Inkastoo labadaba cudurada maskaxda, waxaa jira afar kala duwan oo kala duwan
Waxaa jira in ka badan 100 nooc oo ah neeropathy peripheral neuropathy, sida laga soo xigtay Machadka Qaran ee Dhibaatooyinka Noociyada iyo Istaroogga, waxaana lagu kala saaraa iyadoo lagu saleynayo nooca dhaawaca dareemayaasha ay keenaan.
Tusaale ahaan, qaar ka mid ah neuropathy xannuunsanayaasha waxay saameyn ku yeeshaan kaliya hal dareem (oo loo yaqaan mononeuropathies) halka kuwa kale ay saameeyaan xididado badan (oo loo yaqaan polyneuropathies). Waxaa intaa dheer, qaar ka mid ah neuropathy xannuunsanaya waxay ka dhalanayaan waxyeelo udhaca nabraha dareemayaasha halka qaar kalena ay ka dhalanayaan waxyeelo soo gaadhay gabadhii miinada (iyo kuwa kale labadaba).
In kasta oo neeropathy loo yaqaan 'peripheral neuropathy' la wadaago calaamado caadi ah oo leh cillad badan (MS), sida xanuunka iyo dareenka aan caadiga ahayn, waa muhiim in la fahmo kuwaasi waa cuduro gebi ahaanba kala duwan.
Aynu aragno aragti afar ah oo kala duwan oo u dhexeeya neeropathy peripheral iyo sclerosis multiple.
Farqiga # 1: Nidaamka Dareemaha Caabuqa iyo Habka Nereysiga Dhexe
Peripheral Neuropathy
Peripheral neuropathy waxaa loola jeedaa dhaawaca dareemaha ee ku lug leh nidaamka dareenka jirka, taas oo ah xididada ka baxsan maskaxda iyo xangulada laf-dhabarta. Qalal-celinta qallalan ee dillaacsan iyo xanaaqa dareenka aan caadiga ahayn, xanuunka, iyo kabuubis. Cilladahan dareenka ah waxay inta badan ku dhacaan cagaha, lugaha hoose, iyo gacmaha. Dhibaatada muruqyada ayaa sidoo kale ku dhici karta dadka qaba nuujiyeyaashu inta badan ama muddo dheer taagan.
Sclerosis badan
Marka laga reebo neeropathy peripheral, MS wuxuu saameeyaa habka dhexe ee neerfayaasha, kaas oo ka kooban maskaxda, dareemaha indhaha, iyo xudunta lafdhabarta.
Dareemaha habka dhexe ee neerfayaasha ayaa sii waaraya waxyeelo soo noqnoqda, taas oo faragelinaysa awooda ay u leeyihiin inay la xiriiraan nidaamka dareen-celinta. Dhibaatadani waxay markaa keeni kartaa dareen aan caadi ahayn, xanuunka, iyo kabuubis aan laga sooceynin taas oo keentay neeropathy peripheral.
Dhibaatada muruqyada ayaa sidoo kale si joogta ah u dhacda MS.
Xaqiiqatan, muruqyada muruqyada ayaa sii kordha badanaa iyo darajo weyn marka loo eego sida caadiga ah ee loo arko qanjirka neerfaha.
Farqiga # 2: Sababaha Sababta ah
Peripheral Neuropathy
Peripheral neuropathy wuxuu ka kooban yahay koox cudur ah oo leh sababo kala duwan. Inkastoo macaanka ay tahay sababta ugu badan ee keenta cudurka neuropathy ee ku dhaca Maraykanka, xaalado caafimaad oo kale oo badan ayaa noqon kara dembiilaha. Tusaalooyinka qaarkood waxaa ka mid ah:
- Cudurka kelyaha ee joogtada ah
- Hypothyroidism
- Qaar ka mid ah cudurada isbitaallada (tusaale, lupus leryus eritematosus ama rheumatoid arthritis)
- Cudurka HIV
- Cudurka fayraska herpes simplex
- Sunta, sida hogaanka, meerkuri, iyo khamriga culus
- Waxyeellada dareemayaasha la xiriira dhaawaca
- Ku xadgudubka khamriga
- Daawooyinka qaarkood (tusaale ahaan, dawooyinka HIV ee qaarkood iyo kiimikooyinka)
Sclerosis badan
Inkastoo ay jiraan noocyo badan oo neerfaha ku dhaca, waxaa jira afar nooc oo keliya oo MS ah , oo ah midka ugu caansan ee noqoshada MS-RRMS. RRMS, xanuunnada ayaa ku dhaca maskaxda iyo xangulaha laf-dhabarka, taas oo keenta xanuunka soo noqnoqda. Nabarkani wuxuu ka yimaadaa nidaamka difaaca jirka ee weerarka ah ee kicinta maskaxda ee qarkood.
Farqiga # 3: Baaritaan
Peripheral Neuropathy
Go'aaminta sababta calaamadahaaga iyo sameynta baaritaanka waxay ka bilaabmaysaa taariikh caafimaad oo dhammeystiran, oo ay ku jirto dib u eegis taxaddar leh dhammaan calaamadaha aad la kulantay.
Xigmadu waa jimicsi buuxda oo leh baaritaan dhamaystiran oo neerfaha ah.
