Nnukwu cerebellar ataxia

Nnukwu cerebellar ataxia bụ na mberede, agakọghị akwara n'ihi ọrịa ma ọ bụ mmerụ ahụ na cerebellum. Nke a bụ mpaghara ụbụrụ na-achịkwa mmegharị ahụ ike. Ataxia pụtara nkwụsị nke ijikwa ahụ ike, ọkachasị aka na ụkwụ.

Nnukwu ataxia nke ụmụaka, ọkachasị afọ 3, nwere ike ime ọtụtụ ụbọchị ma ọ bụ izu mgbe ọrịa nke nje kpatara.

Ọrịa nje virus nwere ike ịkpata nke a gụnyere chickenpox, ọrịa Coxsackie, Epstein-Barr, echovirus, n'etiti ndị ọzọ.

Ihe ndị ọzọ na-akpata nnukwu cerebellar ataxia gụnyere:

• Ihe etuto nke cerebellum
• Mmanya na-egbu egbu, ọgwụ, na ụmụ ahụhụ, na ọgwụ ọjọọ
• Ọbara ọgbụgba n'ime cerebellum
• Otutu sclerosis
• Ọkụ nke cerebellum
• Ịgba ọgwụ mgbochi ọrịa
• Nsogbu isi na olu
• Ọrịa ụfọdụ metụtara ụfọdụ ọrịa cancer (nsogbu paraneoplastic)

Ataxia nwere ike imetụta mmegharị nke etiti akụkụ ahụ site na olu ruo mpaghara hip (ogwe) ma ọ bụ aka na ụkwụ (aka).

Mgbe onye ahụ nọ ọdụ, ahụ́ ya nwere ike ịga n’akụkụ, gaa n’ihu, ma ọ bụ ha abụọ. Ahụ na-eme ngwa ngwa laghachi na nguzo ọtọ.

Mgbe onye nwere ataxia nke ogwe aka ruru ihe, aka nwere ike imeghari na azu.

Ihe mgbaàmà nkịtị nke ataxia gụnyere:

• Okwu ntugheriukwu (dysarthria)
• Mmeghari anya ugboro ugboro (nystagmus)
• Ejikọghị anya mmegharị
• Nsogbu ije ije (unsteady gait) nke nwere ike ibute ọdịda

Onye nlekọta ahụike ga-ajụ ma ọ bụrụ na onye ahụ na-arịa ọrịa n'oge na-adịbeghị anya ma gbalịa iwepụ ihe ọ bụla ọzọ kpatara nsogbu ahụ. A ga-eme nyocha ụbụrụ na ụjọ usoro iji chọpụta mpaghara nke usoro ụjọ ahụ kachasị emetụta.

Enwere ike ịnye ule ndị a:

• CT scan nke isi
• MRI nyochaa isi
• Ọkpụkpụ azụ
• Nyocha ọbara iji chọpụta ọrịa ndị nje na nje na-akpata

Ọgwụgwọ dabere na ihe kpatara ya:

• Ọ bụrụ na nnukwu cerebellar ataxia bụ n'ihi ọbara ọgbụgba, enwere ike ịwa ahụ.
• Maka ọrịa strok, enwere ike ịnye ọgwụ iji belata ọbara.
• Ọrịa nwere ike ịdị mkpa iji ọgwụ nje ma ọ bụ ọgwụ nje na-agwọ ya.
• Corticosteroids nwere ike ịdị mkpa maka ọzịza (mbufụt) nke cerebellum (dịka site na otutu sclerosis).
• Cerebellar ataxia nke nje na-efe efe na nso nso a nwere ike ọ gaghị achọ ọgwụgwọ.

Ndị mmadụ bụ ndị ọnọdụ ha butere site n'ọrịa nje virus na-adịbeghị anya kwesịrị ịgbake kpamkpam na-enweghị ọgwụgwọ n'ime ọnwa ole na ole. Ọrịa strok, ọbara ọgbụgba, ma ọ bụ ọrịa nwere ike ịkpata mgbaàmà na-adịgide adịgide.

N'ọnọdụ ndị na-adịkarịghị, mmegharị ahụ ma ọ bụ nsogbu omume nwere ike ịdịgide.

Kpọọ onye na-enye gị ọrụ ma ọ bụrụ na mgbaàmà ọ bụla nke ataxia pụtara.

Cerebellar ataxia; Ataxia - nnukwu cerebellar; Ọrịa nkwonkwo; Post-varicella nnukwu cerebellar ataxia; PVACA

Mink JW. Nsogbu mmeghari. Na: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. Agba nke 20. Philadelphia, PA: Elsevier; 2016: isi 597.

Subramony SH, Xia G. Nsogbu nke cerebellum, gụnyere degenarative ataxias. Na: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 97.