Miller-Fisher ciwo: cututtuka, magani, tsawon rayuwar

Daya irin rare Guillain-Barre ciwo, wanda shi ne wani reshe daga bayyananne hoto a jikin marasa lafiya mutum matakai ne Miller-Fisher ciwo. An halin a triad na cututtuka da bayyana kansu daidai a dukan marasa lafiya.

definition

Guillain-Barre ciwo ne mai rare sabon abu. A likita yi, ya Figures ne ga 1-2 mutane da dubu ɗari yawan jama'a. Yana bayyana more akai-akai a maza kuma yana da biyu kololuwa ta aiki:

• matasa shekaru - 20-24 shekaru.
• haihuwa - 70-74 shekaru.

Wannan abu ne da aka sani neurologists, kuma yana da yawan musamman siffofin, bayarwa na nazarin confirmative cerebrospinal ruwa. Bayan gargajiya kwarara da cutar, aka same shi Miller Fisher ciwo, aka bayyana wannan American neurologist baya a 1956 shekara.

cututtuka

A cuta ne musamman rare kuma tana nufin wani m kumburi autoimmune cutar da ke shafar da myelin jijiya daina kai hare hare. A farkon da a kara raya Miller-Fisher ciwo ko da yaushe bayyana guda kuma kunshi wadannan jerin halayyar bayyanar cututtuka da shi

• arefleksiya - akwai wani zato nau'i nau'i, kuma ƙarshe da cikakken rashi na wata gabar jiki da numfashinsa.
• ataxia - cerebellar cuta hali.
• ophthalmoplegia - inna daga cikin ido tsokoki, sau da yawa na waje, da kuma a halaye da wuya da kuma m.
• tarapez kuma inna na numfashi tsokoki - ci gaba a cikin tsanani, m lokuta.

Tare da ta dace tabbatar da dalilin da cututtuka da kuma dace qaddamarwa na magani, da cuta ne benign, shi ba ya haifar da rikitarwa da kuma sau da yawa ya ƙare da maras wata-wata dawo.

dalilai

Tare dace magani ga likita for 'yan makonni ko watanni, za ka iya warkar da Miller-Fisher ciwo. Up to nawa rayuwa tare da irin wannan cuta, kawai ba fitar da siffa yadda ba bayyanannu, kuma ta haddasawa. Amma saboda mafi yawan mutane tare da wannan ganewar asali kwararru alkawari mafi m kintace. Cikakken dawo da dukkan ayyuka a cikin jiki a cikin daidai da dace magani, daukan a kalla goma makonni. Kuma kawai karamin yawan marasa lafiya da ci-gaba lokuta bukatar wani yawan ƙarin kiwon lafiya matakan.

Sashe na daga cikin ma'aikatan kiwon lafiya ya bayyana cewa, sau da yawa cikin hanyar da wannan cuta da ake zama na kowa alurar riga kafi. A wasu lokuta, an gano bayan wuya canjawa wuri kwayar cututtuka, cututtuka wani lokacin bayyana bayan shafe tsawon lura da dama hadaddun kamuwa da cuta. Known iyali tarihi da cutar, bayar da shawara a kayyade predisposition zuwa wannan cuta ta jiki.

asibiti scores

Jagoranci kuka miƙa da haƙuri, da farko aka bayyana a cikin wadannan fannoni:

• wani rauni, asarar ƙarfi, rashin makamashi, dizziness.
• wahala taban da ake, da kuma kadan daga baya, tare da jawabin.
• wahala a tafiyarka, kuma kai-da sabis.
• M numbness na hannuwana da ƙafafuna, kalaman-kamar ciwo a cikin wata gabar jiki.

Wannan downward palsy - wani take hakkin da ido motsi, da kuma kara da sauran extremities (jin gaban safar hannu a hannuwan) aka nuna da Miller-Fisher ciwo. The cututtuka su ne sosai kama da Gane-Barre ciwo, amma irin wannan Pathology an kiyaye inna na sama hali - daga cikin ƙananan zuwa babba sashi na jiki.

Bugu da kari ga wani rauni na da ido tsokoki, sosai daidaituwa da kuma cikakken asarar reflexes, da mãsu haƙuri a iya gano da kuma yawan sakandare bayyanar cututtuka, bayar da tasu gudunmuwar da mafi m ganewar asali.

• A zafin jiki ji na ƙwarai daga fata ne da yawa m.
• A haƙuri shi ne kusan ba m zuwa zafi.
• Hadiya yau ya zama da wahala.
• Shi ne discontinuous, unpronounceable kalmomi.
• Gag reflex ne mãsu fakowa ba.
• Gunaguni game mafitsara matsaloli.

Sashe na daga bayyanar cututtuka irin su tsoka rauni da jawabin matsaloli na iya faruwa spontaneously. Sun nuna a fili wani tsanani wahala da halin da ake ciki da kuma bukatar nan da nan masu sana'a shawara.

bincikowa da

Don daidai gane Miller-Fisher ciwo, shi ake bukata don gudanar da wani yawan dole bincike.

1. M tafiya zuwa neurologist, wanda yayi bincike da kuma gano dukkan yiwu neurological cuta.
2. Nuna a lumbar huda. A mafi yawan lokuta, shi ya bayyana high gina jiki Manuniya musamman ga cutar.
3. PCR Analysis - damar domin sanin yiwu exciter. Wannan na iya zama wani herpes cutar, Epstein-Barr cutar, cytomegalovirus da sauran.
4. Sau da yawa gwani bugu da žari sanya wani CT scan taimakawa wajen gano yiwu comorbidities neurological.
5. Domin wajibi jini gwajin nuna gaban anti-ganglioside antibodies. Wannan ne bayyananne nuna alama na gaban kumburi, da m sakamakon wannan bincike ne m tabbaci na ganewar asali.

Miller-Fisher ciwo ne hadaddun da bukatar mafi m ganowa, amfani elektroneyromirografiya, bambanci analysis, gwada cututtuka da dama irin wannan cututtuka.

far

Jiyya da wannan cuta ya shafi wani hadadden matakan kashe rigakafi halayen da kuma jini yarda da antibody. Proper tabbatarwa da kuma symptomatic far damar domin wani ɗan gajeren lokaci zuwa gaba daya kawar da Miller-Fisher ciwo. Jiyya karkashin shiryarwar wani gogaggen gwani take kaiwa zuwa sosai tabbatacce sakamakon, kuma da cikakken maida. A sosai rare lokuta (kawai uku da cent na jimlar) dakwai, komowan cutar, bayar da shawara wani ƙarin hanya na hadaddun far.

1. An kimantawa da miciwa, a lokuta inda haƙuri shi ne wuya ga tafiya a kan nasu, asibiti da ake sa wani m likita dubawa.
2. A lokacin farko da kwanaki biyar (ba daga baya fiye da makonni biyu bayan na farko da bayyanar cututtuka fara) nada ta plasmapheresis da immunoglobulin.
3. Ga masu rigakafin wani yiwu venous thrombosis amfani anticoagulants.
4. Yana bukatar m iko da jini, kamar yadda ta kaifi bambance-bambance zai iya kai ga tsanani da rikitarwa.
5. Bugu da kari, azuzuwan da wani jawabin ilimin.