Kodi hemiballism ndi chiyani?

Zamkati

• Zomwe zingayambitse
• Zizindikiro zake ndi ziti
• Chifukwa chiyani zimachitika
• Momwe mankhwalawa amachitikira

Hemiballism, yomwe imadziwikanso kuti hemichorea, ndi vuto lomwe limadziwika ndikumangoyenda mwadzidzidzi kwa miyendo, matalikidwe akulu, omwe amathanso kupezeka mu thunthu ndi mutu, mbali imodzi yokha ya thupi.

Chomwe chimayambitsa hemibalism ndi ischemic kapena hemorrhagic stroke, yomwe imadziwikanso kuti stroke, koma pali zifukwa zina zomwe zimatha kuyambitsa.

Nthawi zambiri, chithandizo chimakhala chothetsa vutoli, ndipo mankhwala a anti-dopaminergic, anticonvulsant kapena antipsychotic amathanso kuperekedwa.

Zomwe zingayambitse

Nthawi zambiri, hemibalism imachitika chifukwa cha zotupa mu Luys subtalamic nucleus kapena madera oyandikira, omwe amachokera ku sequelae omwe amayamba chifukwa cha sitiroko kapena kupha magazi. Komabe, matendawa amathanso kuyambitsidwa ndi:

• Zilonda zowoneka bwino pamiyendo ya basal ganglia, chifukwa cha chotupa, zotupa zam'mimba, chifuwa chachikulu kapena mabala owonongera;
• Zokhudza lupus erythematosus;
• Kupwetekedwa;
• Matenda omwe ali ndi kachilombo ka fuluwenza A;
• Matenda obwera m'mimba;
• Matenda a HIV;
• Matenda a Wilson;
• Toxoplasmosis.

Kuphatikiza apo, hemibalism amathanso kubwera chifukwa cha zoyipa zamankhwala monga levodopa, njira zakulera ndi ma anticonvulsants.

Zizindikiro zake ndi ziti

Zizindikiro zomwe zimakhudzana ndi hemiballism ndikulephera kuwongolera mayendedwe, kupezeka kwa mitsempha yamatalikidwe akulu, mwachangu, mwachiwawa komanso mosaganizira mbali imodzi yokha ya thupi komanso mbali ina yovulalayo. Nthawi zina, imathanso kukhudza minofu yamaso ndikupangitsa kusayenda bwino poyenda.

Munthuyo akasuntha kapena kuchita kanthu, mayendedwe osadziphatika amayamba kulira, ndipo amatha kuzimiririka atapuma kapena atagona.

Chifukwa chiyani zimachitika

Hemiballism imachitika chifukwa chotupa mu subthalamic nucleus, yomwe imachepetsa zikhumbo zoletsa za basal ganglia pamtsempha wamtsempha, ubongo wamagulu ndi tsinde laubongo, zosokoneza mayendedwe.

Momwe mankhwalawa amachitikira

Chithandizo cha hemibalism chikuyenera kuyang'ana pazomwe zimayambira. Kuphatikiza apo, ma block blocker amatha kuperekedwanso, omwe amachepetsa mpaka 90% ya mayendedwe osachita chilichonse.

Nthawi zina, adokotala amatha kuperekanso mankhwala monga sertraline, amitriptyline, valproic acid kapena benzodiazepines.