Mononeuropathy badan

Multi-mononeuropathy waa cillad habdhiska habdhiska dareenka oo ku lug leh dhaawaca ugu yaraan laba aag oo kala duwan. Neuropathy macnaheedu waa cilad ku timaadda neerfaha.

Noocyo badan oo loo yaqaan 'mononeuropathy' waa nooc dhaawac ah hal ama in ka badan neerfaha durugsan. Kuwani waa neerfaha ka baxsan maskaxda iyo laf-dhabarka. Waa koox calaamado ah (cillad), maahan cudur.

Si kastaba ha noqotee, cudurada qaarkood waxay sababi karaan dhaawaca ama dhaawaca neerfaha taasoo u horseedda astaamaha mononeuropathy badan. Xaaladaha guud waxaa ka mid ah:

• Cudurada ku dhaca marinka dhiigga sida polyarteritis nodosa
• Cudurada unugyada isku xira sida rheumatoid arthritis ama system lupus erythematosus (sababta ugu badan ee carruurta)
• Sonkorowga

Sababaha aan caadiga ahayn waxaa ka mid ah:

• Amyloidosis, cillad aan caadi ahayn oo borotiinnada ku jira unugyada iyo xubnaha
• Ciladaha dhiigga (sida 'hypereosinophilia' iyo 'cryoglobulinemia')
• Cudurrada sida cudurka Lyme, HIV / AIDS, ama cagaarshow
• Baras
• Sarcoidosis, caabuq ku dhaca qanjidhada qanjirada, sambabaha, beerka, indhaha, maqaarka, ama unugyada kale
• Cudurka 'Sjögren Syndrome', oo ah cillad ay qanjidhada soo saara ilmada iyo candhuufta ay ku burburaan
• Granulomatosis oo leh polyangiitis, barar ku dhaca xididdada dhiigga

Astaamuhu waxay kuxiranyihiin neerfaha qaaska ah ee kujira, waxaana kamid noqon kara:

• Lumida kaadiheysta ama xakameynta caloosha
• Dareenka oo luma hal ama in kabadan oo jirka ah
• Curyaannimo ku dhacda hal ama in ka badan oo ka mid ah jidhka
• Xanuun, gubasho, xanuun, ama dareemo kale oo aan caadi ahayn oo ku dhaca hal ama in ka badan oo jirka ka mid ah
• Tabar-darrida hal ama in ka badan oo ah qaybaha jidhka

Bixiyaha daryeelka caafimaadku wuxuu sameyn doonaa baaritaan jireed wuxuuna weydiin doonaa astaamaha, isagoo diirada saaraya nidaamka neerfaha.

Si loo ogaado cudurkaan, badanaa waxaa loo baahan yahay in dhibaatooyin lagala kulmo 2 ama in ka badan aagagga neerfaha. Dareemayaasha caadiga ah ee ay saameysey ayaa ah:

• Dareenka axillary ee gacanta iyo garabka midkood
• Dareemaha caadiga ah ee peroneal ee lugta hoose
• Dareenka dhexdhexaadka ah ee gacanta
• Dareenka bawdada ee bowdada
• Dareemaha xagjirnimada ee gacanta
• Dareenka naasaha ee dhabarka lugta
• Dareenka Ulnar ee gacanta

Tijaabooyinka waxaa ka mid noqon kara:

• Electromyogram (EMG, duubista waxqabadka korantada ee muruqyada)
• Cad ka-qaadista dareemayaasha si loo baaro qayb ka mid ah neerfayaasha oo lagu arko mikroskoob
• Imtixaannada habdhiska xididdada dareemayaasha si loo cabbiro sida dhaqsaha leh ee dareemayaasha dareemayaasha ah ugu dhaqaaqaan dhinaca neerfaha
• Tijaabinta sawirka, sida raajada

Tijaabooyinka dhiigga ee la qaadi karo waxaa ka mid ah:

• Guddi ka hortagga Antinuclear (ANA)
• Baadhitaanada kiimikada dhiigga
• C-fal-celinta protein
• Sawirada sawirka
• Baaritaanka uurka
• Cudurka rheumatoid
• Heerka dajinta
• Tijaabooyinka qanjirka 'thyroid'
• Raajo

