{"id":1312,"date":"2024-11-05T16:53:46","date_gmt":"2024-11-05T14:53:46","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=1312"},"modified":"2025-03-26T12:46:44","modified_gmt":"2025-03-26T10:46:44","slug":"tratamentul-si-reabilitarea-in-scleroza-multipla","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/tratamentul-si-reabilitarea-in-scleroza-multipla\/","title":{"rendered":"Tratamentul \u0219i reabilitarea \u00een scleroza multipl\u0103"},"content":{"rendered":"\n<h2>Tratamentul \u0219i reabilitarea \u00een scleroza multipl\u0103<\/h2>\n<p>Tratamentul \u0219i reabilitarea \u00een <a href=\"https:\/\/roneuro.ro\/blog\/ce-este-scleroza-multipla\/\">scleroza multipl\u0103<\/a> au ca principale obiective gestionarea simptomelor, prevenirea progresiei bolii \u0219i \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii pacien\u021bilor. Acestea vizeaz\u0103 nu doar ameliorarea dificult\u0103\u021bilor fizice, cum ar fi sl\u0103biciunea muscular\u0103 \u0219i problemele de mobilitate, ci \u0219i sprijinul emo\u021bional \u0219i cognitiv necesar pentru a face fa\u021b\u0103 provoc\u0103rilor zilnice. Printr-o abordare multidisciplinar\u0103, care include medicale, terapie fizic\u0103 \u0219i suport psihologic, pacien\u021bii pot dob\u00e2ndi independen\u021ba \u0219i pot \u00eenv\u0103\u021ba s\u0103 gestioneze mai bine impactul sclerozei multiple asupra vie\u021bii lor.<\/p>\n<p>Scleroza multipl\u0103 este o afec\u021biune complex\u0103, degenerativ\u0103 a sistemului nervos, care nu poate fi tratat\u0103. Totu\u0219i, exist\u0103 metode de gestionare ce pot \u00eembun\u0103t\u0103\u021bii calitatea vie\u021bii. Acestea depind de v\u00e2rsta \u0219i starea de s\u0103n\u0103tate, precum \u0219i de gravitatea simptomelor.<\/p>\n<p>Interven\u021biile pot include terapii fizice \u0219i ocupa\u021bionale, care ajut\u0103 la men\u021binerea mobilit\u0103\u021bii \u0219i a independen\u021bei, \u0219i medicamente pentru ameliorarea simptomelor specifice, cum ar fi spasmele musculare sau oboseala. Suportul psihologic este, de asemenea, esen\u021bial pentru a ajuta \u00een a face fa\u021b\u0103 provoc\u0103rilor emo\u021bionale \u0219i sociale pe care le implic\u0103 scleroza multipl\u0103.<\/p>\n<h2>Care sunt tipurile de tratament pentru scleroza multipl\u0103?<\/h2>\n<p>Tratamentele sunt \u00eemp\u0103r\u021bite \u00een:<\/p>\n<h3>Tratamente de modificare a bolii<\/h3>\n<p>Acestea vizeaz\u0103 direct inflama\u021bia din sistemul nervos central \u0219i ajut\u0103 la \u00eencetinirea deterior\u0103rii acestuia.<\/p>\n<h3>Tratamentul recidivelor acute<\/h3>\n<p>Acesta poate accelera recuperarea atunci c\u00e2nd apare o criz\u0103 de SM.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1313\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/tratamente-MS.jpg\" alt=\"\" width=\"600\" height=\"463\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/tratamente-MS.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/tratamente-MS-300x232.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/tratamente-MS-1024x790.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/tratamente-MS-768x593.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/tratamente-MS-1536x1186.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/tratamente-MS-750x579.