Ndepapi Kuve Uchitsvaga Matambudziko Okurapa?
Ataxia ndiro izwi rezvesayenzi nekuda kwekushaikwa kwekubatanidza kana kushungurudza. Chikamu cheuropi chinowanzobatanidzwa nekubatanidza ndeye cerebellum. Zvipembenene zvinokonzerwa nemakumbo , chirwere kana multiple sclerosis inokuvadza cerebellum, kana nerve fibers kutaura ne cerebellum, inogona kutungamirira kuoma kuenderera zvakajeka. Izvi zvinogona kutungamirira kumatambudziko nokutaura, kumedza, nekufamba zvakanaka.
Nzira iri nyore yekufananidza izvo hexia inoratidzika ndeyekufungidzira mumwe munhu anonwa doro rakawandisa. Doro rinokanganisa zvakananga cerebellum. Nzira yekugumbusa, kugumburana nemaoko avo, uye kuputika kwekutaura kwavo yose ndeyokuti akaxia inokonzerwa nedoro.
Terminology
Nzira dzekodzero dzezvinhu zvakasiyana-siyana zveatatiia dzinosanganisira:
Dysmetria- kushaya kukwanisa kutonga zvakanaka kure. Imwe nyanzvi yezveuropi inogona kuedza dysmetria nekukumbira mumwe munhu kuti ataure kumhino dzavo, uyezve kumunwe weeurologist. Kana murwere ava kusvika kure kana kure kure, dysmetria iripo.
Dysrhythmia- kusakwanisa kufamba mumutambo wakasimba.
Dysdiadochokinesia- yakanzi "dis-die-add-ik-ko-kin-EE-she-ah", izwi iri rinoreva kuti mumwe munhu haakurumidze kusunungura chimwe chinhu mberi. Imwe nyanzvi yezvepfungwa inogona kuedza izvi kuburikidza murwere achikumbira murwere kuti arambe achirova maoko ake pamusoro uye achidzoka pamusoro pechiso chavo chakatarisana nekukurumidza sezvinobvira.
Dysarthria- kuoma kutaura. Cerebellar zvipembenene zvinogona kukonzera izvo zvinorondedzerwa se "kuongorora" kutaura, zvinoreva mutauro unonoka uye unosimbisa zvisizvo zvisina kunaka.
Dysphagia- kuoma kunomedza. Izvi zvinogona kukonzerwa nezvinhu zvakawanda kunze kwezvinetso zveperebellar zvakare.
Kutumirwa -kudengenyeka kusina kusimba kwemuviri uye / kana musoro unogona kuonekwa kune vanhu vane zvirwere zveperebellar.
Mamwe maitiro eatxia anosanganisira sensory ataxia, umo kushungurudzika kunokonzerwa nekurasikirwa kwekunzwa kwokuti muviri uri munzvimbo (chikonzero chekuwana). Izvi zvinogona kutariswa nemumwe munhu anotamisa munwe wevarwere kana zvigunwe kumusoro uye pasi, nekukumbira murwere kana vachigona kuona mutsauko. Muchizivo chetastaia, kukanganiswa kunokonzerwa nehutano hunotungamirira kuzinza. Hazvisi zvisizvo kuti munhu ave nehuwandu hwemhando imwechete yaatasia panguva imwe.
Zvinokonzera Ataxia
Ataxia inogona kukonzerwa nezvinhu zvakawanda zvakasiyana. Sezvatakakurukura, chinhu chipi nechipi chinokuvadza cerebellum chinogona kutungamirira kuatayia, kusanganisira matumbo kana kurohwa. Zvimwe zvinokonzera akaxia zvinosanganisira:
Prescription madawa , kusanganisira lithium uye anticonvulsants.
Zvinodhaka zvinodhaka , kusanganisira doro, mbanje, uye PCP.
Uturu , kusanganisira mercury uye toluene.
Vitamini kukanganisa , kusanganisira B12 uye vitamini E.
Utano husina kunaka , hwakafanana neArnold-Chiari malformation.
Matambudziko anokonzerwa nenhaka , akadai saFranidreich's ataxia , ataxia-telangiectasia , spinocerebellar ataxia, uye episodic ataxia, pakati pevamwe vakawanda.
Cerebellitis , kuvhiringidzika kwecerebellum kazhinji nokuda kwechirwere chetachiona kana autoimmune disorder
Zvimwe zvakagamuchira zvirwere , zvakadai sehosha yeecliac, chirwere cha Whipple, chirwere chepineoplastic , uye yepamusoro-yakakwirira cerebral edema.
Miedzo yeAtaxia
Ipi miedzo inoshandiswa mukuongororwa kweatasia ichabva kune mumwe murwere. Kana pane nhoroondo yakasimba yemhuri, inogona kuva yakanyatsobudirira kutanga kungotanga nemajini maitiro e spinocerebellar ataxia.
MRI ndeye pfungwa yekudzivisa kunze kwechikonzero chekuwana akaxia sechirwere, stroke, kana multiple sclerosis. Mune dzimwe neurodegenerative ataxia, kufanana ne spinocerebellar ataxia, zvikamu zveuropi zvakadai se cerebellum uye hutano hwepfungwa hunogona kunge hwave shrunken. Kana pane pfungwa yokuti utachiona kana kuti autoimmune process shure kweAatxia, kuputika kwekambani kunogona kurairwa zvakare.
Kurapa kweAtaxia
Sezvakanyanya kuitika, kurapwa kwaAatia kunobva pakugadzirisa chaicho chinokonzera chikonzero.
Zvisinei, kurapwa kwepanyama kunogona kubatsira zvikuru pakubatsira vanhu kukunda kusagadzikana uye kusaruramisa kwakashata kunokonzerwa neatasia. Kushandiswa kwekufambisa kwakadai sekufambisa kana tsvina kunogona kudiwa pane dzimwe nguva.
Sources:
Hal Blumenfeld, Neuroanatomy kuburikidza neCliniki Cases. Sunderland: Sinauer Associates Publishers 2002
AH Ropper, Samuels MA. Adams naVictor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.