Kufambisa - kusadzora kana kunonoka

Kusadzora kana kufamba kunononoka idambudziko nemhasuru toni, kazhinji mumapoka makuru emhasuru. Dambudziko rinotungamira mukufamba zvishoma, kusingadzoreke kufamba kwemusoro, makumbo, trunk, kana mutsipa.

Iko kufamba kusinganzwisisike kunogona kuderedzwa kana kutsakatika panguva yekurara. Kushungurudzika mupfungwa kunowedzera.

Kusanzwisisika uye dzimwe nguva kusanzwisisika mamiriro kunogona kuitika nekuda kwekufamba uku.

Iko kufamba kunononoka kwekumonyanisa kwemhasuru (athetosis) kana kuomarara kwemhasuru (dystonia) kunogona kukonzerwa neimwe yemamiriro mazhinji, kusanganisira:

• Cerebral palsy (boka rezvinetso izvo zvinogona kusanganisira huropi uye hunyanzvi mashandiro, sekufamba, kudzidza, kunzwa, kuona, uye kufunga)
• Zvimwe zvinokanganisa zvemishonga, kunyanya kune kusagadzikana kwepfungwa
• Encephalitis (kutsamwa uye kuzvimba kwehuropi, kazhinji kazhinji nekuda kwezvirwere)
• Zvirwere zvemagen'a
• Hepatic encephalopathy (kurasikirwa kwehuropi hunoshanda kana chiropa chisingakwanise kubvisa chepfu kubva muropa)
• Huntington chirwere (kusagadzikana kunosanganisira kuputsika kwemaseru emitsipa muuropi)
• Kurohwa
• Musoro uye mutsipa kushungurudzika
• Kubata pamuviri

Dzimwe nguva mamiriro maviri (sekukuvara kwehuropi nemushonga) anofambidzana achikonzera kufamba kwakasarudzika kana pasina mumwe chete angakonzera dambudziko.

Wana nguva yakakwana yekurara uye dzivisa kunetseka zvakanyanya. Tora matanho ekudzivirira kudzivisa kukuvara. Tevedza chirongwa chekurapa chinopihwa nemupi wako wezvehutano.

Fonera mupiki wako kana:

• Iwe une mafambiro asingatsanangurike ausingakwanise kudzora
• Dambudziko riri kuwedzera
• Kufambisa kusingadzorwe kunoitika nezvimwe zviratidzo

Iye mupi achaita bvunzo dzepanyama. Izvi zvinogona kusanganisira kuongororwa kwakadzama kwenzira uye mhasuru masystem.

Iwe uchazobvunzwa nezve yako nhoroondo yezvokurapa uye zviratidzo, zvinosanganisira:

• Wakatanga riini dambudziko iri?
• Nguva dzose zvakafanana here?
• Inogara iripo here kana chete dzimwe nguva?
• Zviri kuwedzera?
• Zvakanyanya kuwedzera mushure mekurovedza muviri?
• Zvakanyanya kuipa here panguva yekushushikana mupfungwa?
• Wakambokuvara here kana mutsaona nguva pfupi yadarika?
• Wakamborwara nguva pfupi yadarika here?
• Zviri nani here iwe warara?
• Pane mumwe munhu mumhuri yako ane dambudziko rakafanana here?
• Ndezvipi zvimwe zviratidzo zvaunazvo?
• Ndeapi mishonga yauri kutora?

Miedzo inogona kurairwa inosanganisira:

• Zvidzidzo zveropa, senge metabolic pani, yakazara ropa kuverenga (CBC), kusiyana kweropa
• CT scan yemusoro kana yakakanganiswa nzvimbo
• EEG
• EMG uye nerve conduction velocity zvidzidzo (dzimwe nguva zvinoitwa)
• Zvidzidzo zveGenetic
• Lumbar kubaya
• MRI yemusoro kana yakakanganiswa nzvimbo
• Kuongorora urinal
• Kuedzwa kwepamuviri

Kurapa kunoenderana nedambudziko rekufamba iro munhu anaro uye nemamiriro angave ari kukonzera dambudziko. Kana mishonga ikashandiswa, mupi achasarudza kuti ndeupi mushonga wekumisikidza zvichienderana nezviratidzo zvemunhu uye chero mhinduro dzekuyedza.

Dystonia; Kusazvipira kunonoka uye kumonyanisa mafambiro; Choreoathetosis; Kufambisa kwemakumbo nemaoko - kusadzora; Ruoko uye gumbo kufamba - kusingadzoreki; Inononoka kufamba kusingafungiri kwemapoka makuru emhasuru; Athetoid mafambiro

• Tsandanyama atrophy

Jankovic J, Lang AE. Kuongororwa uye kuongororwa kwechirwere chePasinson uye kumwe kusagadzikana kwekufamba. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 23.

Lang AE. Zvimwe zvinetso zvekufamba. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 410.