Kukwapulika ndi ululu zingabwere pamodzi chifukwa cha lacunar infarct ( stroke ) m'dera la ubongo lotchedwa thalamus. Malo ofunikira amenewa akutumizira ngati malo ogwiritsira ntchito uthenga wokhudzidwa kuchokera ku thupi lonse. Kawirikawiri, kupweteka kotereku kumatchulidwa kumadera a thalamus omwe amalandira zokhudzana ndi ululu, kutentha, kukhudzidwa, kuthamanga, komanso kuthamanga kuchokera ku thupi lonse.
Pamene sitiroko imabweretsa ululu chifukwa cha kuwonongeka m'madera amenewa, anthu amati akuvutika ndi matenda a Dejerine-Roussy. Matendawa amatchedwanso kuti thalamic syndrome, kapena matenda opweteka kwambiri (CPS).
Malingana ndi American Stroke Association, palibe ziwerengero zolimba za ululu woterewu pambuyo pa kupwetekedwa. Kafukufuku wina anasonyeza kuti anthu 9 mwa anthu 100 alionse amene anafunsidwa anali ndi matenda aakulu. Anthu omwe amavutika nawo nthawi zambiri amatsutsidwa ngati akuwongolera kapena kupitikitsa ululu wawo.
Zizindikiro za Kupwetekedwa Kwambiri kwa Sitiroko
Zizindikiro za matenda a Dejerine-Roussy ndi awa:
- Kupweteka kosadziwika kumene kumabwera kuchokera kumbali imodzi ya thupi
- Kusamvetsetseka kumverera kwa ululu ku chikoka chokhalitsa, monga kupweteka khungu pa khungu
- Kusinkhasinkha kumbali imodzi ya thupi
- Kumva kulemera kwambiri ku mbali imodzi ya thupi
- Maganizo osasangalatsa otentha kapena ozizira kumbali imodzi ya thupi
Nthawi zina matendawa amaphatikizidwa ndi kufooka kwa nkhope, mkono, ndi / kapena mwendo kumbali imodzi ya thupi, zomwe zimayambira posachedwa.
Kufooka kumeneku kumachoka patapita nthawi, koma zizindikiro zina zonse zimatha.
Zizindikiro zomveka za matenda a Dejerine-Roussy angayambe mwamsanga pokhapokha atagwidwa kapena kulowera pang'onopang'ono pa masabata, kapena miyezi yotsatira.
Kuchiza kwa Dejerine-Roussy Syndrome
Matenda opezeka pa matenda a Dejerine-Roussy akuphatikizapo antidepressants, omwe nthawi zambiri ndi otchipa, otetezeka ndi ogwira mtima; mosamalitsa ; komanso mankhwala opangira mankhwala monga ibuprofen.
Pa milandu yoopsa, anthu amapatsidwa mankhwala opweteka kwambiri monga morphine ndi methadone. Anthu ena amapindula ndi kuvala chipangizo monga mpopu wa morphine. Kupeza mankhwala oyenera kumatenga nthawi.
Njira zopangira opaleshoni zimakhalansopo koma ubongo umayenera kukhala chinthu chomaliza. Kuchita opaleshoni kumaphatikizapo kukakamiza kwakukulu kwa ubongo , kumene kumagwiritsa ntchito electrode ndipo imatumiza zokopa kwa zopereka zowawa. Kulimbikitsidwa kwa ubongo kumagwiritsidwa ntchito kuchepetsa momwe munthu amaonera kupweteka.
Ndikofunika kupeza dokotala woyenera. Odwala ena amapezana bwino pa ulendo wawo woyamba wa ubongo. Ena ayenera kupitiliza kusankhidwa kuti asamvetsetse mavuto awo ndipo ayambe kufufuza njira zosiyanasiyana zochiritsira.
Zotsatira:
American Stroke Association. Kufotokozedwa kuchokera Pamene Ululu Usadzayambe; Magazini Yogwirizana ndi Sitiroko; September / October 2003 (Last update update March 2013).
JP Mohr, Dennis W. Choi, James C. Grotta, Bryce Weir, Phillip A. Wolf Stroke: Kutupa, Kuzindikira, ndi Utsogoleri Churchill Livingstone; Baibulo la 4 (2004).