Cerebral Palsy
Etiology
Zvikonzero zveCP zvakaoma, kusanganisira genetic uye zvakawanikwa zvinhu. Iyo yekupedzisira inosanganisira zvinhu vasati vazvarwa, panguva yekuzvara, uye panguva yekuzvarwa, uye zvimwe zviitiko kushaya zvikonzero zvakajeka. Parizvino, zvinhu zvina zvakakosha zvine chekuita neCP kuberekwa nguva isati yakwana kana kuderera kwehuremu, perinatal asphyxia kana hypoxic-ischemic encephalopathy, neonatal hyperbilirubinemia, uye intrauterine zvirwere. Uyezve, kuitika kweCP kune hukama neiyo genetic factor.
Pre-birth factors
Embryo kunaka pakubata pamuviri
Kusvuta kwevabereki, kudhakwa nedoro, kana kushandisa zvinodhaka vasati uye panguva yekuzvitakura zvinogona kukanganisa kunaka kwe embryo.
Maternal health conditions
Zvinhu zvakaita sekutapukira, chepfu, kana kuratidzwa nemwaranzi panguva yekuzvitakura zvinogona kukonzera kusakwana kwesero rehuropi.
Perinatal factors
Kuberekwa nguva isati yakwana
Inogona kutungamira kune akasiyana pathological mamiriro, zvichiita kuti vana vanyanye kubatwa neCP.
Kushungurudzika kwekuzvarwa
Mamiriro ezvinhu akadai sekukurumidza kuburitsa, kubviswa kwevacuum, uye kuburitsa simba kunogona kukonzera intracranial hemorrhage.
Hypoxia
Zvinhu zvakadai sekushanda kwenguva refu, nuchal cord, meconium aspiration, kana placental dysfunction zvinogona kutungamirira kufetus brain hypoxia.
Hyperbilirubinemia
Zvikonzero zvakawanda zvinogona kukonzera jaundice yakaoma muvana vachangozvarwa, izvo zvinogona kutungamirira kukernicterus.
Neonatal period factors
Zvirwere zvakasiyana-siyana, zvakakomba mamiriro emwana, kukuvara kwehuropi, uye kubuda ropa mukati memumusoro nekuda kwekusagadzikana kwekubuda ropa kwevacheche kunogona kukonzera CP.
Genetic factors
Dzimwe nyaya dzeCP dzinogona kunge dziine nhoroondo yemhuri yezvirwere zvakagarwa nhaka. Kana paine zviitiko zvepfari, CP, kana hurema hwepfungwa muhama dzepedyo, mukana wekuitika kweCP unowedzera.
Clinical Manifestation
Makiriniki ekuratidzwa kweCP anosiyana pakati pevanhu, kunyanya kusanganisira:
Kukanganiswa kwemota senge isingaite tsandanyama toni, tsinga dzetsandanyama, kana kupera simba.
Matambudziko ane posture control, zvichiita kuti zviome kuchengetedza chiyero uye kudzora chimiro.
Matambudziko ekubatana, zvichikonzera kusashanda zvakanaka kwemota, zvinogona kukanganisa kufamba kwakanaka kwemaoko.
Mabasa mashoma emota anosanganisira zviitiko zvakaita sekufamba, kukambaira, uye kugara.
Kukanganiswa kwekutaura uye mutauro; vamwe varwere vanogona kusangana nematambudziko mukutaura uye kukura mutauro.
Kukanganisa kwekuziva; kunyangwe vazhinji varwere veCP vaine hungwaru hwakajairwa, vamwe vanogona kunge vaine nyaya dzekuziva.
Examination
Neurological assessment: Inosanganisira kuongorora tsandanyama toni, kudzora mota, uye basa rekunzwa.
Zvidzidzo zvekufungidzira: Brain MRI kana CT scans inobatsira kuona zvimiro zvehuropi zvisina kujairika.
Electroencephalogram (EEG): Inoongorora basa remagetsi ehuropi.
Kuongororwa kweropa: Dzinga zvirwere zvemetabolism uye hutachiona sezvinogona kukonzera zvinhu.
Kuongororwa
Vanachiremba vanoongorora CP zvakanyanya zvichibva munhoroondo yekurapa, zviratidzo, uye kuongororwa kwemuviri. Pamusoro pezvo, vanogona kukumbira zvidzidzo zvekufungidzira senge CT kana MRI yekunzwisisa mune chero zvimiro zvehuropi zvisina kunaka, izvo zvine kukosha mukuona CP zvikonzero uye kufanotaura kufungidzira. EEG aids mukunzwisisa kana pfari iripo, ichipa nhungamiro yekurapa. Maitiro ekuongororwa kweCP anosanganisira:
Zvikonzero zvinokonzeresa zvinoitika kusati kwazvarwa, pakuzvarwa, kana panguva yekuzvarwa.
Central paralysis inoonekwa muhucheche pasina kufambira mberi mukati mechirwere chekosi.
Kusabatanidzwa kwezvirwere zvinofambira mberi (zvakadai se genetic metabolic disorders, tumors) zvichikonzera kuremara kwepakati.
Kusabatanidzwa kwekunonoka kwekusimudzira mota muvana vakajairwa.







