Chii chinonzi Paraparesis uye Inoitwa Sei?

Zvemukati

• Chii chinonzi paraparesis?
• Ndezvipi zviratidzo zvekutanga?
• Nhaka spastic paraparesis (HSP)
• Tropical spastic paraparesis (TSP)
• Chii chinokonzeresa paraparesis?
• Zvinokonzera HSP
• Zvinokonzera TSP
• Inoonekwa sei?
• Kuongorora HSP
• Kuongorora TSP
• Ndedzipi nzira dzekurapa dziripo?
• Zvaunotarisira
• Ndiine HSP
• Ndiine TSP

Chii chinonzi paraparesis?

Paraparesis inoitika kana iwe uchitadza chikamu kufambisa makumbo. Mamiriro acho anogona zvakare kureva kushaya simba muhudyu mako nemakumbo. Paraparesis yakasiyana neparaplegia, zvinoreva kusagona kwakakwana kufambisa makumbo.

Uku kurasikirwa kushoma kwebasa kunogona kukonzerwa ne:

• kukuvara
• kusagadzikana kwemajini
• hutachiona hutachiona
• vhitamini B-12 kushomeka

Ramba uchiverenga kuti udzidze zvakawanda nezvekuti sei izvi zvichiitika, nemabatiro aingaite, pamwe nesarudzo dzekurapa uye nezvimwe.

Ndezvipi zviratidzo zvekutanga?

Paraparesis inoguma nekudzikira kana kukuvara kwenzara dzako nzira. Ichi chinyorwa chichafukidza iwo maviri makuru marudzi eparaparesis - magene uye anotapukira.

Nhaka spastic paraparesis (HSP)

HSP iboka rematambudziko etsinga anokonzera kushaya simba uye kuomarara - kana kusimba-kwemakumbo anowedzera kuwedzera nekufamba kwenguva.

Iri boka rezvirwere rinozivikanwawo seyemhuri spastic paraplegia uye Strumpell-Lorrain syndrome. Rudzi urwu rwakagara nhaka kubva kune mumwe wevabereki vako.

Inofungidzirwa kuti vanhu zviuru gumi kusvika zviuru makumi maviri muUnited States vane HSP. Zviratidzo zvinogona kutanga chero zera, asi kune vanhu vazhinji ivo vanotanga kucherechedzwa pakati pemakore gumi neane makumi mana emakore.

Mafomu eHSP anoiswa muzvikamu zviviri zvakasiyana: yakachena uye yakaoma.

HSP yakachena: HSP yakachena ine zviratidzo zvinotevera:

• zvishoma nezvishoma kupera simba uye kuomesa kwemakumbo
• kuenzanisa matambudziko
• tsandanyama makumbo mumakumbo
• tsoka dzakakwirira maberere
• shanduko mukunzwa mutsoka
• matambudziko eurinary, kusanganisira kukurumidza uye kuwanda
• kusagadzikana kwe erectile

Yakaomarara HSP: Vanenge gumi muzana yevanhu vane HSP vane HSP yakaoma. Mune fomu iyi, zviratidzo zvinosanganisira izvo zveiyo HSP yakachena pamwe chete nechimwe chezviratidzo zvinotevera:

• kushaya kwekudzora tsandanyama
• pfari
• kukanganisa kukanganisa
• kuora mwoyo
• kuona kana matambudziko ekunzwa
• kusagadzikana kwekufamba
• peripheral neuropathy, iyo inogona kukonzera kushaya simba, chiveve, uye kurwadziwa, kazhinji mumaoko nemakumbo
• ichthyosis, inokonzeresa kuoma, gobvu, uye kuwedzera ganda

Tropical spastic paraparesis (TSP)

TSP chirwere chetsinga chinokonzeresa kushomeka, kuomarara, uye mhasuru yemhasuru yemakumbo. Izvo zvinokonzereswa neyevanhu T-cell lymphotrophic hutachiona mhando 1 (HTLV-1). TSP inozivikanwawo seHTLV-1 yakabatana myelopathy (HAM).

Inowanzoitika kuvanhu vari munzvimbo dziri padyo neequator, senge:

• muCaribbean
• equatorial Africa
• kumaodzanyemba kweJapan
• South America

Anofungidzirwa pasirese anotakura hutachiona hweHTLV-1. Pasi pe3 muzana yavo ichaenderera mberi nekukudziridza TSP. TSP inobata vakadzi kupfuura varume. Zvinogona kuitika chero zera. Avhareji zera makore makumi mana kusvika makumi mashanu.

Zviratidzo zvinosanganisira:

• zvishoma nezvishoma kupera simba uye kuomesa kwemakumbo
• musana kurwadziwa kunogona kupenya pasi nemakumbo
• paresthesia, kana kupisa kana kupwanya manzwiro
• weti kana ura matambudziko ekushanda
• kusagadzikana kwe erectile
• anogumbura ganda mamiriro, senge dermatitis kana psoriasis

Muzviitiko zvisingawanzoitika, TSP inogona kukonzera:

• kuzvimba kweziso
• arthritis
• kuzvimba kwemapapu
• kuputika kwemhasuru
• ziso rakaomarara

Chii chinokonzeresa paraparesis?

Zvinokonzera HSP

HSP chirwere chemagene, zvichireva kuti chakapfuudzwa kubva kuvabereki kuenda kuvana. Kune anopfuura makumi matatu marudzi emajini uye madiki eHSP. Magen'a anogona kupfuudzwa neakakurumbira, akawandisa, kana maX-akasanganiswa enzira dzenhaka.

