Cudurka Charcot-Marie-Ilkaha

Cudurka 'Charcot-Marie-Tooth' waa koox ka mid ah cudurada loo soo gudbiyo qoysaska saameeya neerfaha ka baxsan maskaxda iyo lafdhabarta. Kuwan waxaa lagu magacaabaa neerfaha durugsan.

Charcot-Marie-Tooth waa mid ka mid ah cilladaha ugu caansan ee neerfaha la xiriira ee loo sii maro qoysaska (dhaxalka). Isbeddelada ugu yaraan 40 hiddo-wadaha ayaa sababa noocyo kala duwan oo cudurkan ah.

Cudurku wuxuu u horseedaa waxyeello ama baabba 'daboolka (myelin galkeeda) agagaarka fiilooyinka neerfaha.

Dareemayaasha kiciya dhaqdhaqaaqa (oo loo yaqaanno dareemayaasha mootada) ayaa si aad ah u saameeya. Dareemayaasha lugaha ayaa marka hore la waxyeeleeyaa uguna daran.

Astaamuhu badanaa waxay bilaabmaan inta udhaxeysa caruurnimada dhexe iyo qaangaarnimada hore. Waxay ka mid noqon karaan:

• Cillad la'aanta cagaha (cirroole aad u sarreeya)
• Lug hoos u dhac (awood la'aanta inuu cagtana dhigo)
• Luminta muruqyada lugta hoose, taas oo u horseedda weylaha haraga ah
• Kabuubis cagta ama lugta ah
• Socodka "Dharbaaxo"
• Tababar miskaha, lugaha, ama cagaha

Mar dambe, astaamo isku mid ah ayaa ka soo muuqan kara gacmaha iyo gacmaha. Kuwaas waxaa ka mid noqon kara gacan u ekaanta baalka.

Baadhitaanka jirka ayaa laga yaabaa inuu muujiyo:

• Dhibaato qaadista cagaha iyo sameynta dhaqdhaqaaqyada suulasha (hoos u dhac cagta)
• La'aanta ficil-celin fidsan oo lugaha ah
• Luminta xakamaynta muruqyada iyo soo-celinta (murqaha oo yaraada) cagta ama lugta
• Xidhmooyinka neerfaha ee cufan maqaarka lugaha hoostooda

Baadhitaannada tabinta dareemayaasha ayaa badanaa la sameeyaa si loo aqoonsado noocyada kala duwan ee cilladda. Cad ka-qaadista dareemayaasha ayaa xaqiijin karta cudurka.

Tijaabada hida sidaha ayaa sidoo kale loo heli karaa noocyada badan ee cudurka.

Ma jiro daaweyn la yaqaan. Qalliinka orthopedic ama qalabka (sida xargaha ama kabaha orthopedic) ayaa fududeyn kara socodka.

Daaweynta jirka iyo shaqada ayaa laga yaabaa inay gacan ka geysato ilaalinta muruqyada iyo hagaajinta shaqeynta madax-bannaan.

Cudurka Charcot-Marie-Tooth si tartiib tartiib ah ayuu uga sii darayaa. Qaybaha jidhka qaarkood ayaa laga yaabaa inay noqdaan kabuubyo, xanuunkuna wuxuu u dhexeeyaa mid fudud ama daran. Aakhirka cudurku wuxuu sababi karaa naafonimo.

Dhibaatooyinka waxaa ka mid noqon kara:

• Socod la'aanta horumarka
• Daciifnimo horumarineed
• Dhaawac ku yimaada meelaha jirka oo dareenku yaraaday

Wac daryeel caafimaad bixiyahaaga haddii uu jiro daciifnimo socota ama dareenka cagaha ama lugaha oo yaraada.

La-talinta hidda-sidaha iyo baaritaanka waxaa lagula talinayaa haddii ay jirto taariikh qoys oo adag oo cilladda jirran.

Cudurka neerfaha ee muruqyada ee horumarka leh (peroneal); Cilladaha neerfaha ee neerfaha; Neuropathy - peroneal (hidde ahaan); Dhaqdhaqaaqa dhaxalka iyo neerfaha dareenka

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan

Katirji B. Dhibaatooyinka neerfaha durugsan. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 107.

Sarnat HB. Dhaq-dhaqaaqa-dareemayaasha dareemayaasha jirka. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: baab 631.