Cerebellar hypoplasia: ua rau, tsos mob thiab kho

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Cerebellar hypoplasia: ua rau, tsos mob thiab kho
Cerebellar hypoplasia: ua rau, tsos mob thiab kho

Video: Cerebellar hypoplasia: ua rau, tsos mob thiab kho

Video: Cerebellar hypoplasia: ua rau, tsos mob thiab kho
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Anonim

Tsis muaj leej twg tiv thaiv kab mob. Tab sis qee zaum, tus kab mob pib loj hlob txawm tias nyob hauv tsev menyuam, thiab tus menyuam muaj ntau yam kev loj hlob pathologies txij thaum yug los. Ib tus kab mob no yog cerebellar hypoplasia, ib yam kab mob uas cuam tshuam rau lub hlwb ntawm tus menyuam.

Kev piav qhia

Lub cerebellum yog ib feem ntawm lub hlwb uas nyob rau hauv cheeb tsam rov qab thiab yog ib qho tseem ceeb ntawm lub hauv paus paj hlwb. Lub cev no yog lub luag haujlwm rau kev sib koom tes ntawm tib neeg kev txav, cov leeg nqaij thiab muaj peev xwm tswj tau qhov sib npaug. Hypoplasia ntawm cerebellar vermis yog nrog los ntawm kev txo qis hauv ib lossis ob ntawm nws cov lobes.

hypoplasia ntawm cerebellar vermis nyob rau hauv ib tug me nyuam
hypoplasia ntawm cerebellar vermis nyob rau hauv ib tug me nyuam

Yog vim li cas

Cerebellar hypoplasia nyob rau hauv ib tug neeg laus yog qhov tshwm sim ntawm kev loj hlob ntawm intrauterine txawv txav, thiab cov ua rau tus kab mob no nyob rau hauv lub neej ntawm ib tug poj niam cev xeeb tub. Muaj ntau yam tseem ceeb uas tuaj yeem ua rau tus kab mob.

Pob cawv

Cov tshuaj txaus ntshai tshaj plaws hauv cov dej cawv yog ethanol. Nrog ntev raug, nws nkag mus rau hauvlub hauv paus paj hlwb ntawm tus me nyuam hauv plab thiab provokes tsim ntawm ntau hom qog. Tsis tas li ntawd, ethyl cawv muaj peev xwm ua kom puas lub ntuj barrier uas tiv thaiv lub hauv paus paj hlwb los ntawm cov kab mob uas nkag mus rau hauv lub cev los ntawm cov ntshav. Feem ntau, kev tsim txom ntawm cov dej cawv thaum cev xeeb tub ua rau kev noj qab haus huv ntawm tus menyuam hauv plab muaj kev pheej hmoo loj.

Smoking

Raws li kev ntseeg nrov, nws tsis yog nicotine uas muaj qhov tsis zoo rau tus menyuam hauv plab, tab sis lwm yam tshuaj lom uas ua rau luam yeeb. Lawv tuaj yeem ua rau muaj qhov txawv txav ntawm cov hlab ntsha neural, thiab yog li ntawd, tus txha caj qaum thiab lub hlwb fetal. Thaum haus luam yeeb thaum cev xeeb tub, cerebellar hypoplasia tau sau ntau zaus.

cerebellar hypoplasia nyob rau hauv cov neeg laus
cerebellar hypoplasia nyob rau hauv cov neeg laus

Siv tshuaj

Tshuaj tuaj yeem cuam tshuam rau lub paj hlwb ntawm tus poj niam cev xeeb tub thiab menyuam yaus, yog li lawv siv nruj me ntsis txwv tsis pub nyob rau txhua kis. Cov tshuaj no ua rau lub cev tsis zoo rau lub cev, uas thaum kawg ua rau tuag.

Nyob tshuaj muaj zog

Ntau yam tshuaj txwv tsis pub thaum cev xeeb tub. Lawv qhov kev txais tos tsuas yog raug xaiv thaum muaj kev xav tau loj. Tawm tsam keeb kwm yav dhau los ntawm kev siv tshuaj nruj heev, cerebellar hypoplasia hauv fetus tuaj yeem txhim kho.

fetal cerebellar hypoplasia
fetal cerebellar hypoplasia

raug hluav taws xob

Radioactive isotopes zoo li sib sau hauv cov kua amniotic thiab placenta, uas tuaj yeem ua rau muaj kev hloov pauv ntawm tus menyuam DNA. Irradiation los yog ntev raug rauCov chaw uas muaj hluav taws xob ntau yog fraught nrog cov teeb meem txaus ntshai rau leej niam thiab tus menyuam.

kab mob sib kis

Cerebellar hypoplasia tuaj yeem txhim kho yog tias tus poj niam cev xeeb tub raug kev txom nyem xws li kab mob yooj yim xws li rubella. Qhov tseeb, tus kab mob no yog qhov txaus ntshai heev. Thaum kis tus kab mob hauv thawj peb lub hlis twg, ntau tus kws kho mob pom zoo kom txiav cev xeeb tub, vim tias qhov kev pheej hmoo ntawm kev txawv txav ntawm tus menyuam hauv plab yog siab heev. Hnub tom qab, cov poj niam raug tshuaj kho mob, tab sis nws ua tiav tsuas yog hauv 50% ntawm cov neeg mob.

