Opisthotonos

Opisthotonos ndimkhalidwe womwe munthu amakhala kuti wanyamula thupi lake moyenera. Munthuyo nthawi zambiri amakhala wolimba ndipo amaweramira kumbuyo, mutu wawo utaponyedwa kumbuyo. Ngati munthu yemwe ali ndi opisthotonos agona chagada, kumbuyo kwawo ndi zidendene zawo zokha kumakhudza nkhope yomwe ali.

Opisthotonos ndiofala kwambiri mwa makanda ndi ana kuposa achikulire. Zimakhudzanso kwambiri makanda ndi ana chifukwa cha machitidwe awo amanjenje osakhwima.

Opisthotonos amatha makanda omwe ali ndi meningitis. Ichi ndi matenda am'matumbo, nembanemba yomwe imakhudza ubongo ndi msana. Opisthotonos amathanso kuchitika ngati chisonyezo chakuchepa kwa ubongo kapena kuvulala kwamanjenje.

Zina mwazinthu zitha kuphatikiza:

• Matenda a Arnold-Chiari, vuto ndi kapangidwe ka ubongo
• Chotupa chaubongo
• Cerebral palsy
• Matenda a Gaucher, omwe amachititsa kuti minofu yambiri ikhale ndi ziwalo zina
• Kulephera kwa mahomoni okula (nthawi zina)
• Mitundu ya poyizoni wamankhwala wotchedwa glutaric aciduria ndi organic acidemias
• Matenda a Krabbe, omwe amawononga kutsekemera kwa mitsempha m'katikati mwa manjenje
• Matenda a mapulo matenda a mkodzo, matenda omwe thupi silingathe kuwononga mbali zina za mapuloteni
• Kugwidwa
• Kusagwirizana kwakukulu kwa electrolyte
• Zovulala muubongo
• Stiff-person syndrome (zomwe zimapangitsa munthu kukhala wolimba komanso kukhala ndi spasms)
• Kutuluka magazi muubongo
• Tetanasi

Mankhwala ena opatsirana ndi ma psychotic amatha kuyambitsa zovuta zina zotchedwa acute dystonic reaction. Opisthotonos atha kukhala gawo la izi.

Nthawi zambiri, makanda obadwa ndi azimayi omwe amamwa mowa wambiri ali ndi pakati amatha kukhala ndi opisthotonus chifukwa chosiya mowa.

Munthu yemwe amapanga opisthotonos adzafunika kusamaliridwa kuchipatala.

Pitani kuchipinda chodzidzimutsa kapena itanani nambala yanu yadzidzidzi (monga 911) ngati zizindikiro za opisthotonos zimachitika. Nthawi zambiri, opisthotonos ndi chizindikiro cha zikhalidwe zina zomwe ndizovuta kuti munthu apite kuchipatala.

Vutoli limawerengedwa kuchipatala, ndipo njira zadzidzidzi zitha kuchitidwa.

Wothandizira zaumoyo amayeza thupi ndikufunsa za zizindikilo kuti ayang'ane chifukwa cha opisthotonos

Mafunso angaphatikizepo:

• Zizindikiro zidayamba liti?
• Kodi mawonekedwe amthupi nthawi zonse amakhala ofanana?
• Ndi zisonyezo zina ziti zomwe zidabwera kale kapena kusakhala kolakwika (monga malungo, khosi lolimba, kapena kupweteka mutu)?
• Kodi pali mbiri yaposachedwa yakudwala?

Kuwunika kwakuthupi kumaphatikizanso kuwunika kwathunthu kwamanjenje.

Mayeso atha kuphatikiza:

• Kuyesa magazi ndi mkodzo
• Chikhalidwe cha Cerebrospinal fluid (CSF) komanso kuchuluka kwama cell
• Kujambula kwa CT pamutu
• Kufufuza kwa Electrolyte
• Lumbar kuboola (tapampopi)
• MRI yaubongo

Chithandizo chidzadalira chifukwa chake. Mwachitsanzo, ngati meninjaitisi ndiyo imayambitsa, mankhwala angaperekedwe.

Kubwezera kumbuyo; Kukhazikika kwachilendo - opisthotonos; Kukhazikika kwachinyengo - opisthotonos

Pezani nkhaniyi pa intaneti Berger JR. Stupor ndi chikomokere. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 5.

Hamati AI. Mavuto amitsempha yama systemic matenda: ana. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 59.

Hodowanec A, Bleck TP. Tetanasi (Clostridium tetani). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 246.

Rezvani I, Ficicioglu CH. Zofooka zamagetsi zama amino acid. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 85.