I-West Syndrome ne-Spinms ye-Infantile
I-West syndrome iyindlela yokuhlukunyezwa kwengqondo (isithuthwane) esiqala ebusheni. Uhlobo oluthile lokubamba okubizwa ngokuthi i-infantile spasm luyingxenye yale syndrome, njengoba kungamaphethini angavamile okwebuchopho obubizwa ngokuthi i-hypsarrhythmia, nokuphuza kwengqondo. Cishe noma yisiphi isimo esingabangela ukulimala kobuchopho singabangela i-West syndrome. Izimbangela ezimbili ezivame kakhulu yi-tuberous sclerosis kanye nokuntuleka kwe-oxygen ngesikhathi sokuzalwa.
Ngezinye izikhathi imbangela iyasolwa kodwa ayikwazi ukuqinisekiswa; kulokhu, kubizwa ngokuthi "i-cryptogenic West syndrome."
I-syndrome yase-West ibhalela amaphesenti angu-2 esithuthwane ebuntwaneni, kodwa amaphesenti angu-25 okufa kwesifo esiqala ngonyaka wokuqala wokuphila. Isilinganiso se-spasm esincane silinganiselwe phakathi kuka 2.5 kuya ku-6.0 ekuzalweni kwabantu ababalelwa ku-10 000.
Izimpawu ze-West Syndrome
I-syndrome ye-West ivame ukuqala phakathi kwezinyanga ezintathu kuya ku-6 izinyanga.Izibalo zihlanganisa:
- Izifo ezincane zama-infantile - Ngokuvamile kulesi sihlobo sokubamba usana ngokuzumayo ugoba phambili okhalweni futhi umzimba, izingalo nemilenze ziyanzima. Ngezinye izikhathi lokhu kubizwa ngokuthi "jackknife". Ezinye izinsana zingase zivule iminyango yazo, noma zibophe izinhloko zazo, noma zidlulise izingalo zayo emzimbeni njengoba zizibopha. Lezi ziphazamiso zihlala emasekhondini ambalwa futhi zenzeke kumaqoqo noma kuphi kusuka ezindaweni ezimbili kuya kwezingu-100 ngesikhathi esisodwa. Ezinye izinsana zinezinqwaba zalezi ziqoqo ze-spasms ngosuku. I-spasms ngokuvamile ivele ngemva kokuba usana luvusa ekuseni noma ngemuva kokulala.
- I-Hypsarrhythmia - I- electroencephalogram (i-EEG) irekhoda ukusebenza komsebenzi kagesi ebuchosheni ngesimo samagagasi obuchopho. Insana ene-West syndrome iyoba nemikhakha engavamile, enobuchopho ebuchopho obubizwa ngokuthi i-hypsarrhythmia.
- Ukuphuza kwengqondo - lokhu kungenxa yokulimala kwengqondo okubangele i-West syndrome.
Ezinye izimpawu zingase zibe khona ngenxa yesifo esiyimbangela esibangela i-West syndrome.
Ezinye izifo zengqondo ezinjenge- cerebral palsy zingase zikhona.
Ukuthola i-West Syndrome
I-syndrome yase-West izophakanyiswa ngokuba khona kwama-infasible spasms. Kuzohlolwa ukuhlolwa kwegazi ngokucophelela ukuze kubheke izimbangela ezikhona. Lokhu kungabandakanya ukuhlolwa kwe-laboratory kanye ne-scan engqondweni ngokusebenzisa i-computed tomography (CT) noma i-imagery magnetic resonance (MRI). I-EEG izokwenziwa ukubheka i-hypsarrhythmia ngokuvamile ekhona e-West syndrome.
Ukwelashwa kwe-West Syndrome
Ngokuvamile i-West syndrome iphathwa nge-horrenone ye-adrenocorticotropic (ACTH) noma i-prednisone. Lezi zokwelapha zingase zisebenze kakhulu ekumiseni noma ekunciphiseni ama-spasms amancane. Ezinye izinsana zingaphendula ngezidakamizwa ezinqunywe yi-Felbatol (felbamate), i-Lamictal (i-lamotrigine), i-Topamax (i-topiramate), noma i-Depakote (i-valproic acid). Izinsana ezinesifo sofuba esisifo sikhuhlane zingaphathwa nge-vigabatrin (okwamanje ayamukelekile ukuthi isebenzise e-US). Ngezinye izikhathi, ukukhishwa kwezicubu zobuchopho ezilimele ngokusebenzisa ukuhlinzwa kobuchopho kungase kuphumelele.
Ama-spasms ase-infantile avame ukuxazulula cishe iminyaka engama-5 ubudala, kodwa ngaphezu kwengxenye yabantwana abathintekayo bayoqala ezinye izinhlobo zokuwa, kuhlanganise ne-Lennox-Gastaut syndrome. Izinsana eziningi ezine-West syndrome zinokukhubazeka isikhathi eside nokufunda okukhubazeka, cishe ngenxa yokulimala komqondo okwenze ukuthi izifo ezincane zenzeke.
> Imithombo:
"I-NINDS Ulwazi Lwase-Spasms Ulwazi." Izinkinga ze-AZ. 9 Dec 2008. Isikhungo seNational of Neurological Disorders and Stroke.
"I-Infantile Spasms / West Syndrome." I-Syndromes ye-Epilepsy. Isisu soShefu.