Mob hnyav Demyelinating Polyneuropathy (CIDP) yog ib yam kab mob uas tsis tshua muaj cuam tshuam rau lub paj hlwb thiab lub cev ua haujlwm. Cov myelin nyob ib ncig ntawm cov hlab ntsha puas ntsoog thaum cov hauv paus paj tawg, uas ua rau tsis muaj zog, loog, thiab mob cuam tshuam nrog CIDP. Txhawm rau txheeb xyuas CIDP, nrhiav cov tsos mob xws li loog lossis hnov qhov hnov ntawm ob sab ntawm lub cev, xam seb koj cov tsos mob tau tshwm sim ntau dua ob lub hlis, thiab tom qab ntawd mus rau kws kho mob kom kuaj sim.
Cov kauj ruam
Ntu 1 ntawm 3: Paub txog Cov tsos mob ntawm CIDP
Kauj Ruam 1. Txheeb xyuas qhov poob ntawm qhov hnov
Ib qho ntawm cov yam ntxwv tshwj xeeb tshaj plaws ntawm Kev Ua Phem Ntev Demyelinating Polyneuropathy yog loog lossis tsis hnov qab. Qhov kev poob siab no tuaj yeem ntsib nyob hauv ib feem ntawm lub cev.
Koj kuj tseem tuaj yeem hnov qhov txawv txav, xws li tingling lossis mob hauv ib feem ntawm koj lub cev xws li txhais tes lossis ko taw
Kauj Ruam 2. Saib xyuas rau cov leeg nqaij tsis muaj zog
Cov leeg tsis muaj zog tshwm sim tsawg kawg ob lub hlis nrog CIDP. Qhov tsis muaj zog ntawm cov leeg tshwm sim ntawm ob sab ntawm lub cev. Vim qhov tsis muaj zog no, yuav muaj teeb meem taug kev, teeb meem nrog kev sib koom tes, lossis lwm yam kev ua haujlwm ntawm lub cev. Koj tuaj yeem dhau los ua neeg khav theeb dua li ib txwm. Tej zaum koj yuav muaj qhov ua tsis tau zoo lossis ua tsis raug thaum taug kev.
Feem ntau, qhov tsis muaj zog tshwm sim hauv lub duav, xub pwg, txhais tes, thiab taw
Kauj Ruam 3. Pom qhov twg hauv lub cev cov tsos mob tshwm sim
CIDP zoo ib yam li ntau lwm yam kab mob hauv lub paj hlwb uas ua rau muaj teeb meem kev ua haujlwm hauv lub cev thiab cuam tshuam kev hnov mob. Hauv cov xwm txheej ib txwm, kev loog thiab tsis muaj zog tshwm sim ntawm ob sab ntawm lub cev, feem ntau nyob hauv tag nrho plaub ceg.
Ib qho ntxiv, cov leeg reflexes yuav tsum tau txo qis lossis tsis tuaj
Kauj Ruam 4. Saib xyuas lwm yam tsos mob
Tsis hnov qab thiab teeb meem lub cev ua haujlwm yog cov tsos mob tshwm sim tshaj plaws thiab meej; txawm li cas los xij, tej zaum yuav muaj lwm cov tsos mob theem ob uas tshwm sim nrog CIDP. Cov no tuaj yeem suav nrog:
- Qaug zog
- Hlawv
- Mob
- Nqaij atrophy
- Teeb meem nqos
- Ob lub zeem muag
Ntu 2 ntawm 3: Nrhiav Kev Kho Mob
Kauj Ruam 1. Mus ntsib kws kho mob
Txhawm rau kuaj mob nrog CIDP, koj yuav tsum mus ntsib kws kho mob. Qhov no yuav tsum ua tiav thaum koj pom tingling lossis loog hauv koj lub cev lossis cov teeb meem kev ua haujlwm hauv lub cev. Tus kws kho mob yuav kuaj thiab tham txog koj cov tsos mob nrog koj.
- Pib taug qab koj cov tsos mob sai li sai tau thaum koj pom lawv. CIDP tsuas yog kuaj pom tom qab yim lub lim tiam ntawm cov tsos mob.
- Ua ncaj ncees thiab ntxaws nrog koj cov tsos mob li sai tau. CIDP zoo ib yam hauv qee txoj hauv kev rau ob peb lwm yam kev cuam tshuam. Qhov koj tus kws kho mob paub ntau txog koj cov tsos mob, nws yooj yim dua kom paub qhov txawv ib qho teeb meem los ntawm lwm qhov. Npaj los qhia koj tus kws kho mob seb koj muaj cov tsos mob li cas, nyob hauv lub cev koj xav li cas, ua rau lawv mob li cas, thiab dab tsi ua rau lawv zoo dua.
Kauj Ruam 2. Pauv kev kuaj mob paj hlwb
Koj tus kws kho mob yuav ua qhov kev soj ntsuam kab mob paj hlwb txhawm rau txiav tawm cov xwm txheej cuam tshuam lossis sau cov ntaub ntawv ntxiv los lees paub CIDP. Thaum lub sijhawm kuaj mob hlwb, koj tus kws kho mob tej zaum yuav tshuaj xyuas koj cov kev xav rov qab vim tias tsis muaj kev xav rov qab yog ib qho tsos mob ntawm CIDP.
