Autoimmune encephalitis: chii zvazviri, zvinokonzera uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekuongororwa kunoitwa
• Kurapwa kunoitwa sei
• Chii chinogona kukonzera encephalitis

Autoimmune encephalitis iko kuzvimba kwehuropi kunomuka apo immune system inorwisa maseru ehuropi ivo pachavo, zvichikanganisa mashandiro avo uye zvichikonzera zviratidzo senge kurira mumuviri, shanduko yekuona, kugwinha kana kushushikana, semuenzaniso, izvo zvinogona kana kusasiya sequelae .

Ichi chirwere hachiwanzoitika, uye chinogona kubata vanhu veese mazera. Kune mhando dzakasiyana dze autoimmune encephalitis, sezvo zvichitsamira parudzi rweantibodyu iyo inorwisa maseru nenzvimbo yehuropi yakakanganiswa, mimwe mienzaniso mikuru iri anti-NMDA encephalitis, yakaoma inoparadzirwa encephalitis kana limbic encephalitis semuenzaniso , iyo inogona kusimuka nekuda kweiyo neoplasm, mushure mehutachiona kana pasina chikonzero chakajeka.

Kunyangwe autoimmune encephalopathy isina mushonga chaiwo, inogona kurapwa nekushandisa mimwe mishonga, senge maanticonvulsants, corticosteroids kana maunosuppressants, semuenzaniso, ayo anoderedza zviratidzo, anoderedza kuzvimba uye anobatsira kudzoreredza huropi hwese hunoshanda.

Zviratidzo zvikuru

Sezvo autoimmune encephalitis inokanganisa mashandiro ehuropi, zviratidzo zvinosiyana zvinoenderana nenzvimbo yakakanganiswa. Nekudaro, zviratidzo zvakajairika zvinosanganisira:

• Kushaya simba kana shanduko mukunzwisisa munzvimbo dzakasiyana dzemuviri;
• Kurasikirwa kwechiyero;
• Zvakaoma kutaura;
• Kusazvibata kufamba;
• Chiratidzo chinoshanduka, sekusaona zvakanaka;
• Kunzwisisa kunzwisisa uye ndangariro zvinoshanduka;
• Shanduko mukuravira;
• Dambudziko rekurara uye kazhinji kusagadzikana;
• Kuchinja kwemanzwiro kana hunhu.

Uye zvakare, kana kutaurirana pakati peeuroni kukanganiswa zvakanyanya, vanogona zvakare kusimuka sekunyepedzera, kufungidzira kana kufunga kwepfungwa.

Nekudaro, zvimwe zviitiko zve autoimmune encephalitis inogona kusanzwisisika, senge chirwere chepfungwa chepfungwa schizophrenia kana bipolar kusagadzikana. Kana izvi zvikaitika, kurapwa kwacho hakuitwe nemazvo uye zviratidzo zvinogona kuwanda nekufamba kwenguva kana kuratidza zviratidzo zvekuvandudza kukuru.

Maitiro ekuongororwa kunoitwa

Kuti uwane kuongororwa kwakanaka kwechirwere ichi zvakakosha kuti ubvunze chiremba wezveuropi, sezvo mukuwedzera pakuongorora zviratidzo zvakakoshawo kuti ugoita imwe bvunzo yekuongorora, senge cerebrospinal fluid analysis, magnetic resonance imaging kana electroencephalogram kuti uone maronda ehuropi. izvo zvinoratidza kuvapo kwe autoimmune encephalitis.

Kuongororwa kweropa kunogona kuitwawo kuti uone kana paine masoja ekudzivirira chirwere anogona kukonzera mhando dzekuchinja idzi. Mamwe eakanyanya autoantibodies anti-NMDAR, anti-VGKC kana anti-GlyR, semuenzaniso, yakanangana nerudzi rwese rwe encephalitis.

Uye zvakare, kuti aongorore autoimmune encephalitis, chiremba anodawo kutonga zvimwe zvinowanzoitika zvikonzero zvekuputika kwehuropi, senge hutachiona kana hutachiona hutachiona.

Kurapwa kunoitwa sei

Kurapa kwe autoimmune encephalitis inotangwa neimwe kana imwe yeanotevera marudzi ekurapa:

• Kushandiswa kwekorticosteroids, senge Prednisone kana Hydrocortisone, kudzikisira kupindurwa kwema immune system;
• Kushandiswa kwemaununusuppressants, senge Rituximab kana Cyclophosphamide, yekudzora kwakanyanya mukuita kwema immune system;
• Plasmapheresis, kusefa ropa uye kubvisa masero ekudzivirira muviri ari kukonzera chirwere;
• Majekiseni emunoglobulinnekuti inotsiva kusunga kwema antibodies anokuvadza kumasero ehuropi;
• Kubviswa kwemamota iyo inogona kunge iri sosi yezvirwere zvinokonzeresa encephalitis.

Mishonga inogona zvakare kudiwa kudzikisa zviratidzo zvakaita seanticonvulsants kana anxiolytics, semuenzaniso.

Uye zvakare, zvakakosha kuti munhu akabatwa ne autoimmune encephalitis anoenda kunogadziriswa, uye panogona kuve nekudikanwa kwekurapwa kwemuviri, kurapwa kwebasa kana kuteedzerwa kwepfungwa, kudzora zviratidzo uye kudzikisira zvinokwanisika sequelae.

Chii chinogona kukonzera encephalitis

Chikonzero chaicho cherudzi urwu rwe encephalitis hachisati chazivikanwa, uye muzviitiko zvakawanda chinoonekwa muvanhu vane hutano. Inotendwawo kuti autoantibodies inogona kutanga mushure meimwe mhando dzehutachiona, nemabhakitiriya kana mavairasi, izvo zvinogona kutungamira mukugadzirwa kwemaantibhakitiriya asina kukodzera.

Nekudaro, autoimmune encephalitis inogona zvakare kuoneka seimwe yezviratidzwa zvebundu riri kure, senge kenza yemapapu kana yechibereko, semuenzaniso, iyo inonzi paraneoplastic syndrome. Naizvozvo, pamberi pe autoimmune encephalitis, zvakafanira kuongorora kuvepo kwekenza.