Ci gaba mai cike da nakasa

Ciwon mara mai saurin yaduwa (PSP) cuta ce ta motsi wanda ke faruwa daga lalacewar wasu ƙwayoyin jijiyoyi a cikin kwakwalwa.

PSP yanayin ne wanda ke haifar da bayyanar cututtuka irin na cututtukan Parkinson.

Ya ƙunshi lalata ƙwayoyin kwakwalwa da yawa. Yankuna da yawa sun shafa, gami da ɓangaren ƙwaƙwalwar ƙwaƙwalwar inda ƙwayoyin da ke kula da motsi ido suke. Yankin kwakwalwar da ke sarrafa nutsuwa lokacin da kake tafiya shima ya sami matsala. Hakanan an shafi lobes ɗin gaba na kwakwalwa, wanda ke haifar da canjin hali.

Ba a san musabbabin lalacewar kwayoyin halittar kwakwalwa ba. PSP ya kara lalacewa akan lokaci.

Mutanen da ke da PSP suna da ajiya a cikin ƙwayoyin kwakwalwa waɗanda suke kama da waɗanda aka samu a cikin mutanen da ke da cutar Alzheimer. Akwai asarar nama a cikin mafi yawan yankuna na kwakwalwa da kuma a wasu sassa na laka.

Ana yawan samun rikicewar cutar a cikin mutane sama da shekaru 60, kuma ya ɗan fi dacewa da maza.

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Rashin daidaituwa, maimaita faduwa
• Yin huɗa gaba yayin motsawa, ko saurin tafiya
• Cin karo da abubuwa ko mutane
• Canje-canje a cikin bayyanar fuska
• Fuskance mai zurfin ciki
• Matsalar ido da hangen nesa kamar ɗalibai daban-daban, wahalar motsa idanu (supranuclear ophthalmoplegia), rashin kulawa da idanu, matsalolin buɗe idanu
• Matsalar haɗiyewa
• Girgizar ƙasa, muƙamuƙi ko jerks fuska ko spasms
• Rashin hankali mai sauƙi zuwa matsakaici
• Yanayin mutum yana canzawa
• Sannu a hankali ko motsi mai kauri
• Matsalar magana, kamar ƙarar murya, rashin iya faɗan kalmomi sarai, jinkirin magana
• Sarfafawa da motsi mara ƙarfi a cikin wuya, tsakiyar jiki, hannaye, da ƙafafu

Nazarin tsarin juyayi (binciken neurologic) na iya nuna:

• Rashin hankali wanda ke ƙara lalacewa
• Wahalar tafiya
• Movementsuntataccen motsi ido, musamman motsi sama da ƙasa
• Ganin al'ada, ji, ji, da sarrafa motsi
• Tiungiyoyin motsa jiki da marasa daidaituwa kamar na cutar Parkinson

Mai ba da sabis na kiwon lafiya na iya yin gwaje-gwaje masu zuwa don kawar da wasu cututtuka:

• Hoto na maganadisu (MRI) na iya nuna ƙyamar kwakwalwar ƙwaƙwalwa (alamar hummingbird)
• PET scan na kwakwalwa zai nuna canje-canje a gaban kwakwalwa

Manufar magani ita ce sarrafa alamun. Babu sanannen magani ga PSP.

Za'a iya gwada magunguna kamar levodopa. Wadannan kwayoyi suna daga matakin sinadarin kwakwalwa da ake kira dopamine. Dopamine yana da hannu cikin sarrafa motsi. Magungunan na iya rage wasu alamun alamun, kamar ƙwaƙƙwaran ƙwayoyi ko motsi a hankali na wani lokaci. Amma galibi ba su da tasiri kamar yadda suke yi don cutar Parkinson.

Mutane da yawa da ke da PSP a ƙarshe za su buƙaci kulawa da kulawa ba dare ba rana saboda sun rasa ayyukan ƙwaƙwalwa.

Jiyya a wasu lokuta na iya rage bayyanar cututtuka na wani lokaci, amma yanayin zai yi muni. Aikin kwakwalwa zai ragu a tsawon lokaci. Mutuwa galibi tana faruwa ne a cikin shekaru 5 zuwa 7.

Ana nazarin sababbin magunguna don magance wannan yanayin.

Matsalolin PSP sun haɗa da:

• Rashin jini a cikin jijiyoyi (zurfin jijiyoyin jini) saboda iyakance motsi
• Rauni daga faɗuwa
• Rashin kulawa da hangen nesa
• Rashin aikin kwakwalwa tsawon lokaci
• Ciwon huhu saboda matsalar haɗiyewa
• Rashin abinci mai gina jiki (rashin abinci mai gina jiki)
• Hanyoyi masu illa daga magunguna

Kira mai ba ku sabis idan kun faɗi sau da yawa, kuma idan kuna da wuya / jiki, da matsalolin gani.

Hakanan, kira idan an gano wani ƙaunatacce tare da PSP kuma yanayin ya ƙi sosai da ba za ku iya kula da mutumin a gida ba.

Dementia - nuchal dystonia; Richardson-Steele-Olszewski ciwo; Palsy - mai saurin ci gaba

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Jankovic J. Parkinson cuta da sauran rikicewar motsi. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 96.

Ling H. Tsarin asibiti don ci gaba mai saurin kara karfin nukiliya. J Mov Rikici. 2016; 9 (1): 3-13. PMID: 26828211 pubmed.ncbi.nlm.nih.gov/26828211/.

Cibiyar yanar gizo ta Cibiyar Nazarin Cutar Neurology. Takaddun hujja mai saurin yaduwar cutar palsy. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Progressive-Supranuclear-Palsy-Fact-Set. An sabunta Maris 17, 2020. An shiga Agusta 19, 2020.