Cerebral palsy mamiriro ezvinhu aripo pakuberekwa kana nguva pfupi aberekwa. Chimwe chezvinhu zvakakosha muhutano ndechekuti vana havafambi nheyo dzekusimudzira, asi, pamwe nedzimwe mamiriro emagariro evanhu, vana vanosvika matanho makuru uye vanoderedza nguva.
Kuongororwa kwe cerebral palsy kunoda kuchenjerera nekugadzirisa nzira iyo inonyanya kuvimbika pakuona uye kuchipatara kuongororwa.
Kana iwe unenge uchifungidzira kuti unorwara, kunzwisisa kwegadziriro kunogona kubatsira kuderedza zvinetso.
Self Checks
Vana vane cerebral palsy vanogona kuratidza zviratidzo zvakasiyana-siyana zvinonyanya kukosha kwechiitiko chacho. Zviratidzo zvinosanganisira kushaya simba kwechiso, maoko, maoko, makumbo kana rutsi, kufamba kwakasimba uye kusina simba kana kuti dragppy musumbu, mutauro unopisa uye unonetsa kunzwisisa, zvinetso kutsva uye kumedza, nekukanganisa kwekuziva.
Somubereki kana mutarisiri, kucherechedza zviratidzo izvi zvingave zvinonetsa uye pamusoro. Kuita kuti zvive nechokwadi kuti zvakanyatsorongedzerwa zvakakodzera, zvingave zvakakosha kugadzirisa zvakananga pamusoro pavo-nguva, zviitiko zvisati zvaitika / shure, uye zvakawanda zvinogona kubatsira kuchiremba panguva yekukurukura kwako.
Labs uye Miedzo
Kune mimwe miedzo yakawanda iyo inotsigira uye inosimbisa kuongororwa kwechiremba palsy, iyo inonyanya kukosha ndeyekliniki yepamusoro uye kuongorora kwepanyama.
Clinical History uye Physical Examination.
Chiitiko chemakiriniki chinogona kuona zviitiko zvakadai sekukuvadzwa kunorwadza, utachiona hwehutano uye zvirwere zvakadai sekudya, kufema uye moyo zvinetso zvinogona kukonzera zviratidzo zvinoita zvakafanana neyecerebral palsy, zvikurukuru muchechecheche.
Kuongorora kwehutano hwemwana uchishandisa kuongororwa kwakajeka kwepfungwa kunokwana 90-98 muzana yakarurama pakutsvaga kuora mwoyo palsy.
Nedzimwe nzira shomanana yekuedza mano emwana dzinosanganisira Prechtl Kuongorora Kuongorora kweMafungiro Akawanda neHammersmith Infant Neurological Examination, iyo yose iyo inongororongedza uye inoratidzira hutano hwemwana uye hwekuziva pamwero.
Dambudziko reRopa
Kuongorora ropa kunotarisirwa kuratidzira kusakanganiswa mu cerebral palsy. Syndromes yemetabolic iyo inoratidzwa nezviratidzo zvakafanana neyecerebral palsy inotarisirwa kuratidza kuongororwa kweropa kusakwana, izvo zvinogona kubatsira pakusiyanisa mamiriro ezvinhu. Kuongororwa ropa kunogonawo kuonekwa kana mwana ane zviratidzo zveperesia palsy ane zviratidzo zvehutano, chimiro chekukundikana kana utachiona.
Genetic Tests
Maitiro eGenetic angabatsira mukuziva zvirwere zvakashata zvinosangana neucherebral palsy. Cerebral palsy inongowanzobatanidza nekutaridzika kwemafuro ekuremera, uye kukosha kukuru kwekuongorora mazita ekuberekwa kunowanikwa mukuongororwa kweimwe mamiriro ezvinhu ari kliniki yakafanana neharopalty palsy uye ayo anoziva maitiro ehutano.
Haasi munhu wese akazarurirwa kuva neruzivo rwechimiro. Kana uchinetseka, taura nachiremba wako. Uyewo, kurukura newaunofambidzani-kuronga kwezvinozoita kana zvigadziriro zvagadzirira zvingakubatsira iwe mose kutsungirira uye kutsigirana zvakanaka.
