Koj puas tshee hnyo tsis tswj tau thiab? Qhov no yuav yog Cerebellar Degeneration!

Puas muaj tej lub sij hawm koj xav tias koj tsis tswj tau koj lub cev lawm? Koj puas xav tias koj co thaum koj sawv lossis taug kev, lossis koj puas xav tias koj cov lus tsis meej thaum koj hais lus? Tej yam no tsis yog ib qho xwm txheej uas koj xav xwb. Tej zaum nws yog vim muaj teeb meem hauv ib feem me me ntawm peb lub hlwb. Qhov ntawd yog qhov peb yuav tham txog hnub no.

Cerebellar Degeneration yog dab tsi? Cia peb nkag siab yooj yim!

Zoo, ua ntej, cia peb saib seb lub cerebellum no yog dab tsi. Muaj ib feem me me ntawm koj lub hlwb, qis dua me ntsis, uas peb hu ua cerebellum . Nws me me, tab sis nws ua ntau yam haujlwm tseem ceeb heev. Xav txog nws, nws tswj koj qhov sib npaug , nws pab koj sawv thiab taug kev yam tsis co, nws ua rau koj hais lus meej, thiab nws ua rau koj ob txhais ceg ua haujlwm kom raug.

Tam sim no, kev puas tsuaj yog dab tsi? Hais yooj yim xwb, kev puas tsuaj yog kev puas tsuaj lossis kev tuag maj mam ntawm cov hlwb hlab ntsha hauv lub hlwb cerebellum. Yog li, kev puas tsuaj ntawm lub hlwb cerebellar yog ib qho mob uas cov hlwb hlab ntsha hauv lub hlwb cerebellum raug puas tsuaj thiab tsis tuaj yeem ua haujlwm tau zoo.

Vim li cas qhov no thiaj tshwm sim? Dab tsi yog cov laj thawj rau qhov no?

Tej zaum yuav muaj ntau yam ua rau qhov teeb meem no. Cia peb saib cov laj thawj tseem ceeb.

1. Haus dej cawv ntau dhau thiab tsis muaj zaub mov zoo txaus

Qhov no yog qhov laj thawj tseem ceeb uas feem ntau pom. Thaum peb haus dej cawv ntau dhau, peb lub cev tsis tau txais txaus ntawm cov vitamin B1 hu ua thiamine . Qhov no tej zaum yog vim peb tsis tau txais txaus ntawm nws los ntawm cov khoom noj, lossis nws tej zaum yog vim lub cev tsis tuaj yeem nqus nws. Thiamine yog qhov tseem ceeb heev rau kev ua haujlwm ntawm cov hlwb hlwb. Thaum nws txo qis, cov hlwb hlwb pib puas tsuaj.

2. Kev puas tsuaj ntawm cov hlab ntsha hauv lub hlwb

Muaj qee yam kab mob uas ua rau cov hlab ntsha hauv peb lub hlwb qaum thiab ntau qhov ntawm lub hlwb, tshwj xeeb tshaj yog lub cerebellum, maj mam tuag.

• Ataxia yog ib yam kab mob loj heev ntawm hom kab mob no. Nws yog tus cwj pwm los ntawm kev poob kev tswj hwm lub cev thiab kev sib koom tes.
• Multiple System Atrophy yog lwm yam kab mob zoo li no.
• Tej zaum yuav muaj ib yam kab mob tsis tshua muaj hu ua Creutzfeldt-Jakob Disease .
• Tus kab mob multiple sclerosis (MS) qee zaum cuam tshuam rau qhov no.

Qee cov kab mob ntawm lub paj hlwb no tuaj yeem yog los ntawm niam txiv los , uas txhais tau tias lawv tau kis los ntawm niam txiv mus rau cov menyuam los ntawm cov noob caj noob ces. Qee qhov kuj tuaj yeem tshwm sim thaum lub sijhawm tseem muaj sia nyob.

