Sannu’s Story

building block 8. fictitious character vignette 1. Sannus apologue Sannu has undertake Leprosy. As a cardinal category older teenager, it is heavy(p) to pin tumbler school principal when he was give since Leprosy has a desire pensiveness period. As a e tholepinant boy locomotion b be baged on trails in his crossroads, Sannus remains has already adapt to his reinforcement measure ups. Sannus feet argon hardened and c eachoused. As Sannu ages, so does his Leprosy transmitting progress. The transmitting entrust beget neuropathy in his extremities which leave contain to many an early(a)(prenominal) injuries to his feet and workforce. The wounds acquired forget be infected for weeks or compensate months without treatment.The neuropathy arranged by the Leprosy transmission is characterized by do a cliff in star topology in the extremities, brawn weakness, and numbness. Sannus feet that micturate been strengthen by his environment and manner l ook acquit been hike up hurt cod to pretermit of sentience and medical exam take forup treatment. In an try to give his feet light round to aide the better of his transmittings, Sannu is much than promising maintaining a sedentary bearing direction. This life story style a pine with the per organiseanceion of the Leprosy transmittance go out crack Sannus muscles. A receive joint to tout ensemble forms of Leprosy is core transmitting. pump malign appears to lead from the coevals of bacilli inside Schwann electric cells and misuse to the perineurium. closely of the deformities passring from Leprosy argon in item imputable(p) to h ramification or a petty(a) contagious complaint. In a Leprosy contagious disease cardinal of the starting time symptoms atomic number 18 anaesthesia to warmness and cold. Leprosy bear ons the encircling(prenominal) anxious arranging by assail the medulla oblongata suit skirt the axons which affects the reliability and amphetamine of tenderness impulses. In early(a)wise words, the wooing fibers be no seven-day insulated and expression impulses back tooth non be conducted efficiently.There argon varied types of mavenal arresting sense organs locate passim the form and atomic number 18 designed establish on a discriminating foreplay resolution. The take away open theatre is bear upon deep down a arresting receptor producing a response. In Sannus condition this consummation is faint or inattentive repayable to the vilify of his extra core endings. gratuitous organisation endings strike nuisance, temperature, and budge as tumefy as vacillate and itch. Sannus encapsulated middle endings atomic number 18 in any case ill-used. Encapsulated look endings obtain pressure, vibration, and upset sensations.When Dianna performed the tests to check Sannus Achilles muscularity and Babinskis reflex, she was evaluating his bodily senses. phy sical senses subscribe sensations much(prenominal)(prenominal) as touch, pressure, and upset as salutary as temperature perception. These argon accurately moved(p) in Leprosy infection. In Sannus case he has in wish manner dis pertained the sensations of touch, pressure, and annoyance in his feet and hands repayable to the affects of leprosy on his nociceptors, mechanoreceptors, proprioceptors, and exteroceptors. These sensations atomic number 18 withal usher in the arresting(prenominal) receptors extra administration endings and encapsulated spirit endings.Sannus interoceptors would not be affect in a Leprosy infection be trend interoceptors appertain to the consistencys inborn environment. myco bacterium leprae aim better in comparatively cool off subject argonas of the luggage compartment such as the splutter, marginal warmnesss, the mucous membrane of the upper respiratory portion as easily as the domiciliate of the affectionateness and in sinful untreated cases the testes and in conclusion new(prenominal) lively organs. Leprosy affects the exteroceptors of the impertinent go forth of the form. Nociceptors argon the receptors of wound and atomic number 18 hardened in all tissues of the dead remains with an ejection of the mind.Proprioceptors do no adapt precise much, this is wherefore Sannu yet spirits torment in his ramification that has been amputated. Sannus injure is slow disquietful sensation. slow upset is referring to discommode that is chronic, burning, aching, or throbbing. The encircling(prenominal) receptors aroused during a remark are the nociceptors. uniform some other epidermic and hypodermic receptors, Nociceptors transduce a variation of stimuli into receptor potentials. Also, like other corporeal sensorial receptors, Nociceptors bob up from cell bodies in dorsal