Ciwon kumburi mai saurin lalacewar cutar polyneuropathy

Cutar polyneuropathy mai saurin kumburi mai saurin lalacewa (CIDP) cuta ce da ke tattare da kumburi da jijiya (kumburi) wanda ke haifar da asarar ƙarfi ko ji.

CIDP shine dalili guda daya na lalacewar jijiyoyi a wajen kwakwalwa ko laka (ƙananan neuropathy). Polyneuropathy yana nufin jijiyoyi da yawa suna da hannu. CIDP yakan shafar bangarorin biyu na jiki.

CIDP yana faruwa ne ta hanyar ba da kariya mara kyau. CIDP yana faruwa lokacin da tsarin rigakafi ya afkawa murfin myelin na jijiyoyi. Saboda wannan dalili, ana tsammanin CIDP cuta ce ta autoimmune.

Har ila yau, masu ba da sabis na kiwon lafiya suna ɗaukar CIDP azaman yanayin cutar Guillain-Barré.

Takamaiman abubuwan da ke haifar da CIDP sun bambanta. A lokuta da yawa, ba za a iya gano musabbabin hakan ba.

CIDP na iya faruwa tare da wasu yanayi, kamar:

• Ciwon hanta na kullum
• Ciwon suga
• Kamuwa da ƙwayoyin cuta Campylobacter jejuni
  
• HIV / AIDs
• Rikicin tsarin rigakafi saboda cutar kansa
• Ciwon hanji mai kumburi
• Tsarin lupus erythematosus
• Ciwon daji na tsarin lymph
• Ciwan thyroid
• Illolin magunguna don magance cutar kansa ko HIV

Kwayar cutar ta haɗa da ɗayan masu zuwa:

• Matsalar tafiya saboda rauni ko rashin ji a ƙafa
• Matsalar amfani da hannaye da hannaye ko ƙafa da ƙafa saboda rauni
• Canjin yanayi, kamar su suma ko rage jin zafi, zafi, ƙonewa, ƙwanƙwasawa, ko wasu abubuwan da basu dace ba (yawanci yakan shafi ƙafa da farko, sannan kuma hannu da hannu)

Sauran cututtukan da za su iya faruwa tare da CIDP sun haɗa da:

• Motsi mara kyau ko mara hadewa
• Matsalar numfashi
• Gajiya
• Sandarewa ko sauya murya ko magana mai rauni

Mai ba da sabis ɗin zai yi gwajin jiki kuma ya yi tambaya game da alamun, yana mai da hankali kan tsarin jijiyoyi da tsokoki.

Gwajin da za'a iya yin oda sun hada da:

• Electromyography (EMG) don bincika tsokoki da jijiyoyin da ke kula da tsokoki
• Gwajin gwajin jijiyoyi don bincika yadda saurin sakonnin lantarki ke ratsa jijiya
• Nazarin jijiyoyin jiki don cire karamin jijiya don gwaji
• Tashin kashin baya (hujin lumbar) don bincika ruwan dake kewaye da kwakwalwa da lakar kashin baya
• Za'a iya yin gwajin jini don neman takamaiman sunadaran da ke haifar da rigakafin rigakafin jijiyoyi
• Gwajin aikin huhu don bincika idan numfashi ya shafa

Dogaro da abin da ake zargi na CIDP, ana iya yin wasu gwaje-gwajen, kamar su x-ray, hotunan hotunan, da gwajin jini.

Makasudin magani shine juya baya harin akan jijiyoyi. A wasu lokuta, jijiyoyi na iya warkewa kuma ana iya dawo da aikinsu. A wani yanayin kuma, jijiyoyi sun yi matukar lalacewa kuma ba za su iya warkewa ba, saboda haka ana ba da magani ne don hana cutar ci gaba da munana.

Wace magani ake bayarwa ya dogara da tsananin alamun alamun, da sauran abubuwa. Maganin da ya fi kowane tashin hankali ana bayarwa ne kawai idan kana da wahalar tafiya, numfashi, ko kuma idan alamun ba su ba ka damar kula da kanka ko aiki ba.

Jiyya na iya haɗawa da:

• Corticosteroids don taimakawa rage ƙonewa da kuma taimakawa bayyanar cututtuka
• Sauran magunguna da ke hana tsarin rigakafi (don wasu larura masu tsanani)
• Plasmapheresis ko musayar plasma don cire ƙwayoyin cuta daga jini
• Intravenous immunity globulin (IVIg), wanda ya haɗa da ƙara yawan ƙwayoyin cuta zuwa jini jini don rage tasirin kwayar cutar da ke haifar da matsalar

Sakamakon ya bambanta. Rashin lafiyar na iya ci gaba na dogon lokaci, ko kuma kuna iya maimaita alamun alamun. Cikakken dawowa yana yiwuwa, amma asarar jijiya na dindindin ba bakon abu bane.

Matsalolin CIDP sun haɗa da:

• Jin zafi
• Rage na dindindin ko asarar jin dadi a sassan jiki
• Rashin ƙarfi na dindindin ko inna a sassan jiki
• Maimaitawa ko raunin rauni ga wani yanki na jiki
• Sakamakon sakamako na magunguna da ake amfani dasu don magance matsalar

Kira mai ba ku sabis idan kuna da asarar motsi ko motsawa a kowane yanki na jiki, musamman ma idan alamunku sun ƙara muni.

Tsarin cututtukan cututtukan cututtukan cututtuka na yau da kullum; Polyneuropathy - mai kumburi na kullum; CIDP; Kullum mai cutar polyneuropathy; Guillain-Barré - CIDP

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Katirji 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.

Smith G, Mai Jin kunya NI. Neuroananan neuropathies. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi 392.