3. Cov mob uas tshwm sim los ntawm kev mob qog noj ntshav (Paraneoplastic Syndromes)

Qhov no yog ib zaj dab neeg nyuaj me ntsis. Thaum qee tus neeg tsim cov hlwb qog noj ntshav, lawv lub cev tiv thaiv kab mob sim tawm tsam cov hlwb qog noj ntshav. Txawm li cas los xij, qee zaum lub cev tiv thaiv kab mob no pib ua yuam kev tawm tsam cov hlwb noj qab haus huv hauv lub hlwb. Thaum lub cerebellum puas lawm, peb hu nws ua Paraneoplastic Syndromes . Qhov mob no feem ntau tshwm sim rau cov neeg uas muaj mob qog noj ntshav xws li mob qog noj ntshav mis, mob qog noj ntshav zes qe menyuam, mob qog noj ntshav hauv tsev menyuam, mob qog noj ntshav Hodgkin's Lymphoma laus, thiab mob qog noj ntshav me me hauv lub ntsws.

Leej twg raug kev cuam tshuam ntau tshaj los ntawm tus mob no?

Txawm hais tias tsis muaj peev xwm hais meej tias leej twg yuav muaj qhov teeb meem no los xij, qee tus neeg muaj feem yuav muaj teeb meem ntau dua.

• Piv txwv li, tus mob paraneoplastic uas tau hais los saum toj no pom ntau dua ntawm cov poj niam hnub nyoog tshaj 50 xyoo.
• Tab sis feem ntau, cov txiv neej yuav muaj teeb meem nrog kev sib npaug thiab kev sib koom tes thaum lawv laus zuj zus.
• Feem ntau pom muaj cov kab mob hauv lub hlwb uas ua rau muaj kev qaug cawv lossis kev tsis noj zaub mov zoo thaum muaj hnub nyoog nruab nrab, tshwj xeeb tshaj yog rau cov neeg uas tau haus cawv ntev lawm.
• Tus mob no kuj tseem tuaj yeem tshwm sim rau cov menyuam yaus uas muaj qee yam kab mob uas tau txais los ntawm noob caj noob ces.

Hom kab mob hlwb lwj no tsis tshua muaj. Tsawg dua 1% ntawm cov neeg uas muaj mob qog noj ntshav muaj cov mob paraneoplastic. Txawm li cas los xij, kev qaug cawv ua rau lub hlwb lwj yog qhov tshwm sim ntau dua me ntsis.

Cov tsos mob twg peb yuav tsum tau them sai sai rau?

Cov tsos mob ntawm tus kab mob no yuav txawv me ntsis ntawm ib tus neeg mus rau ib tus neeg, tab sis muaj qee cov tsos mob uas pom ntau:

• Tsis sib npaug (Teeb meem sib npaug) , kiv taub hau lossis kiv kiv (Vertigo lossis kiv taub hau). Nws kuj tseem tuaj yeem zoo li koj dov rau hauv pem teb.
• Xav tias cov leeg tsis muaj zog (Hypotonia) . Tej ceg yuav zoo li tsis muaj sia lossis qaug zog.
• Teeb meem ntawm qhov muag: Pom ob yam tib lub sijhawm (pom ob zaug), qhov muag txav sai sai thiab tsis tswj tau (nystagmus).
• Tsis muaj peev xwm tswj kev txav ntawm ob txhais ceg kom zoo (Ataxia) . Piv txwv li, thaum koj ncav tes mus rau ib lub khob, koj txhais tes tshee, lossis koj tsis tuaj yeem ncav tes mus rau lub khob kom zoo.
• Teeb meem nrog kev txawj txav mus los me me . Tej yam xws li nyuaj rau tuav koj lub taub hau kom ncaj, tsis muaj peev xwm siv koj txhais tes lossis ceg kom raug.
• Kev tshee hnyo lossis kev co ntawm cov ceg thaum sim ua ib qho kev nqis tes ua .
• Kev taug kev tsis ruaj khov lossis tsis sib haum xeeb nrog kev taug kev dav dav, co ntawm ib sab mus rau ib sab, thiab kev taug kev nrog ob txhais ceg nthuav dav .

Ntxiv rau cov tsos mob no, cov neeg uas muaj tus mob paraneoplastic yuav muaj ntau yam tsos mob ntxiv, tshwj xeeb yog:

• Txo kev nco qab, kev xav, thiab kev xav (Dementia).
• Hais lus qeeb thiab tsis meej (Dysarthria) .

