Abstract
اﻟﻤﻠﺨﺺ
اﻟﺧﻠﻔﯾﺔ: ﺗﺻﻠب اﻻﻋﺻﺎب اﻟﻣﻧﺗﺷر ﻫو ﻣرض ﻣزﻣن ﯾﺻﯾب أﻋﺻﺎب اﻟﺟﻬﺎز اﻟﻌﺻـﺑﻲ اﻟﻣرﻛـزي ﻓﻘـط ﺣﯾـث ﯾﺣـدث ﺗﺄﻛـل ﻓـﻲ اﻟﺟـدار اﻟـدﻫﻧﻲ اﻟﻣﺣـﯾط ﺑﺎﻻﻋﺻـﺎب اﻟﻣﺳـﻣﻰ ﺑﻐﻣـد اﻟﻣـﺎﯾﻠﯾن ﻣﻣـﺎ ﯾــؤدي اﻟـﻰ ﺧﻠـل ﻓـﻲ ﻋﻣـل اﻟﺟﻬـﺎز اﻟﻣرﻛـزي وﺣﺎﻟـﺔ ﻣـن اﻟﻌــوق اﻟﺣﺎد ﯾﺻل اﻟﻰ ﺣد اﻟوﻓـﺎة ﻟﻌـدد ﻛﺑﯾـر ﻣـن اﻟﻧـﺎس ﻓـﻲ ﻛـل أﻧﺣـﺎء اﻟﻌـﺎﻟم. وﯾﺻـﯾب اﻟﻧﺳـﺎء اﻛﺛـر ﻣـن اﻟرﺟـﺎل وﺧﺻوﺻـﺎ ﻓـﻲ ﻓﺗـرة 1500 ﺑﻠـــﻎ 2011 ﺳـــﻧﺔ(. ﻋـــدد اﻟﻣﺻــﺎﺑﯾن ﺑﺗﺻـــﻠب اﻻﻋﺻـــﺎب اﻟﻣﻧﺗﺷـــر ﻓــﻲ اﻟﻌـــراق ﻟﻐﺎﯾـــﻪ ﺷـــﺑﺎط 50-25ﻣﻧﺗﺻــف اﻟﻌﻣـــر) ﻣرﯾض ﺣﯾث ﻟوﺣظ زﯾﺎدة واﺿﺣﺔ ﻓﻲ ﻧﺳﺑﺔ اﻻﺻﺎﺑﺔ ﺑﻬذا اﻟﻣرض ﺧﻼل اﻟﺳﻧوات اﻻﺧﯾرة.
اﻷﻫـداف: ﻣﻌﺎﯾﻧــﺔ اﻟﻣﺳـﺣﺎت اﻟﻔﻣوﯾــﺔ ﻟﻬـذا اﻟﻌـدد اﻟﻣﺗزاﯾــد ﻣـن اﻟﻣرﺿــﻰ ﻓـﻲ اﻟﻌــراق وﻛـذﻟك ﻟﻣﻌرﻓــﺔ اﻟﻣﺣﺗـوى اﻟﻣﺟﻬــري ﻟﻠﻔـم ﻋﻧــد ﻫؤﻻء اﻟﻣرﺿﻰ ﺑﺎﻟﻣﻘﺎرﻧﺔ ﻣﻊ اﻟﻣﺟﻣوﻋﺔ اﻟﺿﺎﺑطﺔ )اﻻﺻﺣﺎء( وﻣدى ﻋﻼﻗﺗﻪ ﺑﺳﺑب ﺗﺻﻠب اﻻﻋﺻﺎب اﻟﻣﻧﺗﺷر، ﺣﯾـث ﻻ ﺗوﺟـد دراﺳﺔ ﻣﻣﺎﺛﻠﺔ ﻓﻲ اﻟﻌراق.
