Ke ʻoniʻoni nei nā ʻiʻo o ke kino me ke kumu ʻole? (Myoclonus / Muscle Twitch) E ʻike pono kākou e pili ana i kēia.

I kekahi manawa, i ko kākou noho mālie ʻana, e ʻoni koke ana kekahi ʻiʻo i loko o ko kākou kino, ʻeā? Malia paha e hiamoe ana kākou a ala aʻe me ka ʻoni ʻana. ʻO nā mea e like me kēia ka mea maʻamau e hana ʻia i nā kānaka a pau. Akā inā hoʻomau kēia ʻoni ʻiʻo, inā e hoʻopilikia ia i nā hana o kēlā me kēia lā, hiki ke lilo i hōʻailona o kekahi maʻi. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia 'Myoclonus', ke kumu o ia mea, a me ka wā e pono ai kākou e hopohopo no ia mea.

He aha ka Myoclonus?

I ka ʻōlelo maʻalahi, ʻo Myoclonus kahi ʻūlū koke, makemake ʻole ʻia, a pōkole paha o kekahi a ʻoi aku paha mau ʻiʻo. Hiki iā ia ke like me ka haʻalulu uila a mau no kahi hapa o ka kekona. Hiki iā ia ke hoʻopilikia i hoʻokahi wale nō ʻiʻo ma ka lima, ka wāwae, ka poʻohiwi, ka pūhaka, ke kua, a i ʻole ka maka, a i ʻole hiki ke hoʻopilikia i kekahi mau ʻiʻo i ka manawa hoʻokahi.

Hiki i ke kanaka olakino ke ʻike i kēia i kekahi manawa o ko lākou ola. Eia nō naʻe, i kekahi manawa, hiki iā ia ke lilo i hōʻailona o kekahi mau maʻi koʻikoʻi.

Hiki ke loaʻa ka myoclonus ma nā ʻano nui ʻelua:

• ʻO ka myoclonus maikaʻi: ʻO kēia ka manawa e ʻaelike koke ai nā ʻiʻo.
• ʻO ka myoclonus maikaʻi ʻole: He hoʻomaha koke kēia o nā ʻiʻo. I ka lāʻau lapaʻau, ua kapa ʻia hoʻi ʻo "Asterixis". Hōʻike ʻia ia e ka haʻalulu lima.

He aha nā kumu nui o ka Myoclonus?

Nui nā kumu o ka myoclonus. He mea maʻamau loa kekahi a manaʻo ʻia. Akā hiki i nā mea ʻē aʻe ke hana ʻia e nā kūlana olakino e hoʻopilikia i nā ʻōnaehana like ʻole i loko o ko mākou kino. Hoʻokaʻawale nā ​​​​loea i kēia mau kumu i ʻehā mau māhele nui.

Nā kumu maʻamau, physiological (Physiological Myoclonus)

He mau ʻano myoclonus ʻino ʻole kēia i hoʻokumu ʻia e nā kaʻina hana maʻamau i loko o ko mākou kino. ʻAʻohe kumu e makaʻu ai i kēia.

• Hiccups: He ʻano Myoclonus nō hoʻi kēia. Eia nō naʻe, inā hoʻomau ia no nā lā ʻelua a ʻoi aku, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka.
• ʻO ka myoclonus hiamoe/Hypnic jerks: Ka lī koke ʻana o ke kino, i ka wā e hiamoe ana ʻoe a i ʻole i ka wā e ala ana ʻoe. He mea maʻamau kēia no nā poʻe he nui.
• Nā pane hoʻohoka: Ke makaʻu koke mākou a kāhāhā paha, neʻe ko mākou kino me ka hiki ʻole ke kāohi.

ʻO Myoclonus i hoʻokumu ʻia e ka maʻi epilepsy

Hiki ke loaʻa kēia mau ʻūlū ʻiʻo me kekahi mau maʻi epilepsy. He mea maʻamau kēia ʻano me ka `(myoclonic seizures)`. Hiki ke pili pū me nā kūlana e like me `(Lennox-Gastaut syndrome)` a me `(juvenile myoclonic epilepsy)`.

Ma ke ʻano he hōʻailona o kekahi maʻi ʻē aʻe (Secondary Myoclonus)

Inā kū mai ka myoclonus ma ke ʻano he hōʻailona o kahi maʻi ʻē aʻe, ua kapa ʻia ʻo 'Secondary Myoclonus'. Nui nā kumu e hiki ai ke hana i kēia. E aʻo hou kākou e pili ana i ia mea mai ka papa ma lalo nei.

ʻO ka Myoclonus koʻikoʻi

He maʻi hoʻoilina kēia i hoʻoili ʻia mai kēlā hanauna a i kēia hanauna. ʻAʻole ia e hōʻeha a ʻaʻole e ʻoi aku ka ʻino i ka hala ʻana o ka manawa. Eia nō naʻe, hiki i ka inu ʻana i ka waiʻona ke hoʻonui i ka ʻike ʻia o kēia mau ʻūlū ʻiʻo.

Hiki ke pale ʻia kēia kūlana?

ʻO Myoclonus kahi mea e hiki koke mai ana, me ka ʻole o ka ʻōlelo aʻo. No laila, ʻaʻole hiki ke pale ʻia nā ʻano myoclonus a mākou i kamaʻilio ai ma mua, i kapa ʻia ʻo physiological a me essential myoclonus.

