Ese umubiri wawe urimo gukomera nta mpamvu? Reka tuvuge kuri Stiff Person Syndrome!

Ese hari igihe wumva imitsi yawe ikomeza gukaza mu buryo budasanzwe, cyangwa imitsi yawe ihindagura ku buryo bubabaza? Hari igihe bishobora kubaho iyo wumvise urusaku rwinshi cyangwa umuntu akagukubita. Niba ibi bintu bibaho kenshi, ni byiza kubisuzuma. Uyu munsi tugiye kuvuga ku ndwara idakunze kugaragara ishobora gutera ibimenyetso nk'ibyo. Iyo ndwara yitwa Stiff Person Syndrome (SPS) .

Indwara y'umuntu urwaye indwara ya Stiff Person Syndrome ni iki?

Mu magambo make, Stiff Person Syndrome (SPS) ni indwara idakunze kugaragara mu mitsi . Ibaho iyo ubudahangarwa bw'umubiri wacu, buturinda indwara, bwibasira uturemangingo tw'imitsi yacu dufite ubuzima bwiza. Ni indwara iterwa n'ubwiyongere bw'umubiri. Ibi bituma imitsi yo mu nda yawe, cyane cyane inda yawe, igituza, n'umugongo , ikomera cyangwa igakomera . Uko igihe kigenda gihita, uku gukomera no gucika intege bishobora gukwirakwira ku maguru yawe no ku yindi mitsi. Ibi bishobora gutuma kugenda bigorana, bigatuma ugwa kenshi, kandi bigatuma ushobora gukomereka cyane.

Iyi yari isanzwe yitwa "syndrome y'abagabo bakomeye," ariko iryo zina ubu ryarahinduwe kuko iyi ndwara ishobora kwibasira umuntu uwo ari we wese, hatitawe ku myaka cyangwa igitsina.

Gupimwa iyi ndwara bishobora kukugora cyane. Ariko itsinda ry’abaganga rizashyiraho gahunda y’ubuvuzi ikubereye wowe n’ibimenyetso byawe. Ibi bishobora gutandukana bitewe n’umuntu ku giti cye. Ikintu cy’ingenzi ni ukubona abaganga bawe buri gihe, kubona ubufasha ukeneye, no kugerageza kugumana ubuzima bwiza.

Ni ibihe bimenyetso bya SPS (Stiff Person Syndrome)?

Hariho ibimenyetso bibiri by'ingenzi by'iyi ndwara:

• Gukomera cyangwa gukomera kw'imitsi.
• Kubabara kw'imitsi.

Nubwo ibi bimenyetso bishobora gutangirira ku myaka iyo ari yo yose, bikunze kugaragara cyane hagati y’imyaka 30 na 40 .

Ibimenyetso bya Stiff Person Syndrome bishobora gukwirakwira mu bindi bice by'umubiri bikarushaho kwiyongera uko igihe kigenda gihita. Kuri bamwe, bishobora gufata amezi kugeza ku myaka kugira ngo ibimenyetso bigaragare. Ku bandi, ibimenyetso bishobora kuguma ari bimwe mu myaka. Kuri bamwe, ibimenyetso bishobora kwiyongera buhoro buhoro bigatuma badashobora gukora imirimo ya buri munsi.

Gukomera kw'imitsi

Akenshi, ikimenyetso cya mbere ubona ku ndwara ya Stiff Person Syndrome ni ugukomera kw'imitsi mu gituza . Ibi bivuze ko mu bice nko mu nda, mu gituza no mu mugongo. Uku gukomera gushobora gutera ububabare no kubabara. Ibi bimenyetso bishobora kuza no kugenda nta mpamvu igaragara. Iyi ndwara ishobora no kugira ingaruka ku maboko no ku maguru. Uko gukomera kwiyongera, bamwe mu bantu bashobora kugira imyifatire idasanzwe ituma bigorana kugenda cyangwa kwimuka.

