Kusuntha - kosalamulirika

Kusunthika kosalamulirika kumaphatikizapo mitundu yambiri ya mayendedwe omwe simungathe kuwongolera. Amatha kukhudza mikono, miyendo, nkhope, khosi, kapena ziwalo zina za thupi.

Zitsanzo za mayendedwe osalamulirika ndi:

• Kutayika kwa kamvekedwe ka minofu (flaccidity)
• Kuchedwa, kupotoza, kapena kupitiliza kuyenda (chorea, athetosis, kapena dystonia)
• Kusuntha modzidzimutsa (myoclonus, ballismus)
• Kusunthika kosalamulirika kosuntha (asterixis kapena kunjenjemera)

Pali zifukwa zambiri zosunthira kosalamulirika. Kusuntha kwina kumangokhala kwakanthawi kochepa. Zina zimachitika chifukwa cha ubongo komanso msana ndipo zitha kukulirakulira.

Zina mwaziwonetserozi zimakhudza ana. Zina zimakhudza akulu okha.

Zimayambitsa ana:

• Matenda a chibadwa
• Kernicterus (bilirubin wochuluka kwambiri m'katikati mwa manjenje)
• Kusowa kwa mpweya (hypoxia) pobadwa

Zimayambitsa akuluakulu:

• Matenda amanjenje omwe akuchulukirachulukira
• Matenda a chibadwa
• Mankhwala
• Stroke kapena kuvulala kwaubongo
• Zotupa
• Mankhwala osokoneza bongo
• Kusokonezeka mutu ndi khosi

Thandizo lakuthupi lomwe limaphatikizapo kusambira, kutambasula, kuyenda, komanso kulimbitsa thupi kumathandizira kuthandizira ndikuchepetsa kuwonongeka.

Funsani wothandizira zaumoyo ngati zothandizira kuyenda, monga ndodo kapena kuyenda, zitha kukhala zothandiza.

Anthu omwe ali ndi vutoli amakonda kugwa. Lankhulani ndi wopezayo za njira zopewera kugwa.

Thandizo la banja ndilofunika. Zimathandiza kukambirana momasuka zakukhosi kwanu. Magulu odzifunira amapezeka m'malo ambiri.

Itanani omwe akukuthandizani ngati muli ndi mayendedwe osadziwika omwe simungathe kuwongolera omwe satha.

Wothandizira adzakuyesani ndikufunsani zamatenda anu komanso mbiri yazachipatala. Muyesedwa mosamalitsa konse kwamanjenje ndi minofu.

Mafunso a mbiri yakale azachipatala atha kuphatikizira:

• Kodi pali zovuta zam'mimba zomwe zitha kuyambitsa mawonekedwe abwinobwino?
• Kodi manja amakhudzidwa?
• Kodi miyendo imakhudzidwa?
• Kodi gululi linayamba liti?
• Kodi zinachitika mwadzidzidzi?
• Kodi wakhala akuipiraipira pang'onopang'ono pamasabata kapena miyezi?
• Kodi imakhalapo nthawi zonse?
• Kodi zimakhala zovuta kwambiri mutatha kuchita masewera olimbitsa thupi?
• Kodi zimaipiraipira mukapanikizika?
• Kodi kuli bwino mutagona?
• Nchiyani chimapangitsa kukhala bwino?
• Ndi zisonyezo zina ziti zomwe zilipo?

Mayeso omwe atha kulamulidwa ndi awa:

• Mayeso amwazi (monga CBC kapena kusiyanitsa magazi)
• Kujambula kwa CT kwa mutu kapena malo okhudzidwa
• EEG
• Lumbar kuboola
• MRI ya mutu kapena malo okhudzidwa
• Kupenda kwamadzi

Chithandizo chimadalira chifukwa. Kusuntha kosalamulirika kumathandizidwa ndi mankhwala. Zizindikiro zina zimatha kusintha zokha. Wothandizira anu apanga malingaliro kutengera zizindikiritso zanu.

Mayendedwe osalamulirika; Kusuntha kwa thupi mosadzipereka; Kusuntha kwa thupi - kosalamulirika; Dyskinesia; Athetosis; Myoclonasi; Masewera

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

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.