Makumbo ako ari kupera simba zvishoma nezvishoma here? Anenge asisina simba here? Ingava CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) here?

Dzimwe nguva unonzwa sekunge maoko ako nemakumbo zviri kupera simba zvishoma nezvishoma here? Kana kuti unongonzwa kurwadza, kana kuti unonzwa chimwe chinhu chakasiyana, chisina hupenyu? Kana chirwere ichi chave chichiwedzera zvishoma nezvishoma kwemwedzi inopfuura miviri, usangochisiya sechinhu chiri nyore. Nhasi tiri kutaura nezvechirwere chinogona kukonzera zviratidzo zvakadaro, izvo zvisingawanzoitiki, asi zvakakosha kuziva nezvazvo. Ndiyo CIDP.

Zvichitaurwa zviri nyore, chii chinonzi CIDP?

Usatye zita refu rekuti CIDP. Ngatizvichengete zviri nyore. CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) chirwere chinogara kwenguva refu apo masoja emuviri wedu, masoja ekudzivirira muviri, anorwisa tsinga dzedu zvisirizvo.

Funga nezvetsinga dzedu sewaya dzemagetsi. Kungofanana newaya dzemagetsi dzine chinhu chinodzidzivirira chakakomberedza, tsinga dzedu dzinewo chifukidziro chekudzivirira chinonzi myelin . Iyi myelin sheath ndiyo inobvumira masaini kubva kuuropi kuti afambe nekukurumidza uye nemazvo kuenda kumakumbo. MuCIDP, masoja edu ekudzivirira muviri anorwisa iyi myelin sheath. Sekunge sheath iri pawaya yemagetsi yabviswa, kutumira kwechiratidzo kunokanganiswa. Izvi zvinoguma nezviratidzo zvakaita sekushaya simba uye kusanzwa simba mumakumbo.

CIDP chirwere chakafanana neGuillain -Barre syndrome (GBS). Zvisinei, GBS inoitika mushure mekurwara, senge dzihwa kana tupukanana twemudumbu, uye yozopora. Inowanzopera nekukurumidza. Zvisinei, CIDP haiitike mushure mekurwara kwakadaro, uye idambudziko renguva refu.

Ndezvipi zviratidzo zveCIDP?

Zviratidzo izvi hazvifanani kune wese munhu. Asi kune zvimwe zvikuru zvauchaona. Yeuka, kuti ufungidzire kuti une CIDP, zviratidzo izvi zvinofanira kunge zviripo kwemavhiki masere .

Chiratidzo chekutanga uye chinowanzoonekwa ndechekushaya simba kwetsandanyama kunoenderera mberi kunogara kwemwedzi inopfuura miviri . Izvi zvinowanzo kanganisa mativi ese emuviri.

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Sei chirwere cheCIDP chichikura? Chinotapukira here?

Chikonzero chaicho cheCIDP hachisati chazivikanwa. Asi tinoziva kuti inokonzerwa nedambudziko remasoja emuviri. Haitapurirani zvachose. Haugone kuibata kubva kune mumwe munhu, uye haugone kuiparadzira kune mumwe munhu.

Haisati yaonekwa kuti ine hukama hwemajini kana kuti inokonzerwa nehutachiona hupi zvahwo. Kunyangwe munhu wese achigona kuibata, inonyanya kuitika kuvanhu vane makore ari pakati pe50 ne60 uye muvarume .

Chiremba anoongorora sei CIDP?

Hapana bvunzo imwe chete inogona kukuudza zvechokwadi kana uine CIDP. Saka, chiremba wako achatanga nekukubvunza nezvezviratidzo zvako. Zvakatanga riini, zvinonzwa sei, uye kana zviri kutowedzera kuipa? Zvadaro vachaongorora muviri wako.

Pamusoro pezvo, bvunzo dzinoverengeka dzinogona kuitwa kusimbisa chirwere ichi uye kubvisa zvimwe zvirwere.

