{"id":1767,"date":"2025-06-03T12:53:09","date_gmt":"2025-06-03T10:53:09","guid":{"rendered":"https:\/\/prueba.esclerosismultiplegalicia.org\/?page_id=1767"},"modified":"2025-10-24T12:09:49","modified_gmt":"2025-10-24T10:09:49","slug":"que-e-a-em","status":"publish","type":"page","link":"https:\/\/esclerosismultiplegalicia.org\/index.php\/que-e-a-em\/","title":{"rendered":"Que \u00e9 a EM"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1767\" class=\"elementor elementor-1767\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2d0e35c e-flex e-con-boxed e-con e-parent\" data-id=\"2d0e35c\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1349ec7 elementor-widget elementor-widget-spacer\" data-id=\"1349ec7\" data-element_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-7ea0168 elementor-widget elementor-widget-heading\" data-id=\"7ea0168\" data-element_type=\"widget\" data-widget_type=\"heading.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\">Que \u00e9 a EM?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-44a7e08 elementor-widget elementor-widget-heading\" data-id=\"44a7e08\" data-element_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\">A Esclerose M\u00faltiple (EM) \u00e9 unha enfermidade  autoinmune, neurodexenerativa e cr\u00f3nica do sistema nervioso central que afecta \u00e1 mielina e ten unha gran variedade de s\u00edntomas, polo que tam\u00e9n recibe o nome de \"a enfermidade das mil caras\".<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d695fe4 elementor-widget elementor-widget-spacer\" data-id=\"d695fe4\" data-element_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\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-88c042b e-flex e-con-boxed e-con e-parent\" data-id=\"88c042b\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5059714 elementor-widget elementor-widget-spacer\" data-id=\"5059714\" data-element_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-0a8d040 elementor-widget elementor-widget-n-accordion\" data-id=\"0a8d040\" data-element_type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1100\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1100\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h4 class=\"e-n-accordion-item-title-text\"> A Esclerose M\u00faltiple (EM) <\/h4><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1100\" class=\"elementor-element elementor-element-a3697ad e-flex e-con-boxed e-con e-child\" data-id=\"a3697ad\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1100\" class=\"elementor-element elementor-element-0e6da17 e-flex e-con-boxed e-con e-child\" data-id=\"0e6da17\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fd82d9b elementor-widget elementor-widget-text-editor\" data-id=\"fd82d9b\" data-element_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>A Esclerose M\u00faltiple (EM) \u00e9 unha enfermidade neurodexenerativa que afecta ao sistema nervioso central, formado polo cerebro e a m\u00e9dula espi\u00f1al. Ademais, \u00e9 unha enfermidade cr\u00f3nica e autoinmune.<\/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-75cd04a elementor-widget elementor-widget-heading\" data-id=\"75cd04a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como funciona?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49ea712 elementor-widget elementor-widget-text-editor\" data-id=\"49ea712\" data-element_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>No SNC hai unha substancia denominada <strong>mielina <\/strong>que protexe as fibras nerviosas e facilita a conduci\u00f3n dos impulsos el\u00e9ctricos entre as fibras nerviosas. Isto axuda a que as mensaxes que env\u00eda o cerebro ao resto do corpo se transmitan rapidamente. O <strong>sistema inmunol\u00f3xico<\/strong> habitualmente ataca as infecci\u00f3ns pero, na EM, este confunde a mielina cun corpo estra\u00f1o e at\u00e1caa. Estes ataques provocan a desaparici\u00f3n da mielina en determiandas \u00e1reas deixando cicatrices que se co\u00f1ecen tam\u00e9n como <strong>placas de desmielinizaci\u00f3n<\/strong>. Estas cicatrices fan que as mensaxes do cerebro vaian m\u00e1is lentas, se distorsionen ou non cheguen ao resto do corpo.