Electroencephalogram EEG
Vamwe vana vane cerebral palsy vakagumburwa. Mamwe maitiro ehuputi asina kubatanidzwa ne cerebral palsy anogona kuchinja zvakanyanya mukukura kwevana. Mune marudzi aya ekutambudza matambudziko, cognition inogona kunge isina kukanganisa nenzira yakadai sechipatara yakafanana nekukanganisa kunzwisisika kunowanikwa mu cerebral palsy, uye EEG inogona kubatsira kuongorora zvishoma (kwete pachena) kugumburwa.
Nerve Conduction Studies (NCV) uye Electromyography (EMG)
Mimwe tsvina uye zvirwere zvepfungwa zvinogona kukonzera utera hunotanga pazera remakore. Nzira uye musimba dzisina kukodzera hazvizivikanwe necerebral palsy, uye naizvozvo mararamiro asina kukodzera pamatambudziko aya anogona kubatsira kutonga mune mamwe mamiriro ezvinhu uye kutonga kunze kwechirwere chepalysis.
Imaging
Kubwinya kwebongo kazhinji hakusi kugadzirisa chirwere chepereysia pachako, asi kunogona kuona imwe yemamwe mamiriro ezvinhu angaita zviratidzo zvakafanana neyecerebral palsy.
Ubongo CT
Uropi CT kuongorora kwomwana ane cerebral palsy inogona kuva yakasununguka kana inogona kuratidza uchapupu hwekurohwa, kana kuti kusagadzikana kwemaitiro. Maitiro anoratidza kuti zviratidzo zvemwana hazvisi zveperesia palsy dzinosanganisira utachiona, kuputika, kubuda ropa, tumarara kana hydrocephalus .
Brain MRI
Uropi MRI inonyanya kuongorora kufungidzira kweuropi kupfuura CT scan. Kuvapo kwemamwe maitiro ekusawirirana, uyewo kusakanganiswa kwekukuvara kwepakutanga kweaschemic (kushayikwa kweropa rinopera) kumuchena kana kuti grey nyaya yeuropi, inogona kutsigira kuongororwa kwechirebral palsy. Uchapupu hwekuputika kunogona kuve kune dzimwe mamiriro akadai se cerebral adrenoleukodystrophy.
Muzviviri izvi zvekufungidzira, mwana (uye mutarisiri) anogona kunzwa achitya. Bvunza kana kune chero chinhu chinogona kuitwa kuti ubatsirwe ruzivo rwemabasa-vana, kuva nemumwe munhu ari pedyo, kana kushandisa shanduro yemwana-inobatsira ingave chimwe chinhu chiremba anogona kupa.
Kusiyanisa Kuziva
Kurapa, kutungamirirwa, uye kufungidzira kwechiremba palsy zvakasiyana nedzimwe mamiriro ezvinhu akafanana, uye ichi ndicho chimwe chezvikonzero kuti kunyatsoongorora kunokosha. Zvimwe zvezviitiko izvi zvinosanganiswa nechinangwa chakakwana chekuzvarwa, uye naizvozvo kujekesa mamiriro ezvinhu mumwana mumwechete kunogona kubatsira vabereki nekuzivikanwa kwekare uye kurapwa kwevamwe vana vavo, kunze kwekupa ruzivo kumhuri yose inogona kubatsira pakuronga kwekubereka .
Shaken Baby Syndrome
Chimwe chikonzero chinokonzerwa nekushungurudzika kwevana-syndrome-chinogona kuvhiringidza vana vaduku vezera rose, uye inowanzoonekwa kune vakwegura kudarika vacheche. Shaken baby syndrome inoratidzirwa neharuka rakatyoka, kuora ropa (kubuda ropa) muuropi, uye kunowanzotambudza kune dzimwe nzvimbo dzomuviri.
Zvichienderana nekutengesa kunotanga, kuvhiringidzika baby syndrome kunogona kukonzera kurasikirwa kweunyanzvi hwekuziva huri kutotanga kubuda, nepo kuora kwepalsy kunoratidzirwa nekushaiwa unyanzvi hunobudirira.
Rett Syndrome
Chinhu chisingawanzoitiki chinokanganisa vasikana, Rett syndrome inogona kukonzera kusava nemotokari yekudzivirira uye kukanganisa kwekufunga. Chimwe chikuru chakasiyana pakati pemamiriro acho ndechekuti vana vane Rett syndrome vanokura kazhinji kwemwedzi 6 kusvika ku12, uye zvino kuratidza kuderera kwebasa, nepo vana vane cerebral palsy vasingakwanisi kubudirira.