Kubabara kw'imitsi

Kubabara imitsi ni ikindi kimenyetso gikomeye cy’iyi ndwara. Ibi bishobora kugira ingaruka ku mubiri wose, cyangwa bikaba byagera ahantu runaka. Ibi bikomere bishobora kumara amasegonda, iminota, cyangwa amasaha. Tekereza, iyo uhagaze gusa, uhita wumva ukuguru kwawe cyangwa umugongo wawe bikugoye kandi bikubangamiye. Ni ikintu kibabaza cyane.

Ni izihe mpamvu zitera indwara ya SPS (Stiff Person Syndrome)?

Hari impamvu nyinshi zituma ibimenyetso nko kunyaragura kw'imitsi bishobora kugaragara mu buryo butunguranye:

• Urusaku rutunguranye cyangwa rwinshi. Tekereza uramutse uri kugenda mu muhanda maze imodoka ikavuza ihoni mu buryo butunguranye, cyangwa ikintu cyo mu rugo kiguye hasi gikozwe n'urusaku rwinshi.
• Gukorakora cyangwa gukangura umubiri. Iyo umuntu agukozeho mu buryo butunguranye, aragukubita.
• Impinduka mu bushyuhe, cyane cyane ahantu hakonje. Iyo ugiye ahantu hakonje mu buryo butunguranye, cyangwa amazi akonje akakugwaho.
• Ibintu bihangayikisha. Ibihe bibabaza kandi biteye ubwoba.

Kubera ko uku gucika intege kw'imitsi bishobora kubaho mu bihe bitazwi, bamwe mu bantu bafite Stiff Person Syndrome bagira ubwoba no gutinya agoraphobia . Agoraphobia ni ubwoba bukabije bwo kujya ahantu hahurira abantu benshi, kujya hanze, cyangwa kuva mu rugo. Kubera ko iyo umaze hanze, biragoye guhunga ibi bintu.

Ni iki gitera indwara ya SPS (Stiff Person Syndrome)?

Abashakashatsi ntibaramenya neza icyatera iyi ndwara, ariko bizera ko ari indwara iterwa n’ubwiyongere bw’umubiri, bivuze ko ubudahangarwa bw’umubiri wacu bwibasira uturemangingo tuzima.

Ubushakashatsi bwagaragaje ko hari uturemangingo tw’umubiri tubamo. Abantu benshi bafite Stiff Person Syndrome bafite uturemangingo tw’umubiri turwanya enzyme yitwa Glutamic Acid Decarboxylase (GAD) . Iyi enzyme (GAD) ifasha mu gukora aside gamma-aminobutyric (GABA) . Iyi enzyme (GABA) ifasha mu kugenzura imikorere y’imitsi.

Ariko abashakashatsi ntibarasobanukirwa neza uburyo enzyme `(GAD)` igira ingaruka ku iterambere n'iterambere rya Stiff Person Syndrome. Ikintu kimwe ugomba kwibuka ni uko kugira antibodies `(GAD)` mu mubiri wawe bitavuze ko ufite Stiff Person Syndrome. Ijanisha rito ry'abaturage muri rusange bashobora kugira izi antibodies `(GAD)` mu mibiri yabo nta ngaruka mbi zibaye.

Uretse GAD, izindi antibody nka glycine receptor, amphiphysin, na DPPX (poroteyine imeze nka dipeptidyl peptidase 6) byagaragaye ko bifitanye isano n'iyi ndwara. Nanone, bamwe mu barwayi bashobora kuba badafite izi antibody. Ubushakashatsi bukomeje kugira ngo hamenyekane izindi antibody zishobora kuba zirimo.

Ni ibihe bintu bishobora gutera indwara ya Stiff Person Syndrome (SPS)?

