it also affects younger people. Also, a large percentage of those with a burning foot suffer from diabetes, as it occurs as part of the surrounding neuropathy that occurs as a result of high blood sugar. In many cases, the burning foot causes excruciating and persistent pain that may make the patient unable to sleep. Burning charcoal, “as some patients say, and many feel burning after a long and arduous day, and this happens especially with obese people and those who require their work.
Standing for long periods, which is a type of mechanical overload that results from loading a certain part of the body more than its energy, accompanied by heat and sweating and this is also related to the problem of mechanical overload, with the surrounding neuropathy in diabetics, and allergies to certain chemicals in the socks or Footwear known as friction dermatitis. Another topic is not less important and is impotence, but how does diabetes affect sexual ability? One of the most common diseases that lead to sexual dysfunction is diabetes mellitus, which many suffer from, with treatment neglected and high blood sugar for long periods, the complaint begins with the complications of this disease is the occurrence of a slight weakness in the erection of the organ, but it is soon to repeat this weakness , And with the passage of time it increases gradually until the patient reaches a stage where he may completely lose the ability to have an erection of the penis, despite his unchanging sense of sexual desire, which causes psychological suffering for the patient, and this occurs as a result of a chronic inflammation of the peripheral nerves of the body, which includes the nerves feeding the penis The same and through which he responds As a result of sexual stimuli, besides that, the patient complains of numbness in the extremities of the arms and legs, or perhaps (skepticism) or a burning sensation, and after a while, he may completely lose the feeling of pain or touch, and that the body’s weakness and weight loss, which diabetics are exposed to, which leads to a weak ability Nationality is part of poor public health, and impotence may arise as a result of taking medications to treat other diseases associated with diabetes, such as high blood pressure medications, most of which lead to erectile dysfunction 0 Here treatment is easier as soon as these types change to other types not It affects the sexual ability, the patient is depressed B psychological because of his long suffering with illness or any other reason, and this is indicated by loss of appetite and lack of focus and a sense of sadness and regret, and the poor health of the diabetic patient leads to an opportunity to develop microbial infections, so prostatitis or the vesicle can affect sexual ability. And now we turn to prevention and treatment and it is worthy of reference to the measures that must be taken to provide more protection for the feet and from them do not walk barefoot even inside your home, check the foot on a daily basis to discover anything abnormal early, check the foot sock well and make sure that it is clean Fit and fit for the foot size, choose the right shoe carefully. Inadequate shoes are the reason behind many foot problems. Check inside the shoe before each use. Patients who suffer from severe lack of sensation in the feet should avoid exercising extreme sports, wash the feet at least twice daily and dry them immediately after washing, especially between the toes, Pruning the toes nails so that wounds or scratches do not occur in the adjacent toes, not wearing tight socks and changing them daily, not wearing tight shoes so as not to make it difficult for blood to reach all parts of the foot, massaging the feet and legs from time to time so that the blood can reach it, not using water It is very hot and must be hot Moderate, there Ointments special pedicures consult your doctor around. As for the diabetic patient’s shoes, he has conditions that must be met, among them being wide, comfortable, flexible, and thick, that it is lined from the inside, such as sports shoes, and it does not contain any harsh materials in the base (the sole) of the shoe, unless
The shoe leaves no traces of pressure or redness on the tips of the toes or the bones of the foot, not being pointed at the front, especially for women, avoiding wearing high-heeled shoes open from the front and back, prefer shoes that use laces or adhesive tape so that they can be expanded in the event of swollen feet When buying shoes – shoes are preferred from detail shops, especially if the patient has deformities in the bones of the foot or joints. Buy or tailor the shoes late in the day because the feet are swollen at the end of the day. Check the feet 10 minutes after wearing the shoe in order to make sure No redness or excess pressure , Not to wear slippers or sandals, you must soften the new shoe by a family member and not to wear it for more than two hours by the patient and then wear it until Tliynh, make sure that there is no foreign body inside the shoe every day. As for the socks of the diabetic patient, they should be: wide – cotton – soft – dry, with no bends in the socks inside the shoe and away from nylon. Shoes should not be worn without socks, and there are important warnings such as not to use chemicals on the market to remove cracks and calluses. Rather, the doctor should be consulted, the man’s ironing in folk doctors, not using herbal medicines unless after consulting a doctor and knowing the water temperature before Use it. Finally, we turn to the treatment that requires attention to keep blood sugar levels at the normal limits for diabetics, helps protect nerves from damage and adjust the level of vitamins in the event of their deficiency, improves many cases and in the case of pernicious anemia, the injection of vitamin B-12 with additional support For other vitamins and good nutrition, they are beneficial and control the degree of response of the immune system in the case of autoimmune disorders and removal of the source of pressure on the nerve with surgery, then treat the resulting inflammation and stop immediately taking the substances or toxic drugs that cause neuropathy It prevents progression of the disease, especially medications that are taken for long periods without a prescription and have side effects including peripheral nerve inflammation and nerve stimulation with skin tingling, although it is a safe and painless method, it benefits some and not all types of pain, hypnosis and relaxation methods relieve tension Muscles, and despite progress in understanding the metabolic causes of neuropathy, attempts to stop these processes are still limited. Thus, with the exception of tight control of glucose levels, treatments are aimed at reducing pain and other symptoms. Treatments available for pain control include tricyclic antidepressants, serotonin reuptake inhibitors and antiepileptic drugs. A systematic review concluded that tricyclic antidepressants and conventional antiepileptic drugs are better for short-term pain relief than the newer generation of anti-seizure drugs and the combination of these drugs may be better than one, and recently the FDA approved only two medications to treat peripheral neuropathy They are the antidepressant doloxetine and anti-convulsive pregabalin. Patients with localized peripheral diabetic neuropathy can relieve their pain by lidocaine patches before using drugs that affect the entire body.
Tricyclic antidepressants Tricyclic antidepressants include imipramine and amitriptyline. These drugs are effective in reducing pain symptoms but have many side effects that depend on the dose of the drug. One notable side effect is cardiac toxicity, which can lead to an irregular heartbeat. Toxicity is rare in low doses used for neuropathy, but complications are more common when increasing doses. Amitriptyline is widely used in this case, but they have fewer side effects. Serotonin reuptake inhibitors Serotonin reuptake inhibitors include fluoxetine, paroxetine, sertraline, and citalopram. These drugs were not approved by the FDA to treat painful neuropathy because their effectiveness did not exceed the effectiveness of placebo in several controlled trials. The side effects of this type are rarely serious, and they do not cause any permanent impairments. But it causes numbness and weight gain, which reduces the ability to control blood sugar. It can be used in dosages to relieve symptoms of depression, associated with diabetic neuropathy. Diloxetine is approved to treat diabetic neuropathy, a type of norepinephrine and SSNRI reuptake inhibitor. By targeting both serotonin and norepinephrine, it targets painful symptoms of diabetic neuropathy, and also treats depression if present. Typical doses are between 60 mg and 120 mg. Epilepsy medications Like epilepsy drugs, especially gabapentin and pregabalin, is a first line of treatment for painful neuropathy. Effectively, the two gabapentin is amitriptyline, but it is safer. One of its most important side effects is numbness, which does not decrease over time and may get worse. It must be taken three times daily, and sometimes it causes weight gain, which reduces the ability to control blood sugar for diabetics. Carbamazepine is effective but not necessarily safe for treating diabetic neuropathy. It is considered the first metabolism of carbamazine which is, effective and safe in other neurological disorders, but has not been studied in diabetic neuropathy. Topperm has not been studied as a treatment for diabetic neuropathy, but its beneficial side effect is loss of appetite and weight loss, which makes it beneficial according to anecdotally. Conventional analgesics The previous three categories of drugs fall under the heading atypical drugs, adjuvants, and potential drugs and are often combined with opioids and / or anti-inflammatory drugs, and the outcome is usually better than the sum of their parts. There is a common prescription in case diabetic neuropathy is a cofactor for increasing pain in cases of chronic debilitating pain and this prescription includes (doloxetine + extended-acting morphine morphine ± naproxen hydroxyzine and sometimes amitriptyline is more effective than doloxetine. Opioids that require revitalization should be used. The pathway of cytochrome B 450 (such as codeine and dihydrocodeine) with cofactors not related chemically to serotonin reuptake inhibition drugs because these drugs can affect absorption, distribution, metabolism, and the method of disposal of drugs such as morphine, hydromorphone, and Oxymorphon.
