Yintoni i-Progressive Supranuclear Palsy kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Uqinisekisa njani
• Unyango lwenziwa njani

Ukuqhubela phambili kwesifo se-supranuclear palsy, okwaziwa nangokuthi ngu-PSP, sisifo esingaqhelekanga se-neurodegenerative esibangela ukusweleka ngokuthe ngcembe kwee-neurons kwiindawo ezithile zobuchopho, kubangele ukuphazamiseka kwezakhono zemoto kunye namandla engqondo.

Ichaphazela ikakhulu abantu kunye nabantu abangaphezulu kweminyaka engama-60 ubudala, kwaye ibonakaliswa ngokubangela ukuphazamiseka okuninzi okuhamba, njengokuphazamiseka kwintetho, ukungakwazi ukugwinya, ukulahleka kwamehlo, ukuqina, ukuwa, ukungazinzi kwasemva, kunye nokuwohloka komfanekiso, kunye utshintsho kwimemori, ukucinga kunye nobuntu.

Nangona kungekho lunyango, kunokwenzeka ukwenza unyango lwe-supranuclear palsy eqhubekayo, kunye neziyobisi zokunciphisa umda wokuhamba, kunye ne-antipsychotic okanye i-anti-depressants, umzekelo. Ukongeza, unyango lomzimba, unyango lwentetho kunye nonyango olusebenzayo lubonakalisiwe njengendlela yokuphucula umgangatho wobomi besigulana.

Iimpawu eziphambili

Iimpawu kunye neempawu ezinokuthi zifumaneke emntwini onesifo sokukhubazeka kwestrukliya eziqhubekayo zibandakanya:

• Utshintsho lwebhalansi;
• Ubunzima bokuhamba;
• Ukuqina komzimba;
• Ukuwa rhoqo;
• Ukungakwazi ukubiza amagama, abizwa ngokuba yi-dysarthria. Qonda ukuba yintoni idysarthria kwaye inokuvela nini;
• Ukuchwelwa kunye nokungakwazi ukuginya ukutya, okubizwa ngokuba yi-dysphagia;
• Ukuqaqanjelwa yimisipha kunye nokuhamba ngendlela egqwethekileyo, eyi-dystonia. Jonga ukuba uyichonga njani i-dystonia kwaye ibangelwa yintoni;
• Ukukhubazeka kwentshukumo yamehlo, ngakumbi kwicala elime nkqo;
• Ukuncipha kobuso;
• Ukuyekelela kubuchule bentsimbi, ngokulibala, ukucotha kwengcinga, utshintsho kubuntu, ubunzima ekuqondeni kunye nendawo.

Iseti yotshintsho olubangelwa kukukhubazeka kwesifo senyukliya eqhubekayo iyafana naleyo iboniswa sisifo sikaParkinson, yiyo loo nto ezi zifo zihlala zididekile. Jonga ukuba ungazichonga njani iimpawu eziphambili zesifo sikaParkinson.

Yiyo ke loo nto, ukoyisakala kwesifo senyukliya sesinye sezizathu zokuba umntu abe "neparkinsonism", ikwakhona nakwezinye izifo ezinje ngengqondo, ezinje ngesifo sengqondo esixhalabisayo esinemizimba yeLeyy, inkqubo ye-atrophy, isifo sikaHuntington okanye ukunxila ngamachiza athile, umzekelo.

Nangona ubude bobomi bomntu onesifo sokukhubazeka komzimba esibizwa ngokuba yi-supranuclear palsy buyahluka ngokwemiba nganye, kuyaziwa ukuba esi sifo siba mandundu emva kweminyaka emi-5 ukuya kweli-10 emva kokuqala kweempawu, apho umngcipheko weengxaki ezifana nosulelo lwe-pulmonary okanye uxinzelelo izilonda eluswini

Uqinisekisa njani

Ukuchongwa kwesifo se-supranuclear palsy esiqhubekayo senziwa yi-neurologist, nangona inokufunyanwa zezinye iingcali, ezinje ngugqirha wezonyango okanye ugqirha wezifo zengqondo, njengoko iimpawu kunye neempawu zididekile nezinye izifo ezonakalisayo zobudala okanye izifo zengqondo.

Ugqirha kufuneka enze uvavanyo ngononophelo lweempawu kunye neempawu zesigulana, uvavanyo lomzimba kunye nokuvavanywa kwe-odolo ezinje ngeemvavanyo zaselebhu, ikhomputha yemagnethi yokakayi okanye imaging yemagneti yokujonga kwengqondo, ebonisa iimpawu zesifo kunye nokunceda ukungabandakanyi ezinye izizathu ezinokubakho. .

I-Positron emission tomography, eluviwo lwe-radiology yenyukliya, kusetyenziswa uncedo lwamayeza e-radioactive, akwaziyo ukufumana imifanekiso ethe kratya kwaye angabonisa utshintsho kubume bengqondo kunye nokusebenza. Fumanisa ukuba lwenziwa njani olu viwo kwaye luboniswa nini.

Unyango lwenziwa njani

Nangona kungekho nyango luthile lunokuthintela okanye luthintele ukuqhubela phambili kwesi sifo, ugqirha unokucebisa unyango olunceda ukulawula iimpawu kunye nokuphucula umgangatho wobomi besigulana.

Amayeza asetyenziselwa ukunyanga iParkinson's, efana neLevodopa, Carbidopa, Amantadine okanye iSeleginine, umzekelo, ngaphandle kokusebenza kancinci kwezi meko, kunokuba luncedo ekunciphiseni iimpawu zemoto. Ukongeza, i-antidepressant, i-anxiolytic kunye ne-antipsychotic amayeza anokunceda ukunyanga utshintsho kwiimvakalelo, unxunguphalo kunye nokuziphatha.

I-Physiotherapy, unyango lwentetho kunye nonyango lomsebenzi kubalulekile, njengoko zinciphisa iziphumo zesifo. Unyango olwenzelwe umntu olwenziwe ngumntu luyakwazi ukulungisa ukuma komzimba, ukukhubazeka kunye notshintsho kwindlela, ngenxa yoko kulibaziseka isidingo sokusebenzisa isitulo esinamavili.

Ukongeza, ukwamkelwa kunye nokujongwa kwamalungu osapho kubalulekile, kuba njengoko isifo siqhubeka, ukutyhubela iminyaka, isigulana sinokuxhomekeka ngakumbi kuncedo kwimisebenzi yemihla ngemihla. Jonga iingcebiso malunga nokuba ungamnyamekela njani umntu oxhomekeke kuye.