\u00a0<\/p><p>Ademais de danar a mielina, a EM pode chegar a danar as <strong>fibras nerviosas<\/strong> (os ax\u00f3ns), que \u00e9 o que provoca o aumento da discapacidadeque pode ocorrer ao longo do tempo. Dado que os nervios se extenden por todo o corpo, a EM pode manifestarse de moitas formas diferentes dependendo da persoa (\u00e9 dicir, \u00e9 heterox\u00e9nea). Por isto recibe o nome da<strong> &#8220;enfermidade das mil caras&#8221;<\/strong>.\u00a0<\/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-e19e6a6 elementor-widget elementor-widget-heading\" data-id=\"e19e6a6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">As causas<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e2b207 elementor-widget elementor-widget-text-editor\" data-id=\"7e2b207\" data-element_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>A d\u00eda de hoxe non se co\u00f1ece a causa da EM, polo que <strong>a\u00ednda non hai unha cura para ela<\/strong>. Pero si hai <strong>tratamentos<\/strong> farmacol\u00f3xicos e rehabilitadores que poden modificar o curso da mesma e que melloran a calidade de vida das persoas que conviven con esta enfermidade. A\u00ednda que non se co\u00f1ece a causa, hai certa <strong>predisposici\u00f3n xen\u00e9tica<\/strong> e determinados <strong>factores ambientais<\/strong> que poden facela m\u00e1is habitual. A pesares de non co\u00f1ecer a cura, hai aspectos modificables que poden mellorar a calidade de vida.<\/p><p>Non \u00e9 unha enfermidade hereditaria, pero a <strong>probabilidade<\/strong> de ter EM aumenta lixeiramente (2%) se un dos proxenitores a ten. Tam\u00e9n aumenta entre un 3% e un 4% cando un\/ha irm\u00e1n ten EM, e un 30-40% en caso de xemelgos\/as. P\u00f3dense dar varios casos nunha mesma familia, pero non \u00e9 o m\u00e1is habitual. Os <strong>factores ambientais<\/strong> que poden influir na aparici\u00f3n da EM e no seu desenvolvemento e progn\u00f3stico son alg\u00fans como a latitude xeogr\u00e1fica, alg\u00fans virus infecciosos, a falta de vitamina D, a microbiota intestinal ou o estilo de vida.\u00a0<\/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-702ecea elementor-widget elementor-widget-heading\" data-id=\"702ecea\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">A quen afecta<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f937dba elementor-widget elementor-widget-text-editor\" data-id=\"f937dba\" data-element_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>A maior\u00eda dos casos diagnost\u00edcanse entre os<strong> 20 e os 40 anos<\/strong>, e fundamentalmente a <strong>mulleres<\/strong>. \u00c9 m\u00e1is com\u00fan en zonas fr\u00edas do planeta afastadas do Ecuador.<\/p><p>Segundo o <a href=\"https:\/\/atlasofms.org\/map\/global\/epidemiology\/number-of-people-with-ms\"><strong>Atlas Mundial de EM<\/strong><\/a>, aproximadamente hai<strong> 2.900.000<\/strong> persoas con EM diagnosticadas no mundo, das que arredor de 1.200.000 est\u00e1n en Europa (\u00e9 dicir, un <strong>41,4% dos casos est\u00e1n en Europa<\/strong>). En Espa\u00f1a, segundo a <a href=\"https:\/\/www.immedicohospitalario.es\/noticia\/51308\/la-esclerosis-multiple-suma-3000-nuevos-casos-cada-ano-especialmen.html\">revista IMM\u00e9dico<\/a>, hai sobre unhas <strong>68.000 persoas<\/strong> diagnosticadas e, destas, un 6,6% est\u00e1n en Galicia. A s\u00faa prevalencia en Espa\u00f1a \u00e9 de 130 casos por cada 100.000 habitantes. Cada ano diagnost\u00edcanse preto de <strong>3.000 novos casos<\/strong>.\u00a0<\/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-74067cf elementor-widget elementor-widget-heading\" data-id=\"74067cf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Tipos de EM<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b507f01 elementor-widget elementor-widget-text-editor\" data-id=\"b507f01\" data-element_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>Na EM dist\u00ednguense <strong>catro tipos<\/strong> segundo a evoluci\u00f3n dos s\u00edntomas, que serven para comprender mellor a enfermidade. Non obstante, non son compartimentos estancos e cada experiencia \u00e9 \u00fanica, poidendo non