Mea Kākau: Peter Berry
Lā O Ka Hana: 13 Iulai 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
Neuroradiology spine lesions - Case 5 - overview - Choose your own adventure
Wikiō: Neuroradiology spine lesions - Case 5 - overview - Choose your own adventure

Anter

Sclerosis lehulehu

Multiple sclerosis (MS) kahi maʻi i pale ʻia me ke pale ʻana i ke kino e hoʻouka i ka ʻōnaehana waena (CNS). Hoʻopili pū ka CNS i ka lolo, iwi kuamoʻo, a me nā aʻa optic.

ʻO kahi pane kuhihewa i alakaʻi hewa ʻia e ʻokiʻoki i nā hunaola nerve o kahi pale pale i kapa ʻia ʻo myelin. Pākuʻi ʻo Myelin i nā olonā mai ke lolo, ma ka iwi kuamoo, a i ke koena o ke kino.

Ma waho aʻe o ka pale ʻana i nā hunaola nerve, hoʻoikaika ka uhi myelin i nā neʻe hoʻouna nerve, a i ʻole nā ​​impulses. ʻO ka hopena o ka hōʻemi ʻana o myelin e alakaʻi i nā ʻōuli o MS.

ʻIke i ka MS ma o nā ʻeha o ka iwi a me ka lolo

Hiki i nā kānaka ke hōʻike i nā ʻōuli he nui o MS, akā ʻaʻole hiki ke hoʻokō ʻia kahi kuhi definitive me ka maka ʻōlohelohe.

ʻO ke ala ʻoi aku ka maikaʻi a me ka invasive e hoʻoholo inā loaʻa iā MS kekahi kanaka e nānā i nā lehelehe o ka lolo a me ka ʻula i ka hoʻohana ʻana i nā kiʻi resonance magnet (MRI).

ʻO nā liona ka mea hōʻike nui loa i kahi hōʻailona MS. Wahi a ka National MS Society, ma kahi o 5 pākēneka wale nō o ka poʻe me MS ʻaʻole hōʻike i nā liona ma MRI i ka manawa o ke kuhi.


Hoʻohana ʻo MRI i nā nalu uila a ikaika e hana i nā kiʻi kikoʻī o ka lolo a me ka iwi kuamoo. Hiki i kēia scanner ke hōʻike pono i kekahi scarring a hōʻino paha i ka sheelin sheath e pili ana me MS.

Nā ʻeha MS iwi kuamoʻo

ʻO Demyelination, a i ʻole ka ʻaʻa holomua o ka sheelin sheath i ka CNS, kahi waiwai nui o MS. Ma muli o ka uhi ʻana o myelin i nā ʻāʻī nerve e hele ma waena o ka lolo a me ka iwi kuamoʻo, hana ka demyelination i nā leona ma nā wahi ʻelua.

ʻO kēia ke kumu inā he liona lolo ko kekahi me MS, loaʻa pū kekahi i nā ʻāʻī.

Maʻamau ka lepe o ka iwi iwi i MS. Loaʻa lākou ma kahi o 80 pākēneka o ka poʻe i ʻike hou ʻia me MS.

I kekahi manawa hiki i ka helu o nā ʻeha o ke kuamoʻo i hōʻike ʻia mai kahi MRI ke hāʻawi i ke kauka me ka manaʻo o ka paʻakikī o ka MS a me ka likelihood o kahi ʻāpana koʻikoʻi o ka demyelination e kū nei i ka wā e hiki mai ana. Eia naʻe, ʻaʻole maopopo ka ʻepekema kikoʻī ma hope o ka helu o nā leona a me ko lākou wahi.


ʻAʻole maopopo i ke kumu e loaʻa ai i kekahi poʻe me MS nā leona i ko lākou lolo ma mua o ko lākou iwi kuamoʻo, a i ʻole ka hope. Eia nō naʻe, pono e hoʻomaopopo ʻia ʻaʻole hōʻike nā liona ʻōiwi i kahi kuhi o MS, a hiki i kekahi manawa ke alakaʻi i kahi kuhi hewa o MS.

ʻO Neuromyelitis optica

ʻOiai e hiki i nā ʻeha o ke kuamoʻo a me ka lolo ke ʻōlelo iā MS, hiki i ke ʻano o nā ʻeha o ke kuamoʻo ke hōʻike i kahi maʻi ʻē aʻe i kapa ʻia ʻo neuromyelitis optica (NMO).

He nui nā ʻōuli o NMO me MS. Hōʻike ʻia nā NMO a me MS e nā leona a me ka mumū o ka CNS. Eia nō naʻe, hana nui ka NMO ma ka iwi kuamoʻo, a ʻokoʻa ka nui o nā leona.

Inā ʻike ʻia nā leona ʻōiwi, he mea nui ia e loaʻa ai ka hōʻailona pololei no ka mea ʻokoʻa loa nā mālama ʻana no MS a me NMO. Hiki i nā lapaʻau kūpono ʻole ke loaʻa nā hopena maikaʻi ʻole.

Lawe aku

ʻO MS kahi maʻi neurological maʻamau i ʻike ʻia e nā leona ma ka CNS, kahi e hemo ai ka myelin a hoʻololi ʻia me kaʻiʻo makaʻu.


Hoʻohana ʻia nā MRI e hoʻoholo inā pili ka lolo a me nā ʻehaʻeha me MS. ʻAʻole maopopo maopopo i ke kumu e hana ʻia ai nā lehelehe ʻoi aʻe ma luna o nā lehelehe lolo, a i ʻole ka hope.

He mea nui e hoʻomanaʻo i ka manaʻo ʻaʻole nā ​​leona ʻōiwi āpau ka hopena o MS. I kekahi mau hihia, hōʻike paha lākou i kahi maʻi ʻē aʻe i kapa ʻia ʻo NMO.

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