Yini i-Progressive Supranuclear Palsy nokuthi ilashwa kanjani

-Delile

• Izimpawu eziyinhloko
• Ungaqinisekisa kanjani
• Yelashwa kanjani

I-Progressive supranuclear palsy, eyaziwa nangokuthi i-PSP, yisifo esingajwayelekile se-neurodegenerative esibangela ukufa kancane kancane kwe-neurons ezindaweni ezithile zobuchopho, kubangele ukukhubazeka kwamakhono emoto namakhono engqondo.

Kuthinta kakhulu abesilisa nabantu abangaphezu kweminyaka engama-60 ubudala, futhi kubonakala ngokudala ukuphazamiseka kokunyakaza okuningana, njengokuphazamiseka kokukhuluma, ukungakwazi ukugwinya, ukunyakaza kwamehlo, ukuqina, ukuwa, ukungazinzi kwangemva kwesimo somzimba, kanye nokuwohloka komqondo kwesithombe, izinguquko enkumbulweni, emcabangweni nasebuntwini.

Yize lungekho ikhambi, kungenzeka ukwelashwa kwesifo se-supranuclear palsy, nezidakamizwa zokunciphisa ukulinganiselwa kokuhamba, kanye ne-antipsychotic noma i-antidepressants, ngokwesibonelo. Ngaphezu kwalokho, ukwelashwa ngokomzimba, ukwelashwa kokukhuluma nokwelashwa okusebenzayo kukhonjiswa njengendlela yokwenza ngcono ikhwalithi yempilo yesiguli.

Izimpawu eziyinhloko

Izimpawu nezimpawu ezitholakala kumuntu onesifo sokukhubazeka okuqhubekayo kwe-supranuclear zifaka:

• Izinguquko zebhalansi;
• Ubunzima bokuhamba;
• Ukuqina komzimba;
• Ukuwa njalo;
• Ukwehluleka ukubiza amagama, abizwa nge-dysarthria. Qonda ukuthi yini i-dysarthria nokuthi ingavela nini;
• Ukuklinyeka nokungakwazi ukugwinya ukudla, okubizwa nge-dysphagia;
• Ukuphazamiseka kwemisipha nokuma okuhlanekezelwe, okuyi-dystonia. Bheka ukuthi ungayibona kanjani i-dystonia nokuthi ibangelwa yini;
• Ukukhubazeka kokunyakaza kwamehlo, ikakhulukazi ohlangothini oluqondile;
• Ukuncipha kobuso;
• Ukuyekethisa kwamakhono wensimbi, ngokukhohlwa, ukuphuza ukucabanga, izinguquko zobuntu, ubunzima bokuqonda nendawo.

Isethi yezinguquko ezibangelwa yi-supranuclear palsy eqhubekayo iyafana naleyo eyethulwe yisifo sikaParkinson, yingakho lezi zifo zivame ukudideka. Bheka ukuthi ungazibona kanjani izimpawu eziyinhloko zesifo sikaParkinson.

Ngakho-ke, i-supranuclear palsy ingesinye sezimbangela ze- "parkinsonism", nayo ekhona kwezinye izifo eziningi eziwohloza ubuchopho, njengokuwohloka komqondo ngemizimba ye-Lewy, i-multiple system atrophy, isifo sikaHuntington noma ukudakwa yimithi ethile, ngokwesibonelo.

Yize isikhathi sokuphila somuntu ophethwe yi-supranuclear palsy sehluka kuye ngesimo ngasinye, kuyaziwa ukuthi lesi sifo siba simbi kakhulu ngemuva kweminyaka eyi-5 kuye kwayi-10 ngemuva kokuqala kwezimpawu, lapho ubungozi bezinkinga ezinjengezifo zamaphaphu noma ingcindezi izilonda esikhunjeni

Ungaqinisekisa kanjani

Ukuxilongwa kwesifo se-supranuclear palsy okuqhubekayo kwenziwa ngudokotela wezinzwa, yize kungatholwa abanye ochwepheshe, njengodokotela wezokwelapha noma wezifo zengqondo, njengoba izimpawu nezimpawu zididekile nezinye izifo ezonakalisayo zeminyaka noma izifo zengqondo.

Udokotela kufanele ahlole ngokucophelela izimpawu nezimpawu zesiguli, ukuhlolwa komzimba nokuhlolwa kwe-oda njengokuhlolwa kwelabhorethri, i-computed tomography yogebhezi noma imaging yamagnetic resonance yobuchopho, ekhombisa izimpawu zalesi sifo nokusiza ukukhipha ezinye izimbangela ezingaba khona .

I-Positron emission tomography, okuwukuhlolwa kwe-radiology yenuzi, kusetshenziswa umuthi okhipha imisebe ye-radioactive, okwazi ukuthola izithombe ezithile futhi ongakhombisa ushintsho ekwakhiweni kobuchopho nokusebenza. Thola ukuthi kwenziwa kanjani lokhu kuhlolwa nokuthi kukhonjiswa nini.

Yelashwa kanjani

Yize kungekho ukwelashwa okuqondile okungavimbela noma kuvimbele ukuqhubeka kwesifo, udokotela angancoma ukwelashwa okusiza ukulawula izimpawu nokuthuthukisa ikhwalithi yempilo yesiguli.

Imithi esetshenziselwa ukwelapha iParkinson's, efana neLevodopa, Carbidopa, Amantadine noma iSeleginine, ngokwesibonelo, yize ingasebenzi kahle kulezi zimo, ingaba wusizo ekunciphiseni izimpawu zezimoto. Ngaphezu kwalokho, imishanguzo yokulwa nengcindezi, i-anxiolytic kanye ne-antipsychotic ingasiza ekwelapheni izinguquko zemizwa, ukukhathazeka nokuziphatha.

I-Physiotherapy, ukwelashwa kokukhuluma nokwelashwa emsebenzini kubalulekile, njengoba kunciphisa imiphumela yesifo. Ukwelashwa okwenziwe ngezifiso kwe-physiotherapeutic kuyakwazi ukulungisa ukuma, ukukhubazeka nezinguquko ku-gait, ngaleyo ndlela kubambezele isidingo sokusebenzisa isihlalo sabakhubazekile.

Ngaphezu kwalokho, ukwamukelwa nokuqashwa kwamalungu omndeni kubalulekile, ngoba njengoba isifo siqhubeka, eminyakeni edlule, isiguli singancika kakhulu osizweni lwemisebenzi yansuku zonke. Bheka amathiphu okuthi ungamnakekela kanjani umuntu othembekile.