Tsis tas li qhov phom sij loj yog toxoplasmosis, uas tuaj yeem khaws tau los ntawm kev sib cuag nrog cov miv mob, nas thiab noog. Cov kab mob no tsis yog tsuas yog cuam tshuam rau kev loj hlob ntawm tus menyuam hauv plab, tab sis tuaj yeem ua rau nchuav menyuam.

Ntxiv rau tag nrho cov laj thawj uas tau piav qhia saum toj no, peb yuav tsum cais cov zaub mov tsis zoo, uas, nrog rau lwm yam, tuaj yeem cuam tshuam rau kev xeeb tub.

Symptoms

Hypoplasia ntawm cerebellar vermis nyob rau hauv ib tug me nyuam yog nrog los ntawm kev ua txhaum ntawm ntau lub cev ua haujlwm. Cov kws tshaj lij txheeb xyuas cov tsos mob hauv qab no ntawm tus kab mob:

  • tshee (tshee) ntawm lub taub hau, sab sauv thiab qis;
  • hais lus hnyav, yog, tus menyuam kev sib tham zoo li qw;
  • tus me nyuam lub zog poob lawv qhov smoothness thiab ua tsis zoo;
  • cov menyuam yaus uas muaj cerebellar hypoplasia loj hlob qeeb qeeb, uas yog, lawv pib zaum, taug kev thiab tham tom qab lawv cov phooj ywg;
  • cov leeg ntawm lub cev thiab ceg cegdaim ntawv cog lus tsis sib haum - vim qhov no, nws nyuaj rau tus menyuam sawv lossis zaum;
  • nws nyuaj heev rau cov menyuam yaus kom sib npaug, ob qho tib si ntawm kev sawv thiab zaum;
  • kev tsis muaj kev pab yuav luag tsis yooj yim, tab sis yog tus neeg tseem tuaj yeem kawm taug kev ntawm nws tus kheej, ces nws txoj kev mus yuav txawv heev;
  • kuj muaj kev cuam tshuam hauv kev ua haujlwm ntawm cov leeg du ntawm cov kabmob sab hauv;
  • cov neeg mob cerebellar hypoplasia feem ntau raug kev txom nyem los ntawm kev ua pa tsis zoo;
  • hauv cov menyuam yug tshiab, lag ntseg lossis dig muag feem ntau pom tawm tsam keeb kwm ntawm tus mob no.

Qhov pom tseeb tshaj plaws ntawm cerebellar hypoplasia hauv menyuam yaus yog wobbly, swaying gait thiab spatial disorientation. Tsis tas li ntawd, hauv cov menyuam yaus, qhov loj ntawm pob txha taub hau me dua li qhov qauv, vim tias lawv lub hlwb me dua li cov menyuam yaus noj qab nyob zoo. Raws li koj loj hlob tuaj, qhov loj, ntawm chav kawm, nce, tab sis qhov deformities ntawm lub taub hau tseem tuaj yeem nyob.

Cerebellar hypoplasia nce mus rau thawj 10 xyoo ntawm tus menyuam lub neej, tom qab ntawd nws tus mob nyob ruaj khov thiab kws kho mob tau sau tshuaj kho.

Diagnosis

Feem ntau, tus kab mob no kuaj pom thaum cev xeeb tub los ntawm kev kuaj mob ultrasound. Tus me nyuam tau ua raws li tus kws kho mob neurologist. Nws tuaj yeem sau ntawv kho lossis kho cov txheej txheem kho mob.

Kev kho mob

Hmoov tsis zoo, cerebellar hypoplasia yog suav tias yog tus kab mob kho tsis tau, thiab cov menyuam yug los tsis tshua muaj nyob hauv ib xyoos. Tag nrho cov txheej txheem uasyog nqa tawm nrog xws li ib tug me nyuam, yog aimed ntawm restores poob zog thiab curbing txoj kev loj hlob ntawm tus kab mob. Cov kev kho mob suav nrog:

  • kev tawm dag zog txhawm rau txhim kho kev sib koom tes;
  • massage;
  • kom muaj kev hais lus, muaj cov chav kawm nrog tus kws kho hais lus;
  • nws tseem pom zoo kom sib txuas lus nrog cov menyuam yaus kom ntau li ntau tau thiab ua rau lawv muaj ntau yam kev nyiam ua, xws li kos duab lossis origami, uas txhim kho kev txawj ntse ntawm cov ntiv tes.
hypoplasia ntawm cerebellar vermis
hypoplasia ntawm cerebellar vermis

Kev Tiv Thaiv

Kev tiv thaiv tus kab mob yog nyob rau hauv txoj kev noj qab haus huv ntawm leej niam leej niam. Thaum cev xeeb tub, koj yuav tsum sab laj nrog kws kho mob ua ntej siv tshuaj thiab tsis suav nrog cawv, luam yeeb, tshuaj, thiab lwm yam ntawm koj lub neej.

cerebellar hypoplasia
cerebellar hypoplasia

Txhua yam kab mob no yooj yim dua los tiv thaiv dua li kho. Yog li ntawd, yog hais tias ib tug poj niam saib xyuas nws tus kheej kom zoo thaum nqa tus me nyuam, qhov kev pheej hmoo ntawm kev tsim cov kab mob pathologies yuav txo qis.

Pom zoo: