{"id":3622,"date":"2021-03-11T11:57:45","date_gmt":"2021-03-11T11:57:45","guid":{"rendered":"https:\/\/www.neuraxpharm.com\/it2\/?page_id=3622"},"modified":"2025-11-24T12:59:30","modified_gmt":"2025-11-24T12:59:30","slug":"stwardnienie-rozsiane","status":"publish","type":"page","link":"https:\/\/www.neuraxpharm.com\/pl\/koncentracja-na-oun\/choroby-neurologiczne\/stwardnienie-rozsiane","title":{"rendered":"Stwardnienie rozsiane"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3622\" class=\"elementor elementor-3622\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-060209f elementor-section-full_width elementor-section-height-min-height elementor-section-items-bottom banner_top elementor-section-height-default\" data-id=\"060209f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;00936a0&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-df365c7\" data-id=\"df365c7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-9789da9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9789da9\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;650699a&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0725104 elementor-hidden-tablet elementor-hidden-phone\" data-id=\"0725104\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-e025551\" data-id=\"e025551\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c3f5ec1 elementor-widget elementor-widget-theme-post-title elementor-page-title elementor-widget-heading\" data-id=\"c3f5ec1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-post-title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Stwardnienie rozsiane<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c4d3d95 text_disorders elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c4d3d95\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;245babd&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-3f35c95 sticky-parent\" data-id=\"3f35c95\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c38b907 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c38b907\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;87539ac&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-c11e767\" data-id=\"c11e767\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8b0879d elementor-widget elementor-widget-table-of-contents\" data-id=\"8b0879d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h2&quot;],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-chevron-right&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tW TEJ CZ\u0118\u015aCI\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__8b0879d\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-60a0257 sticky-column elementor-hidden-tablet elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"60a0257\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;87539ac&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-ce8acbe\" data-id=\"ce8acbe\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-55fa575 elementor-widget elementor-widget-spacer\" data-id=\"55fa575\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0d862fa elementor-widget elementor-widget-heading\" data-id=\"0d862fa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Powi\u0105zane artyku\u0142y<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c99450 elementor-widget elementor-widget-jet-listing-grid\" data-id=\"5c99450\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;columns&quot;:&quot;1&quot;}\" data-widget_type=\"jet-listing-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-listing-grid jet-listing\"><div class=\"jet-listing-not-found jet-listing-grid__items\" data-nav=\"{&quot;enabled&quot;:false,&quot;type&quot;:null,&quot;more_el&quot;:null,&quot;query&quot;:[],&quot;widget_settings&quot;:{&quot;lisitng_id&quot;:3204,&quot;posts_num&quot;:3,&quot;columns&quot;:1,&quot;columns_tablet&quot;:1,&quot;columns_mobile&quot;:1,&quot;column_min_width&quot;:240,&quot;column_min_width_tablet&quot;:240,&quot;column_min_width_mobile&quot;:240,&quot;inline_columns_css&quot;:false,&quot;is_archive_template&quot;:&quot;&quot;,&quot;post_status&quot;:[&quot;publish&quot;],&quot;use_random_posts_num&quot;:&quot;&quot;,&quot;max_posts_num&quot;:9,&quot;not_found_message&quot;:&quot;&quot;,&quot;is_masonry&quot;:false,&quot;equal_columns_height&quot;:&quot;&quot;,&quot;use_load_more&quot;:&quot;&quot;,&quot;load_more_id&quot;:&quot;&quot;,&quot;load_more_type&quot;:&quot;click&quot;,&quot;load_more_offset&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;use_custom_post_types&quot;:&quot;&quot;,&quot;custom_post_types&quot;:[],&quot;hide_widget_if&quot;:&quot;&quot;,&quot;carousel_enabled&quot;:&quot;&quot;,&quot;slides_to_scroll&quot;:&quot;1&quot;,&quot;arrows&quot;:&quot;true&quot;,&quot;arrow_icon&quot;:&quot;fa fa-angle-left&quot;,&quot;dots&quot;:&quot;&quot;,&quot;autoplay&quot;:&quot;true&quot;,&quot;pause_on_hover&quot;:&quot;true&quot;,&quot;autoplay_speed&quot;:5000,&quot;infinite&quot;:&quot;true&quot;,&quot;center_mode&quot;:&quot;&quot;,&quot;effect&quot;:&quot;slide&quot;,&quot;speed&quot;:500,&quot;inject_alternative_items&quot;:&quot;&quot;,&quot;injection_items&quot;:[],&quot;scroll_slider_enabled&quot;:&quot;&quot;,&quot;scroll_slider_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;custom_query&quot;:false,&quot;custom_query_id&quot;:&quot;&quot;,&quot;_element_id&quot;:&quot;&quot;,&quot;collapse_first_last_gap&quot;:false,&quot;list_tag_selection&quot;:&quot;&quot;,&quot;list_items_wrapper_tag&quot;:&quot;div&quot;,&quot;list_item_tag&quot;:&quot;div&quot;,&quot;empty_items_wrapper_tag&quot;:&quot;div&quot;}}\" data-listing-source=\"posts\" data-listing-id=\"3204\" data-query-id=\"\" data-queried-id=\"3622|WP_Post\">\t\t<div data-elementor-type=\"page\" data-elementor-id=\"22443\" class=\"elementor elementor-22443\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dd8561e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dd8561e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;7a0f9f5&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0d93a1f\" data-id=\"0d93a1f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8ae764b elementor-widget elementor-widget-jet-listing-grid\" data-id=\"8ae764b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;columns&quot;:&quot;1&quot;}\" data-widget_type=\"jet-listing-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-listing-notice\">Please select another listing to show to avoid recursion.