encaixar nunha \u00fanica categor\u00eda. Os tipos son os seguintes:<\/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-66fd7e8 elementor-widget elementor-widget-heading\" data-id=\"66fd7e8\" data-element_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\">S\u00edndrome clinicamente illado (SCA)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d32f74 elementor-widget elementor-widget-text-editor\" data-id=\"3d32f74\" data-element_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 class=\"\" data-start=\"1204\" data-end=\"1524\">O S\u00edndrome clinicamente illado (SCA) \u00e9, moitas veces, a <strong>primeira pista de que alg\u00faen poder\u00eda ter EM<\/strong>. \u00c9 un primeiro episodio de s\u00edntomas que afectan ao SNC (problemas de visi\u00f3n, perda de forza, formigueos&#8230;). Este episodio non chega por si s\u00f3 para confirmar que unha persoa ten EM. Hai quen s\u00f3 o ten unha vez e non volve ter s\u00edntomas, e quen ten m\u00e1is probabilidades de desenvolver EM (sobre todo se aparecen lesi\u00f3ns na resonancia magn\u00e9tica ou se hai cambios no l\u00edquido cefalorraqu\u00eddeo). Por isto, nalg\u00fans casos recom\u00e9ndase <strong>iniciar o tratamento antes de confirmar o diagn\u00f3stico<\/strong>, xa que est\u00e1 demostrado que o tratamento precoz pode retrasar a aparici\u00f3n de novos brotes.<\/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-b41e4cf elementor-widget elementor-widget-heading\" data-id=\"b41e4cf\" data-element_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\">EM Remitente-Recorrente (EMRR)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7744e5c elementor-widget elementor-widget-text-editor\" data-id=\"7744e5c\" data-element_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 class=\"\" data-start=\"2084\" data-end=\"2476\">A EM Remitente-Recorrente \u00e9 a <strong>forma m\u00e1is com\u00fan<\/strong> de EM e afecta ao <strong>85% das persoas diagnosticadas<\/strong>. Aparecen <strong>brotes<\/strong> (tam\u00e9n chamados reca\u00eddas), que son periodos nos que xorden s\u00edntomas novos ou empeoran os que xa hab\u00eda. Despois, chega unha <strong>remisi\u00f3n<\/strong>, que \u00e9 unha fase na que os s\u00edntomas melloran ou mesmo desaparecen durante un tempo. Durante esta fase de remisi\u00f3n, moitas persoas experimentan certa <strong>estabilidade<\/strong>, e incluso poden notar mellor\u00eda. Non obstante, co tempo, a acumulaci\u00f3n de lesi\u00f3ns pode dificultar que o SNC se recupere por completo, o que aumenta a posibilidade de que alg\u00fans s\u00edntomas se mante\u00f1an de forma m\u00e1is persistente.<\/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-73fb6d0 elementor-widget elementor-widget-heading\" data-id=\"73fb6d0\" data-element_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\">EM Secundaria Progresiva (EMSP)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67f7850 elementor-widget elementor-widget-text-editor\" data-id=\"67f7850\" data-element_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 class=\"\" data-start=\"2861\" data-end=\"3161\">A EMSP \u00e9 un tipo de EM no que a enfermidade<strong> vai avanzando de forma m\u00e1is continua<\/strong> co paso do tempo. Entre un 30% e un 50% das persoas que ao comezo te\u00f1en EMRR pasan a esta forma progresiva. Isto pode ocorrer de media entre <strong>10 e 20 anos despois do diagn\u00f3stico inicial<\/strong>, pero cada persoa \u00e9 distinta. Nesta forma, os s\u00edntomas empeoran de forma m\u00e1is constante, pero a\u00ednda poden aparecer <strong>brotes<\/strong>. Pode ser <strong>activa<\/strong> se hai novos brotes ou se as probas mostran novas lesi\u00f3ns, ou <strong>non activa<\/strong> se non hai sinais recentes de actividade. Ademais, f\u00e1lase de se hai ou non hai <strong>progresi\u00f3n<\/strong> segundo se a discapacidade neurol\u00f3xica aumenta ou non co tempo. Nesta forma, os danos xa non son debidos \u00e1 inflamaci\u00f3n, sen\u00f3n \u00e1 neurodexeneraci\u00f3n.