Neurosarcoidosis

Neurosarcoidosis ke bothata ba sarcoidosis, moo ho ruruha ho hlahang bokong, mokokotlong le libakeng tse ling tsa tsamaiso ea methapo.

Sarcoidosis ke lefu le sa foleng le amang likarolo tse ngata tsa 'mele, haholo-holo matšoafo. Ho batho ba fokolang, lefu lena le kenyelletsa karolo e itseng ea tsamaiso ea methapo. Sena se bitsoa neurosarcoidosis.

Neurosarcoidosis e ka ama karolo efe kapa efe ea sistimi ea methapo. Ka tšohanyetso, bofokoli ba sefahleho (sefahleho sa sefahleho kapa sefahleho se theohelang) ke letšoao le tloaelehileng la methapo le amanang le methapo ea mesifa ea sefahleho. Mothapo o fe kapa o fe o ka har'a lehata o ka ameha, ho kenyelletsa le a leihlong le a laolang tatso, monko, kapa kutlo.

Mokokotlo ke karolo e 'ngoe ea methapo ea kutlo eo sarcoidosis e ka e amang. Batho ba kanna ba ba le bofokoli matsohong le maotong, le ho thatafalloa ke ho tsamaea kapa ho laola moroto oa bona kapa mala. Maemong a mang, mokokotlo oa mokokotlo o ameha haholo hoo maoto ka bobeli a holofetseng.

Boemo bona bo ka ama likarolo tsa boko tse amehang ho laoleng mesebetsi e mengata ea 'mele, joalo ka mocheso, boroko le likarabo tsa khatello ea maikutlo.

Bofokoli ba mesifa kapa tahlehelo ea maikutlo e ka hlaha ka ho nka karolo ha methapo ea kutlo. Likarolo tse ling tsa boko, ho kenyeletsoa lesela la pituitary botlaaseng ba boko, kapa mokokotlo oa mokokotlo le tsona li ka ameha.

Ho kenyelletsa karolo ea pituitary ho ka baka:

• Liphetoho linakong tsa ho ilela khoeli
• Mokgathala o feteletseng kapa mokgathala
• Lenyora le feteletseng
• Phallo e phahameng ea moroto

Matšoao a fapana. Karolo efe kapa efe ea tsamaiso ea methapo e ka ameha. Ho ameha ha boko kapa methapo ea methapo ho ka baka:

• Pherekano, pherekano
• Ho fokotsa kutlo
• Dementia ea kelello
• Botsoa, ​​molikoalikoane, kapa maikutlo a sa tloaelehang a motsamao
• Pono e habeli kapa mathata a mang a pono, ho kenyeletsoa bofofu
• Ho holofala sefahleho (bofokoli, ho sekama)
• Ho opeloa ke hlooho
• Ho lahleheloa ke kutlo ea monko
• Ho lahleheloa ke kutlo ea tatso, litatso tse sa tloaelehang
• Ho ferekana kelellong
• Ho oa
• Ho senyeha ha puo

Ho kenyeletsoa ha methapo e le 'ngoe kapa ho feta ho ka lebisa ho:

• Maikutlo a sa tloaelehang karolong efe kapa efe ea 'mele
• Tahlehelo ya motsamao wa setho sefe kapa sefe sa mmele
• Ho lahleheloa ke maikutlo karolong efe kapa efe ea 'mele
• Bofokoli ba setho sefe kapa sefe sa mmele

Tlhahlobo e ka bonts'a mathata ka methapo e le 'ngoe kapa ho feta.

Nalane ea sarcoidosis e lateloang ke matšoao a amanang le methapo e bontša haholo neurosarcoidosis. Leha ho le joalo, matšoao a boemo a ka etsisa mathata a mang a bongaka, ho kenyeletsoa lefu la tsoekere insipidus, hypopituitarism, optic neuritis, meningitis le lihlahala tse ling. Ka linako tse ling, tsamaiso ea methapo e ka ameha pele motho a tsejoa hore o na le sarcoidosis, kapa ntle le ho ama matšoafo kapa litho tse ling ho hang.

Liteko tsa mali ha li thuse haholo ho fumana boemo. Ho phunya lumbar ho ka bontša matšoao a ho ruruha. Mefuta e eketsehileng ea enzyme e fetolang angiotensin e ka fumanoa maling kapa cerebrospinal fluid (CSF). Leha ho le joalo, ena ha se tlhahlobo e tšepahalang ea tlhahlobo.

MRI ea boko e ka thusa. X-ray ea sefuba hangata e senola matšoao a sarcoidosis ea matšoafo. Matšoao a methapo ea methapo ea methapo e amehileng a tiisa lefu lena.

Ha ho na pheko e tsebahalang ea sarcoidosis. Kalafo e fanoa haeba matšoao a le matla kapa a ntse a mpefala. Morero oa kalafo ke ho fokotsa matšoao.

Corticosteroids e kang prednisone e laeloa ho fokotsa ho ruruha. Hangata li laeloa ho fihlela matšoao a fola kapa a fola. U kanna ua hloka ho noa meriana ka likhoeli, kapa esita le lilemo.

Meriana e meng e ka kenyelletsa phetoho ea lihormone le meriana e hatellang sesole sa 'mele.

Haeba u na le ho ba shohlo, bofokoli, pono kapa mathata a kutlo, kapa mathata a mang ka lebaka la tšenyo ea methapo ea hlooho, u ka hloka kalafo ea 'mele, lithupa, molamu, motsamao kapa setulo sa likooa.

Mathata a kelello kapa 'dementia' a ka hloka meriana ea khatello ea maikutlo, boits'ireletso le thuso ka tlhokomelo.

Maemo a mang a ea a le mong ka likhoeli tse 4 ho isa ho tse 6. Tse ling li tsoelapele ho tsoela pele bophelo bohle ba motho. Neurosarcoidosis e ka baka bokooa ba nako eohle, 'me maemong a mang e ka baka lefu.

Mathata a fapana ho latela karolo ea sistimi ea methapo e amehang le hore na o arabela joang kalafong. Butle-butle ho mpefala kapa tahlehelo e sa feleng ea ts'ebetso ea methapo ea pelo hoa khoneha. Maemong a sa tloaelehang, brainstem e ka ameha. Sena se beha bophelo kotsing.

Bitsa mofani oa tlhokomelo ea bophelo haeba u e-na le sarcoidosis 'me matšoao a mang a methapo a hlaha.

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba u ka felloa ke kutlo, motsamao kapa ts'ebetso ea 'mele ka tšohanyetso.

Kalafo e mabifi ea sarcoidosis e tima karabelo e fosahetseng ea 'mele ea ho itšireletsa mafung pele methapo ea hau ea pelo e senyeha. Sena se ka fokotsa monyetla oa hore matšoao a methapo ea kutlo a hlahe.

Sarcoidosis - tsamaiso ea methapo

• Sarcoid, sethala sa I - sefuba x-ray
• Sarcoid, sethala sa II - sefuba x-ray
• Sarcoid, sethaleng IV - X-ray ea sefuba

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