Hoʻohui degeneration hoʻohui ʻia

ʻO ka Sub degeneration degeneration (SCD) kahi maʻi o ka iwi kuamoʻo, ka lolo, a me nā aʻalolo. Pili ia i ka nāwaliwali, nā manaʻo ʻino, nā pilikia noʻonoʻo, a me nā pilikia ʻike.

Hoʻokumu ʻia ʻo SCD e ka lawa ʻole o ka wikamina B12. Hoʻohui nui ia i ka iwi kuamoʻo. Akā ʻo nā hopena ma ka lolo a me nā aʻalolo peripheral (kino) ke kumu o ka huaʻōlelo "hui ʻia." I ka mua, ua hōʻino ʻia ke aʻa pale (myelin sheath). Ma hope, hoʻopili ʻia ke kinona nerve āpau.

ʻAʻole ʻike maopopo nā kauka pehea e hōʻino ai ka ʻole o ka wikamina B12 i nā aʻalolo. Hiki paha i ka ʻole o kēia wikamina ke kumu o nā momona momona e hana a puni nā hunaola a me nā aʻalolo.

Nui ka makaʻu o ka poʻe no kēia ʻano inā ʻaʻole hiki ke lawe ʻia i ka lāʻau B12 mai ko lākou ʻōpū a i ʻole inā loaʻa iā lākou:

• ʻO ka anemia Pernicious, kahi ʻano i lawa ʻole ke kino olakino ʻulaʻula maikaʻi
• Nā maʻi o ka ʻōpū liʻiliʻi, me ka maʻi Crohn
• Nā pilikia e omo ana i nā meaola, hiki ke hana ma hope o ke kahakaha gastrointestinal

ʻO nā hōʻailona me:

• Nā sensations maʻamau (tingling a me numbness)
• Nāwaliwali o nā wāwae, nā lima, a i ʻole nā ​​wahi ʻē aʻe

E hele mālie kēia mau ʻōuli a ʻike pinepine ʻia ma nā ʻaoʻao ʻelua o ke kino.

Ke kaumaha nei ka maʻi, hiki i nā ʻōuli ke hoʻopili i kekahi o kēia mau mea:

• Clumsiness, ʻoʻoleʻa a ʻoniʻoni hoʻoneʻe paha
• Hoʻololi i ka manaʻo noʻonoʻo, e like me nā pilikia hoʻomanaʻo, hoʻonāukiuki, ʻoluʻolu ʻole, huikau, a dementia paha
• Hoʻoemi i ka hihiʻo
• Kaumaha
• Hiamoe
• ʻO ke hele wāwae ʻole a me ka nalo ʻana o ke kaulike
• Falls ma muli o ke kaulike maikaʻi ʻole

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hōʻike pinepine ka hōʻike i nā nāwaliwali o nā mākala a me nā pilikia sensation ma nā ʻaoʻao ʻelua o ke kino, keu hoʻi i nā wāwae. Hoʻoemi a nalowale paha nā reflexes knee jerk. Hiki ke loaʻa ka spasticity i nā mākala. Hiki ke hoʻemi ʻia ka ʻike o ka hoʻopā, ka ʻeha, a me ka mahana.

Hoʻololi nā loli noʻonoʻo mai ka hoʻopoina maʻalahi i ka dementia koʻikoʻi a i ʻole ka psychosis. ʻAʻole maʻamau ka dementia koʻikoʻi, akā i kekahi mau hihia, ʻo ia ka hōʻailona mua o ka maʻi.

Hōʻike paha kahi hoʻokolohua maka i ka hōʻino ʻana i ke aʻalolo optic, kahi kūlana i kapa ʻia ʻo optic neuritis. Hiki ke ʻike ʻia nā hōʻailona o ka mumū nerve i ka wā o kahi hōʻike retinal. Hiki paha i nā pane haumāna ʻino ʻole, nalo o ka ʻike maka, a me nā loli ʻē aʻe.

ʻO nā hoʻāʻo ʻana i ke koko i kauoha ʻia e komo pū:

• Helu piha koko (CBC)
• ʻO ka pae o ka Vitamin B12
• ʻO ke kiʻekiʻe o ke koko Methylmalonic acid

Hāʻawi ʻia ka Vitamin B12, ma ka maʻamau i ka mākia. Hāʻawi pinepine ʻia nā kuʻikuʻi i hoʻokahi manawa i ka lā no hoʻokahi pule, a laila ma kēlā me kēia pule ma kahi o 1 mahina, a laila ma ka mahina. ʻO nā mea hoʻohui Vitamin B12, ma o ka hoʻopili ʻana a i ʻole nā ​​pila lāʻau kiʻekiʻe, pono e hoʻomau i ke ola holoʻokoʻa e pale i nā hōʻailona mai ka hoʻi ʻana.

Hoʻomaikaʻi ka hoʻomaʻamaʻa mua i ka manawa o kahi hopena maikaʻi.

Aia ka maikaʻi o ke kanaka i ka lōʻihi o ka loaʻa ʻana o nā hōʻailona ma mua o ka loaʻa ʻana o ka lāʻau. Inā loaʻa ka lapaʻau i loko o kekahi mau pule, e manaʻo ʻia paha ka hoʻōla piha. Inā hoʻolohi ʻia ka lāʻau lapaʻau ma mua o 1 a 2 mau mahina paha, ʻaʻole hiki ke loaʻa ka piha.

Mālama ʻole ʻia, hopena ʻo SCD i ka hoʻomau ʻana a me ka hōʻino mau ʻana i ka ʻōnaehana hopohopo.

Kāhea i kāu mea hāʻawi inā loaʻa nā manaʻo ʻino, nāwaliwali o nā mākala, a i ʻole nā ​​hōʻailona ʻē aʻe o SCD. He mea nui loa kēia inā ua loaʻa ʻoe a i ʻole kekahi lālā o ka ʻohana i ka anemia pernicious a i ʻole nā ​​kumumea ʻino ʻē aʻe.

ʻO kekahi o nā papaʻai mea ʻai, ʻoi loa ka vegan, e haʻahaʻa paha i ka wikamina B12. Hiki i ka lawe ʻana i kahi pākuʻi ke pale aku iā SCD.

Hoʻohui degeneration o ka spinal cord; SCD

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
• ʻŌnaehana ʻōnaehana waena

ʻO Pytel P, Anthony DC. Nā aʻa peripheral a me nā mākala iwi. I: Kumar V, Abbas AK, Aster JC, eds. ʻO Robbins a me Cotran Pathologic Basis o ka maʻi. 9th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 27.

No laila YT. Nā maʻi kūpono ʻole o ka ʻōnaehana. 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 85.