Iyadoo ku xiran natiijooyinka qiimeynta bilowga ah, haddii dhakhtarkaaga uu ka shakiyo neeropathy xannuunsan, wuxuu ku talin karaa in lagu daro baaritaan dheeraad ah oo ku jiri kara shaqada dhiigga, MRI, iyo / ama baaritaanka dareemayaasha, sida koronto-yari (EMG) iyo / ama xawaaraha wareega ee dareemayaasha (NCV) .
Sclerosis badan
Si loo ogaado cudurka MS, dhakhtarkaagu wuxuu sidoo kale dalban doonaa MRI, waxana laga yaabaa inuu qabsado boogaha lumbar . Dhiigga waxaa sidoo kale loo sameeyaa si loo yareeyo xaaladaha caafimaad ee la tacaali karo MS.
Farqiga # 4: Daaweynta
Peripheral Neuropathy
Marka baaritaanka la sameeyo, adiga iyo dhakhtarkaagu way wada shaqeyn doonaan qorshe daaweyn.
Marka la daaweynayo neeropathy-ka baxa, dhakhtarkaagu wuxuu tixgelin doonaa sababaha hoose. Tusaale ahaan, haddii sonkorowgu uu yahay dembiilaha, ka dibna helitaanka sonkorta dhiiggaaga waa la dejinayaa.
Haddii daawo ama sunta ay keento waxyeellada daawada, ka saarto ama joojiso wakiilka dembiga (haddii ay macquul tahay) waa muhiim.
Warka fiicani wuxuu yahay in xuubka dareemayaasha ee nidaamka xididada dareen-celinta ay soo laaban karaan, sidaas darteed daaweynta xaalad-hoosaadku waxay hagaajin kartaa (xitaa daaweyn, mararka qaarkood) qofka nöropathy-ka ee xuubka ah.
Xanuunka daran ee neuropathy ku dhaca, dhakhtarkaagu wuxuu kugula talin karaa hal ama dhowr daawooyinka soo socda:
- NSAID-yada loo yaqaan 'Nonsteroid anti-inflammatory' (NSAIDs)
- Qaar ka mid ah antidepressants sida Elavil (amitriptyline) ama Cymbalta (duloxetine)
- Qaar ka mid ah anticonvulsants sida Lyrica (Pregabalin) ama Neurontin (gabapentin)
- Daawooyinka miisaanka loo yaqaan sida lidocaine ama lakotain
- Tapentadol (kaliya loogu talagalay cudurka dareemeyaasha macaanka ee sonkorowga)
Daawooyinka ka sokow, daaweyn kale oo yar-yar oo daaweyn ah oo lagu talin karo, waxaa ka mid ah:
- Kicinta dareenka korontada ee korontada (TENS)
- Daaweyn dhameystiran sida acupuncture ama massage
- Caadooyinka hab nololeedka (tusaale ahaan, joojinta joojinta sigaarka, jimicsiga, iyo daryeelka cagaha joogtada ah haddii aad qabto sonkorowga)
- Qalliinka-loogu talagalay qanjirrada neerfatoorada qaarkood ee uu hal dareemo ku cadaadiyo (tusaale ahaan, xuubka tunnel ee tunnel)
Sclerosis badan
Daaweynta cudurka sclerosis-ka waa laba laab, oo ku lug leh daawo-baddelid daaweyn (si loola dagaallamo caabuqa MS) iyo daawooyinka lagu caawiyo qofku maareeyo calaamadaha gaarka ah.
Dareenka aan caadiga ahayn ee MS, dhakhtarkaagu wuxuu kugula talin karaa qaar ka mid ah daawooyinka la midka ah ee loo isticmaalo daaweynta raaxo la'aanta kudhaca neuropathy sida Cymbalta (duloxetine) ama Neurontin (gabapentin).
Haddii neuropathy uu qayb ka yahay dib-u-dejinta MS ama uu si gaar ah u dhibsado, dhakhtarkaagu wuxuu kuu qori karaa koorso gaaban oo ah corticosteroids.
Ereyga
In kastoo laga yaabo inaad jiido inaad dib u dhigto dhakhtarkaaga, calaamadaha habdhiska dareenka waa inaan la iska dhaga tirin. Haddii aad la kulantid calaamado udhexeeya labadaba neeropathy peripheral ama MS, dhakhtarkaagu wuxuu sameyn doonaa qiimeynta lagama maarmaanka ah si loo sameeyo baaritaanka saxda ah.
Inta aad sugeyso taariikhda ballantaada, waxaa caawineysa in la xajiyo astaamahaaga si aad ugu sharaxdo si faahfaahsan, oo ay weheliyaan nooc kasta oo ay dhacaan, iyo wax kasta oo sii xumeynaya ama isdifaacaya.
> Ilo:
> Afialo M, Morlion B. Waxtarka "tapentadol ER" ee loogu talagalay maareynta xanuun dhexdhexaad ah ilaa mid daran. Dhakhtarka Xanuunka . 2013 Jan: 16 (1): 27-40.
> Aminoff MJ, Daroff RB, eds. Ansixinta farsamooyinka cilmiga sayniska . 2nd ed. Waltham, MA: Press Press; 2014.
> Hersch CM, Fox RJ. (2014). Sclerosis badan. Xarunta Cleveland Clinic Center ee bogga intarneetka ee waxbarashada.
> Levin MC. Dhibaatooyin Cagaarshow (MS). In: Porter RS, Kaplan JL, Lynn RB, et al. Nidaamka Merck Manual Professional Professional Version .
> Machadka Qaran ee Cudurrada Dabiiciga ah iyo Istaroogga. (2014). Xaashida Xaqiiqada Naasnuujiyaha.