Magungunan kwantar da hankali-masu sauraron cututtuka na wutsiyoyi / wutsiya Thyroiditis
Ciwon da aka sani da " Hashimoto's Encephalopathy " an fara bayyana ne kawai a 1966. Bayan wannan lokacin, likitoci sun fara tattara rahotanni, kuma "Hashimoto's Encephalopathy" ya zama sanannun sunan ga yanayin kwakwalwa wanda ke hade da thyroiditis na Hashimoto.
Saboda yawancin marasa lafiya da cututtukan Hashimoto na inganta tare da steroids ko maganin immunosuppressant, wasu masana yanzu suna komawa yanayin kamar yadda "cututtuka masu jijiyoyin cututtuka da ke ciki da na thyroiditis" (SREAT).
A wasu lokuta, ana iya kira yanayin "nonusculitic autoesmence meningoencephalitis" (NAIM), wanda zai iya haɗawa da matsalolin karoid kawai amma har da wasu cututtuka irin su Sjögren ciwon daji da kuma lupus erythematosus-linked meningoencephalitis. Abinda aka sabawa a cikin dukan waɗannan yanayi shi ne cewa sun amsa maganin steroid.
Kalmar "ƙwaƙwalwar cututtuka" tana nufin cuta na kwakwalwa wanda ya canza aiki ko tsari. Kullin alama na kowane ƙwaƙwalwar cuta yana canza yanayin tunanin mutum. Duk da yake bayyanar cututtuka sun dogara ne akan irin ƙwaƙwalwar cututtuka da kuma yadda yake da tsanani, wasu bayyanar cututtuka sun haɗa da:
- ƙwaƙwalwar ajiya
- wahala ci gaba
- asarar iyawa da aiki
- yanayin canji
- rashin jin tsoro da gajiya
- asarar sani
- myoclonus (ƙuƙwalwar haɗuwa da tsokoki)
- nystagmus (hanzari, hankalin ido)
- girgiza
- rauni daga tsokoki
- dementia
- sutures, convulsions
- wahala a haɗiye
- wahalar magana
Wasu wasu bayyanar cututtuka waɗanda za a iya gani sun hada da:
- rikicewa, disorientation
- halin kirki
- ciwon kai
- Hanya mai tsaka-tsakin hagu - hagu na gefen dama
- matsalolin motsi na motsi - matsaloli tare da haɗin makamai, hannayensu, yatsunsu
Saboda rashin fahimta ga Hashimoto / SREAT, a cikin binciken da aka ruwaito a cikin Fabrairu Fabrairu na 2006, masana sun fito ne don fayyace ɗakunan gwaje-gwaje, dakin gwaje-gwaje, da kuma binciken binciken radiologic yanayin.
Manufar su shine don taimakawa wajen inganta likitoci don ganewa da kuma gano wannan yanayin.
Wannan bincike ya dubi marasa lafiya 20 (mata 14 da maza 6) waɗanda aka gano a tsakanin 1995 zuwa 2003. Sakamakon shekarun da suka kamu da cutar a shekaru 56, tare da iyakar shekaru 27 zuwa 84 (iyakar, shekaru 27-84).
Mafi yawan lokutta masu sifofi da alamun kullun sune:
- Tremor - 80%
- Abhasia na gaba - 80% (Matsalar yana da matsala da harshe, yana da ikon yin magana, karantawa ko rubutu)
- Myoclonus - 65% (kwatsam, jigilar zuciya da tsoka ko rukuni na tsokoki)
- Gait ataxia - 65% (rashin daidaituwa ko tafiya mai wahala, wahalar tafiya)
- Takunkumi - 60%
- Abnormalities mai barci - 55%
Misdiagnosis ita ce Standard
Abin da ke damuwa da shi shi ne, masana sun gano cewa an yi kuskuren KASAN DUKAN DA KUMA. Misali:
- Kwayar maganin cututtukan kwayoyi - 25%,
- Dementenerative dementia - 20%
- Cutar Creutzfeldt-Jakob - 15% (Cutar Creutzfeldt-Jakob wata cuta ne mai banƙyama, degenerative, yawancin kwakwalwar kwakwalwa, wani lokaci ana kiran shi "Mad Cow Cutar" a cikin mutane)
Laboratory da Test Testing a cikin Hashimoto ta Ƙwararraji / SREAT
An gano yawancin gwagwarmayar gwagwarmaya, ciki har da:
- Ƙãra hanta enzyme matakan - 55%
- Ƙara girman thyroid-stimulating hormone (TSH) matakan - 55%
- Ƙara yawan erythrocyte sedimentation ("sed kudi") - 25%
- Cerebrospinal fluid abnormalities bayar da shawarar ƙonewa - 25%
- Hanyar haɓaka ta Magnetic da ke tattare da ƙananan halayen da suka dace tare da encephalopathy - 26%
Ƙarshe
Masu binciken sun kammala cewa akwai wasu bincike da zasu iya hade da Hannimoto ta Siyayya da SREAT, kuma wannan rashin kuskuren abu ne na kowa.
Masu bincike sun bayar da shawarar cewa Hashimoto ta yarda da cututtuka / SREAT ya kamata a yi la'akari ko TSH da "sed rate" ne na al'ada, ruwan gishiri ba ya nuna shaidar ƙonewa kuma MRI na al'ada ne.
Don Ƙarin Bayani
Hashimoto ta Bayaniyar Bayanan Bayanai
> Sources
> Castillo, Pablo MD; et. al. "Ƙwararrun cututtuka na steroid-Responsive Encephalopathy Associated with Autoimmune Yourroiditis." Arch Neurol . 2006; 63: 197-202. (Vol 63 No. 2, Fabrairu 2006)
> Cibiyar Nazarin Cibiyoyin Kwayoyin Tsaro da Yankewa