Neuropathy Fiber yar: Waxa aad u Baahan Tahay inaad Ogaato

Shakhsiyaadka laga helay neuropathy peripheral neuropathy, ama qaba neuropathy fiber yar, ma fahmi karaan calaamadaha waxayna sababaan caawinta daawaynta suurtagalka ah?

Neuropathy Fiber yar

Neuropathy fiber yar waa kala-saar gaar ah oo neuropathy ah, maadaama ay jiraan noocyo kala duwan, kuwaas oo ah dhaawaca neerfaha, dhaawac, cudur, iyo/ama shaqeyn la'aan. Calaamaduhu waxay keeni karaan xanuun, luminta dareenka, iyo calaamadaha dheefshiidka iyo kaadida. Inta badan xaaladaha neuropathy sida neuropathy peripheral neuropathy waxay ku lug leeyihiin fiilooyinka yaryar iyo kuwa waaweyn. Sababaha caadiga ah waxaa ka mid ah sonkorowga muddada-dheer, nafaqo-xumada, isticmaalka khamriga, iyo kiimoterabiga.

• Neuropathy fiber yar ayaa la ogaadaa ka dib baaritaanka ogaanshaha oo muujinaya inay caddahay in fiilooyinka dareemayaasha yaryar ay ku lug leeyihiin.
• Fiilooyinka dareemayaasha yaryar waxay ogaadaan dareenka, heerkulka, iyo xanuunka waxayna caawiyaan nidaaminta hawlaha aan ikhtiyaarka lahayn.
• Neuropathy-fiber-yar-yar oo go'doonsan waa naadir, laakiin cilmi-baaris ayaa socota nooca dhaawaca dareemayaasha iyo daawaynta suurtagalka ah. (Stephen A. Johnson, iyo al., 2021)
• Xanuunka neerfaha ee fiber-yara si gaar ah khatar uma aha laakiin waa calaamad/calaamadaha sabab/xaalad hoose oo dhaawacaysa neerfaha jidhka.

Calaamadaha

Calaamadaha waxaa ka mid ah:Heidrun H. Krämer, iyo al., 2023)

• Xanuunka - calaamaduhu waxay u dhaxayn karaan raaxo-daro fudud ama dhexdhexaad ah ilaa cidhiidhi daran waxayna dhici karaan wakhti kasta.
• Dareenka oo luma.
• Sababtoo ah fiilooyinka neerfaha yar yar waxay caawiyaan dheefshiidka, cadaadiska dhiigga, iyo kontoroolka kaadiheysta - calaamadaha cilladda iskeed u shaqeysta way kala duwanaan kartaa waxaana ka mid noqon kara:
• Calool-istaagga, shubanka, ceshad la'aanta, kaadi-haysashada - awood la'aanta in ay si buuxda u daadiso kaadiheysta.
• Haddii uu jiro dhaawac dareemayaasha oo sii socda, xanuunka xanuunka wuu yarayn karaa, laakiin luminta dareenka caadiga ah iyo calaamadaha madaxbannaan ayaa ka sii dari kara. (Josef Finsterer, Fulvio A. Scorza. 2022)
• Dareen-xumada taabashada iyo dareenka xanuunka waxay keeni kartaa xanuun aan kicin.
• Luminta dareenka waxay ka dhigi kartaa shakhsiyaadka aan awoodin inay si sax ah u ogaadaan dareenka taabashada, heerkulka, iyo xanuunka meelaha ay saameeyeen, taas oo keeni karta dhaawacyo kala duwan.
• Inkasta oo cilmi-baaris dheeraad ah loo baahan yahay, xanuunada qaarkood ee aan loo tixgelinin neuropathy ayaa laga yaabaa inay leeyihiin qaybo yaryar oo neuropathy ah oo ku lug leh.
• Daraasad ayaa soo jeedisay in rosacea neurogenic, xaalad maqaarka, ay yeelan karto qaybo ka mid ah neuropathy fiber yar. (Min Li, iyo al., 2023)

