Kodi inunso mukunjenjemera mosalamulirika? Izi zitha kukhala Kuwonongeka kwa Cerebellar!

Kodi nthawi zina mumamva ngati mukulephera kulamulira thupi lanu? Kodi mumamva ngati mukugwedezeka mukaima kapena kuyenda, kapena mumamva ngati mawu anu akusokonekera mukamalankhula? Zinthu izi si zachilendo chabe. Mwina ndi chifukwa cha vuto m'gawo laling'ono la ubongo wathu. Ndicho chimene tikambirane lero.

Kodi Kuwonongeka kwa Cerebellar ndi chiyani? Tiyeni timvetse mosavuta!

Chabwino, choyamba tiyeni tiwone chomwe cerebellum iyi ili. Pali gawo laling'ono la ubongo wanu, lotsika pang'ono, lomwe timalitcha cerebellum . Ndi laling'ono, koma limagwira ntchito yofunika kwambiri. Taganizirani izi, limalamulira kukhazikika kwanu, limakuthandizani kuyimirira ndikuyenda popanda kugwedezeka, limasunga mawu anu momveka bwino, ndipo limapangitsa ziwalo zanu kugwira ntchito bwino.

Tsopano, kodi kuwonongeka kwa mitsempha ndi chiyani? Mwachidule, kuwonongeka kwa mitsempha ndi kuwonongeka kapena kufa pang'onopang'ono kwa maselo a mitsempha mu cerebellum. Chifukwa chake, kuwonongeka kwa mitsempha mu cerebellar ndi vuto lomwe maselo a mitsempha mu cerebellum amawonongeka ndipo sangathe kugwira ntchito bwino.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Pakhoza kukhala zifukwa zingapo zomwe zachititsa izi. Tiyeni tiwone zazikulu.

1. Kumwa mowa mopitirira muyeso komanso kusowa zakudya m'thupi

Ichi ndi chifukwa chachikulu chomwe chimawoneka nthawi zambiri. Tikamwa mowa wambiri, thupi lathu silipeza vitamini B1 yokwanira yotchedwa thiamine . Izi zitha kukhala chifukwa chakuti sitipeza vitamini B1 yokwanira kuchokera ku chakudya, kapena chifukwa chakuti thupi silingathe kuyamwa. Thiamine ndi yofunika kwambiri pakugwira ntchito kwa maselo a ubongo. Ikachepa, maselo a ubongo amayamba kuwonongeka.

2. Matenda a Mitsempha ndi Magazi

Pali matenda ena omwe amachititsa kuti maselo a mitsempha mumsana wathu ndi mbali zosiyanasiyana za ubongo, makamaka ubongo, azifa pang'onopang'ono.

• Ataxia ndi matenda akuluakulu amtunduwu. Amawonetsedwa ndi kulephera kulamulira thupi ndi kugwirizana.
• Matenda ena otere ndi Multiple System Atrophy .
• Matenda osowa otchedwa Creutzfeldt-Jakob Disease nawonso angakhale chifukwa chake.
• Matenda a multiple sclerosis (MS) nthawi zina amakhudza izi.

Matenda ena a mitsempha amatha kutengera kwa makolo , zomwe zikutanthauza kuti amapatsiridwa kuchokera kwa makolo kupita kwa ana kudzera m'majini. Ena amathanso kukula pa moyo wawo wonse.

3. Matenda omwe amabwera chifukwa cha khansa (Paraneoplastic Syndromes)

Nkhani iyi ndi yovuta kwambiri. Anthu ena akamakula maselo a khansa, chitetezo chawo chamthupi chimayesa kulimbana ndi khansa. Komabe, nthawi zina chitetezo chamthupichi chimayamba kuukira maselo athanzi muubongo. Pamene cerebellum yawonongeka, timatcha Paraneoplastic Syndromes . Matendawa amapezeka kwambiri kwa anthu omwe ali ndi khansa monga khansa ya m'mawere, khansa ya mazira, khansa ya m'chiberekero, Hodgkin's Lymphoma ya akuluakulu, ndi khansa ya m'mapapo ya maselo ang'onoang'ono.

Ndani amene amakhudzidwa kwambiri ndi vutoli?

Ngakhale kuti sizingatheke kunena bwino lomwe amene angayambitse vutoli, anthu ena ali pachiwopsezo chachikulu.

• Mwachitsanzo, vuto la paraneoplastic lomwe latchulidwa pamwambapa limapezeka kawirikawiri mwa akazi azaka zopitilira 50.
• Koma kawirikawiri, amuna amakhala ndi mavuto ambiri okhudzana ndi kulinganiza bwino zinthu komanso kugwirizana akamakula.
• Kufooka kwa ubongo komwe kumachitika chifukwa cha mowa kapena kusowa zakudya m'thupi nthawi zambiri kumawoneka m'zaka zapakati, makamaka mwa anthu omwe akhala akumwa mowa kwa nthawi yayitali.
• Vutoli likhoza kuchitikanso mwa ana omwe ali ndi matenda enaake obadwa nawo.