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div><style>.elementor-22443 .elementor-element.elementor-element-dd8561e .elementor-repeater-item-7a0f9f5.jet-parallax-section__layout .jet-parallax-section__image{background-size:auto;}.elementor-22443 .elementor-element.elementor-element-0d93a1f > .elementor-element-populated{text-align:start;}.elementor-22443 .elementor-element.elementor-element-8ae764b > .elementor-widget-container > .jet-listing-grid > .jet-listing-grid__items, .elementor-22443 .elementor-element.elementor-element-8ae764b > .jet-listing-grid > .jet-listing-grid__items{--columns:1;}:root{--page-title-display:none;}\/* Start custom CSS for jet-listing-grid, class: .elementor-element-8ae764b *\/.elementor-page-title {\r\n    display: block !important;\r\n}\/* End custom CSS *\/\n\/* Start custom CSS for jet-listing-grid, class: .elementor-element-8ae764b *\/.elementor-page-title {\r\n    display: block !important;\r\n}\/* End custom CSS *\/\n\/* Start custom CSS for section, class: .elementor-element-dd8561e *\/.elementor-page-title {\r\n    display: block;\r\n}\/* End custom CSS *\/<\/style><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-770ab39 elementor-hidden-tablet elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"770ab39\" data-element_type=\"section\" data-e-type=\"section\" id=\"main-navigation\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;87539ac&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-3e37624\" data-id=\"3e37624\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b43493f elementor-widget elementor-widget-table-of-contents\" data-id=\"b43493f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h2&quot;],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-chevron-right&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tW TEJ CZ\u0118\u015aCI\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__b43493f\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-a1bbc9b elementor-hidden-tablet elementor-hidden-phone\" data-id=\"a1bbc9b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-18c77c0 page-health\" data-id=\"18c77c0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-93b4c45 elementor-widget elementor-widget-spacer\" data-id=\"93b4c45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3feddb6 elementor-widget elementor-widget-jet-breadcrumbs\" data-id=\"3feddb6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"jet-breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-jet-breadcrumbs jet-blocks\">\n\t\t<div class=\"jet-breadcrumbs\">\n\t\t<div class=\"jet-breadcrumbs__content\">\n\t\t<div class=\"jet-breadcrumbs__wrap\"><div class=\"jet-breadcrumbs__item\"><a href=\"https:\/\/www.neuraxpharm.com\/pl\/\" class=\"jet-breadcrumbs__item-link is-home\" rel=\"home\" title=\"Neuraxpharm\">Neuraxpharm <\/a><\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-90283e7 elementor-widget elementor-widget-text-editor\" data-id=\"90283e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Stwardnienie rozsiane (SM) jest chorob\u0105 neurologiczn\u0105 wp\u0142ywaj\u0105c\u0105 na nerwy w m\u00f3zgu i rdzeniu kr\u0119gowym. Choroba uszkadza os\u0142onk\u0119 mielinow\u0105, kt\u00f3ra stanowi pow\u0142ok\u0119 ochronn\u0105 otaczaj\u0105c\u0105 w\u0142\u00f3kna nerwowe w o\u015brodkowym uk\u0142adzie nerwowym (OUN). Dowiedz si\u0119 wi\u0119cej na temat objaw\u00f3w, czynnik\u00f3w ryzyka oraz sposob\u00f3w rozpoznawania i leczenia tej choroby.<\/p><p>Neuraxpharm dostarcza leki i rozwi\u0105zania , kt\u00f3re mo\u017cna stosowa\u0107 w leczeniu objaw\u00f3w zwi\u0105zanych ze stwardnieniem rozsianym. Po okre\u015bleniu przez lekarza specjalnych potrzeb pacjenta mo\u017ce on przepisa\u0107 produkt, kt\u00f3ry b\u0119dzie dla niego odpowiedni.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c27b39 no_in_this_section elementor-widget elementor-widget-heading\" data-id=\"7c27b39\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"> Co to jest stwardnienie rozsiane (SM)?\n\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9695e39 elementor-widget elementor-widget-text-editor\" data-id=\"9695e39\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Stwardnienie rozsiane (SM) jest przewlek\u0142ym (d\u0142ugotrwa\u0142ym) schorzeniem, kt\u00f3re powoduje uszkodzenie o\u015brodkowego uk\u0142adu nerwowego, w tym nerw\u00f3w w m\u00f3zgu, rdzenia kr\u0119gowego i nerw\u00f3w wzrokowych. U chorych na SM uk\u0142ad odporno\u015bciowy atakuje os\u0142onk\u0119 mielinow\u0105 (pow\u0142ok\u0119 ochronn\u0105 wok\u00f3\u0142 w\u0142\u00f3kien nerwowych). Uszkodzenie nerwu przerywa przep\u0142yw informacji z o\u015brodkowego uk\u0142adu nerwowego, powoduj\u0105c zmniejszenie lub utrat\u0119 funkcji cia\u0142a. SM powoduje wiele r\u00f3\u017cnych objaw\u00f3w, takich jak zm\u0119czenie, trudno\u015bci w chodzeniu, zaburzenia widzenia oraz problemy z my\u015bleniem i planowaniem.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e5b93b elementor-widget elementor-widget-heading\" data-id=\"6e5b93b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Jakie s\u0105 g\u0142\u00f3wne typy SM?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fb23c9f elementor-widget elementor-widget-text-editor\" data-id=\"fb23c9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Istniej\u0105 trzy g\u0142\u00f3wne typy stwardnienia rozsianego. Ich nazwy s\u0105 zwi\u0105zane z wp\u0142ywem choroby na organizm pacjenta obserwowanym w czasie:<\/p><p><b>Rzutowo-remisyjna posta\u0107 stwardnienia rozsianego (RRMS):<\/b> Wi\u0119kszo\u015b\u0107 os\u00f3b z rozpoznanym SM (85%) choruje na rzutowo-remisyjn\u0105 posta\u0107 stwardnienia rozsianego (RRMS), a pierwsze objawy choroby pojawiaj\u0105 si\u0119 u nich w wieku oko\u0142o 20 lat. U osoby z RRMS wyst\u0119puj\u0105 okresy, w kt\u00f3rych istniej\u0105ce lub nowe objawy ulegaj\u0105 zdecydowanemu nasileniu. Okres ten nazywamy rzutem (nawrotem) lub zaostrzeniem choroby. Rzuty cz\u0119sto pojawiaj\u0105 si\u0119 bez \u017cadnego ostrze\u017cenia, cho\u0107 mog\u0105 by\u0107 zwi\u0105zane ze stresem lub wyst\u0119powa\u0107 po przebytej chorobie. Objawy utrzymuj\u0105 si\u0119 zazwyczaj kilka dni lub tygodni, ust\u0119puj\u0105c powoli w podobnym czasie. Okres mi\u0119dzy atakami, kiedy objawy ust\u0119puj\u0105, nazywany jest remisj\u0105. W okresie remisji choroba jest jednak nadal aktywna, a uszkodzenie nerw\u00f3w mo\u017ce post\u0119powa\u0107. Po rozpoznaniu SM chory zazwyczaj od czasu do czasu do\u015bwiadcza nawrot\u00f3w, kt\u00f3re s\u0105 rozdzielone okresami remisji trwaj\u0105cymi kilka tygodni, miesi\u0119cy, a nawet lat.