Duk da kasancewar cututtuka na neuro, akwai manyan bambance-bambance 4
Akwai fiye da nau'in nau'in nau'in kwayar cutar ta jiki, bisa ga Cibiyar Nazarin Ƙwararrun Yanayin Neurological da Tashin Kashe, kuma an rarraba su bisa ga irin lalacewar da suka haifar.
Alal misali, wasu kwayoyin neuropathies ba su shafi nau'in jiki kawai (wanda ake kira mononeuropathies) yayin da wasu ke shafar jijiyoyi masu yawa (wanda ake kira polyneuropathies). Bugu da ƙari, wasu ƙananan neuropathies na haifar da lalacewa da ƙwayoyin jijiyoyin ƙwayoyin cuta yayin da wasu suna haifar da lalacewa ga ƙwaƙwalwar ƙirar myelin (da sauransu duka).
Duk da yake neuropathy na tsakiya ya ba da wasu cututtuka guda ɗaya tare da ƙwayar cutar sclerosis (MS), kamar ciwo da haɗari masu ban sha'awa, yana da mahimmanci a fahimci waɗannan su ne cututtuka daban-daban.
Bari mu dubi wasu bambanci hudu da ke tsakanin keɓaɓɓun neuropathy da ƙananan sclerosis.
Bambanci # 1: Tsarin Tsarin Kwayoyin Tsarin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsakanin Tsarin
Ƙwararren Neuropathy
Neman neuropathy yana nufin cututtukan jijiyoyin da ke kunshe da tsarin jiki na jiki, wanda shine wadannan jijiyoyi a waje da kwakwalwa da kuma kashin baya. Magungunan jijiyoyi masu lalacewa sun lalace kuma suna haifar da halayen haɗari, ciwo, da ƙuntatawa. Wadannan abubuwan haɗari sun fi rinjaye ƙafafu, ƙananan kafafu, da hannayensu. Ƙarƙashin ƙwayar cuta na iya faruwa a cikin mutane masu tsanani ko tsinkaye na yau da kullum.
Multiple Sclerosis
Ba kamar ƙwararrun kwayar cutar ba, MS na rinjayar tsarin kulawa mai mahimmanci, wanda ya hada da kwakwalwa, jijiya mai mahimmanci, da kashin baya.
Kwayoyin jijiyoyin da ke cikin tsakiya sunyi lalacewar lokaci, wanda ya rikitar da ikon su na sadarwa tare da tsarin jin dadin jiki. Wannan lalacewa zai iya haifar da sanadin haɗari, ciwo, da ƙananan lalacewa waɗanda ba su da bambanci daga abin da ke haifar da neuropathy.
Har ila yau, rashin ƙarfi na tsoka yana tasowa tare da MS.
A gaskiya, rauni na tsoka yana tasowa sau da yawa kuma yana da tsananin girma fiye da yawancin da ke gani a cikin kwayar neuropathy.
Bambanci # 2: Mahimman dalilai
Ƙwararren Neuropathy
Ƙwararren kwayoyin neuropathy ya ƙunshi ƙungiyar cuta tare da haddasawa masu ma'ana. Duk da yake ciwon sukari shine mafi yawan al'amuran da ke tsakanin masu Amurkanci, wasu yanayi na kiwon lafiya na iya zama mai laifi. Wasu misalai sun haɗa da:
- Kwarar cutar koda
- Hypothyroidism
- Wasu cututtuka na autoimmune (alal misali, lupus erythematosus ko rheumatoid arthritis)
- HIV
- Herpes simplex cutar kamuwa da cutar
- Toxins, irin su gubar, mercury, da kuma barazanar barasa
- Raunin da ya shafi ciwon jijiya
- Abun alkama
- Wasu magunguna (alal misali, wasu magungunan HIV da chemotherapies)
Multiple Sclerosis
Duk da yake akwai nau'o'in nau'in kwayoyin halitta, akwai nau'ikan nau'ikan MS guda hudu, tare da mafi mahimmanci shine sake dawowa da MS (RRMS). A RRMS, ciwon da ke faruwa a cikin kwakwalwa da kashin baya, saboda sakamakon ciwon kumburi. Wannan mummunan yana fitowa daga tsarin kwayar cutar mutum wanda ke kai hare hare gameda wasu jijiyoyi.
Bambanci # 3: Sanin ganewa
Ƙwararren Neuropathy
Tabbatar da dalilin hanyar bayyanar cututtuka kuma yin ganewar asali ta fara tare da tarihin likita, ciki har da nazarin duk abin da kake gani.
Gaba gaba shine jiki na jiki da cikakken jarrabawa.
