Ciwon ɓacin rai na Osmotic

Osmotic demyelination syndrome (ODS) shine matsalar rashin kwayar halitta ta kwakwalwa. Hakan na faruwa ne ta lalata labulen (myelin sheath) wanda ke rufe ƙwayoyin jijiyoyin a tsakiyar kwakwalwar kwakwalwa (pons).

Lokacin da murfin myelin da ke rufe ƙwayoyin jijiyoyin ya lalace, ba a watsa sigina daga wata jijiya zuwa wani. Kodayake ƙwaƙwalwar ƙwaƙwalwar an fi shafa ta, sauran wurare na ƙwaƙwalwar suma za su iya shiga.

Dalili mafi mahimmanci na ODS shine saurin canji a matakan sodium na jiki. Wannan galibi yana faruwa yayin da ake jinyar wani don ƙarancin sodium (hyponatremia) kuma ana maye gurbin sodium da sauri. Wani lokaci, yakan faru ne yayin da aka gyara babban ƙwayar sodium a jiki (hypernatremia) da sauri.

ODS galibi baya faruwa da kansa. Mafi sau da yawa, yana da rikitarwa na magani don wasu matsalolin, ko daga wasu matsalolin kansu.

Hadarin ya hada da:

• Yin amfani da barasa
• Ciwon Hanta
• Rashin abinci mai gina jiki daga cututtuka masu tsanani
• Radiation magani na kwakwalwa
• Tsananin jiri da amai yayin ciki

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Rikicewa, delirium, hallucinations
• Matsalar daidaitawa, rawar jiki
• Matsalar haɗiyewa
• Rage faɗakarwa, bacci ko bacci, kasala, ra'ayoyi marasa kyau
• Zurfin magana
• Rashin ƙarfi a fuska, hannu, ko ƙafa, yawanci yakan shafi ɓangarorin biyu na jiki

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamun.

Binciken MRI na kai na iya bayyana matsala a cikin kwakwalwar kwakwalwa (pons) ko wasu sassan kwakwalwa. Wannan shine babban gwajin bincike.

Sauran gwaje-gwaje na iya haɗawa da:

• Matakan sodium na jini da sauran gwajin jini
• Responsewararren ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa (BAER)

ODS cuta ce ta gaggawa da ke buƙatar kulawa a asibiti duk da cewa yawancin mutanen da ke wannan yanayin sun riga mu gidan gaskiya don wata matsalar.

Babu sanannen magani don cutar myelinolysis na tsakiya. Jiyya yana mai da hankali kan sauƙaƙe bayyanar cututtuka.

Jiki na jiki na iya taimakawa wajen kula da ƙarfin tsoka, motsi, da aiki cikin raunana hannu da ƙafafu.

Lalacewar jijiyoyin da matsakaicin matsakaitan myelinolysis ya haifar galibi yana daɗewa. Rashin lafiyar na iya haifar da nakasa na dogon lokaci (na kullum).

Matsaloli na iya haɗawa da:

• Rage ikon hulɗa da wasu
• Rage ikon aiki ko kulawa da kai
• Rashin ikon motsawa, banda ƙiftawar ido ("a kulle cikin" ciwo)
• Lalacewar tsarin dindindin

Babu hakikanin jagora game da lokacin da za a nemi likita, saboda ODS ba safai a cikin gama gari ba.

A cikin asibiti, jinkirin, sarrafawa mai kula da ƙarancin sinadarin sodium na iya rage haɗarin lalacewar jijiyoyi a cikin kwanon rufi. Sanin yadda wasu magunguna zasu iya canza matakan sodium zai iya hana matakin canzawa da sauri.

ODS; Tsarin tsakiya na kwalliya

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Weissenborn K, Lockwood AH. Mai guba da na rayuwa encephalopathies. 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 84.

Yaqoob MM, McCafferty K. Ma'aunin ruwa, ruwaye da lantarki. A cikin: Gashin tsuntsu A, Randall D, Waterhouse M, eds. Kumar da Clarke's Clinical Medicine. 10 ed. Philadelphia, PA: Elsevier; 2021: babi na 9.