Alualu i luma supranuclear palsy

Alualu i luma supranuclear palsy (PSP) o se gaioiga gasegase e tupu mai le faaleagaina o nisi neula sela i le faiʻai.

PSP o se tulaga e mafua ai faʻailoga e tai tutusa ma maʻi o le Parkinson.

E aʻafia ai le faʻaleagaina o le tele o sela o le faiʻai. Tele vaega o loʻo aʻafia, aofia ai ma le vaega ole faiʻai o loʻo iai sela e faʻatonutonu ai le minoi o mata. O le vaega o le faiʻai e faʻatonutonu le tumau pe a e savali e afaina foi. E afaina foʻi le pito i luma ole faiʻai, ma mafua ai ona suia uiga.

O le mafuaʻaga o le faʻaleagaina o sela faiʻai e le o iloa. Ua atili ai ona leaga le PSP ile alu o taimi.

Tagata e iai PSP e iai latou teu i totonu faiʻai faiʻai e pei o mea na maua i tagata e maua ile faʻamaʻi ole Alzheimer. E i ai le leiloa o aano o le tino i le tele o vaega o le faiʻai ma i nisi vaega o le uaula.

O le faʻamaʻi e masani ona vaaia i tagata ua ova ma le 60 tausaga le matutua, ma e sili atu ona taatele i aliʻi.

Faʻailoga mafai ono aofia ai soʻo se tasi o mea nei:

• Leiloa o paleni, toe paʻu
• Alualu i luma pe a minoi, pe savali saosaoa
• Tuʻu i totonu o mea faitino poʻo tagata
• Suiga i foliga vaaia o foliga
• Laupapa loloto laina
• Mata ma vaʻai faʻafitauli e pei o eseʻese lapopoʻa tamaiti aʻoga, faigata faʻaosoina mata (supranuclear ophthalmoplegia), leai se puleaina o mata, faʻafitauli mata pupula matala
• Faigata faʻaumatia
• Faʻafefe, auvae poʻo foliga jerks poʻo spasms
• Le gaoia i le tau feololo
• Tagata suia
• Gaioiga lemu pe malo foi
• Tautalaga faigata, pei o le maualalo leo leo, le mafai ona fai upu manino, lemu tautala
• Maʻaʻa ma maʻaʻa gaioi i le ua, ogatotonu o le tino, lima, ma vae

O se suʻega o le neula (faʻataʻitaʻiga o neura) e ono faʻaalia:

• Dementia ua atili ai ona leaga
• Faigata ile savali
• Le faʻatapulaʻaina gaioiga a mata, aemaise o luga ma lalo gaioiga
• Vaʻaiga masani, faʻalogo, lagona, ma le faʻatonutonuina o gaioiga
• Gaioiga faigata ma le faʻavasega e pei o faʻamaʻi ole Parkinson

E mafai e le tausi soifua maloloina ona faia suʻesuʻega nei e aveese ai isi faʻamaʻi:

• Maneta resonance imaging (MRI) ono faʻaalia le solomuli o le faiʻai (faʻailoga o le hummingbird)
• PET scan o le faiʻai o le a faʻaalia suiga i luma o le faiʻai

O le faʻamoemoe o togafitiga o le faʻatonutonuina o faʻailoga. E leai se faʻailoaina lauiloa mo PSP.

O vailaʻau e pei o le levodopa e ono faʻataʻitaʻia. O nei vailaʻau faʻateleina le tulaga o le faiʻai vailaʻau taʻua o le dopamine. Dopamine e aofia ai i le faʻatonutonuina o gaioiga. O vailaʻau mafai ono faʻaititia ni faʻailoga, pei o maʻaa vae poʻo gaioiga lemu mo sina taimi. Ae e masani ona le aoga pei o latou mo le faʻamaʻi Parkinson.

Tele tagata ma PSP o le a mulimuli ane manaʻomia le lata ile-uati tausiga ma siakiina pe a latou leiloa faiʻai faiʻai.

Togafitiga i nisi taimi e mafai ona faʻaititia ai faʻailoga mo sina taimi, ae o le tulaga o le a atili ai ona leaga. O le faia o faiʻai o le a faʻaitiitia i le taimi. E masani ona tupu le oti ile 5 i le 7 tausaga.

O loʻo suʻesuʻeina vailaʻau fou e togafitia ai lenei tulaga.

Faʻafitauli o le PSP aofia ai:

• Toto toto i uaua (loloto vein thrombosis) ona o le faatapulaaina gaioiga
• Manua mai le pa'ū
• Le lava pulea o vaʻai
• Leiloa o faiʻai galue i le aluga o taimi
• Paʻu ona o faʻafitauli ua folo ai
• Le lelei taumafa (le paleni)
• Aʻafiaga mai vailaʻau

Valaʻau lau tautua pe a e paʻu masani, ma afai ua maʻa le ua / tino, ma faʻafitauli tau vaʻai.

Faʻapea foi, valaʻau pe a fai o se tasi e pele ua faʻamaonia e maua i le PSP ma o le tulaga ua paʻu'ū tele ina ua e le toe mafai ona tausi mo le tagata i le fale

Dementia - nuchal dystonia; Richardson-Steele-Olszewski syndrome; Palsy - alualu i luma supranuclear

• Nofoʻaga popolevale ma faiga lautele neula

Jankovic J. Parkinson faamaʻi ma isi gasegase le atoatoa. I totonu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology i Fomaʻi Faʻataʻitaʻi. 7th ed. Filatelefia, PA: Elsevier; 2016: mata 96.

Ling H. togafitiga faʻapitoa i le alualu i luma supranuclear palsy. J Mov Disord. 2016; 9 (1): 3-13. PMID: 26828211 pubmed.ncbi.nlm.nih.gov/26828211/.

'Upega tafaʻilagi a le National Institute of Neurological Disorder. Alualu i luma supranuclear palsy mea moni laupepa. www.ninds.nih.gov/Disorder/Patient-Caregiver-Education/Fact-Sheets/Progressive-Supranuclear-Palsy-Fact-Sheet. Faʻafouina Mati 17, 2020. Avanoa i Aukuso 19, 2020.