Other treatments Percutaneous nerve stimulation may be effective in treating pain caused by diabetic neuropathy. Alpha lipoic acid, which is an antioxidant and dietary supplement – does not require prescription to dispense – showed a good result in a randomized controlled trial that compared a dose of 600 mg to 1,800 mg orally once a day with a placebo, although nausea occurred in the case of high doses. Methylcobalamin, a form of vitamin B12 present in the spinal fluid, has shown a significant effect in treating diabetic neuropathy, whether taken orally or by injection, C. Peptide has shown promising results in the treatment of complications of diabetes, including neuropathy, although it is not Currently available on the market. It was once thought that it is a useless byproduct of insulin byproduct, but it helps to improve and reverse the main symptoms of diabetes, and energy imaging devices have become widely used in recent years to treat neurological symptoms. These devices emit near-infrared radiation (near infrared therapy) with a wavelength of 880 nm. It is believed that this wave stimulates the release of nitric oxide into the bloodstream, which is a relaxant factor derived from the endothelium, thereby expanding the veins and capillaries in the microvascular system. This increased blood appears effective in various clinical studies in reducing pain in patients with diabetes and others. It appears that therapeutic imaging devices for energy address the underlying problem of neuropathies, which is poor blood circulation, causing pain and numbness of the extremities. Satifex, a cannabis dependent drug, has not been shown to be effective in treating diabetic neuropathy. There was experimental work to test the efficacy of a drug called sildenafil (Viagra), but this study described itself as a limited report and indicated the need for more clinical trials. Tight glucose control Treatment of early symptoms of multiple motor neuropathy requires improved blood sugar control. Tightly controlled glucose can reverse changes in diabetic neuropathy, but only if diabetic neuropathy and diabetes are initially present. Conversely, painful symptoms of diabetic neuropathy tend to subside as the disease progresses and the feeling of numbness increases. And we end up with the fate of the disease and report that the mechanisms of diabetic neuropathy remain shrouded in mystery. , At the present time, treatment relieves pain, and can control some of the symptoms associated with the disease, but the disease generally progresses, and there is an increased risk of injury to the feet due to loss of sensation as complications of the disease (diabetic foot). The infection can increase to become ulceration, and this may sometimes require amputation. We also have to carry out a regular blood glucose test at least twice a year so that we avoid complications before the onset of the disease, may God forgive us and you are the evil of diseases and ills.
The endoscopic sympathetic nerve stapling process in the node concerned (second to face – and third and fourth for the hand and under the armpits) is the only permanent treatment and has the best results in the world and the result appears immediately after the operation upon recovery and does not need any time and discharge from the hospital on the same day, but surgery is not suitable For patients who sweat from all parts of the body, the nerve nodes of the feet cannot be stapled to share the nerve node responsible for the feet with some important organs – the opposite of what happens to the face or hands, it must also be known that stopping the work of the responsible node will stop the race entirely and not just reduce it, as that Avoid sweat for a place in the body that leads to a slight increase in sweat in the abdomen and back (its intensity varies from one patient to another and is called compensatory sweat) but it is not visible to people and does not cause any problems in the vast majority compared to the main disability of the disease, and the unfortunate people who suffer from this disease On the face, always worse luck – and for no reason – give the people around them the wrong impression that they are confused, incompetent, or shy, especially if it is accompanied by redness – or even lying while they are confused only by the prolific race who do not know what to do with it and what is its cause? You must make sure that the dysfunction is really difficult. It should be explained to the patient what are the treatments used (botulinum injection and endoscopic operation) and what are the expected results for each of these treatments. In addition, the patient must be given an accurate description of the complications and side effects of the surgery, and their value should not be underestimated. While it is not possible to know in advance which side effect will appear first or how severe it is, the patient’s fate is like the fate of a gambler when he comes to decide on the type of operation that will be performed for him. But in this case, the vast majority of gamblers will win a lot as a result of their decision. Prevention and treatment: 1. prohibitions: avoid fatty and processed foods and more than vegetables, whole grains and fruits because they contain zinc, calcium and vitamin D 2. Alum: The alum is dissolved in warm water, hands or feet are soaked in alum solution, and the hands or feet are wiped after a quarter of an hour to treat sweating, thereby getting rid of sweat for about a month and repeating the process 3. Tea: boil several bags of tea in water for five minutes, then the legs or hands are soaked in solution for 20 minutes, reducing sweat secretion. 4. Apple cider vinegar: Drip some apple cider vinegar drops into a container with water, then submerge hands or feet in water for half an hour 5. Henna: Boil an appropriate amount of henna powder in a liter of water for 5 minutes, then soak hands and feet in it 6. Walnuts: Walnut leaves are boiled in water for a quarter of an hour, then hands and feet are washed to treat excessive sweating. 7. Salmiya: A handful of Salmiya herb is soaked in a liter of boiling water for a quarter of an hour and then dip hands or feet in water to get rid of excessive sweating 8. Zinc: Food containing zinc, such as sesame tahini, peanuts, oysters, dark chocolate, toasted pumpkin seeds, and calf, should be eaten. 9. Pine: Boil 5 grams of pine nuts in a liter of water, then dip it in hands and feet to get rid of sweating. Several therapies have been suggested: psychotherapy, intravenous medication, local medication, Iontophoresis, local freezing, local radiation therapy, Botulinum toxin local injection, sympathetic nerve anesthesia by Injecting and supervising phenol with the help of X-rays, damaging part of the sympathetic nervous system using heat (Radiofrequency) and sympathectomy. The presence of so many types of treatment indicates that there is as yet no ideal treatment for this phenomenon. Nowadays topical treatment is mainly used: with the help of botulinum and the sympathetic cutting process, the results of botulinum therapy are not permanent. Although it is possible to repeat the treatment, that this phenomenon returns again within a short period of time, it is not certain that this treatment can last for a long time. In addition, this treatment is painful and expensive. Cutting the nerve through open surgery in the neck is a medical crime and requires a large visible phenomenon and from which important muscles are cut and it is a distorted and dangerous surgery and has no place in modern surgical medicine, and it seems that this surgery is easy, as it is done under the influence of general anesthesia and is carried out in Each side of the body one by one. There are people who enter one tube in the armpit, while others are two tubes – one in the armpit and the other in another location at the front or on the side of the chest. Some remove the sympathetic knots responsible for sweating in the hands, while others only burn them. When removing the two nodes, dry hands are obtained in 99.8% of cases, compared to 95.2% if they are burned. If so, then the question arises – why is the eradication process not always carried out? The reason is that the resection process may cause damage to organs located close to the site of surgery compared to the burning process. Also, the removal requires very high surgical skill. Therefore, most surgeons prefer to burn the nodes, and in the event of a recurrence of the phenomenon, the operation is performed again.
