Xa Kukho Inkxalabo Yonyango?
I-Ataxia yixesha lezesayensi ngenxa yokungabi nxu lumano. Inxalenye yengqondo ehlotshaniswa ngokuqhagamshelana kunye ne-cerebellum. Izilonda ngenxa yezicubu , ukuphazamiseka okanye isifo se-sclerosis esonakalisa i-cerebellum, okanye i-nerve fibers ekunxibelelaneni ne-cerebellum, kunokukhokelela ekubeni kunzima ukuhamba ngokuchanekileyo. Oku kunokukhokelela iingxaki ngokuthetha, ukugwinya nokuhamba kakuhle.
Indlela elula yokucinga ukuba i-ataxia ibonakala njani ukucinga ngomntu ophuza kakhulu utywala obuninzi. Utywala ngqo kuchaphazela i-cerebellum. Ukuhamba okukhubekiso, ukubethelela ngezandla zabo, nokudibanisa intetho yabo konke ngenxa ye-ataxia ebangelwa utywala.
I sigama
Imigaqo yobugcisa kwimimandla eyahlukeneyo ye-ataxia iquka:
I-Dysmetria- ukungakwazi ukugweba umgama ngokuchanekileyo. I-neurologist inokuvavanya i-dysmmetria ngokucela umntu ukuba abhekise empumleni, aze abe nomnwe we-neurologist. Ukuba isiguli sifinyelela kude okanye kungekudala, i-dysmetria ikhoyo.
I-Dysrhythmia- ukungakwazi ukuhamba kwisigqi esinqabileyo.
I-Dysdiadochokinesia- ichazwa " ukungabi nokufa-kongeza-ik-kin---E-ah", eli gama lithetha ukuba umntu akakwazi ukuhambisa ngokukhawuleza into ethile. I-neurologist ingakuvavanya ngoku ngokucela isigulane ukuba siphinde siphoxe isandla siphinde siphinde sibuyele phezulu kwesandla sazo ngokukhawuleza kunokwenzeka.
Ukutshatyalaliswa kwengxaki yokuthetha. Izilonda ze-Cerebellar zingabangela oko kuchazwe ngokuthi "ukuskena" intetho, nto ithetha intetho ephuculwayo kwaye igxininisa iilllab ezingalunganga.
Dysphagia- nzima ukugwinya. Oku kungabangelwa izinto ezininzi ngaphandle kweengxaki ze-cerebellar.
Ukutyikitya -inyikima engaqinisekanga yombombo kunye / okanye intloko enokubonwa kubantu abanezifo ze-cerebellar.
Ezinye iintlobo ze-ataxia zibandakanya i-ataxia ye-sensory, apho ukuxhamla kubangelwa ukulahlekelwa kwintlungu apho umzimba usekuhlaleni. Oku kungatshekishwa ngumnye umntu ohambisa umlenze wakhe okanye umzwane uye phezulu, kwaye ucele isigulane ukuba angafumanisa umahluko. Kwi-ataxia ye-vestibular, i-clumsiness ibangelwa yimingcipheko ekhokelela ekutyeni. Akuqhelekanga ukuba umntu abe nohlobo olulodwa lwe-ataxia ngexesha.
Izizathu zeAtaxia
I-Ataxia ingabangela izinto ezininzi ezahlukeneyo. Njengoko sixoxile, nantoni na eyonakalisa i-cerebellum ingakhokelela kwi-ataxia, kubandakanywa izicubu okanye isisu. Ezinye izizathu ze-ataxia ziquka:
Iidakamizwa zamachiza , kuquka i-lithium kunye ne-anticonvulsants.
Iziyobisi zokuzonwabisa , kuquka utywala, i-marijuana kunye ne-PCP.
Ubuthi , kuquka i-mercury kunye ne-toluene.
Ukunqongophala kweVitamin , kubandakanya i-B12 kunye ne-vithamini E.
Ubunzima beBrain , njenge- Arnold-Chiari malformation.
Iziphazamiso ezizuzwayo , njenge- Freidreich's ataxia , ataxia-telangiectasia , i-spinocerebellar ataxia kunye ne-episodic ataxia, phakathi kwamanye amaninzi.
I-Cerebellitis , ukuvuvukala kwe-cerebellum rhoqo ngenxa yesifo segciwane okanye isifo se- autoimmune
Ezinye izifo ezifumanekayo , ezifana nesifo se-celiac, isifo se- Whipple, izifo eziphambene ne-paraneoplastic , kunye ne-high-altitude cerebral edema.
Uvavanyo lweAtaxia
Ziziphi iimvavanyo ezisetyenziselwa ukuvavanya i-ataxia kuya kuxhomekeka kwisigulane ngasinye. Ukuba kukho imbali yentsapho eqinile, inokuba yinkqubela phambili ukuqala ngeemvavanyo ze- genetic ye-ataxia ye-spinocerebellar.
I- MRI yinto efanelekileyo yokulawula izizathu zokufumana i-ataxia njenge-tumor, i-stroke, okanye i-multiple sclerosis. Kwezinye i-ataxia ye-neurodegenerative, njenge-spinocerebellar ataxia, iinxalenye zesifo sengqondo ezifana ne-cerebellum kunye ne-brainstem zingase zihluthe. Ukuba kukho ingqiqo yokuba isifo okanye isenzo sokuzimela nge-automobile emva kwe-ataxia, ukugqithiswa kwe-lumbar kungacetyiswa ngokunjalo.
Unyango lwe-Ataxia
Nje ngokuba kunjalo, unyango lwe-ataxia luxhomekeke ekuqaliseni isizathu esona sizathu.
Nangona kunjalo, unyango lomzimba lunokuba luncedo gqitha ekuncedeni abantu ukuba bajamelane nokuxhamla kunye nokulinganisela okungafanelekanga okubangelwa yi-ataxia. Ukusetyenziswa kwezixhobo zokuhamba njenge-walker okanye umkheno unokufuneka kwiimeko ezithile.
Imithombo:
I-Hal Blumenfeld, i-Neuroanatomy ngokusebenzisa iiKliniki zeeKliniki. I-Sunderland: Abapapashi be-Sinauer Associates 2002
AH Ropper, amaSamuels MA. I-Adams kunye neMigaqo yeVictor ye-Neurology, 9th: I-McGraw-Hill Companies, Inc., 2009.