Ingabe nawe uyathuthumela ngokungalawuleki? Lokhu kungaba ukonakala kwe-cerebellar!

Ingabe ngezinye izikhathi uzizwa sengathi ulahlekelwa ukulawula umzimba wakho? Ingabe uzizwa sengathi uyanyakaza lapho umi noma uhamba, noma uzizwa sengathi amazwi akho ayaphambana lapho ukhuluma? Lezi zinto aziveli nje ngokungahleliwe. Mhlawumbe kungenxa yenkinga engxenyeni encane yobuchopho bethu. Yilokho esizokhuluma ngakho namuhla.

Kuyini ukuwohloka kwe-cerebellar? Masiqonde kalula!

Kulungile, ake siqale sibheke ukuthi iyini le cerebellum . Kukhona ingxenye encane yobuchopho bakho, ephansi kancane, esiyibiza ngokuthi i-cerebellum . Incane, kodwa yenza umsebenzi omningi obaluleke kakhulu. Cabanga ngayo, ilawula ibhalansi yakho, ikusiza ukuthi ume futhi uhambe ngaphandle kokunyakazisa, igcina inkulumo yakho icacile, futhi yenza izitho zakho zisebenze kahle.

Manje, kuyini ukuwohloka ? Kalula nje, ukuwohloka kuwumonakalo noma ukufa kancane kancane kwamaseli ezinzwa ku-cerebellum. Ngakho-ke, ukuwohloka kwe-cerebellar kuyisimo lapho amaseli ezinzwa ku-cerebellum onakele khona futhi engakwazi ukusebenza kahle.

Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?

Kungaba nezizathu eziningana zalesi simo. Ake sibheke eziyinhloko.

1. Ukusetshenziswa ngokweqile kotshwala kanye nokuntuleka kokudla okunempilo

Lesi yisona sizathu esiyinhloko esivame ukubonakala. Uma siphuza utshwala obuningi, imizimba yethu ayitholi i-vitamin B1 eyanele ebizwa ngokuthi i-thiamine . Lokhu kungaba ngoba asiyitholi eyanele ekudleni, noma kungaba ngoba umzimba awukwazi ukuyimunca. I-Thiamine ibaluleke kakhulu ekusebenzeni kwamangqamuzana obuchopho. Uma incipha, amangqamuzana obuchopho aqala ukulimala.

2. Izinkinga Zokuwohloka Kwezinzwa

Kunezifo ezithile ezibangela ukuthi amangqamuzana ezinzwa emgogodleni wethu kanye nezingxenye ezahlukene zobuchopho, ikakhulukazi i-cerebellum, afe kancane kancane.

• I-Ataxia iyisifo esikhulu salolu hlobo. Sibonakala ngokulahlekelwa ukulawula umzimba kanye nokuxhumana.
• I-Multiple System Atrophy ingenye yezifo ezinjalo.
• Isifo esingavamile esibizwa ngokuthi iCreutzfeldt-Jakob Disease singaba yimbangela yaso.
• Isifo i-multiple sclerosis (MS) ngezinye izikhathi siyakuthinta lokhu.

Ezinye zalezi zifo zesimiso sezinzwa zingazuzwa njengefa , okusho ukuthi zidluliselwa kusuka kubazali kuya ezinganeni ngokusebenzisa izakhi zofuzo. Ezinye zingakhula futhi ngesikhathi sokuphila.

3. Izimo ezenzeka ngenxa yomdlavuza (ama-Paraneoplastic Syndromes)

Lena indaba eyinkimbinkimbi kancane. Lapho abanye abantu beba namaseli omdlavuza, amasosha omzimba abo azama ukulwa nomdlavuza. Kodwa-ke, ngezinye izikhathi la masosha omzimba aqala ngephutha ukuhlasela amaseli aphilile ebuchosheni. Lapho i-cerebellum yonakele, siyibiza ngokuthi yi-Paraneoplastic Syndromes . Lesi simo sivame kakhulu kubantu abanomdlavuza ofana nomdlavuza webele, umdlavuza wesibeletho, umdlavuza wesibeletho, i-Hodgkin's Lymphoma yabantu abadala, kanye nomdlavuza wamaphaphu wamaseli amancane.

Ubani othinteka kakhulu yilesi simo?

Nakuba kungenakwenzeka ukusho ngqo ukuthi ubani ozokwakha lokhu, abanye abantu basengozini enkulu.

• Isibonelo, isimo esishiwo ngenhla se-paraneoplastic sibonakala kaningi phakathi kwabesifazane abaneminyaka engaphezu kwengu-50.
• Kodwa ngokuvamile, amadoda avame ukuba nezinkinga ngokulinganisela nokuxhumana njengoba ekhula.
• Ukuwohloka kobuchopho okubangelwa utshwala noma ukuntuleka kokudla okunempilo kuvame ukubonakala kubantu asebekhulile, ikakhulukazi kubantu asebesebenzise utshwala isikhathi eside.
• Lesi simo singase senzeke nasezinganeni ezinezifo ezithile ezizuzwe njengefa.