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/tratamente-MS-1140x880.jpg 1140w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/p>\n<h3>Tratamentele simptomatice pentru scleroza multipl\u0103<\/h3>\n<p>Acestea includ:<\/p>\n<ul>\n<li>Medicamente:\n<ul>\n<li>Steroizi pentru a reduce inflama\u021bia \u0219i a ajuta nervii s\u0103 func\u021bioneze mai bine;<\/li>\n<li>Terapii de modificare a bolii pentru a reduce recidivele \u0219i gravitatea lor;<\/li>\n<li>Relaxante musculare pentru a ajuta la amelorarea spasmelor \u0219i rigidit\u0103\u021bii;<\/li>\n<li>Analgezice pentru a gestiona durerea \u0219i alte simptome;<\/li>\n<li>Tratamente ale simptomelor intestinale \u0219i ale vezicii urinare;<\/li>\n<li>Tratamente pentru disfunc\u021biile sexuale;<\/li>\n<\/ul>\n<\/li>\n<li>Echipamente de mobilitate, cum ar fi bastoane, bretele sau c\u0103rucioare;<\/li>\n<li>Adaptarea locuin\u021bei pentru noile nevoi;<\/li>\n<li>Activit\u0103\u021bi de reabilitare precum:\n<ul>\n<li>Fizioterapia \u0219i exerci\u021biile pentru gestionarea problemelor de mi\u0219care<\/li>\n<li>Terapia cognitiv-comportamental\u0103 pentru a gestiona anxietatea, depresia \u0219i oboseala;<\/li>\n<li>Exerci\u021bii pentru memorie, concentrare \u0219i stare (reabilitare cognitiv\u0103) [1].<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/OKN0iC9bop4?si=5Ulrhzm-bMiko0c5\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p><strong>Crede\u021bi c\u0103 este posibil s\u0103 suferi\u021bi de scleroz\u0103 multipl\u0103?<\/strong> Programa\u021bi-v\u0103 acum contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Care este rolul reabilit\u0103rii \u00een scleroza multipl\u0103?<\/h2>\n<p>Programul de reabilitare variaz\u0103 \u00een func\u021bie de simptome \u0219i gravitatea lor \u0219i v\u0103 poate ajuta \u00een:<\/p>\n<ul>\n<li>Recuperarea func\u021biilor pentru via\u021ba de zi cu zi;<\/li>\n<li>Asigurarea independen\u021bei;<\/li>\n<li>Luarea deciziilor corecte referitoare la tratament;<\/li>\n<li>Men\u021binerea func\u021biei motorii sau recuperarea ei;<\/li>\n<li>\u00cembun\u0103t\u0103\u021birea rezisten\u021bei \u0219i a controlului;<\/li>\n<li>\u00cembun\u0103t\u0103\u021birea limbajului \u0219i a coordon\u0103rii;<\/li>\n<li>Gestionarea incontinen\u021bei vezicale \u0219i intestinale;<\/li>\n<li>\u00cembun\u0103t\u0103\u021birea func\u021biei cognitive.<\/li>\n<\/ul>\n<h2>Gestionarea simptomelor sclerozei multiple<\/h2>\n<p>SM cauzeaz\u0103 o varietate de simptome care pot interfera cu activit\u0103\u021bile de zi cu zi. Din fericire, multe dintre simptomele SM pot fi gestionate cu ajutorul unei echipe multidisciplinare, printr-un program de reabilitare \u0219i oferirea medica\u021biei corespunz\u0103toare [2].<\/p>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1314\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/complicatii-ms.jpg\" alt=\"\" width=\"650\" height=\"297\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/complicatii-ms.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/complicatii-ms-300x137.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/complicatii-ms-1024x468.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/complicatii-ms-768x351.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/complicatii-ms-1536x702.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/complicatii-ms-750x343.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/complicatii-ms-1140x521.jpg 1140w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<h3>Problemele de vedere<\/h3>\n<p>Problemele vizuale sunt comune \u00een MS, dar nu duc la orbire dec\u00e2t \u00een cazuri foarte rare.<\/p>\n<p>Simptomele includ:<\/p>\n<ul>\n<li>Vedere \u00eence\u021bo\u0219at\u0103;<\/li>\n<li>Probleme \u00een perceperea culorilor;<\/li>\n<li>Orbire temporar\u0103 a unui ochi;<\/li>\n<li>Pierderea vederii cromatice;<\/li>\n<li>Probleme \u00een perceperea ad\u00e2ncimii;<\/li>\n<li>Pierderea vederii \u00eentr-o parte a c\u00e2mpului vizual;<\/li>\n<li>Nystagmus &#8211; mi\u0219c\u0103ri necontrolate pe orizontal\u0103 sau vertical\u0103;<\/li>\n<li>Diplopie &#8211; vedere dubl\u0103.<\/li>\n<\/ul>\n<p>Acestea se pot corecta cu anumite tipuri de exerci\u021bii, ochelari speciali \u0219i evitarea for\u021b\u0103rii ochilor.