Chirwere chechirwere chinonzi reversible posterior leukoencephalopathy syndrome, kana kuti RPLS, chinhu chisingawanzoiti, sitiroko-sechikonzero chinokonzerwa nokuputika muuropi. Kudzorerwa shure kwechirwere leukoencephalopathy kunowanzobatanidzwa nechikamu chekunyanya kukwira kweropa . Zvisinei, chirwere chinogona kukura nenzira isingatarisirwi isati yagadzirisa. Uye, nokuti haina kumbovimbiswa kuti chirwere kana chirwere-sechiitiko chinopedzisa kugadzirisa, zvinokosha kuti uwane kurapa kwezviratidzo zvehutano.
Kana iwe wakamboudzwa kuti iwe kana munhu waunoda wakambove wakashandurwa shure kwemaleukoencephalopathy syndrome, iwe unogona kunge une mibvunzo mishoma pamusoro payo.
Chimwe chezvinhu zvinoitwa neRPLS ndeyekuti inodzokorora, izvo zvinoreva kuti izvi zvinenge zvenguva pfupi uye kuti zviratidzo zvayo uye zvinonzi MRI zvitsva. Nharaunda dzouropi dzakagadziriswa nehutano iyi dziri kumashure kweuropi. Leukoencephalopathy inotsanangurwa sekuvhara kwekuziva, kuvhiringidzika, kana kuchinjwa kwepfungwa nekuda kwechiitiko chinokanganisa nzvimbo huru yeuropi. Mune mhaka yeRPLS, ndiyo nyaya chena yeuropi iyo inonyanya kunetseka. Ichi chirwere chinonzi syndrome. A syndrome ndeye boka renyeredzi rezvirwere zvechirwere chinowanzoitika pamwe pose apo chirwere ichi chinowedzera kana 'kuita.'
RPLS inorwarisa umo chirwere chepfungwa yepamusoro yeropa chinokonzera kubvumira kuzvidzora mumusoro mutsvuku wezvinhu zvekare zveuropi, zvichidaro zvinotungamirira kuhutano hunochinja hutano.
Kusiyana kweRPLS
Sezvinenge zvichiitika, zviratidzo zvinowanikwa nemamiriro aya hazvirevi zvakajeka sezvinoreva chirevo chacho, sezvo RPLS yakaratidzwa kuti inokonzera zviratidzo zvakasiyana-siyana, izvo zvose zvinenge zvakaoma zvakanyanya, uye nguva. Izvo zvakanyanya pane izvi, sezvakataurwa nezvimwe zvidzidzo, zvinosanganisira encephalopathy (92%) kugumburwa (87%), misoro yemusoro (54%) uye matambudziko anoona (39%).
Asi haasi mamiriro ose eRPLS anongodzorerwa, apera shure, kana kuti ane chokuita nekuputika mumusoro mutsvuku. Saka inenge chero nzvimbo ipi zvayo yeuropi inogona kuchinjwa neRPLS, uye zvimwe zviratidzo zvekurohwa zvinogona kunge zviripo.
Kuziva
Kuongororwa kweRPLS kunoitwa kuburikidza nekunyatsorapwa kwekurapa kunosanganisira nhoroondo yakanyatsocherechedza zviratidzo zvinowanikwa nemurwere, chirwere chepfungwa chemuviri, MRI yehuropi, uye kuvapo kwehuwandu hwemhepo yakapoteredza nguva yechiitiko chacho. Imwe ongororo yekutsvakurudza, zvisinei, inoratidza kuti vamwe vanhu vangave vachitambura neRPLS mushure mekugara kwemazuva eropa. Izvi zvinogona kuitika mumamiriro ezvinhu anonzi eclampsia, izvo kazhinji zvinowanzobatanidzwa nekupera kwepamuviri kana kushanda uye kubereka. Encephalopathy uye leukoencephalopathy inogonawo kuitika kune vanhu vanoshandisa mamwe mishonga.
Kazhinji, MRI yeuropi yevarwere vane RPLS inoratidza kuonekwa kwekudzimba mumusoro mutsvuku wepashure nzvimbo yeuropi kumativi ose ari kuruboshwe nekakarurama. Zvisinei, pane dzimwe nguva, RPLS inogona kusanganisira nzvimbo dziri mberi kweuropi kana dzimwe nzvimbo dzouropi, uye inogona kunge inosanganisira gorozi. Uyezve, mhaka dzakawanda dzeRPLS dzakasara vakapukunyuka nekuvhiringidzwa kwehuropi zvechigarire, kunyange mumatambudziko akawanda kugadzirisa kwekudzimba kunoitika.
Kuvandudza kunowanzosimbiswa nemutevedzeri weMRI weuropi.
Kurapa
Mushonga weRPLS unosanganisa kunyanya kuisa ropa mukati mehutachiona uye mumvura mumutumbi. Uyezve, kudzivirira uye kubata kurasikirwa chinhu chinokosha chekutonga kwechiitiko ichi. Kunyatsocherechedza zviratidzo zvakadai sepfungwa dzinokosha pakugadzirisa kuchinja kwakakurumidza mumamiriro acho ezvinhu.
Prognosis
Kazhinji, zviratidzo zvinogadzirisa mukati memazuva mashomanana kusvika kumavhiki mushure mokutanga kweRPLS. Zvisinei, sezvikamu zvose zvekurohwa kana mini-stroke, panogona kunge kuine zviratidzo zvinoramba zviripo kubva pakuora kweropi.
Yakagadzirwa naHeidi Moawad MD
Sources:
> Vivien H. Lee, MD; Eelco FM Wijdicks, MD; Edward M. Manno, MD; Alejandro A. Rabinstein, MD; Clinical Spectrum Reversible Posterior Leukoencephalopathy Syndrome; Arch Neurol. 2008; 65 (2): 205-210.
> JP Mohr, Dennis W. Choi, James C. Grotta, Bryce Weir, Phillip A. Wolf Kurwisa: Kurapa, Kuziva, uye Mutungamiri Churchill Livingstone; 4th edition ( > 2004).