<\/p><p><b>Wt\u00f3rnie post\u0119puj\u0105ca posta\u0107 stwardnienia rozsianego (SPMS):<\/b> Bez leczenia u nawet 80% os\u00f3b z RRMS istnieje ryzyko przekszta\u0142cenia si\u0119 choroby w SPMS; jednak dzi\u0119ki leczeniu liczba ta jest znacznie mniejsza. Ca\u0142y proces przebiega powoli, zazwyczaj 10\u201315 lat. W tej fazie choroby nie obserwuje si\u0119 ju\u017c wcze\u015bniejszego schematu nawrot\u00f3w i nast\u0119puj\u0105cych po nich okres\u00f3w remisji. Niekt\u00f3re osoby mog\u0105 nadal do\u015bwiadcza\u0107 nawrot\u00f3w choroby, po kt\u00f3rych jednak nie obserwuje si\u0119 pe\u0142nego powrotu do zdrowia. W tej fazie choroby pewne objawy ulegaj\u0105 utrwaleniu. W SPMS objawy choroby stopniowo nasilaj\u0105 si\u0119 w czasie. SPMS zazwyczaj rozwija si\u0119 w przebiegu RRMS, chocia\u017c u niewielkiej liczby os\u00f3b t\u0119 posta\u0107 SM rozpoznaje si\u0119 w momencie zachorowania.<\/p><p><b>Pierwotnie post\u0119puj\u0105ca posta\u0107 stwardnienia rozsianego (PPMS):<\/b> PPMS wyst\u0119puje u oko\u0142o 15-20% os\u00f3b z SM. Objawy choroby nie wyst\u0119puj\u0105 w postaci rzut\u00f3w; zamiast tego stopniowo si\u0119 nasilaj\u0105 wraz z czasem trwania zaburzenia. T\u0119 posta\u0107 nazywa si\u0119 &#8222;pierwotnie post\u0119puj\u0105c\u0105&#8221;, poniewa\u017c post\u0119puje od pierwszych (pierwotnych) objaw\u00f3w choroby. U chorych nie rozpoznaje si\u0119 remisji, ale mog\u0105 wyst\u0119powa\u0107 d\u0142ugie okresy, kiedy nie stwierdza si\u0119 widocznych zmian, a stan zdrowia wydaje si\u0119 by\u0107 stabilny.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef9b9bc elementor-widget elementor-widget-heading\" data-id=\"ef9b9bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ile os\u00f3b choruje na SM?\n\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c90f4e elementor-widget elementor-widget-text-editor\" data-id=\"1c90f4e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Szacuje si\u0119, \u017ce na ca\u0142ym \u015bwiecie \u017cyje 2,1-2,2 miliona os\u00f3b z SM,, a choroba ta wyst\u0119puje oko\u0142o dwa do trzech razy cz\u0119\u015bciej u kobiet ni\u017c u m\u0119\u017cczyzn,.<\/p><p>Wed\u0142ug danych Europejskiej Platformy Stwardnienia Rozsianego (EMSP, European Multiple Sclerosis Platform), w ca\u0142ej Europie na SM choruje ponad 700 000 os\u00f3b. Oznacza to, \u017ce ponad milion os\u00f3b w ca\u0142ej UE, b\u0119d\u0105c opiekunem lub cz\u0142onkiem rodziny chorego, jest dotkni\u0119tych problemem SM.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e0c5f42 elementor-widget elementor-widget-heading\" data-id=\"e0c5f42\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Objawy\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf2b926 elementor-widget elementor-widget-text-editor\" data-id=\"cf2b926\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Ka\u017cdy do\u015bwiadcza SM w inny spos\u00f3b. Istnieje wiele objaw\u00f3w, kt\u00f3re u poszczeg\u00f3lnych os\u00f3b mog\u0105 si\u0119 r\u00f3\u017cni\u0107 i dotyczy\u0107 innych cz\u0119\u015bci cia\u0142a.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-63ceac9 elementor-widget elementor-widget-heading\" data-id=\"63ceac9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Jakie s\u0105 objawy SM?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e57465 lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"2e57465\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>SM mo\u017ce powodowa\u0107 wiele objaw\u00f3w, kt\u00f3re wyst\u0119puj\u0105 u chorych z r\u00f3\u017cn\u0105 cz\u0119sto\u015bci\u0105. Wczesne objawy odczuwane przez jednego chorego mog\u0105 nigdy nie wyst\u0105pi\u0107 u innej osoby.\u00a0<\/p><p>Do najcz\u0119\u015bciej wyst\u0119puj\u0105cych, pierwszych objaw\u00f3w zaliczamy:\u00a0<\/p><p>\u00a0<\/p><ul><li>zm\u0119czenie (oko\u0142o 80% os\u00f3b z SM odczuwa nadmierne zm\u0119czenie);).<\/li><li>potykanie si\u0119 z powodu problem\u00f3w z r\u00f3wnowag\u0105 lub koordynacj\u0105 n\u00f3g;\u00a0<\/li><li>uczucie dr\u0119twienia lub mrowienia sk\u00f3ry;\u00a0<\/li><li>zaburzenia poznawcze zwi\u0105zane z koncentracj\u0105, rozwi\u0105zywaniem problem\u00f3w i pami\u0119ci\u0105;<\/li><li>problemy ze wzrokiem, takie jak zamazane widzenie, martwe pola, drgawki lub b\u00f3l podczas ruch\u00f3w ga\u0142ek ocznych;\u00a0<\/li><\/ul><p>\u00a0<\/p><p>Poni\u017cej wymieniono inne objawy SM, kt\u00f3re wyst\u0119puj\u0105 raczej w p\u00f3\u017aniejszej fazie choroby.\u00a0<\/p><ul><li>trudno\u015bci z chodzeniem;\u00a0<\/li><li>uk\u0142adowe zawroty g\u0142owy z uczuciem wirowania;<\/li><li>nieuk\u0142adowe zawroty g\u0142owy z zaburzeniami r\u00f3wnowagi;<\/li><li>os\u0142abienie si\u0142y mi\u0119\u015bniowej;<\/li><li>spastyczno\u015b\u0107 (sztywno\u015b\u0107 mi\u0119\u015bni spowodowana d\u0142ugotrwa\u0142ymi skurczami);<\/li><\/ul><ul><li>trudno\u015bci z mow\u0105;<\/li><li>problemy z po\u0142ykaniem (dysfagia);<\/li><li>depresja i niepok\u00f3j;<\/li><li>zaburzenia czynno\u015bci p\u0119cherza moczowego;<\/li><li>zaburzenia pracy jelit;<\/li><li>problemy ze snem,<\/li><li>problemy seksualne;<\/li><li>B\u00f3l przewlek\u0142y<\/li><li>dr\u017cenie;<\/li><li>wra\u017cliwo\u015b\u0107 na temperatur\u0119;<\/li><li>problemy ze s\u0142uchem.\u00a0<\/li><\/ul><p>W zale\u017cno\u015bci od typu SM objawy choroby mog\u0105 pojawia\u0107 si\u0119 i ust\u0119powa\u0107 w postaci nawrot\u00f3w i stopniowo pogarsza\u0107 si\u0119 w czasie.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9bc1124 elementor-widget elementor-widget-heading\" data-id=\"9bc1124\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Jakie s\u0105 stadia SM?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-825b86d lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"825b86d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Obecnie nie ma metody, kt\u00f3ra pozwala\u0142aby przewidzie\u0107, jak SM b\u0119dzie post\u0119powa\u0107 u danej osoby. Poszczeg\u00f3lne objawy choroby mog\u0105 wyst\u0105pi\u0107 u r\u00f3\u017cnych os\u00f3b w innym czasie.