- Koj tus kws kho mob kuj tseem tuaj yeem kuaj qhov sib txawv ntawm koj lub cev txhawm rau tshuaj xyuas kev loog lossis koj lub peev xwm los mloog siab lossis kov lub siab.
- Koj kuj tseem yuav tau ua qhov kev xeem sib koom ua ke. Tus kws kho mob tuaj yeem tshuaj xyuas koj cov leeg muaj zog, cov leeg nqaij, thiab lub cev zoo li cas.
Kauj Ruam 3. Tau txais kev kuaj xyuas koj lub paj hlwb ua haujlwm
Koj tus kws kho mob yuav xaj ntau qhov kev kuaj mob kom paub tseeb tias CIDP - tsis muaj ib qho kev sim twg uas tuaj yeem lees paub qhov kev kuaj mob. Koj yuav xav tau kev kuaj ntshav los yog kuaj ntshav electromyography (EMG). Cov kev ntsuam xyuas no nrhiav cov hlab ntsha ua haujlwm qeeb lossis cov khoom siv hluav taws xob txawv txav uas qhia txog kev puas hlwb.
- Lub paj hlwb tau txhawb nqa thiab tshuaj xyuas seb puas puas. Tom qab ntawd, cov leeg nqaij raug kuaj xyuas seb cov leeg lossis cov leeg puas yog qhov ua rau muaj teeb meem.
- Cov kev ntsuas no tuaj yeem pab kws kho mob pom qhov puas lossis ploj ntawm myelin raws cov hlab ntsha. Myelin yog ib txoj hlua nyob ib ncig ntawm lub paj hlwb uas pab tswj hluav taws xob.
- Ib qho MRI tuaj yeem ua tiav txhawm rau txhawm rau txhawm rau cov hauv paus ntawm cov hlab ntsha lossis mob o.
Kauj Ruam 4. Mus dhau lwm qhov kev ntsuas kom txiav tawm lwm yam kev mob
Koj tus kws kho mob yuav ua qhov ntsuas ntxiv kom paub tseeb tias tsis muaj dab tsi ntxiv ua rau koj cov tsos mob. Kev tshuaj xyuas cov leeg txha nraub qaum yuav qhia yog tias koj tau nce qib cov protein lossis suav cov cell nce, uas ob qho taw qhia rau CIDP.
Kuaj ntshav thiab tso zis kuj tseem tuaj yeem txiav tawm lwm yam mob
Ntu 3 ntawm 3: Xav Txog Lwm Yam Ntawm CIDP
Kauj Ruam 1. Txheeb xyuas qhov ntev ntawm cov tsos mob
CIDP yog tus mob qeeb qeeb. Nws tuaj yeem nthuav tawm thiab ua rau qeeb tab sis maj mam. Hloov pauv, nws tuaj yeem tshwm sim hauv qhov rov qab los, qhov uas koj rov zoo ntawm txhua qhov kev sib tw ntawm cov tsos mob. Cov rov qab los thiab lub sijhawm tsis muaj tsos mob tuaj yeem tshwm sim rau lub lis piam lossis hli.
Cov tsos mob yuav tsum tshwm sim ntau dua yim lub lis piam ua ntej tuaj yeem kuaj pom CIPD
Kauj Ruam 2. Paub leej twg CIDP feem ntau cuam tshuam
CIDP yog qhov xwm txheej tsis tshua muaj. Nws cuam tshuam kwv yees li ib rau peb tus neeg rau 100, 000 txhua xyoo. Nws tuaj yeem cuam tshuam rau leej twg ntawm txhua lub hnub nyoog; txawm li cas los xij, txiv neej muaj ob zaug yuav raug kuaj pom nrog CIDP ntau dua li poj niam.
Txawm hais tias CIDP tuaj yeem tshwm sim rau leej twg ntawm txhua lub hnub nyoog, hnub nyoog nruab nrab ntawm kev kuaj mob yog 50
Kauj Ruam 3. Sib txawv CIDP los ntawm lwm yam xwm txheej zoo sib xws
CIDP qee zaum nyuaj rau tshuaj xyuas vim tias tus mob zoo ib yam li lwm yam mob; txawm li cas los xij, muaj qhov sib txawv tseem ceeb uas tuaj yeem pab koj daws teeb meem ntawm CIDP.
- Guillain-Barre syndrome thiab CIDP zoo ib yam. Guillain-Barre yog tus kab mob uas tshwm sim sai, thiab tib neeg feem ntau rov zoo li ntawm peb lub hlis. CIDP yog tus mob ua haujlwm qeeb, thiab koj yuav raug cuam tshuam los ntawm nws tau ntau xyoo.
- Ntau yam sclerosis thiab CIDP ob leeg cuam tshuam rau kev ua haujlwm ntawm lub cev; Txawm li cas los xij, MS cuam tshuam rau lub hlwb, tus txha caj qaum, thiab lwm qhov hauv nruab nrab lub paj hlwb, tab sis CIDP tsis ua. CIDP feem ntau cuam tshuam rau lub paj hlwb peripheral.
- Lewis-Summer syndrome thiab multifocal motor neuropathy (MMN) tsuas yog cuam tshuam rau ib sab ntawm lub cev, qhov CIDP feem ntau cuam tshuam rau ob sab. MMN tsis ua rau poob qhov kev xav.