"Mtundu uwu wa kufooka kwa ubongo siwofala kwambiri. Anthu ochepera 1% omwe ali ndi khansa amakhala ndi matenda a paraneoplastic. Komabe, kufooka kwa ubongo komwe kumachitika chifukwa cha mowa ndikofala kwambiri."

Kodi ndi zizindikiro ziti zomwe tiyenera kuziganizira?

Zizindikiro za matendawa zimatha kusiyana pang'ono kuchokera kwa munthu ndi munthu, koma pali zizindikiro zina zodziwika bwino:

• Kutaya kulinganiza bwino (Mavuto a kulinganiza bwino) , kumva chizungulire kapena kuzungulira (Chizungulire kapena chizungulire). Zingamvekenso ngati mukugubuduzika pansi.
• Kumva kusowa mphamvu kwa minofu (Hypotonia) . Miyendo ingamve ngati ilibe moyo kapena yofooka.
• Mavuto a maso: Kuona zinthu ziwiri nthawi imodzi (kuona kawiri), mayendedwe a maso mwachangu komanso osalamulirika (nystagmus).
• Kulephera kulinganiza bwino kayendedwe ka miyendo (Ataxia) . Mwachitsanzo, mukatenga chikho, dzanja lanu limagwedezeka, kapena simungathe kufikira chikhocho bwino.
• Mavuto okhudzana ndi luso loyendetsa bwino thupi . Zinthu monga kuvutika kukweza mutu wanu, kusatha kugwiritsa ntchito manja kapena miyendo yanu bwino.
• Kugwedezeka kapena kugwedezeka kwa miyendo poyesa kuchita chinthu .
• Kuyenda kosakhazikika kapena kosakhazikika komanso kuyenda motakata, kugwedezeka kuchokera mbali imodzi kupita mbali ina, ndikuyenda ndi miyendo yonse iwiri yotambasula .

Kuwonjezera pa zizindikiro izi, anthu omwe ali ndi vuto la paraneoplastic akhoza kukhala ndi zizindikiro zina zingapo, makamaka:

• Kulephera kukumbukira, luso loganiza bwino, komanso luso loganiza bwino (Dementia).
• Kulankhula kumakhala kochedwa komanso kosamveka bwino (Dysarthria) .

Komanso, anthu ena omwe ali ndi matenda a ubongo amatha kukhala ndi matenda ena monga:

• Matenda Osowa Chisamaliro/Osagwira Ntchito Mopitirira Muyeso (ADHD)
• Matenda a Autism Spectrum
Schizophrenia-maganizo `(Schizophrenia)`

Kodi madokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro izi, mukapita kwa dokotala, choyamba adzakufunsani mafunso ambiri okhudza zizindikiro zanu. Kodi zizindikiro zanu ndi ziti, ndi zazikulu bwanji, zimakhudza bwanji zochita zanu za tsiku ndi tsiku, komanso ngati pali aliyense m'banja mwanu amene wakhalapo ndi vutoli.

Kenako, dokotala adzapereka mayeso angapo kuti atsimikizire vutoli:

• Kujambula kwa MRI (Magnetic Resonance Imaging) kapena CT (Computed Tomography): Izi zimatenga zithunzi zomveka bwino za ubongo ndi minofu yake. Ngati pali kufooka kwa ubongo, kujambulidwa kumeneku kungasonyeze momwe cerebellum yacheperachepera. Kungathenso kuzindikira mavuto ena, monga chotupa cha muubongo, kapena zizindikiro za sitiroko.
• Kuboola Msana / Kuboola Lumbar: Madzi ozungulira ubongo wathu ndi msana amatchedwa Cerebrospinal Fluid (CSF) . Chitsanzo chaching'ono cha madzi awa chimatengedwa ndikuyesedwa. Nthawi zina, zomwe zili mumadzi awa zingagwiritsidwe ntchito kuzindikira matenda a autoimmune, monga paraneoplastic syndrome.
• Kuyezetsa Magazi: Nthawi zina kuchuluka kwa ma antibodies m'magazi kumayesedwa. Ma antibodies amenewa amatha kukwera mwa anthu omwe ali ndi khansa komanso matenda a paraneoplastic.
• Kuyeza Majini: Ngati dokotala akuganiza kuti ichi ndi vuto lobadwa nalo, akhozanso kuchita mayeso a majini.

Kodi pali mankhwala athunthu a izi? Kodi mankhwala ake ndi otani?

