Ra'ayin da yafi kama da Parkinson amma tare da Bambancin Maɓalli
Lokacin da dan wasan Ingila da Dudley Moore ya mutu a ranar 27 ga watan Maris, 2002, an lasafta hanyar mutuwa ta hanyar ciwon huhu. Amma, a gaskiya, Moore yana fama da wani yanayin da aka sani na yaudara mai cike da ciwon sukari (PSP) wanda ke haifar da ɓangaren ɓangaren ƙwayar kwakwalwa wanda ke daidaita ma'auni, kula da tsoka, aiki na zuciya, da wasu motsi na son rai da kuma kai tsaye irin su haɗiye da ido motsi.
Dalili na Ci gaba Supranuclear Palsy
Duk da yake dalilin ciwon gurasar ƙwayar cuta ta jiki wanda ba a sani ba ne, anyi tunanin cewa za'a danganta shi da maye gurbin wani ɓangare na kwayar halittar da ake kira chromosome 17.
Abin takaici, ba haka ba ne abin da ba'a sani ba a canji. Duk da yake kusan kowane mutum tare da PSP yana da irin wannan kwayoyin halitta, haka ma, kashi biyu cikin uku na yawan jama'a. Saboda haka, ana ganin maye gurbi ne a matsayin abin ba da gudummawa maimakon hanyar da ta dace don cutar. Maganin muhalli da sauran kwayoyin halitta zasu iya taka rawar jiki.
Har ila yau masana kimiyya ba su tabbatar da irin yadda PSP ke hade da cutar Parkinson ko cutar Alzheimer wadda ta haɓaka wasu alamun bayyanar.
An kiyasta PSP na shafar kowace daya daga cikin mutane 100,000 ba tare da la'akari da tseren, geography, ko sana'a ba. Maza suna jin dadin zama dan kadan fiye da mata. Kwayoyin cututtuka yawanci suna bayyana a tsakanin shekaru 50 zuwa 60.
Kwayoyin cutar PSP
Ɗaya daga cikin mafi halayyar, "nuna-labari" bayyanar cututtuka na PSP ya ƙunshi kula da ido na ido, mafi mahimmanci damar duba ƙasa. Yanayin, wanda aka sani da ophthalmoparesis, yana haifar da raunana ko rashin ciwo na wasu tsokoki a kusa da ido. Hanyoyin ido na idanu suna shawo kan su.
Yayin da yanayin ya damu, za a iya tasiri da ido a sama.
Saboda rashin kulawa mai mahimmanci, mutane da ke fuskantar ophthalmoparesis za su yi ta yin ba'a akai game da hangen nesa guda biyu , hangen nesa, da hasken haske. Ƙarfin maɓallin fatar ido zai iya faruwa.
Kamar yadda sauran ɓangarori na kwakwalwa ke shafar, PSP zai bayyana tare da kewayon bayyanar cututtuka wanda ya saba wa lokaci. Wadannan sun haɗa da:
- Rashin rashin daidaituwa da asarar ma'auni
- Janar ragewar motsi
- Slurring kalmomin
- Difficulty swallowing (dysphagia)
- Rashin ƙwaƙwalwa
- Fuskar gashin fatar ido
- Backward tilt na kai saboda stiffening na wuyansa tsokoki
- Urinary incontinence
- Ayyukan canje-canje, ciki har da hasara na hanawa da ƙetare kwatsam
- Saukewa na tunani mai zurfi da kuma zane
- Rashin haɗin gwiwar ko tsarin shiryawa (kamar gudanar da harkokin kudi, samun ɓata, haɓaka da ayyukan aiki)
Binciken asali na PSP
An yi amfani da PSP sau da yawa a farkon farkon cutar kuma sau da yawa an sa shi a cikin kamuwa da kunnen kunnuwanka, maganin karoid, bugun jini, ko cutar Alzheimer (musamman ma tsofaffi).
An san ganewar asali bisa mahimmanci akan nazarin alamun bayyanar. Wannan tsari ne wanda likitoci ke buƙatar cire wasu abubuwan da zai yiwu. Za'a iya amfani da hotunan haɓaka mai kwakwalwa (MRI) na kwakwalwar kwakwalwa don tallafawa ganewar asali.
