Chorea Huntington waa jiritaanka hurgunka dabiiciga ah ee habdhiska dareenka ee horumarin kara labadaba carruurnimada iyo qaan-gaarnimada, laakiin inta badan waxay bilaabaan inay muujiyaan dadka da'doodu u dhaxayso 30 ilaa 50 sano. Tani waa cudur halis ah, oo si tartiib tartiib ah u socda, kaas oo lagu gartaa hababka kala duwan ee jirka, ee saameeya maskaxda.
Sababaha keena Huntington's chorea
Sida horay loo xusay, Horyaalka Huntington waa cudur hidde-wade ah, sidaas darteed waxaa dhaxlaya waalidiinta jirran. Nooca dhaxalka ee Huntington's chorea waa autosomal dominant. Biyuhu waxay ku badan yihiin ragga. Waxa kale oo la ogyahay in doorka gaarka ah ee horumarka Huntington's chorea lagu ciyaaro infekshannada laysku gudbiyo, shoogga, suntan daroogada.
Gene hantingtin, oo ku yaal dhammaan dadka ku jira kromosomeka afraad, ayaa masuul ka ah codaynta borotiinka qarsoodiga ah, oo shaqadoodu aan si fiican loo garanayn maanta. Cudurka borotiinka waxaa laga helaa qanjidhada qaybaha kala duwan ee maskaxda. Cudurku wuxuu kobcayaa marka hiddada isbeddesho sababtoo ah dhererka silsilad of acids amino. Marka qadar qaddar ah oo amino acid ah la gaaro, borotiinku wuxuu bilaabmaa inuu sameeyo saameyn sun ah on unugyada jirka.
Calaamadaha Huntington's chorea
Cudurka waxaa lagu gartaa calaamadaha si tartiib tartiib ah u kordhaya, kuwaas oo ay ka mid yihiin:
- Dhibaatooyinka xagga garashada - xasuusta hoos udhaca, dareenka, kartida fikirka, isbedel shakhsiyeed;
- Jirooyinka jidhka - xinjirta hyperkinesis, oo lagu garto dhaqdhaqaaqyo dhakhso ah, aan caadi ahayn oo aan caadi ahayn kooxaha murqaha kala duwan (badiyaa, aanad ugu jeedin muruqyada wajiga, gacmaha iyo garbaha, dhaqdhaqaaqa indhaha, isbedelka socodka);
- hadal adag oo hadal ah;
- xanuunnada hurdada ;
- Dhibaatada dhaqdhaqaaqa ikhtiyaariga ah;
- yareynta naqdinta qof dabeecadiisa iyo xaalada;
- weerarrada aan macquul ahayn ee argagaxa, nacayb iyo niyad jab ;
- kordhiyay caadooyinka xun;
- kalsooni xumo;
- horumarinta waallida (waallida);
- xanuunka endocrine iyo neurotrophic.
Inta u dhaxaysa muuqaalka calaamadaha nudheellitirka iyo cilmi nafsiga ah waxaa jiri kara farqi sanado badan ah. Muddo ka dib, dhibaatooyin kala duwan ayaa soo kordha: wadnaha oo shaqeyn waaya, oof-wareen, cachexia. Waayeelka nolosha ee bukaanada Huntington's chorea way ka duwan yihiin, laakiin celcelis ahaan waa 15 sano. Dhimashada ugu badani waxay sabab u tahay dhibaatooyinka.
Daawaynta Huntington's chorea
Xilligan la joogo cudurka waxaa loo arkaa mid aan la daweyn karin. Daawada waxay yarayn kartaa horumarkeeda, sidoo kale waxay yareyneysaa muujinta calaamadaha yareeya tayada nolosha. Si loo dhamaystiro, bukaanka waxaa loo qoondeeyey dhowr daawo, oo ay ku jiraan:
- Tetrabenazine - oo ah qalab gaar ah oo loogu talagalay dhimista astaamaha calaamadaha Huntington's chorea;
- macnaheedu waa antibarkinsonian - si loo fududeeyo hypokinesia iyo adkeysiga murqaha;
- valproic acid - si loo yareeyo miyirka qanjirka 'myoclonic hyperkinesia';
- xakamaynta serotonin soo saarka iyo mirtazapine - si loo baabi'iyo niyadjab aad u daran;
- daaweynta dhimirka ee 'atypical antipsychotics' - oo ay ku jiraan xanuunada maskaxda iyo jirrada;
- neuroleptics iyo benzodiazepines - si loo yareeyo muuqaalka kore;
- antagonists of dopamine - si loo xakameeyo hyperkinesis;
- diyaarinta valproic acid - oo leh quficinta myoclonic.
Qaar ka mid ah daroogooyinka kor ku xusan ayaa loo mamnuucay isticmaalka dalkeenna, inkastoo ay waxtarka ugu sarreeya. Sidaa daraadeed, bukaanjiif badan ayaa u jeestay xarumaha takhasuska ee khaaska ah dibadda si loogu daaweeyo