Dangane da sakamakon waɗannan ƙwararruwan farko, idan likitanku suna jin wani ƙwararren kwayar cutar, zai iya bayar da shawarar ƙarin gwaji wanda zai iya haɗa da aikin jini, gwajin MRI, da / ko jijiyar jiki, kamar nauyin electromyography (EMG) da / ko jigilar motsa jiki (NCV) gwaji.
Multiple Sclerosis
Domin ganewar asali na MS, likitanku zai umurci MRI, kuma zai iya yin fashewa na lumbar . Har ila yau ana yin aikin jini don yin sarauta akan yanayin kiwon lafiya wanda zai iya kwatanta abin da MS.
Difference # 4: Jiyya
Ƙwararren Neuropathy
Da zarar an gane ganewar asali, kai da likitanka zasuyi aiki tare a tsarin shiri.
Yayin da kake kula da kwayar cutar neuropathy, likitanku zaiyi la'akari da dalilin. Alal misali, idan ciwon sukari shi ne mai laifi, to, zubar da jini a karkashin iko shine ainihin manufa.
Idan magani ko toxin yana haifar da sakamako na gefe, cirewa ko dakatar da mai laifi (idan zai yiwu) yana da muhimmanci.
Labari mai kyau shi ne cewa ƙwayoyin cuta a cikin tsarin jin dadi na jikinka zai iya canzawa, don haka magance yanayin da ke ciki zai iya inganta (har ma da magani, a wasu lokuta) ƙananan kwayoyin halitta neuropathy.
Domin mummunan ciwo na ƙananan ƙwayoyin cuta, likita na iya bayar da shawarar daya ko fiye daga cikin magunguna masu zuwa:
- Non-anti-inflammatories (NSAIDs)
- Wasu antidepressants kamar Elavil (amitriptyline) ko Cymbalta (duloxetine)
- Wasu masu cin hanci kamar Lyrica (pregabalin) ko Neurontin (gabapentin)
- Magungunan magungunan kamar magungunan lidocaine ko capsaicin
- Tapentadol (kawai ga masu ciwon sukari neuropathy)
Bayan magunguna, wasu hanyoyin kwantar da hankulan da za a iya ba da shawara, sun hada da:
- Ƙarƙashin ƙwayar ƙwayar lantarki mai ɗaukar hoto (TENS)
- Hanyar maganin da ta dace kamar acupuncture ko massage
- Yanayin labarun (alal misali, katsewar shan taba, motsa jiki, da kuma kula da kafa na yau da kullum idan kana da ciwon sukari)
- Hoto-don wasu kwayoyin neuropathies da ke dauke da kwayar cutar guda ɗaya (alal misali, ciwon suturar motsi na carpal)
Multiple Sclerosis
Maganin ƙwayar sclerosis da yawa shine sau biyu, wanda ya hada da maganin maganin cututtuka (don magance ƙin MS) da magunguna don taimakawa mutum ya sarrafa alamun su na musamman.
Don halayen haɗari a MS, likitanku na iya bayar da shawarar wasu magungunan da ake amfani dasu don magance rashin jin daɗi a cikin ƙananan neuropathy kamar Cymbalta (duloxetine) ko Neurontin (gabapentin).
Idan neuropathy ya kasance wani ɓangare na MS koma baya ko kuma musamman damuwa, likita na iya tsara wani gajeren hanya na corticosteroids.
Kalma Daga
Kodayake ana iya jarabtar ku jinkirta jinkirin ganin likitanku, tsarin rashin jin dadin jiki bai kamata a manta ba. Idan kana fuskantar bayyanar cututtuka da za a iya danganta da ko dai na jiki neuropathy ko MS, likitan naka zaiyi nazarin da ya kamata don tabbatar da asali.
Yayin da kuke jiran kwanan ku, yana da amfani don ci gaba da ɓoye alamun bayyanarku don haka zaku iya bayyana su daki-daki, tare da duk wani alamu a cikin abin da suke faruwa, da kuma duk wani abu mai tada hankali ko abin da ya haifar.
> Sources:
> Afialo M, Morlion B. Ƙinƙarar maganin tapentadol ER don kulawa da matsananciyar ciwo mai tsanani. Likita mai zafi . 2013 Janairu 16 (1): 27-40.
> Aminoff MJ, Daroff RB, eds. Encyclopedia of the Neurological Sciences . 2nd ed. Waltham, MA: Makarantar Nazarin; 2014.
> Hersch CM, Fox RJ. (2014). Multiple Sclerosis. Cibiyar Cibiyar Bikin Cibiyar Ilimin Cibiyar Nazarin Cibiyar Nazarin Cleveland.
> Levin MC. Multiple Sclerosis (MS). A cikin: Porter RS, Kaplan JL, Lynn RB, et al. Merck Jagoran Mai Nuni .
> Cibiyar Nazarin Cibiyoyin Cututtukan Lafiya ta Duniya da Tashin Buka. (2014). Furofikan Neuropathy Fact Sheet.