Indwara ya Stiff person ikunze kugaragara ku bagore inshuro ebyiri . Ishobora no kubaho no mu zindi ndwara ziterwa n’ubwiyongere bw’umubiri. Urugero:

• Diyabete yo mu bwoko bwa 1
• Indwara ya tiroyide itera ubudahangarwa bw'umubiri
• Vitiligo
• Kubura amaraso mu mubiri (anemia)
• Indwara ya Celiac

Indwara ya SPS (Stiff Person Syndrome) ikunze kugaragara gute?

Iyi ni indwara idakunze kugaragara . Bivugwa ko umuntu umwe gusa kuri miliyoni ari we ufite iyi ndwara. Ibyo bivuze ko ari indwara idakunze kugaragara.

Indwara ya SPS (Stiff Person Syndrome) ipimwa ite?

Umuganga asuzuma iyi ndwara akoresheje ibimenyetso byihariye, ibizamini, n'ibizamini. Azakubaza ibimenyetso byawe, agukorere isuzuma ry'umubiri, kandi agukorere isuzuma ry'imitsi.

Iyo umuganga akeka ko afite indwara ya Stiff Person Syndrome, ashobora gukora ibizamini nka:

• Gupima amaraso y’umuntu urwanya indwara: Ibi bifasha gusuzuma niba hari ubudahangarwa bwa (GAD) (cyangwa izindi budahangarwa zifitanye isano) no kugenzura izindi ndwara.
• Electromyography (EMG): Ibi bipima imikorere y'amashanyarazi y'imitsi yawe. Ibi bishobora gufasha gukuraho izindi mpamvu zitera ibimenyetso byawe.
• Gutobora umugongo (gutobora uruti rw'umugongo): Muri iki kizamini, muganga akoresha urushinge kugira ngo afate icyitegererezo cy'amazi yo mu ruti rw'umugongo wawe maze akagipima niba nta antibodies zirwanya GAD. Ibi kandi ni ingenzi kugira ngo hamenyekane izindi ndwara.

Indwara ya Stiff Person Syndrome irashobora kugorana kuyisuzuma kuko idakunze kugaragara kandi ibimenyetso byayo bishobora gusa n'izindi ndwara ziterwa n'ubwiyongere bw'umubiri, nka ankylosing spondylitis na multiple sclerosis.

Ese hari ubwoko bwa Stiff Person Syndrome (SPS)?

Hari ubwoko butandukanye bw'iyi ndwara:

• Indwara ya stiff person syndrome isanzwe: Iyi ni yo ndwara ikunze kugaragara cyane. Ikunze kugaragara cyane ku barwayi ba GAD, ariko ubushakashatsi bwagaragaje ko hari n'izindi antibodies zirimo.
• Ubwoko bw'indwara ya Stiff person:Muri ibi, hari ubwoko butandukanye bw’ibintu bigira ingaruka ku bice bimwe na bimwe by’umubiri gusa, cyangwa bugaragaza ibimenyetso byinshi nko kubura ubushobozi bwo kwifata mu gihe ugenda (ataxia).
• Indwara ya encephalomyelitis ikomeza kwiyongera hamwe no gukomera no kumererwa nabi kw'umubiri (PERM): PERM ni ubwoko bukomeye bw'indwara yo gukomereka k'umuntu. Ishobora gutera gutakaza ubwenge, ibibazo byo kugenda kw'amaso, kutaruhuka, no kudakora neza kw'umubiri. Indwara yo kudakora neza kw'umubiri isaba abantu barwaye PERM kujya mu bitaro.

Indwara ya SPS (Stiff Person Syndrome) ivurwa ite?

Hari uburyo bubiri bw'ingenzi bwo kuvura iki kibazo:

• Imiti n'uburyo bwo kuvura kugira ngo hagenzurwe ibimenyetso.
• Ubuvuzi bw'imyuga, cyangwa uburyo bwo kuvura indwara.

