Pachimake mwiniwakeyo encephalomyelitis: chithunzi matenda ndi cholinga Mapa

Iwo ankanena kuti pachimake mwiniwakeyo encephalomyelitis ndi matenda chikhalidwe. A tikafuna, zomwe zikusonyeza kuti kudwala uyu akuchita ndi maziko a matenda enaake kapena purulent sinusitis, otitis TV. Kupeza tizilomboto waukulu kwathunthu akadali sichitha Komabe, mokhutiritsa wasonyeza kuti ntchito kawirikawiri chitukuko cha matenda amagwira thupi lawo siligwirizana entailing demyelinating ndondomeko mu chingwe msana ndi ubongo. matenda limasonyeza foci angapo a perivascular kuti mwina zafala thunthu ndi nkhani woyera wa hemispheres oziziritsa ubongo, komanso mwachindunji mu chingwe msana. Matenda ndondomeko pathological mu misempha msana ndi mizu ya nthambi, kuwonjezera, myalgic encephalomyelitis mChipangano kutopa matenda.

Ngati mukukumbukira tanthauzo yeniyeni, tinganene kuti pachimake mwiniwakeyo encephalomyelitis ali pabwino ngati pachimake yotupa matenda a dongosolo chapakati mantha, amene amakhala ndi loyenda zokha mwiniwakeyo demyelinating chopinga ubongo ndi msana, imene mphamvu ya waukulu njira tanthauzo la chiyambi autoimmune.

Yesani kudziwa pathogenesis matendawa. Nkofunika kudziwa kuti akuyamba pachimake mwiniwakeyo encephalomyelitis mu mawonekedwe pachimake, amene makamaka akufanana ndi matenda wamba tizilombo. Motero, wodwalayo amayamba kuona ndi malaise ambiri, kusowa chilakolako , ndipo mwamsanga "kudumpha" kutentha, komanso n'zotheka ndi psychomotor mukubwadamuka, paresthesia. Zimakhala zizindikiro meningeal, imene zizindikiro focal kuoneka pasanathe masiku ambiri, kusonyeza sostredotochenii kugonjetsedwa mu Chigawo kapena brainstem, komanso chingwe msana. Ngati ife kulankhula za zizindikiro msana, m'pofunika kuonetsetsa kusonyeza tetrapareses para- ndi Kapenanso, paresis zotumphukira. kuvutika izi zimabweretsa kukanika ziwalo m'chiuno. Ngati ife kulankhula za zizindikiro tsinde, amatanthauza bulbar paresis, zokhudza udindo ndi ntchito ya kumaliseche ndi misempha nkhope. Komanso, mu ndondomeko pathological zosungidwazo zimagwiritsidwa ntchito, ndipo misempha chamawonedwe mwa neuritis chamawonedwe.

Zingakhale zomveka ndithu kuganiza kuti ndi yosasangalatsa kwambiri ndi matenda owopsa kwambiri ndi pachimake mwiniwakeyo encephalomyelitis, amene zizindikiro sitimangotseka bwanji ziwalo zofunika kwambiri ndi ntchito, komanso kubweretsa mavuto kwa wodwalayo ndiponso wodzaza ndi nkhawa.

Tikayang'ana pa izi encephalomyelitis mawonekedwe, mwachangu chikhalidwe ndi zizindikiro tima kukula, koma yochizira matenda, ndipo pali zithunzi matenda pamene kudwala akufotokozera yaitali, ndi zizindikiro zake anapanga kwa masabata angapo. Ngati ife Pali kufanana ndi matenda ochiritsira ngati ofoola ziwalo, n'zotheka kupeza zinthu wamba mu nkhope ya zinthu zosiyanasiyana autoimmune kuti antigens myelin. Komabe, mosiyana ofoola ziwalo, pachimake mwiniwakeyo encephalomyelitis amakhala ndi kutukusira mofulumira. Ndipo mtundu wa "mtsogoleri" zochita autoimmune ndi yeniyeni HIV, koma musanyalanyaze matenda ndi zizindikiro poizoni imene achuluke demyelination sekondale.

Nkofunika kutsindika kuti madokotala ananena zawo ndi yabwino kwambiri, ndipo zimadza ayambe mtheradi, koma nthawi zina ngati zochitika nyanja ndi paresis, utachepa masomphenya ndi tcheru matenda. M'njira kwambiri, kapena potsatira mwadzidzidzi zingachititse kuti imfa, matenda zimafuna matenda oyambirira ndi mankhwala mwamsanga kuchitidwa ndi katswiri wodziwa.