Subacute haɗuwa da lalata

Acuteaddarar lalacewar haɗuwa (SCD) cuta ce ta kashin baya, kwakwalwa, da jijiyoyi. Ya ƙunshi rauni, majiyai na yau da kullun, matsalolin tunani, da matsalolin gani.

SCD yana haifar da ƙarancin bitamin B12. Ya fi shafar kashin baya. Amma tasirinta akan kwakwalwa da jijiyoyin jiki (jiki) shine dalilin kalmar "hade." Da farko, murfin jijiya (myelin sheath) ya lalace. Daga baya, dukkan kwayar jijiyoyin ta kamu.

Doctors ba su san ainihin yadda rashin bitamin B12 yake lalata jijiyoyi ba. Zai yuwu rashin rashin wannan bitamin na haifar da mahaukacin mai mai ya haifar da ƙwayoyin cuta da jijiyoyi.

Mutane suna cikin haɗari ga wannan yanayin idan bitamin B12 ba zai iya sha daga hanjinsu ba ko kuma idan suna da:

• Anemia mai ciwo, yanayin da jiki ba shi da isasshen ƙwayoyin jini
• Rikicin ƙananan hanji, gami da cutar Crohn
• Matsalolin shanye abubuwan gina jiki, wanda ka iya faruwa bayan aikin tiyatar ciki

Kwayar cutar sun hada da:

• Abubuwa masu mahimmanci (tingling da numbness)
• Rashin rauni na ƙafafu, makamai, ko wasu yankuna

Wadannan alamomin a hankali suna kara muni kuma galibi ana ji dasu a ɓangarorin biyu na jiki.

Yayinda cutar ta tsananta, alamomin na iya haɗawa da ɗayan masu zuwa:

• Cushewa, tauri ko mara motsi
• Canji a cikin yanayin tunani, kamar matsalolin ƙwaƙwalwar ajiya, ƙaiƙayi, halin ko in kula, rikicewa, ko rashin hankali
• Rage gani
• Bacin rai
• Bacci
• Tafiya mara ƙarfi da asarar ma'auni
• Faduwa saboda rashin ma'auni

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Jarabawar yawanci tana nuna raunin tsoka da matsalolin jin dadi a bangarorin biyu na jiki, musamman ma a kafafu. Abubuwan da ke motsa gwiwa a gwiwa suna raguwa ko ɓacewa. Tsokoki na iya samun spasticity. Zai yiwu a rage jin ma'anar tabawa, zafi, da zafin jiki.

Canje-canje na tunani ya kasance daga m mantawa zuwa tsananin rashin hankali ko hauka. Tsananin rashin hankali baƙon abu bane, amma a wasu lokuta, shine farkon alamun cutar.

Gwajin ido na iya nuna lalacewar jijiyar gani, yanayin da ake kira optic neuritis. Ana iya ganin alamun ƙonewar jijiya yayin gwajin gwaji. Hakanan za'a iya samun amsoshin ɗalibai mara kyau, rashin hangen nesa, da sauran canje-canje.

Gwajin jini da za a iya ba da oda sun haɗa da:

• Kammala ƙididdigar jini (CBC)
• Vitamin B12 matakin jini
• Matakan jini na Methylmalonic acid

Ana bayar da Vitamin B12, yawanci ta hanyar allura a cikin tsoka. Ana yawan yin allura sau ɗaya a rana har tsawon mako guda, sannan kowane mako na kimanin wata 1, sannan kuma kowane wata. Vitaminarin Vitamin B12, ko dai ta hanyar allura ko ƙwayoyi masu ƙarfi, dole ne su ci gaba a tsawon rayuwa don hana bayyanar cututtuka dawowa.

Jiyya na farko yana inganta damar kyakkyawan sakamako.

Yadda mutum yake yi ya dogara da tsawon lokacin da ya kamu da cutar kafin ya sami magani. Idan an karɓi magani a cikin weeksan makonni kaɗan, ana iya sa ran samun cikakken warkewa. Idan magani ya jinkirta fiye da watanni 1 ko 2, cikakken dawowa bazai yiwu ba.

Ba tare da magani ba, SCD yana haifar da ci gaba da lalacewa na dindindin ga tsarin mai juyayi.

Kirawo mai ba da sabis idan jin daɗin al'ada, raunin tsoka, ko wasu alamun cutar sikila.Wannan yana da mahimmanci musamman idan kai ko wani dangin ku kuna da cutar ƙarancin jini ko wasu haɗarin haɗari.

Wasu kayan cin ganyayyaki, musamman ganyayyaki, na iya zama ƙasa da bitamin B12. Aaukar ƙarin na iya taimaka hana rigakafin sikila.

Acutearamin haɗuwa da lalacewa na ƙashin baya; SCD

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe
• Tsarin juyayi na tsakiya

Pytel P, Anthony DC. Nerwayoyin jijiyoyi da tsokoki. A cikin: Kumar V, Abbas AK, Aster JC, eds. Robbins da Cotran Pathologic Tushen Cutar. 9th ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 27.

Don haka YT. Rashin cututtukan cututtuka na tsarin mai juyayi. 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 85.