Kodi munayamba mwawonapo munthu atatambasula manja ake, kenako mwadzidzidzi n’kugwa mwadzidzidzi n’kubwerera m’mwamba? Zimawoneka ngati gulugufe akugwedeza mapiko ake. Mwina munakumanapo ndi izi nokha. Uku si kugwedezeka kwachibadwa; mu zamankhwala, timatcha izi Asterixis . Si matenda okha, koma chizindikiro cha matenda enaake. Ndiye, n’chifukwa chiyani izi zimachitika, ndipo muyenera kuda nkhawa? Tiyeni tifotokoze momveka bwino komanso mosavuta ndi Nirogi Lanka.
Kodi Asterixis ndi chiyani?
Mwachidule, Asterixis imachitika pamene minofu yomwe mukugwiritsa ntchito mwakhama—monga, mukatambasula manja anu—imapumula kwakanthawi popanda kudzipereka. Izi zimachitika chifukwa cha kulephera kwakanthawi kwa zizindikiro zomwe zimatumizidwa kuchokera muubongo wanu.
Taganizirani izi ngati kukankha khoma. Ngati minofu ya mkono wanu ikapuma kwa sekondi imodzi, dzanja lanu likanagwa patsogolo kenako n’kubwerera m’malo mwake. Zimenezi ndi zomwe zimachitika ndi Asterixis. Malinga ndi zamankhwala, imadziwikanso kuti negative myoclonus . Pankhani imeneyi, "negative" sikutanthauza "yoipa"; imatanthauza kutayika kwa kamvekedwe ka minofu. Popeza kugwedezeka kwa minofu kwachizolowezi (positive myoclonus) kumafuna kuchita zinthu mopitirira muyeso, timatcha izi mosiyana—kugwa kwakanthawi kapena kutayika kwa zochita.
Vutoli lingayambike chifukwa cha mavuto omwe ali muubongo, kapena lingakhale chizindikiro chachiwiri cha mavuto a m'thupi, monga kulephera kugwira ntchito bwino kwa chiwindi kapena impso zomwe zimakhudza ubongo.
Kodi zimazindikirika bwanji?
Asterixis nthawi zambiri imakhudza mbali zonse ziwiri za thupi, ngakhale nthawi zina imatha kukhala yosagwirizana. Nthawi zambiri imayenderana ndi zizindikiro zina monga kugona, kusokonezeka maganizo, komanso kusokonezeka maganizo pankhani ya nthawi kapena malo .
Dokotala wanu mwina angagwiritse ntchito imodzi mwa njira ziwirizi kuti aone ngati pali vuto:
1. Njira yodulira manja: Dokotala wanu adzakufunsani kuti mutambasule manja anu patsogolo ndi manja anu akuyang'ana kunja, ngati kuti mukukankhira khoma losaoneka, ndi zala zanu zitatambasulidwa motambasuka. Ngati, mutagwira izi kwa masekondi pafupifupi 30, manja anu "akugwada" pansi mosadziwa ndikubwerera mmwamba, zikusonyeza kuti muli ndi Asterixis.
2. Njira yogwirira: Mu mayeso awa, dokotala wanu adzakufunsani kuti mugwire manja awo mwamphamvu. Adzatha kumva ngati mphamvu yanu yogwirira ikugwedezeka kapena "ikuchepa" kwakanthawi, zomwe ndi chizindikiro cha matendawa.
Ndikofunikira kukumbukira kuti panthawi yoyezetsa matenda, Asterixis singawonekere nthawi yomweyo. Dokotala wanu angakupempheni kuti musunge malowo kwa mphindi imodzi kapena kuposerapo kuti muwonetsetse kuti mwayang'anitsitsa bwino.
Chifukwa chiyani Asterixis imachitika, ndipo ndi zifukwa ziti zomwe zimayambitsa?
Matenda a Asterixis amatha kuchitika chifukwa cha zinthu zingapo, makamaka pamene ziwalo zofunika kwambiri m'thupi lanu sizikugwira ntchito bwino. Tiyeni tiwone zifukwa izi.
| Gulu | Kufotokozera |
|---|---|
| Mavuto a Chiwindi ndi Impso | Chiwindi ndi impso zanu ndi zomwe zimayambitsa kusefa poizoni m'magazi anu. Ziwalo zimenezi zikalephera kugwira ntchito, poizoni amasonkhana. Chifukwa ubongo wanu umakhala wovuta kwambiri, poizoniyu amatha kusokoneza ntchito ya ubongo, zomwe zimapangitsa kuti Asterixis ikule. Matenda monga kulephera kwa chiwindi, kulephera kwa impso, ndi matenda a chiwindi ndi zomwe zimayambitsa matenda ambiri. |
| Kuvulala kwa Ubongo | Kuvulala kapena matenda enaake angayambitse zilonda m'malo enaake a ubongo omwe amawongolera mgwirizano wa minofu. Zikatero, mungaone chizindikiro ichi mbali imodzi yokha ya thupi. |
| Matenda Ena | Kusalingana kwa kapangidwe ka magazi kungayambitsenso vutoli. Zitsanzo zake ndi monga hypoglycemia (shuga wochepa m'magazi), hypokalemia (potassium wochepa), hypomagnesemia (magnesium wochepa), kulephera kwa mtima, ndi kulephera kupuma mokwanira. Kuphatikiza apo, matenda a majini monga matenda a Wilson, komwe mkuwa umasonkhana m'thupi, angayambitse izi. |
Asterixis Yoyambitsidwa ndi Mankhwala
Nthawi zina, Asterixis ikhoza kukhala zotsatirapo za kanthawi kochepa za mankhwala ena. Chiwopsezo chake chimakhala chachikulu kwambiri ngati muli ndi vuto la chiwindi kapena impso lomwe lilipo kale.
