什么是单脑神经炎多路复用？
Mononeuritis multiplex (MNM) is a disorder of the nervous system. It can result in severe pain, loss of motor ability, and loss of sensation in at least two separate areas of the body. The areas affected by MNM depend on the underlying cause of the condition.
神经系统由两个部分组成：中枢神经系统（CNS）和周围神经系统（PNS）。中枢神经系统包括大脑和脊髓。周围神经系统包括将中枢神经系统连接到身体其他部位的神经。
MNM is a condition of the peripheral nervous system. This means it’s a group of symptoms associated with damaged peripheral nerves. The peripheral nerves lie outside the brand and spinal cord.
Several diseases can cause MNM. These include:
MNM不太常见的原因包括：
- 干燥综合症
- 韦格纳综合症
- Lyme disease
- 结节病
- amyloidosis
- Hansen’s disease (leprosy)
您的症状会因受损的神经类型而有所不同。症状可能包括：
- 四肢或多个弱点
- loss of feeling in one or more areas of your body
- incontinence
- paralysis of part of your body
- tingling or discomfort in one or more areas of your body
为了确定MNM的原因，您的医生会要求您详细的病史。他们还将对您的神经肌肉系统和反射进行检查和测试。必须影响两个无关的神经区域以诊断为MNM。您的医生可能会推荐以下测试：
- 神经活检：神经的微观检查
- electromyogram：评估肌肉的电活动
- 神经conduction tests: a measurement of the speed of your nerve impulses
Additional tests may include:
- blood chemistry tests
- 成像扫描
- rheumatoid factor test
- thyroid tests
- sedimentation rate
- X-rays
Treatment of MNM depends on the disorder that’s causing your condition. First, your doctor must determine the underlying condition.
神经肌肉神经科医生将制定您的治疗计划。如果您有任何涉及结缔组织的疾病，您还将与风湿病学家进行咨询。这种疾病的一个例子是关节炎。
The aims of the treatment are to:
- 解决问题的原因
- 用药物或营养补充来控制症状
- provide care and support to increase your independence
Occupational Therapy
Your doctor may suggest occupational therapy (OT) to help increase your mobility and independence. According to theAmerican Occupational Therapy Association(AOTA), the goal of OT is to help people with a disability or people recovering from an injury to regain the skills needed for their daily activities or occupations.
Your OT therapist will visit your home or work environment and suggest ways to accomplish activities safely. They may provide a plan of exercises to help you regain motor skills and strengthen muscles. Also, they may suggest using adaptive equipment to help you move through your house and keep you from falling. These items may include:
- 台阶的栏杆
- a bath or shower seat
- adequate lighting
- a stair lift
骨科辅助工具
如果您难以在家中或外部移动，则可能会从骨科辅助工具中受益。这些包括：
- a wheelchair
- braces
- supports
- 矫正鞋
物理疗法
Your doctor may recommend physical therapy as part of your treatment plan. This involves stretching and strengthening exercises and low-impact aerobics to strengthen your muscles, increase flexibility, and improve balance.
Vocational Therapy
Vocational therapy (VT) is a valuable part of a structured treatment program. The aim of VT is to help you resume employment. It can help you cope with the changes in your physical and mental functioning. It can also help you find an occupation that’s productive and matches your abilities.
药物
您的医生可能会开药以帮助治疗疼痛，包括：
- 抗惊厥药物
- 抗抑郁药（以减轻刺伤）
如果可以成功地诊断和处理损坏，则可能会从MNM中完全恢复MNM。
The extent of disability can range from none to a complete loss of movement or feeling.
神经疼痛会引起很大的不适，并且可能会延长。如果是这种情况，您应该看到一位痛苦专家来讨论可用的治疗选择。
如果您的脚或身体其他部位的感觉减少，您可能会受到伤害。这是因为受影响区域的神经没有向您的大脑发送疼痛信号。如果发生这种情况，受伤区域可能会严重感染。定期检查这些区域是否有瘀伤或割伤，以防止这种情况发生。
A number of complications are related to MNM, including:
- 肌肉质量或组织的损失
- kidney disease
- gastrointestinal disease
- 肺病
- corticosteroid-induced糖尿病
- 阳ot