Ingabe ngokuzumayo awukwazi ukuhamba futhi ulahlekelwa yibhalansi yakho? Ingabe kungaba yi-Episodic Ataxia?

Wake wazizwa sengathi ulahlekelwe ukulawula umzimba wakho ngokuzumayo, ukhubeke ngenkathi uhamba, noma ukhuluma ngendlela engacacile? Ngezinye izikhathi lezi zinto ziyafika zidlule isikhashana. Uma uke waba nokuhlangenwe nakho okunjalo, kubaluleke kakhulu ukuqaphela lesi simo esibizwa ngokuthi i-Episodic Ataxia , esizokhuluma ngaso namuhla.

Uyazi ukuthi iyini i-Episodic Ataxia?

Kalula nje, i-ataxia yisimo esibangelwa ubuthakathaka ezingxenyeni zobuchopho bethu ezilawula ukunyakaza, ibhalansi, kanye nenkulumo . Cabanga ngakho njengephutha ohlelweni lwekhompyutha yomzimba wethu. Kunezinhlobo ezahlukene ze-ataxia.

Enye yalezo zinhlobo ibizwa ngokuthi i-Episodic Ataxia, noma i-EA . Njengoba igama elithi "episodic" lisikisela, lesi yisimo esenzeka ngezikhathi ezithile, noma ngezikhathi ezithile kuphela . Okusho ukuthi, une "iziqephu" noma izikhathi zesikhathi lapho unezinkinga zokunyakaza nokulinganisela. Lezi zikhathi ziqala futhi ziphela ngokucacile. Kodwa ngezinye izikhathi kungase kube nezimpawu ezincane phakathi kwalezi "ziqephu."

Ingabe kukhona amanye amagama alokhu?

Yebo, abanye abantu babiza lesi simo ngokuthi i-Episodic Ataxia Syndrome noma i-EA syndrome . Noma ngabe yikuphi, yisimo esifanayo.

Zikhona yini ezinye izinhlobo ze-ataxia?

Empeleni kunezinhlobo eziningi ze-ataxia. Odokotela bazonquma ukuthi yiluphi uhlobo lwe-ataxia onalo ngokusekelwe ezimpawu zakho nokuthi lesi simo saqala kanjani.

• Ezinye izinhlobo ze-ataxia "ziyaqhubeka." Okusho ukuthi, izimpawu zihlala zikhona futhi ziyanda kancane kancane ngokuhamba kwesikhathi.
• Ezinye zinofuzo, okusho ukuthi zizuzwe njengefa kubazali ngokusebenzisa izakhi zofuzo.
• Ezinye zitholakala noma zibangelwa esinye isimo sezokwelapha.

Lezi zinhlobo ezahlukene ze-ataxia zingabangela izimpawu ezahlukene, njengezinkinga zemisipha kanye nobunzima bokugwinya .

Ubani ongaba ne-episodic ataxia? Kuvamile kangakanani lokhu?

I-Episodic ataxia ivame ukubangelwa izinguquko (ukuguqulwa kwezakhi zofuzo) kwezinye izakhi zofuzo ezizuzwe njengefa kubazali . Kodwa-ke, ngezinye izikhathi lokhu kuguqulwa kwezakhi zofuzo kungenzeka ngokuzenzekelayo, ngaphandle komlando womndeni. Ubudala lapho lezi zimpawu ziqala ukubonakala khona bungahlukahluka kuye ngomuntu nomuntu.

I-Episodic ataxia empeleni iyisimo esingavamile kakhulu . Ngokusho kochwepheshe, kucatshangwa ukuthi sithinta umuntu oyedwa kuphela kwabayizinkulungwane eziyikhulu . Ngakho akuyona into evame kakhulu.

I-episodic ataxia ikuthinta kanjani? Ziyini izimpawu?

Uma une-episodic ataxia, ungase ube nobunzima bokuhamba, ulahlekelwe yibhalansi yakho, noma ube nezinye izinkinga zokunyakaza ezihlala imizuzu embalwa kuya emahoreni ambalwa . Lezi "ziqephu" zingase zenzeke nsuku zonke noma ngezikhathi ezithile.

Cabanga nje, wenza umsebenzi othile, noma ulungiselela ukuya ndawana thize. Kungazelelwe uzizwa sengathi imilenze yakho ayikulaleli, iyathuthumela uma uhamba, njengokungathi ayithinti kahle phansi. Lokhu kungaba yinto engakhululekile futhi eyesabekayo.

Izinkinga ngokunyakaza kanye nokulinganisela yizimpawu eziyinhloko ze-episodic ataxia. Ungase uzizwe sengathi usuzowa noma wenze ngokungazinzile .

