Chilichonse Chimene Muyenera Kudziwa Ponena za Clonus
Zamkati
- Zoyambitsa
- Clonus ndi kupindika
- Clonus ndi MS
- Momwe amadziwika
- Chithandizo
- Mankhwala
- Mankhwala ena
- Zithandizo zapakhomo
- Opaleshoni
- Chiwonetsero
Clonus ndi chiyani?
Clonus ndi mtundu wamatenda am'mimba omwe amadzipangitsa kuti asamayende bwino. Izi zimabweretsa mayendedwe osalamulirika, abwinobwino, ogwedeza. Anthu omwe amakumana ndi clonus amafotokoza zomwe zimachitika mobwerezabwereza. Sizofanana ndi kupindika kwa minofu nthawi ndi nthawi.
Clonus amapezeka makamaka mu minofu yomwe imayendetsa mawondo ndi akakolo. Nthawi zambiri zimabwera ndikutambasula kwambiri minofu imeneyi.
Pafupifupi, clonus imathanso kukhudza magawo ena amthupi, monga:
- manja
- zala
- nsagwada
- zigongono
Werengani kuti mudziwe zambiri za vutoli.
Zoyambitsa
Zomwe zimayambitsa clonus sizimamveka bwino.Nthawi zambiri pamakhala vuto ndi njira yamagetsi yomwe imakhudzidwa ndi kuyenda kwa minofu. Kawirikawiri zimawoneka muzinthu zomwe zimaphatikizapo kupweteka kwa minofu.
Zinthu zomwe nthawi zambiri zimayambitsa clonus ndi monga:
- amyotrophic lateral sclerosis (ALS), matenda osowa minyewa omwe amakhudza kuwongolera minofu ndi mayendedwe, omwe nthawi zina amadziwika kuti matenda a Lou Gehrig
- kuvulala kwaubongo
- Nthenda ya ubongo
- matenda ena amadzimadzi, monga matenda a Krabbe
- matenda obadwa nawo amitsempha, monga kubadwa kwa spastic paraplegia, gulu la zovuta zachilengedwe zomwe zimayambitsa msana ndipo zimayambitsa kuchepa kwa minofu ndi kuwongolera pang'ono
- multiple sclerosis (MS)
- serotonin kawopsedwe
- msana kuvulala
- sitiroko
Nthawi zina, kulephera kwa chiwindi kapena impso kumatha kubweretsanso ku clonus chifukwa cha kuchuluka kwa zinyalala m'thupi. Kuwonongeka kotereku kumatha kukhudza ubongo wabwinobwino.
Clonus ndi kupindika
Kukhazikika nthawi zambiri kumachitika ndi clonus. Zimaphatikizira kulimba kwa nthawi yayitali.
Kukhazikika, monga momwe amawonera mu clonus, kumayambitsidwa ndi mitsempha yowonongeka pakati paubongo, msana, ndi minofu. Zochita zachilendozi zimaganiziridwa kuti zimasokoneza kuyenda kwa minofu poyambitsa kufinya, kuwuma, ndi kupweteka.
Mavuto ena amitsempha ndi minofu omwe atha kuchitika limodzi ndi clonus atha kukhala:
- kutengeka kwakukulu kwa tendon reflexes
- zolumikizira zolimba, zotchedwa contractures
- kuwonjezeka kwa minofu, yotchedwa hypertonicity
- kuwoloka mwendo mosadzipangira, nthawi zina kumatchedwa scissoring
Clonus ndi MS
Chizoloŵezi chodziwika ndi clonus ndi multiple sclerosis (MS). Ichi ndi matenda amitsempha yapakati omwe amasokoneza mawonekedwe pakati pa ubongo ndi thupi. MS imatha kuyambitsa kusuntha kwa minofu.
MS ndi matenda omwe akupita patsogolo, zomwe zikutanthauza kuti zimatha kuwonjezeka pakapita nthawi popanda chithandizo. Kuchiza MS kumatha kuthandizira kuchepa kwa minofu ndi clonus.
Momwe amadziwika
Clonus ndimkhalidwe wanthawi yayitali. Musanalandire chithandizo, dokotala wanu ayenera kupeza kuti ali ndi vutoli.
