Mawallafi: William Ramirez
Ranar Halitta: 24 Satumba 2021
Sabuntawa: 1 Nuwamba 2024
Anonim
12.Clinical Live Teaching : Hereditary Motor Sensory Neuropathy
Video: 12.Clinical Live Teaching : Hereditary Motor Sensory Neuropathy

Sensorimotor polyneuropathy shine yanayin da ke haifar da raguwar iya motsawa ko jin (ji) saboda lalacewar jijiya.

Neuropathy na nufin cuta na, ko lalacewar jijiyoyi. Lokacin da yake faruwa a waje da tsarin juyayi na tsakiya (CNS), watau, kwakwalwa da ƙashin baya, ana kiran sa jijiya neuropathy. Mononeuropathy yana nufin jijiya ɗaya ta ƙunsa. Polyneuropathy na nufin cewa jijiyoyi da yawa a sassa daban-daban suna da hannu.

Neuropathy na iya shafar jijiyoyin da ke ba da ji (neuropathy na azanci) ko haifar da motsi (neuropathy na motsi). Hakanan yana iya shafar duka biyun, a wannan yanayin ana kiran sa neuroimpatim sensorimotor.

Sensorimotor polyneuropathy tsari ne na jiki (tsari) wanda ke lalata ƙwayoyin jijiyoyi, jijiyoyin jijiya (axons), da suturar jijiyoyi (myelin sheath). Lalacewa ga suturar ƙwayar jijiyar na haifar da siginar jijiyoyi su yi jinkiri ko tsayawa. Lalacewa ga zaren jijiya ko duka ƙwayar jijiyar na iya sa jijiyar ta daina aiki. Wasu cututtukan neuropathies suna haɓaka cikin shekaru, yayin da wasu na iya farawa da tsanani cikin awanni zuwa kwanaki.


Za a iya lalacewar jijiyoyi ta hanyar:

  • Autoimmune (lokacin da jiki ya kai hari kanta) cuta
  • Yanayin da ke sanya matsi akan jijiyoyi
  • Rage kwararar jini zuwa jijiya
  • Cututtukan da ke lalata manne (kayan haɗi) waɗanda ke haɗa ƙwayoyin halitta da kyallen takarda tare
  • Kumburi (kumburi) na jijiyoyi

Wasu cututtukan suna haifar da cututtukan polyneuropathy wanda yake da mahimmanci ko kuma motsi. Matsaloli da ka iya haddasa cutar sankara sun hada da:

  • Neuropathy na giya
  • Amyloid polyneuropathy
  • Rashin lafiyar kansa, kamar cutar Sjögren
  • Ciwon daji (wanda ake kira parapathon neuropathy)
  • Dogon lokaci (na kullum) mai kumburi neuropathy
  • Ciwon neuropathy
  • Neuropathy da ke da alaƙa da ƙwayoyi, gami da chemotherapy
  • Guillain-Barré ciwo
  • Neuropathy na gado
  • HIV / AIDs
  • Thyroidananan thyroid
  • Cutar Parkinson
  • Rashin bitamin (bitamin B12, B1, da E)
  • Kamuwa da cutar Zika

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:


  • Rage ji a kowane yanki na jiki
  • Wahalar hadiya ko numfashi
  • Matsala ta amfani da hannuwa
  • Matsala ta amfani da ƙafa ko ƙafa
  • Wahalar tafiya
  • Jin zafi, ƙonewa, kunci, ko jin ciwo mara kyau a kowane yanki na jiki (wanda ake kira neuralgia)
  • Raunin fuska, hannu, ko ƙafa, ko kowane yanki na jiki
  • Lokaci-lokaci faduwa saboda rashin daidaituwa da rashin jin ƙasan ƙafafunku

Kwayar cututtuka na iya haɓaka da sauri (kamar a cikin Guillain-Barré syndrome) ko a hankali cikin makonni zuwa shekaru. Kwayar cutar yawanci tana faruwa a ɓangarorin biyu na jiki. Mafi yawan lokuta, suna farawa daga ƙarshen yatsun kafa na farko.

Mai ba da sabis na kiwon lafiya zai bincika ku kuma ya yi tambaya game da alamunku. Jarabawa na iya nuna:

  • Rage ji (na iya shafar taɓawa, ciwo, rawar jiki, ko yanayin matsayi)
  • Rage ƙwarewa (galibi yawan sawu)
  • Atwayar tsoka
  • Tsokar tsoka
  • Raunin jijiyoyi
  • Shan inna

Gwaje-gwaje na iya haɗawa da:


  • Biopsy na jijiyoyin da abin ya shafa
  • Gwajin jini
  • Gwajin lantarki na tsokoki (EMG)
  • Gwajin lantarki na aikin jijiya
  • X-ray ko wasu gwajin hoto, kamar su MRI

Manufofin magani sun hada da:

  • Gano dalilin
  • Kula da alamun
  • Ingantawa mutum kulawa da ‘yancin kansa

Dangane da dalilin, jiyya na iya haɗawa da:

