I-Acere Cerebellar Ataxia (ACA)

-Delile

• Yini ebangela i-acute cerebellar ataxia?
• Ziyini izimpawu ze-acute cerebellar ataxia?
• Ngabe kutholakala kanjani ukuthi i-acute cerebellar ataxia?
• Ngabe iphathwa kanjani i-acute cerebellar ataxia?
• Ngabe i-acute cerebellar ataxia ibathinta kanjani abantu abadala?
• Yiziphi ezinye izimo ezifana ne-acute cerebellar ataxia?
• Subacute ataxias
• Ama-ataxias aqhubekayo angapheli
• Ama-ataxias azalwa naso
• Yiziphi izinkinga ezihambisana ne-acute cerebellar ataxia?
• Kungenzeka yini ukuvimbela i-acute cerebellar ataxia?

Yini i-acute cerebellar ataxia?

I-acute cerebellar ataxia (ACA) yisifo esenzeka lapho i-cerebellum ivutha noma ilimala. I-cerebellum yindawo yobuchopho enesibopho sokulawula ukuhamba nokuhamba kwemisipha.

Isikhathi ataxia Kusho ukuntuleka kokulawulwa okuhle kweminyakazo yokuzithandela. Kuyiqiniso kusho ukuthi i-ataxia iza masinyane, ngokulandelana kwemizuzu kuya osukwini olulodwa noma ezimbili. I-ACA yaziwa nangokuthi i-cerebellitis.

Abantu abane-ACA bavame ukulahlekelwa ukusebenzisana futhi bangaba nobunzima ekwenzeni imisebenzi yansuku zonke. Isimo sithinta kakhulu izingane, ikakhulukazi lezo eziphakathi kweminyaka engu-2 nengu-7. Kodwa-ke, kwesinye isikhathi iyabathinta nabantu abadala.

Yini ebangela i-acute cerebellar ataxia?

Amagciwane nezinye izifo ezithinta uhlelo lwezinzwa kungalimaza i-cerebellum. Lokhu kufaka phakathi:

• inqubulunjwana
• isimungumungwane
• mumps
• i-hepatitis A
• izifo ezibangelwa amagciwane e-Epstein-Barr kanye neCoxsackie
• Igciwane le-West Nile

I-ACA ingathatha amasonto ukuvela ngokulandela ukutheleleka ngegciwane.

Ezinye izimbangela ze-ACA zifaka:

• ukopha ku-cerebellum
• ukuvezwa kwe-mercury, lead, nobunye ubuthi
• ukutheleleka kwamagciwane, njengesifo seLyme
• ukuhlukumezeka ekhanda
• ukuntuleka kwamavithamini athile, njenge-B-12, B-1 (thiamine), no-E

Ziyini izimpawu ze-acute cerebellar ataxia?

Izimpawu ze-ACA zifaka:

• Ukudidiyela okungasebenzi kahle esifubeni noma ezingalweni nasemilenzeni
• ukukhubeka njalo
• indlela engazinzile
• ukunyakaza kwamehlo okungalawulwa noma okuphindaphindwayo
• unenkinga yokudla nokwenza eminye imisebenzi emihle yemoto
• inkulumo engahambi kahle
• izinguquko zezwi
• ikhanda
• isiyezi

Lezi zimpawu zihlotshaniswa nezinye izimo eziningana ezithinta uhlelo lwezinzwa. Kubalulekile ukubona udokotela wakho ukuze bakwazi ukuthola ukuxilongwa okufanele.

Ngabe kutholakala kanjani ukuthi i-acute cerebellar ataxia?

Udokotela wakho uzoqhuba izivivinyo eziningana ukuthola ukuthi unayo yini i-ACA nokuthola imbangela eyimbangela yalesi sifo. Lezi zivivinyo zingafaka ukuhlolwa okujwayelekile komzimba nokuhlolwa okuhlukahlukene kwezinzwa. Udokotela wakho angahlola futhi:

• ukuzwa
• inkumbulo
• ukulinganisela nokuhamba
• umbono
• ukuhlushwa
• ingqondo
• ukuxhumanisa

Uma ungazange ungenwe yigciwane muva nje, udokotela wakho uzophinde afune izimpawu zezinye izimo nokuphazamiseka okuvame ukuholela ku-ACA.