Fiberyada Dareemaha Yaryar

• Waxaa jira dhowr nooc oo fiilooyinka neerfaha yar yar; laba ka mid ah neuropathy fiber yar oo ay ku jiraan A-delta iyo C.Josef Finsterer, Fulvio A. Scorza. 2022)
• Xiidmooyinkan yar yar ee dareemayaasha ayaa loo qaybiyaa jirka oo dhan oo ay ku jiraan korka faraha iyo lugaha, jirridda, iyo xubnaha gudaha.
• Fiilooyinkani waxay inta badan ku yaalaan meelaha sare ee jidhka, sida meel u dhow oogada maqaarka. (Mohammad A. Khoshnooddi, iyo al., 2016)
• Fiilooyinka dareemayaasha yaryar ee dhaawacma waxay ku lug leeyihiin gudbinta xanuunka iyo dareenka heerkulka.
• Inta badan neerfayaasha waxay leeyihiin nooc gaar ah oo dahaar ah oo loo yaqaan 'myelin' kaas oo ilaaliya iyaga oo kordhiya xawaaraha dareenka dareemayaasha.
• Fiilooyinka dareemayaasha yaryar ayaa laga yaabaa inay yeeshaan gal khafiif ah, taasoo ka dhigaysa inay aad ugu nugul yihiin dhaawaca iyo dhaawaca marxaladaha hore ee xaaladaha iyo cudurrada. (Heidrun H. Krämer, iyo al., 2023)

Shakhsiyaadka Khatarta Ku Sugan

Inta badan noocyada neuropathy durugsan waxay dhaawac u geystaan ​​fiilooyinka dareemayaasha ee yar iyo kuwa weyn. Sababtan awgeed, neuropathy-yada badankood waa isku-dhafka fiber-yar-yar iyo neuropathy-fiber-weyn. Waxyaabaha halista ah ee caadiga ah ee neuropathy fiber-ka isku dhafan waxaa ka mid ah:Stephen A. Johnson, iyo al., 2021)

• Diabetes
• Qalabka nafaqada
• Isticmaalka khamriga oo xad dhaaf ah
• Dhibaatooyinka Autoimmune
• Sunta daawada

Neuropathy-fiber-yar oo go'doonsan waa naadir, laakiin waxaa jira xaalado la og yahay inay gacan ka geystaan ​​sababta waxaana ka mid ah: (Stephen A. Johnson, iyo al., 2021)

Sjogren Syndrome

• Cudurkan difaaca jirka ah wuxuu keenaa indhaha iyo afka oo qallalan, dhibaatooyinka ilkaha, iyo xanuunka kalagoysyada.
• Waxay kaloo sababi kartaa dhaawaca neerfaha jirka oo dhan.

Cudurka Fabry

• Xaaladani waxa ay keentaa in ay jidhka ku ururaan dufan/dufan qaarkood kuwaas oo keeni kara saamaynta neerfaha.

Amyloidosis

• Kani waa cillad naadir ah oo sababa ururinta borotiinnada jirka.
• Borotiinadu waxay dhaawici karaan unugyada sida wadnaha ama neerfaha.

Cudurka Lewy ee Jirka

• Kani waa xanuunka neerfaha ee sababa waallida iyo dhaqdhaqaaqa oo daciifa waxayna keeni kartaa dhaawac neerfaha.

lupus

• Kani waa cudur difaaca jirka ah oo saameeya kala-goysyada, maqaarka, iyo marmar nudaha dareemayaasha.

Caabuqa Viral

• Caadi ahaan infekshannadani waxay keenaan hargab ama calool-xanuun / GI.
• Inta badan waxay keeni karaan saameyno kale sida fiber neuropathy yar.

Xaaladahan ayaa loo arkay inay sababaan neuropathy-yar-yar oo go'doonsan ama u bilaabma neuropathy-yar-yar ka hor inta aan loo gudbin fiilooyinka dareemayaasha waaweyn. Waxay sidoo kale u bilaabi karaan sidii neuropathy isku dhafan, oo leh fiilooyinka yaryar iyo kuwa waaweyn.

Horumarka

Badanaa waxyeeladu waxay ku socotaa heer dhexdhexaad ah, taasoo keenta calaamado dheeraad ah bilo ama sannado gudahood. Dareemaha fiber-ka ee ay saamayso xaaladda hoose ayaa caadi ahaan si tartiib tartiib ah u sii xumaanaysa, iyada oo aan loo eegin meesha ay ku yaalaan. (Mohammad A. Khoshnooddi, iyo al., 2016) Daawooyinku waxay kaa caawin karaan yaraynta dhaawaca soo gaadhay dareemaha durugsan. Shakhsiyaadka lagu ogaado marxaladda hore, waxaa suurtagal ah in la joojiyo horumarka, oo laga yaabo in laga hortago ku lug lahaanshaha fiilooyinka waaweyn.