Eia nō naʻe, hiki iā mākou ke kaohi i nā kūlana myoclonus i hoʻokumu ʻia e nā maʻi ʻē aʻe (lua) a me ka epilepsy (epileptic) i kekahi ʻano.

• E pale i ka hoʻohana ʻana i nā lāʻau lapaʻau: E pale i ka hoʻohana ʻana i nā lāʻau lapaʻau i kuhikuhi ʻole ʻia e ke kauka. Eia kekahi, inā ʻike ʻoe i kēia mau hōʻailona ma hope o ka lawe ʻana i kahi lāʻau lapaʻau i kuhikuhi ʻia e ke kauka, e hoʻomaopopo koke i kāu kauka. Aia lākou ma laila e kōkua iā ʻoe, ʻaʻole e hoʻohewa iā ʻoe. No laila, he mea nui no kou palekana a me ka mālama kūpono e haʻi iā lākou e pili ana i nā mea āpau āu i hoʻohana ai.
• E pale i kāu ʻōnaehana nerve: ʻO ka hoʻohana ʻana i nā lako palekana e like me nā mahiole a me nā kāʻei noho e hiki ke pale i nā ʻeha i kou lolo a me ke kaula spinal.
• E hoʻokele i nā maʻi maʻi mau loa: Inā loaʻa iā ʻoe nā maʻi maʻi e like me ka maʻi epilepsy a i ʻole ka maʻi thyroid, ʻo ka hahai pono ʻana i nā ʻōlelo a kāu kauka hiki ke kōkua i ka pale ʻana a i ʻole ka hōʻemi ʻana i ka hanana o myoclonus.

Āhea mākou e ʻike ai i ke kauka?

ʻAʻole pono ka lāʻau lapaʻau no ka spasticity maʻamau. Eia nō naʻe, inā hoʻomau kēia mau spasms ʻiʻo, ʻoiai inā hoʻopilikia lākou i kāu mau hana o kēlā me kēia lā a i ʻole ka hiamoe, pono ʻoe e ʻike i ke kauka.

Inā manaʻo ʻoe ua ale ʻoe i kahi mea make, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. Hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.

Nā ʻano kikoʻī ʻē aʻe o ka myoclonus

Aia kekahi mau ʻano kikoʻī ʻē aʻe o ka myoclonus, kahi e kū wale ana i kekahi mau makahiki a i ʻole ma nā ʻano kikoʻī.

ʻO ka myoclonus hiamoe hānau hou maikaʻi

He ʻano maʻi kēia e hoʻopilikia ai i nā pēpē hānau hou. Loaʻa i kēia mau pēpē nā ʻūlū koke o ko lākou mau lālā a i ʻole ke kino i ka wā e hiamoe ana lākou. ʻOiai ke ʻano like kēia me ka maʻi epilepsy i ka nānā mua ʻana, ʻaʻole hōʻike kahi electroencephalogram (EEG) i kekahi hana epileptic. ʻAʻole kēia e hōʻeha i ka pēpē a nalowale loa i ka piha ʻana o 6 mahina.

ʻO ka myoclonus pepeiao waena

ʻO kēia ka manawa e ʻūlū ai kahi ʻiʻo i kapa ʻia ʻo ka tensor tympani i loko o kou pepeiao me ke kāohi ʻole ʻia. ʻO ka maʻamau, ʻūlū kēia ʻiʻo i ka wā e kamaʻilio ai, ʻai ai, a ʻakaʻaka paha e pale i ka pepeiao o loko. Akā i kēia hihia, ʻūlū kēia ʻiʻo i ka manawa kūpono ʻole, e hana ana i kahi kani kaomi mau a i ʻole ka pahū ʻana i loko o ka pepeiao. He mea hoʻonāukiuki kēia, akā ʻaʻole weliweli. Hiki ke mālama ʻia me ke ʻoki kino a i ʻole nā ​​​​ʻano hana ʻē aʻe.

ʻO ka maʻi Opsoclonus-myoclonus (OMS)

ʻO ka Opsoclonus kahi neʻe ʻana o nā ʻiʻo e kāohi ana i ke kuhikuhi o nā maka. He ʻano laha ʻole ka OMS kahi e hui pū ai ka ʻūlū ʻana o nā maka a me ka ʻūlū ʻana o nā ʻiʻo o ke kino. I kekahi manawa hana ia i ka wā e hoʻouka hewa ai kā mākou ʻōnaehana pale i kā mākou ʻōnaehana nerve ponoʻī. I nā keiki, hiki ke hana ʻia kēia pane pale e kahi ʻano maʻi ʻaʻai lolo i kapa ʻia ʻo neuroblastoma. I nā pākeke, hiki ke pili kēia ʻano me ka maʻi ʻaʻai māmā, umauma, a i ʻole ovarian.

ʻO ka myoclonus palatal

He ʻano myoclonus kēia e hoʻopilikia ai i nā ʻiʻo o ka palale palupalu i loko o ko kākou waha. Hiki i kēia ke hana i kahi leo 'kāomi' ʻano ʻē i loko o ka pepeiao. Hiki i kēia ke hoʻoilina a i ʻole he hōʻailona o kekahi ʻano hōʻino o ka lolo. Hiki ke hoʻomalu pinepine ʻia kēia ʻano me ka lāʻau lapaʻau.