Ndondomeko ya chithandizo cha cerebellar atrophy

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

2. Zowonongeka:
Multiple system atrophy type C (MSA-C).

3.Ischemic-Hypoxic:
Mpweya wa carbon monoxide.

4. Kuopsa kwa mankhwala:
Phenobarbital sodium.

5.Zotupa:
Zotsatira za pachimake cerebelitis.

6. Kuopsa kwa mowa:
Kuwonongeka kwa cerebellar ya mowa.

7. Zina:
Paraneoplastic cerebellar degeneration.

1.Ataxia: Ataxia ndiye chiwonetsero chachikulu cha cerebellar atrophy. Odwala amawonetsa kusakhazikika atayima, akugwedezeka, ndipo amavutika kuti asamayende bwino, nthawi zambiri amalephera kuyima ndi mwendo umodzi. Mayendedwe awo amakhala osakhazikika, okhala ndi masitepe otalikirapo, akugwedezeka m'mbali mwake, ndi manja am'mwamba amapindika ndikutalikira ngati akufuna kugwa. Sagwirizana bwino, ndipo mayendedwe nthawi zambiri amaposa chandamale, ndipo zolemba zamanja zimatha kukhala zosasunthika komanso zosakhazikika, zokhala ndi zilembo zazikulu pang'onopang'ono.

2. Cerebellar Dysarthria: Kalankhulidwe kamakhala kochedwa, kamvekedwe ka mawu, kamvekedwe ka mawu, ndi ka m’mphuno, kamene kamafanana ndi kamvekedwe ka kuimba. Izi zimachitika chifukwa cha kusowa kwa mgwirizano mu minofu yolankhula monga milomo, lilime, ndi pharynx.

3. Ocular Motor Disorders: Kumayambiriro kwa cerebellar atrophy, odwala amatha kuona disconjugate ndi oculomotor kukanika. Atha kukhala ndi kunjenjemera kokulirapo m'maso, pomwe ena amawonetsa kutsika kapena nystagmus.

4.Hypotonia: Hypotonia imawonedwa makamaka mu zotupa za cerebellar hemisphere ndipo sizipezeka kwambiri mu zotupa zazikulu. Komabe, muzochitika zina za cerebellar atrophy, pangakhale pang'onopang'ono hypertonia ya minofu, yofanana ndi kunjenjemera kwakukulu kwa ziwalo.

5.Ziwonetsero Zopanda Magalimoto: Izi zikuphatikizapo kusokonezeka kwa chidziwitso ndi chinenero. Umboni wina ukuwonetsa kulumikizana pakati pa cerebellum ndi matenda amisala monga schizophrenia, bipolar disorder, ndi zizolowezi zosokoneza bongo.

1.Neurological Examination:

(1) Kuyeza kwa Chala ndi Mphuno: Langizani wodwalayo kuti atalikitse ndi kulanda chiwalo chakumtunda, kukhudza mphuno yake ndi nsonga ya chala, ndi kubwereza zomwezo ndi njira zosiyanasiyana komanso mofulumira, ndi maso otseguka ndi otseka, kuyerekezera mbali zonse ziwiri. Ataxia imawonetseredwa ndi liwiro losagwirizana ndi kulondola, kusokonekera, kapena kufuna kusinthidwa kuti ikwaniritse cholingacho. Mu zilonda za cerebellar hemisphere, ataxia imatchulidwa kwambiri kumbali yomweyi yomwe cholinga chake chikuyandikira, nthawi zambiri chimadutsa chandamale.

(2) Kuyeza kwa Chidendene-ku-Shin: Wodwala amagona cham'munsi ndipo amachita zinthu zitatu motsatizana: kukweza ndi kukulitsa mwendo umodzi wapansi, kuyika chidendene pa bondo laling'ono lotalikirapo, kenako kugwetsa chidendene pansi pa shin, ndi cholinga cholondola komanso cholondola. mayendedwe ogwirizana. Pakuwonongeka kwa cerebellar, kukweza mwendo ndi kukhudza shin kungakhale kosakhazikika chifukwa chosazindikira mwakuya komanso kunjenjemera kwamalingaliro komwe kumayambitsa kutsika kwapansi.

(3) Mayesero Osintha Mwachangu: Wodwala amagunda mofulumira kumbuyo kwa dzanja losiyana, kapena amathamanga mofulumira ndi kusuntha kwa mkono, kapena kusinthasintha kukhudza tebulo ndi chikhatho ndi kumbuyo kwa dzanja. Pakuwonongeka kwa cerebellar, kusuntha kumakhala kosavuta komanso kosasinthika.

(4) Kuyesedwa kwa Rebound: Maso atatsekedwa, chiwalo chimodzi chakumtunda chimapindika mwamphamvu ndikumasulidwa ndi woyesa. Mu zotupa za cerebellar, kusalumikizana bwino pakati pa agonist ndi minofu yotsutsa kungayambitse mayendedwe mokokomeza zomwe zimapangitsa kudzimenya. Kapenanso, mikono yonse iwiri imasungidwa kutsogolo ndi kukulitsidwa, ndipo woyesayo mwadzidzidzi amakankhira pansi kenako ndikutulutsa. Anthu wamba amatha kubwereranso kumalo oyambirira, pamene omwe ali ndi cerebellar ataxia sangathe kulamulira mgwirizano pakati pa agonist ndi minofu yotsutsa, yomwe nthawi zambiri imayambitsa kusuntha kwakukulu ndi kugwedezeka kwa nthawi yaitali.

(5) Mayeso Olozera M'mbuyo: Wodwala amatambasula chiwalo chakumtunda kutsogolo, kuyika chala chamlozera pa chala chomwe chaima cha woyeza, ndiyeno amakweza dzanja lake molunjika ndikulibweretsa pansi kuti likhudze chala cha woyezayo. Kufufuza kumachitidwa ndi wodwala kukhalabe kumtunda kwa mwendo wotambasula, choyamba ndi maso otseguka ndiyeno kutsekedwa. Pakuwonongeka kwa cerebellar, chala cha wodwalayo sichimaloza chala cha woyesa koma chimawombera.

(6) Sit-Up Test: Wodwalayo amagona cham’mwamba, manja ataikidwa pachifuwa popanda kumuthandiza, ndipo amayesa kukhala tsonga. Mwa anthu abwinobwino, thunthu lokhalo limasinthasintha, ndipo miyendo yonse yapansi imatha kupsinjika popanda kusiya bedi. Odwala omwe ali ndi vuto la cerebellar, m'chiuno ndi thunthu zimasinthasintha nthawi imodzi, ndipo miyendo yonse yapansi imakweza, yomwe imatchedwa chizindikiro cha mgwirizano.

2.Neuroimaging:

CT ndi magnetic resonance imaging (MRI) imatha kuwulula cerebellar atrophy, yomwe imadziwika ndi kuwonjezeka ndi kufalikira kwa cerebellar fissures, kuchepetsedwa kwa voliyumu, mawonekedwe a nthambi za folia, zitsime zokulirapo za cerebellar, ndi kufutukuka kwa ventricle yachinayi.

Kuzindikira cerebellar atrophy sizovuta ndipo nthawi zambiri kumatengera mbiri yachipatala ya wodwalayo, zizindikiro zake, kuyezetsa kwachipatala, ndi maphunziro oyerekeza.