Polyneuropathy Sensorimotor

Sensorimotor polyneuropathy waa xaalad keenta hoos u dhac ku yimaada awoodda dhaqaaqa ama dareemidda (dareemid) sababtoo ah dhaawaca dareemayaasha.

Neuropathy waxaa loola jeedaa cudur ku dhaca, ama waxyeeleeya neerfaha. Markay ku dhacdo meel ka baxsan nidaamka neerfaha (CNS), taas oo ah, maskaxda iyo laf-dhabarka, waxaa loo yaqaan 'neuropathy peripheral'. Mononeuropathy macnaheedu waa hal dareere ayaa ku lug leh. Polyneuropathy waxaa loola jeedaa in neerfaha badan ee qaybaha kala duwan ee jirka ay ku lug leeyihiin.

Neuropathy wuxuu saameyn ku yeelan karaa neerfaha bixiya dareenka (neuropathy sensory) ama sababa dhaqdhaqaaq (motor neuropathy). Waxay sidoo kale saameyn ku yeelan kartaa labadaba, haddii ay dhacdo waxaa loo yaqaan 'sensorimotor neuropathy'.

Sensorimotor polyneuropathy waa geedi socodka jirka oo dhan (systemic) ah kaas oo waxyeeleeya unugyada neerfaha, fiilooyinka neerfaha (axons), iyo daboolida dareemayaasha (maqaarka myelin). Dhaawaca ku dhaca daboolka unuga neerfaha wuxuu keenaa calaamadaha neerfaha inay gaabiyaan ama istaagaan. Dhaawac ku yimaadda fiyuusta dareemayaasha ama dhammaan unugyada neerfaha ayaa ka dhigi kara neerfaha inuu joojiyo shaqada. Qaar ka mid ah neuropathies-ka ayaa horumara sanado badan, halka kuwa kale ay bilaabi karaan oo ay ku dhici karaan saacado ilaa maalmo gudahood.

Dhaawaca neerfaha waxaa sababi kara:

• Is-difaaca jirka (marka jirku iskiis isu weeraro) cilado
• Xaaladaha cadaadiska saara dareemayaasha
• Hoos udhaca socodka dhiiga ee dareemaha
• Cudurada baabi’iya xabagta (unugyada isku xidhka) ee isku haya unugyada iyo unugyada
• Barar (caabuq) neerfaha

Cudurada qaarkood waxay u horseedaan polyneuropathy oo badanaa dareema ama badanaa matoor. Sababaha suurtagalka ah ee dareeraha dareeraha polyneuropathy waxaa ka mid ah:

• Cudurka neuropathy
• Amyloid polyneuropathy
• Xanuunada iswada jirka, sida Sjögren syndrome
• Kansarka (oo loo yaqaan 'neuropathy' oo loo yaqaan 'paraneoplastic neuropathy')
• Cudurka neerfaha ee muddada dheer (dabadheeraad ah)
• Cudurka neuropathy ee sonkorowga
• Cudurka neerfaha ee la xiriira daroogada, oo ay ku jirto kiimoteraabiga
• Xanuunka Guillain-Barré
• Cudurka neerfaha ee dhaxalka
• HIV / AIDS
  
• Qanjirka 'thyroid' oo hooseeya
  
• Cudurka Parkinson
  
• Faytamiin yaraanta (fitamiinada B12, B1, iyo E)
• Cudurka viruska ee Zika

Calaamadaha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Dareenka oo yaraada meel kasta oo jirka ka mid ah
• Dhibaato liqitaan ama neefsasho
• Dhibaato isticmaalka gacmaha ama gacmaha
• Dhibaato isticmaalka lugaha ama cagaha
• Dhibaato socodka
• Xanuun, gubasho, xoqid, ama dareen aan caadi ahayn oo ku dhaca meel kasta oo jirka ka mid ah (oo loo yaqaan neuralgia)
• Tabar darrida wajiga, gacmaha, ama lugaha, ama meel kasta oo jirka ka mid ah
• Mararka qaarkood waxay ku dhacdaa isku dheelitirnaan la'aan iyo inaanad dareemin dhulka cagahaaga hoostiisa

Astaamuhu si dhakhso leh ayey u soo baxaan (sida Guillain-Barré syndrome) ama si tartiib tartiib ah toddobaadyo ilaa sannado. Calaamaduhu waxay badanaa ka dhacaan labada dhinac ee jirka. Badanaa, waxay ka bilaabaan ciribta suulasha marka hore.

Bixiyaha xanaanada caafimaadka ayaa ku baari doona kuna weydiin doona astaamahaaga. Imtixaanku wuxuu muujin karaa:

• Dareenka oo yaraada (wuxuu saameyn ku yeelan karaa taabashada, xanuunka, gariirka, ama dareemida booska)
• Hoosudhaca ficil celinta (inta badan anqawga)
• Murqo-xanuun
• Murqaha muruqyada
• Murqaha oo daciifa
• Curyaannimo

Tijaabooyinka waxaa ka mid noqon kara:

• Cad ka-qaadista neerfaha ay dhibaatadu soo gaadhay
• Tijaabooyinka dhiigga
• Tijaabada korantada ee muruqyada (EMG)
• Tijaabinta korantada ee ku shaqeynta dareemaha
• Raajooyin ama baaritaanno kale oo sawir qaadis ah, sida MRI

Yoolalka daaweynta waxaa ka mid ah:

• Helitaanka sababta
• Xakamaynta astaamaha
• Dhiirrigelinta qofka is daryeelkiisa iyo madax-bannaanidiisa