<\/p>\n<h3>Probleme de mobilitate<\/h3>\n<p>Sl\u0103biciunea muscular\u0103 \u0219i spasticitatea sunt probleme comune \u00een SM, motiv pentru care men\u021binerea activit\u0103\u021bii fizice ajut\u0103 la gestionarea simptomelor \u0219i prevenirea \u00eenr\u0103ut\u0103\u021birii:<\/p>\n<ul>\n<li>Sl\u0103biciunii musculare;<\/li>\n<li>Durerii;<\/li>\n<li>Oboselii;<\/li>\n<li>\u00cencord\u0103rii.<\/li>\n<\/ul>\n<p>Alte simptome musculare sau de mobilitate includ:<\/p>\n<ul>\n<li>Tremorul;<\/li>\n<li>Probleme de echilibru;<\/li>\n<li>Ataxie &#8211; probleme \u00een coordonarea mi\u0219c\u0103rilor.<\/li>\n<\/ul>\n<p>Pentru a gestiona simptomele exist\u0103 diverse recomand\u0103ri, precum:<\/p>\n<ul>\n<li>Terapia \u00een ap\u0103;<\/li>\n<li>Yoga;<\/li>\n<li>Fizioterapia;<\/li>\n<li>Stimularea cerebral\u0103 profund\u0103;<\/li>\n<li>Medica\u021bia;<\/li>\n<li>Dispozitivele ce ajut\u0103 la mers;<\/li>\n<li>Terapia ocupa\u021bional\u0103.<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-1316\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/recomandari-in-scleroza-multipla.jpg\" alt=\"\" width=\"650\" height=\"298\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/recomandari-in-scleroza-multipla.jpg 1291w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/recomandari-in-scleroza-multipla-300x137.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/recomandari-in-scleroza-multipla-1024x469.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/recomandari-in-scleroza-multipla-768x352.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/recomandari-in-scleroza-multipla-750x343.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/11\/recomandari-in-scleroza-multipla-1140x522.jpg 1140w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<h3>Oboseala<\/h3>\n<p>Oboseala este o problem\u0103 comun\u0103 \u00een SM \u0219i poate fi fizic\u0103 sau cognitiv\u0103.<\/p>\n<p>Este recomandat un program de antrenament \u0219i exerci\u021bii zilnic pentru a reduce oboseala, dar pacien\u021bii ar trebui s\u0103 evite activitatea fizic\u0103 intens\u0103 \u0219i s\u0103 reduc\u0103 expunerea la temperaturi crescute.<\/p>\n<p>Terapia ocupa\u021bional\u0103 poate de asemenea s\u0103 ajute pacien\u021bii \u00een a \u00eenv\u0103\u021ba s\u0103 \u00ee\u0219i gestioneze energia.<\/p>\n<p>Un alt suport este reprezentat de gestionarea stresului \u0219i folosirea tehnicilor de relaxare.<\/p>\n<h3>Probleme legate de controlul vezicii urinare \u0219i constipa\u021bie<\/h3>\n<p>Acestea pot include probleme cu frecven\u021ba urin\u0103rii, urgen\u021ba sau pierderea controlului vezicii urinare \u0219i pot fi gestionate cu tratamente medicale \u0219i o diet\u0103 bogat\u0103 \u00een fibre sau cu laxative.<\/p>\n<h3>Probleme psihice \u0219i emo\u021bionale<\/h3>\n<p>Depresia clinic\u0103 este \u00eent\u00e2lnit\u0103 adesea la persoanele cu SM, fie ca o consecin\u021b\u0103 direct\u0103 a bolii cauzat\u0103 de dezechilibrul chimic al creierului sau din cauza perspectivei diagnosticului. Este adesea gestionat\u0103 cu antidepresive \u0219i terapie cognitiv-comportamental\u0103.<\/p>\n<p>Uneori poate ap\u0103rea simptomul pseudobulbar, ce d\u0103 reac\u021bii involuntare de r\u00e2s, pl\u00e2ns sau furie, care nu se coreleaz\u0103 cu starea pacientului \u00een momentul respectiv.<\/p>\n<h3>Probleme cognitive<\/h3>\n<p>Afectarea cognitiv\u0103 &#8211; declinul capacit\u0103\u021bii de a g\u00e2ndi, de a \u00eenv\u0103\u021ba \u0219i de amintire &#8211; afecteaz\u0103 p\u00e2n\u0103 la 75% dintre persoanele cu SM. Aceste modific\u0103ri cognitive pot ap\u0103rea \u00een acela\u0219i timp cu simptomele fizice sau se pot dezvolta treptat \u00een timp.<\/p>\n<p>Uneori, afectarea cognitiv\u0103 la persoanele cu SM este cauzat\u0103 de depresie, caz \u00een care poate fi tratat\u0103 medicamentos.