• Kuongororwa kweropa neweti: Tarisa zvimwe zvikonzero.
• Chidzidzo Chekufambisa Mitsipa uye EMG:Ona kana sheath ye myelin yetsinga yakakuvara uye kuti masaini anotumirwa sei.
• Kuboorwa Kwemusana: Kuongorora huwandu hwakakwira hwemapuroteni ane chekuita neCIDP mumvura yemusana.
• Kuongororwa kweMRI: Tarisa kana midzi yetsinga yakazvimba.
• Kuongororwa kweTervical Biopsy: Dzimwe nguva chidimbu chidiki chetsinga chinotorwa choongororwa.

Chinhu chinonyanya kukosha ndechekuongorora chirwere ichi nekukurumidza uye kutanga kurapwa . Izvi zvinogona kuderedza kukuvara kwetsinga. Kana zvikasarapwa, zviratidzo zvinogona kuwedzera nekufamba kwenguva, zvichiita kuti vamwe vanhu vade kushandisa wiricheya.

Ndeapi marapirwo eCIDP?

Vanhu vazhinji vane CIDP vanoda kurapwa. Kana kurapwa kukatanga nekukurumidza, mikana yekupora zvizere inowedzera. Chinangwa chikuru chekurapa ndechekudzivirira masoja emuviri kuti asakuvadze tsinga.

Nzira huru dzekurapa

• Corticosteroids: Iyi mishonga yemhando yesteroid inoderedza kuzvimba mumuviri uye inodzora mashandiro emasoja emuviri.
• Kurapa Nezvirwere: Mishonga iyi inokanganisa mashandiro emuviri wemuviri uye inoimisa kurwisa myelin.
• Immunoglobulin yemutsinga (IVIG): Izvi zvinosanganisira kupa ma antibodies akawanda anotorwa kubva kuvanhu vane hutano netsinga (IV). Izvi zvinobatsira kudzora maitiro emuviri asingawanzoitiki ekudzivirira chirwere.
• Kuchinjana kwePlasma (PE): Izvi zvinosanganisira kutora chikamu cheplasma muropa rako, kuchisefa kubvisa masoja emuviri ane njodzi, uye kuchidzosera mumuviri wako.

Kurapa kwekuwedzera

Kuwedzera kune mishonga mikuru, ungangoda mamwe marapirwo kuti hupenyu hwako hwezuva nezuva huve nyore.

• Kurapa Kwemuviri: Izvi zvakakosha zvikuru pakuvakazve simba remhasuru uye kuvandudza kugona kufamba.
• Kurapa Nemabasa: Kunopa mazano ekuita mabasa ezuva nezuva (akadai sekubika, kupfekedza) zviri nyore nechirwere ichi.
• Kurovedza muviri uye kudya: Kurovedza muviri zvine mwero kunogona kubatsira kuvaka simba uye kuvandudza kuenzana. Kudya kwakaringana uye kunovaka muviri kunogona kubatsira kudzivirira kuwedzera huremu zvisina kufanira uye kusvuta tsandanyama. Bvunza chiremba wako nezveizvi.

Kurarama neCIDP uye kugara zvakanaka kwepfungwa

Kurarama nechirwere chenguva refu chakadai seCIDP kunogona kuoma. Kune timu yezvekurapa yekukubatsira. Izvi zvinosanganisira chiremba wetsinga .Kusanganisira vanhu vakaita senyanzvi yekurapa muviri.

Chirwere ichi chinogona kukonzera kunzwa kwekuora mwoyo, kuzvidya mwoyo, uye kusuruvara. Zvakajairika. Kana uri kunzwa seizvi, taura nemhuri yako neshamwari nezvazvo. Usazeza kutsvaga rubatsiro kubva kuna chiremba wepfungwa kana uchida rubatsiro. Chinogona kukubatsira zvikuru murwendo rwako rwekupora.

Zvakakosha zvikuru: Kana uchinetseka kufema, idambudziko. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.