<\/p><p>Mi\u0119dzynarodowy Komitet Doradczy ds. Bada\u0144 Klinicznych nad SM (International Advisory Committee on Clinical Trials of MS) podaje nast\u0119puj\u0105ce standardowe definicje czterech podstawowych postaci SM:<\/p><ul><li>rzutowo-remisyjna posta\u0107 stwardnienia rozsianego (RRMS);<\/li><li>wt\u00f3rnie post\u0119puj\u0105ca posta\u0107 stwardnienia rozsianego (SPMS);<\/li><li>pierwotnie post\u0119puj\u0105ca posta\u0107 stwardnienia rozsianego (PPMS);<\/li><li>post\u0119puj\u0105co-rzutowa posta\u0107 stwardnienia rozsianego (PRMS).<\/li><\/ul><p>Klinicznie izolowany zesp\u00f3\u0142 (CIS, clinically isolated syndrome) nie zosta\u0142 uwzgl\u0119dniony w pierwotnych definicjach klinicznych SM. Obecnie uznaje si\u0119 jednak, \u017ce jest to pierwszy epizod objaw\u00f3w neurologicznych, kt\u00f3re mog\u0105 wyst\u0105pi\u0107 u danej osoby, trwaj\u0105cy na og\u00f3\u0142 co najmniej 24 godziny. CIS mo\u017ce by\u0107 pierwszym sygna\u0142em wskazuj\u0105cym na to, \u017ce dana osoba mo\u017ce chorowa\u0107 na SM. Istnieje jednak grupa ludzi, kt\u00f3rzy nie nigdy nie do\u015bwiadcz\u0105 kolejnych objaw\u00f3w.<\/p><p>Badanie MR potwierdzi, czy w m\u00f3zgu lub rdzeniu kr\u0119gowym znajduj\u0105 si\u0119 jakiekolwiek zmiany (obszary uszkodze\u0144). Je\u015bli tak jest, szanse na wyst\u0105pienie kolejnych epizod\u00f3w choroby s\u0105 wi\u0119ksze, a rozpoznanie SM staje si\u0119 bardziej prawdopodobne.<\/p><p>Wyr\u00f3\u017cniamy r\u00f3wnie\u017c p\u00f3\u017ane (lub zaawansowane) stadium SM, kt\u00f3rego wi\u0119kszo\u015b\u0107 chorych jednak nigdy nie osi\u0105ga. Chory w zaawansowanym stadium SM mo\u017ce utraci\u0107 zdolno\u015b\u0107 chodzenia, a tak\u017ce do\u015bwiadczy\u0107 innych, zmieniaj\u0105cych \u017cycie objaw\u00f3w, takich jak utrata zdolno\u015bci m\u00f3wienia lub pisania. Osoby te mog\u0105 potrzebowa\u0107 specjalnej opieki i wsparcia w realizacji codziennych potrzeb.<\/p><p>W p\u00f3\u017anym lub zaawansowanym stadium choroby wiele objaw\u00f3w SM mo\u017ce wyst\u0119powa\u0107 jednocze\u015bnie, co przyczynia si\u0119 do znacznego upo\u015bledzenia sprawno\u015bci fizycznej. Objawy SM wyst\u0119puj\u0105ce w p\u00f3\u017anym stadium choroby obejmuj\u0105:<\/p><ul><li>trudno\u015bci z oddychaniem;<\/li><li>zwi\u0119kszon\u0105 podatno\u015b\u0107 na zaka\u017cenia uk\u0142adu oddechowego;<\/li><li>ci\u0119\u017ckie zaburzenia czynno\u015bci p\u0119cherza moczowego i pracy jelit;<\/li><li>trudno\u015bci w po\u0142ykaniu;<\/li><li>ryzyko tworzenia niebezpiecznych zakrzep\u00f3w krwi;<\/li><li>odle\u017cyny z powodu unieruchomienia;<\/li><li>nasilone spl\u0105tanie i zaburzenia orientacji;<\/li><li>nasilaj\u0105cy si\u0119 b\u00f3l;<\/li><li>spastyczno\u015b\u0107 i skurcze mi\u0119\u015bni;<\/li><li>brak koordynacji (ataksja).<\/li><\/ul><p>Wiele objaw\u00f3w obserwowanych w p\u00f3\u017anym stadium SM jest takich samych jak w innych postaciach choroby. W p\u00f3\u017anego stadium SM, w odr\u00f3\u017cnieniu od innych faz choroby, wiele objaw\u00f3w mo\u017ce wyst\u0119powa\u0107 r\u00f3wnocze\u015bnie, co utrudnia ich leczenie.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41a878b elementor-widget elementor-widget-heading\" data-id=\"41a878b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Przyczyny, czynniki ryzyka i oczekiwana d\u0142ugo\u015b\u0107 \u017cycia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2db641a elementor-widget elementor-widget-text-editor\" data-id=\"2db641a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Obecnie nie wiadomo, dlaczego u niekt\u00f3rych os\u00f3b rozwija si\u0119 SM. Chorob\u0119 prawdopodobnie wywo\u0142uje kombinacja czynnik\u00f3w genetycznych i \u015brodowiskowych.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-626958f elementor-widget elementor-widget-heading\" data-id=\"626958f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Co wywo\u0142uje stwardnienie rozsiane?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6c3e07 lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"f6c3e07\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>SM jest chorob\u0105 autoimmunologiczn\u0105, co oznacza, \u017ce uk\u0142ad odporno\u015bciowy organizmu atakuje w\u0142asne tkanki, myl\u0105c je z obcymi strukturami. Uk\u0142ad odporno\u015bciowy chorego na SM atakuje os\u0142onk\u0119 mielinow\u0105, kt\u00f3ra chroni i pokrywa w\u0142\u00f3kna nerwowe w m\u00f3zgu i rdzeniu kr\u0119gowym. W niewielkich fragmentach os\u0142onki mielinowej rozwija si\u0119 stan zapalny, co prowadzi do zak\u0142\u00f3cenia procesu przesy\u0142ania informacji wzd\u0142u\u017c nerw\u00f3w i jest odpowiedzialne za rozw\u00f3j oznak i objaw\u00f3w neurologicznych SM.<\/p><p>Do ko\u0144ca nie wiadomo, co sprawia, \u017ce uk\u0142ad odporno\u015bciowy atakuje w\u0142asn\u0105 os\u0142onk\u0119 mielinow\u0105. Istnieje jednak kilka czynnik\u00f3w, kt\u00f3re mog\u0105 odgrywa\u0107 rol\u0119 w rozwoju SM, a mianowicie:<\/p><ul><li><b>Genetyka:<\/b> ryzyko wyst\u0105pienia choroby jest wi\u0119ksze, je\u015bli bliski cz\u0142onek rodziny (na przyk\u0142ad rodzic lub rodze\u0144stwo) choruje na SM;<\/li><li><b>\u015arodowisko:<\/b> brak \u015bwiat\u0142a s\u0142onecznego i niski poziom witaminy D s\u0105 zwi\u0105zane z wi\u0119kszym ryzykiem zachorowania na SM;<\/li><li><b>Palenie tytoniu: <\/b>osoby pal\u0105ce maj\u0105 wi\u0119ksze ryzyko zachorowania na SM ni\u017c osoby niepal\u0105ce;<\/li><li><b>Masa cia\u0142a:<\/b> ludzie, kt\u00f3rzy byli otyli w wieku m\u0142odzie\u0144czym posiadaj\u0105 zwi\u0119kszone ryzyko rozwoju MS;<\/li><li><b>P\u0142e\u0107:<\/b> kobiety s\u0105 dwa do trzech razy bardziej nara\u017cone na rozw\u00f3j SM ni\u017c m\u0119\u017cczy\u017ani.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c86986 elementor-position-inline-start icon_mini_box elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"6c86986\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t Czy SM jest chorob\u0105 dziedziczn\u0105?\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tSM nie jest chorob\u0105 dziedziczon\u0105 bezpo\u015brednio z rodzica na dziecko. Je\u015bli jednak kto\u015b z rodze\u0144stwa choruje na SM, istnieje wi\u0119ksze ryzyko rozwoju tej choroby. Ryzyko to szacuje si\u0119 na oko\u0142o 2-4% w por\u00f3wnaniu z 0,2% w populacji og\u00f3lnej.