Matenda osachiritsika amachotsa polyneuropathy
Matenda opatsirana opweteka kwambiri omwe amachotsa polyneuropathy (CIDP) ndimatenda omwe amaphatikizapo kutupa kwa mitsempha ndi mkwiyo (kutupa) komwe kumabweretsa kuchepa mphamvu kapena kumva.
CIDP ndi chimodzi mwazomwe zimawononga mitsempha kunja kwa ubongo kapena msana (zotumphukira za m'mitsempha). Polyneuropathy imatanthauza mitsempha ingapo yomwe imakhudzidwa. CIDP nthawi zambiri imakhudza mbali zonse ziwiri za thupi.
CIDP imayambitsidwa ndi chitetezo chamthupi chachilendo. CIDP imachitika pamene chitetezo cha mthupi chimagwiritsa ntchito chivundikiro cha myelin cha mitsempha. Pachifukwa ichi, CIDP imaganiziridwa kuti ndi matenda omwe amadzichitira okha.
Othandizira azaumoyo amalingaliranso CIDP ngati matenda osachiritsika a Guillain-Barré.
Zomwe zimayambitsa CIDP zimasiyanasiyana. Nthawi zambiri, chifukwa chake sichimadziwika.
CIDP imatha kuchitika ndi zina, monga:
- Matenda a chiwindi
- Matenda a shuga
- Kutenga ndi bakiteriya Campylobacter jejuni
- HIV / Edzi
- Matenda amthupi chifukwa cha khansa
- Matenda otupa
- Njira lupus erythematosus
- Khansa ya ma lymph system
- Chithokomiro chopitilira muyeso
- Zotsatira zoyipa za mankhwala ochizira khansa kapena HIV
Zizindikiro zimaphatikizapo izi:
- Mavuto oyenda chifukwa chofooka kapena kusowa kwamapazi pamapazi
- Kuvuta kugwiritsa ntchito mikono ndi manja kapena miyendo ndi mapazi chifukwa chofooka
- Kusintha kwamatenda, monga dzanzi kapena kuchepa kwachisoni, kupweteka, kuwotcha, kumva kulasalasa, kapena zina zachilendo (nthawi zambiri zimakhudza mapazi poyamba, kenako mikono ndi manja)
Zizindikiro zina zomwe zimatha kuchitika ndi CIDP ndi monga:
- Kuyenda kwachilendo kapena kosagwirizana
- Mavuto kupuma
- Kutopa
- Kuuma kapena kusintha mawu kapena mawu osalankhula
Wothandizirayo ayesa mayeso ndikufunsa za zizindikirazo, ndikuyang'ana dongosolo lamanjenje ndi minofu.
Mayeso omwe atha kulamulidwa ndi awa:
- Electromyography (EMG) kuti muwone minofu ndi mitsempha yomwe imayendetsa minofu
- Kuyesa kwamitsempha kwamitsempha kuti muwone momwe zizindikilo zamagetsi zimadutsira muminyewa
- Mitsempha ya mitsempha yochotsa kachidutswa kakang'ono ka mitsempha kuti mufufuze
- Mpopu ya msana (lumbar puncture) kuti muwone zamadzimadzi ozungulira ubongo ndi msana
- Kuyesa magazi kumatha kuchitika kuti mupeze mapuloteni ena omwe akuyambitsa chitetezo chamthupi pamitsempha
- Mapazi amayesa kuyesa kuti awone ngati kupuma kwakhudzidwa
Kutengera zomwe akukayikira CIDP, mayesero ena, monga ma x-ray, kujambula zithunzi, komanso kuyesa magazi, atha kuchitidwa.
Cholinga cha chithandizo ndikubwezeretsa kuukira kwamitsempha. Nthawi zina, mitsempha imatha kuchira ndipo ntchito yake imatha kuchira. Nthawi zina, mitsempha imawonongeka kwambiri ndipo siyingathe kuchira, chifukwa chake mankhwala amathandizira kupewa matendawa.
Ndi chithandizo chiti chomwe chimaperekedwa kutengera kukula kwa zizindikilozo, mwazinthu zina. Chithandizo champhamvu kwambiri chimaperekedwa pokhapokha ngati mukuvutika kuyenda, kupuma, kapena ngati zizindikiro sizikulolani kuti muzisamalira nokha kapena kugwira ntchito.
Chithandizo chitha kukhala:
- Corticosteroids kuthandiza kuchepetsa kutupa ndi kuthetsa zizindikiro
- Mankhwala ena omwe amalepheretsa chitetezo cha mthupi (pazovuta zina)
- Plasmapheresis kapena kusinthana kwa plasma kuchotsa ma antibodies m'magazi
- Intravenous immune globulin (IVIg), yomwe imaphatikizapo kuwonjezera ma antibodies ambiri m'magazi am'magazi kuti muchepetse mphamvu ya ma antibodies omwe akuyambitsa vutoli
Zotsatira zimasiyanasiyana. Matendawa atha kupitilirabe, kapena mwina mwakhala mukukumana ndi zizindikilo zingapo. Kuchira kwathunthu ndi kotheka, koma kutayika kwathunthu kwa mitsempha sikwachilendo.
Mavuto a CIDP ndi awa:
- Ululu
- Kuchepetsa kwamuyaya kapena kutayika kwakumverera m'malo amthupi
- Kufooka kosatha kapena kufooka m'malo amthupi
- Kuvulala mobwerezabwereza kapena kosadziwika m'dera la thupi
- Zotsatira zoyipa za mankhwala omwe amagwiritsidwa ntchito kuchiza matendawa
Itanani omwe akukuthandizani ngati mukusowa poyenda kapena kutengeka kulikonse m'thupi, makamaka ngati zizindikiro zanu zikuipiraipira.
Matenda otupa amtundu wa demyelinating polyradiculoneuropathy; Polyneuropathy - yotupa yotupa; CIDP; Matenda otupa polyneuropathy; Guillain-Barre - CIDP
- Central dongosolo lamanjenje ndi zotumphukira zamanjenje
Katirji B. Kusokonezeka kwamitsempha yotumphukira. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: mutu 107.
Smith G, Manyazi INE. Ozungulira neuropathies. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 392.