Isifo sikaStrympel: izimpawu kanye nokwelapha

Isifo se-Struumpel yisifo esithile esibonakala ukuthuthukiswa kancane kancane kobuthakathaka emiphakathini engezansi, ngokumelene nesizinda sokwanda kwethambo lomzimba ngaphakathi kubo. Lesi yisifo esingenasifo esingasithola sitholakale kunanoma yisiphi isikhathi, kusukela ekuqaleni kwasebuntwaneni nasekupheleni kokuguga okujulile.

Ulwazi jikelele

Isifo sikaStroumpel yisifo esingapheliyo sesifo sezinzwa esiseqenjini lezifo ezingenangqondo. Ibonakala ngokunqotshwa kwamanye amazwe emigwaqeni ebizwa ngokuthi i-pyramidal in the cord anterior and lateral of the umgogodla. Izinhlobo eziningi zokugula zakhiwa phakathi neminyaka embalwa yokuqala yokuphila komuntu, kanye namafomu ajwayelekile - esikhathini esilandelayo futhi ebonakala njengamanje osindayo.

Lezi zifo zaqala ukuchazwa ngokuningiliziwe ngo-A. Strumpel ngo-1866. Isazi saphawula isimo somndeni senkinga yesifo. Ezincwadini zezokwelapha, ungathola amanye amagama we-pathology (ukukhubazeka kuka-Strympel, i-paraplegia yomndeni spastic).

Inkambo yesifo ichazwa njengokuqhubeka kancane. Uma kwenzeka kusencane, kubi kakhulu. Endabeni yokuthuthukiswa kwekwephuzile, i-hypertension kanye ne-hyperreflexia ivame ukunqoba phezu kwezifo ezihlukahlukene zezimoto. I-prognosis, ngokusho kochwepheshe, iyanelisa iziguli. Izinga lokulahlekelwa amandla okusebenza okujwayelekile ngokuyinhloko lixhomeke ekubambeni kokungasebenzi kahle kwesistimu yezinzwa zomphakathi.

Ngokwe-International Classification, isifo sika-Strumentel (ICD-10) sibhalwe phansi ngaphansi kwe-G11.4.

Izizathu eziyinhloko

Izimbangela eziqondile zokuthuthukiswa kwalesi sifo aziziwa njengamanje. Ochwepheshe kule nsimu baveza kuphela imibono ehlukahlukene, kepha akekho noyedwa wabo othola isiqiniseko sesayensi.

Ubuhle besifo

Lesi sifo singathola ifa. Ngqikithi, ochwepheshe babhekisela eziningana zezinhlobo zawo:

• I-Autosomal ephezulu (kumbhangqwana oshadile lapho omunye wabazali abhekene nalesi sifo, amathuba okuba nengane enesifo esinjalo i-50 kuya ku-100%).
• Ukunciphisa ngokuzenzakalelayo (amathuba okuzalwa kwengane engelampilweni kumbhangqwana oshadile, lapho omunye wabazali esevele esegula, kungaba kusuka ku-0 kuya ku-50%).
• Ukuhambisana ne-X-chromosome (ngokuvamile kuvamise ukugula kutholakala kubesilisa).

Ezimweni zokwelapha, amacala akhethekile ayaziwa (isibonelo, isifo se-Beer, esizibonakalisa i- atrophy ye-optic nererve), lapho izimpawu zesifo zifana kakhulu ne-paraplegia yomndeni spastic, kodwa izifo ezizimele.

Isifo sikaStryumpel sibonakala kanjani? Izimpawu

Ukuthuthukiswa kwesifo kanye nokubonakaliswa kwezimpawu kubonakala kancane kancane. Okokuqala iziguli zikhalaza ubuhlungu obuhlungu emilenzeni, ukuqina njalo kokuqina kanye nokuphazamiseka okuphazamisayo. Ngemuva kwesikhathi ukugoba kwemilenze emagcekeni amadolo kuba nzima kakhulu, kanti izinguquko ezinjalo ze-pathological increase. Abanye abakwazi ukudiliza unyawo phansi. Ngaphezu kwalokho, kukhubazekile (kufushane futhi kuba ngaphezu kwesijwayelekile). Esikhathini esilandelayo kukhona ukukhubazeka okukhulu kwemisebenzi yezitho zomzimba ezinjengezifiso zokuhlala njalo.

