Myoclonus ndi chiyani ndi mankhwalawa
Zamkati
- Zizindikiro zake ndi ziti
- Zomwe zingayambitse
- 1. Myoclonus yachilengedwe
- 2. Idiopathic myoclonus
- 3. Myoclonus wa khunyu
- 4. Myoclonus wachiwiri
- Kodi myoclonus yausiku ndi chiyani
- Momwe mankhwalawa amachitikira
Myoclonus imakhala ndimayendedwe achidule, ofulumira, osachita mwadzidzidzi komanso owopsa, omwe amakhala ndi kutuluka kamodzi kapena kubwereza minofu. Nthawi zambiri, myoclonus ndimathupi komanso sichinthu chodetsa nkhawa, komabe mitundu ya myoclonus imatha kuchitika chifukwa cha kusokonezeka kwa mitsempha yapakatikati, monga khunyu, mavuto amadzimadzi kapena mankhwala.
Matendawa ndi mtundu wa myoclonus, monganso ziphuphu mwadzidzidzi, zomwe zimachitika munthu akagona. Mitundu iyi ya myoclonus imapezeka mwa anthu athanzi ndipo si vuto.
Chithandizochi nthawi zambiri chimakhala kuchiza chomwe chimayambitsa kapena matenda omwe amachokera, komabe, nthawi zina sizotheka kuthetsa vutoli ndipo chithandizochi chimangokhala kuthetseratu zizindikirazo.
Zizindikiro zake ndi ziti
Nthawi zambiri, anthu omwe ali ndi myoclonus amalongosola mtundu wa kuphulika kwadzidzidzi, kwakanthawi, kosafunikira kwa minofu, ngati kuti kudodometsa, komwe kumatha kusiyanasiyana mwamphamvu komanso pafupipafupi, komwe kumangokhala gawo limodzi la thupi kapena angapo, komanso mwamphamvu kwambiri milandu, imatha kusokoneza chakudya ndi njira yolankhulira kapena kuyenda.
Zomwe zingayambitse
Myoclonus imatha kuyambitsidwa ndi mavuto angapo, ndipo imatha kugawidwa, malinga ndi chifukwa chake, kukhala mitundu ingapo:
1. Myoclonus yachilengedwe
Mtundu wa myoclonus umapezeka mwa anthu abwinobwino, athanzi ndipo samasowa chithandizo chamankhwala monga:
- Zovuta;
- Spasms panthawi yogona, yomwe imadziwikanso kuti myoclonus usiku;
- Kunjenjemera kapena kupuma chifukwa cha nkhawa kapena kuchita masewera olimbitsa thupi;
- Kupuma kwa ana mukamagona kapena mukamadyetsa.
2. Idiopathic myoclonus
Mu idiopathic myoclonus, kayendedwe ka myoclonic kamangobwera kokha, kosagwirizana ndi zizindikilo kapena matenda ena, ndipo kumatha kusokoneza zochitika za tsiku ndi tsiku. Zomwe zimayambitsa sizidziwikiratu, koma nthawi zambiri zimakhudzana ndi cholowa.
3. Myoclonus wa khunyu
Mtundu uwu wa myoclonus umachitika mwina chifukwa cha matenda akhunyu, pomwe khunyu limapangidwa lomwe limayambitsa kuyenda mwachangu, m'manja ndi m'miyendo. Phunzirani kuzindikira zizindikiro za khunyu.
4. Myoclonus wachiwiri
Amadziwikanso kuti myoclonus wodziwika bwino, nthawi zambiri amapezeka chifukwa cha matenda ena kapena matenda, monga kuvulala kumutu kapena msana, matenda, impso kapena chiwindi kulephera, matenda a Gaucher, poyizoni, kuperewera kwa mpweya wautali, mankhwala osokoneza bongo, matenda ndi kagayidwe kachakudya.
Kuphatikiza pa izi, palinso zinthu zina zokhudzana ndi mitsempha yayikulu, yomwe imatha kubweretsanso myoclonus yachiwiri, monga stroke, chotupa chaubongo, matenda a Huntington, matenda a Creutzfeldt-Jakob, matenda a Alzheimer's ndi Parkinson, kuchepa kwa corticobasal komanso matenda am'mimba am'mbuyomu.
Kodi myoclonus yausiku ndi chiyani
Myoclonus wa usiku kapena kupindika kwa minyewa pogona, ndi vuto lomwe limachitika munthu akamagona, pomwe munthuyo amamva kuti akugwa kapena sakuchita bwino ndipo nthawi zambiri zimachitika akagona, momwe mikono kapena miyendo imasunthira mosachita kufuna, ngati kutuluka kwa minofu.
Zomwe zimayambitsa kusunthaku sizikudziwika bwinobwino, koma zimaganiziridwa kuti zimakhala ndi vuto linalake lam'magazi, momwe dongosolo lomwe limapangitsa kuti munthu akhale maso limasokoneza dongosolo lomwe limapangitsa kugona, zomwe zimatha kuchitika chifukwa, ngakhale atagona , mukayamba kulota, magalimoto amayendetsa thupi ngakhale minofu ikayamba kumasuka.
Momwe mankhwalawa amachitikira
Pali milandu yambiri pomwe chithandizo sichofunikira, komabe, ngati kuli koyenera, nthawi zambiri chimakhala kuchiza chomwe chimayambitsa kapena matenda omwe amachokera, komabe, nthawi zina sizotheka kuthetsa vutoli ndi zisonyezo zokha . Mankhwala ndi njira zomwe amagwiritsidwa ntchito ndi izi:
Zowonjezera: Clonazepam ndiye mankhwala omwe amadziwika bwino kwambiri pothana ndi mavutowa, kuti athane ndi zizindikilo za myoclonus, komabe zimatha kuyambitsa zovuta zina, monga kuchepa kwa mgwirizano ndi kugona.
Ma anticonvulsants: Awa ndi mankhwala omwe amateteza khunyu, omwe amathandizanso kuchepetsa zizindikilo za myoclonus. Ma anticonvulsants omwe amagwiritsidwa ntchito kwambiri pamtunduwu ndi levetiracetam, valproic acid ndi primidone. Zotsatira zoyipa kwambiri za valproic acid ndi nseru, levetiracetam ndikutopa ndi chizungulire ndipo primidone ndikutopa ndi mseru.
Mankhwala: Majakisoni a Botox amatha kuthandizira mitundu yosiyanasiyana ya myoclonus, makamaka ngati gawo limodzi lokha la thupi limakhudzidwa. Poizoni wa botulinum amalepheretsa kutulutsa kwamankhwala komwe kumayambitsa kupindika kwa minofu.
Opaleshoni: Ngati zizindikiro za myoclonus zimayambitsidwa ndi chotupa kapena kuvulala kwaubongo kapena msana, kuchitidwa opaleshoni pazochitikazi kungakhale kotheka.