Zitsanzo zodziwika bwino ndi izi:
- Mankhwala oletsa khunyu: Makamaka phenytoin, yomwe nthawi zambiri imatchedwa "phenytoin flap." Mankhwala ena monga gabapentin, valproate, ndi carbamazepine angayambitsenso khunyu.
- Ma Barbiturates
- Benzodiazepines
- Maantibayotiki ena
- Lithium (chokhazikitsa maganizo)
- Metoclopramide (mankhwala oletsa nseru)
Kodi izi zimachiritsidwa bwanji?
Palibe mankhwala enieni a Asterixis okha. Madokotala amayang'ana kwambiri kupeza chomwe chimayambitsa matendawa ndikuchiza vutoli.
Mwachitsanzo:
- Ngati chachitika chifukwa cha matenda a chiwindi, timasamalira vuto la chiwindi.
- Ngati chachitika chifukwa cha mavuto a impso, timayang'ana momwe impso zimagwirira ntchito.
- Ngati mankhwala ndi omwe amayambitsa vutoli, dokotala wanu adzasintha mlingo kapena kukupatsani mankhwala ena.
Choncho, ngati muli ndi Asterixis, chinthu chofunika kwambiri ndikupeza matenda olondola kuti muyambe kulandira chithandizo choyenera. Si vuto lomwe muyenera kuyesa kuchiza kunyumba.
Kodi zoopsa zake ndi ziti ngati munthu salandira chithandizo?
Chiwopsezo chachikulu chonyalanyaza Asterixis ndikulephera kuthana ndi vuto lalikulu lachipatala lomwe limayambitsa vutoli. Matendawa akhoza kukhala pachiwopsezo cha moyo. Popanda chithandizo, mutha kuyika pachiwopsezo cha kuwonongeka kwa mitsempha kosatha, zomwe zingakhudze kuzindikira kwanu, kuyenda kwanu, komanso luso lanu loyendetsa bwino magalimoto.
Ngati Asterixis ikukhudza miyendo kapena thunthu lanu, ikhoza kubweretsa kugwa mwadzidzidzi ndi kuvulala kwambiri.
Kodi muyenera kufunafuna chithandizo chamankhwala nthawi yomweyo liti?
Ngati mukuganiza kuti mukukumana ndi zizindikiro za Asterixis, muyenera kuonana ndi dokotala nthawi yomweyo.
Komanso, chonde ganizirani izi ngati zadzidzidzi zachipatala :
- Ngati Asterixis ikuphatikizidwa ndi chisokonezo.
- Ngati mukukumana ndi vuto la kusokonezeka maganizo, monga kusadziwa komwe muli, nthawi, kapena umunthu wanu.
- Ngati mukuwonetsa kusintha kwina kwadzidzidzi kwa mkhalidwe wamaganizo.
Zizindikiro zimenezi zimasonyeza kuti ubongo umakhudzidwa kwambiri ndi ntchito yake. Pazochitika zotere, chonde pitani ku dipatimenti ya zadzidzidzi yapafupi nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mankhwala apadera a Macitentan (Opsumit) amagwiritsidwa ntchito pa chiyani?
Uwu ndi mankhwala apadera kwambiri. Umagwiritsidwa ntchito pochiza 'Pulmonary Arterial Hypertension (PAH),' vuto lalikulu lomwe mitsempha yamagazi yomwe imanyamula magazi kuchokera mumtima mwanu kupita ku mapapo imachepa ndikulimba, zomwe zimapangitsa kuti magazi azithamanga kwambiri. Pokhala ngati 'Endothelin Receptor Antagonist,' mankhwalawa adapangidwa kuti achepetse kukula kwa matenda ndikuwonjezera nthawi yanu ya moyo.
💬 Kodi Macitentan imathandiza bwanji pamene mitsempha yamagazi ya m'mapapo ikuchepa?
Chinthu choopsa m'thupi lanu chotchedwa 'Endothelin-1' chimayambitsa kuchepa ndi kuuma kwa mitsempha yamagazi iyi. Mankhwalawa akalowa m'magazi mwanu, amatseka bwino ma receptors (ETA ndi ETB - dual block) omwe Endothelin-1 imagwiritsa ntchito kuwononga. Kuphatikiza apo, mankhwalawa amalowa m'minofu ya m'mapapo kuti athandize kupewa kukhuthala kwa makoma a mitsempha yamagazi.
💬 Kodi ndi machenjezo ati ofunika kudziwa musanamwe Opsumit?
Chenjezo lalikulu kwambiri ndilakuti mankhwalawa amaletsedwa mwamphamvu panthawi ya mimba; angayambitse zilema zazikulu zobadwa nazo kapena imfa ya mwana wosabadwayo. Akazi ayenera kutsatira mapulogalamu enaake oteteza ku REMS. Kuphatikiza apo, mwa amuna, mankhwalawa amadziwika kuti amayambitsa kuchepa kwa umuna komanso kusabereka. Odwala ena amathanso kukhala ndi vuto la kuchepa kwa magazi m'thupi (hemoglobin yochepa).
