Main Aspects Of MS Prevention

By Andrea Davidson


Multiple sclerosis is an inflammatory disease of the brain and spinal cord, affecting the protective cover (myelin sheath) of nerve cells. It is also known as encephalomyelitis disseminata or disseminated sclerosis. The damage alters the function of part of the nervous system resulting in a diversity of signs and symptoms including both physical and mental problems. The symptoms may either resolve completely or they may give rise to permanent neurological impairment. MS prevention is still yet to be fully defined since the causes of this chronic disease have not been clearly understood.

Environment and genes are the two most significant risk factors. Affected persons have been found to posses several genetic aberrations. Relatives of affected persons are at a very high risk of contracting the same. The closer the relationship one has with such a patient, the higher the risk. Identical twins have the highest risk in the event that one of them is affected. Next are fraternal twins and siblings in that order.

The role for microbes is backed by two theories namely the hygiene theory and the prevalent theory. In the hygiene theory, a microbe will only result into MS on a second exposure. The first exposure causes an immunological reaction that is protective. In the prevalent theory, it is said that certain microorganisms are associated with geographical areas known to have a high prevalence of the condition and thus are thought to play a role.

A number of lifestyle behaviors are thought to help in the propagation of the condition. Doctors say that modifying these unhealthy habits will significantly lower the risk. They include, among others, smoking, stress, diet, occupational factors (exposure to toxins), vaccination and hormone intake.

In terms of the pathologic presentation, there are three main features that have been identified. These include inflammation, damage and formation of lesions on myelin sheaths. These processes all contribute to the breakdown of the protective tissues and thus cause the characteristic symptoms. Autoimmune reactions at these sites are thought to play a prominent role.

Four clinical courses exist; relapsing remitting, secondary and primary progressive and progressive relapsing. The relapsing remitting form is characterized by alternating periods of disease manifestation (relapse) and asymptomatic periods (remission). Secondary progressive occurs as a later stage of relapsing remitting type in 65% cases.

The priority after an episode of CNS attack should be to rehabilitate the affected individual and to prevent secondary attacks. Disability should be prevented if possible. Interferon beta and glatiramer are two drugs that have become very useful in the control of progression. There is a strong recommendation for prompt treatment of infections as these are a significant risk factor.

Elevated body temperature can worsen the symptoms of MS by causing the already affected nerves to function even more poorly. For this reason, air conditioners are recommended for affected persons. Victims should avoid hot swimming pools and hot bath tubs. In a nutshell, there is no known way of MS prevention other than minimizing the predisposing factors.




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