A lokuta na PSP, yawancin lokaci alamu na ɓata (atrophy) a cikin ɓangaren kwakwalwa wanda ke haɗin kwakwalwa zuwa kashin baya. A kan MRI, ra'ayi na gefen wannan kwakwalwar kwakwalwa zai iya nuna abin da wasu suke kira "alamar penguin" ko "hummingbird" (wanda ake kira saboda siffarsa kamar tsuntsu ne).
Wannan, tare da bayyanar cututtuka, bincike daban-daban, da gwaje-gwajen kwayoyin halitta, na iya samar da shaidar da ake bukata don ganewa.
Ta yaya PSP Differs Daga Cutinson ta cuta
Domin ya bambanta PSP daga Parkinson, likitoci za suyi la'akari da abubuwa kamar tarihin da likita.
Alal misali, mutanen da ke tare da PSP za su kula da matsayi na gaskiya ko tsaka-tsaki, yayin da mutanen da ke da Parkinson za su kasance da matsayi na gaba.
Bugu da ƙari, mutanen da ke tare da PSP sun fi dacewa da lalacewa saboda rashin daidaituwa. Duk da yake mutanen da ke da kwayar cutar Parkinson suna cikin haɗari na haɗuwa, waɗanda suke tare da PSP suna yin hakan a sakamakon baya saboda girman halayyar wuyan wuyansa da jigon baya.
Da wannan aka ce, PSP an dauke su cikin ɓangare na cututtukan neurodegenerative da ake kira ciwon kwayar Parkinson-plus wanda wasu sun hada da Alzheimer's.
Jiyya Zɓk
Babu takamaiman magani ga PSP. Wasu marasa lafiya zasu iya amsa maganganun da ake amfani da ita don magance cutar Parkinson, kamar levodopa , kodayake amsa ya kasance matalauta (wani bambanci da ake amfani dasu don gano cutar).
Wasu magungunan maganin antidepressant, irin su Prozac, Elavil, da Tofranil, na iya taimakawa tare da wasu alamar halayyar zuciya ko halayyar mutum wanda zai iya fuskantar. Bayan magani, gilashi na musamman (bifocals, prisms) na iya taimakawa tare da matsaloli na gani, yayin da yake tafiya da kayan aiki da wasu na'urori masu daidaitawa zasu iya inganta motsi da kuma hana lalacewa.
Yayinda farfasa jiki ba zai inganta matsalolin mota ba, zasu iya taimakawa wajen ajiye ɗakunan katako da kuma hana lalacewar tsokoki saboda rashin aiki. A lokuta da dysphagia mai tsanani, za'a iya buƙatar mai jarida.
Hanyoyin lantarki da ƙananan lantarki da aka sanya a cikin kwakwalwa na kwantar da hankulan na Parkinson ba su tabbatar da tasirin maganin PSP ba.
Kalma Daga
Duk da rashin fahimtar game da PSP da iyakacin zaɓuɓɓukan magani, yana da mahimmanci ka tuna cewa cutar bata da wani tsari kuma zai iya bambanta ƙwarai daga mutum zuwa mutum. Tare da kula da lafiyar likita da abinci mai kyau, mutumin da ke tare da PSP zai iya, a gaskiya, rayuwa tsawon shekaru, har ma da shekarun da suka gabata, bin bin ganewar asali.
Ga mutanen da iyalan da suke tare da cutar, yana da muhimmanci a nemi goyon baya don kauce wa rabu da kuma don samun damar samun bayanai da masu amfani da haƙuri. Wadannan sun haɗa da irin wadannan kungiyoyi kamar CurePSP na New York City wadda ke bada mutum da kuma ƙungiyoyin goyan bayan layi, shugabanci na likitoci, da kuma cibiyar sadarwa na magoya bayan 'yan wasan.
> Source:
> Ling, H. "Hanyar Bincike ga Ci gaban Masarautar Masarauta." Journal of Movement Disorders. 2016; 9 (1): 3-13.