<\/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-76e07c2 elementor-widget elementor-widget-heading\" data-id=\"76e07c2\" data-element_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\">EM Primaria Progresiva (EMPP)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1379f7c elementor-widget elementor-widget-text-editor\" data-id=\"1379f7c\" data-element_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>A EMPP afecta a entre o <strong>10% e o 15% das persoas diagnosticadas<\/strong> con EM. Nesta forma <strong>non hai brotes<\/strong> dende o inicio. No seu lugar, os <strong>s\u00edntomas empeoran de forma progresiva<\/strong> dende os primeiros sinais da enfermidade. A progresi\u00f3n non \u00e9 sempre igual, xa que pode haber periodos de estabilidade. Tam\u00e9n pode haber fases nas que o empeoramento \u00e9 m\u00e1is r\u00e1pido. En ocasi\u00f3ns, as probas de imaxe detectan <strong>signos de actividade<\/strong>, o que axuda a adaptar o tratamento e o seguimento. Como en todos os tipos de EM, cada persoa vive o seu proceso de forma distinta. A s\u00faa idade de comezo \u00e9 entre os <strong>35 e os 40 anos<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1101\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1101\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h4 class=\"e-n-accordion-item-title-text\"> S\u00edntomas <\/h4><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1101\" class=\"elementor-element elementor-element-f829cdd e-flex e-con-boxed e-con e-child\" data-id=\"f829cdd\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fab3d2 elementor-widget elementor-widget-text-editor\" data-id=\"1fab3d2\" data-element_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>A EM pode manifestarse de formas moi diversas, por iso recibe o nome da &#8220;enfermidade das mil caras&#8221;. Os <strong>s\u00edntomas<\/strong> desta enfermidade son atribuibles a calqueira lesi\u00f3n no SNC, xa que estas poden producirse en calqueira localizaci\u00f3n da substancia branca ou gris e deberse aos mecanismos inflamatorios e neurodexenerativos implicados na EM. Poden ser dificultades motoras, de visi\u00f3n, depresi\u00f3n, ansiedade, dor, epasticidade, problemas intestinais, de vexiga&#8230;<\/p><p>Os s\u00edntomas <strong>var\u00edan en cada persoa<\/strong> debido a que a localizaci\u00f3n e a magnitude de cada brote pode ser diferente. Alg\u00fans s\u00edntomas que se presentan poden ser <strong>invisibles<\/strong>, pero outros poden ser m\u00e1is evidentes. Poden durar d\u00edas, semanas ou meses, e adoitan ir seguidos de <strong>remisi\u00f3ns<\/strong>. Hai s\u00edntomas que se repiten con m\u00e1is frecuencia entre as persoas afectadas. As\u00ed, os s\u00edntomas <b>sensitivos <\/b>da EM (formigueos, adormecemento, dor&#8230;) e os <b>visuais <\/b>son os s\u00edntomas m\u00e1is frecuentes, especialmente na fase inicial, afectando a un 50-53% das persoas.<\/p><p>Na EM avanzada ou progresiva adoitan darse m\u00e1is <strong>s\u00edntomas motores<\/strong> (40-45% dos casos) que principalmente manif\u00e9stanse en forma de debilidade e\/ou rixidez muscular. Outros s\u00edntomas frecuentes son os <strong>cerebelosos<\/strong> (20-25%), como inestabilidade na marcha, e os <strong>trastornos esfinterianos<\/strong>\u00a0(10-13%) con trastornos de micci\u00f3n.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1102\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1102\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h4 class=\"e-n-accordion-item-title-text\"> Diagn\u00f3stico <\/h4><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1102\" class=\"elementor-element elementor-element-db5dc12 e-flex e-con-boxed e-con e-child\" data-id=\"db5dc12\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1102\" class=\"elementor-element elementor-element-7170d32 e-flex e-con-boxed e-con e-child\" data-id=\"7170d32\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-84d3df3 elementor-widget elementor-widget-heading\" data-id=\"84d3df3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Como se diagnostica a EM?