Daaweyn

Daawaynta ka hortagga horumarka waxay u baahan tahay in lagu xakameeyo xaaladda caafimaad ee hoose iyada oo la adeegsanayo xulashooyin daweyn oo ku xiran sababta. Daawaynta kaa caawin karta ka hortagga horumarka waxa ka mid ah:

• Xakamaynta sonkorta dhiigga ee shakhsiyaadka qaba sonkorowga.
• Kaabista nafaqada loogu talagalay daawaynta yaraanta fitamiinada.
• Joojinta khamriga.
• Xakamaynta difaaca si loo xakameeyo cudurrada difaaca jirka.
• Plasmapheresis - dhiig ayaa la qaadaa oo balasmaha waa la daaweeyaa oo la soo celiyaa ama lagu beddelaa daaweynta cudurrada difaaca jirka.

Daawaynta Calaamadaha

Shakhsiyaadka ayaa heli kara daawaynta calaamadaha aan ka noqon doonin ama daweyn doonin xaalada laakiin waxay kaa caawin karaan nasinta ku meel gaadhka ah. Daaweynta calaamadaha waxaa ka mid noqon kara:Josef Finsterer, Fulvio A. Scorza. 2022)

• Maareynta xanuunka waxaa ku jiri kara daawooyin iyo/ama xanuunka jirka la mariyo.
• Daawaynta jireed - kala bixin, duugis, depression, iyo hagaajin si jidhku u noqdo mid dabacsan oo dabacsan.
• Baxnaaninta si ay gacan uga geysato hagaajinta isuduwidda, taas oo ay wiiqi karto luminta dareenka.
• Daawooyinka lagu nafiso calaamadaha GI.
• Xiro dhar gaar ah sida sharabaadada neuropathy si ay uga caawiyaan calaamadaha xanuunka cagta.

Daawaynta iyo maaraynta caafimaad ee neuropathy caadi ahaan waxa ku lug leh dhakhtarka neerfaha. Dhakhaatiirta neerfaha ayaa laga yaabaa inay qoraan daawo si ay u yareeyaan calaamadaha xanuunka oo ay bixiyaan waxqabadyo caafimaad sida immunotherapy haddii ay jirto walaac ah in habka difaaca jirka uu sabab u noqon karo. Intaa waxaa dheer, daawaynta waxaa ka mid noqon kara daryeelka daawada jirka iyo dhakhtarka baxnaaninta ama kooxda daawaynta jireed si ay u bixiyaan fidin iyo jimicsi si ay u caawiyaan xoojinta jidhka iyo ilaalinta dhaqdhaqaaqa iyo dabacsanaanta.

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Khuraafaadka Neuropathy Peripheral & Xaqiiqooyinka

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tixraacyada

Johnson, SA, Shouman, K., Shelly, S., Sandroni, P., Berini, SE, Dyck, PJB, Hoffman, EM, Mandrekar, J., Niu, Z., Lamb, CJ, Low, PA, Heesaa , W., Mauermann, ML, Mills, J., Dubey, D., Shaqaalaha, NP, & Klein, CJ (2021). Dhacdooyinka Neuropathy Fiber Yaryar, Baahitaanka, Naafanimada Dheer, iyo Naafanimada. Neerfaha, 97 (22), e2236-e2247. doi.org/10.1212/WNL.0000000000012894

Finsterer, J., & Scorza, FA (2022). Neuropathy fiber yar. Acta neurologica Scandinavica, 145(5), 493-503. doi.org/10.1111/ane.13591

Krämer, HH, Bücker, P., Jeibmann, A., Richter, H., Rosenbohm, A., Jeske, J., Baka, P., Geber, C., Wassenberg, M., Fangerau, T., Karst , U., Schänzer, A., & van Thriel, C. (2023). Gadolinium ka soo horjeeda wakiilada: kaydka maqaarka iyo saameynta suurtagalka ah ee fiilooyinka dareemayaasha yaryar ee epidermal. Joornaalka Neerfaha, 270(8), 3981-3991. doi.org/10.1007/s00415-023-11740-z

Li, M., Tao, M., Zhang, Y., Pan, R., Gu, D., & Xu, Y. (2023). Neurogenic rosacea waxay noqon kartaa neuropathy fiber yar. Xuduudaha cilmi-baarista xanuunka (Lausanne, Switzerland), 4, 1122134. doi.org/10.3389/fpain.2023.1122134

Khoshnodi, MA, Truelove, S., Burakgazi, A., Hoke, A., Mammen, AL, & Polydefkis, M. (2016). Qiimaynta Dheeriga ah ee Xanuunka Neerfaha ee Fiber-yar: Caddeynta Axonopathy Distal Aan-Dheer Ku Xidhnayn. JAMA neurology, 73(6), 684-690. doi.org/10.1001/jamaneurol.2016.0057