Ujeeddooyinka daaweynta waa:

• Daawee cudurka sababaya dhibaatada, haddii ay suurogal tahay
• Bixiso daryeel taageero si loo ilaaliyo madaxbanaanida
• Xakamee calaamadaha

Si loo wanaajiyo madax-bannaanida, daaweynta waxaa ka mid noqon kara:

• Daaweynta Shaqada
• Caawinta orthopedic (tusaale ahaan, kursiga curyaamiinta, guntimaha, iyo kabay)
• Daaweyn jireed (tusaale ahaan, jimicsi iyo dib u tababar si loo kordhiyo awoodda murqaha)
• Daaweynta xirfadaha

Amnigu wuxuu muhiim u yahay dadka qaba dareenka ama dhibaatooyinka dhaqdhaqaaqa. Xakamaynta murqaha iyo dareenka oo yaraada ayaa kordhin kara halista dhicitaanka ama dhaawacyada. Tallaabooyinka amniga waxaa ka mid ah:

• Lahaanshaha nal ku filan (sida nalka oo habeenkii laga tago)
• Ku rakibida xadiidka
• Qaadista caqabadaha (sida roogagga dabacsan ee ku siiban kara dhulka)
• Tijaabinta heerkulka biyaha kahor qubeyska
• Xirashada kabo difaac ah (malaha suulasha furan ama ciribta sare)

Kabaha iska hubi had iyo jeer dhibco jilicsan ama dhib badan oo cagaha wax yeeli kara.

Dadka dareenkoodu yaraaday waa inay hubiyaan cagtooda (ama aagga kale ee ay dhibaatadu saameysey) inta badan nabaro, meelaha maqaarka u furan, ama dhaawacyo kale oo laga yaabo inaan laga warqabin. Dhaawacyadan waxaa laga yaabaa inay aad u qaadaan cudurka maxaa yeelay neerfaha xanuunka ee aagga ma muujinayaan dhaawaca.

Dadka qaba mononeuropathy badan waxay u nugul yihiin dhaawacyada neerfaha cusub meelaha cadaadiska sida jilbaha iyo xusullada. Waa inay ka fogaadaan inay cadaadis saaraan goobahan, tusaale ahaan, iyagoo aan ku tiirsanayn xusullada, dhaafi karin jilbaha, ama qabanaynin boosas lamid ah muddo dheer.

Daawooyinka laga yaabo inay ku caawiyaan waxaa ka mid ah:

• Warqad-iibiyaha miisaanka la iibsado ama dawooyinka xanuunka laguu qoro
• Dawooyinka lidka ku ah suuxdinta ama dawada lidka diiqadda si loo yareeyo xanuunka mindida

Soo kabasho buuxda ayaa suurtagal ah haddii sababta la helo oo la daweeyo, iyo haddii dhaawaca neerfaha uu xadidan yahay. Dadka qaarkiis wax naafonimo ah ma qabaan. Kuwa kale waxay leeyihiin qayb ahaan ama gebi ahaanba lumitaan dhaqdhaqaaq, shaqeyn, ama dareen.

Dhibaatooyinka waxaa ka mid noqon kara:

• Cillad xumada, luminta unugyada ama murqaha
• Khalkhal gelinta howlaha xubnaha jirka
• Waxyeellooyinka daawada
• Dhaawac soo noqnoqday ama aan la dareemin oo ku yimid aagga ay dhibaatadu saameysey dareen la'aan awgeed
• Dhibaatooyinka xiriirka sababo cillad kacsi

Wac daryeel bixiyahaaga haddii aad dareento astaamo isku-darka mononeuropathy.

Tallaabooyinka ka-hortagga waxay kuxirantahay ciladda gaarka ah. Tusaale ahaan, sonkorowga, cunista cunnooyinka caafimaadka qaba iyo xakameynta sonkorta dhiiga ayaa laga yaabaa inay ka hortagto mononeuropathy badan inuu soo baxo.

Xinjirowga 'Mononeuritis multiplex'; Xinjirowga 'Mononeuropathy multiplex'; Multifocal neuropathy; Cudurka neerfaha ee durugsan - mononeuritis multiplex

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan

Katirji 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.

Smith G, Xishood ME. Cudurka neuropathies ee durugsan. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 392.