Spasmodic torticollis, matenda ndi mankhwala

Spasmodic torticollis amatanthauza munthu wa mitundu yofala focal (osakwatira amaganiza) dystonia akuluakulu. Nthawi zambiri, matenda ndi spasticity kokha chizindikiro kuti amagwirizana ndi matenda neurophysiological mu tsinde ubongo ndi woyambira ganglia. Matendawa zambiri anapezeka patatha zaka 30 zakubadwa ndipo poyamba chosakhalitsa mu chikhalidwe, kenako zizindikiro kwamuyaya. % 10 okha milandu zimachitika chikhululukiro, koma ayambe zonse pafupifupi zimachokeradi. torticollis Spasmodic akuwonetseredwa nayenso zachiwawa mutu mbali imodzi, nthawi zina ingapendame kapena kudya. Anthu ena poyesa kufooketsa dystonia njira yapadera, monga atatsamira mutu wake khoma, akugwira dzanja pachigama, atagona. Spasticity khosi minofu Mwamsanga akagona ndi kumawonjezera ndi mavuto. Anthu, yaitali kudwala torticollis, kukhala osteochondrosis khomo lachiberekero ndi radiculopathy, amene anatsagana ndi ululu mu dzanja ndi khosi.

diagnostics

Pamene matenda a "torticollis spasmodic" inayenera kukaonana ndi matenda okhudza ubongo. Pofuna kudziwa matenda lolondola ndi mankhwala mankhwala oyenerera, ntchito mitundu ya maphunziro:

• X-ray (ndi mayesero zinchito);

• mtima (rheoencephalography);

• Kupenda kotunga magazi a mitsempha vertebral ndi carotid pa mpumulo, kutembenuzira mutu, otsetsereka ake mu madera osiyana;

• Analysis magazi kudzazidwa nsupa, kamvekedwe ka mitsempha, zotumphukira mtima kukana, kamvekedwe mitsempha, mtima lability;

• electromyographic phunziro;

• kafukufuku Zoyenereza anathandiza ubongo;

• lamayimbidwe kusanthula tsinde zimphamvu;

• Phunziro anachititsa Zoyenereza somatosensory;

• transcranial maginito kukondoweza.

Torticollis, chithandizo

torticollis Spasmodic amatanthauza matenda ndi ovuta mankhwala. chithandizo chokwanira n'kovuta kupeza chifukwa chakuti syndrome spasticity amayamba ndi kusintha pathological mu kukana, matenda chimapangitsa.

torticollis Spasmodic pang'ono ankachitira mankhwala cholinga kuthetsa spasms minofu khosi. A nthawi yaitali zolinga zimenezi pogwiritsa ntchito agonists ndi anticholinergics chapakati. Masiku ano, njira ambiri amati poizoni mtundu A. Mu nkhani iyi, kuti asunge kamvekedwe ka minofu khosi mu malo wabwinobwino, mankhwala ndi kutumikiridwa mu minofu matenda. Pali blockage zosakhalitsa chizindikiro zolakwika, koma kamodzi zotsatira umatha, m'pofunika kuchita kukonzanso jekeseni.

Pambuyo chamankhwala kutsekereza waukulu Chinthu ntchito n'kofunika matenda ntchito ya msana ambiri, ndi kanthu pa moto zotumphukira zikutanthauza kutema mphini ndi kuwongola mafupa a msana. Kuchita izi, ntchito pambuyo isometric zosangalatsa a minofu ya khosi, mapewa ndi yolimbikitsa olowa wa khomo lachiberekero zigawo msana, kaphatikizidwe ndi kutema mphini auricular ndi logwirika.

Wachitatu sitepe mankhwala ikuchitika chilangizo ndi zosayenera zazikulu stereotype. Ichi ndi gawo yaitali, amafuna khama ndi kuleza mtima a dokotala ndi wodwalayo. Spasmodic torticollis amakhala ndi zofunika kwambiri pathological stereotype - mkono Nyamulani ndi kutembenuzira mutu, amene kumaonekera kusintha potsatira dongosolo msana locomotor wonse. Kuswa njira stereotype autorelaksatsii ndi ntchito yapadera ntchito.

Choncho, pulayimale ndi kofunika chikhalidwe cha mankhwala othandiza si kupondereza mphamvu ya chinthu chapakati ntchito poizoni mtundu "A" ndi mbadwo watsopano wa mankhwala - Kseomina (Xeomin®).