Qhov sib txawv tseem ceeb ntawm CIDP thiab MS yog tias CIDP cuam tshuam nrog kev mob ntawm cov paj hlwb thiab cov hlab ntsha ntawm lub paj hlwb peripheral thiab kev puas tsuaj ntawm myelin sheath, thaum MS cuam tshuam nrog kev mob ntawm cov hlab ntsha ntawm lub hauv nruab nrab lub paj hlwb thiab kev puas tsuaj. myelin sheath ntawm paj hlwb.
Myelin sheath disorders yog cov kab mob neurological. Thaum lub tsho myelin puas lawm, nws cuam tshuam rau lub peev xwm xa thiab tau txais cov lus hluav taws xob. Cov mob no tseem hu ua demyelination. Muaj ob hom myelin sheath disorders: peripheral paj hlwb demyelinating disorders (chronic inflammatory demyelinating polyneuropathy (CIPD), Guillain Barre syndrome) thiab central nervous system demyelinating disorders (ntau yam sclerosis (MS), optic neuritis, transverse myelitis, thiab neuromyelitis)..
CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) yog dab tsi?
Cov kab mob inflammatory demyelinating polyneuropathy (CIPD) yog ib qho kab mob hauv lub paj hlwb uas muaj cov kab mob ntawm cov paj hlwb thiab cov hlab ntsha ntawm lub paj hlwb peripheral thiab kev puas tsuaj ntawm cov rog tiv thaiv cov paj hlwb hu ua myelin sheath. Nws tseem hu ua mob rov qab mob polyneuropathy. Nws cuam tshuam kwv yees li 5 txog 7 ntawm txhua 10,000 tus neeg. Cov tsos mob ntawm tus mob no muaj xws li tingling nyob rau hauv caj npab thiab ob txhais ceg, maj mam qaug zog ntawm caj npab thiab ob txhais ceg, poob ntawm reflexes, tsis muaj peev xwm mus taug kev, thiab poob ntawm kev xav ntawm caj npab thiab ob txhais ceg uas feem ntau pib nrog tsis muaj peev xwm. xav tias tus pinprick.
Daim duab 01: CIPD
CIPD tshwm sim thaum lub cev tiv thaiv kab mob tawm tsam myelin npog ntawm cov hlab ntsha (tus kab mob autoimmune). CIPD kuj tseem tuaj yeem tshwm sim nrog rau lwm yam mob xws li kab mob siab ntev, mob ntshav qab zib mellitus, kab mob nrog cov kab mob Camphylobacter jejuni, HIV / AIDS, kev tiv thaiv kab mob vim yog mob qog noj ntshav, kab mob hauv plab, kab mob lupus erythematosus, mob qog noj ntshav, mob qog noj ntshav, thiab Cov kev mob tshwm sim ntawm cov tshuaj kho mob qog noj ntshav lossis HIV.
Tus mob no tuaj yeem kuaj tau nrog cov lus nug, kuaj lub cev, thiab kuaj cov hlab ntsha. Tsis tas li ntawd, CIPD cov kev kho mob suav nrog corticosteroids, intravenous immunoglobulin (IVIG), plasma exchange, immune therapy, and stem cells therapy.
MS (Multiple Sclerosis) yog dab tsi?
Ntau yam sclerosis (MS) yog ib qho kev puas siab puas ntsws uas muaj cov hlab ntsha ntawm cov hlab ntsha hauv nruab nrab ntawm lub paj hlwb thiab kev puas tsuaj ntawm myelin sheath. Nws yog hom kab mob demyelinating ntau tshaj plaws ntawm lub hauv paus paj hlwb. Nws cuam tshuam txog 1 lab tus tib neeg hauv Tebchaws Meskas. Nws raug suav hais tias yog kab mob autoimmune. Cov tsos mob ntawm tus kab mob no tuaj yeem suav nrog hnub nyoog (muaj hnub nyoog 20 thiab 40 xyoo), poj niam txiv neej (cov poj niam cuam tshuam ntau dua), tsev neeg keeb kwm, qee yam kab mob (Epstein Barr tus kab mob), haiv neeg (cov neeg dawb ntawm Northern European qhovntsej thiaj tsis mob), huab cua, theem qis. Vitamin D, lwm yam kab mob autoimmune xws li kab mob thyroid, pernicious anemia, psoriasis, ntshav qab zib hom 1, thiab haus luam yeeb.