It should be emphasized that the operation is accompanied not only by the expected complications arising from each surgery, but also by its side effects: ptosis, nervous pain (Neuralgia) in the chest and / or upper extremities, intense sweating on the face with the effect of specific odors and foods False sweating, excessive sweating to compensate (Compensatory) that appears after the operation in other areas of the body: chest, abdomen, back, thighs, legs and others. The factor that causes the eyelid drooping is known and can be prevented. While the cause of nerve pain is unknown, it is a rare phenomenon and sometimes it disappears over time. Hyperhidrosis on the face, generally affected by certain odors and / or foods, does not cause discomfort. A phenomenon that is less annoying is false sweating, as the patient thinks his hands are sweating, but in reality they are still dry. The most difficult side effect is excessive sweating to compensate. It is a very common phenomenon, and its intensity varies. Difficult cases are rare. However, among the few who are dissatisfied with the process, the majority of them complain of excessive sweating due to the severe compensation they suffered. Until now, there has been no solution to this problem. It is clear from the above that the problem has multiple causes, and that it is very psychological and socially haunting, and that the solutions to it are numerous and come out to us from time to time as a way to overcome the sweating of hands, so recently they found there is powder like powder when placed in the palm of the hand reduces that phenomenon similar When weightlifters use it before exercising, and it remains the cornerstone, which is the psychological part of the topic, and it needs behavioral training on how to face society with the least possible emotion and gradually adapt to critical situations, hope is mainly based on the reassurance that the patient deals with, and God guides us and Beware of the disease in general.
ow far does heredity play a role in our nerves? We know that multiple genetic diseases and those affected by them may not know that heredity is the direct cause of the external appearance or the imbalance of the function that they are exercising all the time. This disorder affects males more than females and its incidence is two per thousand births for a mother under thirty-five years of age and she is twenty per thousand births for a mother over forty-five, and we note that 5% of the Mongolians have mental retardation especially for those suffering from skull deformities, and some of them also suffer from Serotonin hormone deficiency The brain and these cases have no cure at the moment, but there are many institutions that care for these Mongolians and provide them with assistance in education and training.
Other neurogenetic diseases include small size of the head, and this occurs when the early fusion of the inflator and the large head suffers. Here the owners of this disease suffer from mental failure and epilepsy, and the lack of olfactory lobe, and this usually occurs when the brain fails to split into two halves, as well as dropsy of the head, where the Sylvanian channel that connects between The third and fourth ventricles in the brain retain a large amount of spinal fluid above the brain, which needs surgical intervention to tap the fluid and transfer its path to the patient’s abdomen.
One of these diseases is the spina bifida (the falsiflex steel), where this fork usually fuses in the back of the fetus in the fourth week of pregnancy to form the spinal canal. Then, the twelfth week comes, and the bone duct fusion is complete. The strange thing is that 25% of these cases are discovered by chance when photographing Cotton vertebrae by X-ray, and it has no symptoms, but in some rare cases it causes atrophy of the leg muscles or causes incontinence in children, and we expect this congenital defect when a mole of hair appears over the lower back, and to treat this condition we continue to swell over the back, or end the pregnancy In the event of severe deformities. Also, there are rare cases of genetic hereditary diseases such as cleft lobe (Arnoldcari), delayed bone deformities of the brain (Platy Pazia), cervical vertebra fusion (clip vile), excess cervical rib and spinal cavity.
There are birth defects in which the fetus is born without knowing its causes, such as congenital hemiplegia, nuclear jaundice and sacral sclerosis. It affects males twice as often as females, and neurofibromatosis, which is called (von Recklenhausen disease) and has prevailing Mendelian inheritance, as well as lenticular tumors in the retina. Among the symptoms of this defect is compression. Marrow, epilepsy and increased intracranial pressure.
We conclude with genetic hereditary diseases that affect muscles such as spinal muscular atrophy (Hoffman), benign atrophy (lander), shoulder dystrophy and congenital muscular looseness where the child is born and is a completely loose body, and motor neuron disease and unknown cause until the moment, and this review of genetic neurological diseases confirms the importance of medical examination And the study of heredity at the time of marriage and before the marriage contract, as it confirms the importance of performing periodic checks on the fetus by sound waves during the three stages of pregnancy where the deformation of the nervous fetus may be called to the medical abortion, and it also indicates the advice of our noble Prophet to avoid marriage to relatives Hence the harm caused by genetic diseases, which multiply to match the genetic factors of the parents, if possible, and God bless before and after.
or medications that prevent spasms on two doses at breakfast and before suhoor, there is nothing wrong with fasting, but we recommend it as long as the patient does not feel hemorrhage (low blood sugar), and a clot patient is also exposed at any time to relapse in a second or third clot and consequently he should take medications that help to Blood thinners (such as aspirin, for example), and one can fast as long as he continues treatment and spends most of his day in an appropriate atmosphere and does not feel thirsty (lack of blood fluid) so if he feels thirsty and his throat dry on him, he should immediately break the fast and eat fluids and then feed a poor person from some middle Breaking his family, and it may be that the wisdom of the Lord Almighty and He is beyond this to broaden his servants To bring out something that does not feed the poor person, instead of destroying it by completing the fast. And because we are at the gates of a generous month, we have some recommendations from the neurological and psychological side, including: ¬ Reduce weight and moderation in eating foods and stay away from fatty foods that increase atherosclerosis التدخين Fighting smoking, as it helps to stroke both the brain and heart, and addiction is the end ¬ Control of blood sugar and blood pressure, both of which have a bad effect on nerves, brain hemorrhage and arterial thrombosis ¬ Exercising and the easiest exercise is to walk to stimulate the muscles of the body and maintain blood circulation at its best, and the secretion of endorphins in the brain, which increases the feeling of happiness and euphoria ¬ eating mint with tea is one of the simple sedatives of the nerves and prevents stomach and intestinal contraction associated with the lack of good digestion of foods, research has shown that those who eat mint with eating reduce their intolerance in the last hours of the fasting period, and this is what we see clearly when there is traffic jams Before breakfast, we notice their interaction with the stressful events with a lot of coolness while they are inside their cars under the sun. In the end, the neurosurgeon must take from the month of fasting an opportunity to strengthen the immunity of his nervous and psychological system, and if he leads to it, it is difficult to judge him, so he should see a Muslim neurologist, who may allow him to fast or allow him to break his fast and feed the poor. May God make the hearts of the sick in Ramadan Most and our patients recovered healing does not leave Sagma and God is the helper in all matters.
Generally, brain tumors have many types depending on the type of tissue affected and the cell that will multiply, and it comes anywhere from the cavity of the bones of the skull, such as the side, posterior or anterior cavity. It does not have a definite cause, but it is like all tumors, there are many causes (pollution, radiation or toxins), but it is necessary that there be a factor (genetic) or there is (a gene) that carries characteristics (remain prepared) until exposure to auxiliary factors, but its symptoms are Depends on the place where the tumor presses from the parts of the brain (the brain controls all body systems and entrails). Symptoms start from a persistent vomiting headache, changes in vision and dizziness, and end with paralysis in separate areas of the body.