Choyamba, dokotala wanu adzakuyesani. Awona madera omwe ali ndi zopindika zambiri komanso zowawa. Ngati muli ndi chotupa cha minofu mukakhala ku ofesi ya dokotala, dokotala wanu adzayeza kuchuluka kwa "kumenyedwa" kapena kutsutsana komwe kumachitika.
Dokotala wanu atha kuyitanitsa mayeso ena kuti adziwe clonus. Mayeserowa amathanso kuthandiza dokotala kuti azindikire zomwe sizingachitike. Mwayi ndi:
- kuyesa ndi kugwirizanitsa
- kuyesa magazi
- MRI yaubongo
- zitsanzo zamadzimadzi a msana
Palibe mayeso amodzi omwe angadziwe chomwe chimayambitsa clonus. Mungafunike kuyesa mayeso angapo dokotala asanakuuzeni.
Chithandizo
Kuchiza clonus kumaphatikizapo kuphatikiza mankhwala ndi mankhwala. Lankhulani ndi dokotala pazomwe mungachite. Mankhwala a Clonus atha kugwiritsidwa ntchito poyesera-mpaka zolakwika mpaka inu ndi dokotala mutapeza zomwe zikukuthandizani.
Mankhwala
Mankhwala, makamaka opumulira minofu ndi mankhwala, amathandiza kuchepetsa zizindikiritso zamagulu ndi kuchepa kwa thupi. Izi zingaphatikizepo:
- baclofen, minofu yotsitsimula
- clonazepam (Klonopin), mtundu wa mankhwala osokoneza bongo
- diazepam (Valium), mtundu wa mankhwala ochititsa manyazi
- tizanidine (Zanaflex), yopumitsa minofu nthawi zambiri imalembedwa pomwe baclofen sagwira ntchito
Mitundu iyi yamankhwala imatha kuyambitsa tulo. Simuyenera kuyendetsa galimoto mukamamwa mankhwalawa.
Zotsatira zina zitha kukhala:
- chizungulire
- chisokonezo
- kutopa
- mutu wopepuka
- zovuta kuyenda
Onetsetsani kuti mwalankhula ndi dokotala za zabwino zonse ndi zoopsa zomwe zimadza chifukwa cha mankhwalawa.
Mankhwala ena
Majakisoni a Botox amatha kuthandiza anthu ena omwe ali ndi clonus. Ngakhale amadziwika kuti mankhwala amakwinya, Botox imagwira ntchito pochepetsa magulu akulu akulu am'mimba. Mitundu ya jakisoniyi imayenera kuperekedwa pafupipafupi chifukwa zotsatira zake zimatha pakapita nthawi.
Kuchita masewera olimbitsa thupi kumatha kuthandizira zabwino zomwe mumalandira ndi mankhwala anu. Wogwiritsira ntchito masewera olimbitsa thupi amatha kugwiritsa ntchito zolimbitsa thupi kuti akweze mayendedwe osiyanasiyana komanso kutambasula minofu yanu. Mukatero, mudzawona kusintha kwa zizindikiro zanu.
Zithandizo zapakhomo
Muthanso kuthandizira kuthana ndi zovuta zapakhomo kunyumba. Mwachitsanzo, mapaketi ozizira amatha kuthandizira kutulutsa minofu yopweteka pomwe mapiritsi otentha amatha kupweteketsa ululu. Zochita zolimbitsa thupi zitha kuchepetsa zizindikiritso zamagulu. Malupanga olimbikitsidwa mwaukadaulo pazitsulo ndi akakolo angathandizenso anthu ena.
Opaleshoni
Dokotala wanu amalangiza kuchitidwa opaleshoni ngati njira yomaliza ngati mankhwala ndi mankhwala sangakupatseni mpumulo. Kuchita opaleshoni ya clonus nthawi zambiri kumaphatikizapo kudula misewu yomwe imayambitsa kuyenda kosafunikira.
Chiwonetsero
Chiyembekezo chonse cha clonus chimadalira pazomwe zimayambitsa. M'mikhalidwe yayifupi, monga kuvulala koopsa kapena matenda, clonus ndi spasms ya minyezi zitha kuthetsa nthawi yochulukirapo. Matenda osachiritsika, monga MS, amadalira chithandizo chanthawi yayitali kuti athetse matenda. Nthawi zina, vuto la minofu limatha kukulirakulira ngati matenda anu akupita. Kulowererapo msanga ndikofunikira pakuchizidwa moyenera ndikutsata pambuyo pake.