\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71efd06 elementor-widget elementor-widget-heading\" data-id=\"71efd06\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Kto choruje na SM?\n\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d8a3d0 lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"9d8a3d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>SM nie jest chorob\u0105 zaka\u017an\u0105 ani dziedziczn\u0105. Naukowcy zidentyfikowali pewne czynniki, kt\u00f3re mog\u0105 odgrywa\u0107 rol\u0119 w rozwoju SM:<\/p><ul><li><b>P\u0142e\u0107:<\/b> kobiety s\u0105 bardziej nara\u017cone na rozw\u00f3j SM, co wskazuje tutaj na potencjaln\u0105 rol\u0119 hormon\u00f3w;<\/li><li><b>Wiek<\/b>: u wi\u0119kszo\u015bci os\u00f3b SM rozpoznaje si\u0119 mi\u0119dzy 20. a 40. rokiem \u017cycia, chocia\u017c choroba mo\u017ce wyst\u0119powa\u0107 r\u00f3wnie\u017c u dzieci i starszych doros\u0142ych;<\/li><li><b>Obszar geograficzny:<\/b> SM wyst\u0119puje cz\u0119\u015bciej w rejonach \u015bwiata najbardziej oddalonych od r\u00f3wnika;<\/li><li><b>Pochodzenie etniczne:<\/b> SM wyst\u0119puje w wi\u0119kszo\u015bci grup etnicznych, jednak najcz\u0119\u015bciej spotykane jest u os\u00f3b rasy bia\u0142ej pochodzenia p\u00f3\u0142nocnoeuropejskiego;<\/li><li><b>Zaka\u017cenia:<\/b> niekt\u00f3re zaka\u017cenia wirusowe mog\u0105 aktywowa\u0107 uk\u0142ad odporno\u015bciowy chorego, potencjalnie prowadz\u0105c do rozwoju SM. Aby ustali\u0107, czy wirusy przyczyniaj\u0105 si\u0119 do rozwoju SM, prowadzone s\u0105 badania nad kilkoma patogenami, w tym wirusem Epsteina-Barr i ludzkim wirusem opryszczki 6,.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b29ae2b elementor-widget elementor-widget-heading\" data-id=\"b29ae2b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Jak d\u0142ugo mo\u017cna \u017cy\u0107 z SM?\n\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f19e25b elementor-widget elementor-widget-text-editor\" data-id=\"f19e25b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>SM nie jest zazwyczaj chorob\u0105 \u015bmierteln\u0105, a przypadki zgonu z powodu samej choroby s\u0105 rzadkie. Niekt\u00f3re osoby staj\u0105 si\u0119 w czasie choroby niepe\u0142nosprawne, co sprawia, \u017ce s\u0105 bardziej podatne na powa\u017cne powik\u0142ania, kt\u00f3re mog\u0105 by\u0107 \u015bmiertelne.<\/p><p>\u015arednia d\u0142ugo\u015b\u0107 \u017cycia chorego na SM jest o oko\u0142o 5-10 lat kr\u00f3tsza ni\u017c osoby zdrowej, jednak w ostatnich latach r\u00f3\u017cnica w d\u0142ugo\u015bci \u017cycia znacznie si\u0119 zmniejszy\u0142a.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8d1d9d elementor-widget elementor-widget-heading\" data-id=\"a8d1d9d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Rozpoznanie\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3e3780c elementor-widget elementor-widget-text-editor\" data-id=\"3e3780c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Diagnostyka SM jest trudna. Jest to z\u0142o\u017cona choroba powoduj\u0105ca wiele r\u00f3\u017cnych objaw\u00f3w. Osoby z mo\u017cliwymi objawami SM powinny w pierwszej kolejno\u015bci skontaktowa\u0107 si\u0119 z lekarzem.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b344d44 elementor-widget elementor-widget-heading\" data-id=\"b344d44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Jak rozpoznaje si\u0119 SM?\n\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df939aa lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"df939aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>U poszczeg\u00f3lnych chorych wczesne oznaki i objawy SM mog\u0105 si\u0119 r\u00f3\u017cni\u0107, dlatego te\u017c dok\u0142adne okre\u015blenie momentu zachorowania jest trudne. Postawienie dok\u0142adnego rozpoznania mo\u017ce zaj\u0105\u0107 kilka miesi\u0119cy, poniewa\u017c lekarze musz\u0105 zbada\u0107 wszystkie mo\u017cliwe przyczyny objaw\u00f3w pacjenta, wykonuj\u0105c przy tym wiele r\u00f3\u017cnych bada\u0144.<\/p><p>Przy podejrzeniu SM lekarz kieruje pacjenta do neurologa &#8211; specjalisty od zaburze\u0144 dotycz\u0105cych o\u015brodkowego uk\u0142adu nerwowego &#8211; do dalszej oceny.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f877e6 elementor-widget elementor-widget-heading\" data-id=\"0f877e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Badania diagnostyczne SM\n\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c1ae2a lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"1c1ae2a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Nie ma jednego okre\u015blonego testu diagnostycznego SM. Zamiast tego lekarz przeprowadzi wst\u0119pn\u0105 ocen\u0119 pacjenta i mo\u017ce zleci\u0107 wykonanie bada\u0144 krwi, aby wykluczy\u0107 inne przyczyny objaw\u00f3w. Je\u015bli b\u0119dzie to konieczne, lekarz skieruje pacjenta do neurologa, aby poszerzy\u0107 diagnostyk\u0119.<\/p><p>Testy u\u017cywane przez neurolog\u00f3w w diagnostyce SM obejmuj\u0105:<\/p><ul><li><b>Badanie neurologiczne:<\/b> badanie fizykalne wykonywane w celu sprawdzenia wszystkich nieprawid\u0142owo\u015bci, zmian lub os\u0142abienia ruch\u00f3w ga\u0142ek ocznych i wzroku, si\u0142y mi\u0119\u015bniowej ko\u0144czyn g\u00f3rnych i dolnych, r\u00f3wnowagi, koordynacji, czucia, mowy i odruch\u00f3w.<\/li><li><b>Rezonans magnetyczny (MR): <\/b>badanie radiologiczne pozwalaj\u0105ce uzyska\u0107 szczeg\u00f3\u0142owy obraz wn\u0119trza m\u00f3zgu i rdzenia kr\u0119gowego. MR pozwala z du\u017c\u0105 dok\u0142adno\u015bci\u0105 potwierdzi\u0107 obecno\u015b\u0107 stanu zapalnego, uszkodzenia lub blizny (zmian).<\/li><li><b>Badanie potencja\u0142\u00f3w wywo\u0142anych:<\/b> istnieje kilka rodzaj\u00f3w badania potencja\u0142\u00f3w wywo\u0142anych, ale najcz\u0119stszy z nich ocenia czas, jaki m\u00f3zg potrzebuje na odebranie wiadomo\u015bci z ga\u0142ek ocznych. Jest to niebolesne badanie polegaj\u0105ce na monitorowaniu fal m\u00f3zgowych powstaj\u0105cych w odpowiedzi na wy\u015bwietlane na ekranie wzory\/symbole.