Kodi Chimayambitsa Asterixis Ndi Chiyani?

Zamkati

• Chidule
• Asterixis imayambitsa
• Zowopsa za Asterixis
• Sitiroko
• Matenda a chiwindi
• Impso kulephera
• Matenda a Wilson
• Zina zowopsa
• Matenda a Asterixis
• Chithandizo cha Asterixis
• Encephalopathies a chiwindi kapena impso
• Kusokoneza bongo
• Kusokoneza bongo kwa mankhwala
• Kusokonezeka kwa mtima
• Matenda a Wilson
• Maganizo a Asterixis

Chidule

Asterixis ndi matenda amitsempha omwe amachititsa kuti munthu alephere kuyendetsa magalimoto m'malo ena amthupi. Minofu - nthawi zambiri m'manja ndi zala, ngakhale zimatha kuchitika mbali zina za thupi - imatha kukhala yolemetsa modzidzimutsa.

Kuchepetsa mphamvu kwa minofu kumayendetsedwanso ndi mayendedwe osakhazikika komanso osagwirizana. Pachifukwachi, asterixis nthawi zina amatchedwa "kugwedezeka kwamphamvu." Popeza matenda ena a chiwindi amawoneka olumikizidwa ndi asterixis, nthawi zina amatchedwa "chiwindi cha chiwindi". Kukupiza kumafanana ndi mapiko a mbalame pothawa.

Malinga ndi kafukufuku, "kunjenjemera" kwamanja kapena "kukuwombera" nthawi zambiri kumachitika mikono ikatambasulidwa ndikulumikiza manja. Asterixis mbali zonse ziwiri za thupi ndiofala kwambiri kuposa asterixis (umodzi).

Asterixis imayambitsa

Vutoli lidadziwika koyamba pafupifupi zaka 80 zapitazo, koma zambiri sizidziwikabe za izi. Vutoli limaganiziridwa kuti limayambitsidwa chifukwa cha kulephera kwa gawo laubongo lomwe limayang'anira kuyenda kwa minyewa ndi kukhazikika.

Chifukwa chomwe kulephera kumeneku kumachitika sikudziwika kwathunthu. Ochita kafukufuku akuganiza kuti pakhoza kukhala zovuta zina, zomwe zimaphatikizapo encephalopathies.

Encephalopathies ndi zovuta zomwe zimakhudza ubongo. Zizindikiro zake ndi izi:

• kusokonezeka m'maganizo
• kusintha kwa umunthu
• kunjenjemera
• kusokonezeka tulo

Mitundu ina ya encephalopathy yomwe imatha kubweretsa asterixis ndi iyi:

• Kusokonezeka kwa chiwindi. Hepatic amatanthauza chiwindi. Ntchito yayikulu ya chiwindi ndikosefa poizoni mthupi. Koma chiwindi chikasokonekera pazifukwa zilizonse, sichingachotse poizoni moyenera. Zotsatira zake, amatha kukula m'magazi ndikulowa muubongo, komwe amasokoneza ubongo.
• Kusokoneza bongo. Vuto la chiwindi ndi matenda a impso ndi encephalopathy yamagetsi. Izi zimachitika ngati mavitamini kapena mchere wochuluka kwambiri kapena wocheperako, monga ammonia, adutsa chopinga chamaubongo am'magazi, ndikupangitsa misfirings yamitsempha.
• Kusokoneza bongo kwa mankhwala. Mankhwala ena, monga ma anticonvulsants (omwe amagwiritsidwa ntchito pochiza khunyu) ndi ma barbiturates (omwe amagwiritsidwa ntchito poteteza), amatha kusintha mayankho aubongo.
• Kusokonezeka kwa mtima. Pamene mtima sukupopa mpweya wokwanira mthupi lonse, ubongo umakhudzidwa.

Zowopsa za Asterixis

Chilichonse chokhudza ubongo chimatha kubweretsa asterixis. Izi zikuphatikiza:

Sitiroko

Sitiroko imachitika pamene magazi amayenda gawo lina laubongo. Izi zitha kuchitika chifukwa cha magazi omwe amatseka mtsempha kapena chifukwa cha kuchepa kwa mitsempha chifukwa cha zinthu monga kusuta kapena kuthamanga kwa magazi.

Matenda a chiwindi

Matenda a chiwindi omwe amakupatsani chiopsezo chachikulu cha asterixis amaphatikizapo matenda a chiwindi kapena matenda a chiwindi. Zonsezi zingayambitse chiwindi. Izi zimapangitsa kuti zisamawonongeke poizoni.

Malinga ndi kafukufukuyu, kwa anthu omwe ali ndi matenda a chiwindi amakhala ndi vuto la chiwindi (chiwindi), zomwe zimawaika pachiwopsezo chachikulu cha asterixis.

Impso kulephera

Monga chiwindi, impso zimachotsanso poizoni m'magazi. Ngati poizoni wochuluka kwambiri amaloledwa kupangika, amatha kusintha magwiridwe antchito a ubongo ndikutsogolera ku asterixis.

