Monididdigar yawa

Magungunan maganin ƙwaƙwalwa dayawa cuta ne mai rikitarwa wanda ya haɗa da lalacewar aƙalla wurare daban-daban guda biyu. Neuropathy yana nufin rikicewar jijiyoyi.

Magunguna masu yawa shine nau'i na lalacewar jijiyoyi ɗaya ko fiye. Waɗannan su ne jijiyoyi a waje da kwakwalwa da ƙashin baya. Ofungiyar bayyanar cututtuka ne (ciwo), ba cuta ba.

Koyaya, wasu cututtuka na iya haifar da rauni ko lalacewar jijiyoyin da ke haifar da alamun cututtukan cututtukan zuciya dayawa. Yanayi na yau da kullun sun haɗa da:

• Cututtukan magudanar jini kamar polyarteritis nodosa
• Haɗuwa da cututtukan nama irin su cututtukan zuciya na rheumatoid ko tsarin lupus erythematosus (sananniyar sanadin yara)
• Ciwon suga

Causesananan dalilai na yau da kullun sun haɗa da:

• Amyloidosis, haɓakar haɓakar sunadarai a cikin kyallen takarda da gabobi
• Rikicin jini (kamar su hypereosinophilia da cryoglobulinemia)
• Cututtuka kamar su cutar Lyme, HIV / AIDS, ko hepatitis
• Kuturta
• Sarcoidosis, kumburi na ƙwayoyin lymph, huhu, hanta, idanu, fata, ko wasu kyallen takarda
• Ciwon Sjögren, cuta ne wanda glandon da ke samar da hawaye da yau suka lalace
• Granulomatosis tare da polyangiitis, kumburi na jijiyoyin jini

Kwayar cutar ta dogara da takamaiman jijiyoyin da ke ciki, kuma na iya haɗawa da:

• Asarar mafitsara ko kulawar hanji
• Rashin jin dadi a daya ko fiye da sassan jiki
• Shan inna a wasu sassan jiki ko fiye
• Jin zafi, kuna, zafi, ko wasu abubuwan jin daɗi mara kyau a cikin ɗaya ko fiye da sassan jiki
• Rashin rauni a cikin yanki ɗaya ko fiye na jiki

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamun, yana mai da hankali kan tsarin juyayi.

Don bincika wannan ciwo, yawanci ana buƙatar samun matsala tare da 2 ko fiye da wuraren jijiyoyin da ba su da alaƙa. Jijiyoyin da abin ya shafa sune:

• Maganin axillary a cikin hannu da kafaɗa
• Maganin peroneal na yau da kullun a cikin ƙananan ƙafa
• Rage jijiyar tsakiya zuwa hannun
• Jijiyar mata a cinya
• Jijiyar radial a cikin hannu
• Sciatic jijiya a bayan kafa
• Jijiyar Ulnar a cikin hannu

Gwaje-gwaje na iya haɗawa da:

• Electromyogram (EMG, rikodin aikin lantarki a cikin tsokoki)
• Nazarin jijiya don nazarin yanki na jijiyar a ƙarƙashin madubin likita
• Gwajin gwajin jijiyoyi don auna yadda saurin jijiyar jiki ke tafiya tare da jijiyar
• Gwajin hoto, kamar su x-ray

Gwajin jini da za a iya yi sun haɗa da:

• Antinuclear antibody panel (ANA)
• Gwajin sunadarai na jini
• C-mai amsa furotin
• Hoton hoto
• Gwajin ciki
• Rheumatoid factor
• Yawan kujeru
• Gwajin thyroid
• X-haskoki

Makasudin magani shine:

• Bi da cutar da ke haifar da matsalar, idan za ta yiwu
• Bayar da tallafi na tallafi don kiyaye 'yancin kai
• Kula da bayyanar cututtuka

Don inganta 'yancin kai, jiyya na iya haɗawa da:

• Maganin aiki
• Taimakon Orthopedic (alal misali, keken guragu, takalmin gyaran kafa, da kuma takalmi)
• Magungunan jiki (alal misali, motsa jiki da sake horo don ƙara ƙarfin tsoka)
• Maganin sana'a

Tsaro yana da mahimmanci ga mutanen da ke da matsala ko matsalolin motsi. Rashin kula da tsoka da rage jijiyoyin jiki na iya kara haɗarin faduwa ko rauni. Matakan tsaro sun haɗa da:

• Samun isasshen haske (kamar barin barin wuta da dare)
• Shigar da layin dogo
• Cire shingen abubuwa (kamar su shimfidu masu kwance waɗanda zasu iya zamewa a ƙasa)
• Gwajin zafin jiki kafin wanka
• Sanye takalmi masu kariya (babu yatsun kafa ko doguwar sheqa)

Bincika takalma sau da yawa don tsaka mai wuya ko rauni wanda zai iya cutar da ƙafa.

Mutanen da ke da rauni kaɗan ya kamata su bincika ƙafafunsu (ko wani yanki da abin ya shafa) sau da yawa don rauni, wuraren fata na buɗe, ko wasu raunin da ba za a iya lura da su ba. Wadannan raunin na iya zama masu kamuwa da cuta sosai saboda jijiyoyin yankin ba sa alamar rauni.

Mutanen da ke fama da cutar sankara dayawa suna iya fuskantar sabbin raunin jijiyoyi a wuraren matsi irin su gwiwoyi da gwiwar hannu. Ya kamata su guji sanya matsin lamba a kan waɗannan yankuna, alal misali, ta hanyar rashin jingina ga gwiwar hannu, ƙetare gwiwoyi, ko riƙe matsayi irin wannan na dogon lokaci.

Magunguna waɗanda zasu iya taimakawa sun haɗa da:

• Sama-da-kan-kan-counter ko magungunan ƙwayoyi masu ciwo
• Magungunan kwantar da hankali ko magungunan kashe kuzari don rage radadin rauni

Cikakken dawowa yana yiwuwa idan an sami dalilin kuma an magance shi, kuma idan lalacewar jijiyar ta iyakance. Wasu mutane ba su da nakasa. Wasu suna da rashi motsi ko aiki, aiki, ko azanci.

Matsaloli na iya haɗawa da:

• Lalacewa, asarar nama ko yawan tsoka
• Rushewar ayyukan sassan jiki
• Magungunan sakamako na magani
• Maimaitawa ko raunin rauni ga yankin da abin ya shafa saboda rashin jin dadi
• Matsalar dangantaka saboda rashin aiki

Kira mai ba ku sabis idan kun lura da alamun rashin ƙarfi guda ɗaya.

Matakan kariya sun dogara da takamaiman cuta. Misali, tare da ciwon sukari, cin abinci mai kyau da kuma kiyaye karfin jini, na iya taimakawa wajen hana yaduwar cutar ta hanyar jiki.

Mononeuritis multiplex; Onearamar Mononeuropathy; Multifocal neuropathy; Neuropathy na gefe - mononeuritis multiplex

• 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.