Ataxia yog cov tsos mob, tsis yog kab mob, uas txhais tau tias yog kev sib koom ua ke. Thaum xub thawj siab ib muag, ataxia tuaj yeem zoo li cov leeg tsis muaj zog. Txawm li cas los xij, qhov teeb meem nyob hauv lub paj hlwb. Lub cev nqaij daim tawv thiab tus neeg mob lub zog tsis cuam tshuam.
Ataxia zoo li cas?
Cov neeg siv khoom feem ntau piav txog lawv tus dev raws li kev qaug cawv. Cov paib yuav tshwm sim sai sai lossis maj mam dhau sijhawm.
Qee cov tsos mob ntawm ataxia muaj xws li:
- Vobbliness
- Ntawm, sway, lossis ntog
- Taug kev hauv lub voj voog
- Txoj taw thiab dawm
- Sawv nrog taw dav sib nrug kom sib npaug
- Kev tshaib plab, xeev siab, lossis ntuav
Qee zaum, lub taub hau qaij tuaj yeem tshwm sim. Qhov muag txawv txav kuj tuaj yeem tshwm sim nrog qee hom ataxia.
Txhua tus dev uas qhia tias muaj ataxia yuav tsum tau tshuaj xyuas tam sim los ntawm kws kho tsiaj
Muaj Peb Hom Ataxia
1. Vestibular ataxia
Lub vestibular system muaj xws li lub hlwb thiab pob ntseg. Nws yog lub luag haujlwm rau kev txhais li cas tus dev lub cev yog taw qhia txheeb ze rau lwm lub ntiaj teb, tom qab ntawd sib koom tes hauv kev teb. Vestibular ataxia classically ua rau lub taub hau qaij txawm tias lwm cov tsos mob feem ntau tshwm sim thiab.
Hom ataxia no tau muab cais ntxiv los ntawm qhov twg ntawm lub vestibular system koom nrog:
- Central vestibular ataxia (lub hlwb raug cuam tshuam) – Cov dev no feem ntau muaj kev hloov siab ntsws (xws li, tsaug zog). Cov piv txwv muaj xws li mob qog nqaij hlav hlwb, kab mob vascular, kab mob, thiab toxicity.
- Peripheral vestibular ataxia (pob pob ntseg raug cuam tshuam) – Cov dev tej zaum yuav poob rau ntawm ib sab ntawm lawv lub ntsej muag (Horner's Syndrome) yog tias lub ntsej muag paj hlwb raug cuam tshuam. Piv txwv muaj xws li kab mob nruab nrab lossis sab hauv pob ntseg thiab kab mob idiopathic vestibular, uas feem ntau tshwm sim hauv cov dev geriatric.
2. Cerebellar ataxia
Lub cerebellum yog ib feem ntawm lub hlwb lub luag haujlwm rau kev sib koom tes zoo lub cev muaj zog. Cov dev yuav zoo li qub thaum lawv so, tab sis kev tshee tshwm sim thaum lawv sawv. Taug kev qhia qhov txawv txav nrog cov kauj ruam dhau los.
Cov piv txwv tseem ceeb yog cerebellar hypoplasia, uas yog thaum lub cerebellum tsis tsim kom zoo thaum lub sij hawm kev loj hlob ntawm fetal. Qhov no tuaj yeem yog qhov tshwm sim ntawm kev kis tus kab mob lossis co toxins hauv lub tsev menyuam, caj ces yam, lossis qee zaum idiopathic (lub ntsiab lus piav qhia tsis pom).
3. Proprioceptive ataxia
Proprioception yog kev paub txog qhov twg lub taub hau, lub cev, thiab ob txhais ceg nyob hauv qhov chaw. Nws tso siab rau cov lus los ntawm kev hnov lus receptors hauv cov leeg pob txha, cov leeg nqaij, thiab cov tshuaj sib koom ua ke tuaj yeem taug kev raws tus txha caj qaum. Proprioceptive ataxia txawv ntawm vestibular thiab cerebellar ataxia vim cov tsos mob tshwm sim los ntawm caj dab (lub taub hau tsis cuam tshuam). Cov dev tuaj yeem rub lawv cov ntiv taw thiab tsis paub thaum lawv txhais ko taw "knuckled" dhau.
Proprioceptive ataxia yeej ib txwm yog vim tus txha caj qaum compression los yog puas, uas cuam tshuam li cas cov ntaub ntawv sensory kis tau. Piv txwv xws li kev raug mob, mob, paj hlwb degeneration, thiab qog.
Hom Ataxia Yog Dab Tsi?
