Mononeuropathy e ngata

Multiple mononeuropathy ke lefu la sistimi e nang le tšenyo ea bonyane libaka tse peli tse arohaneng tsa methapo. Neuropathy e bolela ho hloka taolo ha methapo.

Mononeuropathy e ngata ke mofuta oa tšenyo ea methapo e le 'ngoe kapa ho feta. Tsena ke methapo ka ntle ho boko le mokokotlo. Ke sehlopha sa matšoao, eseng lefu.

Leha ho le joalo, mafu a mang a ka baka kotsi kapa ts'enyo ea methapo e lebisang matšoao a mononeuropathy e mengata. Maemo a tloaelehileng a kenyelletsa:

• Maloetse a methapo ea mali a kang polyarteritis nodosa
• Maloetse a kopaneng a lisele tse kang ramatiki ea ramatiki kapa systemic lupus erythematosus (sesosa se tloaelehileng ho bana)
• Lefu la tsoekere

Lisosa tse sa tloaelehang li kenyelletsa:

• Amyloidosis, sebopeho se sa tloaelehang sa liprotheine tse liseleng le lithong
• Mathata a mali (joalo ka hypereosinophilia le cryoglobulinemia)
• Matšoao a kang lefu la Lyme, HIV / AIDS, kapa hepatitis
• Lepera
• Sarcoidosis, ho ruruha ha li-lymph node, matšoafo, sebete, mahlo, letlalo kapa lisele tse ling
• Sjögren syndrome, lefu leo ​​ho lona litšoelesa tse hlahisang meokho le mathe li senngoang
• Granulomatosis le polyangiitis, ho ruruha ha methapo ea mali

Matšoao a ipapisitse le methapo e itseng e amehang, mme e ka kenyelletsa:

• Ho lahleheloa ke senya kapa mala
• Ho lahleheloa ke maikutlo sebakeng se le seng kapa ho feta tsa 'mele
• Ho shoa litho sebakeng se le seng kapa ho feta tsa 'mele
• Ho thella, ho cha, bohloko, kapa maikutlo a mang a sa tloaelehang sebakeng se le seng kapa ho feta tsa 'mele
• Bofokoli sebakeng se le seng kapa ho feta tsa mmele

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao, a shebile tsamaiso ea methapo.

Ho fumana lefu lena, hangata ho hlokahala hore ho be le mathata ka libaka tse 2 kapa ho feta tse sa amaneng le methapo. Metsing e tloaelehileng e amehang ke:

• Metsing ea mahlaseli ka letsoho le mahetleng
• Metsing e tloaelehileng ea pone ea leoto le ka tlaase
• Metsing e meholo e bohareng letsohong
• Metsing ea basali seropeng
• Metsing ea maqhubu letsohong
• Metsing ea sciatic ka morao ho leoto
• Metsing ea Ulnar letsohong

Liteko li ka kenyelletsa:

• Electromyogram (EMG, rekoto ea ts'ebetso ea motlakase mesifa)
• Bokooa ba methapo ea kutlo ho hlahloba sengoathoana sa methapo ka tlas'a microscope
• Liteko tsa ho khanna methapo ho bona hore na tšusumetso ea methapo e potlakileng e tsamaea joang methapong
• Ho etsa liteko, joalo ka x-ray

Liteko tsa mali tse ka etsoang li kenyelletsa:

• Sehlopha sa anti-nuclear (ANA)
• Liteko tsa k'hemistri ea mali
• C-protheine e sebetsang
• Ho etsa litšoantšo
• Teko ea bokhachane
• Lebaka la ramatiki
• Sekhahla sa sedimentation
• Liteko tsa qoqotho
• Li-X-ray

Morero oa kalafo ke ho:

• Phekola bokuli bo bakang bothata, ha ho khonahala
• Fana ka tlhokomelo e tšehetsang ho boloka boipuso
• Laola matšoao

Ho ntlafatsa boipuso, kalafo e ka kenyelletsa:

• Phekolo ea mosebetsing
• Thuso ea masapo (mohlala, setulo sa likooa, litšehetso le liluloana)
• Phekolo ea 'mele (mohlala, ho ikoetlisa le ho koetlisa ho eketsa matla a mesifa)
• Phekolo ea mesebetsi ea matsoho

Tšireletseho ke ea bohlokoa ho batho ba nang le mathata a maikutlo kapa a motsamao. Ho hloka taolo ea mesifa le ho fokotseha ha maikutlo ho ka eketsa kotsi ea ho oa kapa likotsi. Mehato ea polokeho e kenyelletsa:

• Ho ba le mabone a lekaneng (joalo ka ho siea mabone bosiu)
• Ho kenya literene
• Ho tlosa litšitiso (joalo ka limmete tse hlephileng tse ka thellang fatše)
• Ho hlahloba mocheso oa metsi pele o hlapa
• Ho roala lieta tse sireletsang (ha ho menoana e bulehileng kapa lieta tse phahameng)

Hlahloba lieta khafetsa bakeng sa lehlohlojane kapa matheba a mabe a ka lematsang maoto.

Batho ba nang le maikutlo a fokotsehileng ba lokela ho hlahloba maoto (kapa sebaka se seng se amehileng) khafetsa bakeng sa matetetso, libaka tse bulehileng tsa letlalo, kapa likotsi tse ling tse ka 'nang tsa se ke tsa hlokomeleha. Likotsi tsena li ka tšoaetsoa hampe hobane methapo ea kutlo ea sebaka seo ha e bontše kotsi eo.

Batho ba nang le mefuta e mengata ea mononeuropathy ba tloaetse ho tsoa likotsi tse ncha tsa methapo libakeng tsa khatello tse kang mangole le litsoeng. Ba lokela ho qoba ho beha khatello libakeng tsena, ka mohlala, ka ho se its'epe litsoeng, ho tšela mangole, kapa ho ts'oara maemo a tšoanang nako e telele.

Meriana e ka thusang e kenyelletsa:

• Litlhare tse bohloko tsa li-counter-counter kapa tsa ngaka
• Moriana o thibelang bohloko kapa lithibela-mafu ho fokotsa bohloko ba ho hlaba

Pholoso e felletseng e ka khonahala haeba sesosa se fumanoe 'me se phekoloa,' me haeba tšenyo ea methapo e fokola. Batho ba bang ha ba na bokooa. Ba bang ba lahlehetsoe ke motsamao, ts'ebetso, kapa maikutlo.

Mathata a ka kenyelletsa:

• Ho holofala, ho lahleheloa ke lisele kapa mesifa
• Likhathatso tsa ts'ebetso ea setho
• Litla-morao tsa meriana
• Kotsi e phetoang kapa e sa tsejoeng sebakeng se anngoeng ke lebaka la ho hloka maikutlo
• Mathata a likamano ka lebaka la ho se sebetse hantle ha erectile

Bitsa mofani oa hau haeba u bona matšoao a mononeuropathy e mengata.

Mehato ea thibelo e ipapisitse le bothata bo itseng. Mohlala, ka lefu la tsoekere, ho ja lijo tse phetseng hantle le ho boloka taolo e thata ea tsoekere maling ho ka thusa ho thibela mononeuropathy e ngata ho hola.

Multiplex ea mononeuritis; Multiplex ea mononeuropathy; Neuropathy e mengata; Pheripheral neuropathy - mononeuritis multiplex

• Sisteme ea methapo e bohareng le methapo ea methapo

Katirji B. Mathata a methapo ea kutlo. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 107.

Smith G, ke lihlong ME. Pheripheral neuropathies. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 392.