Hana ʻole ʻo baslia ganglia
He pilikia ka hana ʻole Basal ganglia me nā hanana lolo hohonu e kōkua i ka hoʻomaka a kaohi i ka neʻe.
ʻO nā kūlana e hōʻeha ai i ka lolo e hiki ke hōʻino i ka baslia ganglia. ʻO nā ʻano e like me:
- Lāʻau make kalapona
- Ka hoʻohana pono ʻana i ka lāʻau
- Poino poʻo poʻo
- Maʻi kīnā
- Maʻi maʻi ate
- Nā pilikia metabolic
- Sclerosis maha (MS)
- ʻO ka lāʻau make me ke keleawe, ka manganese, a i ʻole nā metala kaumaha
- Hahau
- Nā Tumors
ʻO kahi kumu maʻamau o kēia mau hopena ka hoʻohana mau ʻana o nā lāʻau i hoʻohana ʻia e mālama ai i ka schizophrenia.
Pili nā maʻi lolo he nui me ka hana ʻole basal ganglia. Pākuʻi ʻia lākou:
- Dystonia (nā pilikia leo o nā mākala)
- ʻO ka maʻi Huntington (maʻi e hoʻopau ai nā hunaola nerve i kekahi mau ʻāpana o ka lolo, a i ʻole degenerate)
- Atrophy ʻōnaehana maha (hoʻolaha ʻōnaehana ʻōnaehana nui)
- Maʻi ʻo Parkinson
- ʻO ka palsy supranuclear holomua (ka neʻe ʻana o ka neʻe mai ka hōʻino ʻana i kekahi mau ʻāʻī nerve i ka lolo)
- ʻO ka maʻi ʻo Wilson (maʻi e hana ana i ke keleawe he nui i nā aʻa o ke kino)
ʻO ka hōʻino ʻana i nā pūnaewele baslia ganglia e kumu i nā pilikia e kaohi ana i ka ʻōlelo, ka neʻe, a me ke kūlana. Kapa ʻia kēia hui ʻana o nā ʻōuli he parkinsonism.
He pilikia paha kahi kanaka me ka maʻi ganglia basal i ka hoʻomaka ʻana, ka hoʻomaha ʻana a i ʻole ke kākoʻo ʻana i ka neʻe. Kaukaʻi ʻia i kahi o ka lolo e pili ai, aia paha kekahi mau pilikia me ka hoʻomanaʻo a me nā hana noʻonoʻo ʻē aʻe.
Ma ka laulā, ʻokoʻa nā ʻōuli a komo pū paha:
- Hoʻololi ka neʻe ʻana, e like me ka neʻe ʻana a i ʻole ka hoʻoneʻe
- Hoʻonui i ke kani o ka mākala
- Nā spasms Muscle a me ka rigidity o nā mākala
- Nā pilikia e loaʻa ai nā huaʻōlelo
- Haʻalulu
- Kūkaʻi ʻole, hoʻoneʻe hou, walaʻau, a uē paha (tics)
- Pilikia hele wāwae
E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli a me ka mōʻaukala olakino.
Pono ʻia nā hōʻoia koko a me nā kiʻi. Pākuʻi ʻia kēia mau mea:
- CT a me MRI o ke poʻo
- Ke hoʻāʻo genetic
- Angiography resonance ʻume mākenēki (MRA) e nānā i nā kīʻaha koko i ka ʻāʻī a me ka lolo
- ʻO ka positron emission tomography (PET) e nānā i ka metabolism o ka lolo
- Nā ho'āʻo koko e nānā i ke kō kō, ka hana o ka thyroid, ka hana ate, a me ka pae hao a me keleawe
Pili ka mālama ʻana i ke kumu o ka maʻi.
Aia ke ʻano o ke kanaka ma muli o ke kumu o ka hana pono ʻole. Hiki ke hoʻihoʻi ʻia kekahi mau kumu, ʻoiai ʻo kekahi e koi i ka mālama ola ʻana.
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi neʻe ʻole a i ʻole nā neʻe ʻole, hāʻule me ke kumu ʻole i ʻike ʻia, a i ʻole inā ʻike ʻoe a i ʻole nā mea ʻē aʻe he haʻalulu a lohi paha ʻoe.
Extrapyramidal maʻi pale; Nā Antipsychotics - extrapyramidal
ʻO Jankovic J. Parkinson maʻi a me nā ʻano neʻe ʻē aʻe. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 96.
Okun MS, Lang AE. Nā pilikia neʻe ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 382.
ʻO Vestal E, Rusher A, Ikeda K, Melnick M. Nā maʻi o ka nukeliu basal. I: Lazaro RT, Reina-Guerra SG, Quiben MU, eds. ʻO Umphred's Neurological Rehabilitation. ʻEpekema 7 St Louis, MO: Elsevier; 2020: chap 18.