Kodi Paraparesis Ndi Chiyani Amagwiritsidwa Ntchito?

Zamkati

• Kodi paraparesis ndi chiyani?
• Kodi zizindikiro zoyambirira ndi ziti?
• Cholowa chopatsirana paraparesis (HSP)
• Otentha spastic paraparesis (TSP)
• Nchiyani chimayambitsa paraparesis?
• Zomwe zimayambitsa HSP
• Zomwe zimayambitsa TSP
• Kodi amapezeka bwanji?
• Kuzindikira HSP
• Kuzindikira TSP
• Kodi ndi njira ziti zamankhwala zomwe zingapezeke?
• Zomwe muyenera kuyembekezera
• Ndi HSP
• Ndi TSP

Kodi paraparesis ndi chiyani?

Paraparesis imachitika mukalephera kusuntha miyendo yanu. Vutoli litanthauzanso kufooka m'chiuno ndi miyendo yanu. Paraparesis ndi yosiyana ndi paraplegia, yomwe imatanthawuza kulephera kwathunthu kusuntha miyendo yanu.

Kutaya kwakanthawi kwa ntchito kumatha kuyambitsidwa ndi:

• kuvulaza
• Matenda amtundu
• kachilombo ka HIV
• kusowa kwa vitamini B-12

Pitirizani kuwerenga kuti mudziwe zambiri chifukwa chake izi zimachitika, momwe zingawonetsere, komanso njira zamankhwala ndi zina zambiri.

Kodi zizindikiro zoyambirira ndi ziti?

Zotsatira za Paraparesis chifukwa cha kuchepa kapena kuwonongeka kwa mitsempha yanu. Nkhaniyi ikufotokoza mitundu iwiri ikuluikulu ya paraparesis - majini ndi opatsirana.

Cholowa chopatsirana paraparesis (HSP)

HSP ndi gulu lamavuto amanjenje omwe amachititsa kufooka ndi kuuma - kapena kupindika - kwa miyendo yomwe imakulirakulira pakapita nthawi.

Gulu la matendawa limadziwikanso kuti banja spastic paraplegia ndi matenda a Strumpell-Lorrain. Mtundu wamtunduwu umachokera kwa makolo anu kapena onse.

Akuti anthu 10,000 mpaka 20,000 ku United States ali ndi HSP. Zizindikiro zimatha kuyamba msinkhu uliwonse, koma kwa anthu ambiri amazindikira koyamba azaka zapakati pa 10 ndi 40.

Mitundu ya HSP imayikidwa m'magulu awiri osiyana: oyera komanso ovuta.

HSP yoyera: HSP yoyera ili ndi izi:

• pang'onopang'ono kufooka ndi kuuma kwa miyendo
• kulinganiza zovuta
• kukokana kwa minofu kumapazi
• mabwalo apamwamba
• kusintha kwa kutengeka kumapazi
• mavuto a kwamikodzo, kuphatikiza kufulumira komanso pafupipafupi
• Kulephera kwa erectile

HSP yovuta: Pafupifupi 10 peresenti ya anthu omwe ali ndi HSP avuta HSP. Mwa mawonekedwe awa, zizindikilo zimaphatikizapo za HSP yoyera komanso izi:

• kusowa kwa kuwongolera minofu
• kugwidwa
• kuwonongeka kwazidziwitso
• matenda amisala
• masomphenya kapena mavuto akumva
• zovuta zamagulu
• zotumphukira za m'mitsempha, zomwe zimatha kuyambitsa kufooka, kufooka, komanso kupweteka, nthawi zambiri m'manja ndi m'mapazi
• ichthyosis, yomwe imabweretsa khungu louma, lakuda, komanso lokulitsa

Otentha spastic paraparesis (TSP)

TSP ndi matenda amanjenje omwe amachititsa kufooka, kuuma, ndi kupindika kwa miyendo. Zimayambitsidwa ndi kachilombo ka T-cell lymphotrophic virus mtundu 1 (HTLV-1). TSP imadziwikanso kuti HTLV-1 yokhudzana ndi myelopathy (HAM).

Nthawi zambiri zimachitika mwa anthu omwe amakhala kufupi ndi equator, monga:

• Nyanja ya Caribbean
• Africa ya equator
• kum'mwera kwa Japan
• South America

Akuyerekeza kuti padziko lonse lapansi ali ndi kachilombo ka HTLV-1. Osachepera 3 peresenti ya iwo apitiliza kupanga TSP. TSP imakhudza amayi kuposa amuna. Zitha kuchitika msinkhu uliwonse. Zaka zapakati pazaka 40 mpaka 50.

Zizindikiro zake ndi izi:

• pang'onopang'ono kufooka ndi kuuma kwa miyendo
• kupweteka kwa msana komwe kumatha kutsika ndi miyendo
• paresthesia, kapena kutentha kapena kutentha
• mavuto a ntchito yamikodzo kapena matumbo
• Kulephera kwa erectile
• zotupa pakhungu, monga dermatitis kapena psoriasis

Nthawi zambiri, TSP imatha kuyambitsa:

• kutupa kwa diso
• nyamakazi
• kutupa m'mapapo
• kutupa kwa minofu
• diso lowuma mosalekeza

Nchiyani chimayambitsa paraparesis?

Zomwe zimayambitsa HSP

HSP ndi vuto la chibadwa, kutanthauza kuti laperekedwa kuchokera kwa makolo kupita kwa ana. Pali mitundu yoposa 30 yamajini ndi ma subtypes a HSP. Zibadwa zimatha kupitilizidwa ndi mitundu yayikulu kwambiri, yochulukirapo, kapena yolumikizidwa ndi X.

