Chirwere chisingaperi chinodzvinyirira polyneuropathy

Chirwere chisingaperi chinodzvinyirira polyneuropathy (CIDP) chirwere chinosanganisira kuzvimba kwetsinga uye kutsamwa (kuzvimba) kunotungamira mukurasikirwa kwesimba kana kunzwa.

CIDP ndechimwe chikonzero chekukuvara kwemitsipa kunze kwehuropi kana musana (peripheral neuropathy). Polyneuropathy inoreva kuti tsinga dzinoverengeka dzinobatanidzwa. CIDP inowanzo bata mativi ese emuviri.

CIDP inokonzerwa neasina kujairika immune mhinduro. CIDP inoitika apo immune system inorwisa iyo myelin chifukidziro chetsinga. Neichi chikonzero, CIDP inofungidzirwa kuti chirwere chemuviri.

Vanoona nezvehutano vanofungawo nezveCIDP sechimiro chisingaperi cheGuillain-Barre syndrome.

Izvo zvinokonzeresa zveCIDP zvinosiyana. Muzviitiko zvakawanda, chikonzero hachikwanise kuzivikanwa.

CIDP inogona kuitika nemamwe mamiriro, akadai se:

• Chirwere hepatitis
• Chirwere cheshuga
• Kubatwa nehutachiona Campylobacter jejuni
  
• HIV / AIDS
• Immune immune system inokonzerwa nekenza
• Chirwere chekuputira ura
• Systemic lupus erythematosus
• Kenza yeiyo lymph system
• Utachiona hwakanyanya
• Zvimwe zvinokanganisa mishonga yekurapa gomarara kana HIV

Zviratidzo zvinosanganisira chero cheanotevera:

• Matambudziko ekufamba nekuda kwekushaya simba kana kushaya kwekunzwa mutsoka
• Dambudziko rekushandisa maoko nemaoko kana makumbo netsoka nekuda kwekushaya simba
• Kunzwa kushanduka, senge chiveve kana kuderera kwekunzwa, kurwadziwa, kupisa, kurira, kana kumwe kusanzwisisika kwekunzwa (kazhinji kunokanganisa tsoka kutanga, ipapo maoko nemaoko)

Zvimwe zviratidzo zvinogona kuitika neCIDP zvinosanganisira:

• Kusanzwisisika kana kusagadzikana kufamba
• Matambudziko kufema
• Kuneta
• Kuchema kana kushandura izwi kana kutaura kwakashata

Iye mupi achaita bvunzo dzepanyama uye obvunza nezvezviratidzo, achitarisa kune yeti system uye mhasuru.

Miedzo inogona kurairwa inosanganisira:

• Electromyography (EMG) kutarisa tsandanyama uye tsinga dzinodzora mhasuru
• Tsinga conduction bvunzo kuti uone kumhanya kwemasaini emagetsi kuburikidza nemutsipa
• Tsinga biopsy kubvisa chidimbu chidiki chetsinga kuti chiongororwe
• Spinal tap (lumbar puncture) kuti utarise mvura inenge yakatenderedza uropi nemuzongoza
• Kuongororwa kweropa kunogona kuitwa kutsvaga mapuroteni chaiwo ari kukonzeresa kurwiswa kwemitsipa
• Lung basa rinoedza kuongorora kana kufema kuchikanganiswa

Zvichienderana nechinofungidzirwa chikonzero cheCIDP, kumwe kuyedzwa, senge x-ray, imaging scans, uye kuongororwa kweropa, kunogona kuitwa.

Chinangwa chekurapa ndechekudzosera kurwisa kwemitsipa. Mune zvimwe zviitiko, tsinga dzinogona kupora uye mashandiro adzo anogona kudzoreredzwa. Mune zvimwe zviitiko, tsinga dzakakuvara zvakanyanya uye hadzigone kupora, saka kurapwa kunoitirwa kudzivirira chirwere kuti chisanyanya kuwedzera.

Ndeapi marapirwo anopiwa zvinoenderana nekuti zvakanyanya sei zviratidzo, pakati pezvimwe zvinhu. Kurapa kwakanyanya kunopihwa chete kana uchinetseka kufamba, kufema, kana kana zviratidzo zvisingatenderi kuti uzvitarisire kana kushanda.

Mishonga inogona kusanganisira:

• Corticosteroids kubatsira kudzikisa kuzvimba uye kubvisa zviratidzo
• Mimwe mishonga inodzvinyirira immune system (kune mamwe matambudziko akakomba)
• Plasmapheresis kana plasma kuchinjana kubvisa antibodies kubva muropa
• Intravenous immune globulin (IVIg), iyo inosanganisira kuwedzera huwandu hukuru hwemasoja ekudzivirira ropa muplasma kudzikamisa kushanda kwema antibodies ari kukonzera dambudziko

Mhedzisiro yacho inosiyana. Iyo kusagadzikana kunogona kuenderera kwenguva refu, kana iwe unogona kunge wakadzokorora zvikamu zvechiratidzo. Kupora kwakazara kunogoneka, asi kurasikirwa zvachose kwetsinga hakuwanzoitika.

Zvinetso zveCIDP zvinosanganisira:

• Kurwadziwa
• Kuderera kusingaperi kana kurasikirwa kwekunzwa munzvimbo dzemuviri
• Kusingaperi kushaya simba kana kuoma mitezo munzvimbo dzemuviri
• Kudzokororwa kana kusazivikanwa kukuvara kunzvimbo yemuviri
• Side mhedzisiro yemishonga inoshandiswa kurapa kusagadzikana

Fonera mupiki wako kana iwe uine kurasikirwa kwekufamba kana kwekunzwa mune chero nzvimbo yemuviri, kunyanya kana zviratidzo zvako zvichitowedzera.

Chisingaperi kuzvimba demyelinating polyradiculoneuropathy; Polyneuropathy - chisingaperi kuzvimba; CIDP; Chisingaperi kuzvimba polyneuropathy; Guillain-Barre - CIDP

• Central nervous system uye yekumusoro tsinga system

Katirji B. Kukanganisika kwemitsipa yekunze. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 107.

Smith G, Anonyara INI. Peripheral neuropathies. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 392.