Iqela leengxaki libangelwa ukungabikho kolawulo lweBhodi
I-episodic ataxia yiqela leengxaki ezingavamile ezibangelwa ixesha apho umntu engakwazi ukulawula ukuhamba komzimba ( ataxia ). Kukho iintlobo ezisibhozo ze-atazosi ze-episodic, kodwa ezimbini zokuqala ziyaziwayo.
I-Episodic Ataxia Uhlobo 1
Iintsholongwane zokungaqiniseki ezibangelwa yi-episodic ataxia hlobo 1 (EA1) zihlala ziphela imizuzu nje ngexesha. Ezi zihlandlo zivame ukuziswa ngomsebenzi, i-cafeine, okanye uxinzelelo.
Ngamanye amaxesha kunokubakho ukuxhaphaza kweemisipha (myokymia) ezayo ne-ataxia. Iimpawu zivame ukuqala ebusheni.
I-Episodic ataxia hlobo 1 ibangelwa ukuguqulwa kwindlela yesitonasi ye-potassium. Esi siganeko sivame ukuvumela ukutshintsha kombane kwiiseli zesigulane, kwaye ezi zibonakaliso zingaqhelekanga xa ishintshi iguqulwa ngumtshintsho wezofuzo.Iyona ndlela elula yokuvavanya i-EA1 kukufumana uvavanyo lwemizimba. I- MRI ingenziwa ukwenzela ukulawula ezinye izizathu ezinokubangela i-ataxia, kodwa kwimeko ye-EA1, i-MRI iyakubonisa kuphela ukunyanzeliswa okucokisekileyo phakathi kwe-cerebellum ebizwa ngokuba yi-vermis.
I-Episodic Ataxia Uhlobo 2
I-episodic ataxia hlobo 2 (EA2) idibene nokuhlaselwa kwe- vertigo enzima kwaye ngamanye amaxesha inambuzane kunye nokuhlanza okuhlala kwiiyure ukuya kwiintsuku. I-Nystagmus, imeko apho amehlo ahamba khona ngokuphindaphindiweyo kwaye engalawulwayo, angabi khona ngexesha kuphela kodwa phakathi kokuhlaselwa. Ngokungafani ne-EA1, i-episodic ataxia hlobo 2 ingakhokelela ekulimaleni kwi-cerebellum, inxalenye yengqondo ejongene nokulungelelanisa.
Ngenxa yokulimala kancinci, abantu abane-EA2 banokulahlekelwa ukulawulwa ngokuzithandela kwezihlunu phakathi kokuhlaselwa kwexesha elifanayo. Njengo-EA1, abantu abane-EA2 baqala ukuziva iimpawu ebusheni.
I-Episodic ataxia hlobo 2 ibangelwa ukuguqulwa kwindlela yesalcium. Le ndlela ityeksiyamu nayo iguqulwa kwezinye izifo ezifana ne- spinocerebellar atxia uhlobo lwesi-6 kunye ne-familial hemiplegic migraine .
Abanye abantu abane-EA2 banempawu ezikhumbuza ezinye izifo.
Ezinye iiApexias Episodic
I-episodic ataxia, iindidi ze-EA3 nge-EA8, ziqabile kakhulu. Uninzi lwe-episodic ataxia oluqhelekileyo lufana nokubonakala kwimoya ye-EA1 kunye ne-EA2 kodwa iguqule iinguqu ezahlukahlukeneyo njengezizathu. Ngolunye lwale maqumrhu aphantsi kwabikwa kwimizalwane eyodwa kuphela okanye ezimbini.
- I-EA3 ihlasele emfutshane ngokubandakanya ukungabikho kwemisipha kunye nokulawulwa kwemisipha, kunye nesisu kunye nesisu.
- I-EA4 ifana ne-EA2, ngokunyuka kweeyame ezingaqhelekanga njenge- nystagmus eqhubekayo nangona kungekho kuhlaselwa ngokuthe ngqo, nangona ukuhlaselwa kukufutshane. I-EA4 iyingqayizivele kuba ayiphenduli kakuhle kwizonyango ezisetyenziselwa ezinye i-ataxia ze-episodic.
- I-EA5 inokuhlaselwa kweeyure ezifana ne-EA2. Kuye kwaxelwa kwintsapho yaseFransi yaseCanada.
- I-EA6 ibangelwa ukuguqulwa kwezinto ezinokuthi zidibaniswe ne- seizures , migraine , ne- hemiplegia , kwakhona njenge-EA2.
- I-EA7 yachongwa kwintsapho enye kuphela kwaye ifana ne-EA2 ngaphandle kokuba uvavanyo lwegazi luqhelekileyo phakathi kokuhlaselwa.
- I-EA8 ibonisa iimpawu zayo ekusaneni kwasekusaneni ngokuhlaselwa kwimizuzu ukuya kwixesha elipheleleyo. Kufunyenwe kwintsapho enye kwaye iphendula kwi-clonazepam.
Ukuxilongwa kwe-Episodic Ataxia
Ngaphambi kokuba ufumane ukuxilongwa kwesifo esingaqhelekanga njenge-episodic ataxia, ezinye izizathu eziqhelekileyo ze-ataxia kufuneka zihlolwe. Nangona kunjalo, ukuba kukho imbali yentsapho ecacileyo ye-ataxia, kunokufanelekile ukufumana ukuhlolwa kofuzo.
Uninzi lwagqirha luncomela ukusebenza kunye nomcebisi wezofuzo xa ufuna le ndlela yokuvavanya. Nangona iziphumo zolu vavanyo lwezofuzo zingabonakala zichanekile, zidla ngokubaluleka kwezinto ezinokuthi zinyanzeliswe. Kubalulekile ukwazi ukuba ukuhlolwa kofuzo kuthetha ukuthini wena kuphela kwintsapho yakho.
Unyango
Iimpawu ze-EA1 kunye ne-EA2 zithuthukisa nge-acetazolamide, imithi esetyenziswa rhoqo njenge- diuretic okanye ukunceda ukuguqula amanqanaba e-acidity egazini.
I-Dalfampridine nayo iboniswe ukuba isebenze kwi-episodic ataxia hlobo 2 kunye. Ulwaphulo lwezonyango lunokuba luncedo ukulawula i-ataxia xa ikhona.
Nangona i-episodic ataxia ayiqhelekanga, ukuxilongwa kuye kwachaphazela isigulane kunye nosapho lwabo. Kubalulekile ukuba ama-neurologists kunye nezigulane zicinge nge-episodic ataxia xa kukho imbali yentsapho yokuxhamla.
Imithombo:
> Choi KD, Choi JH. I-Episodic Ataxias: Izixhobo zeKliniki kunye neeGenesis. I-Journal ye-Disvement Disorders . 2016; 9 (3): 129-135. i-doi: 10.14802 / jmd.16028.
> Strupp M, uKalla R, uClaassen J, et al. Uvavanyo olungenangqondo lwe-4-aminopyridine e-EA2 kunye ne-familial episodic ataxia. Neurology 2011; 77: 269.