Uma kwenzeka "isiqephu", kungase kuvele nezinye izimpawu:

• Isiyezi : Umuzwa wokuzungeza.
• Ikhanda elibuhlungu : Kungaba ikhanda elibuhlungu elijwayelekile noma elibuhlungu kakhulu.
• I-Nystagmus : Lesi yisimo lapho amehlo ebonakala sengathi ayadansa.
• Ukubona izinto ezimbili ngesikhathi esisodwa: Ukubona izinto ezimbili ngesikhathi esisodwa.
• Isicanucanu nokuhlanza .
• I-Hemiplegia: Ngezinye izikhathi, ubuthakathaka bungenzeka ohlangothini olulodwa lomzimba, njengengalo noma umlenze.
• I-Tinnitus: Ukuzwa imisindo ehlukene ezindlebeni.
• Ukungakhulumi kahle kwamagama lapho ukhuluma (i-Dysarthria) : Ubunzima bokukhuluma ngokucacile.

Lezi zimpawu azifiki kuwo wonke umuntu ngendlela efanayo. Abanye abantu bangase babe neziningana zalezi zimpawu, kanti abanye bangase babe nazo ngezindlela ezahlukene.

Yini ebangela i-episodic ataxia?

Abacwaningi bakholelwa ukuthi ukuguquka kwezakhi zofuzo kuyimbangela eyinhloko ye-episodic ataxia. Ukuguquka kwezakhi zofuzo okubangela izinhlobo ezithile ze-EA sekuvele kutholakale. Kodwa-ke, ucwaningo lusaqhubeka, njengoba lesi kuyisimo esiyinkimbinkimbi.

Ingabe zikhona izinhlobo ze-Episodic Ataxia Syndrome?

Yebo, okwamanje kunezinhlobo eziyisishiyagalombili ze-episodic ataxia syndromes ezitholakale . Ochwepheshe bathole nezinguquko zezakhi zofuzo ezihlobene nezinye zalezi. Ezimbili zezinhlobo eziyinhloko yilezi:

• Uhlobo 1 lwe-Episodic ataxia (EA1) : Lokhu kubangelwa izinguquko ku-gene KCNA1 . Lesi simo sivame ukuqala ebuntwaneni . Izimpawu zifaka phakathi ukudikiza kwemisipha noma ukuqina kwayo . Ngezinye izikhathi, i-EA1 ihlotshaniswa nesifo sokuwa.
• Uhlobo lwe-episodic ataxia 2 (EA2) : Lokhu kubangelwa izinguquko ku-gene CACNA1A . Lolu uhlobo oluvame kakhulu lwe-episodic ataxia. I-Nystagmus (ukunyakaza kwamehlo)Lolu uphawu oluvamile. Ngokuvamile luqala ebuntwaneni noma ebuntwaneni .

Kubantu abane-`EA1` kanye ne-`EA2`, lezi "ziqephu" zingavela ngokuzumayo ngenxa yokuziphatha noma izimo ezithile. Lokhu sikubiza ngokuthi "izisusa" . Izibonelo:

• Ukucindezeleka ngokomzwelo : Njengokudabuka ngokweqile, intukuthelo, noma ukukhathazeka.
• Ukucindezeleka ngokomzimba : Izimo ezinjengokukhathala ngokweqile kanye nomkhuhlane.

Ingabe ezinye izinhlobo ze-episodic ataxia azivamile?

Yebo, ezinye zezinhlobo ze-`EA` (isb. `EA3`, `EA4`, `EA5`, `EA6`, `EA7`, `EA8` ) azivamile kangangokuthi ochwepheshe bazitholile emndenini owodwa noma emibili kuphela . Nakuba izakhi zofuzo ezihlobene nezinye zalezi zinhlobo sezitholiwe, abacwaningi basafunda ezinye.

Odokotela bakuthola kanjani i-episodic ataxia?

Udokotela wakho uzoqala ngokukuhlola ngokomzimba , akhulume nawe ngezimpawu zakho, bese ebuza ukuthi kukhona yini emndenini wakho one-ataxia.

Ungathunyelwa kudokotela wezinzwa ongenza ezinye izivivinyo ukuqinisekisa ukutholakala kwe-episodic ataxia.

Hlobo luni lokuhlolwa okwenziwayo ngalokhu?

Udokotela wakho angase akuncomele ukuhlolwa okuthile ukuhlola ukusebenza kobuchopho bakho kanye nohlelo lwakho lwezinzwa. Lokhu kungafaka:

• Ukuskena kwe-CT
• I-Electromyogram (EMG) : Lokhu kulinganisa umsebenzi kagesi wemisipha kanye nezinzwa.
• Ukuskena kwe-MRI `(MRI)`

Ngaphezu kwalokho, udokotela wakho angase ancome ukuhlolwa kwezakhi zofuzo ukuze kuhlolwe izinguquko zezakhi zofuzo ezihlobene ne-episodic ataxia.

Ingabe i-episodic ataxia ingelapheka? Yiziphi izindlela zokwelapha ezitholakalayo?

Ngeshwa, i-episodic ataxia ayikwazi ukwelapheka ngokuphelele . Kodwa ungakhathazeki! Odokotela bangancoma izindlela zokwelapha ezahlukahlukene kanye nemithi yokukusiza ukuthi uphathe izimpawu zakho futhi uphile impilo esebenzayo neyokuzimela .

Kuye ngezimpawu zakho, odokotela bangase bakunike imithi yokuvimba iziteshi zemizwa . Le mithi ingasiza ekulawuleni noma ekunciphiseni izigameko ze-ataxia.

