Cerebellar ataxia inokonzerwa nechirwere kana kukuvara kune cerebellum, iri muuropi. Chirwere ichi chinoratidzwa nekusawirirana mukufamba kwemamhasuru. (1)

Ataxia izwi rekuti kuunganidza pamwe matambudziko akati wandei anokanganisa kurongeka, kuenzanisa uye mutauro.

Nhengo dzese dzemuviri dzinogona kukanganiswa nechirwere ichi, zvisinei vanhu vane ataxia kazhinji vane hurema mu:

- kuenzanisa uye kufamba;

– mutauro;

- kumedza;

- mukuita mabasa anoda humwe hunhu hwekutonga, sekunyora kana kudya;

– kuona.

Kune marudzi akasiyana eataxia ayo anoratidzwa nezviratidzo zvakasiyana uye kuomarara: (2)

- akawana ataxia ndiyo fomu inoenderana nekukura kwezviratidzo nekuda kwekushungurudzika, sitiroko, sclerosis, bundu remuuropi, kushomeka kwekudya kana mamwe matambudziko anokuvadza uropi uye tsinga;

- nhaka ataxia, inoenderana nechimiro icho zviratidzo zvinokura zvishoma nezvishoma (makore akawanda). Fomu iri ndiro rinokonzera kusaenzana kwemajini kwakagarwa nhaka nevabereki. Iyi fomu inonziwo Friedreich's ataxia.

- idiopathic ataxia nekunonoka kwekutanga kwecerebellar ataxia, umo uropi hunobatwa zvishoma nezvishoma nekufamba kwenguva nekuda kwezvikonzero zvisingawanzozivikanwa.

Nezve autosomal recessive cerebellar ataxia, icho chikamu cheboka rezvisingawanzo zvirwere zvetsinga zvinokanganisa iyo yepakati uye yeperipheral nervous system. Aya pathologies anogona zvakare kukanganisa dzimwe nhengo. Kwakabva rudzi urwu chirwere is autosomal recessive nhaka. Kana kutapurirana kwemutated gene yekufarira kubva kuvabereki. Kuvapo kwekopi imwe chete yejini yakakosha pakukura kwechirwere.

Kukura kwechirwere kunowanzoitika vasati vava nemakore makumi maviri.

Icho chirwere chisingawanzoitiki, kupararira kweiyo (nhamba yezviitiko muhuwandu hwakapiwa panguva yakatarwa) iri pakati pe1 uye 4 kesi pa100 vanhu. (000)

Zviratidzo zvakabatana necerebellar ataxia ndezvetsinga uye zvemagetsi.

Cerebellar ataxia kazhinji inokanganisa hunde: kubva pamutsipa kusvika muhudyu, asiwo maoko nemakumbo.

Zviratidzo zvecerebellar ataxia zvinosanganisira: (1)

- Clumsy mataurirwo ekugadzirisa (dysarthria): kusagadzikana kwemajoini;

- nystagmus: kudzokorora kufamba kwemaziso;

- kufamba kwemaziso kusina kurongeka;

- kufamba kusina kugadzikana.

Cerebellar ataxia inonyanya kubata vana vadiki veavhareji yemakore matatu.

Chirwere chinogona kukura mushure memavhiki mashomanana mushure mehutachiona hwehutachiona. Aya hutachiona hwehutachiona huri mubvunzo hunosanganisira: chickenpox, kutapukirwa nehutachiona hweEptein-Barr, chirwere cheCoxsackie kana chirwere che echovirus.

Mamwe mabviro anogona kubatanidzwa neiyi pathology, kunyanya: (1)

- abscess mu cerebellum;

- kunwa doro, mamwe madhiragi kana kusangana nemishonga inouraya zvipembenene;

- kubuda ropa mukati mu cerebellum;

- multiple sclerosis: kukura kwekubatanidza tishu mune imwe nhengo, zvichiita kuti iome;

- a cerebral vascular tsaona;

– mamwe majekiseni.

Ataxia inowanzobatanidzwa nekukuvadza kune cerebellum. Zvisinei, kukanganisa mune dzimwe nzvimbo dzenheyo system kunogona kuva chikonzero.

Uku kukanganisa kuuropi kunobatanidzwa nemamwe mamiriro ezvinhu, akadai: kukuvara kwemusoro, kushayikwa kweokisijeni muuropi kana kunyange kunwa doro zvakanyanya.

Uye zvakare, kutapurirana kwechirwere kunogona zvakare kuitwa kuburikidza nenhaka kutamiswa kweiyo autosomal inotonga fomu. Kana, kuendeswa kwejini rakashandurwa rekufarira, riripo pane isiri yebonde chromosome, kubva kuvabereki. Kuvapo kweimwe chete yemakopi maviri ejini yakashandurwa yakakwana mukugadzirwa kwecerebellar ataxia. (2)

Zvikonzero zvinosangana ne cerebellar ataxia ndeye genetic, mumamiriro e autosomal dominant nhaka. Muchiitiko chekupedzisira, kutumirwa kwekopi imwe chete yejini yakashandurwa yekufarira yakakwana mukukura kwechirwere kune mwana. Nenzira iyi, kana mumwe wevabereki vaviri akabatwa nechirwere ichi, mwana ane 50% yengozi yekudaro zvakare.

Zvimwe zvinhu zvinopindawo mukukura kweiyi pathology. Izvi zvinosanganisira zvirwere zvehutachiona: chickenpox, Eptein-Barr virus infection, Coxsackie's disease kana echovirus infection.

Iyo inonyanya kuwanikwa njodzi inokonzera cerebellar ataxia ihuropi uye nervous system kusagadzikana.

Chirwere chekutanga chechirwere chinowanzobatanidzwa nekusiyana kwechirwere, umo chiremba anobvunza murwere mibvunzo yakawanda kuti aone kana achangobva kurwara. Iyi yekutanga maonero inoitawo kuti zvibvirire kubvisa zvimwe zvingakonzeresa zvine chekuita nekuvapo kwezviratidzo.

Zvichitevera kuona kwekutanga uku, kuongororwa kwehuropi uye nechepakati tsinga system inoitwa kuitira kuona nzvimbo dzecerebral cortex dzakabatwa nechirwere. Pakati pezviyedzo izvi, tinogona kutaura:

- kuongorora musoro;

- MRI (Magnetic Resonance Imaging) yemusoro.

Kurapa kwechirwere kunotsamira pachikonzero chacho: (1)

- kuvhiyiwa kunokosha kana ataxia inokonzerwa nekubuda ropa muuropi;

- mishonga inoonda ropa panguva yekurohwa;

- antibiotics uye antivirals panguva yehutachiona;

- steroid yekurapa kuzvimba kwecerebellum.

Mukuwedzera, munyaya yeataxia inokonzerwa nehutachiona hwehutachiona huchangobva kuitika, hapana mushonga unodiwa.

Muzviitiko zvakawanda zvechirwere, hapana mushonga wazvo. Mishonga chete inodzora uye inodzikamisa zviratidzo inonyorerwa kana zvichidikanwa.

Zvishandiso zvemutauro zvinogonawo kubatanidzwa, physiotherapy mukugadzirisa kukanganisa mukufamba, masangano ekurapa ekushanda achibvumira kudzokorora kwezviito zvezuva nezuva kana zvinodhaka zvinobvumira kutonga kwemhasuru dzakarohwa, caridaque muscle, kufamba kwemaziso uye urinary control. (2)