* Vitamin C and Zinc: Both are prescribed to treat memory deterioration and forgetfulness, both of which are able to control brain cell damage that causes forgetfulness. As a general rule, you can search for foods rich in vitamins that we mentioned earlier, potassium and magnesium, antioxidants (which are more important than prevention), and even caffeine is effective in strengthening short-term memory in addition to relaxing foods. Avoid fast food, fried foods, processed foods and saturated fats. For better results, do the following .. 1. Exercise. It increases blood flow to the brain, which improves memory efficiency. 2. Get enough sleep, neither increase nor decrease, both destroy brain cells and harm your health, causing forgetfulness. 3. Develop your memory by yourself .. Do not make everything in writing (except for appointments and necessary things, preferably to write them on your agenda) .. Challenge yourself to remember the rest of your list of tasks, for example, instead of writing them all. Keep your office things when you arrange them, then ask one of your friends to take a piece from your desk and try to guess what it is. Begin your day by solving crossword puzzles, sudoku, or any game that requires some mental effort. Brain cells, like other body cells, with exercise and exercise are correct, and lethargy shrinks and shrinks. 4. Relax and don’t give in to anxiety: the rule says: The more anxious you are about the problem of forgetfulness, the more you will have. Always try to relax and get out of the cycle of anxiety and stresses of life .. Enjoy your life as it is, without thinking too much, thinking increases your anxiety, and your anxiety exacerbates your forgetfulness problem. In contrast, a study developed by the Department of Memory Protection Study at the Mayo Clinic Institute in Minnesota, USA, showed that forgetfulness has nothing to do with aging and may affect one at an early age, so it can be said that memory impairment is a psychological state rather than an organic disease, and many and many responsibilities are One of its main causes. It causes a state of confusion and mental fatigue, and this issue creates a suitable ground for forgetting, so it is better to reduce these responsibilities to keep the information in mind. A person must organize his life and live in a calm state, and this issue reflects positively on the power of thinking and the power of memory so that forgetfulness is very little for him. A person should not think about trivializing things and searching for calm at any cost, as well as on security and safety and not rushing. He also has to strengthen his memory by earning information and ideas by attending seminars and taking notes that he reads back at home in order to be remembered. However, what may be mentioned may only be theoretical solutions, but practical solutions to avoid memory impairment are first by identifying its causes, is it satisfactory, or is it the beginning of diseases such as dementia, or is it the result of an emotional shock or a difficult accident that caused wounds or concussions in the brain, then has Medicine should intervene quickly, but if the matter is related to the psychological state and mental disorders, the person should adopt very useful exercises, and it should not be believed that he is on his way to lose his memory. The study asks, Do you forget where you put the car keys, for example, for fear of that? The vast majority of people who are in good health do not show a noticeable change in thinking or memory before the age of 75, and even then the changes are small, and the forgetfulness that people often complain about in the middle Age can be caused by psychological distress, depression, or increased responsibilities, or it may be due to less memory. God Almighty called the Holy Qur’an a knowledge, and he said: “Whoever needs you in it after what came to you from knowledge.” He called it a light, and he said: “But we made it a light that we dedicate from our worshipers.” Knowledge and light are two characteristics of the Holy Qur’an.
The remedy for forgetfulness is mostly students of Islamic knowledge and memorization of the Qur’an. Forgetfulness is the loss of remembering – or the inability to retrieve information when it is needed. The mind has a specific capacity that does not expand. With the crowding out of information and the accumulation of events inside it, and when adding new information to the mind, it automatically begins to erase the first information. The child in the first primary class knows the names of all his classmates in the class, during high school he also knows the names of all his classmates in the class, but he forgot some of the names of those who were studying with him In the first grade of primary school, then why did he not forget all of them? Here we say that the revitalization of memory has occurred, as soon as one of them watches or hears about him news that has renewed the memory of this name, then one of the reasons for preserving the memory and not forgetting is the activation of the memory, so it was said that repetition teaches the part, and the percentage varies with the creation of IQ according to the mental age And the chronological age. If the mental age was greater than the chronological age, the proportion of forgetfulness was lower and therefore the IQ was higher, and vice versa. Scientists specializing in this field say that the memory resembles a muscle, so the more used it, a fast atrophy occurs, so if you do the same thing with memory every day, then your mind will not work in the required way in order to remain sharp and piercing regardless of age and there are different natural treatments that can help in improving problems The memory, and what applies to food also applies to the general preservation of the body’s health and comfort, especially sleep, where one study indicates sleep is one of the needs of the mind and not the body, for a person needs sleep even if he does not move throughout his day! Why ? Although he relaxed his muscles and did not strain them .. The reason is that the mind works hard and does not stop thinking and memorizing everything the eye sees and the ear hears and otherwise, and therefore it needs a period of not less than 8 hours of rest. The topic of body health is a cross-cutting topic, and it is sufficient here that We refer to the importance of hiking, engage in dialogue with anyone who practices hiking and discover its vitality and distinct ability to remember, and if you are satisfied with the results, start from tomorrow and give your poor body that you do not care about at least half an hour of walking and note the difference yourself whether in your general vitality or in your ability Remember, jogging improves mental activity: as Japanese studies have shown It is new that sport and physical activities strengthen the brain’s capabilities and increase the level of intelligence. The scientists explained at the meeting of the American Society of Neuroscience, that trot stimulates the brain and increases its energy and strength to perform its vital functions. After observing seven people who persisted in jogging within a special program, the researchers found that then they underwent memory, cognition, and IQ tests, that those who practiced jogging scored better scores on IQ tests, while people who did not practice this activity showed no improvement. Although the reason for the ability of exercise, and jogging in particular, to improve the mental activity of a person, as it is believed that increasing the inhalation of oxygen caused by jogging improves the body’s ability to deliver more oxygen to the brain, the researchers suggest that it is necessary for the elderly with dementia, Alzheimer’s disease or They suffer from poor mental functions and cognitive skills for effective sports and physical activities.
It is not known yet, the exact cause of depression. But the prevailing belief, as is the case with other psychological diseases, is that many biochemical (biological – chemical), genetic and environmental factors can be the cause of depression, including: Biochemical factors: There are physical (physical) changes in the brains of people with depression. It is not known exactly yet what the changes are and the degree of their importance, but clarification of this matter would, in the end, help to define and identify the causes of depression. It is possible that the chemicals present in the human brain naturally, called “neurotransmitters” and related to mood, play a role in causing depression. An imbalance of the hormonal balance in the body would also cause depression. Genetic factors: Some research indicates that the onset of depression is more prevalent in people with biological relatives who have depression. Researchers are still trying to find the genes involved in causing depression. Environmental factors: The environment is considered, to a certain degree, as a cause of depression. Environmental factors are conditions and conditions in life that are difficult to face and coexist with, such as the loss of a loved one, economic problems and acute stress. There is agreement between research conducted that the rate of depression in women is twice the rate in men, and there was a belief in the past that these results may be deceptive as women are more expressive of their emotional state than men and more accepting of psychiatric medical assistance and therefore their depression appears while it does not appear Easily a man’s depression … But disciplined research has proven that there is a real increase in the rate of depression in a woman who does not accept doubts for the following reasons: – 1 – The emotional formation of women: – There is no doubt that the woman, by her nature, has live feelings and passion, and God Almighty has created it like this to match her job as a wife and her job as a mother … those jobs that need great emotional communication and without this emotional communication, the family will be disorganized and naked. 2 – Experiences of attachment and loss: – The woman is always related to others, as she is closely related to her mother, father and sisters, and then after her husband, children and grandchildren. She is more strongly involved in these relationships than men and becomes an important part of her life, and therefore when she loses any of these relationships she will be sad and distressed and may even reach depression. 3- Successive biological changes: With the first menstrual period beginning in the beginning of the second decade of life, a woman undergoes hormonal changes with which the chemistry of the body and brain changes, and this situation increases with pregnancy and childbirth. After the menopause, the woman suffers from the effects of a low level of estrogen in the blood. 4 – Continuous work without rest: the jobs that women perform do not know vacations because the requirements of the husband, children and grandchildren do not end, and they do not take rest on Fridays and holidays, but may work more in these days in cleaning the house and preparing food for visitors from family and friends, and when it is sheltering The man goes to bed at night to sleep. The woman may stay up late to care for a nursing baby or take care of a sick child. Then she is required to wake up in the early morning and wake her children to go to their schools, then be prepared to go to work and when she returns home at two in the afternoon, she does not go to bed to rest Rather, she goes straight to the kitchen Dad food food. Despite these high rates of depression in a woman, many cases are not diagnosed because depression in a small percentage of women may not appear in an explicit form, but it appears in the form of physical complaints such as persistent headaches, body aches, and disorders of the circulatory or respiratory system functions. Or the digestive system or the urinary and reproductive system, and this makes it interfere with other organic disorders and the patient gets lost between the different medical specialties even though she is originally a state of psychological depression, but it is hidden in the form of physical symptoms. Likewise, there is difficulty for women in developing societies to declare that they suffer from mental disorder because this carries a social stigma due to the association of mental illness with insanity among the general public and its association with weak faith and lack of patience. Therefore, when there is no opportunity to express emotional disturbances directly and explicitly, the woman’s psychological system turns a large part of depression into physical symptoms, as these physical disorders are accepted by people and are cared for by doctors, and they have a credibility that far exceeds the reliability of mental disorders, and for these reasons only 20% Of women with depression get their luck from drug or psychological treatment, or both. Unfortunately, due to medical, social and material conditions, this group that has been diagnosed and subjected to treatment either does not take adequate treatment and the condition turns into chronic depression or takes inappropriate treatment from the ground up.