Ngaphezu kwalokho, kunemithi yezimpawu ezithile, njenge -nystagmus (ukunyakaza kwamehlo) noma ukuxhuzula . Abacwaningi basafuna imithi emisha engasiza abantu abane-EA.

Futhi, ukwelashwa ngokomzimba kungasiza ekuqiniseni umzimba wakho futhi kuthuthukise izinto ezifana nokuphazamiseka kokuhamba.

Ingabe ukudla neziphuzo kunomthelela kulesi simo?

Ukudla neziphuzo ezithile (isibonelo,Iziphuzo ezine-caffeine (njengalezo eziqukethe i-caffeine) zingandisa ingozi yezigameko ze-ataxia. Ngakho-ke, kuwumqondo omuhle ukukhuluma nodokotela wakho ngalokhu bese uthola ukuthi yini engaba yinkinga kuwe. Abacwaningi basacwaninga ukuthi ukudla neziphuzo ezithile kuyithinta kanjani i-EA.

Yiziphi izinto okufanele uziqaphele uma uphila ne-episodic ataxia?

Udokotela wakho ungumngane wakho omkhulu kulolu hambo. Ngokuvamile, kubalulekile ukuqaphela lezi zinto:

• Yidla ukudla okunempilo.
• Landela imiyalelo kadokotela wakho mayelana nokuzivocavoca .
• Lala kahle .

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

I-Episodic ataxia yisimo sofuzo . Akulona iphutha lomuntu. Ungazuza lezi zinguquko zofuzo noma zingavela ngokungahleliwe. Ngakho-ke, akukho ongakwenza ukunciphisa ingozi yakho yokuthola i-EA noma ukuyivimbela.

Lesi simo sizohlala isikhathi esingakanani?

I-Episodic ataxia ivame ukuba yisimo esithatha impilo yakho yonke . Kodwa ungakhathazeki. Udokotela wakho angakusiza ukuthi uphile impilo enempilo. Khuluma naye ngendlela yokuphatha izimpawu zakho futhi uthole ukwesekwa okudingayo.

Iyini ikusasa elibikezelwe ngalesi simo?

Isikhathi sokuphila sabantu abane-episodic ataxia sifana nesomphakathi jikelele . Lokhu kusho ukuthi isikhathi sokuphila asinciphi ngenxa yalesi simo.

Ngezinye izikhathi, izimpawu ze-EA zingase ziphele njengoba ukhula, kodwa lokhu akwenzeki kuwo wonke umuntu.

Abantu abaningi abane-EA bangakwazi ukulawula izimpawu zabo ngemithi . Abanye bafunda ukuphila ngempumelelo nezimpawu zabo ngokwelashwa ngokomzimba nokusekelwa ngokomzwelo.

Kufanele ngizinakekele kanjani? Ingabe kubhekwa njengokukhubazeka?

Gcina ama-aphoyintimenti akho nodokotela wakho ngesikhathi . Landela iseluleko sakhe mayelana nokudla nokuzivocavoca ngqo. Tshela udokotela wakho ngokushesha uma uba nezimpawu ezintsha noma uma kukhona uphawu olukhona olukhathazayo.

Uma izimpawu zakho ze-episodic ataxia zikubangela ubunzima obukhulu kangangokuthi awukwazi ukwenza noma yimuphi umsebenzi , ungase ukwazi ukufaka isicelo sezibonelelo zokukhubazeka. Ungakhuluma nodokotela wakho ukuze uthole ukuthi isimo sakho nezimpawu zakho ziyafaneleka yini.

Umyalezo Wokuya Ekhaya Ovela Kulokho Ebesikhuluma Ngakho

Kulungile, manje usunokuqonda okungcono ngalokho ebesikhuluma ngakho, i-Episodic Ataxia (EA). Khumbula:

• I-EA iyisimo esingavamile, esibangelwa izakhi zofuzo esibangela izinkinga zokunyakaza nokulinganisela ngezikhathi ezithile .
• Izimpawu eziyinhloko zalokhu ubunzima bokuhamba, ukulahlekelwa yibhalansi, isiyezi, kanye nobunzima bokukhuluma.Izinto ezinjalo.
• Nakuba i-EA ingelapheki ngokuphelele, izimpawu zingalawulwa kahle futhi impilo evamile ingaholwa ngemithi, ukwelashwa ngokomzimba, kanye nezinguquko zendlela yokuphila .
• Lokhu akulona iphutha lomuntu, kuyisimo sofuzo .
• Uma unalezi zimpawu, ungangabazi ukubona udokotela ukuze akunike iseluleko . Kubaluleke kakhulu ukuthola ukuxilongwa okufanele nokwelashwa ngokushesha okukhulu.
• Udokotela wakho ungumngane wakho omkhulu nomeluleki kulolu hambo.

Uma lolu lwazi uluthole luwusizo, yilokho okubaluleke kakhulu. Impilo enhle kubo bonke!

i- ataxia yezikhathi ezithile, i-ataxia, ukuphazamiseka kokunyakaza, ibhalansi, izinguquko zofuzo, izifo zemizwa, izimpawu