Kodi muli ndi dzanzi ndi kumva kuwawa kosalekeza m'thupi lanu? Tiyeni tikambirane za CIDP (CIDP)

Nthawi zina timamva kupweteka m'dzanja limodzi kapena phazi, ndipo kumatha lokha pakapita nthawi, sichoncho? Koma taganizirani, ngati manja ndi mapazi anu akutaya mphamvu pang'onopang'ono, kuyamba kumva dzanzi, ndipo vutoli likuwonjezeka pang'onopang'ono kwa miyezi yoposa iwiri? Ichi ndi chimodzi mwa zizindikiro zazikulu za matenda osowa amitsempha otchedwa CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) . Ngakhale dzinali ndi lovuta pang'ono, tiyeni timvetse mosavuta. Ngakhale kuti ili ndi matenda osowa, ndikofunikira kwambiri kuti aliyense adziwe izi.

Mwachidule, kodi CIDP ndi chiyani?

CIDP ndi matenda omwe amatenga nthawi yayitali omwe amachitika pamene chitetezo chathu cha mthupi (dongosolo lomwe limatiteteza ku matenda ) chimaukira mitsempha yathu molakwika. Makamaka, chimawononga chophimba choteteza kuzungulira mitsempha (chotchedwa myelin ). Taganizirani chophimba ichi ngati chophimba chapulasitiki chozungulira waya wamagetsi . Chigoba ichi chikawonongeka, mitsempha situmiza mauthenga ku ubongo ndi ziwalo zina za thupi moyenera. Ndicho chimene chimayambitsa zizindikiro monga kufooka ndi dzanzi m'miyendo.

Ngakhale kuti matendawa amatha kuchitika pa msinkhu uliwonse, amapezeka kwambiri pakati pa akuluakulu ndi amuna.

Kodi kusiyana pakati pa CIDP ndi Guillain-Barre syndrome (GBS) ndi kotani?

Mwina mwamvapo za Guillain-Barre syndrome ( GBS ). Matenda onsewa amakhudza mitsempha ndipo ali ndi zizindikiro zofanana. Koma pali kusiyana koonekeratu pakati pa awiriwa.

• Guillain-Barre Syndrome (GBS): Izi nthawi zambiri zimayamba mwadzidzidzi patatha masiku angapo kuchokera pamene matenda ayamba, monga kupweteka m'mimba. Koma ndi chithandizo, zimakhala zosavuta kuti munthu achire msanga.
• CIDP: Ili ndi vuto la nthawi yayitali lomwe limayamba kwa miyezi ingapo popanda kulumikizana ndi matenda aliwonse. GBS nthawi zambiri siimatha kufalikira kukhala CIDP popanda chithandizo.

Kodi zizindikiro za CIDP ndi ziti?

Zizindikiro za CIDP sizifanana kwa aliyense. Zimasiyana malinga ndi mtundu wa CIDP womwe muli nawo. Kawirikawiri, mutha kukhala ndi kutopa kwambiri, dzanzi, komanso kupweteka. Izi zingayambitse kuchepa kwa mphamvu ya thupi lanu komanso kufooka kwa manja ndi miyendo yanu.

Chizindikiro chachikulu komanso choyamba chooneka bwino ndi kuwonjezeka pang'onopang'ono kwa minofu kwa miyezi iwiri kapena kuposerapo.Kufooka kwa minofu . Kufooka kumeneku kumakhudza mbali zonse ziwiri za thupi. Makamaka:

• Chiuno ndi ntchafu
• Mapewa ndi manja apamwamba
• Manja
• Mapazi

Kuwonjezera pa chizindikiro chachikulu ichi, zizindikiro zina zingawonekere:

• Kufooka kwa minofu: Minofu imachepa ndipo imachepa.
• Kusanza: Kumva dzanzi kapena kumva kuwawa m'manja.
• Kuyenda movutikira: Kutaya mphamvu komanso kulephera kuyenda bwino.
• Kupweteka kwa mitsempha: Kupweteka kwakukulu komwe kumachitika chifukwa cha mavuto a mitsempha.
• Mayankho ofooka (Mavuto a minofu yozama): Dokotala akagunda bondo ndi nyundo yaying'ono, yankholo limatha, ngati kuti mwendo ukutambasulidwa.

Kawirikawiri, vuto lomeza (dysphagia) ndi maso awiri osakhalitsa (diplopia) zimatha kuchitika.

Kodi pali mitundu yosiyanasiyana ya CIDP?

Inde, CIDP ikhoza kugawidwa m'magulu akuluakulu angapo kutengera zizindikiro. Tebulo lazidziwitso ili likupatsani lingaliro lomveka bwino.

Komanso, madokotala amagawa matendawa m'magulu atatu kutengera momwe amachitira zinthu:

• Kupita Patsogolo: Zizindikiro zimakula pang'onopang'ono pakapita nthawi.
• Kubwerezabwereza: Zizindikiro zimawonekera, zimazimiririka, ndipo zimabwereranso.
• Kuchuluka kwa matenda m'thupi: Matendawa amapezeka kamodzi kokha m'moyo wonse. Amatha pakatha zaka pafupifupi 1-3.

