Movement - isina kubatana

Kufambisa kusingaenzaniswi kunokonzerwa nedambudziko rekudzora mhasuru iro rinokonzeresa kutadza kurongedza mafambiro. Inotungamira kune yakasviba, isina kugadzikana, kuenda-uye-kwo kufamba kwepakati pomuviri (trunk) uye isina kugadzikana gait (yekufamba nzira). Inogonawo kukanganisa mitezo.

Zita rekurapa rechimiro ichi ndiAaxia.

Smooth inoyevedza kufamba inoda muyero pakati pemapoka akasiyana emhasuru. Chikamu chehuropi chinonzi cerebellum chinogadzirisa chiyero ichi.

Ataxia inogona kukanganisa zvakanyanya zviitiko zveupenyu hwezuva nezuva.

Zvirwere zvinokanganisa cerebellum, musana, kana mhiri kwemitsipa zvinogona kukanganisa kufamba kwetsandanyama. Mhedzisiro yacho yakakura, yakasviba, isina kufambiswa mafambiro.

Kukuvara kwehuropi kana hosha dzinogona kukonzera mafambiro asina kubatana anosanganisira:

• Kukuvara kwehuropi kana kushungurudzika kwemusoro
• Chickenpox kana zvimwe hutachiona hutachiona (encephalitis)
• Mamiriro ezvinhu anopfuudzwa kuburikidza nemhuri (senge kuberekwa cerebellar ataxia, Friedreich ataxia, ataxia - telangiectasia, kana chirwere cheWilson)
• Multiple sclerosis (MS)
• Stroke kana inopfuura ischemic kurwisa (TIA)

Chepfu kana chepfu zvinokonzerwa ne:

• Doro
• Mimwe mishonga
• Heavy simbi senge mercury, thallium, uye lead
• Zvinogadziriswa senge toluene kana kabhoni tetrachloride
• Zvinodhaka zvisiri pamutemo

Zvimwe zvikonzero zvinosanganisira:

• Mimwe kanzira, umo zviratidzo zvisina kufambiswa zvekufamba zvinogona kuoneka mwedzi kana makore kenza isati yaonekwa (inonzi paraneoplastic syndrome)
• Zvinetso netsinga mumakumbo (neuropathy)
• Kukuvara kwepamuviri kana chirwere chinokonzeresa musana wesipinha (sekumanikidza kuputsika kwemuzongoza)

Kuongorora kwekuchengetedzwa kwemusha nachiremba wepanyama kunogona kubatsira.

Tora matanho ekuti zvive nyore uye zvakachengeteka kufamba famba pamba. Semuenzaniso, bvisa marara, siya nzira dzakafara, uye bvisa makanda kana zvimwe zvinhu zvinogona kukonzera kutsvedza kana kudonha.

Vanhu vane chirwere ichi vanofanirwa kukurudzirwa kutora chikamu mune zvakajairika zviitiko. Nhengo dzemhuri dzinofanirwa kuve nemoyo murefu nemunhu asina kufambirana zvakanaka. Tora nguva yekuratidza munhu nzira dzekuita mabasa zviri nyore. Tora mukana wesimba remunhu iye uchidzivirira kushaya simba kwavo.

Kumbira mubatsiri wezvehutano kana zvekubatsira kufamba, senge mudonzvo kana kufamba, zvinogona kubatsira.

Vanhu vane ataxia vanowira kudonha. Taura nemupi mupiro nezve matanho ekudzivirira kuwa.

Fonera mupiki wako kana:

• Munhu ane matambudziko asina kutsanangurwa pamwe nekubatana
• Kusava nekubatana kunotora nguva yakareba kupfuura maminetsi mashoma

Mune emergency, iwe unotanga kugadzikana kuitira kuti zviratidzo zvirege kuwedzera.

Iye mupi achaita bvunzo dzepanyama, dzinogona kusanganisira:

• Kuongorora kwakadzama kweiyo nervous system uye mhasuru, kunyatso tarisa pakufamba, kuenzanisa, uye kubatana kwekunongedza nezvigunwe nezvigunwe.
• Kukumbira iwe kuti umire netsoka dzako pamwe chete uye maziso akavharwa. Izvi zvinodaidzwa kuti Romberg bvunzo. Kana iwe ukarasikirwa nechiyero chako, ichi chiratidzo chekuti pfungwa yako yechinzvimbo yarasika. Mune ino kesi, iyo bvunzo inoonekwa senge yakanaka.

Chiremba nhoroondo mibvunzo inogona kusanganisira:

• Zviratidzo zvakatanga rini?
• Iko kusabatana kunofamba kunoitika nguva dzese here kana kuti kunouya nekuenda?
• Zviri kuwedzera?
• Unotora mishonga ipi?
• Unonwa here doro?
• Unoshandisa zvinodhaka here?
• Wakave wakaratidzirwa kune chimwe chinhu chingangodaro chakakonzera muchetura?
• Ndezvipi zvimwe zviratidzo zvaunazvo? Semuenzaniso: kushaya simba kana kuoma mitezo, chiveve, kurira, kana kurasikirwa kwekunzwa, kuvhiringidzika kana kusagadzikana, kubatwa.

Miedzo inogona kurairwa inosanganisira:

• Antibody kuyedza kutarisa paraneoplastic syndromes
• Ropa bvunzo (senge CBC kana kusiyana kweropa)
• CT scan yemusoro
• Kuongorora genetic
• MRI yemusoro

Iwe ungangoda kuendeswa kune nyanzvi kuti uongororwe uye kurapwa. Kana rimwe dambudziko riri kukonzera ataxia, dambudziko rinorapwa. Semuenzaniso, kana mushonga uchikonzera matambudziko ekubatana, mushonga unogona kuchinjwa kana kumiswa. Zvimwe zvikonzero zvinogona kusarapika. Iye mupi anogona kukuudza zvimwe.

Kusava nekubatana; Kurasikirwa kwekubatana; Kufambisa kukanganiswa; Ataxia; Kusindimara; Kusafambidzana kufamba

• Tsandanyama atrophy

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

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.