Kei te pēpeke tonu, kei te kikī tonu rānei ō uaua? He mate onge pea tēnei e kiia nei ko te Isaacs' Syndrome?

Kei te rongo koe i ētahi wā kei te wiriwiri noa ō uaua, kei te takahurihuri rānei ō uaua, kei te whakawhāiti? He tino kitea ēnei tohu i waenga i ngā pakeke. I te nuinga o te wā, kāore i te kino. Heoi, he tino onge, ka taea e ēnei tohu te tohu i tētahi mate pūnaha io kino. Ko tētahi mate onge ka kōrerohia e tātou i tēnei rā ko te mate a Isaacs.

He aha te mate a Isaacs? Kia mārama tātou!

Āe, kia kite tātou he aha tēnei. He mate uaua-pūnaha tino onge te mate a Isaacs. Ko te mea ka tupu i roto i tēnei ko te nui rawa o te whakaohooho o ngā io i roto i te pūnaha io o te tinana. Whakaarohia he rite ki te pana hiko e tahuri ana, e whakaweto ana i ngā wā katoa, ka whakahohehia hoki ō tātou io me te kore e hiahiatia. Mā tēnei ka tīmata aunoa ngā uaua ki te mahi, me te kore e taea e tātou te whakahaere.

He maha ngā wā ka pāngia te tangata e tēnei mate e te kōroiroi o ngā uaua, te kikī, me te wiri. I ētahi wā ka pāngia hoki tō tātou pūnaha io ā-roto. Ka puta pea ngā āhuatanga pēnei i te pikinga o te werawera me ngā panonitanga o te tere o te ngakau.

Ka kiia hoki tēnei:

• Te mate ngohe tonu o te muka uaua
• Te mate Isaacs-Mertens
• Neuromyotonia
• Te mate maumau o te quantum

He pēhea te noa o te mate a Isaacs?

Ina hoki, he tino onge tēnei mate. Ahakoa ngā kaipūtaiao, kāore e taea te kī tika e hia ngā tāngata kua pāngia e tēnei mate, nā te mea tae noa mai ki tēnei wā, he torutoru rau noa iho ngā kēhi kua pūrongohia puta noa i te ao.

Heoi, e ai ki te kōrero i mua ake nei, he mea tino noa te mamae o te uaua me te wiri o te uaua (e kiia ana ko te fasciculations ) i roto i ngā pakeke. Kāore i te tino morearea. Nō reira kaua e wehi ki te whakaaro he mate pūnaha io kino te mate a Isaacs nā te mea kei a koe tētahi. He maha ngā tāngata e pāngia ana e ēnei tohu mō ētahi atu take māmā ake.

Ko wai ka pāngia e te mate a Isaacs?

Ko te mate a Isaacs ka tīmata i waenga i te 15 me te 60 tau te pakeke. Heoi, kua pūrongohia te mate i roto i te hunga rangatahi, i ētahi wā tae atu ki ngā pēpi.

Tērā pea ka hono atu tēnei mate ki ētahi atu mate hauora. Ko te tikanga he nui ake te tūponotanga ka pāngia te hunga whai mate pēnei. Anei ētahi tauira:

• Matepukupuku
• Mate celiac
• Te polyneuropathy demyelinating inflammatory mau tonu (CIDP) - He mate io anō hoki tēnei.
• Te mate Guillain-Barré
• Te mate a Hashimoto
• Lupus
• Te mate pāwera
• Te neuropathy ā-rohe
• te rumatiki
• Thymoma - He mate pukupuku tēnei e puta ana i roto i te repe thymus.
• Te korenga o te huaora B12

He aha ngā take o tēnei āhuatanga e kiia nei ko te neuromyotonia?

E rua ngā take matua mō tēnei:

1. Āhuatanga kua riro mai: He āhuatanga ārai mate tēnei. Ki te whakarāpopototanga, ka tīmata te pūnaha ārai mate o tō tātou tinana ki te whakaeke i ō tātou ake pūtau hauora me te mea he tauhou rātou. Tata ki te 50% o te hunga whai mate a Isaacs he paturopi ā rātou e whakaeke ana i ngā awa e āhei ai te pāhare pākawa waro ki te tomo me te puta atu i ō tātou io. Ka pāngia te mahi a te io e tēnei nekehanga o te pāhare pākawa waro. Ina pakaru ēnei awa, ka nui rawa te whakaohooho o ngā io.

