AAI Sakamako Daga Misaligned Vertebrae
Ciwon daji na Atlantoxial (AAI) wata matsala ce da aka gani a cikin mutane da Down syndrome. Kodayake yana da suna da sauti masu rikitarwa da yawa, don mafi yawancin, ba sa matsaloli ga waɗanda suke da shi. Don fahimtar AAI, yana da muhimmanci a fahimci kadan game da aikin da tsarin sifa, jijiyoyi, vertebrae da ligaments.
Spord Cord, Jijiya, Vertebrae da Ligaments
Harshen kashin baya ya zama babban tsari kamar tube wanda yake farawa a gindin kwakwalwa kuma yana gudanar da duk hanyar komawa yankin yankin lumbar. Ƙirƙirin kashin baya yana ƙunshe da jijiyoyin jiki ko haruffa. Magunguna ne na musamman na tantanin halitta wanda ke ɗauke da sakonni tsakanin kwakwalwa da sauran jikin. Rashin jiji kamar na lantarki ne wanda ke wuce wutar lantarki kuma yana dauke da sigina tsakanin sassa na jiki.
Vertebrae sune kashi kasusuwa ne a cikin sashin jiki wanda ke gudana daga tushe daga kwakwalwa zuwa kwaskwarima. Ƙirƙiri na kashin baya ya wuce ta kuma ana kiyaye shi ta wannan tarihin vertebrae. Akwai kananan kwayoyi 33, wanda aka raba su cikin yankuna hudu: sankara (7), thoracic (12), lumbar (5) da kuma ƙididdigar ƙashin ƙugu. Cervical vertebrae suna cikin yankin wuyan kuma an rage su kamar C1-C7. Idan ka kunna kanka gaba kuma ka yatsata yatsunka a baya na kanka, karon farko da ka ji shine C1 ko cervical-1 vertebra.
Kashi na gaba shine C2 da sauransu. C1 ana kiransa labarun atlas da C2 a matsayin ƙananan littafi. Misalignment daga cikin wadannan maganganu ana kiransu rashin zaman lafiya ko kuma AAI.
Vertebrae suna riƙe da tsokoki da haɗi. Ayyukan shafi na gefe sun haɗa da kariya ga igiya da gabobin ciki, goyon bayan tsari ga shugaban da kuma rike da sauƙi da motsi.
Tun da mutanen da ke fama da ciwo na Down suna da ƙananan ƙwayar tsoka da kuma lalata haɗuwa, za su iya zama alamar ƙira. A lokacin da C1 da C2 kalmomin suna ɓarna, kuna da AAI. A cikin mutanen da ke fama da Down syndrome, haɗin da aka fi yawanci a cikin AAI ana kiranta "ligament mai haɗuwa."
Bincike na AAI
Yawancin lokuta masu haɗari AAI suna yin ta hanyar nuna rayukan hasken rana. Dukkan yara tare da Down syndrome ya kamata a kula da su na AAI tun yana da shekaru 3. A ganewar asali na bayyanar cututtuka AAI yawanci ana yi ko dai ta hanyar nazarin neurology (nazarin jiki wanda yayi nazarin yadda jijiyoyin ke aiki) da / ko ta x-ray.
AAI
Akwai nau'o'i guda biyu na rashin zaman lafiya - wanda ke da mahimmanci AAI da bayyanar AAI. Maganar AAI ta mahimmanci shine na iya ganin AAI a kan x-ray, amma baya haifar da matsalolin da ke tattare da neurologic a mutumin da yake da shi ba. Mahimmancin AAI yana nufin cewa AAI yana samuwa akan x-ray, kuma yana haifar da matsalolin neurologic ga mutumin da yake da shi. Yanayin tsakanin 10% zuwa 20% na mutanen da ke fama da Down syndrome suna da rashin lafiya AAI a kan rayukan rayuka, kuma kawai 1% zuwa 2% na mutanen da Down syndrome sun nuna alama AAI.
Magungunan cututtuka marasa lafiya a AAI
Ɗaya daga cikin ayyukan aikin gine-gizen vertebral shine kare layin daji, wanda ke gudana cikin ciki.
Ƙwararren ƙwayar ita ce tarin jijiyoyin da ake karewa ta hanyar rubutun gefe. Symptomatic AAI yana haifar da nau'i daban-daban na kwayoyin halitta kamar su:
- Hatsari
- Rashin Haɗuwa
- Wuyar tafiya
- Yin tafiya tare da wani abu mara kyau (watau limping)
- Samun gajiya sauƙi
- Nama ciwo ko ƙimar iyaka don motsa wuyansa
- Spasticity - tightness a cikin tsokoki
- Clonus - ƙwayoyin ƙwayar jiki ko spasms
Idan wani tare da Down syndrome ya haifar da wasu daga cikin wadannan alamun bayyanar cutar, ya kamata su gwada su nan da nan ta likita. Dole likita zai yi cikakken jarrabawar neuro da kuma tsara hotunan karatu, kamar x-ray, CT scans ko MRI.
Jiyya na AAI
AsAcptomatic AA ba ya buƙatar wani magani. Mafi yawancin iyaye sukan shawarci abin da ke nuna alamun da ke kula da mutumin da ke tare da AAI.
Idan mutum yana nuna alamun ƙwaƙwalwar layi, ana nuna magani. Makasudin magance symptomatic AAI shine kare layin kashin, ya tabbatar da kashin kashin baya ko tsinkaye kuma ya yad da jijiyoyin da aka kama. Dangane da irin wannan matsala, za'a iya samun daidaituwa ta kashin baya ta hanyar saka takalma mai laushi, tsinkewa tare da maganin ciwo da kuma shayarwa na muscle da yiwuwar tiyata.
Sources:
Cibiyar Ilimin Harkokin Ilimin Harkokin Ilmin {asar Amirka, Kwamitin Wasanni na Wasanni. Ciwo na Atlantoxial a Down syndrome. Pediatrics. Vol. 107 A'a. 2, Fabrairu 2001, shafi na 442-449 [/]
Alvarez, N. Cikewar Atlantaxial Instability a Mutanen da ke fama da Down Syndrome, Emedicine , Dec 8th, 2008.