<\/p>\n<h2>Rolul NADH \u00een gestionarea sclerozei multiple<\/h2>\n<p><strong>NADH<\/strong> este un supliment alimentar eficient \u0219i sigur, cu rol \u00een prevenirea \u0219i ameliorarea diverselor afec\u021biuni, printre care \u0219i <strong>scleroza multipl\u0103<\/strong>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-943 alignright\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson.jpeg\" alt=\"Suplimente alimentare boala Parkinson\" width=\"300\" height=\"177\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson.jpeg 1273w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-300x177.jpeg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-1024x603.jpeg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-768x452.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-750x442.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-1140x672.jpeg 1140w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Cunoscut de asemenea drept Coenzima-1, <strong>NADH<\/strong> este forma biologic\u0103 a hidrogenului care reac\u021bioneaz\u0103 cu oxigenul din celule rezultand energie.<\/p>\n<p>Pentru mai multe informa\u021bii despre <strong>NADH<\/strong>, accesa\u021bi acest <a href=\"https:\/\/nadhrapid.ro\/\" target=\"_blank\" rel=\"noopener\">link<\/a>. Pentru mai multe informa\u021bii despre impactul NADH \u00een SM, click <a href=\"https:\/\/nadhrapid.ro\/nadh-si-scleroza-multipla\/\" target=\"_blank\" rel=\"noopener\">aici<\/a>.<\/p>\n<h2>Educarea pacien\u021bilor cu SM privind boala<\/h2>\n<p>Scleroza multipl\u0103 (SM) afecteaz\u0103 \u00een special persoanele cu v\u00e2rste cuprinse \u00eentre 20 \u0219i 50 de ani, av\u00e2nd un impact semnificativ asupra vie\u021bii pacien\u021bilor. \u00cen acest context, educa\u021bia devine esen\u021bial\u0103. Este important ca ace\u0219tia s\u0103 fie con\u0219tien\u021bi despre evolu\u021bia bolii, simptome, op\u021biunile de tratament \u0219i importan\u021ba sistemelor de suport precum \u0219i s\u0103 \u00een\u021beleag\u0103 c\u0103, de\u0219i tratamentele actuale nu sunt curative, ele pot \u00eencetini progresia bolii. De asemenea, pacien\u021bii trebuie s\u0103 fie con\u0219tien\u021bi de riscurile \u00eent\u00e2rzierii tratamentului \u0219i de obiectivele esen\u021biale ale gestion\u0103rii SM, care includ reducerea recidivelor \u0219i men\u021binerea calit\u0103\u021bii vie\u021bii.<\/p>\n<p>Aderen\u021ba la tratament este influen\u021bat\u0103 de numero\u0219i factori, inclusiv barierele de comunicare, cuno\u0219tin\u021bele deficitare, problemele financiare \u0219i emo\u021bionale. Aceste obstacole pot duce la o utilizare ineficient\u0103 a terapiilor disponibile, afect\u00e2nd astfel rezultatele clinice pe termen lung [3].<\/p>\n<h2>Provoc\u0103rile unei vie\u021bi cu scleroz\u0103 multipl\u0103<\/h2>\n<blockquote><p>O t\u00e2n\u0103r\u0103 de 27 de ani a fost diagnosticat\u0103 cu scleroz\u0103 multipl\u0103 cu doi ani \u00een urm\u0103. Via\u021ba ei a fost marcat\u0103 de schimb\u0103ri semnificative, at\u00e2t fizice, c\u00e2t \u0219i emo\u021bionale. La \u00eenceput, simptomele p\u0103reau minore \u2014 o oboseal\u0103 persistent\u0103 \u0219i unele dificult\u0103\u021bi \u00een coordonare. \u00cens\u0103, pe m\u0103sur\u0103 ce timpul a trecut, aceste semne s-au transformat \u00een amor\u021beli nepl\u0103cute \u0219i o sl\u0103biciune muscular\u0103 tot mai acut\u0103, afect\u00e2ndu-i mobilitatea \u0219i, implicit, stilul de via\u021b\u0103. Uneori, se simte blocat\u0103, observ\u00e2nd cum corpul s\u0103u, odat\u0103 energic \u0219i plin de via\u021b\u0103, devine tot mai greu de controlat. Se simte adesea cople\u0219it\u0103 de incertitudinea bolii \u0219i de impactul acesteia asupra planurilor sale de viitor, cum ar fi cariera \u0219i rela\u021biile personale.