"Lolu hlobo lokuwohloka kobuchopho aluvamile kangako. Abantu abangaphansi kuka-1% abanomdlavuza bahlushwa yizimo ezibangela ukucindezeleka kwengqondo. Kodwa-ke, ukuwohloka kobuchopho okubangelwa utshwala kuvame kakhulu."

Yiziphi izimpawu okufanele siziqaphele?

Izimpawu zalesi sifo zingase zihluke kancane kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile:

• Ukulahlekelwa ibhalansi (Izinkinga zokulinganisela) , ukuzizwa unesizungu noma ujikeleza (i-Vertigo noma isizungu). Kungase futhi kuzwakale sengathi ugingqika phansi.
• Ukuzizwa ungenawo amandla emisipha (Hypotonia) . Izitho zingase zizizwe zingenampilo noma zibuthakathaka.
• Izinkinga zamehlo: Ukubona izinto ezimbili ngesikhathi esisodwa (ukubona kabili), ukunyakaza kwamehlo okusheshayo nokungalawuleki (i-nystagmus).
• Ukungakwazi ukuhlanganisa ukunyakaza kwamalungu ngendlela efanele (i-Ataxia) . Isibonelo, uma uthatha indebe, isandla sakho siyanyakazisa, noma awukwazi ukufinyelela indebe ngendlela efanele.
• Izinkinga ngamakhono okunyakaza kahle . Izinto ezifana nobunzima bokuphakamisa ikhanda lakho liqonde, ukungakwazi ukusebenzisa izingalo noma imilenze yakho kahle.
• Ukuthuthumela noma ukuthuthumela kwamalungu omzimba lapho uzama ukwenza isenzo .
• Ukuhamba okungazinzile noma okungahlelekile okuhamba kakhulu, okunyakazisa kusukela kolunye uhlangothi kuya kolunye, nokuhamba imilenze yomibili ivulekile .

Ngaphezu kwalezi zimpawu, abantu abanesimo se -paraneoplastic bangase babe nezinye izimpawu eziningana, ikakhulukazi:

• Ukuncipha kwenkumbulo, ikhono lokucabanga, kanye nekhono lokucabanga `(Dementia)`.
• Inkulumo iyashesha futhi ayicacile (i-Dysarthria) .

Futhi, abanye abantu abane-cerebral palsy bangase babe nezinye izimo ezifana nalezi:

• Isifo Sokungakwazi Ukunaka/Ukuphazamiseka Kokusebenza Kakhulu (ADHD)
• Isifo se-Autism Spectrum
I-Schizophrenia-ngokomzwelo `(Schizophrenia)`

Odokotela bakuthola kanjani lokhu?

Uma unalezi zimpawu, uma ubona udokotela, uzoqala ngokukubuza imibuzo eminingi mayelana nezimpawu zakho. Ziyini izimpawu zakho, zimbi kangakanani, zithinta kanjani imisebenzi yakho yansuku zonke, nokuthi ngabe kukhona yini emndenini wakho oke waba nalesi simo.

Ngemuva kwalokho, udokotela uzophakamisa izivivinyo eziningana ukuqinisekisa isimo:

• Iskena se-MRI (Magnetic Resonance Imaging) noma i-CT (Computed Tomography): Lokhu kuthatha izithombe ezicacile zobuchopho nezicubu zabo. Uma kukhona ukuwohloka kobuchopho, lokhu kuhlola kungabonisa ukuthi i-cerebellum inciphe futhi inciphe kanjani. Kungaphinde kubone ezinye izinkinga, njengesimila sobuchopho, noma izimpawu zesifo sohlangothi.
• Ukubhoboza Umgogodla/Ukushaya Ithambo: Uketshezi oluzungeze ubuchopho bethu kanye nomgogodla lubizwa ngokuthi i-Cerebrospinal Fluid (CSF) . Kuthathwa isampula encane yalolu ketshezi futhi ihlolwe. Ngezinye izikhathi, okuqukethwe yilolu ketshezi kungasetshenziswa ukuxilonga isifo sokuzivikela komzimba, njenge-paraneoplastic syndrome.
• Ukuhlolwa Kwegazi: Ngezinye izikhathi izinga lama -antibodies egazini liyahlolwa. Lawa ma-antibodies angakhuphuka kubantu abanomdlavuza kanye nezimo ze-paraneoplastic.
• Ukuhlolwa Kwezakhi Zofuzo: Uma udokotela ecabanga ukuthi lokhu kuyisimo sofuzo, angenza nokuhlolwa kwezakhi zofuzo.

Ingabe ikhona ikhambi eliphelele lalokhu? Yiziphi izindlela zokwelapha?

Uma ngikhuluma iqiniso, okwamanje alikho ikhambi le-cerebral palsy. Kodwa-ke, ukwelashwa kuncike embangela. Kukhona nemithi yokusiza ukulawula ezinye zezimpawu (njengokuthuthumela, ubunzima bokuhamba, kanye nesiyezi).