Daim duab 02: MS
Cov tsos mob ntawm tus mob no yuav muaj xws li loog lossis tsis muaj zog ntawm ib lossis ntau lub ceg, hluav taws xob hauv lub caj dab, tshee, tsis muaj kev sib koom tes, ib nrab lossis ua tiav tsis pom kev, lub zeem muag ob lub sijhawm, tsis pom kev tsis pom kev, hais lus slurred., qaug zog, kiv taub hau, tingling lossis mob nyob rau hauv ib feem ntawm lub cev thiab muaj teeb meem nrog kev sib deev, plob tsis so tswj, los yog zais zis ua haujlwm. Kev kuaj mob ntawm tus mob no tuaj yeem ua tiav los ntawm kev kuaj ntshav, txha caj qaum (lumber puncture), MRI, thiab kev sim ua kom muaj peev xwm.
Tsis tas li ntawd, ntau txoj kev kho mob sclerosis tuaj yeem suav nrog corticosteroids, pauv ntshav, kho lub cev, kho cov leeg nqaij (baclofen), tshuaj txo qis qaug zog (amantadine), tshuaj ua kom nrawm nrawm (dalfampridine), thiab lwm yam tshuaj xws li tshuaj. rau kev nyuaj siab, mob, kev sib deev dysfunction, insomnia, zais zis los yog plob tsis so tswj teeb meem.
Qhov Zoo sib xws ntawm CIDP thiab MS yog dab tsi?
- CIDP thiab MS yog ob yam kabmob demyelinating.
- Ob leeg yog cov kab mob neurological.
- Ob qho tib si ua rau puas tsuaj thiab rhuav tshem myelin sheath.
- Lawv tshwm sim vim muaj mob autoimmune.
- Ob qho tib si muaj cov tsos mob zoo sib xws, xws li loog thiab tsis muaj zog ntawm lub cev.
- Lawv kho tau nrog cov tshuaj tiv thaiv kab mob xws li corticosteroids.
Qhov txawv ntawm CIDP thiab MS yog dab tsi?
CIDP yog ib qho kev puas siab puas ntsws uas tshwm sim los ntawm kev mob ntawm cov paj hlwb thiab cov hlab ntsha ntawm lub paj hlwb peripheral thiab kev puas tsuaj ntawm myelin sheath, thaum MS yog ib qho kev puas siab puas ntsws uas tshwm sim los ntawm kev mob ntawm cov paj hlwb ntawm lub hauv paus paj hlwb. system thiab kev puas tsuaj ntawm myelin sheath. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm CIDP thiab MS.
Tsis tas li ntawd, qhov tshwm sim ntawm CIPD muaj xws li mob siab mob siab, mob ntshav qab zib, kab mob nrog cov kab mob Camphylobacter jejuni, HIV / AIDS, lub cev tsis muaj zog vim mob qog noj ntshav, kab mob plab hnyuv, kab mob lupus erythematosus, mob qog noj ntshav, mob ntshav qab zib. thyroid, thiab kev phiv tshuaj los kho mob qog noj ntshav lossis HIV. Ntawm qhov tod tes, qhov tshwm sim ntawm MS suav nrog hnub nyoog (muaj hnub nyoog 20 thiab 40 xyoo), poj niam txiv neej (cov poj niam cuam tshuam ntau dua), tsev neeg keeb kwm, qee yam kab mob (Epstein Barr kab mob), haiv neeg (cov neeg dawb ntawm Northern European qhovntsej thiaj tsis mob), huab cua, Tsis tshua muaj vitamin D, lwm yam kab mob autoimmune xws li kab mob thyroid, pernicious anemia, psoriasis, ntshav qab zib hom 1, thiab haus luam yeeb.
Cov hauv qab no qhia txog qhov sib txawv ntawm CIDP thiab MS hauv daim ntawv teev npe rau ib sab ntawm kev sib piv.
Summary – CIDP vs MS
CIDP thiab MS yog ob qho kev ua txhaum cai ntawm myelinating (myelin sheath). CIDP tshwm sim vim qhov mob ntawm cov paj hlwb thiab cov hlab ntsha ntawm lub paj hlwb peripheral thiab kev puas tsuaj ntawm myelin sheath. MS tshwm sim vim qhov mob ntawm cov hlab ntsha ntawm lub hauv nruab nrab lub paj hlwb thiab kev puas tsuaj ntawm myelin sheath. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm CIDP thiab MS.