Kunezivivinyo eziningi udokotela wakho angazisebenzisa ukuhlola izimpawu zakho, kufaka phakathi:

• Isifundo sokuqhuba imizwa. Ucwaningo lokuqhuba izinzwa lunquma ukuthi izinzwa zakho zisebenza kahle yini.
• I-Electromyography (EMG). I-electromyogram irekhoda futhi ihlole umsebenzi kagesi emisipheni yakho.
• Thepha umgogodla. Umpompi womgogodla uvumela udokotela wakho ukuthi ahlole i-cerebrospinal fluid yakho (CSF), ezungeze umgogodla nobuchopho.
• Qedela ukubalwa kwegazi (CBC). Isibalo segazi esiphelele sinquma ukuthi kukhona yini ukwehla noma ukwanda kwenombolo yakho yamaseli egazi. Lokhu kungasiza udokotela wakho ukuthi ahlole impilo yakho yonke.
• I-CT noma I-MRI scan. Udokotela wakho futhi angafuna ukulimala kobuchopho usebenzisa lezi zivivinyo zokucabanga. Zinikeza izithombe eziningiliziwe zobuchopho bakho, zivumela udokotela wakho ukuthi abukisise futhi ahlole noma yimuphi umonakalo ebuchosheni kalula.
• Ukuhlolwa komchamo futhi i-ultrasound. Lezi ezinye izivivinyo udokotela wakho angazenza.

Ngabe iphathwa kanjani i-acute cerebellar ataxia?

Ukwelashwa kwe-ACA akudingekile ngaso sonke isikhathi. Lapho igciwane lidala i-ACA, ukululama okugcwele kulindelwa ngaphandle kokwelashwa. I-Viral ACA ngokuvamile iyahamba emasontweni ambalwa ngaphandle kokwelashwa.

Kodwa-ke, ukwelashwa kuvame ukudingeka uma igciwane kungeyona imbangela ye-ACA yakho. Ukwelashwa okuqondile kuzohluka ngokuya ngesizathu, futhi kungahlala amasonto, iminyaka, noma impilo yonke. Nazi ezinye izindlela zokwelashwa:

• Ungadinga ukuhlinzwa uma isimo sakho kungumphumela wokopha ku-cerebellum.
• Ungadinga ama-antibiotic uma unesifo.
• Abanciphisi begazi bangasiza uma isifo sohlangothi sibangele i-ACA yakho.
• Ungaphuza imithi yokwelapha ukuvuvukala kwe-cerebellum, njenge-steroids.
• Uma i-toxin ingumthombo we-ACA, nciphisa noma uqede ukuvezwa kwakho kule toxin.
• Uma i-ACA ilethwe ukuntuleka kwamavithamini, ungangezela ngemithamo ephezulu kavithamini E, imijovo kavithamini B-12, noma i-thiamine.
• Kwezinye izimo, i-ACA ingalethwa ngokuzwela kwe-gluten. Kulokhu, udinga ukwamukela ukudla okuqinile okungenayo i-gluten.

Uma une-ACA, ungadinga usizo ngemisebenzi yansuku zonke. Izitsha ezikhethekile zokudla nezinsimbi eziguquguqukayo njengezinduku nezinsiza zokukhuluma kungasiza. Ukwelashwa ngokomzimba, ukwelashwa kokukhuluma, kanye nokwelashwa komsebenzi nakho kungasiza ekuthuthukiseni izimpawu zakho.

Abanye abantu bathola nokuthi ukwenza izinguquko ezithile zendlela yokuphila kungaqhubeka nokunciphisa izimpawu. Lokhu kungabandakanya ukushintsha indlela odla ngayo noma ukuthatha izithako zokudla okunempilo.

Ngabe i-acute cerebellar ataxia ibathinta kanjani abantu abadala?

Izimpawu ze-ACA kubantu abadala ziyefana nezabantwana. Njengezingane, ukuphatha i-ACA yabantu abadala kuhilela ukwelapha isimo esiyimbangela yaso.

Ngenkathi imithombo eminingi ye-ACA ezinganeni nayo ingadala i-ACA kubantu abadala, kunezimo ezithile ezingadala i-ACA kubantu abadala.

Ubuthi, ikakhulukazi ukuphuza ngokweqile utshwala, kungenye yezimbangela ezinkulu ze-ACA kubantu abadala. Ukwengeza, imishanguzo efana nezidakamizwa ze-antiepileptic kanye ne-chemotherapy ivame ukuhlotshaniswa ne-ACA kubantu abadala.