Tsis tas li ntawd xwb, qee tus neeg uas muaj mob cerebral palsy yuav muaj lwm yam mob xws li:

• Kev Tsis Mloog Zoo/Kev Ua Haujlwm Ntau Dhau (ADHD)
• Kev puas siab puas ntsws Autism Spectrum
Schizophrenia-kev xav `(Schizophrenia)`

Cov kws kho mob nrhiav tau qhov no li cas?

Yog koj muaj cov tsos mob no, thaum koj mus ntsib kws kho mob, lawv yuav xub nug koj ntau yam txog koj cov tsos mob. Koj cov tsos mob yog dab tsi, lawv hnyav npaum li cas, lawv cuam tshuam li cas rau koj cov dej num txhua hnub, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj tus mob no.

Tom qab ntawd, tus kws kho mob yuav qhia ntau yam kev kuaj mob kom paub meej tias tus mob yog li cas:

• Kev luam theej duab MRI (Magnetic Resonance Imaging) lossis CT (Computed Tomography): Cov no thaij duab meej heev ntawm lub hlwb thiab nws cov nqaij. Yog tias muaj lub hlwb atrophy, cov kev luam theej duab no tuaj yeem qhia tau tias lub cerebellum tau ntsws thiab ntsws li cas. Lawv kuj tuaj yeem nrhiav tau lwm yam teeb meem, xws li mob qog hauv hlwb, lossis cov cim ntawm kev mob stroke.
• Kev Ntsuas Pob Txha / Kev Ntsuas Lub Ncab Qaum: Cov kua dej uas nyob ib puag ncig peb lub hlwb thiab cov hlab ntsha hauv qab hu ua Cerebrospinal Fluid (CSF) . Ib qho qauv me me ntawm cov kua dej no raug coj mus kuaj. Qee zaum, cov ntsiab lus ntawm cov kua dej no tuaj yeem siv los kuaj mob autoimmune, xws li paraneoplastic syndrome.
• Kev Kuaj Ntshav: Qee zaum yuav kuaj xyuas cov tshuaj tua kab mob hauv cov ntshav. Cov tshuaj tua kab mob no tuaj yeem nce siab rau cov neeg uas muaj mob qog noj ntshav thiab cov mob paraneoplastic.
• Kev Kuaj Genetic: Yog tias tus kws kho mob xav tias qhov no yog ib qho mob uas tau los ntawm noob caj ces, nws kuj tseem yuav ua kev kuaj genetic.

Puas muaj kev kho mob tag nrho rau qhov no? Cov kev kho mob yog dab tsi?

Yog hais qhov tseeb, tam sim no tsis muaj tshuaj kho tau tus mob cerebral palsy. Txawm li cas los xij, kev kho mob nyob ntawm seb ua rau mob dab tsi. Kuj tseem muaj tshuaj los pab tswj qee cov tsos mob (xws li tshee hnyo, nyuaj taug kev, thiab kiv taub hau).

• Kev kho mob ntawm cov mob paraneoplastic:
• Kev kho mob qog noj ntshav: Kev kho mob qog noj ntshav , Kev kho mob hluav taws xob .
• Cov tshuaj tiv thaiv kab mob .
• Kev kho mob tiv thaiv kab mob .
• Kev phais kom tshem tawm cov qog nqaij hlav, nrog rau kev kho mob chemotherapy thiab kev kho mob hluav taws xob, tuaj yeem ua ke.

• Kev kho mob rau cov mob uas ua rau muaj cawv:
• Tsum tsis txhob haus cawv kiag li. Qhov no yog qhov tseem ceeb tshaj plaws.
• Kev hloov pauv zaub mov: Koj yuav tsum ntxiv ntau yam khoom noj uas muaj thiamine thiab lwm yam vitamin B (piv txwv li, cov nplej tag nrho, nqaij ntshiv, ntses) rau koj cov zaub mov noj.
• Noj cov tshuaj thiamine ntxiv .

Txawm yog vim li cas los xij, kev kho mob xws li kev kho lub cev, kev kho mob ua haujlwm, lossis kev kho kev hais lus yuav tsum tau ua. Cov no tuaj yeem pab tau:

• Txhim kho cov txuj ci kev txav mus los kom koj thiaj li ua tau tej haujlwm txhua hnub ntawm koj tus kheej.
• Ua kom cov leeg muaj zog thiab txhim kho kev sib koom tes .
• Txhim kho qhov teeb meem nqos, teeb meem hais lus, thiab kev txawj lus .

