Neurosarcoidosis

Neurosarcoidosis yana da rikitarwa na sarcoidosis, wanda ƙonewa ke faruwa a cikin kwakwalwa, laka, da sauran yankuna na tsarin mai juyayi.

Sarcoidosis cuta ce ta yau da kullun da ke shafar yawancin sassan jiki, galibi huhu. A cikin ƙananan mutane, cutar ta ƙunshi wani ɓangare na tsarin mai juyayi. Wannan ana kiransa neurosarcoidosis.

Neurosarcoidosis na iya shafar kowane ɓangare na tsarin mai juyayi. Ba zato ba tsammani, raunin fuska (naƙasasshen fuska ko faɗuwar fuska) alama ce ta jijiyoyin jiki wanda ya shafi jijiyoyi zuwa tsokokin fuska. Duk wani jijiya a kwanyar zai iya shafar, gami da na ido da waɗanda ke kula da dandano, ƙanshi, ko ji.

Thewayar kashin baya wani ɓangare ne na tsarin juyayi wanda sarcoidosis zai iya shafar. Mutane na iya samun rauni a hannayensu da ƙafafunsu, da wahalar tafiya ko sarrafa fitsarinsu ko hanjinsu. A wasu lokuta, lakar kashin baya ta sami matsala sosai har kafafuwan biyu sun shanye.

Halin na iya shafar sassan kwakwalwar da ke tattare da tsara ayyukan jiki da yawa, kamar yanayin zafi, bacci, da martani na damuwa.

Rashin rauni na tsoka ko asarar rai na iya faruwa tare da haɗin jijiya na gefe. Sauran yankuna na kwakwalwa, gami da glandon kwakwalwa a gindin kwakwalwar, ko kuma lakar kashin baya na iya kasancewa.

Shiga cikin gland din pituitary na iya haifar da:

• Canje-canje a lokutan jinin haila
• Yawan gajiya ko kasala
• Thirstishirwa mai yawa
• Yawan fitsari

Kwayar cutar ta bambanta. Duk wani ɓangare na tsarin juyayi na iya shafar. Shiga cikin kwakwalwa ko jijiyoyin kwanya na iya haifar da:

• Rikicewa, rikicewa
• Rage ji
• Rashin hankali
• Dizziness, vertigo, ko motsin rai mara kyau
• Gani biyu ko wasu matsalolin gani, gami da makanta
• Ciwon fuska (rauni, zubewa)
• Ciwon kai
• Rashin jin wari
• Rashin jin daɗin ɗanɗano, ɗanɗano na al'ada
• Tashin hankali
• Kamawa
• Lalacewar magana

Haɗa jijiyoyi ɗaya ko fiye na gefe na iya haifar da:

• Abubuwa masu mahimmanci a kowane ɓangaren jiki
• Rashin motsi na kowane sashin jiki
• Rashin jin dadi a kowane sashin jiki
• Raunin kowane sashin jiki

Jarabawa na iya nuna matsaloli tare da jijiyoyi ɗaya ko fiye.

Tarihin sarcoidosis wanda alamomin da suka shafi jijiya suka nuna yana nuna neurosarcoidosis. Koyaya, alamun cutar na iya yin kama da wasu cututtukan kiwon lafiya, gami da ciwon sukari insipidus, hypopituitarism, optic neuritis, meningitis, da wasu ciwace-ciwace. Wani lokaci, ana iya shafar tsarin juyayi kafin a san mutum yana da sarcoidosis, ko kuma ba tare da shafar huhu ko wasu gabobin ba kwata-kwata.

Gwajin jini ba shi da matukar taimako wajen gano yanayin. Hullar lumbar na iya nuna alamun kumburi. Ana iya samun ƙarin matakan angiotensin-enzyme mai canzawa a cikin jini ko ƙwayar sanyin jiki (CSF). Koyaya, wannan ba tabbataccen gwajin gwaji bane.

MRI na kwakwalwa na iya taimakawa. X-ray na kirji yakan nuna alamun sarcoidosis na huhu. Kwayar halittar jijiyoyin da ke fama da cutar sun tabbatar da cutar.

Babu sanannen magani don sarcoidosis. Ana ba da jiyya idan alamun sun yi tsanani ko kuma suna ta munana. Makasudin magani shine rage alamun.

Corticosteroids kamar prednisone an wajabta su don rage kumburi. Sau da yawa akan rubuta su har sai bayyanar cututtuka sun sami sauki ko sun tafi. Wataƙila kuna buƙatar shan magunguna na tsawon watanni, ko ma shekaru.

Sauran magunguna na iya haɗawa da maye gurbin hormone da magunguna waɗanda ke hana tsarin rigakafi.

Idan kana da suma, rauni, gani ko matsalar ji, ko wasu matsaloli saboda lalacewar jijiyoyi a kai, ƙila kana buƙatar maganin jiki, takalmin katako, sanda, kara, mai tafiya ko keken hannu.

Rashin lafiyar hankali ko rashin hankali na iya buƙatar magunguna don ɓacin rai, tsoma bakin aminci, da taimako tare da kulawa.

Wasu shari'o'in suna tafiya da kansu cikin watanni 4 zuwa 6. Wasu kuma suna ci gaba da tafiya har tsawon rayuwar mutum. Neurosarcoidosis na iya haifar da nakasa ta dindindin kuma, a wasu yanayi, mutuwa.

Rikitarwa sun bambanta dangane da wane ɓangare na tsarin mai juyayi ya ƙunsa da yadda kuka amsa magani. Sannu a hankali damuwa ko asarar dindindin na aikin jijiyoyin jiki yana yiwuwa. A cikin wasu lamura da ba kasafai ake gani ba, ƙwarjin ƙwaƙwalwar na iya kasancewa. Wannan barazana ce ga rayuwa.

Kira mai ba da sabis na kiwon lafiya idan kuna da sarcoidosis kuma duk alamun cututtukan jijiyoyi suna faruwa.

Je zuwa dakin gaggawa ko kira lambar gaggawa ta gida (kamar 911) idan kuna jin zafin rai, motsi, ko aikin jiki kwatsam.

Jin zafi mai tsanani game da sarcoidosis yana kashe amsawar garkuwar jiki ta lahani kafin jijiyoyinku su lalace. Wannan na iya rage damar da alamun alamun jijiyoyin jiki za su faru.

Sarcoidosis - tsarin juyayi

• Sarcoid, mataki na - x-ray kirji
• Sarcoid, mataki na II - kirjin x-ray
• Sarcoid, mataki na IV - x-ray kirji

Iannuzzi MC. Sarcoidosis. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 95.

Ibitoye RT, Wilkins A, Tsare NJ. Neurosarcoidosis: hanyar asibiti don ganewar asali da gudanarwa. J Neurol. 2017; 264 (5): 1023-1028. PMID: 27878437 www.ncbi.nlm.nih.gov/pubmed/27878437.

Josephson SA, Aminoff MJ. Matsalolin ilimin jijiyoyin jiki na cututtukan tsari: manya. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 58.

Krumholz A, Stern BJ. Sarcoidosis na tsarin mai juyayi. A cikin: Aminoff MJ, Josephson SW, eds. Aminoff na Neurology da Janar Magunguna. 5th ed. Waltham, MA: Elsevier Makarantar Ilimin; 2014: babi na 49.

Tavee JO, Stern BJ. Neurosarcoidosis. Clin Kirji Med. 2015; 36 (4): 643-656. PMID: 26593139 www.ncbi.nlm.nih.gov/pubmed/26593139.