Kodi chimayambitsa CIDP ndi chiyani? Kodi imapatsirana?

Choyambitsa chenicheni cha CIDP sichikudziwikabe, koma tikudziwa kuti chimayamba chifukwa cha kutupa kwa mitsempha ndi mizu ya mitsempha. Monga tanenera kale, izi zimawononga sheath ya myelin yozungulira mitsempha.

Kodi matenda amachitika bwanji?

Palibe mayeso enieni a CIDP. Chifukwa chake, dokotala wanu adzayamba wafunsa za zizindikiro zanu (nthawi yomwe zinayamba, momwe mukumvera), kenako adzakuyezani thupi ndikukulangizani mayeso angapo kuti adziwe chomwe chikukuvutani ndi mitsempha yanu ndikuchotsa matenda ena.

Mayeso awa angaphatikizepo:

• Kuyezetsa magazi ndi mkodzo.
• Kuphunzira za kayendedwe ka mitsempha ndi Electromyogram (EMG): Izi zimafuna kuwononga mitsempha ndi sheath ya myelin.
• Kuboola kwa msana: Madzi ochepa amatengedwa kuchokera ku msana kuti aone ngati mapuloteni ambiri, omwe amapezeka kwambiri mu CIDP.
• Kufufuza mitsempha: Kachidutswa kakang'ono ka minofu kamatengedwa kuchokera mu mitsempha ndikuwunikidwa pogwiritsa ntchito maikulosikopu.
• Kujambula kwa MRI: Kungathe kuwona ngati mizu ya mitsempha yatupa.

Kodi njira zochiritsira ndi ziti?

Anthu ambiri amafunika chithandizo. Chithandizo chikayamba msanga, mwayi wochira mokwanira umakhala wabwino.

Mitundu ya mankhwala

• Corticosteroids: Awa ndi mankhwala amtundu wa steroid omwe amachepetsa kutupa ndikuwongolera momwe chitetezo cha mthupi chimagwirira ntchito.
• Chithandizo cha Immunotherapy: Mankhwalawa amaletsa chitetezo cha mthupi kuukira myelin.
• Zamoyo: Mankhwala monga Vyvgart, gulu latsopano la mankhwala lomwe lavomerezedwa posachedwapa, amagwiritsidwanso ntchito pa izi.

Mankhwala enieni

• Immunoglobulin yolowetsedwa m'mitsempha (IVIG): Mumapatsidwa jakisoni wa ma antibodies ochulukirapo omwe achotsedwa m'magazi a anthu athanzi. Izi zimathandiza kuwongolera kulephera kugwira ntchito bwino kwa chitetezo chamthupi chanu.
• Kusinthana kwa plasma (PE): Izi zimaphatikizapo kutenga magazi anu, kuwatumiza kudzera mu makina apadera, kuchotsa plasma yamagazi yomwe ili ndi ma antibodies oopsa, kenako kubwezeretsanso magazi oyera m'thupi lanu.
• Kusamutsa maselo oyambira: Mu chithandizo chosowa kwambiri ichi, maselo oyambira athanzi amasamutsidwa kuti "akhazikitsenso" chitetezo cha mthupi.

Mankhwala ena othandizira

• Kuchiza thupi: Izi zimathandiza kwambiri pakubwezeretsa mphamvu zomwe zatayika, kuyenda, komanso kukonza bwino thupi.
• Chithandizo cha ntchito: Chimakuphunzitsani momwe mungachitire ntchito za tsiku ndi tsiku mosavuta ngakhale muli ndi vuto.
• Kuchita masewera olimbitsa thupi ndi zakudya: Kuchita masewera olimbitsa thupi pang'ono kungakuthandizeni kukhala olimba mtima. Koma kuchita masewera olimbitsa thupi kuyenera kuchitika motsogozedwa ndi dokotala wanu kapena katswiri wa zamaganizo. Zakudya zoyenera zingathandize kupewa kunenepa kosafunikira.

Kukhala ndi CIDP ndi chiyembekezo

Mukalandira matenda a CIDP, mungamve ngati mwatopa kwambiri. Zimenezo n’zachibadwa. Ndikofunikira kulankhulana ndi dokotala wanu ndi kukambirana za zizindikiro zanu ndi chithandizo chanu.

Ndikofunikanso kufunafuna thandizo la akatswiri kuti muchepetse ululu ndikupeza mpumulo wamaganizo. Banja lanu, abwenzi, ndi gulu lanu lachipatala adzakhala gwero lalikulu la mphamvu kwa inu paulendowu.

Ponena za chiyembekezo, zimadalira zaka zanu, mtundu wa matenda, momwe chithandizo chimayambira msanga, komanso momwe thupi lanu limayankhira chithandizocho.Nkhani yabwino ndi yakuti anthu pafupifupi 90% akalandira chithandizo, amachira. Anthu ena amatha kubwereranso ndi zizindikiro. Komabe, CIDP nthawi zambiri siifupikitsa nthawi yomwe munthu amakhala ndi moyo.

CIDP, neuropathy, dzanzi, kufooka kwa minofu, myelin, Guillain-Barre syndrome, chithandizo cha chitetezo chamthupi, matenda a autoimmune, CIDP sinhala