Qhov no puas tiv thaiv tau?

Kev puas hlwb uas los ntawm kev haus dej cawv feem ntau yuav tiv thaiv tau los ntawm kev tsis haus dej cawv . Txawm li cas los xij, tam sim no tsis muaj ib txoj kev uas tau ua pov thawj tias yuav tiv thaiv tau lwm hom kev puas hlwb.

Yuav muaj dab tsi tshwm sim tom ntej? Qhov xwm txheej yuav hloov pauv li cas?

Qhov kev kwv yees ntawm tus kab mob no nyob ntawm seb qhov ua rau muaj tus kab mob no yog dab tsi.

• Kev kho mob qog noj ntshav, kev tso tseg haus dej cawv, lossis kev hloov koj cov zaub mov noj qee zaum tuaj yeem qeeb lossis tiv thaiv qhov kev poob qis no.
• Txawm li cas los xij, nyob rau hauv lwm yam mob neurodegenerative, tus kab mob yuav nce mus rau lub sijhawm ntawm cov nqi sib txawv.

Thaum tus kab mob zuj zus tuaj, cov neeg yuav tsis sib koom tes thiab ua rau lawv xiam oob qhab heev. Lawv yuav tsum siv lub rooj zaum muaj log lossis lwm yam khoom siv pab kom taug kev. Qhov no kuj tseem tuaj yeem pab tiv thaiv kev ntog. Yog tias lawv tsis tuaj yeem ua tej yam txhua hnub ntawm lawv tus kheej, lawv yuav tsis muaj peev xwm nyob tau ywj pheej . Ib txhia yuav txawm tias pw hauv txaj.

Yog tias cov menyuam yaus muaj tus mob no, lawv yuav muaj kev qeeb ntawm kev loj hlob .

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj pom muaj kev hloov pauv lossis teeb meem nrog koj qhov kev sib npaug, kev hais lus, kev pom kev, lossis kev ua ub ua no txhua hnub, mus ntsib kws kho mob tam sim ntawd . Ib txhia neeg xav tias cov no yog kev hloov pauv ib txwm muaj thaum lawv laus zuj zus. Txawm li cas los xij, lawv kuj tuaj yeem yog cov cim qhia txog teeb meem loj dua. Yog li ntawd, yog tias koj muaj kev txhawj xeeb, nws yog qhov zoo tshaj plaws kom mus kuaj mob.

Koj yuav tsum nug tus kws kho mob li cas?

Yog tias koj lossis ib tug neeg hauv koj tsev neeg muaj mob cerebral palsy, nws yog ib lub tswv yim zoo los nug koj tus kws kho mob cov lus nug no:

• Kuv yuav ua tau dab tsi hloov kuv txoj kev ua neej kom nyob tau zoo nrog tus kab mob no?
• Kuv yuav tau kev pab qhov twg? (piv txwv li, cov pab pawg txhawb nqa)
• Kuv puas yuav tsum pib kho lub cev, kho kev ua haujlwm, lossis kho kev hais lus?
• Dab tsi yog qhov ua rau muaj tus kab mob no?
• Tus kab mob no puas yuav kis mus ntxiv? Yog tias kis tau, yuav kis mus sai npaum li cas?

Qhov tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov!

Kev puas tsuaj ntawm lub hlwb yog ib qho mob uas cuam tshuam rau ib feem ntawm peb lub hlwb uas tswj kev sib npaug, kev txav ntawm cov leeg, thiab kev hais lus. Qhov no tuaj yeem ua rau muaj teeb meem taug kev, tham lus, thiab ua haujlwm txhua hnub. Muaj ntau yam ua rau qhov no. Kev siv tshuaj thiab kev kho kom rov zoo tuaj yeem pab tswj cov teebmeem ntawm tus mob no. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob yog tias koj muaj cov tsos mob.

Kev puas tsuaj ntawm lub hlwb, kev puas tsuaj ntawm lub hlwb, cov kab mob hauv lub hlwb, kev tsis sib npaug, kev nyuaj siab rau kev taug kev, cov kab mob ntawm lub paj hlwb, kev haus cawv