Nthawi zina, tikangokhala chete, minofu m'thupi mwathu imagwedezeka mwadzidzidzi, eti? Mwina tatsala pang'ono kugona ndikudzuka ndi chizungulire. Zinthu ngati izi nthawi zambiri zimachitikira aliyense. Koma ngati kugwedezeka kwa minofu kumeneku kupitirira, ngati kusokoneza zochita za tsiku ndi tsiku, kungakhale chizindikiro cha matenda ena. Kotero lero, tiyeni tikambirane za 'Myoclonus' iyi, chomwe chimayambitsa, komanso nthawi yomwe tiyenera kuda nkhawa nayo.
Kodi Myoclonus ndi chiyani?
Mwachidule, Myoclonus ndi kugwedezeka mwadzidzidzi, kosafunikira, komanso kwakanthawi kochepa kwa minofu imodzi kapena zingapo. Kungakhale ngati kugwedezeka kwamagetsi ndipo kumatenga nthawi yochepa. Kungakhudze minofu imodzi yokha m'dzanja, mwendo, phewa, m'chiuno, kumbuyo, kapena kumaso, kapena kungakhudze minofu ingapo nthawi imodzi.
Ngakhale munthu wathanzi akhoza kukumana ndi izi nthawi ina m'moyo wake. Komabe, nthawi zina, zingakhalenso chizindikiro cha matenda angapo akuluakulu.
Myoclonus ikhoza kuchitika m'njira ziwiri zazikulu:
- Myoclonus yabwino: Apa ndi pamene minofu imakokana mwadzidzidzi.
- Myoclonus yoipa: Uku ndi kupumula kwadzidzidzi kwa minofu. Malinga ndi zamankhwala, kumatchedwanso "Asterixis". Kumadziwika ndi kunjenjemera kogwira dzanja.
Kodi zifukwa zazikulu za Myoclonus ndi ziti?
Pali zifukwa zambiri zomwe zimayambitsa matenda a myoclonus. Zina zimakhala zofala kwambiri ndipo zimayembekezeredwa. Koma zina zimatha kuyambitsidwa ndi matenda omwe amakhudza machitidwe osiyanasiyana m'thupi lathu. Akatswiri amagawa zifukwazi m'magulu anayi akuluakulu.
Zomwe zimayambitsa matenda a thupi (Myoclonus ya thupi)
Izi ndi mitundu yopanda vuto ya myoclonus yomwe imayamba chifukwa cha njira zachibadwa m'thupi lathu. Palibe chifukwa choopera izi.
- Hiccups: Iyi ndi mtundu wa Myoclonus. Komabe, ngati ipitirira kwa masiku opitilira awiri, ndi bwino kupita kwa dokotala.
- Kugwedezeka kwa myoclonus/Hypnic: Kugwedezeka mwadzidzidzi kwa thupi, kaya mukatsala pang'ono kugona kapena mukatsala pang'ono kudzuka. Izi zimachitika kawirikawiri kwa anthu ambiri.
- Kudzidzimuka: Tikachita mantha mwadzidzidzi kapena kudabwa, thupi lathu limagwedezeka mosalamulirika.
Myoclonus yoyambitsidwa ndi khunyu
Kugwedezeka kwa minofu kumeneku kumatha kuchitika ndi matenda ena a khunyu. Matendawa amapezeka kwambiri ndi `(myoclonic seizures)`. Angagwirizanenso ndi matenda monga `(Lennox-Gastaut syndrome)` ndi `(juvenile myoclonic epilepsy)`.