Amafomu wesifo

Ngokusekelwe kwizici ze-pathology, ekwenzeni ukwelashwa amafomu akhe alandelayo ayahluka:

• Ngokungafani (emfanekisweni wesitholampilo, ubuthakathaka buyingxenye yemisipha yamalungu angaphansi ngaphandle kokuhambisana nezinkinga).
• Okuyinkimbinkimbi (ngaphandle kwalezi zibonakaliso ezingenhla ezigulini futhi zitholwa ngesifo senhliziyo, ukuguqulwa kwezinyawo , njll).

Ngokuya kokutholakala kwamacala aqinisekisiwe, ukugula phakathi kwezihlobo eziseduze kuvelele:

• Ukugula komndeni iStryumpel (ifa elivela kubazali kuya ezinganeni).
• Ukuhlukahluka kwe-Idiopathic yesifo (kulokhu umlando womndeni we-pathology awukwazi ukuthola).

Isitatimende sokuxilongwa

Uma izimpawu zivela, kubalulekile ukuthi ungahlanganyeli emithi, kodwa ukufuna usizo kudokotela. Esimweni lochwepheshe ochwepheshe baqoqa kuqala i-anamnesis yesiguli, ulalele izikhalazo futhi abuze imibuzo (uma kunobuthakathaka emilenzeni, ngabe lezi zihlobo zinama-pathologies afanayo, njll).

Isigaba esilandelayo ukuhlolwa kwegazi. Kuhilela ukuhlolwa kwamandla emisipha ezandleni nasezinyaweni, ukucinga kwezingqondo ze- pathological. Ukwengeza, ukucabangela kwe-computer kanye ne-magnetic resonance yomgogodla kungabelwa. Ucwaningo olunjalo lunikeza isifundo esiphezulu esiphezulu sesakhiwo saso futhi sibone ukuthi kunamathelethi amaphemidali angakhona. Qaphela ukuthi ezimweni eziningi, i-CT ne-MRI ayibonisi ushintsho lwe-pathological.

Ngenye indlela isifo seStrimple singaqinisekiswa? Ukuxilongwa kwalesi sifo kuhlanganisa nokucwaninga kwamathuba okuzwa. Indlela enjalo ivumela ukulinganisa izinga lokufeza izinhloso ezibucayi kuyo yonke intambo yomgogodla. Ukuhlaziywa kwe-DNA kuyimpoqo yokuthola ukuthi kukhona ukuguquka kwezakhi zofuzo.

Ukuqapha okukhethekile kufanele kuhokhwe ekuxilongweni okuhlukile, okuyinto kwezinye izimo okubangela ubunzima. Lesi sifo sibaluleke kakhulu ukuhlukanisa ne-Mills syndrome - i-CNS ye-degenerative lesion, ekhonjiswe ukwandiswa kwe-ventricles ye-cerebral kanye ne-atrophy ye-frontal ne-precentral convolutions. Ngokwemithi, lesi sifo sibonakala kancane kancane. Ezigabeni zokugcina zokuthuthukiswa kwesifo, ukukhubazeka kwamanye amazwe kubonakala.

I-paraplegia ye-spastic yomndeni ibalulekile ukuhlukanisa ne-okuthiwa ifomu lomgogodla lwe-multiple sclerosis. Nakhu kuyadingeka ukuthi ucabangele isimo sezindlevu zesisu, izimpukane, inkambo yesifo sonke. Ukuqaphela ikakhulukazi kuleli cala kunikezwa i-anamnesis yesiguli. Ngemuva kokuba ukulethwa kwazo zonke izivivinyo nokuhlolwa kungaqinisekisa isifo se-Stryumpel.

Ukwelapha

Umuthi wanamuhla awukwazi ukunikeza izindlela eziphumelelayo zokwelashwa kwalesi sifo. Ukwelapha kuncishiswe ukwehlisa izimpawu nokuthuthukisa ikhwalithi yokuphila kwesiguli.

Iziguli zinqunywe izidakamizwa zokunciphisa kancane kancane ithoni ye-muscle ("Midokalm", "Baclofen", "Isoprotan"), izixilongo ("Sibazon", "Nosepam", "I-Chlosepid"), amavithamini eqembu B.