Uburyo bwo kuvura buratandukanye bitewe n'ibimenyetso byawe. Intego y'ibanze yo kuvura ni ukugenzura uburyo ibimenyetso byawe bikugiraho ingaruka no kunoza uburyo ugenda n'uburyo umererwa neza.

Itsinda ry'abaganga bawe rishobora kuba ririmo inzobere nyinshi, nka:

• Inzobere mu ndwara z'imitsi, cyane cyane inzobere mu buvuzi bw'indwara z'imitsi.
• Abavuzi b'inzobere mu by'ubuzima n'ubuvuzi bw'umubiri.
• Inzobere mu buvuzi bw'umubiri n'ubuvuzi bwo gusubiza mu buzima busanzwe.
• Abavuzi b'indwara zo kuvuga.
• Inzobere mu buzima bwo mu mutwe, urugero nk'abahanga mu by'imitekerereze.

Imiti n'uburyo bwo kuvura

Imiti nk'iyi ishobora kugabanya imitsi igoramye, imitsi igoramye, ndetse n'imitsi ibabaza:

• Benzodiazepines: Iyi ni ubwoko bw'imiti ikoreshwa mu kuvura indwara zitandukanye, harimo guhangayika, igicuri, no kudasinzira. Igira ingaruka ku mikorere y'imitsi yo mu bwonko (GABA). Abaganga bakunze gutanga diazepam nk'umuti wa mbere uvura indwara ya Stiff Person Syndrome.
• Imiti igabanya imitsi: Imiti nka Baclofen ishobora gufasha mu kubabara kw'imitsi. Iruhura imitsi kandi ikagabanya gukomera.
• Imiti igabanya ububabare bw'imitsi: Imiti nka gabapentin na pregabalin nayo igira ingaruka ku bimenyetso bya GABA kandi igafasha mu kugabanya ibimenyetso.

Ubundi buryo bwo kuvura bushobora gufasha mu kurwanya ibimenyetso birimo:

• Ubuvuzi bw'umubiri cyangwa ubuvuzi bw'akazi.
• Gusigwa.
• Kuvura hidrosi (ubuvuzi bwo mu mazi).
• Uburyo bwo kuvura ubushyuhe.
• Gukoresha acupuncture.

Ubudahangarwa bw'umubiri

Hari ibimenyetso bimwe na bimwe bigaragaza ko kuvura indwara zo mu mitsi (IVIg) (nabyo ni ubwoko bw'ubuvuzi bw'ubudahangarwa bw'umubiri) bishobora gufasha kugabanya ibimenyetso bya Stiff Person Syndrome. IVIg irimo immunoglobulins (uturemangingo karemano) dutangwa n'ibihumbi by'abantu bafite ubudahangarwa bw'umubiri buzima.

Ese indwara ya Stiff Person Syndrome (SPS) ishobora gukira?

Kugeza ubu, nta muti uhari wa Stiff Person Syndrome. Ubuvuzi bushobora gufasha gusa kugenzura ibimenyetso.

Ni iki kizere cy’uko indwara ya Stiff Person Syndrome (SPS) izagenda ite?

Iyi ni indwara ibaho ubuzima bwose (idakira) . Uko umuntu abibona biratandukanye bitewe n'ibintu byinshi:

• Ubukana bw'ibimenyetso.
• Umuvuduko w'indwara warakwirakwiriye.
• Ubuvuzi bwagenze neza gute?

Ni ngombwa gutangira kuvurwa ibimenyetso bikimara gutangira. Ibi bishobora gufasha gukumira cyangwa kugabanya ikwirakwira ry'indwara no gukumira ingorane z'igihe kirekire. Nubwo abantu benshi babona ubutabazi bw'imiti, rimwe na rimwe bishobora kugorana kugenzura ibintu bitera imitsi gucikagurika.

Kugenda n'amaguru bishobora kugorana uko igihe kigenda gihita. Ubushobozi bwo gukora imirimo ya buri munsi nabwo bushobora kugabanuka buhoro buhoro. Uko indwara ikomeza kwiyongera, ibyago byo kugwa biriyongera. Ushobora gukenera gukoresha inkoni, igare ry'abagenda, cyangwa se igare ry'abamugaye.

