Kusuntha - kosayembekezereka kapena kosasunthika

Kuyenda kwa thupi kwa Jerky ndimikhalidwe yomwe munthu amapita mwachangu zomwe sangathe kuzilamulira komanso zopanda cholinga. Kusuntha kumeneku kumasokoneza mayendedwe abwinobwino amunthu kapena momwe amakhalira.

Dzina lachipatala la vutoli ndi chorea.

Vutoli limatha kugwira mbali imodzi kapena mbali zonse ziwiri za thupi. Kusuntha kofananira kwa chorea ndi monga:

• Kupinda ndikuwongola zala zakumapazi
• Kuchita manyazi pankhope
• Kukweza ndi kutsitsa mapewa

Kusunthaku sikubwereza kawiri kawiri. Amatha kuwoneka ngati akuchitidwa dala. Koma mayendedwe sili m'manja mwa munthuyo. Munthu amene ali ndi chorea angawoneke ngati wopusa kapena wosakhazikika.

Chorea imatha kukhala yopweteka, ndikupangitsa kuti zikhale zovuta kuchita zochitika zatsiku ndi tsiku.

Pali zifukwa zambiri zomwe zingayambitse mayendedwe osayembekezereka, kuphatikiza:

• Matenda a Antiphospholipid (vuto lomwe limaphatikizapo kutseka magazi kosazolowereka)
• Benign cholowa chorea (chikhalidwe chosowa kwambiri)
• Kusokonezeka kwa calcium, glucose, kapena metabolism ya sodium
• Matenda a Huntington (matenda omwe amaphatikizapo kuwonongeka kwa maselo amitsempha muubongo)
• Mankhwala (monga levodopa, antidepressants, anticonvulsants)
• Polycythemia rubra vera (mafupa a m'mafupa)
• Sydenham chorea (kusuntha kwamatenda komwe kumachitika mutatha kutenga kachilomboka ndi mabakiteriya ena otchedwa gulu A streptococcus)
• Matenda a Wilson (matenda omwe amaphatikizapo mkuwa wambiri m'thupi)
• Mimba (chorea gravidarum)
• Sitiroko
• Systemic lupus erythematosus (matenda omwe chitetezo chamthupi chimalakwitsa molakwika minofu yathanzi)
• Tardive dyskinesia (vuto lomwe lingayambitsidwe ndi mankhwala monga antipsychotic)
• Matenda a chithokomiro
• Matenda ena osowa

Chithandizo cha umalimbana chifukwa cha kayendedwe.

• Ngati kusunthaku kumachitika chifukwa cha mankhwala, mankhwalawo ayenera kuyimitsidwa, ngati zingatheke.
• Ngati kusunthaku kukuchitika chifukwa cha matenda, vutoli liyenera kuthandizidwa.
• Kwa anthu omwe ali ndi matenda a Huntington, ngati mayendedwe ali ovuta komanso amakhudza moyo wa munthu, mankhwala monga tetrabenazine amatha kuwathandiza.

Chisangalalo ndi kutopa zitha kukulitsa chorea. Kupumula kumathandizira kukonza chorea. Yesetsani kuchepetsa nkhawa.

Njira zachitetezo ziyeneranso kuchitidwa kuti zisavulaze mayendedwe osadzipereka.

Itanani yemwe akukuthandizani ngati simukudziwa zomwe zikuchitika ndipo sizichoka.

Woperekayo ayesa mayeso. Izi zitha kuphatikizira kuwunika mwatsatanetsatane kwamanjenje ndi minofu.

Mudzafunsidwa za mbiri yanu yazachipatala ndi zizindikilo, kuphatikiza:

• Ndi mayendedwe amtundu wanji omwe amapezeka?
• Ndi gawo liti lamthupi lomwe limakhudzidwa?
• Ndi zisonyezo zina ziti zomwe zilipo?
• Kodi pali kukwiya?
• Kodi pali kufooka kapena kufooka?
• Kodi kuli kusakhazikika?
• Kodi pali mavuto am'malingaliro?
• Kodi pali ma tiki akumaso?

Mayeso omwe atha kulamulidwa ndi awa:

• Kuyesedwa kwa magazi monga kagayidwe kachakudya, kuwerengera magazi kwathunthu (CBC), kusiyanasiyana kwamagazi
• Kujambula kwa CT kwa mutu kapena malo okhudzidwa
• EEG (nthawi zambiri)
• EMG ndi mitsempha yothamangitsira mitsempha (nthawi zambiri)
• Kafukufuku wamtundu wothandiza kupeza matenda ena, monga matenda a Huntington
• Lumbar kuboola
• MRI ya mutu kapena malo okhudzidwa
• Kupenda kwamadzi

Chithandizo chake chimadalira mtundu wa chorea womwe munthuyo ali nawo. Ngati mankhwala agwiritsidwa ntchito, woperekayo asankha mankhwala omwe angakupatseni kutengera zisonyezo za munthuyo ndi zotsatira zake.

Chorea; Minofu - mayendedwe osasunthika (osalamulirika); Kusuntha kwa Hyperkinetic

Jankovic J, Lang AE. Kuzindikira ndikuwunika matenda a Parkinson ndi zovuta zina zoyenda. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 23.

Chilankhulo AE. Zovuta zina zoyenda. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 410.