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Multiple Sclerosis
Cerebral Palsy
Muscular Dystrophy
Spina Bifida

Multiple Sclerosis
Multiple Sclerosis is a progressive condition effecting
the central nervous system in which scattered patches of myelin (the
protective covering of nerve fibres) in the brain and spinal cord are
destroyed. This causes symptoms ranging from numbness and tingling to
paralysis.
The severity of multiple sclerosis varies markedly. It is characterized
by multiple, patchy pattern of disabilities, variable in site and time,
with unpredictable improvements. A patient may be severely disabled
one week apparently normal the next.
The cause of multiple sclerosis remains unknown. It is thought to be
an autoimmune disorder in which the body's defence system treats the
myelin in the central nervous system as foreign. There seems to be a
genetic factor and the ratio of women to men sufferers is three to two.
A person paralysed by multiple sclerosis may have additional problems
such as painful muscle spams, urinary tract infections, skin ulceration,
and changes of mood between euphoria and depression.
The search for a cure is still in progress.
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Cerebral Palsy
Cerebral Palsy is a general term for disorders of movement and posture
resulting from damage to a child's developing brain in later month of
pregnancy, during birth, in the newborn period, or in early childhood.
These disorders are nonprogressive. People with cerebral Palsy may suffer
from spastic paralysis (stiffness and contraction of groups of muscles),
involuntary movements or a loss of coordination and balance. The degree
of disability is highly variable, ranging from slight clumsiness of
hand movement and gait to complete immobility. Other nervous systems
disorders, such as hearing defects or epileptic seizures, may be present.
Affected children may have a learning disability, although some are
of very high intelligence.
Cerebral Palsy may not be recognized until well into the baby's first
year. Once the disability is apparent, most affected children fall into
one of two groups - a spastic group, in which the muscles are permanently
contracted and stiff, thus making movements very difficult, and a smaller
athetoid group, characterized by involuntary writhing movements.
The features of most types of cerebral palsy change as the child gets
older, often for better with patience and skilled treatment. People
with only moderate disability have a nearly 'normal' live expectancy
and lead a relatively independent life.
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Muscular Dystrophy
The Muscular Dystrophy is a group of muscle disorders, due to genetic
defects, which lead to so slow but progressive degeneration of muscle
fibres. They cause growing weakness and disability. Some types appear
at birth, some in infancy, and some develop as late as the fifth or
sixth decade. Different forms are classified according to the age at
which the symptoms appear and the rate at which the disease progresses.
All forms are inherited through a recessive, sex -linked gene. There
is no effective treatment for muscular dystrophy. Affected people should
remain active for as long as possible to keep the healthy muscles in
good condition. Sufferers should not get overweight. Surgery to the
heel tendons may assist walking in some cases. The long-term outlook
depends on the type of muscular dystrophy.
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Spina Bifida
Spina Bifida is the most frequently occurring permanently disabling
birth defect. Itresults from the failure of the spine to close properly
during the first month of pregnancy. It can occur anywhere on the spine
but is most common on the lower back. In severe cases, the spinal cord
protrudes through the back and may be covered by skin or a thin membrane.
The severity of the condition depends on how much nerve tissue is exposed.
Surgery to close a newborn's back is generally performed within 24 hours
after birth to minimize the risk of infection and to preserve existing
function in the spinal cord.
The cause of spina bifida remains unknown, although
vitamin deficiency seems to be one of the main factors involved. Because
of the paralysis resulting from the damage to the spinal cord, people
born with spina bifida may need surgeries and other extensive medical
care. But most children born with spina bifida live well into adulthood
as a result of today's sophisticated medical techniques. Physiotherapy
encourages mobility and independence, for the more severely affected
wheelchairs and other walking aids may be required.
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