<\/li><li><b>Nak\u0142ucie l\u0119d\u017awiowe<\/b>: procedura jest wykonywana w znieczuleniu miejscowym, aby pobra\u0107 niewielk\u0105 obj\u0119to\u015b\u0107 p\u0142ynu otaczaj\u0105cego m\u00f3zg i rdze\u0144 kr\u0119gowych przez ig\u0142\u0119 umieszczon\u0105 w dolnej cz\u0119\u015bci plec\u00f3w. Pr\u00f3bka p\u0142ynu jest nast\u0119pnie badana pod k\u0105tem obecno\u015bci kom\u00f3rek odporno\u015bciowych i przeciwcia\u0142; je\u015bli s\u0105 one obecne, rozpoznanie SM jest mo\u017cliwe. Nak\u0142ucie l\u0119d\u017awiowe jest bezpieczne, ale mo\u017ce powodowa\u0107 dyskomfort, a u niekt\u00f3rych os\u00f3b po zabiegu pojawia si\u0119 b\u00f3l g\u0142owy, kt\u00f3ry mo\u017ce utrzymywa\u0107 si\u0119 przez kilka dni.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d0b92d8 elementor-widget elementor-widget-heading\" data-id=\"d0b92d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Metody leczenia i leki\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-17aa45b elementor-widget elementor-widget-text-editor\" data-id=\"17aa45b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>SM jest chorob\u0105 nieuleczaln\u0105. Obecnie dost\u0119pne leczenie i leki pozwalaj\u0105 kontrolowa\u0107 objawy, zmniejszaj\u0105 liczb\u0119 rzut\u00f3w i spowalniaj\u0105 post\u0119p choroby.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fbf6b87 elementor-widget elementor-widget-heading\" data-id=\"fbf6b87\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Jak leczy si\u0119 SM?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5d2b43 elementor-widget elementor-widget-text-editor\" data-id=\"f5d2b43\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Leczenie SM zale\u017cy od pacjenta i objaw\u00f3w lub problem\u00f3w, kt\u00f3rych do\u015bwiadcza.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-569457e elementor-position-inline-start icon_mini_box lista_1 elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"569457e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tLeki\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tObecnie dost\u0119pnych jest wiele lek\u00f3w, kt\u00f3re spowalniaj\u0105 post\u0119p SM i \u0142agodz\u0105 objawy choroby.<br><\/br>\nOpcje leczenia mog\u0105 obejmowa\u0107:\n<br><\/br>\n<ul>\n<li>Kortykosteroidy (leki przeciwzapalne) stosowane w leczeniu nawrot\u00f3w choroby i w celu skr\u00f3cenia czasu powrotu do zdrowia.\n<\/li>\n<li>Specjalne leki \u0142agodz\u0105ce poszczeg\u00f3lne objawy SM; na przyk\u0142ad, leki zwiotczaj\u0105ce mi\u0119\u015bnie stosowane w przypadku sztywno\u015bci i skurcz\u00f3w mi\u0119\u015bni; leki przeciwb\u00f3lowe podawane na b\u00f3l neuropatyczny lub b\u00f3l staw\u00f3w, inhibitory fosfodiesterazy (PDE) stosowane na problemy seksualne i \u015brodki przeczyszczaj\u0105ce na problemy z prac\u0105 jelit.\n<\/li>\n<li>Terapie modyfikuj\u0105ce przebieg choroby (DMT, disease-modifying therapy), kt\u00f3re zmniejszaj\u0105 liczb\u0119 i nasilenie nawrot\u00f3w, a tak\u017ce pomagaj\u0105 spowolni\u0107 lub ograniczy\u0107 post\u0119p choroby.\n.<\/li>\n<\/ul>\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4444b8a elementor-position-inline-start icon_mini_box lista_1 elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"4444b8a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tTerapia\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tWiele os\u00f3b z SM korzysta z terapii, w tym terapii uzupe\u0142niaj\u0105cych, w celu opanowania objaw\u00f3w choroby i poprawy samopoczucia. Terapie mog\u0105 by\u0107 stosowane jako uzupe\u0142nienie konwencjonalnych metod leczenia, takich jak DMT.<br><\/br>\nDo terapii uzupe\u0142niaj\u0105cych zaliczamy:\n<br><\/br>\n<ul>\n<li><strong>Fizjoterapi\u0119:<\/strong> \u0107wiczenia rozci\u0105gaj\u0105ce i wzmacniaj\u0105ce dostosowane do konkretnych potrzeb i mo\u017cliwo\u015bci. Zaj\u0119cia z fizjoterapeut\u0105 mog\u0105 pom\u00f3c pacjentowi zmniejszy\u0107 sztywno\u015b\u0107 i skurcze mi\u0119\u015bni (spastyczno\u015b\u0107), z\u0142agodzi\u0107 b\u00f3l, poprawi\u0107 ruchomo\u015b\u0107, r\u00f3wnowag\u0119, postaw\u0119, ograniczy\u0107 wp\u0142yw zm\u0119czenia i zmniejszy\u0107 problemy z p\u0119cherzem moczowym.\n\n<\/li>\n<li><strong>Terapi\u0119 poznawczo-behawioraln\u0105 (CBT):<\/strong> pomaga w walce ze zm\u0119czeniem lub depresj\u0105.\n\n<\/li>\n<li><strong>Terapi\u0119 zaj\u0119ciow\u0105:<\/strong>  ocena domu pacjenta w celu dostosowania otoczenia do potrzeb pacjenta i zaproponowania sprz\u0119tu, kt\u00f3ry mo\u017ce pom\u00f3c w realizacji codziennych czynno\u015bci.\n\n.<\/li>\n<li><strong>Psychologi\u0119 kliniczn\u0105:<\/strong> dla pacjent\u00f3w z problemami zwi\u0105zanymi z my\u015bleniem, uczeniem si\u0119 i pami\u0119ci\u0105 lub trudno\u015bciami emocjonalnymi. Psycholog kliniczny oceni problemy i zaproponuje sposoby radzenia sobie z nimi.\n\n\n<\/li>\n\n<li><strong>Terapi\u0119 dla par lub zaj\u0119cia z seksuologiem: <\/strong>porady dla os\u00f3b do\u015bwiadczaj\u0105cych problem\u00f3w seksualnych.\n\n<\/li>\n<li><strong>Zaj\u0119cia z terapeut\u0105 mowy i j\u0119zyka:<\/strong>mo\u017ce pom\u00f3c osobom z SM w znalezieniu sposob\u00f3w na przezwyci\u0119\u017cenie problem\u00f3w z mow\u0105 i po\u0142ykaniem.\n\n<\/li>\n<li><strong>Terapie uzupe\u0142niaj\u0105ce: <\/strong>niekt\u00f3rzy ludzie uwa\u017caj\u0105, \u017ce w post\u0119powaniu z pacjentem pomocne mog\u0105 by\u0107 terapie uzupe\u0142niaj\u0105ce, takie jak refleksologia, masa\u017c, joga, techniki relaksacyjne, medytacja, aromaterapia i akupunktura.\n\n<\/li>\n<\/ul>\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-65d8406 elementor-position-inline-start icon_mini_box elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"65d8406\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tInne rodzaje pomocy\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tDla osoby chorej na SM wa\u017cny jest regularny kontakt z zespo\u0142em prowadz\u0105cym leczenie. Ponadto pacjenci wymagaj\u0105 kompleksowej oceny potrzeb w zakresie opieki i wsparcia, kt\u00f3r\u0105 nale\u017cy wykonywa\u0107 co najmniej raz w roku. Dzi\u0119ki temu wszelkie nowe objawy i problemy s\u0105 rozwi\u0105zywane, pacjenci maj\u0105 dost\u0119p do potrzebnych im pomocy fizycznych, psychologicznych i emocjonalnych, a tak\u017ce s\u0105 informowani o nowych opcjach leczenia.