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-15bf07f elementor-widget elementor-widget-text-editor\" data-id=\"15bf07f\" data-element_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>A Esclerose M\u00faltiple non se diagnostica cunha \u00fanica proba. O diagn\u00f3stico \u00e9 un <strong>proceso cl\u00ednico completo <\/strong>que require tempo, precisi\u00f3n e un seguimento adecuado, xa que os s\u00edntomas de cada persoa son un mundo.\u00a0Grazas aos avances da medicina, cada vez se diagnostica antes e con m\u00e1is seguridade. Isto \u00e9 moi importante, xa que canto antes se diagnostique, antes se pode comezar cos tratamentos.\u00a0<\/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-4ab9310 elementor-widget elementor-widget-text-editor\" data-id=\"4ab9310\" data-element_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>O diagn\u00f3stico bas\u00e9ase nun <strong>conxunto<\/strong> de exploraci\u00f3ns e criterios cl\u00ednicos. D\u00e9bense identificar os signos caracter\u00edsticos da enfermidade e descartar outras doenzas que poidan causar s\u00edntomas similares. 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\"><\/path><\/g><\/g><\/g><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><b>Probas complementarias<\/b>: resonancia magn\u00e9tica, potenciais evocados ou anal\u00edticas de sangue.<\/span>\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<div class=\"elementor-element elementor-element-7aad779 elementor-widget elementor-widget-text-editor\" data-id=\"7aad779\" data-element_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>O equipo m\u00e9dico emprega os chamados <strong>criterios McDonald<\/strong>, que permiten confirmar a EM cando hai evidencia de lesi\u00f3ns en m\u00e1is dunha zona do sistema nervioso central e cando hai probas de que esas lesi\u00f3ns ocorreron en momentos distintos no tempo.<\/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-66ffee4 elementor-widget elementor-widget-heading\" data-id=\"66ffee4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Cando debes consultar?<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1217870 elementor-widget elementor-widget-text-editor\" data-id=\"1217870\" data-element_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>Se experimentas un ou varios destes s\u00edntomas de forma recorrente ou inesperada, consulta canto antes co persoal sanitario:<\/p><ul><li>Perda o alteraci\u00f3n da <strong>visi\u00f3n<\/strong> nun ollo.\u00a0<\/li><li><strong>Formigueo<\/strong>, adormecemento ou sensaci\u00f3ns estra\u00f1as.<\/li><li>Problemas de <strong>equilibro<\/strong> ou coordinaci\u00f3n.\u00a0<\/li><li>Dificultade para <strong>cami\u00f1ar<\/strong>.<\/li><li><strong>Fatiga<\/strong> intensa sen causa aparente.<\/li><li>Dificultade para <strong>lembrar<\/strong> ou concentrarte.<\/li><li><strong>Espasmos<\/strong> musculares ou rixidez.<\/li><\/ul><p>\u00c9 importante saber que estes s\u00edntomas poden estar causados por outras enfermidades ou situaci\u00f3ns diferentes \u00e1 EM, e que s\u00f3 o persoal sanitario pode facer un diagn\u00f3stico adecuado.\u00a0<\/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-1197054 elementor-widget elementor-widget-heading\" data-id=\"1197054\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Obst\u00e1culos para o diagn\u00f3stico precoz<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e20d1e1 elementor-widget elementor-widget-text-editor\" data-id=\"e20d1e1\" data-element_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>\u00c1s veces, o diagn\u00f3stico retr\u00e1sase xa que os s\u00edntomas iniciais poden ser leves ou intermitentes e confundirse con outras condici\u00f3ns. Segundo estudos recentes, hai persoas que experimentan s\u00edntomas ata<strong> cinco anos antes de recibir un diagn\u00f3stico<\/strong> claro. Por iso \u00e9 tan importante escoitar ao corpo e consultar ante calquera d\u00fabida. De acordo coa <a href=\"https:\/\/atlasofms.org\/map\/global\/epidemiology\/number-of-people-with-ms\">3\u00aa edici\u00f3n do Atlas da EM<\/a>, <strong>o 83% dos pa\u00edses ten obst\u00e1culos para lograr un diagn\u00f3stico r\u00e1pido.<\/strong> As dificultades m\u00e1is frecuentes detectadas son:<\/p><ul><li>Falta de <strong>co\u00f1ecemento<\/strong> entre o p\u00fablico (68%) e profesionais (59%).