• Ukwelashwa kwezimo ze-paraneoplastic:
• Ukwelashwa komdlavuza: Ukwelashwa ngamakhemikhali , Ukwelashwa ngemisebe .
• Ama-immunosuppressants .
• Ukwelashwa nge-immunotherapy .
• Ukuhlinzwa kokususa isimila somdlavuza kungahlanganiswa ne-chemotherapy kanye nokwelashwa ngemisebe.

• Ukwelashwa kwezimo ezibangelwa utshwala:
• Yeka ukuphuza utshwala ngokuphelele. Lena yinto ebaluleke kakhulu.
• Izinguquko ekudleni: Udinga ukwengeza ukudla okwengeziwe okuqukethe i-thiamine namanye amavithamini B (isib. okusanhlamvu okuphelele, inyama engenamafutha, inhlanzi) ekudleni kwakho.
• Ukuthatha izithasiselo ze-thiamine .

Kungakhathaliseki imbangela ye-cerebral palsy, ukwelashwa okufana nokwelashwa ngokomzimba, ukwelashwa komsebenzi, noma ukwelashwa kokukhuluma kungadingeka. Lokhu kungasiza:

• Thuthukisa amakhono okunyakaza komzimba ukuze ukwazi ukwenza imisebenzi yansuku zonke ngokuzimela.
• Qinisa imisipha futhi uthuthukise ukuhambisana .
• Thuthukisa ubunzima bokugwinya, ubunzima bokukhuluma, kanye namakhono olimi .

Ingabe lokhu kungavinjelwa?

Ukuwohloka komqondo okubangelwa utshwala kungavinjelwa kakhulu ngokuyeka utshwala . Kodwa-ke, okwamanje ayikho indlela eqinisekisiwe yokuvimbela ezinye izinhlobo zokuwohloka komqondo.

Kuzokwenzekani ngokulandelayo? Isimo sizoba njani?

Ukubikezela kwalesi sifo kuncike embangela eyinhloko.

• Ukwelapha umdlavuza, ukuyeka utshwala, noma ukushintsha indlela odla ngayo ngezinye izikhathi kunganciphisa noma kumise lokhu kwehla.
• Kodwa-ke, kwezinye izimo zokuwohloka kwemizwa, lesi sifo singaqhubeka ngokuhamba kwesikhathi ngamazinga ahlukene.

Njengoba lesi sifo siqhubeka, abantu bangase balahlekelwe ukuhlangana komzimba futhi bakhubazeke kakhulu. Kungase kudingeke basebenzise isihlalo sabakhubazekile noma enye into yokusiza ukuze bahambe. Lokhu kungasiza nasekuvimbeleni ukuwa. Uma bengakwazi ukwenza imisebenzi yansuku zonke bebodwa, bangase balahlekelwe ikhono labo lokuphila ngokuzimela . Abanye bangase bangakwazi ngisho nokulala embhedeni.

Uma izingane ziba nalesi simo, zingase zibe nokulibaziseka kokukhula .

Kufanele uye nini kudokotela?

Uma ubona noma yiziphi izinguquko noma ubunzima ngokulinganisela kwakho, inkulumo, umbono, noma imisebenzi yansuku zonke, bona udokotela ngokushesha . Abanye abantu bacabanga ukuthi lezi yizinguquko ezivamile njengoba bekhula. Kodwa-ke, zingaba futhi izimpawu zenkinga enkulu kakhulu. Ngakho-ke uma unenkinga, kungcono ukuya kohlolwa.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma wena noma othile emndenini wakho ene-cerebral palsy, kuwumqondo omuhle ukubuza udokotela wakho le mibuzo:

• Yiziphi izinguquko zendlela yokuphila engingayenza ukuze ngiphile kahle nalesi sifo?
• Ngingalutholaphi usizo? (isib. amaqembu okusekelana)
• Ingabe kufanele ngiqale ukwelashwa ngokomzimba, ukwelashwa ngokomsebenzi, noma ukwelashwa ngokukhuluma?
• Iyini imbangela eyinhloko yalesi sifo?
• Ingabe lesi sifo sizosabalala kakhulu? Uma kunjalo, ngokushesha kangakanani?

Into ebaluleke kakhulu okudingeka siyikhumbule!

Ukonakala kwe-Cerebellar yisimo esithinta ingxenye yobuchopho bethu elawula ibhalansi, ukunyakaza kwemisipha, kanye nokukhuluma. Lokhu kungabangela ubunzima bokuhamba, ukukhuluma, kanye nokwenza imisebenzi yansuku zonke. Kunezimbangela eziningi zalokhu. Imithi kanye nokuvuselelwa kungasiza ekulawuleni imiphumela yalesi simo. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha uma unezimpawu.

Ukuwohloka kobuchopho , ukuwohloka kobuchopho, izifo zobuchopho, ukulahlekelwa ibhalansi, ubunzima bokuhamba, izifo zezinzwa, ukusetshenziswa kotshwala