2. Āhuatanga tuku iho: He āhuatanga ira tēnei. Arā, he mea tuku iho mai i ngā mātua ki ngā tamariki.

He aha ngā tohu o te mate a Isaacs?

Ko te tikanga ka roa ēnei tohu i te roanga o te rā, ā, ka puta pea i te wā e moe ana. I te nuinga o te wā, ko ngā tohu o te mamae o te uaua ka kitea nuitia i ngā ringa me ngā waewae. Heoi, ka pā pea ki ētahi atu wāhanga o te tinana.

Anei ētahi o ngā tohu matua:

• Ataxia: Ko te tikanga o tēnei ko te ngaronga o te taurite me te taunga o te tinana i te wā e hikoi ana, e neke ana rānei. Tērā pea ka nekeneke koe pērā i te tangata haurangi.
• Te roa e hiahiatia ana kia wetekina te puku: Kia piri rawa te puku, ka roa te wā e hoki ai ki te āhua noa.
• Te werawera nui (hyperhidrosis): Te werawera nui, kāore he take.
• Ngā huringa o te tere o te manawa: Ka tere ake, ka pōturi rānei te manawa o te manawa.
• Te ngenge me te kore moe: Te ngenge tonu, te kore e moe i te pō.
• Te hurihuri, te whakawhāiti, te pupuhi, me te ngoikore o te kikokiko: Ka piki haere ēnei i roto i te wā.
• Myokymia: He kare ā-roto tēnei o ngā uaua e wiriwiri tonu ana, e oho ana, e wiriwiri ana rānei. E whakaahuatia ana e ētahi he "rite ki te noke e ngokingoki ana i raro i te kiri."
• He uaua ki te kōrero, ki te manawa rānei mēnā ka pāngia ngā tonsil i te korokoro.

Whakaarohia, ahakoa kei te tū noa koe, ka wiri tonu te kiko i roto i tō ringa, i tō waewae rānei, me te mea kei te wiri tetahi mea i roto. Kātahi te whakarihariha mēnā kāore tēnei e mutu ahakoa kua moe koe i te pō? Koinei te myokymia.

Me pēhea te tautuhi i te mate a Isaacs?

Tērā pea ka tonoa e tō tākuta ētahi whakamātautau hei whakaū i te mate a Isaacs, hei whakakore hoki i ētahi atu mate. Ko ētahi o ēnei ko:

• Ngā whakamātautau toto: Ka āwhina ēnei ki te tautuhi i ngā momo paturopi motuhake i roto i te toto o te haurua o te hunga e pāngia ana e te mate a Isaacs.
• Ngā rangahau mō te kawe io me ngā electromyograms (EMG): Ka ine ēnei whakamātautau i te mahi a ō uaua me ō io, he rite tonu ki te tohunga hiko e tirotiro ana i te iahiko i roto i te waea.
• Ngā rangahau whakaahua pēnei i te matawai CT, te matawai MRI rānei: Ka taea e ēnei te tirotiro i roto i te tinana kia kitea ai mēnā he raruraru kē atu.

I ētahi wā, ka taea te whakapoauau i te mate a Isaacs ki ētahi atu āhuatanga pērā i te stiff person syndrome , te rippling muscle syndrome , te cramp-fasciculation syndrome rānei, nō reira he mea nui te tautuhi tika.

Me pēhea te rongoā i te mate a Isaacs?

Kāore he rongoā mō tēnei mate i tēnei wā. Ko te kaupapa matua o te maimoatanga he whakahaere i ō tohumate me te āwhina i a koe kia pai te mahi.

Mena kei te hono te mate a Isaacs ki tētahi atu mate pūnaha ārai mate, ki tētahi atu mate pukupuku rānei, he mea nui anō hoki kia rongoātia te mate taketake.

Ka tūtohu pea tō tākuta i ēnei maimoatanga e whai ake nei mō te mate a Isaacs:

• Ngā rongoā ārai i te haurangi: Hei tauira, ngā rongoā pēnei i te phenytoin me te carbamazepine. Ka whakaitihia e ēnei te mamae o te uaua, te wiri, me te mamae.
• Ngā rongoā ārai mate: Ka mahi ngā rongoā pēnei i te azathioprine me te methotrexate mā te whakahaere i te pūnaha ārai mate kia kore e mahi tika.
• Immunoglobulin ā-roto-uaua (IVIG): Ko te tuku i tētahi otinga kei roto ngā paturopi mai i ngā kaituku hauora ki roto i te tinana mā roto i tētahi uaua.
• Ngā rongoā corticosteroid ā-waha: Hei tauira, prednisolone.
• Whakawhitinga plasma:He tikanga tēnei hei tātari i ngā paitini me ngā paturopi kino mai i te toto o te hunga he rerekē ā rātou paturopi.

