Pachimake cerebellar ataxia

Pachimake cerebellar ataxia mwadzidzidzi, yosagwirizana minofu kusuntha chifukwa cha matenda kapena kuvulala kwa cerebellum. Awa ndi malo muubongo omwe amayang'anira kusuntha kwa minofu. Ataxia amatanthauza kuchepa kwa kulumikizana kwa minofu, makamaka manja ndi miyendo.

Pachimake cerebellar ataxia mwa ana, makamaka ochepera zaka 3, amatha masiku angapo kapena milungu ingapo matenda atayamba ndi kachilombo.

Matenda omwe angayambitse izi ndi monga nkhuku, matenda a Coxsackie, Epstein-Barr, echovirus, pakati pa ena.

Zina mwazimene zimayambitsa matenda a cerebellar ataxia ndi awa:

• Kutaya kwa cerebellum
• Mowa, mankhwala, mankhwala ophera tizilombo, komanso mankhwala osokoneza bongo
• Kuthira magazi mu cerebellum
• Multiple sclerosis
• Kukwapula kwa cerebellum
• Katemera
• Kupwetekedwa mutu ndi khosi
• Matenda ena okhudzana ndi khansa ina (matenda a paraneoplastic)

Ataxia imakhudza kuyenda kwa gawo lapakati la thupi kuchokera m'khosi mpaka m'chiuno (thunthu) kapena mikono ndi miyendo (ziwalo).

Munthuyo atakhala pansi, thupi limatha kusunthira mbali, kutsogolo, kapena zonse ziwiri. Kenako thupi limabwerera mwachangu pamalo owongoka.

Munthu amene ali ndi ataxia wa mikono afikira chinthu, dzanja limatha kugwedezeka mmbuyo ndi mtsogolo.

Zizindikiro zodziwika za ataxia ndi izi:

• Zolankhula zopanda pake (dysarthria)
• Kuyenda kwamaso mobwerezabwereza (nystagmus)
• Kusuntha kwamaso kosagwirizana
• Mavuto oyenda (kusakhazikika) komwe kumatha kubweretsa kugwa

Wothandizira zaumoyo adzafunsa ngati munthuyu wadwala posachedwa ndipo ayesa kuchotsa zina zilizonse zomwe zimayambitsa vutoli. Kuyesedwa kwa ubongo ndi mitsempha kudzachitika kuti mudziwe madera amanjenje omwe amakhudzidwa kwambiri.

Mayeso otsatirawa atha kulamulidwa:

• Kujambula kwa CT pamutu
• Kujambula kwa MRI pamutu
• Mphepete wamtsempha
• Kuyezetsa magazi kuti mupeze matenda obwera chifukwa cha mavairasi kapena mabakiteriya

Chithandizo chimadalira chifukwa chake:

• Ngati pachimake cerebellar ataxia imachitika chifukwa chamagazi, opaleshoni imafunika.
• Kwa sitiroko, mankhwala oti achepetse magazi atha kuperekedwa.
• Matendawa amafunika kuthandizidwa ndi maantibayotiki kapena ma antivirals.
• Corticosteroids itha kufunikira pakatupa (kutupa) kwa cerebellum (monga multiple sclerosis).
• Cerebellar ataxia yoyambitsidwa ndi matenda aposachedwa kwambiri a virus sangasowe chithandizo.

Anthu omwe matenda awo adayambitsidwa ndimatenda aposachedwa akuyenera kuchira popanda chithandizo m'miyezi ingapo. Sitiroko, magazi, kapena matenda angayambitse zizindikiro zosatha.

Nthawi zambiri, mayendedwe kapena zovuta zamakhalidwe zimatha kupitilira.

Itanani omwe akukuthandizani ngati pali vuto lililonse la ataxia.

Cerebellar ataxia; Ataxia - pachimake cerebellar; Matenda a ubongo; Post-varicella pachimake cerebellar ataxia; PVACA

Mink JW. Matenda oyenda. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 597.

Subramony SH, Xia G. Zovuta za cerebellum, kuphatikiza ma ataxias osachiritsika. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 97.