Autism Spectrum Disorder
Dambudziko rakaoma rine zviratidzo zvinogona kuratidza sekunzwisisa uye kushaya tsika, vamwe vana pa autism spectrum vanogona kuratidza motokari kana kutadza kutaura pamitauro iyo inogona kunge yakanganisa kuora kweperesi kana imwe nzira yakapoteredza.
Metabolic Syndromes
Mamiriro ezvinhu anopesana nemasabolism kana nemapurotini ekugadzira saT Tay Sacks chirwere, Noonan Syndrome , Lesch-Nyan syndrome, uye chirwere cheNeimann-Pick chingava nezvose zvinokonzera kushaya simba kwepamuviri uye kukanganisa kwepfungwa kunogona kukanganiswa neucherebral palsy-uye cerebral palsy inogona Ita kukanganisa nemamiriro aya.
Mukuwedzera kune imwe nzvimbo yekutengeserana, zvirwere zvinokonzerwa nemagetsi zvinowanzoratidza kusakanganiswa kuongororwa kweropa rega, izvo zvinogona kubatsira pakuparadzanisa kubva kune mumwe nemumwe uye kubva kune cerebral palsy.
Encephalitis
Encephalitis, iyo kuvhiringidzika kweuropi, inogona kukonzera zviratidzo zvakakomba kubva pakubatwa kwemazuva kusvika pakufa mutezo kusvika kusateerera. Iko kune zvikamu zviviri zvakakosha zve encephalitis, izvo zvinotapukira uye zvinopisa.
- Zvinotapukira: Infecous encephalitis inoshandiswa nekukurumidzira kunotanga, uye sehupupu hwehutachiona nekuputika kuongororwa ropa, brain brain, brain MRI kana mu lumbar fluid.
- Kuvhiringidza: Inflammatory encephalitis inogona kuva yakaipa pasinei nekushaya kwechikonzero chinotapukira. Ikoko kunogona kuve nemafuta uye pamwe kazhinji kuongororwa ropa, brain CT, brain MRI uye lumbar fluid zvinoratidza uchapupu hwekuputika.
Spinal Muscular Atrophy
Chirwere chinogona kutanga panguva yehucheche, huduku, kana kuti munhu mukuru, maitiro epelinus muscular atrophy inotanga mucheche inogona kuparadza, zvichikonzera kuora mitezo kana pedyo nekuparara. Izvo zvinokonzerwa nemotokari yekutanga kwepakutanga kwepasina muscular atrophy, zvakare inowanzonzi SMA ye-type 0, inowedzera kukanganisa kupfuura iyo yecerebral palsy. Chirwere ichi chinotarisirwa kuti chifambire mberi nokukurumidza kune zvinouraya, izvo zvisingafananidzi ne cerebral palsy.
Cerebral Adrenoleukodystrophy
Chirwere chisinganzwisisiki chinoratidzika nekusaona nekuona kwekunzwisisa, cerebral adrenoleukodystrophy inonyanya kubata vakomana. Kusiyana kukuru kunoitwa adrenoleukodystrophy uye cerebral palsy ndeyekuti vana vane cerebral adrenoleukodystrophy vane chinhu chitsvene chisina kunaka pamakumbo avo MRI uye chiitiko chinokonzera kuderera kwekuziva uye motokisi basa, kwete kushayikwa kwekugadzirisa unyanzvi sezvinonzi cerebral palsy.
Muscular Dystrophy
Kune mhando dzakasiyana dze muscular dystrophy, iyo yose inoratidzirwa neutera uye kusava nemutauro wekutaura. Kusiyana pakati pe cerebral palsy uye muscular dystrophy ndeyekuti muscular dystrophy inowanzosabatanidzwa nekukanganisa kunzwisisika, uye kushaya simba kwemuscular dystrophy kunogona kuonekwa sekunokonzerwa nechirwere chemusonda kuburikidza nekuongororwa kwepanyama uye neEmG / NCV zvidzidzo.
> Kwakabva:
> Novak I, Morgan C, Adde L, et al. Kutanga, Kuongororwa Kwakarurama uye Kupindira Kwokutanga muCerebral Palsy: Kufambira Mberi Mukuziva uye Kurapwa. JAMA Pediatr. 2017; 171 (9): 897-907.