Ka taea te ārai i te mate a Isaacs?

I te mea kāore anō kia tino mārama ngā kaipūtaiao ki te take o tēnei, kāore anō kia kitea he huarahi hei ārai.

He aha te tirohanga mō te hunga whai neuromyotonia?

He rerekē te āhua o te tangata e pāngia ana e te mate a Isaacs. Kei runga i te kaha o te mate, te take matua, te angitu o te maimoatanga, me ētahi atu āhuatanga hauora e pā ana.

Ka kino haere ngā tohu o te neuromyotonia i roto i te wā. Ka taea e ēnei te whakawhāiti i te nekehanga me te whakararuraru i ngā mahi o ia rā.

Ko te tikanga o tēnei, ko te mea e āhua ana he mamae uaua iti i te tīmatanga, ka taea e ia te huri hei mea kino rawa atu ā muri ake nei, ā, kāore e taea te hikoi. Nō reira, he mea nui kia wawe te tautuhi i te mate, kia tīmata ai te rongoā.

Ahakoa kāore anō kia rongoatia katoatia tēnei mate i tēnei wā, ehara i te mea ka mate te tangata i te nuinga o te wā.

Me aha ahau kia ora pai ai me te mate a Isaacs?

He uaua pea te noho me tēnei mate, engari kua kitea e ētahi tāngata te angitu ki te whakahaere i ngā pānga tinana me te hinengaro mā te mahi i ēnei e whai ake nei:

• Te tautoko i te hunga whai mate io-uaua: te whai wāhi atu ki ngā kaupapa whakamōhio me te whakaako i ētahi atu mō tēnei.
• Te haere ki ngā wānanga tohutohu: Ka taea e koe te ako i ngā rautaki e hiahiatia ana hei whakatau i tēnei āhuatanga i roto i te hinengaro.
• Te hono atu ki ētahi atu i roto i tētahi āhuatanga ōrite: Ina koa mā roto i ngā pāpāho pāpori. He kaha nui te whakaaro kāore koe i te mokemoke.
• Te whakaaroaro.
• Te mahi yoga.
• Te hikoi: He mea nui kia noho kaha tonu te korikori tinana.

He aha atu anō ngā pātai ka taea e au te pātai atu ki taku tākuta mō te Mate a Isaacs?

Mena kua tāpaetia koe kei te mate koe i te neuromyotonia, i te mate Isaacs rānei, me pātai atu ki tō tākuta i ēnei pātai:

• He aha ahau i pāngia ai e te mate a Isaacs?
• He mate hauora anō kei ahau e pā ana ki tēnei?
• Me pēhea tātou e tino mōhio ai ko te mate a Isaacs tēnei, ehara i te mate uaua-io anō pērā i te ALS (Amyotrophic Lateral Sclerosis)?
• He aha ngā wāhanga o tōku tinana ka pāngia e tēnei?
• He aha ngā maimoatanga e taunaki ana koe?
• E āhei ana ahau ki te whakauru atu ki tētahi whakamātautau haumanu?
• Ka āwhina mai te whakaora tinana, te whakaora mahi rānei i ahau?
• Ka taea e koe te tuku mai i ahau ki tētahi kaiārahi, ki tētahi rōpū tautoko rānei hei āwhina i ahau ki te whakatau i tēnei āhuatanga?
• Me whakamātauria tētahi atu o tōku whānau mō te mate a Isaacs?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate uaua-io onge te mate a Isaacs e meinga ai ngā io me ngā uaua kia kaha rawa te mahi. Mēnā kua tāpaetia koe kei te pāngia e tēnei mate, kaua e mataku, engari kia mōhio koe ki te kōrero ki tō tākuta. Ka taea e ia te tirotiro mō ētahi atu mate e pā ana, me te āwhina i a koe ki te whakahaere i ngā tohu pēnei i te wiri me te pakari o ngā uaua. Kia maumahara, mā te maimoatanga me te tautoko tika, ka taea e koe te noho ora pai me tēnei mate.

Te mate a Isaac , te neuromyotonia, te mamae o te uaua, te wiri o te uaua, te mate pūnaha io