Si ana onse m'banja omwe amakhala ndi zizindikilo. Komabe, atha kukhala onyamula jini yachilendo.

Pafupifupi 30 peresenti ya anthu omwe ali ndi HSP alibe mbiri yakubadwa ya matendawa. Muzochitika izi, matendawa amayamba mwachisawawa monga kusintha kwatsopano kwa majini komwe sikunatengeke kuchokera kwa kholo lililonse.

Zomwe zimayambitsa TSP

TSP imayambitsidwa ndi HTLV-1. Tizilomboti titha kupitilizidwa kuchokera kwa munthu wina kudzera mwa:

• kuyamwitsa
• kugawana masingano omwe ali ndi kachilombo mukamamwa mankhwala osokoneza bongo
• zogonana
• kuikidwa magazi

Simungathe kufalitsa HTLV-1 kudzera kukumana wamba, monga kugwirana chanza, kukumbatirana, kapena kugawana nawo bafa.

Anthu ochepera 3 peresenti omwe atenga kachilombo ka HTLV-1 amakhala ndi TSP.

Kodi amapezeka bwanji?

Kuzindikira HSP

Kuti mupeze HSP, dokotala wanu adzakufunsani, kufunsa mbiri ya banja lanu, ndikuwonongerani zina zomwe zingayambitse matenda anu.

Dokotala wanu amatha kuyitanitsa mayeso azachipatala, kuphatikiza:

• electromyography (EMG)
• maphunziro othandizira mitsempha
• Kujambula kwa MRI kwaubongo wanu ndi msana
• ntchito yamagazi

Zotsatira zamayeserowa zimathandiza dokotala wanu kusiyanitsa HSP ndi zina zomwe zingayambitse matenda anu. Kuyesedwa kwa majini kwa mitundu ina ya HSP kumapezekanso.

Kuzindikira TSP

TSP nthawi zambiri imapezeka chifukwa cha zizindikiritso zanu komanso kuthekera kwakuti mudakumana ndi HTLV-1. Dokotala wanu akhoza kukufunsani za mbiri yanu yakugonana komanso ngati mudalandirapo mankhwala osokoneza bongo kale.

Akhozanso kuyitanitsa MRI ya msana wanu kapena mpope wamtsempha kuti atengeko madzi a cerebrospinal. Magazi anu a msana ndi magazi adzayezetsa ngati ali ndi kachilomboka kapena ma antibodies a kachilomboka.

Kodi ndi njira ziti zamankhwala zomwe zingapezeke?

Chithandizo cha HSP ndi TSP chimayang'ana pakuthana ndi zizindikiritso pogwiritsa ntchito mankhwala, masewera olimbitsa thupi, komanso kugwiritsa ntchito zida zothandizira.

Thandizo lakuthupi lingakuthandizeni kusunga ndikusintha mphamvu ya minofu yanu komanso kuyenda kwanu. Itha kukuthandizaninso kupewa zilonda. Matendawa akamakula, mutha kugwiritsa ntchito cholumikizira kumapazi, ndodo, kuyenda, kapena njinga ya olumala kukuthandizani kuti muziyenda mozungulira.

Mankhwala amatha kuthandiza kuchepetsa kupweteka, kuuma kwa minofu, komanso kupindika. Mankhwala amathanso kuthandizira kuthana ndi mavuto amkodzo komanso matenda a chikhodzodzo.

Corticosteroids, monga prednisone (Rayos), amachepetsa kutupa kwa msana mu TSP. Sasintha zotsatira zakanthawi yayitali za matendawa, koma atha kukuthandizani kuthana ndi zizindikirazo.

pogwiritsa ntchito mankhwala ochepetsa mphamvu ya ma virus komanso ma interferon akuchitikira TSP, koma mankhwalawa sagwiritsidwa ntchito pafupipafupi.

Zomwe muyenera kuyembekezera

Maganizo anu amasiyanasiyana kutengera mtundu wa paraparesis womwe muli nawo komanso kuuma kwake. Dokotala wanu ndiye gwero lanu labwino lodziwitsa za vutoli komanso zomwe zingakhudze moyo wanu.

Ndi HSP

Anthu ena omwe ali ndi HSP amatha kukhala ndi zizindikilo zochepa, pomwe ena amatha kudwala pakapita nthawi. Anthu ambiri omwe ali ndi HSP yoyera amakhala ndi chiyembekezo chokhala ndi moyo.

Mavuto omwe angakhalepo a HSP ndi awa:

• kukhazikika kwa ng'ombe
• mapazi ozizira
• kutopa
• kupweteka kumbuyo ndi mawondo
• kupsinjika ndi kukhumudwa

Ndi TSP

TSP ndichikhalidwe chomwe chimakula kwambiri pakapita nthawi. Komabe, sizowopsa moyo. Anthu ambiri amakhala zaka makumi angapo atapezeka ndi matenda. Kupewa matenda amkodzo ndi zilonda zapakhungu kukuthandizani kuti mukhale ndi moyo wabwino.

Vuto lalikulu la matenda a HTLV-1 ndikukula kwa wamkulu T-cell leukemia kapena lymphoma. Ngakhale anthu ochepera 5% omwe ali ndi kachilombo ka HIV amakhala ndi khansa ya m'magazi ya T-cell, muyenera kudziwa kuthekera kwake. Onetsetsani kuti dokotala wanu akuwunika.