The man is the reason: Women in the Arab world fall under severe pressures that cause them chronic depression and perhaps a psychological contract, and one of the most important sources of women’s depression is the man and his bad treatment, and mocking what she does whether it is at work or at home, and this is indicated by a study conducted by the National Center for Social and Criminal Research in Cairo Which confirmed that one of the most important causes of a woman’s depression was the man’s treatment of it, whether it was a husband, brother, son or father. Through the study, it became clear that the social reality of Arab women, their having to live under the wing of men and their inability to rebel against some social customs and traditions, are a major reason for their inability to enjoy psychological calm due to their inability to express their different feelings, especially as they realize that they will not gain anything from Behind her disclosure of what is simmering in her chest. Violence against women in Arab societies is one of the most important causes of depression, and this violence is not limited to the husband, but may extend to childhood according to customary social traditions, where some still look at women inferior view, so the father or brother exercises his authority over the girl through this principle and arbitrariness reaches In dealing with it in many cases to prevent education or determine its level and degree and force it to marry a certain person, and upon her marriage the authority of the father is transferred to the husband who continues the abuse against her on the pretext that this is the right manliness. The mother of marriage is the reason: Women are often considered easy to fall into the clutches of depression, due to their physical and psychological composition, and we may find them may become depressed, especially after marriage because it is a crucial stage in her life. Why is this happening? Several issues could be behind a woman’s depression, most notably: After marriage, a woman will have “obligations” and duties that did not exist. Hence the trauma, for example, or sometimes remorse over her decision to marry, which may annoy her and psychologically tire her. – A woman often discovers after a time of the relationship that her husband is another person and has interests, customs and a different environment from her, which disturbs her and makes her uncomfortable as in the beginning. – A woman often marries without complete conviction, that is, she “loves and loves” and forgets all the obligations of married life. Therefore, it is very important for every girl to learn the concepts and value of marriage, and practice that and know that it is the true beginning of the reality that brings together two people before she makes this move. We advise every woman before embarking on marriage, to understand herself well before she participates in another person in his life or shares her life, for marriage is a dual life that must be entered into problems, but we must find solutions to it and depression is not a good thing and will never benefit. The symptoms of depression in men are completely different from that of women, as men often do not experience severe grief episodes, loss of interest and motivation towards performing life tasks as happens in women, but they have symptoms of depression through alcohol consumption, increased aggressiveness towards others, hyperactivity in work and exercise, And these behaviors are the most important weapon that men resort to facing stress and psychological tension. If a man suffers a depressive episode, then he tries to address it by intensifying his practice of sports or focusing his attention on work and Internet activities such as social networking sites, for example, in order to distract his mind from the psychological troubles that he suffers from. Also, driving cars in a reckless and reckless way can also indicate a man’s suffering from depression. Given the men’s lack of recognition of symptoms that indicate their psychological troubles, mental illness in men is not adequately diagnosed and treated, and then the numbers of depression in men appear less Among them, among women, which leads to a higher probability of suicidal ideation and increased rates of comorbid disease.
Postpartum depression: Postpartum depression is a type of depression that occurs after the birth of a child. Depression can begin during pregnancy, but it is not called postpartum depression unless it continues after the birth of the child. Postpartum depression is a common condition and we know that there is between Ten to fifteen women out of every hundred women give birth to a child and develop this condition. This number may exceed the actual number because many women do not seek help and talk to others with their feelings. The symptoms of postpartum depression are similar to the symptoms of any other depression. They include feeling unhappy and losing Attention to matters that concern women The only difference is that these feelings usually begin during the three months after the birth of the child. Women describe symptoms of fatigue at a time when the child needs a lot of care and attention. Any woman who has given birth to a child can experience postpartum depression if she feels unable to bear The responsibility of the infant and it does not deserve to be a mother. The arrival of the child is considered a stage of great changes, and the new mothers experience biological, physical, emotional and social changes. Postpartum depression is likely caused by a mixture of these things. Other disturbing events occurring at the same time can contribute to the creation of postpartum depression. It is sometimes thought that postpartum depression is caused by a lack of vitamins. Other studies tend to show that the most likely causes are major changes in a woman’s hormones during pregnancy. The rapid changes that occur after delivery in the level of the female hormones estrogen and progesterone greatly affect the mental health of women. The ovaries and placenta are known to produce progesterone and estrogen, to enable the uterus to incubate and maintain the fertilized egg. The level of these two hormones rises 10 times during pregnancy, and their level drops sharply, which may lead to miscarriage. After delivery, the level of progesterone drops dramatically until it reaches pre-pregnancy levels within 72 hours after delivery. Experts believe that this dramatic decrease in the level of female hormones plays an important role in the depression that many women experience after childbirth. During pregnancy, the level of endorphins, which are natural substances that improve mood, increases, however, the level of these substances decreases sharply after pregnancy, which may contribute to enhancing the risk of depression. In addition to these physical changes, other factors that may contribute to postpartum depression include difficult pregnancy or difficult delivery, marital problems, the very demanding infant, and the woman’s sense that she is no longer pregnant. In fact, it is not possible to identify women who are at risk of postpartum depression through the level of hormones, but there are many groups of women who are more likely than others to develop the disease and include women who contracted the disease after a previous pregnancy and women who have experienced a difficult birth and women who previously had depression what Before childbirth, as well as women who had previously had depression unrelated to pregnancy and women who had a mother or sister who suffered from postpartum depression on the understanding that this pathology appears to be transmitted between family members.
