Ataxia cerebellar ākea

Kū koke ka atax cerebellar ataxia, neʻe ʻole ʻia ka neʻe ma muli o ka maʻi a ʻeha paha i ka cerebellum. ʻO kēia kahi o ka lolo e kaohi ana i ka neʻe ʻana o nā mākala. ʻO Ataxia ke kumu o ka nalo ʻana o ka hoʻohui ʻana o nā mākala, keu hoʻi o nā lima a me nā wāwae.

ʻIke cerebellar ataxia i nā keiki, ʻoi aku ka liʻiliʻi ma mua o ka makahiki 3, hiki ke hana i kekahi mau lā a i ʻole mau pule ma hope o kahi maʻi i hoʻokumu ʻia e kahi maʻi.

ʻO nā maʻi Viral i hiki ke kumu i kēia me ka moa, ka maʻi Coxsackie, Epstein-Barr, echovirus, a me nā mea ʻē aʻe.

ʻO nā kumu ʻē aʻe o ke ataxia cerebellar nui e komo pū ana:

• Loaʻa o ka cerebellum
• ʻAlekohola, nā lāʻau lapaʻau, a me nā insecticides, a me nā lāʻau i pāpā ʻole ʻia
• Kahe i ka cerebellum
• Sclerosis lehulehu
• Nā hahau o ka cerebellum
• Hoʻomaha lāʻau
• Trauma i ke poʻo a me ka ʻāʻī
• ʻO kekahi mau maʻi e pili ana i kekahi mau maʻi maʻi maʻi (paraneoplastic maʻi)

Hiki i ka Ataxia ke hoʻopili i ka neʻe ʻana o ka ʻaoʻao waena o ke kino mai ka ʻāʻī a i ka ʻūhā (ka pahu) a i ʻole nā ​​lima a me nā wāwae (nā lālā).

Ke noho nei ke kanaka, neʻe paha ke kino i ka ʻaoʻao a i ka ʻaoʻao, i hope a i mua, a i ʻole ʻelua paha. A laila neʻe wikiwiki ke kino i kahi kū i luna.

Ke kiʻi kekahi kanaka me ka ataxia o nā lima i kahi mea, e luli paha ka lima i hope a i waho.

ʻO nā ʻōuli maʻamau o ke ataxia me:

• Kauana haʻi ʻōlelo clumsy (dysarthria)
• Nā neʻe ʻana o ka maka hou (nystagmus)
• ʻO ka neʻe ʻana o nā maka i hoʻohui ʻole ʻia
• ʻO nā pilikia hele wāwae (unadyady gait) i hiki ke alakaʻi i ka hāʻule

E nīnau ka mea mālama ola inā ua maʻi ʻo ia a e hoʻāʻo e hōʻoki i nā kumu ʻē aʻe o ka pilikia. E nānā ʻia ka lolo a me ka ʻōnaehana ʻōnaehana e ʻike ai i nā wahi o ka ʻōnaehana hopohopo e hoʻopili nui ʻia.

E kauoha ʻia nā hōʻike aʻe:

• CT scan o ke poʻo
• MRI scan o ke poʻo
• Piula ʻōiwi
• ʻO nā hoʻokolohua koko e ʻike i nā maʻi i hoʻokumu ʻia e nā virus a i ʻole bacteria

Kaukaʻi pili i ke kumu:

• Inā pili ka ka cerebellar ataxia i ke kahe o ke kahe, pono paha ke ʻoki.
• No ka hahau ʻana, hiki ke hāʻawi ʻia ka lāʻau e lahilahi ai ke koko.
• Pono e mālama ʻia nā maʻi ʻino me nā antibiotic a i ʻole antivirals.
• Pono paha nā Corticosteroids no ka pehu (mumū) o ka cerebellum (e like me mai sclerosis maha).
• ʻO Cerebellar ataxia i hoʻokumu ʻia e kahi maʻi viral i kēia manawa ʻaʻole pono e mālama ʻia.

ʻO ka poʻe i loaʻa i ke ʻano mai kahi maʻi viral i kēia manawa e pono ke ola hou me ka ʻole o ka lapaʻau ʻana i loko o kekahi mau mahina. ʻO nā hahau, ke kahe ʻana o ke kō, a i ʻole nā ​​maʻi paha ke kumu o nā ʻōuli mau.

I nā kūlana maʻamau, neʻe paha ka neʻe a i ʻole nā ​​ʻano hana.

Kāhea i kāu mea hāʻawi inā ʻike ʻia nā ʻōuli o ke ataxia.

Cerebellar ataxia; Ataxia - cerebellar huʻi; Cerebellitis; Post-varicella huehue cerebellar ataxia; PVACA

Mink JW. Nā maʻi neʻe. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 597.

Subramony SH, Xia G. Nā maʻi o ka cerebellum, me nā ataxias degenerative. 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 97.