  • Canza magunguna, idan suna haifar da matsalar
  • Kula da matakin sukarin jini, lokacin da cutar jijiya ta kamu da ciwon suga
  • Ba shan giya ba
  • Shan kayan abinci mai gina jiki na yau da kullun
  • Magunguna don magance asalin dalilin polyneuropathy

CIGABA DA KULAWA DA 'YANCI

  • Motsa jiki da sake horo don kara girman aikin jijiyoyin da suka lalace
  • Aiki (sana'a) far
  • Maganin aiki
  • Magungunan orthopedic
  • Jiki na jiki
  • Kujerun marasa lafiya, takalmin gyaran kafa, ko kuma takalmi

MAGANAR ALAMOMIN

Tsaro yana da mahimmanci ga mutanen da ke fama da cutar neuropathy. Rashin kula da tsoka da rage jijiyoyin jiki na iya kara barazanar faduwa ko wasu raunuka.

Idan kuna da matsalolin motsi, waɗannan matakan zasu iya kiyaye ku lafiya:

  • Bar fitilu a kunne
  • Cire matsaloli (kamar su shimfidu masu kwance waɗanda zasu iya zamewa a ƙasa).
  • Gwada yawan zafin jiki na ruwa kafin wanka.
  • Yi amfani da shinge.
  • Sanya takalmin kariya (kamar waɗanda suke da yatsun kafa da ƙananan diddige).
  • Sanya takalmi waɗanda suke da takalmin da ba na siye ba.

Sauran nasihun sun hada da:

  • Bincika ƙafafunku (ko wani yanki da abin ya shafa) kowace rana don rauni, wuraren buɗe fata, ko wasu raunuka, waɗanda ƙila ba ku lura ba kuma za su iya kamuwa da cutar.
  • Binciki cikin takalmin sau da yawa don tsini ko gurɓatattun wurare wanda zai iya cutar da ƙafafunku.
  • Ziyarci likitan ƙafa (podiatrist) don tantancewa da rage haɗarin rauni a ƙafafunku.
  • Guji dogaro da guiwar hannu, ƙetare gwiwowinku, ko kasancewa a wasu wuraren da ke sanya matsin lamba mai tsayi a kan wasu sassan jikin.

Magungunan da ake amfani dasu don magance wannan yanayin:

  • Kan-kan-kan-kan-kan-kan-da-kai da kuma maganin sauƙaƙa don rage ciwo na wuka (neuralgia)
  • Anticonvulsants ko antidepressants
  • Lotion, creams, ko facin magani

Yi amfani da maganin ciwo kawai lokacin da ake buƙata. Kiyaye jikinka a madaidaicin matsayi ko ajiye kayan shimfida daga wani sashin jiki mai laushi na iya taimakawa magance ciwo.

Wadannan rukunin kungiyoyin na iya samar da karin bayani game da cutar jijiya.

  • Neuropathy Action Foundation - www.neuropathyaction.org
  • Gidauniyar Ciwon Neuropathy - www.foundationforpn.org

A wasu lokuta, zaka iya murmurewa daga cututtukan jijiyoyin jiki idan mai ba da sabis naka zai iya gano dalilin kuma ya samu nasarar magance shi, kuma idan lalacewar ba ta shafi ɗaukacin kwayar cutar ba.

Adadin nakasa ya banbanta. Wasu mutane ba su da nakasa. Sauran suna da rashi ko motsi, aiki, ko ji. Jin zafi na jijiya na iya zama mara dadi kuma zai iya ɗauka na dogon lokaci.

A wasu lokuta, sensorimotor polyneuropathy yana haifar da mummunan, alamun barazanar rai.

Matsalolin da kan iya haifar sun hada da:

  • Nakasa
  • Rauni ga ƙafa (sanadiyyar mummunan takalma ko ruwan zafi yayin shiga cikin bahon)
  • Numfashi
  • Jin zafi
  • Matsalar tafiya
  • Rashin ƙarfi
  • Wahalar numfashi ko haɗiye (a cikin yanayi mai tsanani)
  • Faduwa saboda rashin daidaituwa

Kira mai ba ku sabis idan kuna da rashi motsi ko jin wani sashi na jikinku. Gano asali da magani yana ƙara damar sarrafa alamun.

Polyneuropathy - firikwensin motsi

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

Craig A, Richardson JK, Ayyangar R. Gyara marasa lafiya tare da neuropathies. A cikin: Cifu DX, ed. Braddom ta Magungunan Jiki & Gyarawa. 5th ed. Philadelphia, PA: Elsevier; 2016: babi na 41.

Endrizzi SA, Rathmell JP, Hurley RW. Neuroananan cututtukan neuropathies. A cikin: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Mahimmancin Maganin Raɗaɗi. 4th ed. Philadelphia, PA: Elsevier; 2018: babi na 32.

Katitji B. Rashin lafiyar jijiyoyi na gefe. 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 107.

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