Monga chizindikiro cha matenda ena (Secondary Myoclonus)
Ngati myoclonus imachitika ngati chizindikiro cha matenda ena, imatchedwa 'Secondary Myoclonus'. Pali zinthu zambiri zomwe zingayambitse izi. Tiyeni tiphunzire zambiri za izi kuchokera patebulo lomwe lili pansipa.
| Chinthu choyambitsa | Kufotokozera ndi zitsanzo |
|---|---|
| Matenda a autoimmune | Matenda omwe chitetezo cha mthupi chimaukira maselo ake. Mwachitsanzo: (Matenda a Celiac) . |
| Kusalinganika kwa mankhwala m'thupi | Matenda a impso kapena chiwindi, mavuto a chithokomiro, kusowa kwa mavitamini kapena mchere, komanso kusalinganika kwa ma electrolyte . |
| Zilonda za muubongo | Kuwonongeka kwa minofu ya ubongo chifukwa cha kusowa kwa mpweya (cerebral hypoxia) kapena sitiroko. |
| Matenda a ubongo ofooka | Mwachitsanzo: matenda a dementia okhudzana ndi (matenda a Alzheimer's) , (Lewy body dementia) , ndi (matenda a Parkinson) . |
| Matenda a majini | Matenda omwe amayamba chifukwa cha kusintha kwa DNA komwe kungachokere kwa makolo. Mwachitsanzo: (Matenda a Krabbe) , (Matenda a Wilson) . |
| Matenda | Matenda a mavairasi kapena mabakiteriya omwe amakhudza ubongo kapena dongosolo lamanjenje. Mwachitsanzo: (kachilombo ka Herpes simplex) , (matenda a Lyme). |
| Kuvulala kwa mitsempha kapena msana | Ngozi imasokoneza kulumikizana pakati pa ubongo ndi ziwalo zina za thupi, zomwe zimapangitsa kuti ziwalozo zizigwira ntchito zokha. |
| Mankhwala ndi mankhwala | Izi zitha kuchitika chifukwa cha mankhwala omwe atengedwa popanda chilolezo cha dokotala (monga mowa, cocaine, heroin). Zingachitikenso chifukwa cha mankhwala omwe dokotala wakupatsani, monga mankhwala oletsa khunyu, mankhwala oletsa kuvutika maganizo, mankhwala othamanga magazi, ndi maantibayotiki . |
| Mapoizoni ndi poizoni | Kumeza zitsulo zolemera monga lead, manganese, mercury. Poizoni monga mankhwala ophera tizilombo (monga methyl bromide ). |
Myoclonus Yofunikira
Imeneyi ndi matenda a majini omwe amapatsirana kuchokera ku mibadwomibadwo. Nthawi zambiri samayambitsa vuto lililonse ndipo sakula msanga pakapita nthawi. Komabe, kumwa mowa kungapangitse kuti minofu izi zigwedezeke kwambiri.
Kodi vutoli lingapewedwe?
Myoclonus ndi chinthu chomwe chimachitika mwadzidzidzi, popanda chenjezo lililonse. Choncho mitundu ya myoclonus yomwe tidakambirana kale, yotchedwa physiological and essential myoclonus, singapeweke.
Komabe, tikhoza kuwongolera matenda a myoclonus omwe amayamba chifukwa cha matenda ena (achiwiri) ndi khunyu (khunyu) pamlingo winawake.
- Pewani kugwiritsa ntchito mankhwala osokoneza bongo: Pewani kugwiritsa ntchito mankhwala omwe sanalembedwe ndi dokotala. Komanso, ngati mukukumana ndi zizindikiro izi mutamwa mankhwala omwe dokotala wakupatsani, dziwitsani dokotala wanu nthawi yomweyo. Iwo alipo kuti akuthandizeni, osati kuti akuweruzeni. Chifukwa chake, ndikofunikira kuti chitetezo chanu ndi chithandizo chanu chikhale cholondola kuwauza zonse zomwe mwagwiritsa ntchito.
- Tetezani mitsempha yanu: Kugwiritsa ntchito zida zodzitetezera monga zipewa ndi malamba achitetezo kungateteze kuvulala kwa ubongo ndi msana wanu.
