Akawanda mononeuropathy

Akawanda mononeuropathy chirwere chetsinga system chinosanganisira kukanganisa kune angangoita maviri nzvimbo dzakasiyana dzetsinga. Neuropathy zvinoreva kusagadzikana kwemitsipa.

Multiple mononeuropathy inzira yekukuvara kune imwe kana yakawanda mhiri tsinga. Iyi ndiyo tsinga iri kunze kwehuropi uye musana. Iri iboka rezviratidzo (syndrome), kwete chirwere.

Nekudaro, zvimwe zvirwere zvinogona kukonzera kukuvara kana kukuvara kwemitsipa uko kunotungamira kune zviratidzo zveakawanda mononeuropathy. Mamiriro ezvinhu akajairwa anosanganisira:

• Zvirwere zveropa senge polyarteritis nodosa
• Zvinobatanidza hutachiona hutachiona senge rheumatoid arthritis kana systemic lupus erythematosus (chinonyanya kukonzera vana)
• Chirwere cheshuga

Zvikonzero zvishoma zvakajairika zvinosanganisira:

• Amyloidosis, akajairika anovaka mapuroteni mumatumbu uye nhengo
• Dambudziko reropa (senge hypereosinophilia uye cryoglobulinemia)
• Zvirwere zvakadai seLyme chirwere, HIV / AIDS, kana hepatitis
• Maperembudzi
• Sarcoidosis, kuzvimba kwema lymph node, mapapu, chiropa, maziso, ganda, kana zvimwe zvinyama
• Sjögren syndrome, kusagadzikana uko maronda anounza misodzi uye mate anoparadzwa
• Granulomatosis ne polyangiitis, kuzvimba kweropa mudziyo

Zviratidzo zvinoenderana nemitsipa chaiyo inosanganisirwa, uye inogona kusanganisira:

• Kurasikirwa kwedundira kana ura
• Kurasikirwa kwekunzwa mune imwe kana kupfuura nzvimbo dzemuviri
• Kuoma mitezo mune imwe kana nzvimbo zhinji dzemuviri
• Kuchenesa, kupisa, kurwadziwa, kana kumwe kusanzwisisika kwekunzwa mune imwe kana kupfuura nzvimbo dzemuviri
• Kushaya simba mune imwechete kana yakawanda nzvimbo yemuviri

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezvezviratidzo, achitarisana nehurongwa hwekutyaira.

Kuti uongorore chirwere ichi, panowanzo fanika kuve nezvinetso ne2 kana kupfuura dzimwe nzvimbo dzisingabatanidzi tsinga. Mitsipa yakajairika inokanganiswa ndeiyi:

• Axillary nerve mune chero ruoko nefudzi
• Kazhinji peroneal nerve mugumbo rezasi
• Inosiyana median nerve kune ruoko
• Nhengo dzevakadzi mune chidya
• Radial nerve muruoko
• Sciatic nerve kumashure kwegumbo
• Ulnar tsinga paruoko

Miedzo inogona kusanganisira:

• Electromyogram (EMG, kurekodha kwechiitiko chemagetsi mumhasuru)
• Tsinga biopsy kuongorora chidimbu chetsinga pasi pe microscope
• Tsinga conduction bvunzo kuyera kuti inokurumidza sei tsinga tsinga dzinofamba pamwe neiyo nerve
• Kufungidzira bvunzo, senge x-rays

Kuongororwa kweropa kunogona kuitwa kunosanganisira:

• Antinuclear nyowani antibody pani (ANA)
• Ropa kemisitiri bvunzo
• C-inoshanda mapuroteni
• Kufungidzira scans
• Kuedzwa kwepamuviri
• Rheumatoid chinhu
• Sedimentation mwero
• Utachiona miedzo
• X-ray

Zvinangwa zvekurapa ndezvekuti:

• Rapa chirwere chiri kukonzera dambudziko, kana zvichibvira
• Ipa rutsigiro rwekuchengetedza rusununguko
• Dzora zviratidzo

Kuvandudza rusununguko, kurapwa kunogona kusanganisira:

• Kurapa pabasa
• Rubatsiro rweOrthopedic (semuenzaniso, wiricheya, brace, uye zvimedu)
• Kurapa kwepanyama (semuenzaniso, kurovedza muviri uye kudzidzisazve kuwedzera simba remhasuru)
• Kurapa kwehunyanzvi

Kuchengetedza kwakakosha kune vanhu vane manzwiro kana matambudziko ekufamba. Kusava nemhasuru kudzora uye kudzikira kwekunzwa kunogona kuwedzera njodzi yekudonha kana kukuvara. Matanho ekuchengetedza anosanganisira:

• Kuva nemwenje wakaringana (sekusiya mwenje husiku)
• Kuisa matinji
• Kubvisa zvipingamupinyi (senge makara akasununguka anogona kutsvedza pasi)
• Kwayedza tembiricha yemvura usati washamba
• Kupfeka shangu dzekudzivirira (hapana zvigunwe zvakavhurika kana zvitsitsinho)

Tarisa bhutsu kazhinji kune grit kana akaomarara mavara anogona kukuvadza tsoka.

Vanhu vane kushomeka kwekunzwa vanofanirwa kutarisa tsoka dzavo (kana imwe nzvimbo yakakanganiswa) kazhinji kumavanga, nzvimbo dzakavhurika dzeganda, kana kumwe kukuvara uko kungave kusingaonekwe. Kukuvara uku kunogona kutapukirwa zvakanyanya nekuti maronda etsinga enzvimbo haasi kuratidza kukuvara.

Vanhu vane mononeuropathy yakawanda vanokonzeresa kukuvara kwetsinga kutsva pakumanikidza senge mabvi nemagokora. Ivo vanofanirwa kudzivirira kuisa kumanikidza pane idzi nzvimbo, semuenzaniso, nekusatsamira pamaoko, kuyambuka mabvi, kana kubata zvigaro zvakafanana kwenguva refu.

Mishonga inogona kubatsira inosanganisira:

• Over-the-counter kana mishonga yemishonga inorwadza
• Antiseizure kana antidipressant mishonga yekudzora ekurwadzisa marwadzo

Kudzoreredza kuzere kunogoneka kana chikonzero chawanikwa nekurapwa, uye kana kukuvara kwetsinga kuri kushoma. Vamwe vanhu havana urema. Vamwe vane kukwana kana kukwana kurasikirwa kwekufamba, basa, kana kunzwa.

Zvinetso zvinogona kusanganisira:

• Kuremara, kurasikirwa kwetishu kana mhasuru
• Kukanganiswa kwemitezo yenhengo
• Mishonga mhedzisiro
• Kudzokororwa kana kusaonekwa kukuvara kunzvimbo yakakanganiswa nekuda kwekushayikwa kwekunzwa
• Matambudziko ehukama nekuda kwekusagadzikana kwe erectile

Fonera waunopa kana iwe ukaona zviratidzo zveakawanda mononeuropathy.

Matanho ekudzivirira anoenderana nechakakanganisika chirwere. Semuenzaniso, nechirwere cheshuga, kudya chikafu chine hutano uye kuchengetedza yakasimba kudzora shuga yeropa kunogona kubatsira kudzivirira kuwanda kwemononeuropathy kubva mukukura.

Mononeuritis kuwanda; Mononeuropathy kuwanda; Multifocal neuropathy; Peripheral neuropathy - mononeuritis multiplex

• 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.