Iyadoo kuxiran sababta, daaweynta waxaa ka mid noqon kara:

• Badalida daawooyinka, haddii ay dhibaatada keenayaan
• Xakamaynta heerka sonkorta dhiigga, marka neerfaha ay ka timaaddo cudurka macaanka
• Inaadan cabin aalkolo
• Qaadashada nafaqada maalinlaha ah
• Daawooyinka lagu daaweeyo sababta asalka u ah cudurka polyneuropathy

HORUMARINTA IS-DARYEELKA IYO GOBANIMADA

• Jimicsiyo iyo dib-u-tababar si loo kordhiyo shaqada neerfaha dhaawacmay
• Daaweynta shaqada (xirfadeed)
• Daaweynta Shaqada
• Daaweynta orthopedic
• Daaweynta jirka
• Kuraasta curyaamiinta, istiinabyada, ama kabalalka

KONTOROOLKA Astaamaha

Nabadgelyadu waxay muhiim u tahay dadka qaba cudurka neuropathy. Xakamaynta muruqyada iyo dareenka oo yaraada ayaa kordhin kara halista dhicitaanka ama dhaawacyada kale.

Haddii aad dhibaato ku qabtid dhaqdhaqaaqa, tallaabooyinkani waxay kaa caawin karaan inaad nabad geliso:

• Nalalka daa.
• Ka qaad caqabadaha (sida roogagga dabacsan ee ku siiban kara dhulka).
• Tijaabi heerkulka biyaha ka hor intaadan maydhin.
• Adeegso tareenka.
• Xidho kabo difaac ah (sida kuwa suulasha lugaha leh iyo ciribta hoose).
• Xidho kabo leh cagaha aan sibiibix ahayn.

Tilmaamaha kale waxaa ka mid ah:

• Hubi cagahaaga (ama aagga kale ee ay dhibaatadu saameysey) maalin kasta nabaro, meelaha maqaarka u furan, ama dhaawacyo kale, oo aadan ogaan karin oo uu ku dhici karo.
• Ka hubi gudaha kabaha badanaa meelaha jilicsan ama dhibcaha leh ee dhaawici kara cagahaaga.
• Booqo dhaqtarka cagaha (podiatrist) si loo qiimeeyo loona yareeyo halista dhaawaca cagahaaga.
• Ka fogow ku tiirsanaanta xusulladaada, jilbahaaga oo aad iskaga gudubto, ama aad ku sugnaato boosas kale oo cadaadis dheeri ah saaraya meelaha jirka qaarkood.

Daawooyinka loo isticmaali jiray in lagu daaweeyo xaaladan:

• Ka-iibsiga miisaanka iyo dawooyinka xanuunka joojiya si loo yareeyo xanuunka mindida (neuralgia)
• Anticonvulsants ama antidepressants
• Looshinnada, kareemada, ama balastarrada dawada leh

Isticmaal dawada xanuunka kaliya markii loo baahdo. Jirkaaga oo aad ku haaysato booska saxda ah ama aad ka ilaaliso dharka gogosha qaybta jilicsan ee jirka ayaa kaa caawin kara xakameynta xanuunka

Kooxahani waxay ku siin karaan macluumaad dheeri ah oo ku saabsan neuropathy.

• Neuropathy Action Foundation - www.neuropathyaction.org
• Aasaaska Neuropathy Peripherial - www.foundationforpn.org

Xaaladaha qaarkood, waad si buuxda uga bogsan kartaa neuropathy durugsan haddii bixiyahaagu uu heli karo sababta oo uu si guul leh u daaweyn karo, iyo haddii dhaawaca uusan saameyn ku yeelan unugyada neerfaha oo dhan.

Qaddarka naafonimadu way kala duwan tahay. Dadka qaarkiis wax naafonimo ah ma qabaan. Kuwa kale waxay leeyihiin qeyb ahaan ama gebi ahaanba lumitaan dhaqdhaqaaq, shaqeyn, ama dareen. Xanuunka neerfaha wuxuu noqon karaa mid aan raaxo lahayn oo wuxuu sii socon karaa waqti dheer.

Xaaladaha qaarkood, dareeraha dareeraha ee polyneuropathy wuxuu keenaa astaamo daran, astaamaha nafta halis geliya.

Dhibaatooyinka ka dhalan kara waxaa ka mid ah:

• Cillad la'aanta
• Dhaawaca cagaha (oo ay sababaan kabo xun ama biyo kulul markaad u soo gasho barkadda qubeyska)
• Kabuubyo
• Xanuun
• Dhibaato socodka
• Tabar darrida
• Neefsashada oo ku adkaata ama wax liqitaan (xaaladaha daran)
• Dhicitaan la'aanta isku dheelitir la'aanta awgeed

Wac daryeel bixiyahaaga haddii dhaqdhaqaaq kaa lumo ama aad dareento qayb ka mid ah jirkaaga. Ciladda hore iyo daaweynta waxay kordhisaa fursadda lagu xakameynayo astaamaha.

Polyneuropathy - dareeraha dareeraha

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan
• Nidaamka neerfaha

Craig A, Richardson JK, Ayyangar R. Baxnaaninta bukaanada qaba neuropathies. Gudaha: Cifu DX, ed. Braddom's Physical Medicine & Baxnaaninta. 5aad. Philadelphia, PA: Elsevier; 2016: cutubka 41.

Endrizzi SA, Rathmell JP, Hurley RW. Xanuun neerfayaasha durugsan. Gudaha: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Muhiimadda Daawada Xanuunka. 4aad. Philadelphia, PA: Elsevier; 2018: cutubka 32.

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