Shy-Drager syndrome: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe matendawa amapangidwira
• Momwe mankhwalawa amachitikira

Shy-Drager syndrome, yotchedwanso "multiple system atrophy with orthostatic hypotension" kapena "MSA" ndi chifukwa chosowa, chachikulu komanso chosadziwika, chodziwika ndi kuchepa kwa maselo pakatikati ndi dongosolo lodziyimira palokha, lomwe limayang'anira magwiridwe antchito mosintha mwadzidzidzi thupi.

Chizindikiro chomwe chimakhalapo nthawi zonse, ndi kutsika kwa magazi munthu akamadzuka kapena kugona pansi, komabe ena atha kutenga nawo gawo ndipo pachifukwa ichi agawika mitundu itatu, zosiyana zake ndi izi:

• Matenda am'manyazi a Parkinsonian: akuwonetsa zizindikilo za matenda a Parkinson, monga, komwe kuyenda pang'onopang'ono, kuuma kwa minofu ndi kunjenjemera;
• Matenda a Cerebellar amanyazi-osunthira: kusokonekera kwa magalimoto, kuvuta kusanja ndi kuyenda, kuyang'ana masomphenya, kumeza ndi kuyankhula;
• Matenda ophatikizidwa a manyazi: amakhudza mitundu ya parkinsonia ndi cerebellar, pokhala yovuta kwambiri kuposa zonse.

Ngakhale zimayambitsa sizikudziwika, pali kukayikira kuti matenda amanyazi amatengera cholowa.

Zizindikiro zazikulu

Zizindikiro zazikulu za matenda a Shy-Drager ndi awa:

• Kuchepetsa thukuta, misozi ndi malovu;
• Kuvuta kuwona;
• Kuvuta kukodza;
• Kudzimbidwa;
• Kugonana;
• Tsankho;
• Kugona mopanda phokoso.

Matendawa amapezeka kwambiri mwa amuna atakwanitsa zaka 50. Ndipo popeza ilibe zizindikiritso zenizeni, zimatha kutenga zaka kuti munthu adziwe matenda oyenera, motero kuchedwa kulandira chithandizo choyenera, chomwe, ngakhale sichichiritsa, chimathandizira kukonza moyo wamunthuyo.

Momwe matendawa amapangidwira

Matendawa amatsimikiziridwa ndi kuyesa kwa MRI kuti awone zomwe zingasinthe muubongo. Komabe, mayeso ena atha kuchitidwa kuti athe kuwunika momwe thupi limagwirira ntchito mosaganizira, monga kuyeza kuthamanga kwa magazi kugona ndi kuyimirira, kuyesa thukuta kuti tifufuze thukuta, chikhodzodzo ndi matumbo, kuphatikiza pa electrocardiogram younikira magetsi pamavuto amtima.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda a Shy-Drager chimakhala ndikuthana ndi zomwe zimaperekedwa, chifukwa matendawa alibe mankhwala. Nthawi zambiri zimaphatikizapo kugwiritsa ntchito mankhwala monga seleginin, kuti achepetse kutulutsa kwa dopamine ndi fludrocortisone kuti achulukitse kuthamanga kwa magazi, komanso psychotherapy kuti munthuyo athe kuthana ndi matenda ndi matenda a physiotherapy, kuti apewe kutaya minofu.

Kuphatikiza pakuthandizira kuthetsa zisonyezo, izi zitha kuwonetsedwa:

• Kuyimitsidwa kwa kugwiritsa ntchito okodzetsa;
• Kwezani mutu wa bedi;
• Kukhala pansi kugona;
• Kuchuluka kwa mchere;
• Gwiritsani ntchito zotanuka kumiyendo ndi m'mimba kumunsi, kuchepetsa mavuto omwe amayamba chifukwa cha kunjenjemera.

Ndikofunika kudziwa kuti chithandizo cha Shy-Drager Syndrome ndichakuti munthuyo azitha kupeza chitonthozo chachikulu, chifukwa sichimalepheretsa kupitilira kwa matendawa.

Chifukwa ndi matenda omwe ndi ovuta kuwachiza komanso opita patsogolo m'chilengedwe, zimachitika kuti imfa imayamba chifukwa cha mavuto amtima kapena kupuma, kuyambira zaka 7 mpaka 10 kuyambira pomwe matenda adayamba.