Kev ntsuas ceev faj ntawm koj tus dev cov tsos mob pab koj tus kws kho tsiaj kom paub seb hom ataxia cuam tshuam rau lawv li cas. Kev txheeb xyuas qhov teeb meem nyob qhov twg ua rau qhov ua tau ntawm koj tus dev ataxia. Nws kuj tseem pab txiav txim seb qhov kev kuaj mob twg yuav muaj txiaj ntsig zoo tshaj plaws, kev kho mob dab tsi yuav xav tau, thiab qhov tshwm sim ntawm koj tus dev ua kom rov zoo tag nrho.
| Possible Causes | Common Symptoms | ||
| Vestibular |
Central (lub hlwb) |
tumor mob stroke lossis hlwb ntshav kab mob, kab mob, lossis kab mob fungal Immune-mediated Metabolic ntshawv siab toxicity thiamine deficiency hypothyroidism |
lub taub hau tig rau ib sab ntsib, ntog, dov taug kev hauv lub voj voog qhov muag txawv txav drowsiness (central) Horner's Syndrome (peripheral) |
|
Peripheral (pob ntseg) |
puab pob ntseg idiopathic (tsis pom qhov laj thawj) hypothyroidism |
||
| Cerebellar |
cerebellar hypoplasia (feem ntau yog los ntawm cov dev) kis kab mob (piv txwv li, canine distemper, Rocky Mountain Spotted Fever) kab mob degenerative (piv txwv li, cerebellar abiotrophy) inflammatory (piv txwv li, GME) mob thawj lossis theem nrab Taumatic raug mob toxicity |
txhob dag ntxias dag tremors (lub taub hau, lub cev, ceg) dav dav hauv ob txhais ceg |
|
| Proprioceptive |
kev puas tsuaj rau tus txha caj qaum: Taumatic raug mob intervertebral disc kab mob (IVDD) degenerative myelopathy fibrocartilaginous embolism (FCE) tumor |
mob tsuas yog los ntawm caj dab xwb (lub taub hau tsis koom nrog) pab hla ib leeg txhob ntiv taw feet "knuckle" dhau |
|
GME: granulomatous meningiencephalomyeolitis
Saib ntxiv: Ataxia Hauv Miv - Txhais, Ua rau, Thiab Kev Kho Mob (Vet Answer)
Vim li cas Veterinarians paub tias dab tsi ua rau Ataxia?
1. Ua ib qho keeb kwm meej:
- Puas yog koj tus dev cov tsos mob tshwm sim sai sai lossis maj mam?
- Koj tus dev puas raug mob ib yam dabtsi?
- Koj tus dev noj dab tsi?
- Koj tus dev puas noj tshuaj lossis tshuaj ntxiv?
- Puas muaj sij hawm koj tus dev nkag mus rau hauv cov khib nyiab lossis lwm yam muaj co toxins?
2. Saib xyuas koj tus dev txoj kev txav
Nws tuaj yeem pab tau yog tias koj tuaj yeem nqa daim vis dis aus ntawm koj tus dev tus cwj pwm hauv tsev, tab sis tsis tsim nyog.
3. Ua ib qho kev xeem kom tiav
- Kev kuaj lub cev tsis tu ncua
- Neurology kuaj xyuas cov hlab ntsha tshwj xeeb
4. Kev kuaj mob
Nyob ntawm lawv qhov kev tshawb pom, koj tus kws kho tsiaj tuaj yeem pom zoo ib yam ntawm cov hauv qab no:
- Kev kuaj ntshav thiab zis
- X-rays (nrog lossis tsis muaj qhov sib txawv xim)
- Computed tomography (CT) scan
- Magnetic resonance imaging (MRI) scan
- Kev tshuaj xyuas ntawm cov kua cerebrospinal (CSF)
Lawv kuj tseem hais kom xa koj tus dev mus rau tus kws kho mob kws kho tsiaj. Nws yog ib qho tseem ceeb kom paub tias qhov no tuaj yeem txhais tau tias muaj kev cog lus nyiaj txiag tseem ceeb. Neurologists feem ntau siv cov duab zoo tshaj plaws (CT, MRI), uas yuav tsum tau siv tshuaj loog, thiab qee qhov mob neurologic xav tau kev kho mob ntev nrog cov tshuaj kim.
Ataxia kho li cas hauv dev?
Kev kho mob ntawm ataxia nyob ntawm qhov ua rau cov tsos mob. Qee qhov xwm txheej, xws li kab mob idiopathic vestibular, tsuas yog xav tau kev txhawb nqa thaum tos cov tsos mob los daws. Qhov no yuav ua rau koj tus dev nyob hauv qhov chaw nyab xeeb thiab xis nyob, pab lawv taug kev, thiab siv tshuaj los tswj xeev siab. Intravenous (IV) kev kho kua dej yog qee zaum xav tau los pab tswj cov dej thiab muab tshuaj yog tias nws tsis tuaj yeem muab los ntawm qhov ncauj.
Lwm yam ntawm ataxia yuav tsum tau pw hauv tsev kho mob, phais, lossis tshuaj noj. Kev kho mob tej zaum yuav luv luv lossis ntev, nyob ntawm seb tus mob tau kho.
Qee yam mob kho tsis tau, piv txwv li, cerebellar hypoplasia. Hmoov zoo, qhov no tsis yog mob, thiab nws tsis zoo li yuav mob zuj zus ntxiv mus.
Kuv Tus Aub Yuav Rov Qab Los ntawm Ataxia?
Kev mob tshwm sim nyob ntawm qhov ua rau ataxia thiab sib txawv. Qee tus dev tuaj yeem xav tias yuav ua kom rov zoo tag nrho. Lwm tus, hmoov tsis zoo, tej zaum yuav muaj cov tsos mob mus sij hawm ntev, succumb rau lawv cov kab mob, los yog lawv lub neej zoo yuav raug cuam tshuam xws li humane euthanasia yog qhov kev xaiv zoo tshaj plaws.
Koj tus kws kho tsiaj yuav muaj peev xwm muab kev cia siab ntau ntxiv raws li koj tus dev tus mob.
