Tsarin jiyya don atrophy cerebellar

1.Genetic:
Spinocerebellar ataxia (SCA).
Friedreich's ataxia.
Dentatorubral-pallidoluysian atrophy (DRPLA).

2.Dagererative:
Nau'in atrophy tsarin da yawa C (MSA-C).

3. Ischemic-Hypoxic:
Guba carbon monoxide.

4.Tsarin magani:
Phenobarbital sodium.

5.Ciwoyi:
Matsalolin m cerebelitis.

6.Tsarin barasa:
Barasa cerebellar degeneration.

7. Wasu:
Paraneoplastic cerebellar degeneration.

1.Ataxia: Ataxia shine babban bayyanar asibiti na atrophy na cerebellar. Marasa lafiya suna nuna rashin kwanciyar hankali yayin da suke tsaye, swaying, da wahalar kiyaye daidaito, yawanci ba su iya tsayawa akan ƙafa ɗaya. Tafiyarsu ba ta tsaya tsayin daka ba, tare da faffadan matakai, murzawa ta gefe, gaɓoɓin gaɓoɓi na sama suna miƙewa kamar za su faɗo. Suna da rashin daidaituwa, tare da motsi sau da yawa yana wuce gona da iri, kuma rubutun hannu na iya zama mai girgiza kuma ba bisa ka'ida ba, tare da manyan haruffa masu girma.

2. Cerebellar Dysarthria: Magana tana da hankali, tare da slurred, monotone, da sautunan hanci, kama da tsarin waƙa. Wannan shi ne saboda rashin daidaituwa a cikin tsokoki na articulatory kamar lebe, harshe, da pharynx.

3. Ciwon Mota na Ocular: Da farko a cikin atrophy na cerebellar, marasa lafiya na iya fuskantar rashin daidaituwa da hangen nesa da rashin aiki na oculomotor. Suna iya samun girgizar ƙasa mai ƙarfi a cikin idanu, tare da wasu 'yan lokuta suna nuna rashin ƙarfi ko sake dawowa nystagmus.

4.Hypotonia: Ana lura da hypotonia da farko a cikin ƙananan ƙwayoyin cuta na cerebellar hemisphere kuma ba shi da yawa a cikin cututtuka na yau da kullum. Duk da haka, a wasu lokuta na atrophy na cerebellar, za a iya samun ci gaba na gabaɗaya hypertonia tsoka, kama da rawar jiki-mafi rinjaye.

5.Bayanan Motoci: Waɗannan sun haɗa da rashin fahimta da nakasa harshe. Wasu shaidun suna nuna alaƙa tsakanin cerebellum da cututtukan tabin hankali kamar schizophrenia, cuta ta biyu, da halayen jaraba.

1. Jarabawar Jijiya:

(1) Gwajin Yatsa zuwa Hanci: Umurci majiyyaci da ya mika hannu da kuma sace babban gaɓoɓinsa, ya taɓa hancinsa da ɗan yatsa, sannan a maimaita aikin ta hanyoyi daban-daban da sauri, tare da buɗe ido da rufewa, kwatanta bangarorin biyu. Ataxia yana bayyana ta rashin daidaituwa da sauri da daidaito, kuskure, ko buƙatar daidaitawa don isa ga manufa. A cikin raunuka na cerebellar hemisphere, ataxia ya fi fitowa fili a gefe guda kamar yadda aka yi niyya, sau da yawa overshooting manufa.

(2) Gwajin diddige-zuwa-Shin: Majiyyaci yana kwance yana yin ayyuka uku a jere: dagawa da tsawaita ƙafar ƙafa ɗaya, sanya diddige akan akasin ƙafar ƙafar ƙafar ƙafa, sa'an nan kuma zame dugadugan ta ƙasa, da nufin daidai kuma. ƙungiyoyi masu daidaituwa. A cikin ɓarna cerebellar, ɗaga ƙafa da taɓa ƙwanƙwasa na iya zama mara ƙarfi saboda rashin zurfin fahimta da rawar jiki wanda ke haifar da girgiza ƙasa.

(3) Gwajin Canza Motsi da Sauri: Mara lafiya cikin hanzari yana taɓa bayan hannu na gaba, ko kuma yana yin saurin juyewa da motsin gaba, ko madaidaicin taɓa tebur da tafin hannu da bayansa. A cikin ɓarna cerebellar, motsi ba su da kyau kuma ba su da ka'ida.

(4) Gwajin Komawa: Tare da rufe idanu, ɗayan na sama yana jujjuyawa da ƙarfi sannan mai binciken ya sake shi. A cikin raunuka na cerebellar, rashin daidaituwa tsakanin agonist da tsokoki na antagonist na iya haifar da wuce gona da iri wanda ke haifar da bugun kai. A madadin, duka hannayen biyu ana kiyaye su a gaba da kuma mika su, kuma mai binciken ya tura su ba zato ba tsammani sannan ya sake su. Mutane na yau da kullun na iya komawa daidai matsayinsu na asali, yayin da waɗanda ke da ataxia cerebellar ba za su iya sarrafa daidaitawa tsakanin agonist da tsokoki masu adawa da juna ba, galibi yana haifar da motsi mai yawa da tsawaita motsi.

(5) Gwajin Nuna Baya: Majiyyaci ya mika hannun na sama gaba, ya dora yatsan manuniya akan yatsan mai duba a tsaye, sannan ya daga hannu a tsaye ya dawo da shi kasa ya taba yatsan mai duba. Ana gudanar da jarrabawar tare da majiyyaci da ke kula da kafa na sama, da farko tare da bude idanu sannan kuma a rufe. A cikin lalacewar cerebellar, yatsan mai haƙuri baya nuna daidai ga yatsan mai dubawa amma ya wuce gona da iri.

(6) Gwajin Sit-Up: Mara lafiya yana kwance a kwance, an ɗora hannaye akan ƙirji ba tare da tallafi ba, da ƙoƙarin zama. A cikin mutane na al'ada, gangar jikin kawai yana jujjuyawa, kuma duka ƙananan gaɓoɓin na iya yin rauni ba tare da barin saman gadon ba. A cikin marasa lafiya tare da lalacewar cerebellar, duka hips da gangar jikin suna jujjuya lokaci guda, kuma duka ƙananan ƙafafu suna ɗagawa, wanda ake kira alamar haɗin gwiwa.

2. Neuroimaging:

CT da Magnetic Resonance Hoto (MRI) na iya bayyana atrophy na cerebellar, wanda ke da ƙaru da faɗaɗa fissures na cerebellar, raguwar girma, bayyanar folia mai rassa, faɗaɗa rijiyoyin cerebellar, da dilation na ventricle na hudu.

Ganewar atrophy na cerebellar ba yawanci ba ne mai wahala kuma yawanci yana dogara ne akan tarihin likitancin majiyyaci, alamomi, gwajin asibiti, da nazarin hoto.