Ese indwara ya Stiff Person Syndrome (SPS) ishobora kwirindwa?

Kubera ko iyi ari indwara iterwa n'ubwiyongere bw'umubiri, nta kintu na kimwe wakora kugira ngo uyirinde .

Nitwara nte mu gihe mfite Stiff Person Syndrome (SPS)?

Niba bishoboka, gerageza gushaka umuganga w’inzobere mu gukora ubushakashatsi no kuvura indwara ya Stiff Person Syndrome. Iyi ndwara ikunze kugaragara, bityo ishobora kugorana gato. Niba ushaka ubuvuzi bwiza kandi ukagira ubuzima bwiza, ugomba kubivuga no kubishishikarira.

Ni ibisanzwe ko abantu barwaye iyi ndwara bagira ibibazo byo mu mutwe, nko guhangayika cyangwa kwiheba . Niba urimo kubona ibi bimenyetso, ni ngombwa kuvugana na muganga wawe cyangwa inzobere mu by’ubuzima bwo mu mutwe, urugero nk’inzobere mu by’imitekerereze y’abantu.

Niba wowe n'umuryango wawe mushoboye, mushobora kandi kwinjira mu itsinda ry'abaterankunga aho mushobora guhura n'abandi basobanukiwe n'ibyo mwanyuzemo.

Ni ryari ngomba kujya kwa muganga?

Niba ufite Stiff Person Syndrome, ugomba guhura n'itsinda ry'abaganga buri gihe kugira ngo barebe niba ubuvuzi bwawe bwagenze neza kandi bakurikirane uko ibimenyetso byawe bigenda bikura.

Niba ubonye ibimenyetso bishya cyangwa ufite ingaruka mbi zikomoka ku miti, bwira muganga wawe.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba ufite Stiff Person Syndrome, byaba byiza ubajije muganga wawe ibi bibazo:

• Ni ubuhe buryo bwo kuvura usaba ibimenyetso byanjye?
• Ni iki nakora mu rugo kugira ngo mfashe ibimenyetso byanjye?
• Ni ibihe bimenyetso by'ingorane ngomba kwitondera?
• Ni gute nakwitega ko ubuzima bwanjye buzaba bumeze mu gihe kizaza?
• Ese hari igeragezwa rya muganga ku ndwara ya Stiff Person Syndrome?

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Kumenya ko ufite indwara idakunze kugaragara nka Stiff Person Syndrome ntabwo byoroshye. Ushobora kumva uremerewe, uhangayitse, kandi utizeye ahazaza. Ariko si ngombwa ko uhangana n'iki kibazo wenyine. Itsinda ry'abaganga bawe riri hano kugira ngo rigusubize ibibazo byose ushobora kuba ufite kandi rigufashe guhangana n'ibimenyetso byawe.

Nubwo ubuvuzi bwawe bwibanda ku buzima bwawe bw'umubiri, ibuka kandi ubuzima bwawe bwo mu mutwe . Ibimenyetso biratandukanye bitewe n'umuntu ku giti cye. Ariko kubaho ufite ububabare, kumererwa nabi, no kubabara mu mitsi bitazwi bishobora kugira ingaruka ku buzima bwawe bwo mu mutwe. Iyi ndwara ishobora gutuma bigorana gusohoka no gukora imirimo ya buri munsi. Niba rero ukeneye ubufasha, ntutindiganye kuvugana na muganga usibye abo ukunda. Wibuke ko utari wenyine.

Indwara y'umuntu ugoranye , gukomera kw'imitsi, indwara z'imitsi, ubudahangarwa bw'umubiri, abasirikari b'umubiri ba GAD, GABA, gutigita kw'imitsi, ibimenyetso bya SPS