Iziguli ezinezifo ezixilongwa ziboniswa izinqubo ze-physiotherapy, ama-coniferous baths, izicelo zeparafini ezithombeni ezingaphansi. Ngaphezu kwalokho, umphumela omuhle ungabonakala emva kwe-reflexotherapy, i-acupressure kanye nenqubo yokuqeqeshwa ngokomzimba wokwelapha.

Ukwelashwa kwe-Orthopedic kuhilela ukusebenzisa izinkulumo ezikhethekile ezisiza umuntu ukuba azungeze.

Kubalulekile ukuphawula ukuthi esimweni ngasinye esithile, inkambo yokwelapha nezinqubo ezihambisanayo zinikezwa ngabanye. Udokotela akufanele aqaphele kuphela imiphumela yokuhlolwa, kodwa futhi isimo sesiguli, ubukhulu bezimpawu zomtholampilo kanye nokuba khona kwezifo. Okuqakathekileko kunikelwa ekukhetheni kwemithi begodu ukuyisebenzisa ngokulingana emthamo olinganisiweko. Uma kungenjalo, amathuba okuba nesimemezelo esingalungile sanda.

Isifo sikaStroumpel yisifo esithile esiyinkimbinkimbi esivela endaweni yokucabanga kwengqondo. Izihlobo nezihlobo kufanele zinikeze usizo oluphelele lokuziphatha. Izifundo zezokwelapha ezichazwe ngenhla ziphakanyiswa ukuthi zigcinwe okungenani kabili ngonyaka. Njengoba ukwelapha njalo futhi okwanele, ukuqhubeka kwesifo kunganciphisa. Lokhu kusho ukuthi umuntu angahola indlela yokuphila engokwenyama futhi asebenze isikhathi eside.

Izinkinga nemiphumela

Isifo sika-Strympel siyingozi hhayi kuphela ngesithombe sayo somtholampilo. Umuntu obhekene nalesi sifo sokuxilongwa ngokushesha uzolahlekelwa ikhono lokuhamba ngokugcwele ngaphandle kosizo. Ngaphezu kwalokho, lesi sifo sishiya uphawu lwazo ekusebenzisaneni komsebenzi ngenxa yokukhubazeka kwesifo senhliziyo ngendlela yobuthakathaka bemisipha yomlenze. Ngenxa yalokho, iziguli azikwazi ukusebenza, kancane kancane zilahlekelwa isithakazelo ekuphileni. Abantu abanjalo badinga usizo hhayi kuphela ochwepheshe abakhethekile, kodwa nakudokotela wezengqondo.

Izinyathelo zokuvimbela

Imithi yanamuhla ayikwazi, ngeshwa, ukunikeza izindlela ezanele zokuvimbela lesi sifo, ngoba izimbangela zayo eziyinhloko aziwa.

Ngakolunye uhlangothi, ochwepheshe bayaqiniseka ukuthi umuntu kufanele azame ukuphila ngendlela efanele, adle kahle, anike ukudla okuphilile, futhi angabhemi. Imisebenzi yezemidlalo inomthelela oqinile kuwo wonke umzimba. Uma izihlobo eziseduze zinomlando wesifo se-Strympel, kuhle ukubonisana nodokotela ngalolu daba futhi, uma kunesidingo, ukuba uhlole ngokugcwele izikhathi eziningana ngonyaka. Le ndlela ngeke ivumele kuphela ukutholakala kwesikhashana ngesikhathi sokugula, kodwa futhi uthathe zonke izinyathelo zokunciphisa ukuqhubeka kwayo.

Isiphetho

Kulesi sihloko, sikhulume ngesifo sikaStryumpel. Izithombe zeziguli ezixilongwa ngalokhu zingabonakala ezincwadini ezikhethekile zezokwelapha. Ngokungangabazeki, lesi sifo asidingi nje kuphela indlela efanele yokwelashwa, kodwa futhi ukusekelwa okuqhubekayo kokuziphatha okuvela ezihlotsheni.

Ososayensi abavela emhlabeni wonke bayaqhubeka befunda ngentshiseko lesi sifo, izimbangela eziyinhloko zentuthuko kanye nezindlela zokwelapha ezanele. Ngisho nanamuhla, kunezingcaphuno mayelana nesakhi sofuzo nokuguqulwa kwayo, okuthinta ngqo ukubonakala kwesifo.

Sithemba ukuthi lonke ulwazi olwethulwe lapha luyasebenza ngempela kuwe. Yiba nempilo!