Neurosarcoidosis

ʻO Neurosarcoidosis kahi pilikia o sarcoidosis, kahi e laha ai ka lolo, ka iwi kuamoo, a me nā wahi ʻē aʻe o ka ʻōnaehana.

ʻO Sarcoidosis kahi maʻi maʻi e hoʻopili i nā ʻāpana o ke kino, ka hapanui o nā akemāmā. I kahi poʻe liʻiliʻi, pili ka maʻi i kekahi ʻāpana o ka ʻōnaehana hopohopo. Kapa ʻia kēia ʻo neurosarcoidosis.

Hiki paha i ka Neurosarcoidosis ke hoʻopili i kekahi ʻāpana o ka ʻōnaehana hopohopo. ʻO ka nawaliwali, nāwaliwali o ka helehelena (palsy maka a me ke alo paha) kahi hōʻailona neurological maʻamau e pili ana i nā ʻalolo i nā mākala o ka maka. Hiki ke hoʻopili ʻia kekahi aʻalolo ʻē aʻe i ka iwi poʻo, me nā maka o ka maka a me nā mea e kāohi ana i ka ʻono, ʻaʻala, a hoʻolohe paha.

ʻO ka iwi kuamoʻo kekahi ʻāpana o ka ʻōnaehana makaʻu e hiki ai i ka sarcoidosis ke hoʻopili. Loaʻa ka nāwaliwali o ka poʻe i ko lākou mau lima a me ko lākou mau wāwae, a paʻakikī e hele a kāohi paha i ko lākou mimi a me kou ʻōpū. I kekahi mau hihia, hoʻopilikia loa ʻia ka iwi kuamoʻo i ka maʻi lōlō o nā wāwae ʻelua.

Hiki i ke ʻano ke hoʻopili i nā ʻāpana o ka lolo e pili ana i ka hoʻoponopono ʻana i nā hana o ke kino, e like me ka mahana, ka hiamoe, a me nā pane koʻikoʻi.

Hiki ke hana i ka nāwaliwali o nā mākala a me nā pohō sensory me ke komo ʻana o ke aʻalolo peripheral. ʻO nā wahi ʻē aʻe o ka lolo, e komo pū me ka pituitary gland ma ke kumu o ka lolo, a i ʻole e hoʻopili ʻia ka iwi kuamoʻo.

Hiki i ke komo ʻana o ka pituitary gland ke kumu:

• Hoʻololi i nā manawa menstrual
• Ka luhi nui a luhi paha
• Make wai nui loa
• Puka mimi kiʻekiʻe

ʻOkoʻa nā ʻōuli. Hiki ke hoʻopili ʻia kekahi ʻāpana o ka ʻōnaehana hopohopo. Hiki i ke komo ʻana o ka lolo a i ʻole nā ​​aʻa cranial ke kumu:

• Huikau, disorientation
• Lohe hoʻolohe
• Dementia
• Ka paupauaho, vertigo, a i ʻole nā ​​ʻano ʻē aʻe o ka neʻe ʻana
• Pālua ka hihiʻo a i ʻole nā ​​pilikia ʻike, me ka makapō hoʻi
• Palsy maka (nāwaliwali, hāʻule)
• ʻEha poʻo
• Lilo o ke ʻano o ka pilau
• Ka nalowale o ke ʻano o ka ʻono, ʻono leʻa
• Nā haunaele noʻonoʻo
• Ka hopu ʻana i nā maʻi
• Ka hoʻohaʻahaʻa ʻōlelo

ʻO ke komo ʻana o hoʻokahi a ʻoi paha nā aʻa ākea ke alakaʻi i:

• Nā manaʻo maʻamau i kēlā me kēia ʻāpana o ke kino
• Lilo o ka neʻe ʻana o kekahi ʻāpana o ke kino
• Ka nalowale o ka naʻau i kekahi ʻāpana o ke kino
• Nāwaliwali o kekahi ʻāpana o ke kino

Hōʻike paha kahi hōʻike i nā pilikia me hoʻokahi a ʻoi paha nā aʻa.

ʻO kahi moʻaukala o ka sarcoidosis ukali ʻia e nā ʻōuli e pili ana i ke aʻa e hōʻike nui nei i ka neurosarcoidosis. Eia nō naʻe, hiki i nā ʻōuli o ke ʻano ke hoʻohālikelike i nā maʻi olakino ʻē aʻe, e like me diabetes insipidus, hypopituitarism, optic neuritis, meningitis, a me kekahi mau tumors. I kekahi manawa, hiki ke hoʻopili ʻia ka ʻōnaehana makaʻu ma mua o ka ʻike ʻia ʻana o ke kanaka i ka sarcoidosis, a i ʻole me ka hoʻopili ʻana i nā ake māmā a i ʻole nā ​​mea ʻē aʻe.