Izimo ezingaphansi kwegciwane lesandulela ngculaza, i-multiple sclerosis (MS), kanye nokuphazamiseka kokuzivikela komzimba kungahle kube namathuba okwandisa ingozi ye-ACA njengomuntu omdala. Noma kunjalo, ezimweni eziningi, imbangela ye-ACA kubantu abadala ihlala iyimfihlakalo.

Lapho uthola i-ACA kubantu abadala, odokotela kuqala bazame ukuhlukanisa i-ACA kwezinye izinhlobo zama-ataxias e-cerebellar eza kancane. Ngenkathi i-ACA ishaya kungakapheli imizuzu namahora, ezinye izinhlobo ze-cerebellar ataxia zingathatha izinsuku ukuya eminyakeni ukukhula.

Ama-ataxias anezinga lokuqhubeka kancane angahle abe nezimbangela ezahlukahlukene, ezinjengokwakheka kofuzo, futhi adinga ukwelashwa okuhlukile.

Njengomuntu omdala, maningi amathuba okuthi uthole ukucabanga kobuchopho, njenge-MRI, ngesikhathi sokuxilongwa. Lokhu kucabanga kungakhombisa ukungajwayelekile okungadala ama-ataxias ngokuqhubeka kancane.

Yiziphi ezinye izimo ezifana ne-acute cerebellar ataxia?

I-ACA ibonakala ngokuqala okusheshayo - imizuzu kuya emahoreni. Kunezinye izinhlobo ze-ataxia ezinezimpawu ezifanayo kepha izimbangela ezihlukile:

Subacute ataxias

Ama-ataxias we-Subacute akhula ngaphezu kwezinsuku noma amasonto. Kwesinye isikhathi ama-ataxias we-subacute angabonakala eza ngokushesha, kepha empeleni, bekhula kancane kancane ngokuhamba kwesikhathi.

Izimbangela zivame ukufana ne-ACA, kepha ama-ataxias e-subacute nawo abangelwa ukutheleleka okungajwayelekile njengezifo ze-prion, isifo sika-Whipple, kanye ne-leukoencephalopathy eqhubekayo ye-multifocal (PML).

Ama-ataxias aqhubekayo angapheli

Ama-ataxias aqhubekayo aqhubekayo akhula futhi aqhubeke ngaphezu kwezinyanga noma iminyaka. Zivame ukubangelwa izimo zofuzo.

Ama-ataxias okuqhubekayo angapheli nawo angaba ngenxa yokuphazamiseka kwemitochondrial noma i-neurodegenerative. Ezinye izifo zingadala noma zilingise ama-ataxias angapheli, njengekhanda le-migraine ne-brainstem aura, isifo esingajwayelekile lapho i-ataxia ihambisana nekhanda le-migraine.

Ama-ataxias azalwa naso

Ama-ataxias e-Congenital akhona lapho ezalwa futhi avame ukuhlala unomphela, yize amanye elashwa ngokuhlinzwa. La ma-ataxias abangelwa ukungajwayelekile kokuhleleka kobuchopho.

Yiziphi izinkinga ezihambisana ne-acute cerebellar ataxia?

Izimpawu ze-ACA zingase zihlale unomphela lapho ukuphazamiseka kubangelwa isifo sohlangothi, ukutheleleka, noma ukuphuma kwegazi ku-cerebellum.

Uma une-ACA, nawe usengozini enkulu yokuthuthukisa ukukhathazeka nokudangala. Lokhu kuyiqiniso ikakhulukazi uma udinga usizo ngemisebenzi yansuku zonke, noma awukwazi ukuzimela wedwa.

Ukujoyina iqembu lokusekela noma ukuhlangana nomeluleki kungakusiza ukubhekana nezimpawu zakho kanye nanoma yiziphi izinselelo obhekene nazo.

Kungenzeka yini ukuvimbela i-acute cerebellar ataxia?

Kunzima ukuvimbela i-ACA, kodwa unganciphisa ingozi yezingane zakho yokuyithola ngokuqinisekisa ukuthi zigonyelwa amagciwane angaholela ku-ACA, njengenkukhu.

Njengomuntu omdala, unganciphisa ubungozi be-ACA ngokugwema ukuphuza ngokweqile nezinye izinto ezinobuthi.Ukunciphisa ubungozi bokushaywa unhlangothi ngokuvivinya umzimba, ukugcina isisindo esinempilo, nokugcina umfutho wegazi kanye ne-cholesterol nakho kungasiza ekuvimbeleni i-ACA.