Kab mob autoimmune encephalitis: nws yog dab tsi, vim li cas thiab kho li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav kuaj li cas
• Yuav kho tus mob li cas
• Dab tsi tuaj yeem ua rau mob rau mob hlwb

Autoimmune encephalitis yog kev kho mob rau lub hlwb uas tshwm sim thaum lub nruab zog tiv thaiv cov hlwb tiv thaiv lub hlwb lawv tus kheej, ua rau lawv tsis ua haujlwm thiab ua rau cov tsos mob xws li tingling hauv lub cev, pom hloov, qaug dab peg lossis ntxhov siab, piv txwv li, uas tuaj yeem lossis tsis tso ib qho zuj zus. Cov.

Tus kab mob no tsis tshua muaj, thiab tuaj yeem cuam tshuam cov neeg ntawm txhua lub hnub nyoog. Muaj ntau hom mob autoimmune encephalitis, vim lawv nyob ntawm hom kab mob uas tiv thaiv cov hlwb thiab thaj tsam ntawm lub hlwb cuam tshuam, nrog qee qhov piv txwv tseem ceeb tiv thaiv NMDA encephalitis, mob hnyav los tiv thaiv tus mob encephalitis lossis limbic encephalitis piv txwv. , uas tuaj yeem tshwm sim vim tsis muaj neoplasm, tom qab kis kab mob los yog tsis muaj tus paub tseeb.

Txawm hais tias autoimmune encephalopathy tsis muaj kev kho mob tshwj xeeb, nws tuaj yeem kho nrog kev siv qee yam tshuaj, xws li anticonvulsants, corticosteroids lossis immunosuppressants, piv txwv li, uas daws cov tsos mob, txo qhov mob thiab pab kho txhua lub hlwb ua haujlwm.

Cov tsos mob tseem ceeb

Txij thaum mob autoimmune encephalitis cuam tshuam rau kev ua haujlwm ntawm lub hlwb, cov tsos mob txawv raws thaj tsam cuam tshuam. Txawm li cas los xij, cov paib tshwm sim feem ntau suav nrog:

• Kev tsis muaj zog lossis kev hloov pauv ntawm qhov rhiab nyob hauv ntau qhov chaw ntawm lub cev;
• Poob qhov tsis sib luag;
• Nyuaj hais lus;
• Tej yam txawv txav;
• Lub zeem muag hloov, xws li pom kev plooj plooj;
• Tsis yooj yim nkag siab thiab lub cim xeeb hloov;
• Hloov pauv saj;
• Nyuaj pw tsaug zog thiab nquag ntxhov siab;
• Hloov mus ob peb vas siab los yog cwm pwm.

Tsis tas li ntawd, thaum kev sib txuas lus ntawm neurons yog cuam tshuam loj heev, lawv kuj tuaj yeem tshwm sim ua kev pom kev, kev xav los yog kev xav tsis meej.

Yog li, qee kis ntawm tus mob autoimmune encephalitis tuaj yeem yog misdiagnosed, xws li kev puas siab ntsws ntawm hom schizophrenia lossis bipolar tsis zoo. Thaum qhov no tshwm sim, txoj kev kho tsis tau ua tiav thiab cov tsos mob tuaj yeem yuav ua rau lub sijhawm dhau los lossis tsis muaj cov cim qhia tias muaj kev txhim kho tseem ceeb.

Yuav kuaj li cas

Txhawm rau kom kuaj tau qhov tseeb ntawm tus kab mob no nws yog ib qho tseem ceeb kom sab laj nrog tus kws kho paj hlwb, xws li ntxiv rau kev txheeb xyuas cov tsos mob nws kuj tseem ceeb ua lwm yam kev kuaj mob, xws li cov roj ntsha tshawb xyuas lub cev, cov khoom sib nqus ntawm lub ntsej muag lossis electroencephalogram kom paub txog lub hlwb. uas qhia qhov muaj tshwm sim ntawm autoimmune encephalitis.

Kev kuaj ntshav kuj tseem tuaj yeem txiav txim siab seb puas muaj cov tshuaj tiv thaiv uas tuaj yeem ua rau cov kev hloov pauv no. Qee qhov tshwj xeeb autoantibodies yog anti-NMDAR, anti-VGKC lossis anti-GlyR, piv txwv li, tshwj xeeb rau txhua hom mob encephalitis.

Ntxiv rau, txhawm rau tshawb xyuas autoimmune encephalitis, tus kws kho mob kuj yuav tsum txiav txim siab tawm ntawm lwm qhov ua rau mob hlwb ntau, xws li kis mob los yog kab mob.

Yuav kho tus mob li cas

Kev kho tus kab mob txha caj qaum yog pib nrog ib lossis ntau hom kev kho mob hauv qab no:

• Kev Siv Tshuaj Corticosteroids, xws li Prednisone lossis Hydrocortisone, kom txo cov lus teb ntawm lub cev tsis muaj zog;
• Siv cov tshuaj tiv thaiv kab mob, xws li Rituximab lossis Cyclophosphamide, rau kev txo hwj chim ntau dua hauv kev ua ntawm lub cev tsis muaj zog;
• Plasmapheresis, txhawm rau lim cov ntshav thiab tshem tawm cov tshuaj tiv thaiv tshaj uas ua rau tus kabmob;
• Immunoglobulin txhajvim hais tias nws hloov pauv qhov khi ntawm cov teeb meem tshuaj tiv thaiv rau lub hlwb hlwb;
• Lub qog tshem tawm uas tej zaum yuav yog qhov chaw ntawm cov tshuaj tiv thaiv uas ua rau mob encephalitis.

Piv txwv li kev siv tshuaj kuj tseem xav tau kom txo cov tsos mob xws li anticonvulsants lossis anxiolytics, piv txwv.

Tsis tas li ntawd, nws yog ib qho tseem ceeb uas tus neeg cuam tshuam los ntawm autoimmune encephalitis kev kho dua tshiab, thiab tej zaum yuav tsum muaj kev kho mob rau lub cev, kev kho mob lossis kev rov qab mob hlwb, kom txo cov tsos mob thiab txo kev tshwm sim.

Dab tsi tuaj yeem ua rau mob rau mob hlwb

Cov teeb meem tshwj xeeb ntawm tus mob encephalitis tseem tsis tau paub meej, thiab feem ntau nws tshwm sim hauv cov neeg noj qab haus huv. Kuj tseem ntseeg tias autoantibodies tuaj yeem tshwm sim tom qab qee hom kev kis mob, los ntawm cov kab mob lossis kab mob, uas tuaj yeem ua rau cov tshuaj tiv thaiv tsis raug.

Txawm li cas los xij, tus kab mob autoimmune encephalitis tuaj yeem tshwm sim los ua ib qho kev pom ntawm cov qog ntawm qhov deb, xws li mob ntsws lossis mob qog ntawm lub tsev menyuam, piv txwv, uas yog hu ua paraneoplastic syndrome. Yog li, nyob rau ntawm lub xub ntiag ntawm tus mob autoimmune encephalitis, nws yog qhov yuav tsum tau tshawb xyuas qhov muaj mob qog nqaij hlav cancer.