Impso ndi kuthekera kwawo kuchita ntchito yawo zitha kuwonongeka ndi zinthu monga:

• matenda ashuga
• kuthamanga kwa magazi
• lupus
• Matenda ena amtundu

Matenda a Wilson

Mu matenda a Wilson, chiwindi sichitha mokwanira mchere wamchere. Mkuwa ukasiyidwa wosavomerezeka ndikuloledwa kuti umange, mkuwa umatha kuwononga ubongo. Ichi ndi chosowa, chibadwa.

Akatswiri akuti pafupifupi munthu mmodzi mwa anthu 30,000 ali ndi matenda a Wilson. Umakhalapo pobadwa koma sungakhale wowonekera mpaka utakula. Zizindikiro za milu yamkuwa wa poizoni ndi monga:

• asterikisi
• kuuma minofu
• kusintha kwa umunthu

Zina zowopsa

Khunyu komanso kulephera kwa mtima ndizomwe zimayambitsa asterixis.

Matenda a Asterixis

Matenda a asterixis nthawi zambiri amatengera mayeso amthupi komanso mayeso a labu. Dokotala wanu akhoza kukupemphani kuti mutambasule manja anu, mutambasule manja anu, ndikutambasula zala zanu. Pakangopita masekondi ochepa, munthu yemwe ali ndi asterixis amatha "kupachika" maloko pansi, kenako kubwerera. Dokotala wanu amathanso kukankhira kumanja kuti ayankhe.

Dokotala wanu amathanso kuyitanitsa mayeso amwazi omwe amayang'ana kuchuluka kwa mankhwala kapena michere yamagazi. Kuyesa kuyesa, monga CT scan, kumatha kuwunika momwe ubongo ukugwirira ntchito ndikuwona madera omwe angakhudzidwe.

Chithandizo cha Asterixis

Pomwe matenda omwe amachititsa asterixis amachiritsidwa, asterixis imakula bwino ndipo imatha kwathunthu.

Encephalopathies a chiwindi kapena impso

Dokotala wanu angakulimbikitseni:

• Moyo ndi kusintha kwa zakudya. Ngati mukugwiritsa ntchito mowa mopitirira muyeso kapena muli ndi vuto lowononga impso monga matenda ashuga, dokotala wanu akhoza kuyankhula nanu za kuchepetsa ngozi zomwe mungakhale nazo.
• Mankhwala otsekemera. Lactulose makamaka imathandizira kuchotsa poizoni mthupi.
• Maantibayotiki. Mankhwalawa, monga rifaximin, amachepetsa mabakiteriya am'matumbo. Kuchuluka kwa m'matumbo mabakiteriya kumatha kupangitsa kuti madzi amchere ochulukirapo azikhala m'magazi anu ndikusintha magwiridwe antchito aubongo.
• Kusintha. Mukakhala pachiwindi kapena kuwonongeka kwa impso, mungafunike kumuika ndi chiwalo chabwino.

Kusokoneza bongo

Dokotala wanu angakulangizeni kusintha kwa zakudya, kumwa mankhwala omwe angagwirizane ndi mchere kuti athandize kuchotsa m'thupi, kapena onse awiri. Zidalira kuti ndi mchere uti wochuluka m'magazi anu.

Kusokoneza bongo kwa mankhwala

Dokotala wanu akhoza kusintha mlingo wa mankhwala kapena kukusinthani ku mankhwala ena osiyana.

Kusokonezeka kwa mtima

Kuthana ndi vuto lililonse la mtima ndi sitepe yoyamba. Izi zitha kutanthauza chimodzi kapena kuphatikiza izi:

• kuonda
• kusiya kusuta
• kumwa mankhwala a kuthamanga kwa magazi

Dokotala wanu amathanso kukupatsani mankhwala a ACE inhibitors, omwe amachulukitsa mitsempha, ndi beta-blockers, omwe amachepetsa kugunda kwa mtima.

Matenda a Wilson

Dokotala wanu akhoza kukupatsani mankhwala monga zinc acetate, omwe amalepheretsa thupi kuti lisamwe mkuwa pachakudya chomwe mumadya. Akhozanso kupereka mankhwala osokoneza bongo ngati penicillamine. Ikhoza kuthandizira kutulutsa mkuwa m'matumba.

Maganizo a Asterixis

Asterixis siichilendo, koma ndi chizindikiro cha vuto lalikulu komanso mwina lotsogola lomwe limafunikira chithandizo chamankhwala mwachangu.

M'malo mwake, kafukufuku wina adawonetsa kuti 56 peresenti ya omwe adapereka asterixis yokhudzana ndi matenda a chiwindi chakumwa choledzeretsa adamwalira, poyerekeza ndi 26 peresenti ya omwe alibe.

Ngati mwawona zina mwazomwe zimanjenjemera za asterixis kapena muli ndi zina mwaziwopsezo zomwe zili pamwambapa, lankhulani ndi dokotala wanu. Nthawi zambiri, matenda omwe amachititsa asterixis amathandizidwa bwino, asterixis imatha bwino kapena kutha.