Murqaha muruqa

Muruqyada kala-baxa ayaa ah dhaqdhaqaaqyo wanaagsan oo ka mid ah aag yar oo muruq ah.

Muruq-jabka muruqyada waxaa sababa muruqyo yar yar oo aagga ka soo baxa, ama kala-goyn aan la xakamayn karin oo ah koox muruq ah oo ay u adeegto hal fiber dareeraha muruqyada

Murqaha murqaha ayaa yar yar oo badiyaa lama oga. Qaarkood waa wax caadi ah oo caadi ah. Kuwa kale waa calaamado khalkhal ku yimaada nidaamka neerfaha.

Sababaha waxaa ka mid noqon kara:

• Xanuunada isdifaaca jirka, sida Isaac syndrome.
• Daroogo xad dhaaf ah (kafee, amfetamines, ama kiciyayaal kale).
• Hurdo la'aan.
• Waxyeellada daroogada (sida kuwa ka yimaada diuretics, corticosteroids, ama estrogens).
• Jimicsi (kala-bax ayaa la arkaa jimicsiga ka dib).
• Nafaqo yaraan ku jirta cuntada (yaraanta).
• Cadaadis.
• Xaaladaha caafimaad ee sababa cilladaha dheef-shiid kiimikaadka, oo ay ku jiraan potassium-yari, cudurka kelyaha, iyo uremia.
• Dillaacyo aan sababi karin cudur ama xanuunno (benign twitches), oo inta badan saameeya baalasha indhaha, kubka, ama suulka. Kala-baxani waa caadi oo waa wax caadi ah, waxaana badanaa kiciya walaac ama walaac. Jaranjarooyinkaani way imaan karaan oo bixi karaan, badiyaaana ma sii socdaan in ka badan dhowr maalmood.

Xaaladaha habdhiska neerfaha ee sababi kara murqaha ayaa waxaa ka mid ah:

• Amyotrophic lateral sclerosis (ALS), oo sidoo kale mararka qaar loo yaqaan 'Lou Gehrig disease' ama 'motor neurone disease'
• Neuropathy ama waxyeelo soo gaadha dareemaha oo u horseeda muruq
• Atrophy muruqyada laf-dhabarka
• Murqaha daciifka ah (myopathy)

Calaamadaha cudurka habdhiska neerfaha waxaa ka mid ah:

• Lumidda, ama isbeddelka, dareenka
• Lumida xajmiga murqaha (luminta)
• Tabar darrida

Daaweyn looma baahna murqaha aan fiicnayn ee murqaha badankood. Xaaladaha kale, daaweynta sabab caafimaad oo hoose ayaa hagaajin karta astaamaha.

Wac daryeel caafimaad bixiyahaaga haddii aad leedahay murqo-xanuun muruq-dheer ama joogto ah ama haddii foosha ay ku dhacdo daciifnimo ama muruq la'aan.

Bixiyahaagu wuxuu qaadan doonaa taariikh caafimaad wuxuuna sameyn doonaa baaritaan jireed.

Su'aalaha taariikhda caafimaadka waxaa ka mid noqon kara:

• Goormaad markii ugu horraysay ogaatay isku rogista?
• Mudo intee le'eg ayuu soconayaa
• Intee jeer ayaad la kulantaa xoqitaanka?
• Muruqyo noocee ah ayaa saameeya?
• Had iyo jeer ma isku meelbaa?
• Uur ma leedahay?
• Maxaa astaamo kale oo aad leedahay?

Tijaabooyinku waxay kuxiranyihiin sababta looga shakiyay, waxaana kamid noqon kara:

• Baadhitaannada dhiigga si loo raadiyo dhibaatooyinka korantada, shaqada qanjirka 'thyroid', iyo kiimikada dhiigga
• Baadhitaanka CT ee lafdhabarta ama maskaxda
• Electromyogram (EMG)
• Daraasad ku saabsan habdhiska neerfaha
• Baadhitaanka MRI ee laf-dhabarka ama maskaxda

Fududeynta murqaha; Dhibaatooyinka muruqyada

• Muruqyada hore ee qoto dheer
• Muruqyada hore ee dusha sare
• Gawaarida iyo murqaha
• Muruqyada lugta hoose

Deluca GC, Griggs RC. U dhowaanshaha bukaanka qaba cudurka neerfaha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 368.

Hall JE, Hall ME. Furka foosha muruqyada. Gudaha: Hall JE, Hall ME, eds. Buugga Guyton iyo Hall ee Caafimaadka Jirka. 14aad. Philadelphia, PA: Elsevier; 2021: cutubka 6.

Weissenborn K, Lockwood AH. Cudurka sunta iyo dheef-shiid kiimikaadka. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 84.