吸烟对多发性硬化症患者的作用——三例来自维洛拉市的病例

Evis Allushi, Gentian Vyshka, Vasilika Prifti
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摘要

多发性硬化症(MS)是一种中枢神经系统(CNS)的慢性炎症性疾病,推测其病因为自身免疫性。改变生活方式,如戒烟或减少吸烟剂量、戒酒和保持健康体重,对治疗成功至关重要。吸烟对多发性硬化症患者有负面影响,会恶化症状,导致更多复发,使疾病更难治疗。戒烟的多发性硬化症患者可能会改善病情。方法和材料:这项研究于2019年在Vlore医院进行,我们采访了三名MS住院患者。我们使用15个问题的访谈来获得患者的意见和信息。他们自愿参与了这项研究。结果:我们采访了三名患者,其中两人吸烟,一人从未吸烟。吸烟的患者的病情明显因吸烟而恶化,而不吸烟的患者通过保持病情稳定,预后更好。其中一个吸烟的病人两年前就戒烟了。这三名患者意识到吸烟对他们的病情有负面影响。结论:当其中一名患者开始吸烟时,我们的两名患者的生活质量发生了变化,当其中一人戒烟时,第三人的生活质量不断恶化。在阿尔巴尼亚,毫无疑问有必要进行此类研究,以跟踪多发性硬化症患者、他们的吸烟情况及其对疾病进展的影响。
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The Role of Smoking on Patient with Multiple Sclerosis, Three Cases from Vlora City
Multiple Sclerosis (MS) is a chronic, inflammatory disorder of the central nervous system (CNS) with presumed autoimmune etiology. Lifestyle changes such as quitting smoking or reducing smoking doses, alcoholabstinence and maintaininghealthy weight are important for treatment success. Smoking has negative effect on MS patients, by worsening symptoms, creating more relapses and making it harder to treat the disease. Smoking MS patients that quit, may improve their condition. Method and materials: this study is performed in the hospital of Vlore during 2019 and we interviewed three MS hospitalized patients. We used 15 questions interview to get the patients opinion and information. They voluntarily participated in this study. Results: We interviewed three patients, from whom two smoked and one never did. The condition of the patients who smoked clearly became worse from the smoking, while the patient who did not smoke had a better prognosis by keeping the condition stable. One of the patients who smoked had quit two years ago. The three patients were aware of the negative effects that smoking had on their condition. Conclusions: Life quality of two of our patients changed when one of them started smoking and when one quit, the third keeps on deteriorating. In Albania there is an undisputable need to conduct such studies in order to follow up patients with MS, their smoking and the effect that it has on the progress of the disease.
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