Progressive Supranuclear Palsy ndi momwe mungachitire

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire
• Momwe mankhwalawa amachitikira

Progressive supranuclear palsy, yomwe imadziwikanso ndi dzina loti PSP, ndi matenda osowa kwambiri omwe amachititsa kufa kwapang'onopang'ono kwa ma neuron m'malo ena aubongo, kuchititsa kusokonezeka kwamagalimoto komanso luso lamaganizidwe.

Amakhudza kwambiri amuna ndi anthu azaka zopitilira 60, ndipo amadziwika ndi kuyambitsa zovuta zingapo zoyenda, monga zovuta zolankhula, kulephera kumeza, kusunthika kwa maso, kuuma, kugwa, kusakhazikika kwa postural, komanso matenda amisala, ndi kusintha kwa kukumbukira, kuganiza ndi umunthu.

Ngakhale kulibe mankhwala, ndizotheka kuchiza matenda opitilira muyeso a supranuclear, ndi mankhwala ochepetsa kuchepa kwamayendedwe, komanso ma antipsychotic kapena antidepressants, mwachitsanzo. Kuphatikiza apo, chithandizo chamankhwala, chithandizo chamalankhulidwe ndi chithandizo chantchito zikuwonetsedwa ngati njira yokometsera moyo wa wodwalayo.

Zizindikiro zazikulu

Zizindikiro zomwe zitha kupezeka mwa munthu yemwe ali ndi ziwalo zakupitilira muyeso ndi izi:

• Kusintha kosintha;
• Zovuta pakuyenda;
• Kuuma kwa thupi;
• Kugwa pafupipafupi;
• Kulephera kutchula mawu, otchedwa dysarthria. Mvetsetsani kuti dysarthria ndi chiyani ndipo itha kutuluka;
• Kutsamwa komanso kulephera kumeza chakudya, chotchedwa dysphagia;
• Kupweteka kwa minofu ndi mawonekedwe olakwika, omwe ndi dystonia. Onani momwe mungadziwire dystonia ndi zomwe zimayambitsa;
• Kufooka kwa kuyenda kwa diso, makamaka molunjika;
• Kuchepetsa nkhope;
• Kukwaniritsa maluso azitsulo, ndikuiwala, kuchedwa, kuganiza, kusintha umunthu, zovuta pakumvetsetsa komanso malo.

Zosintha zomwe zimayambitsidwa ndi matenda opatsirana a supranuclear zikufanana ndi zomwe zimaperekedwa ndi matenda a Parkinson, ndichifukwa chake matendawa amatha kusokonezedwa. Onani momwe mungadziwire zazikuluzikulu za matenda a Parkinson.

Chifukwa chake, supranuclear palsy ndichimodzi mwazomwe zimayambitsa "parkinsonism", yomwe imapezekanso m'matenda ena ambiri obowoka muubongo, monga matenda amisala ndi matupi a Lewy, ma system angapo atrophy, matenda a Huntington kapena kuledzera ndi mankhwala ena, mwachitsanzo.

Ngakhale kutalika kwa moyo wa munthu yemwe ali ndi matenda a nyukiliya kumasiyana malinga ndi vuto lililonse, zimadziwika kuti matendawa amayamba kukulira pambuyo pazaka 5 mpaka 10 kuyambira pomwe matenda adayamba, momwe chiopsezo cha zovuta monga matenda am'mapapo kapena kukakamizidwa zilonda pakhungu

Momwe mungatsimikizire

Kuzindikira kwa kupita patsogolo kwa supranuclear palsy kumapangidwa ndi neurologist, ngakhale itha kuzindikiridwa ndi akatswiri ena, monga dokotala wa zamankhwala kapena wamisala, popeza zizindikilo zimasokonezeka ndi matenda ena obwera chifukwa cha ukalamba kapena matenda amisala.

Dokotala amayenera kuwunika mosamala zizindikilo za wodwalayo, kuyezetsa thupi ndikuwunika mayesero monga ma labotale, tomography ya chigaza kapena maginito oyeserera amalingaliro aubongo, omwe amawonetsa zizindikiro za matendawa ndikuthandizira kuthana ndi zina zomwe zingayambitse .

Positron emission tomography, yomwe ndikuwunika ma radiology ya nyukiliya, pogwiritsa ntchito mankhwala a radioactive, omwe amatha kupeza zithunzi zenizeni ndipo amatha kuwonetsa kusintha kwa kapangidwe ka ubongo ndi magwiridwe ake. Dziwani momwe mayeso awa amachitikira komanso nthawi yomwe akuwonetsedwa.

Momwe mankhwalawa amachitikira

Ngakhale kulibe mankhwala enieni omwe angalepheretse kapena kulepheretsa kupitilira kwa matendawa, adotolo angavomereze chithandizo chothandizira kuwongolera zizindikilo komanso kukonza moyo wa wodwalayo.

Mankhwala omwe amagwiritsidwa ntchito pochizira a Parkinson, monga Levodopa, Carbidopa, Amantadine kapena Seleginine, mwachitsanzo, ngakhale alibe mphamvu pakadali pano, atha kukhala othandiza kuthetsa zizindikilo zamagalimoto. Kuphatikiza apo, mankhwala opewetsa kupsinjika, nkhawa ndi mankhwala opatsirana amatha kuthandizira kuthana ndi kusintha kwa malingaliro, nkhawa komanso machitidwe.

Physiotherapy, chithandizo cha kulankhula ndi chithandizo chantchito ndizofunikira, chifukwa zimachepetsa zovuta zamatenda. Chithandizo cha thupi cha physiotherapeutic chimatha kukonza maimidwe, kufooka komanso kusintha kwa magwiridwe, motero kuchedwetsa kufunikira kogwiritsa ntchito olumala.

Kuphatikiza apo, kulandira ndi kuwunika achibale ndikofunikira, chifukwa matendawa akamakula, mzaka zambiri, wodwalayo amatha kudalira thandizo lantchito zatsiku ndi tsiku. Onani malangizo a momwe mungasamalire munthu wodalira.