Neurosarcoidosis

Neurosarcoidosis kusangana kwesarcoidosis, uko kuzvimba kunoitika muuropi, musana, uye dzimwe nzvimbo dzehurongwa hwemitsipa.

Sarcoidosis chirwere chisingaperi chinokanganisa zvikamu zvakawanda zvemuviri, kunyanya mapapu. Muvanhu vashoma, chirwere ichi chinosanganisira chimwe chikamu chetsinga. Izvi zvinonzi neurosarcoidosis.

Neurosarcoidosis inogona kukanganisa chero chikamu chehurongwa hwemitsipa. Kamwe kamwe, kushaya simba kwechiso (kumeso kupora kana kumeso kumeso) chiratidzo chinowanzoitika chetsinga chinosanganisira tsinga kumhasuru dzechiso. Chero imwe tsinga iri mudehenya inogona kukanganisika, kusanganisira iwo ari muziso uye ayo anodzora kuravira, kunhuwidza, kana kunzwa.

Iyo tambo yemuzongoza ndechimwe chikamu chehurongwa hwemitsipa iyo sarcoidosis inogona kukanganisa. Vanhu vanogona kushaya simba mumaoko nemakumbo, uye nekunetseka kufamba kana kudzora weti yavo kana ura. Mune zvimwe zviitiko, rwonzi rwesipinha rwakakanganiswa zvakanyanya zvekuti makumbo ese ari maviri akaremara.

Mamiriro acho anogona kukanganisa zvikamu zvehuropi zvinobatanidzwa mukugadzirisa mabasa mazhinji emuviri, senge tembiricha, kurara, uye mhinduro dzekunetseka.

Tsvina kushaya simba kana kurasikirwa kwekunzwa kunogona kuitika pamwe nekupararira kweropa kubatanidzwa. Dzimwe nzvimbo dzehuropi, kusanganisira iyo pituitary gland iri pazasi pehuropi, kana musana wespain unogona zvakare kuve wakabatanidzwa.

Kubatanidzwa kwepituitary gland kunogona kukonzera:

• Kuchinja kumwedzi
• Kuneta zvakanyanya kana kuneta
• Nyota yakanyanya
• Yakakwira weti kuburitsa

Zviratidzo zvinosiyana. Chero chikamu chehurongwa hwemitsipa chinogona kukanganiswa. Kubatanidzwa kwehuropi kana mitsipa yakakomba kunogona kukonzera:

• Kuvhiringidzika, kusagadzikana
• Kuderera kwekunzwa
• Dementia
• Dzungu, vertigo, kana kusanzwisisika kwekunzwa kwekufamba
• Kuona kaviri kana mamwe matambudziko ekuona, kusanganisira bofu
• Kumeso kupora (kushaya simba, kudonha)
• Kutemwa nemusoro
• Kurasikirwa kwekunzwa hwema
• Kurasikirwa kwekunzwa kwekuravira, zvido zvisina kujairika
• Kushungurudzika kwepfungwa
• Kufenda
• Kukanganisa kutaura

Kubatanidzwa kweimwe kana kupfuura eperiperi tsinga kunogona kutungamira ku:

• Kunzwa kusanzwisisika mune chero chikamu chemuviri
• Kurasikirwa kwekufamba kwechero chikamu chemuviri
• Kurasikirwa kwekunzwa mune chero chikamu chemuviri
• Kuneta kwechero chikamu chemuviri

Bvunzo dzinogona kuratidza matambudziko neimwe kana yakawanda tsinga.

Nhoroondo yesarcoidosis inoteverwa nezviratidzo zvine chekuita nemitsipa zvinoratidza zvikuru neurosarcoidosis. Nekudaro, zviratidzo zvechimiro zvinogona kuteedzera kumwe kusagadzikana kwekurapa, kusanganisira chirwere cheshuga insipidus, hypopituitarism, optic neuritis, meningitis, uye mamwe mamota. Dzimwe nguva, huta hunogona kukanganiswa munhu asati azivikanwa kuti ane sarcoidosis, kana asingakanganise mapapu kana dzimwe nhengo zvachose.