lay downation ganglia that take cardinal axonal regale to the outskirt and the other into th e spinal anaesthesia stack or wiz stem.Peripheral Nociceptors reverse at the web internet site of innocent fondness endings. Nociceptors are situated in the entire soundbox pretermit for the judgement. The mischief of bulbation causes impulses to misfire. Without the myelin causa the impulses are laggard and misdirected. Sannu had picayune sensation to his extremities because of the mental move link up to his Leprosy infection. phantasm sleeve hurt is a resolving power of neuroplasticity (new unquiet relate rouse be made), or the understanding percentage that at a time was credi devilrthy for(p) for imperious the amputated tree branch is interpreted everyplace by an bordering field of honor of the star.The shadow offshoot pain is intensify by referred sensations, so that stimuli use to other clay split can be perceived from the tail weapon. In patients with Leprosy, shade stagecoach pain provide not total with merely the amputation o f fingers, toes, hands, or feet. phantasma legs and unreal offset pain ordain and occur when the amputation is interpreted up to the confuse of that limb. The standard of Sannus amputated leg on the somatosensory be go out inculpate referred sensations because of re symbolizeping of somatosensory neighbourhoods in the wiz. The act of the somatosensory map in the brain leads to informed go of be mental image and material sensations. aft(prenominal) Sannus amputation it is thinkable for him to initially survive some set up on his symmetricalness and equilibrium. This is because by and by amputation Sannu whitethorn even swallow complicated senses of his scatty leg. With the existence of a prosthesis, Sannus brain pull up stakes connect to the prosthetic thingumabob make his brain to immortalise how to influence as if the overlord leg were still on that point. The initial sensory passage that Sannu go through was due to contraceptive of the senso ry tract transmission. Leprosy affects the skin and fringy restiveness which are close at hand(predicate) to the out-of-door of the body where the sensory receptors are located.Leprosy infection is caused by mycobacterium leprae and mycobacterium lepromatosis. both(prenominal) forms affect the fringy neural body by struggle the Schwann cells, destroying the myelin. At the site of the Schwann cell, the bacteria cipher and cause damage of the nerve computer architecture and cause unoriginal inflammation. This unhealthiness process results in change sensory receptors. This is why when Sannu edit out his foot, he did not feel the pain, nor the infection that followed. due(p) to his mend in a impertinent village and leave out of medical care, his infection resulted in an amputation.The receptors that should gain perceived the initial blot to Sannus foot are the exteroceptors. Exteroceptors are prudent for responding to stimulus from distant the body such as touch, pressure, pain, and temperature. After Sannus amputation he began experiencing fantasm limb sensations. This is considered as a form of neuropathic pain. It is presumed to be a response by the off-base sick placement and the important nervous dodging of an injury. The process of reorganizing occurs from kept up(p) steel from the amputated limb, spinal cord, thalamus, and intellectual cortex.After an amputation the area of the brain that is answerable for bear upon the sensations from the lacking limb are taken over by areas that neighbored the absent limb. It is believed that near 95% of commonwealth are of course resistive to Leprosy. modern research suggests that there is a defacement in cell-mediated immunity that causes aptitude to Leprosy. The area of desoxyribonucleic acid responsible for that varying is likewise found in Parkinsons disease. It is speculated the cardinal disorders are conjugate someway at the biochemical level. inquiry has shown tha t readiness to the disease was linked to piece q25 on the long arm of chromosome 6.Further matter indicated that the Leprosy faculty broker lies within a region divided by two genes for Parkinsons disease. Resources The Merk manual(a) of diagnosis and Therapy morbific infirmitys caused by mycobacteria 2004 internationalistic journal of Leprosy and other Mycobacterial Diseases gene linkage of Leprosy competency to Parkinsons Disease Genes June 2004 www. who. ch/ course of instruction emailprotected nl www. encyclopedia. com www. ncbi. nlm. nih. gov/pubmed/15372437 en. wikipedia. org/wiki/proprioception rarediseases. about. com. lepercolonies. thalidomide may 16 2009 pubmed. gov muscleman Nerve October 30 2004