\u00a0<\/li><li>Falta de <strong>especialistas<\/strong> ou equipamento m\u00e9dico para o diagn\u00f3stico da EM (44%)<\/li><li>O 72% dos pa\u00edses tam\u00e9n menciona obst\u00e1culos para <strong>acceder aos tratamentos<\/strong> modificadores da enfermidade (TME).\u00a0<\/li><li>S\u00f3 un 5% dos e as neur\u00f3logas ten <strong>interese<\/strong> especial na EM.<\/li><li>Dous terzos da poboaci\u00f3n mundial con EM vive en pa\u00edses <strong>sen pautas nacionais de diagn\u00f3stico ou tratamento.\u00a0<\/strong><\/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-670d756 elementor-widget elementor-widget-heading\" data-id=\"670d756\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Se sospeitas, act\u00faa<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48596c3 elementor-widget elementor-widget-text-editor\" data-id=\"48596c3\" data-element_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>Se cres que podes ter s\u00edntomas de EM, <strong>consulta<\/strong> co teu m\u00e9dico\/a de cabeceira, pide <strong>derivaci\u00f3n<\/strong> a neurolox\u00eda, <strong>non ignores<\/strong> os s\u00edntomas e busca <strong>apoio<\/strong>. En FEGADEM e as nosas asociaci\u00f3ns atopar\u00e1s orientaci\u00f3n e informaci\u00f3n sempre que a precises. Estamos aqu\u00ed para resolver as t\u00faas d\u00fabidas e acompa\u00f1arte no cami\u00f1o.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1103\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1103\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><h4 class=\"e-n-accordion-item-title-text\"> Tratamentos <\/h4><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1103\" class=\"elementor-element elementor-element-82e9e1c e-flex e-con-boxed e-con e-child\" data-id=\"82e9e1c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1103\" class=\"elementor-element elementor-element-65835c2 e-flex e-con-boxed e-con e-child\" data-id=\"65835c2\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8e67fea elementor-widget elementor-widget-heading\" data-id=\"8e67fea\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Tratamentos farmacol\u00f3xicos<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ead5b8 elementor-widget elementor-widget-text-editor\" data-id=\"3ead5b8\" data-element_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>A EM conta con diferentes opci\u00f3ns de tratamento farmacol\u00f3xico que est\u00e1n reguladas a nivel europeo pola <strong>Axencia Europea do Medicamento (EMA)<\/strong>, que autoriza e supervisa os f\u00e1rmacos. A <strong>Comisi\u00f3n Europea<\/strong> \u00e9 a que emite as autorizaci\u00f3ns para a s\u00faa comercializaci\u00f3n na Uni\u00f3n Europea e no Espazo Econ\u00f3mico Europeo. En Espa\u00f1a, a <strong>Axencia Espa\u00f1ola de Medicamentos de Sanidade (AEMPS)<\/strong>, dependente do Ministerio de Sanidade, \u00e9 a responsable de avaliar e autorizar os medicamentos, a\u00ednda que as decisi\u00f3ns sobre o seu prezo e financiamento t\u00f3manse no marco do sistema sanitario nacional.\u00a0<\/p><p>O tratamento da EM debe <strong>centrarse na persoa<\/strong> favorecendo a s\u00faa participaci\u00f3n activa nas decisi\u00f3ns terap\u00e9uticas, asegurando que dispo\u00f1an de informaci\u00f3n veraz e de calidade sobre as opci\u00f3ns dispo\u00f1ibles, a adherencia e a eficacia a longo prazo. En situaci\u00f3ns especiais, como o embarazo, \u00e9 necesario <strong>consultar co persoal especializado<\/strong> para o seu asesoramento sobre as opci\u00f3ns m\u00e1is axeitadas, tendo en conta a investigaci\u00f3ns nesta \u00e1rea e que regularmente van aparecendo novos f\u00e1rmacos que melloran a calidade de vida.