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-24d46f4 elementor-position-inline-start icon_mini_box lista_1 elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"24d46f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tDieta\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tDotychczas nie opracowano diety, kt\u00f3ra pomog\u0142aby spowolni\u0107 post\u0119p SM. Mimo to chorym zaleca si\u0119 stosowanie zdrowej, zr\u00f3wnowa\u017conej diety. Z dost\u0119pnych bada\u0144 wynika, \u017ce stosowanie zdrowej diety mo\u017ce pom\u00f3c osobom z SM poprawi\u0107 stan fizyczny i psychiczny. W\u0142a\u015bciwa dieta mo\u017ce r\u00f3wnie\u017c pom\u00f3c z\u0142agodzi\u0107 objawy stwardnienia rozsianego, takie jak zaparcia i zm\u0119czenie.\n\n\n<br><\/br>\nZdrowa, zbilansowana dieta powinna zawiera\u0107 r\u00f3\u017cnorodne produkty spo\u017cywcze, w tym:\n\n\n<br><\/br>\n<ul>\n<li>\u015bwie\u017ce owoce i warzywa,\n<\/li>\n<li>chude bia\u0142ko,\n\n<\/li>\n<li>niskot\u0142uszczowy nabia\u0142 lub jego zamienniki (np. soja),\n<\/li>\n<li>ryby bogate w kwasy t\u0142uszczowe omega-3 i witamin\u0119 D (np. \u0142oso\u015b, tu\u0144czyk, makrela),<\/li>\n<li>pe\u0142ne ziarna,\n<\/li>\n<li>zdrowe t\u0142uszcze (np. oliwa z oliwek, olej kokosowy, awokado),\n<\/li>\n<li>fasol\u0119, ro\u015bliny str\u0105czkowe, orzechy i nasiona.\n\n<\/li>\n\n\n<\/ul>\n\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-944ddb5 elementor-position-inline-start icon_mini_box lista_1 elementor-view-default elementor-mobile-position-block-start elementor-widget elementor-widget-icon-box\" data-id=\"944ddb5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-square\"><\/i>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h4 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\t\u0106wiczenia fizyczne\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tRegularne \u0107wiczenia s\u0105 wa\u017cne dla og\u00f3lnego stanu zdrowia i sprawno\u015bci fizycznej. Badania wykazuj\u0105, \u017ce u os\u00f3b z \u0142agodn\u0105 lub umiarkowan\u0105 niesprawno\u015bci\u0105 spowodowan\u0105 SM, trening fizyczny jest skuteczny w poprawie zar\u00f3wno wydolno\u015bci aerobowej jak i zwi\u0119kszeniu si\u0142y mi\u0119\u015bniowej. Mo\u017ce r\u00f3wnie\u017c zwi\u0119kszy\u0107 ruchomo\u015b\u0107, ograniczy\u0107 zm\u0119czenie i poprawi\u0107 jako\u015b\u0107 \u017cycia zwi\u0105zan\u0105 ze stanem zdrowia.\n\n\n<br><br>\nLudzie regularnie wykonuj\u0105cy \u0107wiczenia aerobowe odnosz\u0105 korzy\u015bci w postaci:\n\n<br><br>\n<ul>\n<li>lepszej sprawno\u015bci uk\u0142adu kr\u0105\u017cenia,\n<\/li>\n<li>zwi\u0119kszonej wytrzyma\u0142o\u015bci,\n<\/li>\n<li>poprawy czynno\u015bci p\u0119cherza moczowego i pracy jelit,\n<\/li>\n<li>mniejszego wp\u0142ywu zm\u0119czenia i objaw\u00f3w depresyjnych,\n<\/li>\n<li>pozytywniejszego nastawienia,\n<\/li>\n<li>zwi\u0119kszonego udzia\u0142u w aktywno\u015bciach spo\u0142ecznych.\n<\/li>\n<\/ul>\n\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7892a00 elementor-widget elementor-widget-heading\" data-id=\"7892a00\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Zapobieganie\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37613c2 elementor-widget elementor-widget-text-editor\" data-id=\"37613c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Obecnie nie ma sprawdzonego sposobu pozwalaj\u0105cego zapobiec rozwojowi SM lub wyleczy\u0107 chorob\u0119.<\/p><p>Eksperci s\u0105 przekonani, \u017ce do rozwoju SM przyczynia si\u0119 po\u0142\u0105czenie czynnik\u00f3w genetycznych i \u015brodowiskowych. Lepsze zrozumienie tych czynnik\u00f3w mo\u017ce otworzy\u0107 drog\u0119 do znalezienia metod zapobiegania i skutecznych opcji leczenia w przysz\u0142o\u015bci.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe8b5d9 elementor-widget elementor-widget-heading\" data-id=\"fe8b5d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Badania naukowe\n\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c864e64 lista_1 elementor-widget elementor-widget-text-editor\" data-id=\"c864e64\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Chocia\u017c naukowcom nie uda\u0142o si\u0119 jeszcze zidentyfikowa\u0107 przyczyny stwardnienia rozsianego ani pozna\u0107 sposob\u00f3w zapobiegania rozwojowi choroby, obserwujemy znacz\u0105cy post\u0119p w zakresie diagnostyki, leczenia i wsparcia chorych.<\/p><p>Wiele lat bada\u0144 nad SM oraz czynno\u015bci\u0105 uk\u0142adu odporno\u015bciowego i nerwowego stworzy\u0142o solidne podstawy do dalszego rozwoju naukowego. Znaczne inwestycje w badania nad SM zaowocowa\u0142y:<\/p><ul><li>Nowymi lekami zatwierdzonymi specjalnie do leczenia i walki z SM;<\/li><li>Przyspieszeniem diagnostyki SM umo\u017cliwiaj\u0105cej dost\u0119p do skuteczniejszego leczenia spowalniaj\u0105cego post\u0119p choroby;<\/li><li>Zwi\u0119kszeniem \u015bwiadomo\u015bci na temat objaw\u00f3w SM i metod ich \u0142agodzenia;<\/li><li>Prze\u0142omem w okre\u015bleniu czynnik\u00f3w ryzyka potencjalnie zwi\u0119kszaj\u0105cych podatno\u015b\u0107 na zachorowanie na SM, co pomo\u017ce znale\u017a\u0107 sposoby zapobiegania chorobie.<\/li><\/ul><p>Nowe odkrycia nieustannie zmieniaj\u0105 opcje leczenia SM, pomagaj\u0105c ograniczy\u0107 wp\u0142yw zwi\u0105zanej z t\u0105 chorob\u0105 niesprawno\u015bci.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eecf57a elementor-widget elementor-widget-heading\" data-id=\"eecf57a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Przypisy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1fffd56 elementor-widget elementor-widget-text-editor\" data-id=\"1fffd56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li>\u00a0Goldenberg MM. Multiple sclerosis review. <i>P T.<\/i> 2012;37(3):175-184.<\/li><li>What determines conversion to secondary progression MS? MS Research Australia website. Published September 2019. Accessed February 2021. <a href=\"https:\/\/msra.org.au\/news\/conversion-to-secondary-progressive-ms\/\" target=\"_blank\" rel=\"noopener\">https:\/\/msra.org.au\/news\/conversion-to-secondary-progressive-ms\/<\/a><\/li><li>Jonkman LE, Rosenthal DM, Sormani MP, et al. Gray Matter Correlates of Cognitive Performance Differ between Relapsing-Remitting and Primary-Progressive Multiple Sclerosis. <i>PLoS One.<\/i> 2015;10(10):e0129380. Published 2015 Oct 20. doi:10.1371\/journal.pone.0129380<\/li><li>\u00a0O&#8217;Sullivan SB, Schmitz TJ, Fulk GD Physical Rehabilitation, 6th edition. <i>Faculty Bookshelf<\/i>. 