Kushungurudzika uye kurwadziwa kunogona kuuya pamwe chete nemhaka yea laarar infarct ( stroke ) munzvimbo yeuropi inonzi thalamus. Iyi nharaunda inokosha inoshumira sechiremba chekudzorera kune ruzivo rwemashoko kubva kumativi ose mumuviri. Kazhinji, mararamiro akadaro anonyanya kunzvimbo dze thalamus dzinogamuchira ruzivo pamusoro pemarwadzo, kutonhora, kubata, kudonhedzera pfungwa, nekudzvinyirirwa kubva mumuviri wose.
Apo chirwere chinokonzera kurwadziwa nemhaka yekukuvara munzvimbo idzi, vanhu vanonzi vanotambura kubva kuDejerine-Roussy syndrome. Iyo chirwere inowanzonzi thalamic pain syndrome, kana chirwere chepakati chirwere (CPS).
Maererano neAmerican Stroke Association, hapana maitiro akaoma ehutambudzo urwu huri kutevera chirwere. Imwe tsvakurudzo yakaratidza kuti mapfumbamwe kubva muzana yevanhu vakapindura vane chirwere chepakati chinorwadza. Vaya vanotambura nayo vanowanzotaridzwa sekuchiita kana kuwedzeredza marwadzo avo.
Zviratidzo zveStroke-Inotambudza kurwadziwa
Zviratidzo zveDejerine-Roussy syndrome zvinosanganisira zvinotevera:
- Kusuruvara kusina kutsanangurwa kunobva kune rumwe rutivi rwemuviri
- Kushushikana manzwiro ekurwadziwa kusvika pakugadzirwa kwakasununguka, zvakadai sekupwanya zvinyoro pamusoro peganda
- Manzwiro ekutevedzera kubva kune rumwe rutivi rwemuviri
- Manzwiro ekuwedzerwa zvakanyanya kune rumwe rutivi rwemuviri
- Kushushikana manzwiro ekupisa kana kutonhora kune rumwe rutivi rwemuviri
Dzimwe nguva chirwere chinosangana neutera muhuno, ruoko, uye / kana gumbo kune rumwe rutivi rwomuviri, runotanga nguva pfupi mushure mekurohwa.
Izvi zvinowanzoenda pane nguva, asi zvimwe zviratidzo zvacho zvinogona kugara nokusingaperi.
Zviratidzo zvinonzwa zveDejerine-Roussy syndrome inogona kutanga pakarepo mushure mekurohwa kana kuuya zvishoma nezvishoma pamusoro pevhiki dzinotevera, kana mwedzi.
Mushonga weDejerine-Roussy Syndrome
Mishonga inowanika yeDejerine-Roussy syndrome inosanganisira kurwisana nevanorwara, izvo zvinowanzosvibiswa, zvakachengeteka uye zvinobudirira; anticonvulsants ; uye analgesic mishonga yakadai se ibuprofen.
Mumatambudziko akaoma, vanhu vanopiwa mishonga yakasimba yakadai se morphine uye methadone. Vamwe vanhu vanobatsirwawo nekupfeka chigadzirwa chakafanana ne morphine pump. Kuwana mishonga yakakodzera yemishonga inogona kutora nguva.
Zvisarudzo zvinoshandiswa zvakare zvinowanikwa asi chirwere chekuvhiya chinofanira kunge chiri chirevo chekupedzisira zvachose. Kuvhiya kunosanganisira zvakadzika uropi hunokurudzira , umo iyo electrode inogadziriswa uye inotuma kukurudzira kune zvinogamuchirwa zvinorwadza. Uropi hwepfungwa hunokurudzira hunoshandiswa kuderedza kufungidzira kwemunhu kunorwadza.
Zvakakosha kuwana chiremba akakodzera. Vamwe varwere vanowana mutsara wakanaka pavanoshanya neurologist yavo yekutanga. Vamwe vanofanira kupfurikidza nekugadzwa kwevakawanda vasati vawana uyo anonzwisisa marwadzo avo uye anotanga kutsvaga zvirwere zvakasiyana-siyana zvinogona kuitwa.
Sources:
American Stroke Association. Akatsanangurwa kubva apo Painenge Usisina Kumboenda; Stroke Connection Magazine; September / October 2003 (Shanduro yekupedzisira inoshandiswa muna March 2013).
JP Mohr, Dennis W. Choi, James C. Grotta, Bryce Weir, Phillip A. Wolf Kurwisa: Kurapa, Kuziva, uye Mutungamiri Churchill Livingstone; 4th edition (2004).