Akaomarara Munhu Syndrome

Zvemukati

• Chii chinonzi stiff person syndrome?
• Ndezvipi zviratidzo zveStiff person syndrome?
• Chii chinokonzeresa stiff person syndrome?
• Akaomeswa sei munhu chirwere anoonekwa?
• Anorwara sei munhu syndrome anorapwa?
• Ndeupi maonero eakaomeswa munhu chirwere?

Chii chinonzi stiff person syndrome?

Stiff person syndrome (SPS) ndeye autoimmune neurological kusagadzikana. Kunge mamwe marudzi ehuropi kusagadzikana, SPS inokanganisa huropi hwako uye musana (wepakati tsinga system).

An autoimmune disorder inoitika kana immune system yako ikaratidza zvisizvo nyama dzemuviri sekukuvadza nekuvarwisa.

SPS ishoma. Inogona kukanganisa hupenyu hwako pasina kurapwa kwakakodzera.

Ndezvipi zviratidzo zveStiff person syndrome?

Kunyanya kukosha, SPS inokonzeresa kuomarara kwemhasuru. Zviratidzo zvekutanga zvinosanganisira:

• kuoma kwemitezo
• mitsipa yakaoma mubhutu
• mamiriro ekumira kubva kune akaomarara kumashure mhasuru (izvi zvinogona kukonzera kuti iwe utsvage pamusoro)
• maronda emhasuru anorwadza
• matambudziko ekufamba
• nyaya dzinonzwa, senge kunzwira kuchiedza, ruzha, uye kurira
• kudikitira zvakanyanya (hyperhidrosis)

Spasms inokonzerwa neSPS inogona kusimba zvakanyanya uye inogona kukonzera kuti iwe udonhe kana wakamira. Spasms dzimwe nguva inogona kusimba zvakakwana kutyora mapfupa. Spasms inowedzera kana uchinetseka kana kugumbuka. Spasms inogona zvakare kukonzerwa nekukurumidza kufamba, ruzha rukuru, kana kubatwa.

Paunenge uchigara neSPS, unogona zvakare kuve nekuora mwoyo kana kushushikana. Izvi zvinogona kukonzerwa nezvimwe zviratidzo zvaungave uchiona kana kuderera kwemaurotransmitter muuropi.

Iko kugona kwekushungurudzika kwemanzwiro kunogona kuwedzera sezvo SPS ichifambira mberi. Unogona kucherechedza spams ichiwedzera kana iwe uri kunze kuruzhinji. Izvi zvinogona kutungamira mukukudziridza kunetseka nezvekuenda kuruzhinji.

Mumatanho ekupedzisira eSPS, unogona kusangana nekuomarara kwemhasuru uye kuomarara.

Kuomesa kwemhasuru kunogona zvakare kupararira kune dzimwe nhengo dzemuviri wako, senge kumeso kwako. Izvi zvinogona kusanganisira mhasuru dzinoshandiswa pakudya nekutaura. Tsandanyama dzakabatanidzwa mukufema dzinogona kukanganisika zvichikonzera matambudziko anotyisidzira hupenyu kufema.

Nekuda kwekuvapo kwemaamphiphysin antibodies, SPS inogona kuisa vamwe vanhu panjodzi yekuwedzera yevamwe kanzira, kusanganisira:

• zamu
• colon
• mapapu

Vamwe vanhu vane SPS vanogona kukudziridza kumwe autoimmune kusagadzikana, kusanganisira:

• chirwere cheshuga
• Zvinetso zvetachiona
• yakaipa anemia
• vitiligo

Chii chinokonzeresa stiff person syndrome?

Chikonzero chaicho cheSPS hachizivikanwe. Zvichida magene.

Iwe unogona zvakare kuve panjodzi yakawedzera yekuvandudza iyo syndrome kana iwe kana mumwe munhu mumhuri yako aine rumwe rudzi rwechirwere chemuviri. Izvi zvinosanganisira:

• mhando 1 uye 2 chirwere cheshuga
• yakaipa anemia
• rheumatoid arthritis
• thyroiditis
• vitiligo

Nezvikonzero zvisingazivikanwe, autoimmune hosha dzinorwisa matukisi ane hutano mumuviri. NeSPS, zvinyama muuropi uye musana wemupendero zvinokanganiswa. Izvi zvinokonzera zviratidzo zvichibva munyama inorwiswa.

SPS inogadzira masoja anorwisa mapuroteni muuropi neurons ayo anodzora kufamba kwemhasuru. Aya anonzi glutamic acid decarboxylase antibodies (GAD).

SPS inowanzoitika kune vanhu vakuru vari pakati pemakore makumi matatu nemakumi matanhatu.Izvowo zvakapetwa zvakapetwa kaviri muvakadzi zvichienzaniswa nevarume.

Akaomeswa sei munhu chirwere anoonekwa?

Kuti uongorore SPS, chiremba wako achatarisa nhoroondo yako yezvokurapa uye aite bvunzo dzepanyama.

