Intshukumo-engalawulwayo okanye ecothayo

Ukungalawuleki okanye ukunyakaza okucothayo yingxaki kwithoni yemisipha, ihlala kumaqela amakhulu emisipha. Ingxaki ikhokelela ekuhambeni kancinci, okungalawulekiyo kokunyakaza kwentloko, imilenze, umzimba, okanye intamo.

Intshukumo engaqhelekanga inokuncitshiswa okanye inyamalale ngexesha lokulala. Uxinzelelo lweemvakalelo luyenza mandundu.

Ukungaqhelekanga kwaye ngamanye amaxesha ukungaqhelekanga kwenzeka ngenxa yokuhamba.

Ukuhamba okucothayo kokuhamba kwemisipha (i-athetosis) okanye ukuphambana kwemisipha (i-dystonia) kunokubangelwa yenye yeemeko ezininzi, kubandakanya:

• I-Cerebral palsy (iqela leengxaki ezinokuthi zibandakanye imisebenzi yengqondo kunye neenkqubo zovalo, ezinje ngokuhamba, ukufunda, ukuva, ukubona nokucinga)
• Iziphumo ebezingalindelekanga zeziyobisi, ngakumbi ukuphazamiseka kwengqondo
• I-Encephalitis (ukucaphuka kunye nokudumba kwengqondo, ubukhulu becala ngenxa yosulelo)
• Izifo zemfuzo
• I-hepatic encephalopathy (ukulahleka kwengqondo xa isibindi singakwazi ukususa i-toxins egazini)
• Isifo i-Huntington (ingxaki ebandakanya ukonakala kweeseli zemithambo-luvo kwingqondo)
• Ukubetha
• Intloko kunye nentamo
• Ukukhulelwa

Ngamanye amaxesha iimeko ezimbini (ezinjengokwenzakala kwengqondo kunye namayeza) ziyasebenzisana ukuze zibangele iintshukumo ezingaqhelekanga xa kungekho namnye yedwa onokubangela ingxaki.

Lala ngokwaneleyo uze uphephe uxinzelelo oluninzi. Thatha amanyathelo okhuseleko ukunqanda ukwenzakala. Landela isicwangciso sonyango esikunikwa ngumboneleli wakho wezempilo.

Fowunela umnikezeli wakho ukuba:

• Unentshukumo engachazekiyo ongakwaziyo ukuyilawula
• Ingxaki iya isiba mandundu
• Ukuhamba okungalawulwayo kwenzeka nezinye iimpawu

Umboneleli uya kwenza uvavanyo lomzimba. Oku kunokubandakanya uvavanyo oluneenkcukacha lweenkqubo zemithambo-luvo kunye nezihlunu.

Uya kubuzwa malunga nembali yakho yonyango kunye neempawu, kubandakanya:

• Uyiqale nini le ngxaki?
• Ngaba ihlala ifana?
• Ngaba ihlala ikhona okanye ngamanye amaxesha kuphela?
• Ngaba kuya kusiba kubi?
• Ngaba iba mbi emva kokuzilolonga?
• Ngaba iba mbi ngakumbi ngamaxesha oxinzelelo lweemvakalelo?
• Ngaba wenzakele okanye wengozi kutshanje?
• Ngaba ukhe wagula kutshanje?
• Kungcono emva kokuba ulele?
• Ngaba ukhona omnye umntu kusapho lwakho onengxaki efanayo?
• Zeziphi ezinye iimpawu onazo?
• Ngawaphi amayeza owasebenzisayo?

Uvavanyo olunoku-odolwa lubandakanya:

• Izifundo zegazi, ezinje ngephaneli ye-metabolic, ukubala okupheleleyo kwegazi (CBC), umahluko wegazi
• Ukuxilongwa kwe-CT kwentloko okanye kwendawo echaphazelekayo
• I-EEG
• I-EMG kunye nezifundo zokuqhuba kwe-velocity velocity (ngamanye amaxesha zenziwa)
• Izifundo zofuzo
• Ukugqobhoza iLumbar
• I-MRI yentloko okanye yendawo echaphazelekayo
• Uhlalutyo lomchamo
• Uvavanyo lokukhulelwa

Unyango lusekwe kwingxaki yokuhamba umntu anayo nakwimeko enokubangela ingxaki. Ukuba amayeza ayasetyenziswa, umboneleli uya kuthatha isigqibo sokuba leliphi iyeza anokumisela ngokusekwe kwiimpawu zomntu kunye naziphi na iziphumo zovavanyo.

IDystonia; Iintshukumo ezihamba kancinci nezijija ngokungazibandakanyi; Choreoathetosis; Ukuhamba kwemilenze nengalo - kungalawuleki; Ingalo kunye nokuhamba kwemilenze - okungalawulekiyo; Ukuhamba kancinci kokuzibandakanya kwamaqela amakhulu emisipha; Iintshukumo zeAthetoid

• I-atrophy yezihlunu

UJankovic J, uLang AE. Ukuchongwa kunye nokuvavanywa kwesifo seParkinson kunye nokunye ukuphazamiseka kokuhamba. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2016: isahluko 23.

Umlenze AE. Ezinye iingxaki zokuhamba. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 410.