<\/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-2adc63e elementor-widget elementor-widget-heading\" data-id=\"2adc63e\" data-element_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\">Tratamentos modificadores da enfermidade (TME)<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d6304e3 elementor-widget elementor-widget-text-editor\" data-id=\"d6304e3\" data-element_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>Unha das terapias dispo\u00f1ibles \u00e9 a de tratamentos modificadores da enfermidade, que non curan a EM nin eliminan inmediatamente os s\u00edntomas, pero permiten <strong>modificar o curso da enfermidade<\/strong>, reducir o n\u00famero de brotes e retrasar a progresi\u00f3n da discapacidade. A evidencia cient\u00edfica indica que <strong>iniciar de maneira precoz<\/strong> estes tratamentos mellora o progn\u00f3stico. A elecci\u00f3n de comezar un TME debe ser individualizada, valorando os beneficios e riscos, tipo e caracter\u00edsticas da EM, posibles efectos secundarios, modo e frecuencia de administraci\u00f3n, impacto emocional e na vida diaria&#8230; A <strong>AEMPS<\/strong> pon \u00e1 disposici\u00f3n da cidadan\u00eda informaci\u00f3n de cada medicamento a trav\u00e9s do seu <a href=\"https:\/\/cima.aemps.es\/cima\/publico\/home.html\">buscador oficial.<\/a>\u00a0<\/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-73ce57f elementor-widget elementor-widget-heading\" data-id=\"73ce57f\" data-element_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\">Tratamento dos brotes<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe32fac elementor-widget elementor-widget-text-editor\" data-id=\"fe32fac\" data-element_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>En caso de brotes pode optarse por non intervir se son leves e de curta duraci\u00f3n. Con todo, se son m\u00e1is graves ou progresivos, adoita empregarse<strong> tratamento con corticoides<\/strong> administrados por v\u00eda oral ou intravenosa para reducir a inflamaci\u00f3n, acurtar a duraci\u00f3n do episodio e acelerar a recuperaci\u00f3n. Dado o seu potencial de<strong> efectos secundarios<\/strong>, empr\u00e9ganse en periodos curtos e non hai probas de que o seu uso prolongado free a progresi\u00f3n da discapacidade. En moitos casos, a <strong>rehabilitaci\u00f3n<\/strong> \u00e9 unha ferramenta moi \u00fatil para completar a recuperaci\u00f3n tras un brote.<\/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-0ca3476 elementor-widget elementor-widget-heading\" data-id=\"0ca3476\" data-element_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\">Tratamento sintom\u00e1tico<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dfa94d8 elementor-widget elementor-widget-text-editor\" data-id=\"dfa94d8\" data-element_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>Estes tratamentos buscan mellorar a calidade de vida <strong>controlando s\u00edntomas<\/strong> concretos como a fatiga, as alteraci\u00f3ns visuais, as dificultades de mobilidade, as alteraci\u00f3ns sensoriais, os problemas de vexiga ou intestino, os cambios na funci\u00f3n sexual e cognitiva&#8230; Alg\u00fans s\u00edntomas contan con opci\u00f3ns terap\u00e9uticas eficaces, pero noutros os resultados non son tan claros. \u00c9 importante que o equipo m\u00e9dico <strong>valore de forma individual<\/strong> a relaci\u00f3n entre os beneficios e os riscos de cada tratamento, e que se combinen cando sexa posible con intervenci\u00f3ns non farmacol\u00f3xicas. Manter un <strong>rexistro dos s\u00edntomas<\/strong> e transmitilo ao persoal de neurolox\u00eda facilita o seguimento e permite establecer as\u00ed un tratamento m\u00e1is axeitado en cada etapa da enfermidade.<\/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-acc28fb elementor-widget elementor-widget-heading\" data-id=\"acc28fb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Tratamentos rehabilitadores<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eac8810 elementor-widget elementor-widget-text-editor\" data-id=\"eac8810\" data-element_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>A EM pode afectar de forma variable \u00e1 mobilidade, \u00e1s actividades da vida diaria, \u00e1 autoestima, aos roles familiares, ao traballo, \u00e1 participaci\u00f3n social&#8230; A terapia farmacol\u00f3xica por si soa non sempre aborda todos os s\u00edntomas nin evita a progresi\u00f3n da enfermidade, polo que a <strong>rehabilitaci\u00f3n \u00e9 unha parte moi importante do tratamento integral da EM<\/strong>, independentemente do nivel de discapacidade ou da fase evolutiva.