Chii chinonzi Progressive Supranuclear Palsy uye maitiro ekurapa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa
• Kurapwa kunoitwa sei

Progressive supranuclear palsy, inozivikanwawo nechidimbu PSP, chirwere chisingawanzoitika neurodegenerative chinokonzera kufa zvishoma nezvishoma kweeuroni mune dzimwe nzvimbo dzehuropi, zvichikanganisa hunyanzvi hwemotokari uye kugona kwepfungwa.

Inonyanya kubata varume uye vanhu vanopfuura makore makumi matanhatu ekuberekwa, uye inozivikanwa nekukonzeresa kusagadzikana kwekufamba, sekukanganisa kutaura, kutadza kumedza, kurasikirwa kwekufamba kwemaziso, kuomarara, kudonha, kusagadzikana kwemashure, pamwe nehumwe dhayimia yemufananidzo. shanduko mundangariro, kufunga uye hunhu.

Kunyangwe pasina mushonga, zvinokwanisika kuitisa kurapwa kweinofambira mberi supranuclear palsy, nemishonga yekubvisa mafambiro, pamwe neantipsychotic kana antidepressants, semuenzaniso. Uye zvakare, kurapa kwemuviri, kurapa kwekutaura uye kurapwa kwebasa kunoratidzwa senzira yekuvandudza hupenyu hwevarwere.

Zviratidzo zvikuru

Zviratidzo nezviratidzo zvinogona kuwanikwa mumunhu ane progressive supranuclear palsy anosanganisira:

• Balance shanduko;
• Dambudziko mukufamba;
• Kuomarara kwemuviri;
• Kakawanda kudonha;
• Kusakwanisa kududza mazwi, anonzi dysarthria. Nzwisisa chinonzi dysarthria uye kuti inogona kumuka riini;
• Kudzipwa uye kutadza kumedza chikafu, chinonzi dysphagia;
• Tsandanyama mhasuru uye zvakamonyaniswa mamiriro, inova dystonia. Tarisa uone nzira yekuziva dystonia uye chii chinokonzeresa;
• Kuoma muviri kwekufamba kwemaziso, kunyanya munzira yakatwasuka;
• Kuderedza kumeso kwechiso;
• Kuwirirana kwesimbi kugona, nekukanganwa, kunonoka kwekufunga, hunhu shanduko, kunetseka mukunzwisisa uye nzvimbo.

Iyo seti yeshanduko inokonzerwa neinofambira mberi supranuclear palsy yakafanana neiya inounzwa nechirwere chePasinson, ndosaka izvi zvirwere zvinowanzo kanganisika. Tarisa uone maitiro ekuratidza chikuru zviratidzo zvehosha yaPasinson.

Nekudaro, supranuclear palsy ndechimwe chezvinhu zvinokonzeresa "parkinsonism", iripowo mune zvimwe zvirwere zvinodzikira zveuropi, senge dementia ine miviri yeLeby, multiple system atrophy, chirwere chaHuntington kana kudhakwa nemamwe madhiragi, semuenzaniso.

Kunyangwe hurefu hwehupenyu hwemunhu ane supranuclear palsy achisiyana zvichienderana nezviitiko zvese, zvinozivikanwa kuti chirwere ichi chinowanzo kuve chakakomba mushure memakore mashanu kusvika kugumi mushure mekutanga kwezviratidzo, umo njodzi yezvinetso zvakadai sehutachiona hwemapapu kana kumanikidzwa maronda paganda

Maitiro ekusimbisa

Kuongororwa kweinofambira mberi supranuclear palsy kunoitwa nachiremba wezveuropi, kunyangwe ichikwanisika kuonekwa nevamwe vanamazvikokota, senge chiremba wezvechiremba kana chiremba wepfungwa, sezvo zviratidzo nezviratidzo zvichinyonganiswa nezvimwe zvirwere zvinodzora zvezera kana chirwere chepfungwa.

Chiremba anofanirwa kuongorora nekuchenjera zviratidzo zvemurwere nezviratidzo, kuongororwa kwemuviri uye kuyedzwa bvunzo dzakadai sekuyedzwa murabhoritari, computed tomography yehenya kana yemagineti resonance imaging yehuropi, iyo inoratidza zviratidzo zvechirwere uye kubatsira kubvisa zvimwe zvinogona kukonzeresa .

Positron emission tomography, inova ongororo yenyukireya radiology, uchishandisa rubatsiro rweiyo radioactive mishonga, iyo inokwanisa kuwana yakanyanya mifananidzo uye inogona kuratidza shanduko mukuumbwa kwehuropi uye mashandiro. Tsvaga kuti bvunzo iyi inoitwa sei uye painoratidzwa.

Kurapwa kunoitwa sei

Kunyangwe pasina kurapwa chaiko kunogona kudzivirira kana kudzivirira kufambira mberi kwechirwere, chiremba anogona kukurudzira kurapwa kunobatsira kudzora zviratidzo nekuvandudza hupenyu hwevarwere.

Mishonga inoshandiswa kurapa yaPasinson, yakadai saLevodopa, Carbidopa, Amantadine kana Seleginine, semuenzaniso, kunyangwe isina hunyanzvi mune izvi zviitiko, inogona kubatsira kubvisa zviratidzo zvemota. Uye zvakare, antidepressant, anxiolytic uye antipsychotic mishonga inogona kubatsira kubata shanduko mune manzwiro, kushushikana uye maitiro.

Physiotherapy, kurapa kwekutaura uye kurapa kwebasa kwakakosha, sezvo ivo vachideredza mhedzisiro yechirwere. Iyo yakasarudzika physiotherapeutic kurapwa inokwanisa kugadzirisa mamiriro, kuremara uye shanduko mukufamba, nekudaro kunonoka kudiwa kwekushandisa wiricheya.

Pamusoro pezvo, kugamuchirwa nekutariswa kwenhengo dzemhuri kwakakosha, nekuti chirwere ichi chichienderera mberi, nekufamba kwemakore, murwere anogona kunyanya kuvimba nerubatsiro rwemabasa ezuva nezuva. Tarisa uone matipi ekuchengeta munhu anovimba.