According to the DSM IV, depression is diagnosed if 5 or more of the following symptoms are present: Depressive mood most of the time. – A significant decrease in interests or a sense of enjoyment in exercising different activities. A clear decrease in weight, and in some cases there is an increase in weight. Sleeplessness or increased sleep. Kinetic agitation with a sense of instability, or kinetic lethargy with a feeling of slow rhythm. Fatigue and energy loss – A sense of worthlessness, self-blame and a sense of guilt. – The weak ability to think, weak focus, hesitation and the inability to make decisions. – Thinking about death, either by wishing to die, or thinking about suicide, planning for it, or attempting suicide. And to follow the rules of diagnosis scientifically, it gives an opportunity to catch depression and treat cases of depression, and gives an opportunity to differentiate between depression as a disease and sadness as an offer. We as human beings can grieve, be emotional, and lose our interests and enthusiasm for some time. It reaches the degree of illness that needs medical treatment intervention. There is no way to prevent depression. But taking measures to control stress, to raise the level of joy and the level of self-esteem would help. Also, support from friends and family, especially during periods of crisis, can help overcome depression. In addition, early treatment of the problem, if the first signs or symptoms appear, can help prevent the exacerbation of depression, and long-term preventive treatment also prevents the recurrence of symptoms of depression. The lower the woman’s physical activity level and the more hours she sits, the greater the risk of her being depressed..One of the most common mental illnesses of the era. The study showed at Al-Azhar University that symptoms of depression appeared in women who sit more than seven hours a day compared to those who sit only four hours a day. The study also found that women who did not exercise any exercise, were more likely to develop depression by more than 90% compared to those who used to exercise. Sitting for long periods of time without making any movement effort … gives women a feeling of complete isolation, frustration, and psychological stress. While spending time on physical activity strengthens a woman’s self-confidence and gives her a sense of control and appetite for life. And treatment of depression is at different levels as follows: – Drug therapy with antidepressants Electrotherapy by regulating brain rhythm for severe cases. – Optical therapy, especially in cases of seasonal winter depression. Individual or group psychotherapy. Family therapy. Spiritual therapy.
It is desirable that the treatment be complete and comprehensive for all biological, psychological, social and spiritual levels, so that the healing is complete and extended. There are certain situations in which a family doctor can treat depression on its own. But in other cases, there is a need for a qualified psychotherapist to treat depression. A psychiatrist is very important for the patient to have an active role in treating depression. In cooperation and joint work, the doctor can decide, together with the patient, what type of depression treatment is best and most appropriate for the patient’s condition, taking into account what symptoms and degree of severity, the patient’s personal choice, the ability to pay the costs of depression treatment, side effects of depression and other factors. However, there are cases in which depression is so difficult that it is imperative for the doctor, a close person or others, to follow the treatment of depression and monitor it closely until the patient recovers and reaches a position in which he can participate effectively in the decision-making process. There are dozens of medicines available for depression. Most people can relieve symptoms of depression by combining medications with psychotherapy. The majority of anti-depressants are equally effective and effective. But some of them may cause very severe side effects. Many doctors begin treating depression with antidepressants known as optional serotonin reuptake inhibitors or a group of antidepressants known as tricyclic antidepressants or a group of antidepressants known as monoamine oxidase inhibitors. All anti-depressants can cause unwanted side effects. They appear in varying intensity levels in different patients. Sometimes psychotherapy is used in parallel with drug therapy and in conjunction with it. Psychotherapy is a comprehensive name for depression through conversations with the therapist about the situation and about matters related to it. Psychotherapy is also called conversation therapy, counseling or psychosocial therapy. The last treatment is for an electric current to pass through the brain to cause feelings to flood. Depression can sometimes be so severe that it takes a patient to be hospitalized for treatment in the psychiatric department. But even in cases of severe depression, it is not always easy to decide on how to treat depression and whether it is the right treatment. If there is the possibility of treating the patient outside the hospital with the same efficacy or more, it is more likely that the doctor will not recommend his admission to the hospital. The admission of the patient to the psychiatric department is usually preferable in cases where the patient is unable to take proper care of himself or himself, or when he is seriously concerned about harming himself or anyone else. The majority of health workers deal with depression as a chronic disease that requires long-term treatment, exactly as it is dealt with diabetes or with high blood pressure, and some people with depression experience only one period of depression, but in most patients the symptoms of depression recur and continue for life . And proper treatment can improve the feeling of people with depression within a few weeks, and they can return to their normal lives as they used to enjoy before depression. Now, ma’am, let me tell you they cheated you, and they said: Depression is not real and it is just negative thoughts that are easy to get rid of. If you tell someone that you are suffering from a real thing, he will tell you where is depression? Can you show me his picture • Depressed is a non-spiritual person and his relationship with God is weak, otherwise he would not have depression. And if he has faith, he can overcome depression by praying. Chemical drugs are the solution to various degrees of depression, and there is no other solution that works. • Depressed person is defeated and does not want to get rid of depression, even if he made the required effort in positive thinking to recover from depression completely. I ask God to remove the evil effects of depression from us, and we are now passing through a season of blossoming of blues that afflicts some women as a result of the current weather changes.
Magnetic resonance rays in order to exclude the presence of any secondary causes such as intracranial tumors or pressure on the nerve or infections in the nerves, and must also exclude the presence of any other causes such as inflammation of the jaw joint. And for treatment, the patient is referred to the neurologist’s doctor by examining the CT scan and the magnetic resonance, and after excluding the causes of facial pain such as pain in the jaw and neck disorders, as well as the organic causes of the fifth nerve pain, then the patient can start drug therapy to prevent pain foci from sending signals to the brain with medication It works to calm the hotbeds of pain and thus reduce the number of seizures, note that these medications are also used in the treatment of epilepsy, and another used to treat depression, and a third to regulate the heartbeat. It is also possible to use morphine or non-morphine analgesics, even if they are often unhelpful, and therefore the patient must be made aware of these medications and how they work so that he does not have to worry when reading the prescription. As for surgical treatment by brain and nerve surgeons, it is a surgical operation through the skull to remove pressure or friction from the nerve roots resulting from a tumor, and in the event that the tumor cannot be removed, especially the malignancy, either because of difficulty or dangerous or both, the pain treatment doctor interferes by injecting chemicals such as phenol to dissolve Nerve root to remove pain only and not to treat the tumor, either in the case of pressure or contact with an arterial vessel or bone protrusion, the pressure is removed surgically, but these operations require specialized medical centers and experience and superior skill for brain surgeons, as well as inserting a special needle through the skin of the face by anesthesia My location Without surgical incision and through the arrival of the needle to the nerve root used many ways to treat nerve injectables chemical or by inserting a balloon, or cooling or inductively electrical or thermal or electromagnetic frequency. And of course, every method has its positive and negative effects. But the most recent treatment now is Radiofrequency Thermocoagulation or Pulsed Radioferquency, and this modern treatment is carried out by a pain doctor who has experience in non-surgical treatment. Modern medical research and experience in this field have proven the effectiveness of this treatment, so pain episodes are reduced by a high rate Most of them do not exist in some of them and the patient does not need medication treatment most often after that, and the success rate of chronic pain relief is generally 50% or more, and the patient returns to practice his life 100% naturally and without pain. This method is done by inserting a needle for a local anesthetic from the side of the mouth at the corner of the lips, under the arc or cross beams, or recently with the support of electromagnetic insertion. Alala,. As the main goal is to increase the assurance of the needle’s front reaching the root of the nerve or one of its branches to be treated before giving treatment shipments of thermal or electromagnetic frequency through sensory and muscle stimulation, and after completing the treatment, the needle is removed and ice packs are placed on the face, after which it returns The patient goes home to carry out his daily life, despite the effectiveness of thermal frequency therapy, it has negative effects such as some numbness or the patient may complain of losing some sensation in the face or from a strange feeling that bothering him, but he cannot prescribe dysethesia. But of course, these effects are considered simple and insignificant if we put the effectiveness of removing the disturbing pain and not resorting to surgery on one hand and returning the patient to his normal daily life on the other hand. To avoid the negative effects of normal thermal treatment (if it is considered negative), a modern technique of thermal frequency, the pulsating frequency, has emerged, but it is still in the process of proving its effectiveness. Non-invasive treatment in general gives the patient a great opportunity to avoid the effects of surgeries, and in particular, the effectiveness of heat-frequency therapy has been confirmed in the recovery of most patients. Usually the time for this surgical procedure does not exceed more than half an hour, and the patient can then return home on the same day. Also therapeutic methods include radiotherapy using different techniques such as Gammaknife or Cyberknife to focus focused rays on the nerve, and the improvement is usually gradual during the first weeks of treatment. Finally, the reasons for each treatment method differ according to the causes of the fifth nerve pain and the patient’s health. May God protect you and thee from the evil of the fifth nerve, and separate his spells for those who suffer from it.
troke is a medical condition that calls for immediate assistance, so the sooner the treatment, the less brain damage. Every moment counts in such a situation. The lack of oxygen in the brain depends on many functions of the body, depending on the affected area of the brain and depending on how long the oxygen is cut off from the brain, the damage may be treatable or it may turn into permanent, irreversible damage.
