Rasmussen nehosha (encephalitis). Zvikonzero Rasmussen urwere

chirwere Rasmussen kwakaita ndorwevaya muchikwata che zvisingawanzoitiki anogumbura zvirwere kubuda muuropi. encephalitis ichi kazhinji kunoitika muvana pasi pemakore 15. Kakawanda, chirwere kunokwanisa kuonekwa mune vane vana vane makore. In kuyaruka uye vakuru, kuti encephalitis uku hariwanikwi chaizvo.

The kwacho kunosanganisira chimwe kana rimwe hemisphere wouropi. Sezvo chirwere mberi, vanachiremba vakaona nayo mberi atrophy. Doctors dzinotaura zvikuru kudzivisa chirwere kurapa. Kutaura zvazviri, Rasmussen chirwere - encephalitis zvimwe zvinhu zvisingagoni akaporesa.

Fungidzira zvikonzero encephalitis Rasmussen

Kusvikira etiology chirwere haana dzatangwa. Masayendisiti chete kuzivikanwa zvitatu zvinokosha kuti ungamubatsira nomuriritiri kuchiita munhu pathological mamiriro zvisaitike epfungwa. A muzvizhinji kuvarapi vanodavira kuti Rasmussen chirwere kunokonzerwa autoimmune antibodies, nemavhairasi uye cytotoxic T-lymphocytes.

Possible kunoita cytomegalovirus, iyo kure cerebral cortex wevarwere vakura. Zvinogoneka kuti utachiona izvi zvinokonzera kuzvimba, kukura kuva chaisarapika chirwere. Uyezve, unogona kunokurumidziswa yematambudziko akazviratidza pashure risati chirwere.

Zvino, masayendisiti akawanda vanodavira kuti chinhu autoimmune antibodies chikonzero encephalitis Rasmussen. Zvinokonzera hosha iri aidaviravo kuti kutsanangurwa cytotoxic T-lymphocytes.

In varwere Rasmussen kuti urwere, dzimwe nguva akawana kuhama vanotambura nezvimwe zvirwere autoimmune. Somuenzaniso, Behçet chirwere. Izvi zvinoratidza pfungwa yokuti hama zvinobatanidzwa munyaya pathological muitiro zvakafanana nemagene zvinhu. Zvikurukuru, raireva zvinhu zvakadai Hla-galotipy.

Symptomatology entsifalita Rasmussen

Pakutanga, chirwere pachena zvatichiri motokari pfari. Sezvo chirwere kurwiswa kubatana myoclonus vemo. Nokufamba kwenguva, kurwisana kwakawedzera. Vari achiperekedzwa kwetsandanyama, kurasikirwa kuziva kuwa. Kazhinji, varwere tatarisana nokurwiswa pakurara.

Mberi, chirwere pachena pacharo kurasikirwa simba uye haasaruri chiveve kuitika chero chikamu muviri. Ongororo dzinoratidza vasanyanye mubasa njodzi muuropi nzvimbo.

Diagnostics

Zviratidzo kutaurwa vanhu vachitambura kwegore uye chirwere pamusoro Rasmussen. Encephalitis pamwe etiology kuedza kuona sezvo mangwanani sezvinobvira. Izvi anotibvumira tariro kunobatsirawo kuti immunosuppressive mishonga. Naizvozvo pakutanga kwezvose, vakaungana pakudzidza kunotoda kurapwa, MRI uye eeg rinoitwa.

Nzira Mabatirwo Rasmussen kuti encephalitis

Nekuti naizvozvo kure pane nharo pamusoro zvinokonzera Rasmussen kuti urwere, encephalitis haana kubatwa kwakajairika nzira. Kana mangwanani kuonekwa zvirwere varayire antiepileptic mishonga hunhu. Recommend zvokudya chakagadzirirwa kuwedzera kudyiwa zvekudya vakafuma mafuta, uye zvinoderedza uwandu kudya zvokudya zvine makabhohaidhiretsi. Vanowanzoomerwa inobatsira kushandisa plasmapheresis, corticosteroids, immunoglobulins.

Kazhinji, pakurapa chirwere kunge akarwawo okunyanyisa nzira. Varwere vakatambura munhu kurwara uye kunzwisisa kukuvara uropi, zvinokosha kuita kuisirwa nemasero tsinga. Zvino kure sezvinobvira isu musaedza kuitisa craniotomy.

Dzimwe nguva varwere vakapa kuvhiya kupindira - Hemispherectomy. Mushure nyore Rasmussen kuti syndrome. Encephalitis, Chokwadi, hunosiya mavanga ayo, raidudzwa paresis kana matambudziko nokutaura. Zvisinei, inorwisa nomurwere ishoma.

Kurega Kuvhiya hakungodiwi, pasinei kuti haiiti kuti apedzise kuporeswa. Pashure pezvose, kukura chirwere kuwedzera kuramba chetsinga dhefisiti, kuzorwa nawo pane pfungwa retardation uye kuoma nhengo dzomuviri.

Muzviitiko bilateral maronda uropi (zvose hemispheres) kufanotaura zvinosuruvarisa zvisingafadzi.. Nyaya rufu pakati varwere encephalitis Rasmussen kwete zvechienzi.