Kuedzwa kunokosha zvakare. Kutanga, kuongororwa kweropa kunogona kupihwa kuti uone maGAD antibodies. Wese munhu ane SPS haana ma antibodies aya. Zvisinei, kusvika makumi masere muzana yevanhu vanogara neSPS vanoita.

Chiremba wako anogona kuraira bvunzo yekuongorora inonzi electromyography (EMG) kuyera tsandanyama yemagetsi. Chiremba wako anogona zvakare kuraira MRI kana lumbar puncture.

SPS inogona kuongororwa pamwe nepfari. Dzimwe nguva zvinokanganisa zvimwe zvinetso zvetsinga, senge multiple sclerosis (MS) uye chirwere cheParkinson.

Anorwara sei munhu syndrome anorapwa?

Iko hakuna mushonga weSPS. Zvisinei, kurapwa kunowanikwa kuti ikubatsire kugadzirisa zviratidzo zvako. Kurapa kunogona zvakare kumisa mamiriro acho kubva pakuwedzera. Tsinga dzemhasuru uye kuomarara zvinogona kurapwa pamwe kana imwe yemimwe inotevera mishonga:

• Baclofen, muswe relaxer.
• Benzodiazepines, senge diazepam (Valium) kana clonazepam (Klonopin). Iyi mishonga inodzikamisa mhasuru dzako uye kubatsira nekuzvidya mwoyo. Mahombekombe epamusoro emishonga iyi anowanzo shandiswa kurapa mhasuru.
• Gabapentin rudzi rwemushonga unoshandiswa pakurwadziwa kwemitsipa nekugwinha.
• Tsandanyama dzinozorodza.
• Mishonga yemarwadzo.
• Tiagabine mushonga unorwisa kubatwa.

Vamwe vanhu vane SPS vakaonawo kusunungurwa kwechiratidzo ne:

• Autologous stem sero rekuisa ndiyo nzira apo masero ako eropa nemapfupa akaunganidzwa uye akawedzerwa usati wadzokera kumuviri wako. Uku kurapwa kwekuyedza uko kunongotariswa mushure mekunge kumwe kurapa kwakundikana.
• Intravenous immunoglobin inogona kudzikisa huwandu hweantibhurosi anorwisa materu ane hutano.
• Plasmapheresis Maitiro umo plasma yako yeropa inotengeswa neplasma nyowani kudzikisa huwandu hwema antibodies mumuviri.
• Mamwe immunotherapies senge rituximab.

Mishonga yekudzvinyirira, senge inosarudza serotonin reuptake inhibitors (SSRIs) inogona kubatsira nekushushikana uye kusagadzikana. Zoloft, Prozac, uye Paxil ndevamwe vemhando dzinogona kuratidzwa nachiremba wako. Kutsvaga iyo chaiyo mhando kazhinji kunotora kuyedza uye kukanganisa maitiro.

Mukuwedzera kune mishonga, chiremba wako anogona kukuendesa kune chiremba wepanyama. Kurapa kwepanyama chete hakugone kurapa SPS. Zvisinei, kurovedza muviri kunogona kubatsira zvakanyanya kune yako:

• kugadzikana mupfungwa
• kufamba
• rusununguko
• kurwadziwa
• mamiriro
• zuva nezuva zuva nezuva basa
• huwandu hwekufamba

Zvichienderana nezvakakomba sei zviratidzo zvako, chiremba wako wepanyama achakutungamira kuburikidza nekufamba uye zororo rekudzidzira. Uine rubatsiro rwechiremba wako, iwe ungatokwanisa kudzidzira kumwe kufamba pamba.

Ndeupi maonero eakaomeswa munhu chirwere?

Kana iwe uri kurarama neichi chiitiko, iwe unowanzo tenderera kudonha nekuda kwekushomeka kwekugadzikana uye mafungiro. Izvi zvinogona kuwedzera njodzi yako yekukuvara kwakakomba uye kunyange hurema zvachose.

Mune zvimwe zviitiko, SPS inogona kufambira mberi nekupararira kune dzimwe nzvimbo dzomuviri wako.

Iko hakuna kurapwa kweSPS. Zvisinei, kurapwa kunowanikwa kuti ikubatsire kugadzirisa zviratidzo zvako. Maonero ako akazara anoenderana nekuti marongero ako ekurapa anoshanda sei.

Wese munhu anopindura kurapwa zvakasiyana. Vamwe vanhu vanopindura zvakanaka kumishonga uye kurapwa kwepanyama, nepo vamwe vangasapindura zvakare pakurapwa.

Kurukura zviratidzo zvako nachiremba wako. Zvinonyanya kukosha kukurukura chero nyowani zviratidzo zvauri kusangana nazvo kana kana usiri kuona chero kuvandudzwa Ruzivo urwu rwunogona kuvabatsira kusarudza nezvehurongwa hwekurapa hunoshanda zvakanyanya kwauri.