Symptoms of a stroke:
1. Weakness or paralysis in one half of the body (weakness in the facial muscles, one arm, and foot), that is, the inability to do or cause numbness in the face and extremities.
2. Blurred vision and disturbances (often in one eye as well)
3. Inability to speak or speak in an unclear manner.
4. Sudden difficulty swallowing.
5. Balance problems, severe dizziness, or sudden fall, especially if it is accompanied by the above symptoms.
Even if the symptoms are temporary and are a transient crisis, you should call the ambulance directly and get up from the patient’s health condition. These symptoms are in the case of angina, and the patient is given an aspirin pill as an emergency treatment until the medical care team arrives, which is better for the patient’s health. But in the case of a stroke the situation is different. That is, it is not permissible to give aspirin, and the reason for this is:
There are two types of stroke:
Ischemic: This is the case of angina and occurs when there is a blood clot in the cerebral artery, obstructing the passage of blood and leading to a decrease in blood perfusion and brain tissue infarction (cell death due to lack of oxygen)
Hemorrhagic: It occurs in 15% of cases as a result of hemorrhagic blood vessels in the brain. So if the patient is given aspirin (which is a blood thinner), and the patient has a stroke of the second type, this will lead to his death!
We do not know what kind of stroke this patient is suffering from. The only way to know the type of stroke is by doing a brain scan in the hospital.
Emergency steps to save a stroke patient:
1. Watch the time when symptoms began to appear. And tell the medical care team when exactly the symptoms start to appear.
2. If the person is unconscious, take the emergency steps for cardiac resuscitation and artificial respiration.
3. If the patient has diabetes, check blood sugar. Treat hypoglycaemia
4. If the person is awake (unconscious), he should lie with care to keep the head and shoulders above the level of the body.
5. Relax any tight clothing of the injured.
in the hospital:
The doctor examines the patient and performs tests to confirm the diagnosis and to determine if the cause of the stroke is a blood clot or bleeding in the brain. The tests included an MRI or CT scan of the brain. How do you expect to get a stroke?
When having a stroke, use the face, arms, speech and time to help remember the warning signs: 1. Face Is the face hanging on one side when trying to smile?
2. Arms Are one of the arms lowered when trying to raise both of them?
3. Speech Is it possible to repeat a simple sentence? Is there a stutter to speak or strange words?
4. Time every minute counts during a stroke; notice you notice any of these signs. Call immediately
Theories say that a virus – which may be latent in the body – has an active role in the development of the disease and causes immune deficiency, directly or indirectly. There is a lot of research in place to determine this virus, but it is possible that any common virus – such as measles – could trigger the disease. This catalyst activates white blood cells (lymphocytes) that act to multiply the brain’s defenses and thus reach it. In the brain, these cells activate other elements of the immune system in a way that causes them to attack melanin. In addition to the aforementioned factors such as gender, age, geography, and food, there are some other factors that have been linked to stimulating relapses, the most important of which is the psychological factor. Several cases of relapses of the disease have been recorded that have occurred directly to individuals while they are experiencing psychological stress after deaths or accidents in the vicinity around them Also among the factors is smoking, as the percentage of patients who smoke is higher than that of non-smokers, and pregnancy has a role in accelerating relapse up to the last three months of pregnancy and the period of breastfeeding, where the rate of relapse significantly decreases. It was also observed that relapse occurs a lot in the winter and spring, especially after infection with various winter diseases such as colds, influenza and others. The attack on the nervous system is carried out on two axes, the first of which is the production of CD4 Tcells, and other lymphocytes and monocytes, all of these cells in turn adhering to special receptors located on The inner surfaces of the cerebral blood vessels and then infiltrate into the white matter in the brain to break and swallow the myelin coated nerve. The second is the production of antibodies that attack myelin, and it may attack cells that make myelin directly (these cells are called oligodendrocytes). But here comes the big question, which is what drives the body to suddenly and without prior warning attacking itself ??! To answer this perplexing question, many theories supported by the observations have been developed, the most important of which are mentioned below: A- Genetic theory: Although multiple sclerosis is not considered a genetic disease, many genes that have been linked to the disease have been identified, and the most famous of them is the genetic differences found on the sixth chromosome in the genes of HBV2, D2, and B2 cells. 7 and A3 (human leukocytic antigen HLA DR2, D2, B2, A3), and there are also differences in the genes responsible for making some receptors on cells, the most famous of which are interleukin 2 and Interleukin 7. B – bacterial theory: This theory assumes the presence of a bacterium (often a virus) that causes the existing immune imbalance. This theory is supported by laboratory analyzes that show that individuals with the disease often have – when conducting blood and the spinal fluid surrounding the brain – high levels of antibodies to some viruses such as measles, herpes virus or Epstein-Barr virus ( epstein barr virus) …. and others. Some animal viruses have also been discovered that cause – in animals – neurological diseases in which the myelin membrane is destroyed, but such viruses have not been discovered in humans yet. C – Environmental theory: the geographical distribution of the disease may give some evidence of the relationship between environmental conditions such as weather and exposure to sunlight, and thus the ratios of vitamin D composition in the body on the one hand and between the disease on the other hand. There is a strange observation, where it is observed that the rate of disease is among those who migrated from areas with a low incidence (say, for example, from the inhabitants of the equator countries) to the regions where the rates of infection increase (and suppose a country in the North of the Globe like America) provided that the migration took place before the age of 15 years, The infection rates for these immigrants rise to become close to those of the indigenous population, but if migration takes place after this age, the migrant maintains a low rate of infection as in his country of origin and vice versa.