ﻣرﯾض ﺑﺗﺻﻠب اﻻﻋﺻﺎب اﻟﻣﻧﺗﺷر ﻛـﺎﻧوا ﯾراﺟﻌـون ﻣرﻛـز ﺗﺻـﻠب اﻻﻋﺻـﺎب ﻓـﻲ ﻣﺳﺗﺷـﻔﻰ 57 اﻟطراﺋق: اﺟرﯾت اﻟدراﺳﺔ ﻋﻠﻰ ﺷـﺧص ﺳـﻠﯾم )ﻣﺟﻣوﻋـﺔ ﺿـﺎﺑطﺔ( ﻣـن اﻟﻣﺗﺑـرﻋﯾن ﺑﺎﻟـدم ﻓـﻲ اﻟﻣرﻛـز اﻟـوطﻧﻲ ﻟﻧﻘـل اﻟـدم ﻓـﻲ 114 ﻣدﯾﻧﺔ اﻟطب ﻓﻲ ﺑﻐداد وﻛذﻟك ﺣﯾـث ﺗـم اﺧـذ اﻟﻌﯾﻧـﺎت اﻟﻔﻣوﯾـﺔ ﺛـم زر اﻋﺗﻬـﺎ ﻓـﻲ ﻣﺧﺗﺑـرات 2011 ﻧﯾﺳـﺎن 5 ﺷـﺑﺎط ﻟﻐﺎﯾـﺔ 22 ﻣدﯾﻧﻪ اﻟطب ﻓـﻲ ﺑﻐـداد ﻟﻠﻔﺗـر ة ﻣـن ﻣدﯾرﯾﺔ اﻟﻣﺧﺗﺑرات اﻟﺗﻌﻠﯾﻣﯾﺔ ﺛم ﺗﺣﻠﯾل اﻟﻧﺗﺎﺋﺞ اﺣﺻﺎﺋﯾﺎ.
( ﻣن اﻟﻌﯾﻧﺎت اﻟﻔﻣوﯾﺔ ﻟﻣرﺿﻰ ﺗﺻﻠب اﻻﻋﺻﺎب اﻟﻣﻧﺗﺷـر ﻛﺎﻧـت ﺗﺣﻣـل ﻋـزﻻت 57 ﻣن 20) 35 اﻟﻧﺗﺎﺋﺞ: ﻓﻲ ﻫذﻩ اﻟدراس، % اﻟﻣﺑﯾﺿﺎت اﻟﺑﯾض( ﺧﺎﻟﯾـﻪ ﻣـن ،(114 ﻣـن67) 58% ، ﺑﯾﻧﻣﺎ ﻛﺎﻧت ﻣﻌظم اﻟﻌﯾﻧﺎت اﻟﻔﻣوﯾﺔ ﻟﻠﻣﺟﻣوﻋﺔ اﻟﺿﺎﺑطﺔ C.albicans) أي ﻧوع ﻣن اﻟﻌزﻻت.
اﻻﺳــﺗﻧﺗﺎﺟﺎت: اﻟﻣﺑﯾﺿــﺎت اﻟﺑــﯾض )( ﻛﺎﻧــت ﻫــﻲ اﻟﻌــزﻻت اﻻﻛﺛــر وﺟــودا ﻣــن زراﻋــﺔ اﻟﻌﯾﻧــﺎت اﻟﻔﻣوﯾــﺔ ﻟﻣرﺿــﻰ C.albicans ﺗﺻﻠب اﻻﻋﺻﺎب اﻟﻣﻧﺗﺷر ﺑﯾﻧﻣﺎ ﻟوﺣظ ان ﻣﻌظم اﻟﻌﯾﻧﺎت اﻟﻔﻣوﯾﺔ ﻟﻠﻣﺟﻣوﻋﺔ ﺿﺎﺑطﺔ ﻛﺎﻧت ﺧﻠﯾﺔ ﻣـن أي ﻧـوع ﻣـن اﻟﻧﻣـو، وﻫـذا اﻻﺧــﺗﻼف اﻟﻛﺑﯾــر ﺑــﯾن ﻣﺟﻣــوﻋﺗﻲ اﻟدراﺳــﺔ ﯾﺟــب ان ﯾﺎﺧــذ ﺑﺟدﯾــﺔ ﺣﯾــث ﯾﻣﻛــن ان ﯾﻛــون ﻟــﻪ ﻋﻼﻗــﺔ ﺑﺎﻟﺳــﺑب اﻟﺧﻔــﻲ وراء زﯾــﺎدة ﻣرض ﺗﺻﻠب اﻻﻋﺻﺎب اﻟﻣﻧﺗﺷر ﻓﻲ اﻟﻌراق.
Copyright (c) 2011 Iraqi Medical Journal
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