Acute cerebellar ataxia
I-acute cerebellar ataxia ngokuzumayo, ngokungahleleki kwemisipha ukunyakaza ngenxa yesifo noma ukulimala kwe-cerebellum. Le ndawo ebuchosheni elawula ukunyakaza kwemisipha. I-Ataxia isho ukulahleka kokuhlangana kwemisipha, ikakhulukazi izandla nemilenze.
I-acute cerebellar ataxia ezinganeni, ikakhulukazi ezingaphansi kweminyaka yobudala engu-3, kungenzeka izinsuku ezimbalwa noma amasonto ngemuva kokugula okubangelwa igciwane.
Ukutheleleka ngegciwane okungadala lokhu kufaka izinkukhu, isifo seCoxsackie, i-Epstein-Barr, i-echovirus, phakathi kwabanye.
Ezinye izimbangela ze-acute cerebellar ataxia zifaka:
- Ithumba le-cerebellum
- Utshwala, imithi, nokubulala izinambuzane, nezidakamizwa ezingekho emthethweni
- Ukopha ku-cerebellum
- I-Multiple sclerosis
- Ukushaywa kwe-cerebellum
- Ukugoma
- Ukuhlukumezeka ekhanda nasentanyeni
- Izifo ezithile ezihambisana neminye umdlavuza (ukuphazamiseka kweparoplasm)
I-Ataxia ingathinta ukunyakaza kwengxenye yomzimba kusuka entanyeni kuya endaweni yesinqe (isiqu) noma izingalo nemilenze (izitho).
Lapho umuntu ehleli, umzimba ungahambela ngapha nangapha, ubuyele emuva, noma zombili. Ngemuva kwalokho umzimba ubuyela emuva endaweni efanele.
Lapho umuntu one-ataxia yezingalo efika entweni, isandla singaya emuva naphambili.
Izimpawu ezivamile ze-ataxia zifaka:
- Iphethini yenkulumo eyindida (i-dysarthria)
- Ukunyakaza kwamehlo okuphindaphindiwe (nystagmus)
- Ukuhamba kwamehlo okungahambisani
- Izinkinga zokuhamba (ukungazinzi) okungaholela ekuweni
Umhlinzeki wezokunakekelwa kwempilo uzobuza ukuthi ngabe lo muntu ubesanda kugula yini futhi uzozama ukukhipha noma yiziphi ezinye izimbangela zenkinga. Ukuhlolwa kobuchopho nokwenziwa kwemizwa kuzokwenziwa ukuze kutholakale izindawo zesistimu yezinzwa ezithinteka kakhulu.
Lezi zivivinyo ezilandelayo zinga-odwa:
- I-CT scan yekhanda
- Ukuskena kwe-MRI kwekhanda
- Thepha umgogodla
- Ukuhlolwa kwegazi ukuthola izifo ezibangelwa amagciwane noma amagciwane
Ukwelashwa kuya ngesizathu:
- Uma i-acute cerebellar ataxia ingenxa yokopha, kungadingeka ukuhlinzwa.
- Ngokushaywa unhlangothi, kunganikezwa umuthi wokwehlisa igazi.
- Izifo zingadinga ukwelashwa ngama-antibiotics noma ngama-antivirals.
- I-Corticosteroids ingadingeka ekudumbeni (ukuvuvukala) kwe-cerebellum (okuvela ku-multiple sclerosis).
- I-Cerebellar ataxia ebangelwa ukutheleleka ngegciwane kwakamuva kungenzeka ingadingi ukwelashwa.
Abantu abanesimo esidalwe ukutheleleka ngegciwane muva nje kufanele balulame ngokuphelele ngaphandle kokwelashwa ezinyangeni ezimbalwa. Ukushaywa unhlangothi, ukopha, noma izifo kungadala izimpawu zaphakade.
Ezimweni ezingavamile, ukunyakaza noma ukuphazamiseka kokuziphatha kungaqhubeka.
Shayela umhlinzeki wakho uma kuvela noma yiziphi izimpawu ze-ataxia.
I-ataxia yeCerebellar; I-Ataxia - i-cerebellar ebukhali; I-cerebellitis; I-post-varicella acute cerebellar ataxia; PVACA
UMink JW. Izinkinga zokuhamba. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 597.
I-Subramony SH, i-Xia G. Ukuphazamiseka kwe-cerebellum, kufaka phakathi ama-ataxias okonakala. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 97.