I-West syndrome: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Oonobangela be-West syndrome
• Unyango lwenziwa njani
• Ngaba i-West syndrome iyanyangeka?

I-West Syndrome sisifo esinqabileyo esibonakaliswa kukuxhuzula rhoqo, sixhaphake kakhulu kumakhwenkwe kwaye esiqala ukuzibonakalisa kunyaka wokuqala wobomi bosana. Ngokubanzi, iingxaki zokuqala zenzeka phakathi kweenyanga ezi-3 ukuya kwezi-5 zobomi, nangona isifo singenziwa kude kube ziinyanga ezili-12.

Kukho iintlobo ezi-3 zale syndrome, uphawu, idiopathic kunye ne-cryptogenic, kwaye kwimpawu umntwana unesizathu esifana nokuba umntwana ebengaphefumli ixesha elide; I-cryptogenic kuxa ibangelwa sesinye isifo sobuchopho okanye ukungaqheleki, kwaye i-idiopathic kuxa unobangela ungenakufunyanwa kwaye umntwana angakhula ngendlela eqhelekileyo, njengokuhlala nokugaqa.

Iimpawu eziphambili

Iimpawu ezothusayo zale syndrome zilibazisile ukukhula kwengqondo, ukubanjwa kwemihla ngemihla ukuxhuzula (ngamanye amaxesha ngaphezulu kwe-100), ukongeza kwiimvavanyo ezinjenge-electroencephalogram eqinisekisa ukukrokrelwa. Malunga ne-90% yabantwana abanesi sifo bahlala bekhubazeka engqondweni, i-autism kunye notshintsho lomlomo ziqhelekile. I-Bruxism, ukuphefumla ngomlomo, i-malocclusion yamazinyo kunye ne-gingivitis lolona tshintsho luqhelekileyo kwaba bantwana.

Eyona nto ixhaphakileyo kukuba umntu ophethe esi sifo uchaphazeleka nakwezinye iingxaki zobuchopho, ezinokuthintela unyango, ukuba nophuhliso olubi ngakumbi, kube nzima ukulawula. Nangona kunjalo, kukho iintsana ukuba zichacha ngokupheleleyo.

Oonobangela be-West syndrome

Unobangela wesi sifo, onokubangelwa zizinto ezininzi, awaziwa ngokuqinisekileyo, kodwa ezona zixhaphakileyo ziingxaki xa uzalwa, ezinje ngokuswela ioksijini yecerebral ngexesha lokuhanjiswa okanye nje emva kokuzalwa, kunye nehipoglycemia.

Ezinye zeemeko ezibonakala ngathi ziyayithanda le syndrome kukungalungelelani kwengqondo, ukungakhuli kakuhle, isifo se-Angelman syndrome, ukubetha, okanye usulelo olufana ne-rubella okanye i-cytomegalovirus ngexesha lokukhulelwa, ukongeza ekusebenziseni iziyobisi okanye ukusela kakhulu xa ukhulelwe. Esinye isizathu kukutshintsha kwemfuza Iibhokisi zasekhaya ezinxulumene neAristaless (ARX) kwi X chromosome.

Unyango lwenziwa njani

Unyango lwe-West Syndrome kufuneka luqalwe ngokukhawuleza, kuba ngexesha lokuxhuzula ingqondo inokufumana umonakalo ongenakuphikiswa, ukubeka esichengeni impilo kunye nokukhula kosana.

Ukusetyenziswa kwamayeza afana ne-adrenocorticotrophic hormone (ACTH) lolunye unyango, ukongeza kwi-physiotherapy kunye ne-hydrotherapy. Amachiza afana ne-sodium valproate, vigabatrin, pyridoxine kunye ne-benzodiazepines anokumiselwa ngugqirha.

Ngaba i-West syndrome iyanyangeka?

Kwiimeko ezilula, xa i-West syndrome ingahambelani nezinye izifo, xa ingenzi zimpawu, oko kukuthi, xa isizathu sayo singaziwa, sithathwa njenge-idiopathic West syndrome naxa umntwana efumana unyango ekuqaleni, kungekudala xa iingxaki zokuqala ukuvela, isifo sinokulawulwa, sinethuba lokunyanga, ngaphandle kwesidingo sonyango lomzimba, kwaye umntwana unokuba nokukhula okuqhelekileyo.

Nangona kunjalo, xa umntwana enezinye izifo ezinxulumene noko kwaye xa impilo yakhe imbi, isifo asinakuphiliswa, nangona unyango lunokuzisa intuthuzelo engakumbi. Oyena mntu ubalaseleyo ukubonisa imeko yezempilo yosana ngugqirha wezifo zengqondo othi, emva kokuvavanya zonke iimviwo, abenakho ukubonisa awona mayeza afanelekileyo kunye nemfuno yokukhuthaza ingqondo kunye neeseshoni ze-physiotherapy.