Acute cerebellar ataxia

Acute cerebellar ataxia inongoerekana yaitika, isina kuenderana mhasuru kufamba nekuda kwechirwere kana kukuvara kune iyo cerebellum. Iyi ndiyo nzvimbo iri muuropi inodzora kufamba kwemhasuru. Ataxia zvinoreva kurasikirwa kwemhasuru kubatana, kunyanya kwemaoko nemakumbo.

Acute cerebellar ataxia muvana, kunyanya vadiki pane makore matatu, inogona kuitika mazuva akati wandei kana vhiki mushure mekurwara kunokonzerwa nehutachiona.

Hutachiona hutachiona hunogona kukonzera izvi hunosanganisira chickenpox, chirwere cheCoxsackie, Epstein-Barr, echovirus, pakati pevamwe.

Zvimwe zvikonzero zveacute cerebellar ataxia zvinosanganisira:

• Kusuruvara kweiyo cerebellum
• Doro, mishonga, uye mishonga yezvipembenene, uye zvinodhaka zvisiri pamutemo
• Kubuda ropa mucerebellum
• Multiple sclerosis
• Kurohwa kwecerebellum
• Kubaya
• Kushungurudzika kumusoro nemutsipa
• Zvimwe zvirwere zvinosanganisirwa neimwe kenza (paraneoplastic disorders)

Ataxia inogona kukanganisa kufamba kwechikamu chepakati chemuviri kubva pamutsipa kuenda kunzvimbo yehudyu (trunk) kana maoko nemakumbo (makumbo).

Kana munhu akagara, muviri unogona kufamba uchienda-kune-divi, kumashure-kumberi, kana zvese zviri zviviri. Ipapo muviri unokurumidza kudzokera kunzvimbo yakatwasuka.

Kana munhu ane ataxia yemaoko achisvika kuchinhu, ruoko runogona kuzungunuka nekudzoka.

Zviratidzo zvakajairwa zve ataxia zvinosanganisira:

• Clumsy kutaura maitiro (dysarthria)
• Kudzokorora kweziso kufamba (nystagmus)
• Kufambisa kwemaziso kusingaenderane
• Matambudziko ekufamba (kusagadzikana gait) ayo anogona kutungamira kudonha

Anopa hutano anozobvunza kana munhu achangobva kurwara uye anoedza kutonga zvimwe zvikonzero zvedambudziko. Uropi uye huta hurongwa hwekuongorora huchaitwa kuti uone nzvimbo dzehurongwa hwemitsipa dzinokanganisika zvakanyanya.

Iyi bvunzo inotevera inogona kurairwa:

• CT scan yemusoro
• MRI scan yemusoro
• Musana pombi
• Kuongororwa kweropa kuti uone hutachiona hunokonzerwa nemavhairasi kana mabhakitiriya

Kurapa kunoenderana nechikonzero.

• Kana iyo yakaoma cerebellar ataxia iri nekuda kwekubuda ropa, kuvhiya kunogona kudikanwa.
• Kune sitiroko, mushonga wekutetepa ropa unogona kupihwa.
• Zvirwere zvingangoda kurapwa nemishonga inorwisa mabhakitiriya kana maantivirals.
• Corticosteroids inogona kudikanwa pakuzvimba (kuzvimba) kwecerebellum (senge kubva ku multiple sclerosis).
• Cerebellar ataxia inokonzerwa nehutachiona hweutachiona hwazvino haugone kuda kurapwa.

Vanhu vane mamiriro akakonzerwa nehutachiona hwehutachiona hwazvino vanofanirwa kugadzirisa zvizere pasina kurapwa mumwedzi mishoma. Kurohwa, kubuda ropa, kana kutapukirwa kunogona kukonzera zviratidzo zvechigarire.

Muzviitiko zvisingawanzoitika, kufamba kana kusagadzikana kwehunhu kunogona kuenderera.

Fonera wako mupi kana paine zviratidzo zvetaxia zvioneke.

Cerebellar ataxia; Ataxia - yakaoma cerebellar; Cerebellitis; Post-varicella acute cerebellar ataxia; PVACA

Mink JW. Kushungurudzika kwekufamba. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 597.

Subramony SH, Xia G. Kukanganisika kweiyo cerebellum, kusanganisira iyo degenerative ataxias. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 97.