2014;85. <a href=\"https:\/\/hsrc.himmelfarb.gwu.edu\/books\/85\" target=\"_blank\" rel=\"noopener\">https:\/\/hsrc.himmelfarb.gwu.edu\/books\/85<\/a><\/li><li>\u00a0GBD 2016 Multiple Sclerosis Collaborators. Global, regional, and national burden of multiple sclerosis 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016.\u00a0<i>Lancet Neurol<\/i>. 2019;18(3):269-285. doi:10.1016\/S1474-4422(18)30443-5<\/li><li>\u00a0Wallin MT, Culpepper WJ, Campbell JD et al. The prevalence of MS in the United States: A population-based estimate using health claims data. <i>Neurology<\/i> Mar 2019; 92 (10) e1029-e1040; DOI: 10.1212\/WNL.0000000000007035<\/li><li>\u00a0Gilmour H, Ramage-Morin PL, Wong SL. Multiple sclerosis: Prevalence and impact.\u00a0<i>Health Rep<\/i>. 2018;29(1):3-8.<\/li><li>\u00a0Living with multiple sclerosis in Europe. European Multiple Sclerosis Platform. Accessed March 2021. <a href=\"http:\/\/www.underpressureproject.eu\/web\/living-with-ms-in-europe\" target=\"_blank\" rel=\"noopener\">http:\/\/www.underpressureproject.eu\/web\/living-with-ms-in-europe<\/a><\/li><li>MS symptoms. National Multiple Sclerosis Society website. Accessed January 2021. <a href=\"https:\/\/www.nationalmssociety.org\/Symptoms-Diagnosis\/MS-Symptoms\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nationalmssociety.org\/Symptoms-Diagnosis\/MS-Symptoms<\/a>.<\/li><li>\u00a0Lublin FD, Reingold SC, Cohen JA, et al. Defining the clinical course of multiple sclerosis: the 2013 revisions. <i>Neurology<\/i>. 2014;83(3):278-286. doi:10.1212\/WNL.<\/li><li>\u00a0Miller D, Barkhof F, Montalban X, Thompson\u00a0A,\u00a0Filippi\u00a0M.\u00a0Clinically isolated syndromes suggestive of multiple sclerosis, part I: natural history, pathogenesis, diagnosis, and prognosis.\u00a0<i>Lancet Neurol<\/i>\u00a02005;4:281\u2013288.<\/li><li>\u00a0Arneth B. Multiple Sclerosis and Smoking.\u00a0<i>Am J Med<\/i>. 2020;133(7):783-788. doi:10.1016\/j.amjmed.2020.03.<\/li><li>\u00a0Sadovnick AD, Baird PA. The familial nature of multiple sclerosis: age-corrected empiric recurrence risks for children and siblings of patients. <i>Neurology<\/i>. 1988;38(6):990-991. doi:10.1212\/wnl.38.6.990<\/li><li>\u00a0Tarlinton RE, Martynova E, Rizvanov AA, Khaiboullina S, Verma S. Role of Viruses in the Pathogenesis of Multiple Sclerosis.\u00a0<i>Viruses<\/i>. 2020;12(6):643. doi:10.3390\/v12060643.<\/li><li>\u00a0Tselis A. Epstein-Barr virus cause of multiple sclerosis.\u00a0<i>Curr Opin Rheumatol<\/i>. 2012;24(4):424-428. doi:10.1097\/BOR.0b013e3283542cf8.<\/li><li>\u00a0Hadgkiss EJ, Jelinek GA, Weiland TJ, Pereira NG, Marck CH, van der Meer DM. The association of diet with quality of life, disability, and relapse rate in an international sample of people with multiple sclerosis. <i>Nutr Neurosci<\/i>. 2015;18(3):125-36. doi:10.1179\/1476830514Y.0000000117.<\/li><li>\u00a0Latimer-Cheung AE, Pilutti LA, Hicks AL, et al. Effects of exercise training on fitness, mobility, fatigue, and health-related quality of life among adults with multiple sclerosis: a systematic review to inform guideline development.\u00a0<i>Arch Phys Med Rehabil<\/i>. 2013;94(9):1800-1828.e3. doi:10.1016\/j.apmr.2013.04.020.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c55bb2f elementor-widget elementor-widget-spacer\" data-id=\"c55bb2f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6166b89 stop-sticky elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6166b89\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;efcf18a&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-29241b4\" data-id=\"29241b4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e7098f8 elementor-widget elementor-widget-heading\" data-id=\"e7098f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Mo\u017ce zainteresuje Ci\u0119...<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0cc8899\" data-id=\"0cc8899\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7178ac3 elementor-icon-list--layout-inline elementor-align-end read_more_reverse elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"7178ac3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.neuraxpharm.com\/pl\/blog\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-chevron-right\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Przejd\u017a do bloga Neuraxpharm<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6fe4344 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6fe4344\" data-element_type=\"section\" data-e-type=\"section\" id=\"list blog\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;_id&quot;:&quot;426e004&quot;,&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:&quot;1&quot;,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t\t\t<div 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class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0d93a1f\" data-id=\"0d93a1f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-037f64f blog-category elementor-widget elementor-widget-jet-listing-grid\" data-id=\"037f64f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;columns&quot;:3,&quot;columns_tablet&quot;:&quot;2&quot;,&quot;columns_mobile&quot;:&quot;1&quot;}\" data-widget_type=\"jet-listing-grid.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"jet-listing-notice\">Please select another listing to show to avoid recursion.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div><style>.elementor-22519 .elementor-element.elementor-element-dd8561e .elementor-repeater-item-7a0f9f5.jet-parallax-section__layout .jet-parallax-section__image{background-size:auto;}.elementor-22519 .elementor-element.elementor-element-0d93a1f > .elementor-element-populated{text-align:start;padding:0px 0px 0px 0px;}.elementor-22519 .elementor-element.elementor-element-037f64f > .elementor-widget-container > .jet-listing-grid > .jet-listing-grid__items, .elementor-22519 .elementor-element.elementor-element-037f64f > .jet-listing-grid > .jet-listing-grid__items{--columns:3;}:root{--page-title-display:none;}@media(max-width:1024px){.elementor-22519 .elementor-element.elementor-element-037f64f > .elementor-widget-container > .jet-listing-grid > .jet-listing-grid__items, .elementor-22519 .elementor-element.elementor-element-037f64f > 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