多发性硬化(MS)是一个条件是影响s the central nervous system (CNS). MS can cause a wide range of symptoms, from numbness in your arms and legs to paralysis (in its most severe state).

复发缓解MS（RRMS）是最常见的MS类型。使用RRMS，症状在发作过程中可能会恶化，然后在发作解决时改善。症状的恢复可以归类为爆发。

爆发是引起新的MS症状或恶化旧症状的发作。也可以称为：

  • an attack
  • 关于
  • an episode
  • 恶化
  • 复发

继续阅读以了解有关女士爆炸以及如何治疗并可能阻止它们的更多信息。

要了解MS Flare是什么，您首先需要了解MS的症状。MS最常见的症状之一是您的手臂或腿部麻木或刺痛感。

其他症状可能包括：

  • 四肢的疼痛或软弱
  • 视力问题，例如双视力
  • loss of coordination and balance
  • 头晕
  • 疲劳

在严重的情况下，MS也会导致视力丧失。这通常仅在一只眼睛中发生。

人们以不同的方式体验爆发。每次发生症状都会有所不同。

Sometimes they’re mild. Other times, symptoms can be so severe they make it difficult to function. There can be one symptom or more than one, depending on how the CNS is affected and how many areas of the CNS are involved.

Symptoms of flare-ups include:

  • weakness in the legs or arms
  • blurred vision or eye pain due to optic neuritis, which is an inflammation of the optic nerve that affects and impairs vision
  • 平衡问题或头晕
  • 严重的疲劳
  • issues with memory or concentration
  • numbness
  • tingling or a feeling of pins and needles
  • slurred speech or trouble swallowing
  • 膀胱问题，包括尿失禁或经常需要小便

很难判断您的症状是MS的爆发或常规症状。

症状只有爆发才能：

  • 发生 at least 30 days 较早的爆发之后
  • last for 24 hours or longer
  • aren’t related to infection or another medical cause
  • 在爆炸之间不存在

您的某些症状可能一直存在，并且在爆发过程中可能会恶化，例如疲劳，麻烦集中或膀胱问题。而且您可能只有在爆发过程中出现某些症状。

According to someresearch, most people withrrms在整个疾病过程中体验爆发。

爆炸是由损伤髓磷脂的中枢神经系统发炎引起的，髓磷脂是一种保护细胞部分称为轴突的脂肪物质。

轴突将消息带到身体的其他部位，保护性髓磷脂有助于加快神经传播。当髓鞘因炎症而受损时，这些消息会减慢或破坏。这会导致MS症状和爆发。

There’s no way to completely cure MS, but MS disease-modifying therapies (DMTs) can help reduce or prevent flare-ups.

There are ways to avoid thetriggersthat may prompt them, too.

压力

According to a2015年研究评论, stressful life events, like those with work or family life, can increase the occurrence of MS flare-ups. The review notes that the association between stress and flare-ups was strongest in studies using self-reported diaries.

Keep in mind that stress is a fact of life. But you can take steps to reduce it. You can help lower your stress levels by:

感染

According to a2015年研究评论, common infections, such as theflu或acold，可以触发女士爆炸。

尽管冬季很常见上呼吸道感染，但您可以采取措施降低风险，包括：

尿路感染（UTI）也会触发女士爆发。由于膀胱问题，尿路斯在MS患者中很常见。

手术

有些人担心手术和麻醉引起爆发。根据National MS Society，都不会带来爆发。

Anesthesia is generally considered safe for people who live with MS. People with advanced MS and respiratory problems have a higher risk of complications from anesthesia, but not flare-ups. (However, complications are rare.)

有 some studies 提出有可能的联系tonsillectomy和later getting an MS diagnosis, but it’s not certain that there’s any specific cause and effect.

It’s important to remember that this potential link involves risk of disease onset, not of a flare-up of symptoms.

Vaccines

近年来，人们对疫苗接种的关注变得无处不在。拥有MS的人可能还会有其他问题，包括疫苗是爆炸还是恶化MS。

研究表明，疫苗不会恶化MS。研究看了各种疫苗, from seasonal flu vaccines to hepatitis B and even the current COVID-19 vaccines.

国家MS协会有an entire page在其专门针对疫苗的网站上，包括在某些情况下采取的预防措施，包括：

  • 当您经历大火时，没有接种疫苗
  • 如果您要服用某些药物

与往常一样，在进行任何更改之前，请与您的医生讨论所有药物。

Other risk factors

Older people may be more likely to experience flare-ups, according to a2019 research review.

Men and women are also prone to different types of flare-ups.

Other risk factors for flare-ups that researchers have identified include:

  • 不服用DMT
  • 热暴露
  • 疲劳
  • serum levels of vitamin D
  • 抽烟
关于伪验证

伪验证正在恶化MS症状，而MS症状并非由新的中枢神经系统（CNS）炎症引起的损伤。

在伪验证期间，过去可能存在的症状会短暂恶化或重新出现。这些症状是暂时的。潜在原因包括：

  • 疾病或感染，尤其是尿路感染（UTI）
  • 抑郁或焦虑，通常是由压力带来的
  • 精疲力尽
  • 锻炼
  • an environment that’s too warm

一旦发现和治疗了伪证症的原因，这些症状通常会在1天内解决。

要成为爆发的症状，症状必须持续至少24小时。

每个人和每个爆发的爆炸持续时间都不同。爆炸可能只持续几天，但有时它们一次可以持续数周甚至几个月。

Flare-ups can happen with little to no warning. However, there are important steps you can take that may help prevent them. Maintaining overall health is important for everyone, but it’s especially necessary for people living with MS.

Much of what you can do involves preventing infections. To do that, eat a nutrient-rich and balanced diet.

If you smoke, get help to quit. Smoking increases the chances of chest infections and respiratory infections, which can bring on flare-ups.

If you’re prescribed DMTs, be sure to take them as directed. Missing doses can cause problems. If you have concerns about your DMTs or any associated side effects associated, speak with your doctor to see what other options may be available.

确保您有一个支持网络，如果需要的话，可以提供帮助的人。与您的家人和朋友谈谈您的感受。

一些女士可能不需要治疗。如果发生症状爆发但不会影响您的生活质量，那么许多医生会建议您采用等待方式。这些问题可能会自行解决。

一些爆发会导致更严重的症状，例如极度无力，需要治疗。您的医生可能会建议：

  • 皮质类固醇。These medications can help bring down inflammation in the short term.
  • 生命值。acthar凝胶。This injectable medication is generally used only when corticosteroids haven’t been effective.
  • Plasma exchange.这种治疗方法用新的血浆代替了血浆。当其他疗法没有起作用时，它仅用于非常严重的爆发。

If your flare-up is very severe, your doctor may suggest restorative rehabilitation as you begin to regain strength. This treatment may involve:

  • physical therapy
  • 职业治疗
  • treatment for problems with speech, swallowing, or thinking

Since flare-ups can be different for each person, recovery will also be different.

Consider your lifestyle and how active it normally is. Things may need to change for you to recover well.

如果可以的话，请抽出时间下班，并在可能的情况下在房屋周围获得帮助。如果您的康复看起来可能很长，请考虑专业的家庭帮助，例如MS护士或社会服务组织的帮助。

爆发也可能带来情绪问题。焦虑和抑郁可能会恶化。与您的医生讨论治疗或类似的心理保健支持是对您甚至家庭成员的好主意。

不同种类的方法也可能有用。如上所述，这可以包括物理和职业疗法，新药物和心理健康疗法。

Your doctor will help determine the right kinds of specialists for you so that your recovery is as easy as possible.