ʻAʻole kōkua nui nā hōʻike koko i ke kuhi ʻana i ke ʻano. Hiki i kahi lumbar puncture ke hōʻike i nā hōʻailona o ka pehu. Hiki ke loaʻa nā pae hoʻonui o ka angiotensin-hoʻololi i ka enzyme i ke koko a i ʻole ka cerebrospinal fluid (CSF). Eia naʻe, ʻaʻole kēia kahi hōʻoia diagnostic hilinaʻi.

Kōkua paha ka MRI o ka lolo. Hōʻike pinepine kahi x-ray umauma i nā hōʻailona o sarcoidosis o nā ake māmā. ʻO ke biopsy nerve o nā aʻa nerve e hoʻopili i ka maʻi.

ʻAʻohe lāʻau i ʻike ʻia no sarcoidosis. Hāʻawi ʻia ka mālama inā koʻikoʻi nā ʻōuli a i ʻole ke ʻino. ʻO ka pahuhopu o ka mālama ʻana e hōʻemi i nā ʻōuli.

Kau ʻia nā Corticosteroids e like me prednisone e hōʻemi i ka lī. Hoʻonohonoho pinepine ʻia lākou a hiki i ka maikaʻi o nā ʻōuli a i ʻole hele aku. Pono paha ʻoe e lawe i nā lāʻau i mau mahina, a i ʻole mau makahiki.

Hiki i nā lāʻau ʻē aʻe ke hoʻopili i ka hormona a me nā lāʻau e kāohi i ka ʻōnaehana pale.

Inā loaʻa ʻoe i ka numbness, nāwaliwali, ʻike a i ʻole nā ​​pilikia hoʻolohe, a i ʻole nā ​​pilikia ʻē aʻe ma muli o ka hōʻino o nā aʻa i ke poʻo, pono paha ʻoe i ka hoʻōla kino, nā paʻa, ke kō, kaʻi hele a i ʻole ka noho huila.

Pono paha nā maʻi noʻonoʻo a i ʻole dementia i nā lāʻau no ke kaumaha, nā hana palekana, a me ke kōkua me ka mālama.

Hele kekahi mau hihia iā lākou iho ma 4 a 6 mau mahina. Hoʻomau ka poʻe ʻē aʻe a hoʻomau i ke koena o ke ola o ke kanaka. Hiki i ka Neurosarcoidosis ke kumu i ke kīnā mau a, i kekahi mau manawa, make.

Hoʻololi nā pilikia ma muli o ka ʻāpana o ka ʻōnaehana hopohopo e pili a pehea e pane ai i ka lāʻau. Hiki ke hōʻemi a nalowale mau paha o ka hana neurological hiki. I nā hihia maʻamau, pili paha ka ʻōnaehana lolo. Hoʻoweliweli kēia ola.

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe ka sarcoidosis a kū ʻia nā ʻōuli neurological.

E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā loaʻa iā ʻoe ka nalo koke o ka naʻau, neʻe, a i ʻole ka hana o ke kino.

Hoʻopilikia ka hoʻomaʻamaʻa koʻikoʻi o sarcoidosis i ka pane pale ʻole o ke kino ma mua o ka hōʻino ʻia ʻana o kou aʻa. Hiki paha i kēia ke hōʻemi i ka manawa e loaʻa ai nā hōʻailona neurological.

Sarcoidosis - ʻōnaehana ʻōnaehana

• Sarcoid, kahua I - umauma x-ray
• Sarcoid, kahua II - umauma x-ray
• Sarcoid, kahua IV - umauma x-ray

ʻO Iannuzzi MC. ʻO Sarcoidosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 95.

Ibitoye RT, Wilkins A, Scanding NJ. Neurosarcoidosis: kahi hoʻokokoke hoʻokokoke i ka hōʻoia a me ka hoʻokele. J Neurol. 2017; 264 (5): 1023-1028. PMID: 27878437 www.ncbi.nlm.nih.gov/pubmed/27878437.

Josephson SA, Aminoff MJ. Nā pilikia Neurological o ka maʻi ʻōnaehana: nā mākua. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 58.

Krumholz A, Stern BJ. ʻO Sarcoidosis o ka ʻōnaehana hopohopo. I: Aminoff MJ, Josephson SW, eds. ʻO Aminoff's Neurology a me General Medicine. 5th lā. Waltham, MA: Elsevier Academic Press; 2014: chap 49.

Tavee JO, Stern BJ. Neurosarcoidosis. ʻO Med Chest Med. 2015; 36 (4): 643-656. PMID: 26593139 www.ncbi.nlm.nih.gov/pubmed/26593139.