Havasi vese vana mumhuri vanozoita zviratidzo. Nekudaro, ivo vanogona kunge vari vatakuri veiyo isina kujairika geni.

Vanenge makumi matatu muzana yevanhu vane HSP havana nhoroondo yemhuri yechirwere ichi. Muzviitiko izvi, chirwere chinotanga zvisina kujairika sekuchinja kwemajini kusingatorerwe kubva kune chero mubereki.

Zvinokonzera TSP

TSP inokonzerwa neHTLV-1. Utachiona hunogona kupfuudzwa kubva kune mumwe munhu kuenda kune mumwe kuburikidza:

• kuyamwisa
• kugovana tsono dzine hutachiona panguva yekushandisa zvinodhaka
• zvepabonde
• kuwedzerwa ropa

Iwe haugone kuparadzira HTLV-1 kuburikidza neyakajairika kuonana, sekukwazisana maoko, kukumbundira, kana kugovana mbichana

Pasi pe3 muzana yevanhu vakatora hutachiona hweHTLV-1 vanogadzira TSP.

Inoonekwa sei?

Kuongorora HSP

Kuti uongorore HSP, chiremba wako achakuongorora, kumbira nhoroondo yemhuri yako, uye kutonga zvimwe zvinokonzeresa zvezviratidzo zvako.

Chiremba wako anogona kuraira bvunzo dzekuongorora, kusanganisira:

• electromyography (EMG)
• tsinga conduction zvidzidzo
• MRI inoongorora yehuropi hwako uye musana
• basa reropa

Mhedzisiro yeiyi miedzo inobatsira chiremba wako kusiyanisa pakati peHSP uye zvimwe zvinogona kukonzera zviratidzo zvako. Kuongorora mageneti kune mamwe marudzi eHSP aripowo.

Kuongorora TSP

TSP inowanzo kuongororwa zvichienderana nezviratidzo zvako uye mukana wekuti iwe wakaratidzirwa kuHTLV-1. Chiremba wako anogona kukubvunza nezvenhoroondo yako yepabonde uye kuti wakambobaya majekiseni here.

Ivo vanogona zvakare kuraira iyo MRI yemuzongoza wako kana musana wepombi kuti utore muenzaniso wecerebrospinal fluid. Mvura yako yemuzongoza neropa zvichaongororwa hutachiona kana ma antibodies kuhutachiona.

Ndedzipi nzira dzekurapa dziripo?

Kurapa kweHSP uye TSP kunoiswa pakurapwa kwechiratidzo kuburikidza nehutano hwepanyama, kurovedza muviri, uye kushandiswa kwemidziyo yekubatsira.

Kurapa kwepanyama kunogona kukubatsira iwe kuchengetedza uye kugadzirisa yako mhasuru simba uye huwandu hwekufamba. Inogona zvakare kukubatsira iwe kudzivirira kumanikidza maronda. Sezvo chirwere ichi chichienderera mberi, unogona kushandisa ankle-tsoka chibooreso, nzimbe, kufamba, kana wheelchair kuti ikubatsire kutenderera.

Mishonga inogona kubatsira kudzikamisa kurwadziwa, kuomarara kwemhasuru, uye kushomeka. Mishonga inogona zvakare kubatsira kudzora matambudziko eweti uye hutachiona hwechirongo.

Corticosteroids, senge prednisone (Rayos), inogona kudzora kuzvimba kwetambo yemuzongoza muTSP. Ivo havazoshandure mhedzisiro yenguva refu yechirwere, asi ivo vanogona kukubatsira iwe kubata zviratidzo.

pakushandiswa kwemishonga inorwisa mavhairasi uye interferon iri kuitirwa TSP, asi mishonga yacho haisi mukushandisa nguva dzose.

Zvaunotarisira

Maonero ako ega anozosiyana zvichienderana nerudzi rweparaparesis yauinayo uye kuomarara kwayo. Chiremba wako ndiye sosi yako yepamusoro yeruzivo nezve iyo mamiriro uye zvazvingaitika pahunhu hwako.

Ndiine HSP

Vamwe vanhu vane HSP vanogona kuona zviratidzo zvakapfava, nepo vamwe vangakure hurema nekufamba kwenguva. Vazhinji vanhu vane HSP yakachena vane hwakajairwa hupenyu hupenyu.

Zvinogona kuitika zveHSP zvinosanganisira:

• kuumba mhuru
• tsoka dzinotonhora
• kuneta
• musana uye kurwadziwa kwemabvi
• kushushikana uye kushushikana

Ndiine TSP

TSP chirwere chisingaperi chinowanzo wedzera nekufamba kwenguva. Zvisinei, hazviwanzo kutyisidzira upenyu. Vanhu vazhinji vanorarama kwemakumi emakumi emakore mushure mekuongororwa. Kuchengetedza hutachiona hwehutachiona uye maronda eganda kunobatsira kunatsiridza hurefu uye hunhu hwehupenyu hwako.

Dambudziko rakakomba rehutachiona hweHTLV-1 kukura kwevakuru T-cell leukemia kana lymphoma. Kunyangwe vari pasi pe5 muzana yevanhu vane hutachiona hutachiona vanokura vakuru T-cell leukemia, iwe unofanirwa kuziva nezve mukana. Iva nechokwadi chekuti chiremba wako anoiongorora.