These plaques may be found anywhere in the white matter of the brain and spinal cord, but they have a tendency to appear in places but not others, the most famous of which is the area around the cerebral ventricles (the ventricle is a cavity inside the brain), visual nerves, the brain stem, and the cervical part of the spinal cord And the cerebellum, and for this disease, like other autoimmune diseases, periods of activity are called relapse, followed by periods of calm called cumin (remission), and symptoms of diffuse sclerosis vary from one patient to another and from time to time, and among these symptoms are problems with the eyes Weakness or lack of control of eye movements Vision with pain in the eye, when moving, problems with speech, partial or complete weakness of any organ, a feeling of weakness and extreme fatigue. , Tremors in the hands, feeling dizzy, loss of control in urination or excretion, numbness and numbness in the limbs or face, loss of balance or ability to control movements, or heaviness in the limbs when walking. These early symptoms are often mild and disappear without treatment, but over time it may become more and more severe, and the main diagnosis of this disease may be made through its clinical (clinical) form only. Despite this, there is no specific set of symptoms of it. The disease has specific clinical patterns developed after studying the previous history of the disease to anticipate its future behavior and to determine its treatment methods because the disease often adheres to its own pattern. 1- Multiple sclerosis, relapsing-remitting M.S and constitutes 80-90% of cases, in which relapse occurs simultaneously with symptoms and is followed by a period of latency during which the progression of the disease stops and the body begins the repair phase in whole or in part. 2 – primary progressive multiple sclerosis: primary progressive M.S and constitutes 10-20% of cases, in which relapse occurs simultaneously with symptoms and is not followed by a period of calm, but the disease continues to progress gradually, and this type often comes to the person after the age of fifty. 3- Secondary progressive M.S. It begins with the disease as the first type and then turns into a condition similar to the second type and continues with progression, and this transformation is usually done after an average of 6-10 years of the disease. 4- Relapsing-progressive M.S, which is similar to the initial progressive type in that the symptoms develop gradually and continuously, but the difference in the presence of periods of relapse permeates the course of the disease where the symptoms increase significantly or new symptoms appear. There are two other types: benign MS: it is the lightest and least harmful pattern, as the disease does not leave any permanent symptoms, (fulminent MS): (less than 10%), in which the recurrence occurs and then the patient’s condition deteriorates in a way Fast, where the disease is very violent from the beginning, and in less than 5 years, the patient suffers from severe disability.
Now let’s review the different symptoms of the disease, such as: Visual problems: blurred vision (foggy), duplication of vision, optic neuritis, involuntary rapid eye movements, vision loss (very rare) Balance problems and movement symmetry: loss of balance, tremors (involuntary fibrillation), ataxia (irregularity) in walking, dizziness, asymmetry in movements (especially in the limbs), weakness: especially in the legs when walking, muscle cramps, changes in nature Muscle (loosening and contracting) and muscle stiffness can affect movement and walking, spasms Changes in nervous sensation: tingling sensation, paresthesia, burning sensation, possibly some pain related to multiple sclerosis such as facial pain (trigeminal neuralgia) and muscle pain Speech difficulties: slow pronunciation, stuttering and pronounced blurring (words and letters overlap with one another), difference in poise / frequency of speech, dysphagia Fatigue: General fatigue that weakens the body and is unpredictable and inappropriate for the activity the person has performed. Fatigue is one of the most common symptoms and one of the most disturbing to the patient. Urine and stool problems: Among the problems of urine: the need to urinate between short periods, the immediate need to urinate, not to empty the entire bladder, involuntary urination, of stool problems: constipation, involuntary discharge (rare) Sexual problems: impotence, loss of sensation, increased sensitivity to heat, and this symptom usually causes a temporary worsening of symptoms. Cognitive and emotional disorders: impairment of temporary memory, loss of ability to focus, right judgment or reasoning It is true that there is no completely cure for sclerosis until today, but this does not mean that there are no good measures to alleviate the disease and help the patient to his symptoms, especially in the last ten years after the availability of immunomodulators. The disease is diagnosed by clinical examination, visual field examination, measurement of electrical potential, laboratory confirmatory diagnosis, biopsy of the spinal cord, and use of MRI. But how can this disease be discovered in its early stages? Several years may pass from the first symptoms before a definite diagnosis, and for several reasons, including early symptoms of the disease may be mild as the patient does not notice them or consult a doctor because of them, and that other diseases of the nervous system are similar to the symptoms of diffuse sclerosis and may cause difficulty in the beginning to recognize or diagnose the disease And the absence of laboratory tests currently helps to detect the carrier of the disease with certainty, and there are two clinical characteristics to ensure the presence of diffuse sclerosis, the first of which are signs of a nervous system disorder, numbness paralysis, an unknown cause with clinical signs of infection in two or more places of the device The nervous system is discovered by the doctor upon examination, and the second is healing and relapse during periods of time that may be longer or shorter. The attending physician makes sure of the diagnosis by performing an MRI scan to examine the cerebrospinal fluid and planning the nerves, but the diagnosis of diffuse sclerosis does not have to be seen in a desperate way, although there are patients who suffer from recurrence of the disease, but few suffer from major complications of the disease, most patients live a life Active despite the relapse of the disease and adapt to the disease by adopting a positive style and a positive outlook in their lives.
Although the disease was discovered in 1870, the first drug to treat the disease was produced 120 years later, i.e. in 1990, which is “betaveron”, a drug produced by genetic engineering methods from natural interferon (and interferon is a natural protein found in the human body Helps overcome infections and diseases). Betaferon’s experience has shown that treatment helps reduce the number of relapses experienced by the patient, increase the time between relapses or attacks, reduce the intensity of attacks, and reduce the number of new infections that appear in the MRI scan. Treatment is divided into three types: attack treatment, disease treatment and complications Treating an attack: If the attack is light-weighted, and its symptoms are possible, then it may respond to rest for a day or two, while drinking sufficient cold fluids, cooling the atmosphere of the room, and many patients if they follow it at the beginning of the attack, their symptoms improve, and if the above does not work, Or the attack was very severe, and a cortisone was given, and the way to give it varies according to the attending physician, but most doctors give it for 3-5 days intravenously. The cortisone speeds up the recovery of the attack, and reduces its severity, giving cortisone does not cause any significant complications, such as those that may occur from abuse Chronic prolonged cortisone. Treatment of the disease: These are drugs called (immune rates), and they work to change the nature of the immune structure, thereby reducing the number of attacks, and reducing their severity, and may alleviate poor lesions in the brain’s magnetic images, and the severity of the disability that may occur from the disease In its advanced stages, one of these medications is always taken, all of which are closely related in effect, but some are taken intramuscularly once a week, and some are subcutaneously several times a week depending on the type of medication, and generally these medications do not have problems, but After injection, the patient may feel symptoms similar to the symptoms of the common cold from heat and fatigue, and this is usually treated with a medication such as a Pendulum before injection, given these drugs usually in the type paroxysmal (recurrent Pacific), and modified drugs are not given immunity during pregnancy and lactation. Medicines used to treat Rebif disease: (Betifron® = Interferon beta 1a) Avonex: Avonex® = Interferon beta 1a. Novantrone® = Mitoxantron. Taisabri: Tysabri® = Natalizumab. ). Other treatments: immunosuppressive drugs such as azathioprine and cyclophosphamide may be used, but some research has questioned whether they have any role in the treatment of multiple sclerosis, and the use of glatiramer acetate may be of benefit in Reducing the number of relapses, and using natalizumab But it must be emphasized that the patient must adopt healthy health habits such as balanced food, quit smoking and practicing light sports such as swimming and walking whenever possible. There is much that can be done to mitigate the effect of MS on patients to keep them highly vibrant, independent and comfortable. In this context, we must not forget the necessity of reminding the patient and his family that this disease varies in severity from one patient to another in a significant way. With almost complete disability, especially those who acquired the disease at an early age (after forty), and the resonance images showed many plaques hardening in the first 5 years of the disease. And one of the studies showed that the risk of suicide among patients with multiple sclerosis of nerve fibers is 5.7 times greater than the rest of society. In cases of untreated relapsing multiple sclerosis, the average time that elapses until a person needs a wheelchair is 20 years. And with the type of disease that develops quickly from the beginning, the average time required until the wheelchair is used is 6-7 years from the start of the diagnosis. Hope is pinned on recent developments in diagnostic methods and new treatments. Treatment has now become via daily oral tablets after all treatments were limited to injections, and the emergence of medical societies that care for patients with diffuse sclerosis have helped to raise awareness of the disease, its causes and how to live with it. Large companies pour huge sums into research based on this disease to compete in time to find the optimal treatment for each case and thus seek to the well-being of patients and improve their daily activity.
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