<\/p><p>A rehabilitaci\u00f3n \u00e9 un proceso que combina <strong>acci\u00f3ns sanitarias e sociais<\/strong> para lograr a m\u00e1xima recuperaci\u00f3n posible, reducir a progresi\u00f3n da discapacidade, favorecer a autonom\u00eda, mellorar a aceptaci\u00f3n da enfermidade e promover a inclusi\u00f3n social. Desenv\u00f3lvese mediante <strong>programas nos que se implica a participaci\u00f3n activa da persoa con EM<\/strong> e a s\u00faa familia. A rehabilitaci\u00f3n permite mellorar a calidade de vida, optimizar a recuperaci\u00f3n funcional e favorecer unha vida independente.<\/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-c924845 elementor-widget elementor-widget-heading\" data-id=\"c924845\" data-element_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\">Como debe ser a rehabilitaci\u00f3n na EM<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a5533ca elementor-widget elementor-widget-text-editor\" data-id=\"a5533ca\" data-element_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>Unha rehabilitaci\u00f3n eficaz debe ser <strong>integral<\/strong>, combinando enfoques terap\u00e9uticos e sociais, centrada nas <strong>funci\u00f3ns<\/strong>, <strong>personalizada<\/strong>, axustada ao <strong>momento<\/strong> da enfermidade, <strong>interdisciplinar<\/strong>, extensiva \u00e1<strong> vida coti\u00e1<\/strong> e <strong>formativa<\/strong> para as persoas con EM, familiares e coidadores\/as. A <strong>atenci\u00f3n temper\u00e1<\/strong> dende o momento do diagn\u00f3stico pode mellorar as condici\u00f3ns f\u00edsicas, cognitivas e emocionais, previr complicaci\u00f3ns e educar en sa\u00fade.<\/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-cac1139 elementor-widget elementor-widget-heading\" data-id=\"cac1139\" data-element_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\">Evidencia cient\u00edfica<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad0132f elementor-widget elementor-widget-text-editor\" data-id=\"ad0132f\" data-element_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>A investigaci\u00f3n confirma cada vez m\u00e1is os beneficios da rehabilitaci\u00f3n na EM. A s\u00faa eficacia est\u00e1 relacionada coa <strong>plasticidade cerebral<\/strong>, \u00e9 dicir, coa capacidade do cerebro para adaptarse, reorganizarse e crear novas conexi\u00f3ns que compensen os danos estruturais e funcionais provocados pola EM. Publicaci\u00f3ns como <em>The Lancet<\/em> e organismos como a OMS reco\u00f1ecen a rehabilitaci\u00f3n como un <strong>investimento eficaz<\/strong> e a \u00fanica v\u00eda para mellorar certas funci\u00f3ns en persoas con EM.\u00a0<\/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-d64d1ed elementor-widget elementor-widget-heading\" data-id=\"d64d1ed\" data-element_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\">Servizos especializados de rehabilitaci\u00f3n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38d1a0b elementor-widget elementor-widget-text-editor\" data-id=\"38d1a0b\" data-element_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>Dende FEGADEM e as asociaci\u00f3ns 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A Esclerose M\u00faltiple (EM) \u00e9 unha enfermidade autoinmune, neurodexenerativa e cr\u00f3nica do sistema nervioso central que afecta \u00e1 mielina e ten unha gran variedade de s\u00edntomas, polo que tam\u00e9n recibe o nome de &#8220;a enfermidade das mil caras&#8221;. A Esclerose M\u00faltiple (EM) A Esclerose M\u00faltiple (EM) \u00e9 unha enfermidade neurodexenerativa que&hellip; <a class=\"continue\" href=\"https:\/\/esclerosismultiplegalicia.org\/index.php\/que-e-a-em\/\">Ler m\u00e1is sobre<span> Que \u00e9 a EM<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kad_post_transparent":"","_kad_post_title":"hide","_kad_post_layout":"fullwidth","_kad_post_sidebar_id":"","_kad_post_content_style":"unboxed","_kad_post_vertical_padding":"hide","_kad_post_feature":"hide","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"class_list":["post-1767","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Que \u00e9 a EM - FEGADEM<\/title>\n<meta name=\"description\" content=\"Que \u00e9 a EM? 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