I-West syndrome: kuyini, izimpawu nokwelashwa
-Delile
I-West Syndrome yisifo esingajwayelekile esibonakala ngokuquleka kwesithuthwane kaningi, esivame kakhulu kubafana futhi esiqala ukuzibonakalisa ngonyaka wokuqala wokuphila kwengane. Ngokuvamile, izinkinga zokuqala zenzeka phakathi kwezinyanga ezi-3 kuya kwezi-5 zokuphila, yize ukuxilongwa kungenziwa kuze kube izinyanga eziyi-12.
Kunezinhlobo ezi-3 zalesi sifo, i-symptomatic, idiopathic ne-cryptogenic, futhi ekubonisweni kwengane kunesizathu esifana nokuthi ingane ihlale isikhathi eside ingaphefumuli; I-cryptogenic kulapho ibangelwa esinye isifo sobuchopho noma ukungajwayelekile, kanti i-idiopathic yilapho imbangela ingatholakali futhi ingane ingahle ikhule ngokujwayelekile kwezimoto, njengokuhlala nokugaqa.
Izici eziyinhloko
Izici ezigqamile zalesi sifo ukubambezeleka kokukhula kwengqondo, ukuquleka kwansuku zonke kwesifo sokuwa (kwesinye isikhathi kube ngaphezu kwe-100), ngaphezu kwezivivinyo ezifana ne-electroencephalogram eqinisekisa ukusola. Cishe i-90% yezingane ezinalesi sifo ngokuvamile zinokukhubazeka kwengqondo, i-autism nezinguquko zomlomo zivame kakhulu. I-Bruxism, ukuphefumula umlomo, i-malocclusion yamazinyo kanye ne-gingivitis yizinguquko ezivame kakhulu kulezi zingane.
Okuvame kakhulu ukuthi ophethe lesi sifo naye athintwe okunye ukuphazamiseka kobuchopho, okungavimbela ukwelashwa, ukuba nentuthuko embi kakhulu, kube nzima ukulawula. Kodwa-ke, kunezingane uma zilulama ngokuphelele.
Izimbangela ze-West syndrome
Izimbangela zalesi sifo, ezingadalwa yizinto eziningana, azaziwa ngokuqinisekile, kepha okuvame kakhulu yizinkinga lapho kuzalwa, njengokuntuleka kwe-oxygenation yobuchopho ngesikhathi sokubeletha noma ngemuva nje kokuzalwa, kanye ne-hypoglycemia.
Ezinye izimo ezibonakala zithanda lesi sifo ukungasebenzi kahle kwengqondo, ukungakhuli ngaphambi kwesikhathi, isifo se-sepsis, i-Angelman syndrome, isifo sohlangothi, noma izifo ezifana ne-rubella noma i-cytomegalovirus ngesikhathi sokukhulelwa, ngaphezu kokusetshenziswa kwezidakamizwa noma ukuphuza ngokweqile ngesikhathi sokukhulelwa. Enye imbangela ukuguquka kwesakhi sofuzo I-homeobox ehlobene ne-Aristaless (ARX) ku-X chromosome.
Yelashwa kanjani
Ukwelashwa kweWest Syndrome kufanele kuqalwe ngokushesha okukhulu, ngoba ngesikhathi sokuwa kwesithuthwane ubuchopho bungathola ukulimala okungenakulungiseka, kubeke engcupheni impilo nokukhula kwengane.
Ukusetshenziswa kwemithi efana ne-adrenocorticotrophic hormone (ACTH) kungenye indlela yokwelapha, ngaphezu kwe-physiotherapy ne-hydrotherapy. Imithi efana ne-sodium valproate, vigabatrin, pyridoxine ne-benzodiazepines ingabekwa ngudokotela.
Ingabe i-West syndrome iyelapheka?
Ezimweni ezilula, lapho iWest syndrome ingahlobene nezinye izifo, lapho ingazivezi izimpawu, okungukuthi, lapho imbangela yayo ingaziwa, ithathwa njenge-idiopathic West syndrome nalapho ingane ithola ukwelashwa ekuqaleni, kungekudala lapho kuqala izinkinga ukuvela, lesi sifo singalawulwa, sinethuba lokwelashwa, ngaphandle kwesidingo sokwelashwa ngokomzimba, futhi ingane ingakhula ngokujwayelekile.
Kodwa-ke, lapho ingane inezinye izifo ezihambisana nayo futhi lapho impilo yayo ibucayi, lesi sifo asikwazi ukwelashwa, yize izindlela zokwelapha zingaletha induduzo enkulu. Umuntu ongcono kakhulu ukukhombisa ukuthi isimo sempilo yengane ngudokotela wezifo zemithambo ozothi, ngemuva kokuhlola zonke izivivinyo, azokwazi ukukhombisa imithi efanelekile kakhulu kanye nesidingo sezikhathi zokukhuthaza ingqondo nezomzimba.