Tsoelo-pele ea supranuclear palsy

Progressive supranuclear palsy (PSP) ke lefu la motsamao le hlahang ho tsoa tšenyo ea lisele tse itseng tsa methapo bokong.

PSP ke boemo bo bakang matšoao a tšoanang le a lefu la Parkinson.

E kenyelletsa tšenyo ea lisele tse ngata tsa boko. Libaka tse ngata lia ameha, ho kenyeletsoa le karolo ea methapo ea kutlo moo lisele tse laolang motsamao oa mahlo li leng teng. Sebaka sa boko se laolang botsitso ha u tsamaea le sona sea ameha. Li-lobes tse ka pele tsa boko le tsona lia ameha, tse lebisang phetohong ea botho.

Ha ho tsejoe sesosa sa tšenyo ea lisele tsa boko. PSP e mpefala ha nako e ntse e feta.

Batho ba nang le PSP ba bolokile lisele tsa boko tse shebahalang joaloka tse fumanoang ho batho ba nang le lefu la Alzheimer. Ho na le tahlehelo ea lisele libakeng tse ngata tsa boko le likarolong tse ling tsa mokokotlo.

Boloetse bona bo bonoa hangata ho batho ba fetang lilemo tse 60, mme bo batla bo atile ho banna.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Ho lahleheloa ke botsitso, ho oela khafetsa
• Ho lepella pele ha o tsamaya, kapa ho tsamaya ka potlako
• Ho thula dintho kapa batho
• Liphetoho ponahalong ea sefahleho
• Sefahleho se sekameng haholo
• Mathata a mahlo le pono joalo ka bana ba boholo bo fapaneng, bothata ba ho tsamaisa mahlo (supranuclear ophthalmoplegia), ho hloka taolo holim'a mahlo, mathata a ho bula mahlo
• Ho thata ho koenya
• Ho thothomela, mohlahare kapa ho phatloha ha sefahleho kapa ho kgena
• 'Dementia e bonolo ho isa ho e itekanetseng
• Botho boa fetoha
• Ho tsamaea butle kapa ka thata
• Mathata a puo, joalo ka molumo o tlase oa lentsoe, a sa khone ho bua mantsoe hantle, puo e liehang
• Ho tiea le ho sisinyeha ka thata molaleng, bohareng ba 'mele, matsoho le maoto

Tlhahlobo ea tsamaiso ea methapo (tlhahlobo ea methapo ea pelo) e ka bonts'a:

• Dementia e ntseng e mpefala
• Ho thata ho tsamaea
• Mehato e lekanyelitsoeng ea mahlo, haholoholo hodimo le tlase
• Pono e tloaelehileng, kutlo, maikutlo le taolo ea motsamao
• Mehato e thata le e sa tsamaellaneng joalo ka lefu la Parkinson

Mofani oa tlhokomelo ea bophelo a ka etsa liteko tse latelang ho felisa mafu a mang:

• Setšoantšo sa Magnetic resonance (MRI) se kanna sa bontša ho fokotseha ha brainstem (letšoao la hummingbird)
• Ho hlahloba boko ba PET ho tla bontša liphetoho ka pele ho boko

Morero oa kalafo ke ho laola matšoao. Ha ho na pheko e tsebahalang ea PSP.

Ho ka lekoa meriana e kang levodopa. Lithethefatsi tsena li phahamisa boemo ba k'hemik'hale ea boko e bitsoang dopamine. Dopamine e kenya letsoho taolong ea motsamao. Meriana e ka fokotsa matšoao a mang, joalo ka maoto le matsoho a sa sisinyeheng nakoana. Empa hangata ha li sebetse joalo ka lefu la Parkinson.

Batho ba bangata ba nang le PSP ba tla qetella ba hloka tlhokomelo ea bosiu le motšehare ha ba ntse ba lahleheloa ke mesebetsi ea boko.

Kalafo ka linako tse ling e ka fokotsa matšoao nakoana, empa boemo bo tla mpefala. Ts'ebetso ea boko e tla fokotseha ha nako e ntse e tsamaea. Lefu le etsahala hangata nakong ea lilemo tse 5 ho isa ho tse 7.

Lithethefatsi tse ncha li ntse li ithutoa ho alafa boemo bona.

Mathata a PSP a kenyelletsa:

• Ho koala mali methapong (deep vein thrombosis) ka lebaka la motsamao o fokolang
• Kotsi ea ho oa
• Ho hloka taolo ea pono
• Ho lahleheloa ke boko ho sebetsa ka nako
• Pneumonia ka lebaka la bothata ba ho koenya
• Phepo e fosahetseng (khaello ea phepo e nepahetseng)
• Litla-morao tsa meriana

Bitsa mofani oa hau haeba o oa hangata, 'me haeba u le molala o thata /' mele, le mathata a pono.

Hape, letsetsa haeba moratuoa a fumanoe a e-na le PSP mme boemo bo fokotsehile hoo o seng o sa khone ho hlokomela motho eo a leng hae.

'Dementia' - nuchal dystonia; Lefu la Richardson-Steele-Olszewski; Palsy - tsoelo-pele ea matla a nyutlelie

• Sisteme ea methapo e bohareng le methapo ea methapo

Lefu la Jankovic J. Parkinson le mathata a mang a motsamao. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 96.

Ling H. Mokhoa oa bongaka oa ho holofala ho tsoelang pele ha matla a nyutlelie. Phapang ea J Mov. 2016; 9 (1): 3-13. PMID: 26828211 e fetotsoe.ncbi.nlm.nih.gov/26828211/.

Setsi sa Naha sa Mathata a Neurological. Leqephe la lintlha tse tsoelang pele tsa supranuclear palsy. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Progressive-Supranuclear-Palsy-Fact-Sheet. E ntlafalitsoe ka la 17 Hlakubele 2020. E fihlile ka Phato 19, 2020.