What is the form of an MS attack?.. MS is a progressive disease and a disorder in the body's immune system, in such a situation the immune system looks at the body's organs as foreign eyes and attacks them.. In MS, the nerve sheaths are attacked by the immune system and cause the destruction of the myelin sheath. And in this way the patient faces the symptoms of MS... Clinic of Neurology and Nerves Dr. Kihani Fard, his question is what is the attack of MS, how do they know that they are attacked by MS, this article was prepared in response to these patients... MS is a disease with a different onset for each person, MS disease has a different onset for each person, where does the MS disease start... However, there are symptoms here that MS patients may encounter it in the first stage early symptoms of MS include - Vision problems - Numbness or numbness - Pain and muscle cramps - Weakness and fatigue - Imbalance and dizziness - Bladder problems - Sexual disorders - Cognitive problems ### What is the MS attack like - #### vision problems One of the most common symptoms of MS is vision problems, when the patient is faced with inflammation of the optic nerves, problems such as double vision, blurred vision or blindness arise. MS can attack the nerves of the brain and spinal cord, in this case the messages are not properly transmitted to the muscles and sometimes the messages may reach the destination with numbness or numbness with the destination. The most common symptoms that occur in MS patients, the most organs affected in these cases will be involved include: hands, feet, face and fingers... Transportation - #### Pain and muscle cramps Muscle pain and spasms are also among the symptoms of MS. According to the research conducted on MS patients, half of these patients have chronic pain... muscle and joint cramps, uncontrollable and painful movements in the limbs, often the legs are in this position, and of course, back pain is also common.. - #### Fatigue and weakness Fatigue and weakness occur in 80% of MS patients in the early stages, chronic fatigue occurs when the spinal nerves are destroyed, this fatigue and weakness occurs suddenly and accompanies the patient for weeks, this weakness appears significantly in the leg area... #### Imbalance and dizziness One of the symptoms of MS is imbalance and vertigo, usually when a person is standing, he feels that the world is spinning around him, he may feel dizzy when walking, and therefore the patient's activities are reduced.... But what is vertigo in MS, vertigo is a common complication in MS patients.... These people may experience this state in different ways.... Experience.... Since in MS, the body's immune system attacks the nerve tissue and damages it. It is possible that the visual and spatial information that reaches the brain is disrupted, resulting in a feeling of vertigo... Of course, there is also a possibility that this vertigo is caused by another disease such as otitis media... It is better for the patient to consult a neurologist about it... Frequent urination, a strong urge to urinate or the inability to control urine are among the symptoms that are observed in 80% of MS patients, constipation, Diarrhea or intestinal problems are also among the symptoms of MS, and of course, urinary symptoms are often controllable... #### Symptoms and Sexual Disorders The onset of these symptoms is in the central nervous system, and therefore MS patients may experience these symptoms.... About half of people with MS have memory symptoms, including - #### Memory problems - #### Lack of concentration - #### speech and language disorder - #### Difficulty in organizing brain information - #### Depression and other mood problems may also happen to the patient - #### Change in emotional health Severe depression in MS patients with mood, emotional and irritability changes, depending on the conditions, these patients may have more problems in family relationships and face depression and other mood disorders in a more severe form.. That being said, not all people who experience MS have the same symptoms, and some may experience other symptoms such as hearing loss, seizures, uncontrollable tremors, or stuttering. Hereditary MS MS, although heredity and the presence of a patient, especially in a first-degree family such as siblings or parents, can be considered a risk factor, but this disease is not considered a hereditary disease, and it may occur in a twin sibling, or two sisters or two twin brothers, one of whom has MS, and the other does not have MS, with a risk of MS up to 20%. ### MS treatment Although there is no cure for MS yet, effective and useful drugs have been discovered and marketed to control the symptoms of MS that bring the MS patient closer to their normal life.. In addition, the types of MS show different symptoms with different levels of progression. The National MS Association has published information about the use of corona vaccines in patients with stable conditions and the use of immunomodulating drugs (DMT)... According to this information, both Moderna and Pfizer vaccines are generally safe for such patients, but the important point is that in the case of some drugs, at the discretion of the doctor, it is better to be vaccinated at a distance from taking the MS drug so that the vaccine works best.. Cladribine, Ocrelizumab, if they want to start rituximab or ofatumomab, it is recommended to start the treatment at least four weeks after the second dose of the corona vaccine. 24 weeks after treatment with the last dose of the drug and then inject the vaccine. It is also recommended for patients who are taking ocrelizumab or rituximab to inject the first dose of the vaccine at least 12 weeks after receiving the last treatment dose and to start again four weeks after receiving the second dose of the vaccine. Ofatumumab treatment, the vaccine is recommended four weeks after the last injection of the drug and at least four weeks after receiving the second dose of the vaccine, start using this drug again. do. - Onex (interferon beta-a1) - Betaseron (interferon beta-a1) - (gelatiramer acetate) Copaxone - Extavia (interferon beta-b1) - Glatopa (gelatiramer acetate) - Pelegrid (peginterferon beta-a1) - Rabif (interferon beta-1a) - Obagio (triflunomide) - Bafiratam (monomethyl fumarate) - Tekfidra (dimethyl fumarate) - Vumerity (Diroxymel Fumarate) - Tisabri (natalizumab) Considering the risk of contracting the corona virus, injecting the vaccine as soon as possible may be even more important than adjusting the time of its injection by taking the MS drug... But you must consult with your doctor about the drugs that have restrictions, and if the complications caused by the exacerbation of the MS disease are greater than the corona virus, it is better not to change the time of taking your drugs and get vaccinated whenever the right conditions are found... In these cases, the doctor's opinion is preferable... Call the clinic phone numbers