Subacute yakasanganiswa kuora

Subacute yakasanganiswa degeneration (SCD) kusagadzikana kwemuzongoza, huropi, uye tsinga. Inosanganisira kushaya simba, kusanzwisisika, matambudziko epfungwa, uye kuona kwakashata.

SCD inokonzerwa nekushomeka kwevhitamini B12. Inonyanya kukanganisa musana. Asi mhedzisiro yaro pahuropi uye neparipheral (muviri) tsinga ndicho chikonzero cheizwi rekuti "kusanganiswa." Pakutanga, iyo inovhara tsinga (myelin sheath) yakanganisika. Gare gare, rese sero retsinga rinokanganiswa.

Vanachiremba havazive chaizvo kuti kushomeka kwevhitamini B12 kunokuvadza sei tsinga. Izvo zvinokwanisika kuti kushomeka kweiri vhitamini kunokonzeresa zvisina kujairika mafuta acids kuti aumbire akatenderedza maseru uye tsinga.

Vanhu vari panjodzi huru yeichi chiitiko kana vhitamini B12 isingakwanise kunyudzwa kubva mumatumbu avo kana kana vaine:

• Pernicious anemia, mamiriro umo muviri usina masero matsvuku eropa ane hutano
• Kushungurudzika kwemukati mudumbu, kusanganisira chirwere cheCrohn
• Matambudziko anotora zvinovaka muviri, izvo zvinogona kuitika mushure mekuvhiyiwa kwemudumbu

Zviratidzo zvinosanganisira:

• Kusanzwisisika kwekunzwa (kurira uye chiveve)
• Kushaya simba kwemakumbo, maoko, kana dzimwe nzvimbo

Zviratidzo izvi zvishoma nezvishoma zvinowedzera uye zvinowanzonzwikwa pamativi ese emuviri.

Sezvo chirwere ichi chichiwedzera, zviratidzo zvinogona kusanganisira chero cheanotevera:

• Kusindimara, kuomarara kana kusagadzikana kufamba
• Shanduko muhutano hwepfungwa, senge matambudziko ekurangarira, kusagadzikana, kusava nehanya, kuvhiringidzika, kana kuora mwoyo
• Kupera kwekuona
• Kushungurudzika
• Kurara
• Kusagadzikana gait uye kurasikirwa kwechiyero
• Falls nekuda kwekusaenzana kwakaringana

Anopa hutano anoita bvunzo dzepanyama. Bvunzo dzinowanzo kuratidza kushaya simba kwemhasuru uye matambudziko ekunzwa kumativi ese emuviri, kunyanya mumakumbo. Knee jerk Reflexes inowanzo kudzikira kana kurasikirwa. Tsandanyama dzinogona kunge dzakapenga. Panogona kunge paine pfungwa dzakadzikiswa dzekubata, kurwadziwa, uye tembiricha.

Shanduko dzepfungwa dzinotangira pakukanganwa zvinyoronyoro kusvika pakuora mwoyo zvakanyanya kana psychosis. Kuora mwoyo kwakanyanya hakuwanzoitika, asi mune dzimwe nguva, ndicho chiratidzo chekutanga chekusagadzikana.

Kuongorora kwemaziso kunogona kuratidza kukuvara kweiyo optic nerve, mamiriro anonzi optic neuritis. Zviratidzo zvekuputika kwetsinga zvinogona kuonekwa panguva yekuongorora kwetsvo. Panogona zvakare kuve neasina kujairika mhinduro dzevadzidzi, kurasikirwa kwekuratidzira kwakapinza, uye dzimwe shanduko.

Kuongororwa kweropa kunogona kurairwa kunosanganisira:

• Yakazara kuverenga ropa (CBC)
• Vitamin B12 mwero weropa
• Methylmalonic acid eropa nhanho

Vitamin B12 inopihwa, kazhinji nejekiseni mumhasuru. Majekiseni anowanzo kupihwa kamwe pazuva kwevhiki, uye vhiki nevhiki kweinenge mwedzi mumwe, uyezve pamwedzi. Vitamin B12 inowedzera, kungave nejekiseni kana yepamusoro-dhiza mapiritsi, inofanirwa kuenderera muhupenyu hwese kudzivirira zviratidzo kubva kudzoka.

Kurapa kwekutanga kunovandudza mukana wemhedzisiro yakanaka.

Kunyatsoita munhu zvinoenderana nekuti anga aine zviratidzo kwenguva yakareba sei asati agamuchira kurapwa. Kana kurapwa kukagamuchirwa mukati memavhiki mashoma, kupora kwakazara kunogona kutarisirwa. Kana kurapwa kuchinonoka kwenguva yakareba kupfuura mwedzi kana mwedzi miviri, kupora kwakazara kunogona kusakwanisika.

Isina kurapwa, SCD inoguma nekuenderera uye nekukuvara kusingaperi kune yetsinga system.

Fonera mupiki wako kana kusanzwisisika kwekunzwa, kushaya simba kwemhasuru, kana zvimwe zviratidzo zveSCD zvinokura. Izvi zvinonyanya kukosha kana iwe kana nhengo yemhuri muine anemia yakaipa kana zvimwe zvinhu zvine njodzi.

Zvimwe zvinodyiwa zvemidziyo, kunyanya vegan, inogona kunge iri shoma mu vitamini B12. Kutora chinowedzera kunogona kubatsira kudzivirira SCD.

Subacute yakasanganiswa kupera kwespinal cord; SCD

• Central nervous system uye yekumusoro tsinga system
• Central yetsinga hurongwa

Pytel P, Anthony DC. Peripheral tsinga uye skeletal mhasuru. Mune: Kumar V, Abbas AK, Aster JC, eds. Robbins uye Cotran Pathologic Hwaro hweHosha. 9th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 27.

Saka YT. Kushomeka kwezvirwere zvehurongwa hwemitsipa. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 85.