Kuongororwa kweropa hakubatsiri zvakanyanya pakuongorora mamiriro acho. Kuvhara kwechiuno kunogona kuratidza zviratidzo zvekuputika. Yakawedzera mazinga eangiotensin-inoshandura enzyme inogona kuwanikwa muropa kana cerebrospinal fluid (CSF). Nekudaro, ichi hachisi chechokwadi chekuongorora bvunzo.

MRI yeuropi inogona kubatsira. X-ray yechipfuva inowanzo kuratidza zviratidzo zve sarcoidosis yemapapu. Tsinga biopsy yeakakanganiswa tsinga nyama inosimbisa kusagadzikana.

Iko hakuna kuzivikanwa kurapa kwesarcoidosis. Kurapa kunopihwa kana zviratidzo zvakanyanya kana kuti zviri kuramba zvichitowedzera. Chinangwa chekurapa ndechekuderedza zviratidzo.

Corticosteroids senge prednisone inorayirwa kudzikisa kuzvimba. Ivo vanowanzo kupihwa kusvikira zviratidzo zvave nani kana kuenda. Ungangoda kutora mishonga kwemwedzi, kana kunyangwe makore.

Mimwe mishonga inogona kusanganisira kutsiva mahormone uye mishonga inodzvinyirira immune system.

Kana iwe uine chiveve, kushaya simba, kuona kana matambudziko ekunzwa, kana mamwe matambudziko nekuda kwekukuvara kwemitsipa mumusoro, ungangoda kurapwa kwemuviri, brace, tsvimbo, kufamba kana wiricheya.

Kushushikana kwepfungwa kana kuora mwoyo kunogona kuda mishonga yekuora mwoyo, kupindira kwekuchengetedza, uye rubatsiro nekutarisira.

Zvimwe zviitiko zvinoenda zvega mukati memwedzi mina kusvika kumitanhatu. Vamwe vanoenderera mberi nekuenderera kwehupenyu hwese hwemunhu. Neurosarcoidosis inogona kukonzera kuremara zvachose uye, mune dzimwe nguva, kufa.

Matambudziko anosiyana zvichienderana nechikamu chetsinga chakabatanidzwa uye nemabatiro aunoita kurapwa. Zvishoma nezvishoma kuwedzera kana kurasikirwa zvachose kweiyo neurological basa zvinogoneka. Muzviitiko zvisingawanzoitika, iyo brainstem inogona kubatanidzwa. Uku ndiko kutyisidzira hupenyu.

Fonera wako mupi wezvehutano kana iwe uine sarcoidosis uye chero zviratidzo zveitsinga zvinoitika.

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana iwe ukangoerekana warasikirwa nekunzwa, kufamba, kana muviri basa.

Kurapa kwehasha kwesarcoidosis kunodzima muviri kutadza kupindura immune yako tsinga dzisati dzakuvara. Izvi zvinogona kudzora mukana wekuti zviratidzo zveeurological zviitike.

Sarcoidosis - huta hurongwa

• Sarcoid, danho I - chipfuva x-ray
• Sarcoid, danho II - chest x-ray
• Sarcoid, danho IV - chest x-ray

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Ibitoye RT, Wilkins A, Kutuka NJ. Neurosarcoidosis: yekiriniki nzira yekuongorora uye manejimendi. J Neurol. 2017; 264 (5): 1023-1028. PMID: 27878437 www.ncbi.nlm.nih.gov/pubmed/27878437.

Josephson SA, Aminoff MJ. Neurological zvinetso zve systemic chirwere: vanhu vakuru. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 58.

Krumholz A, Stern BJ. Sarcoidosis yeiyo tsinga system. Muna: Aminoff MJ, Josephson SW, eds. Aminoff's Neurology uye General Medicine. 5 ed. Waltham, MA: Elsevier Dzidzo Press; 2014: chits. 49.

Tavee JO, Stern BJ. Neurosarcoidosis. Kliniki Chest Med. 2015; 36 (4): 643-656. PMID: 26593139 www.ncbi.nlm.nih.gov/pubmed/26593139.