Kunena zoona, pakadali pano palibe mankhwala a matenda a ubongo. Komabe, chithandizo chimadalira chomwe chimayambitsa. Palinso mankhwala othandizira kuchepetsa zizindikiro zina (monga kunjenjemera, kuvutika kuyenda, komanso chizungulire).

• Chithandizo cha matenda a paraneoplastic:
• Chithandizo cha khansa: Chemotherapy , Radiation Therapy .
• Mankhwala oletsa chitetezo chamthupi .
• Chithandizo cha immunotherapy .
• Opaleshoni yochotsa chotupa cha khansa, pamodzi ndi mankhwala a chemotherapy ndi radiation therapy, ikhoza kugwirizanitsidwa.

• Chithandizo cha matenda oyambitsidwa ndi mowa:
• Siyani kumwa mowa kotheratu. Ichi ndiye chinthu chofunikira kwambiri.
• Kusintha zakudya: Muyenera kuwonjezera zakudya zambiri zokhala ndi thiamine ndi mavitamini ena a B (monga tirigu wonse, nyama yopanda mafuta ambiri, nsomba) muzakudya zanu.
• Kutenga mankhwala owonjezera a thiamine .

Kaya chifukwa cha matenda a ubongo ndi chiyani, chithandizo monga physiotherapy, occupational therapy, kapena speak therapy chingafunike. Izi zingathandize:

• Pangani luso loyendetsa thupi kuti muzitha kuchita ntchito za tsiku ndi tsiku nokha.
• Limbitsani minofu ndikuwongolera mgwirizano .
• Kulimbitsa mavuto omeza, mavuto olankhula, ndi luso lolankhula .

Kodi izi zingapewedwe?

Matenda amisala omwe amabwera chifukwa cha mowa amatha kupewedwa kwambiri mwa kupewa kumwa mowa . Komabe, pakadali pano palibe njira yotsimikizika yopewera mitundu ina ya matenda amisala.

Kodi chidzachitike n’chiyani kenako? Kodi zinthu zidzasintha bwanji?

Kuyezetsa matenda amenewa kumadalira chifukwa chake.

• Kuchiza khansa, kusiya kumwa mowa, kapena kusintha zakudya nthawi zina kungachedwetse kapena kuletsa kuchepa kumeneku.
• Komabe, m'mikhalidwe ina yowononga mitsempha, matendawa amatha kupita patsogolo pakapita nthawi pamlingo wosiyana.

Pamene matendawa akupitirira, anthu amatha kulephera kugwirizana bwino ndi thupi lawo ndipo amakhala olumala kwambiri. Angafunike kugwiritsa ntchito njinga ya olumala kapena chida china chothandizira poyenda. Izi zingathandizenso kupewa kugwa. Ngati sangathe kuchita zinthu za tsiku ndi tsiku okha, amatha kutaya mphamvu zawo zodziyimira pawokha . Ena amathanso kungokhala pabedi.

Ngati ana ayamba kukhala ndi vutoli, akhoza kuchedwa kukula .

Kodi muyenera kupita kwa dokotala liti?

Ngati muwona kusintha kulikonse kapena mavuto okhudzana ndi kulinganiza bwino thupi lanu, kulankhula kwanu, kuona kwanu, kapena zochita zanu za tsiku ndi tsiku, pitani kwa dokotala nthawi yomweyo . Anthu ena amaganiza kuti kusintha kumeneku ndi kwachibadwa akamakalamba. Komabe, kungakhalenso zizindikiro za vuto lalikulu. Chifukwa chake ngati muli ndi nkhawa iliyonse, ndi bwino kupita kuchipatala.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Ngati inu kapena wina m'banja mwanu ali ndi matenda a ubongo, ndi bwino kufunsa dokotala mafunso awa:

• Ndi kusintha kotani kwa moyo komwe ndingachite kuti ndikhale ndi moyo wabwino ndi matendawa?
• Kodi ndingapeze kuti thandizo? (monga magulu othandizira)
• Kodi ndiyambe kuchita physiotherapy, occupational therapy, kapena kulankhula therapy?
• Kodi chifukwa chachikulu cha matendawa ndi chiyani?
• Kodi matendawa adzafalikira kwambiri? Ngati ndi choncho, kodi adzafalikira mofulumira bwanji?

Chinthu chofunika kwambiri chomwe tiyenera kukumbukira!

Kuwonongeka kwa ubongo ndi vuto lomwe limakhudza gawo la ubongo wathu lomwe limayang'anira bwino, kuyenda kwa minofu, ndi kulankhula. Izi zingayambitse kuvutika kuyenda, kulankhula, ndi kuchita ntchito za tsiku ndi tsiku. Pali zifukwa zambiri zomwe zimayambitsa izi. Mankhwala ndi kukonzanso zingathandize kuchepetsa zotsatira za vutoli. Chifukwa chake, ndikofunikira kufunafuna upangiri wa dokotala ngati muli ndi zizindikiro.

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