I-West Syndrome kunye ne-Infantile Spasms
I-West syndrome yindlela yokutshatyalaliswa kwezifo (ukuhluthwa kwesisu) eqala ukususela ebusaneni. Uhlobo oluthile lokutshatyalaliswa olubizwa ngokuba yi-infantile spasm luyingxenye yale syndrome, njengoko iipateni zengqondo ezingavamile ezibizwa ngokuba yi-hypsarrhythmia, kunye nokulibala kwengqondo. Phantse nayiphi na imeko engabangela ukulimala kwengqondo ingabangela i-West syndrome. Izimbini ezibini eziqhelekileyo ziyi-tuberous sclerosis kunye nokungabikho kwe-oxygen ngexesha lokuzalwa.
Ngamanye amaxesha isizathu sikrokrelwa kodwa asikwazi ukuqinisekiswa; Kule meko, kuthiwa "i-cryptogenic West syndrome."
I-West syndrome ibhalela iipesenti ezi-2 zezihlunu ebuntwaneni, kodwa iipesenti ezingama-25 zokuhluthwa okuqala ngonyaka wokuqala wokuphila. Isantya se-infasal spasm siqikelelwa phakathi kwama-2.5 ukuya ku-6.0 kuma-10 000 azalwa ngokuzalwa.
Iimpawu zeWest Syndrome
I-West syndrome iqala ngokuqhelekileyo phakathi kweenyanga ezi-3 ukuya kwezi-6. Iimvavanyo ziquka:
- Iintlobo zezilwanyana ezingenamntwana - Ngokuqhelekileyo kulo hlobo lokutshatyalaliswa kwintsana ngokukhawuleza kugoba phambili emlanjeni kunye nomzimba, iingalo kunye nemilenze yomelele. Ngamanye amaxesha ubizwa ngokuba yi "jackknife". Ezinye iintsana zinokuthi zitshintshe umqolo wazo, okanye zikhwebule iintloko zawo, okanye ziwela iingalo zawo kuwo wonke umzimba njengoko zizithoba. Ezi zithuba ziphezu kwemizuzwana embalwa kwaye zivela kumaqoqo apha naphakathi kwama-spasms amabili ukuya kwi-100 ngexesha. Ezinye iintsana zininzi zala maqoqo ezinqabileyo ngosuku. Iindawo eziqhelekileyo zenzeke emva kokuba umntwana evuke kusasa okanye emva kwe-nap.
- I-Hypsarrhythmia - I- electroencephalogram (i-EEG) irekhoda umsebenzi wombane kwingqondo ngohlobo lweengqondo zamaqondo. Intsana ene-West syndrome iya kuba neendlela ezingavamile, ezinobungqungquthela zengqondo ezibizwa ngokuba yi-hypsarrhythmia.
- Ukulibaziseka kwengqondo - oku kungenxa yokulimala kwengqondo eyenza i-West syndrome.
Ezinye iimpawu ezinokuthi zibe khona ngenxa yesifo esingaphantsi kwesifo se-West syndrome.
Ezinye izifo zengqondo ezinjenge- cerebral palsy nazo zikhona.
Ukuchonga iNtshona Syndrome
I-syndrome ye-West iya kucetyiswa ngobukho bezinto ezincinci. Uviwo olupheleleyo lwe-neuroloji luya kwenziwa ukwenzela izizathu ezinokwenzeka. Oku kungabandakanya iimvavanyo zelabhoratri kunye nokukhangela ingqondo ngokusebenzisa i-computed tomography (CT) okanye i-imagery magnetic resonance (MRI). I-EEG iya kwenziwa ukwenzela i-hypsarrhymia ngokuqhelekileyo ikhona kwi-West syndrome.
Unyango lwe-West Syndrome
Ngokuqhelekileyo i-West syndrome iphathwa nge-adrenocorticotropic hormone (ACTH) okanye i-prednisone. Ezi zonyango zingasebenza kakhulu ekumisekeni okanye ekunciphiseni i-spasms spasms. Ezinye iintsana ziyakwazi ukuphendula ngamachiza anqakraza njengeFelbatol (i-felbamate), iLamictal (i-lamotrigine), i-Topam (i-topiramate), okanye i-Depakote (i-valproic acid). Iintsana ezine-tuberous sclerosis zingaphathwa nge-vigabatrin (engagunyazisiwe ngokufanelekileyo ukusetyenziswa kwi-US). Ngamanye amaxesha, ukususwa kweengxube zeengqondo ezonakaliswe ngophando lobuchopho zingasebenza.
Izidalwa ze-infants zihlala zixazulula malunga nama-5 ubudala, kodwa ngaphezu kwesigamu sabantwana abachaphazelekayo baya kuphuhlisa ezinye iintlobo zokuthintela, kuquka ne-Lennox-Gastaut syndrome. Iintsana ezininzi ezine-West syndrome zinexesha elide lokuqonda kunye nokufunda ukukhubazeka, okunokwenzeka ngenxa yokulimala kwengqondo eyabangela ukuba i-spasms infasms.
> Imithombo:
"I-NINDS Information Spasms Information Page." Iingxaki zeA AZ. Ngomhla wama-9 kuMatshi 2008. Isiko seSizwe seNational Psychological Disorders and Stroke.
"I-Spasms ye-Infants / West Syndrome". Syndromes. Isisiseko seSpilepsy.