<\/p>\n<p>Pe l\u00e2ng\u0103 provoc\u0103rile fizice, ea se confrunt\u0103 cu sentimente de anxietate \u0219i depresie, resim\u021bind frustrare din cauza limit\u0103rilor impuse de boal\u0103. Cu toate acestea, a g\u0103sit sprijin \u00een comunit\u0103\u021bi online \u0219i grupuri de suport, unde poate \u00eemp\u0103rt\u0103\u0219i experien\u021bele sale cu al\u021bii care se confrunt\u0103 cu provoc\u0103ri similare. Terapia fizic\u0103 \u0219i medica\u021bia au devenit parte a rutinei sale zilnice, ajut\u00e2nd-o s\u0103 gestioneze simptomele \u0219i s\u0103-\u0219i men\u021bin\u0103 un stil de via\u021b\u0103 activ. De\u0219i provoc\u0103rile sunt mari, ea \u00ee\u0219i propune s\u0103 tr\u0103iasc\u0103 fiecare zi la maximum, \u00eenv\u0103\u021b\u00e2nd s\u0103 accepte \u0219i s\u0103 se adapteze la noul s\u0103u stil de via\u021b\u0103.<\/p><\/blockquote>\n<h2>Concluzii<\/h2>\n<p>Scleroza multipl\u0103 reprezint\u0103 un diagnostic serios, dar cu sprijin adecvat, poate fi gestionat\u0103, calitatea vie\u021bii pacien\u021bilor poate fi \u00eembun\u0103t\u0103\u021bit\u0103 semnificativ prin reabilitare.<\/p>\n<p>Reabilitarea este necesar\u0103 \u0219i aceasta trebuie s\u0103 adreseze nu doar simptomele fizice, ci \u0219i aspectele cognitive, emo\u021bionale \u0219i sociale. Cu ajutorul unei echipe multidisciplinare, care include fizioterapeu\u021bi, neurologi, psihologi \u0219i terapeu\u021bi ocupa\u021bionali, \u0219i a tehnicilor de reabilitare personalizate, pacien\u021bii \u00ee\u0219i pot men\u021bine independen\u021ba pe parcursul progresiei bolii.<\/p>\n<p>Este important ca pacien\u021bii s\u0103 fie sprijini\u021bi nu doar fizic, dar \u0219i emo\u021bional, reabilitarea contribuind la diminuarea sentimentelor de izolare \u0219i la cre\u0219terea \u00eencrederii de sine.<\/p>\n<h2>Referin\u021be<\/h2>\n<ol>\n<li><a href=\"https:\/\/www.nhs.uk\/conditions\/multiple-sclerosis\/\" target=\"_blank\" rel=\"noopener\">Multiple sclerosis<\/a> [Internet]. nhs.uk. [cited 2024 Oct 31]. Available from:<\/li>\n<li>Hardeman P. An update on managing patients with multiple sclerosis in primary care. JAAPA [Internet]. 2024 [cited 2024 Oct 31];37(2):22\u20139. Available from: https:\/\/journals.lww.com\/jaapa\/fulltext\/2024\/02000\/an_update_on_managing_patients_with_multiple.3.aspx<\/li>\n<li>Ajmc.com. [cited 2024 Oct 31]. Available from: https:\/\/www.ajmc.com\/view\/ace014_nov13_ms-ce_ross<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Tratamentul \u0219i reabilitarea \u00een scleroza multipl\u0103 Tratamentul \u0219i reabilitarea \u00een scleroza multipl\u0103 au ca principale obiective gestionarea simptomelor, prevenirea progresiei bolii \u0219i \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii pacien\u021bilor. Acestea vizeaz\u0103 nu doar ameliorarea dificult\u0103\u021bilor fizice, cum ar fi sl\u0103biciunea muscular\u0103 \u0219i problemele de mobilitate, ci \u0219i sprijinul emo\u021bional \u0219i cognitiv necesar pentru a face fa\u021b\u0103 provoc\u0103rilor zilnice. [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1319,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0","post_calculate_word_method":"str_word_count"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0","format":"standard","subtitle":""},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1312","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1312","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1312"}],"version-history":[{"count":8,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1312\/revisions"}],"predecessor-version":[{"id":1675,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1312\/revisions\/1675"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1319"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1312"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1312"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1312"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}