Shy-Drager syndrome: ke eng, matšoao le kalafo

Litaba

• Matšoao a mantlha
• Mokhoa oa ho hlahloba o etsoa joang
• Kalafo e etsoa joang

Shy-Drager syndrome, eo hape e bitsoang "multiple system atrophy with orthostatic hypotension" kapa "MSA" ke sesosa se sa tloaelehang, se tebileng ebile se sa tsejoe, se khetholloang ke ho senyeha ha lisele tse bohareng le ts'ebetsong ea methapo ea kutlo, e laolang ts'ebetso ea liphetoho tse sa reroang ho mmele.

Letšoao le teng maemong ohle, ke ho theoha ha khatello ea mali ha motho a tsoha kapa a paqama fatše, leha ho le joalo ba bang ba ka nka karolo mme ka lebaka lena e arotsoe ka mefuta e meraro, eo liphapang tsa tsona e leng:

• Parkinsonian shy-drager syndrome: e hlahisa matshwao a lefu la Parkinson, jwalo ka, moo metsamao e tsamayang butle, ho thatafala ha mesifa le ho thothomela;
• Cerebellar shy-drager syndrome: khokahano e sa sebetseng ea makoloi, bothata ba ho leka-lekanya le ho tsamaea, ho tsepamisa maikutlo ho pono, ho koenya le ho bua;
• Combined shy-drager syndrome: e akaretsa mefuta ea parkinsonia le cerebellar, e leng eona e matla ho feta tsohle.

Le ha lisosa li sa tsejoe, ho na le lipelaelo tsa hore shy-drager syndrome e futsitsoe.

Matšoao a mantlha

Matšoao a mantlha a Shy-Drager syndrome ke:

• Fokotsa palo ea mofufutso, meokho le mathe;
• Ho thata ho bona;
• Ho thata ho ntša metsi;
• Pipitlelano;
• Ho hloka matla ka thobalano;
• Ho hloka mamello ha mocheso;
• Boroko bo se nang phomolo.

Lefu lena le atile haholo ho banna ka mor'a lilemo tse 50. Mme hobane e sena matšoao a ikhethileng, ho ka nka lilemo ho fihlela tlhahlobo e nepahetseng, ka hona ho liehisa kalafo e nepahetseng, eo, leha e sa fole, e thusang ho ntlafatsa boleng ba motho.

Mokhoa oa ho hlahloba o etsoa joang

Hangata lefu lena le netefatsoa ke ho hlahlojoa ke MRI ho bona hore na ke liphetoho life tseo boko bo ka bang le tsona. Leha ho le joalo, liteko tse ling li ka etsoa ho lekola mesebetsi e sa ithaopeleng ea 'mele, joalo ka ho lekanya khatello ea mali e leshano le ho ema, teko ea mofufutso ho lekola ho fufuleloa, senya le mala, ntle le electrocardiogram ho latela matšoao a motlakase a tsoang pelong.

Kalafo e etsoa joang

Kalafo ea Shy-Drager syndrome e na le ho imolla matšoao a hlahisitsoeng, kaha lefu lena ha le na pheko. Hangata ho kenyelletsa ts'ebeliso ea litlhare tse kang seleginin, ho fokotsa tlhahiso ea dopamine le fludrocortisone ho eketsa khatello ea mali, hammoho le kalafo ea kelello e le hore motho a ka sebetsana hamolemo le linako tsa tlhahlobo le physiotherapy, ho qoba tahlehelo ea mesifa.

Ntle le ho thusa ho kokobetsa matšoao, ho ka bontšoa mehato e latelang ea ho itšireletsa:

• Ho emisoa ha ts'ebeliso ea diuretics;
• Phahamisa hlooho ea bethe;
• Ho lula boemong ba ho robala;
• Keketseho ea ts'ebeliso ea letsoai;
• Sebelisa marapo a rekereng maotong a ka tlase le mpeng, ho fokotsa ho se utloise bohloko ho bakoang ke ho thothomela.

Ho bohlokoa ho hlokomela hore kalafo ea Shy-Drager Syndrome ke molemong oa hore motho a ka fumana matšeliso a maholo, kaha ha e thibele tsoelo-pele ea lefu lena.

Kaha ke lefu le thata ho phekoloa ebile le na le sebopeho se tsoelang pele, ho tloaelehile hore lefu le bakoe ke mathata a pelo kapa a phefumoloho, ho tloha ho lilemo tse 7 ho isa ho tse 10 kamora ho qala ha matšoao.