- Thandizani matenda osatha: Ngati muli ndi matenda osatha monga khunyu kapena matenda a chithokomiro, kutsatira malangizo a dokotala wanu kungathandize kupewa kapena kuchepetsa kufalikira kwa myoclonus.
Kodi tiyenera kupita kwa dokotala liti?
Kupweteka kwa minofu komwe kumachitika nthawi zambiri sikufuna chithandizo. Komabe, ngati kupweteka kwa minofu kumeneku kukupitirira, makamaka ngati kukusokoneza zochita zanu za tsiku ndi tsiku kapena kugona, muyenera kuonana ndi dokotala.
Kumbukirani, palibe chifukwa chodera nkhawa ndi chinthu monga ziphuphu wamba. Koma ngati ziphuphuzi zikupitirira, zingakhale chizindikiro cha vuto lalikulu, choncho ndi bwino kufunafuna upangiri kwa dokotala.
Ngati mukukayikira kuti mwamwa poizoni, pitani kuchipatala mwamsanga ku Emergency Treatment Unit (ETU) . Muthanso kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mitundu ina yeniyeni ya myoclonus
Pali mitundu ina yambiri ya myoclonus, yomwe imapezeka m'magulu enaake azaka kapena m'njira zinazake.
Myoclonus yogona bwino ya makanda obadwa kumene
Imeneyi ndi vuto lomwe limakhudza makanda obadwa kumene. Makanda amenewa amagwedezeka mwadzidzidzi miyendo kapena matupi awo akamagona. Ngakhale kuti izi zingawoneke ngati khunyu poyamba, electroencephalogram (EEG) siisonyeza vuto lililonse la khunyu. Izi sizimavulaza mwana ndipo nthawi zambiri zimatha kwathunthu akakwanitsa miyezi 6.
Myoclonus ya khutu lapakati
Apa ndi pamene minofu yotchedwa tensor tympani mkati mwa khutu lanu imachepa mosalamulirika. Kawirikawiri, minofu imeneyi imachepa tikamalankhula, kudya, kapena kuseka kuti titeteze khutu lamkati. Koma pankhaniyi, minofu imeneyi imachepa panthawi yolakwika, zomwe zimapangitsa kuti phokoso likhale losalekeza kapena lotuluka mkati mwa khutu. Izi n'zosasangalatsa, koma sizowopsa. Itha kuchiritsidwa ndi opaleshoni kapena njira zina.
Matenda a Opsoclonus-myoclonus (OMS)
Opsoclonus ndi kuyenda kosafunikira kwa minofu komwe kumalamulira komwe maso akupita. OMS ndi vuto losowa kwambiri pomwe kugwedezeka kwa maso ndi minofu ya thupi kumachitika pamodzi. Nthawi zina zimachitika pamene chitetezo chathu cha mthupi chimaukira molakwika dongosolo lathu la mitsempha. Kwa ana, chitetezo chamthupi ichi chingayambitsidwe ndi mtundu wa khansa ya muubongo yotchedwa neuroblastoma. Kwa akuluakulu, vutoli likhoza kugwirizanitsidwa ndi khansa ya m'mapapo, ya m'mawere, kapena ya mazira.
Palatal myoclonus
Uwu ndi mtundu wa myoclonus womwe umakhudza minofu ya mkamwa wofewa mkati mwa pakamwa pathu. Izi zingayambitse phokoso losazolowereka la 'kudina' m'khutu. Izi zitha kukhala cholowa kapena chizindikiro cha mtundu wina wa kuwonongeka kwa ubongo. Vutoli nthawi zambiri limatha kuthetsedwa ndi mankhwala.
Uthenga Wopita Nawo Kunyumba
- Myoclonus ndi kugwedezeka kwadzidzidzi kwa minofu. Zinthu monga kugwedezeka ndi kuyenda tulo ndi zachilendo komanso zopanda vuto.
- Koma ngati kugwedezeka kwa minofu kukupitirira, kumachitika pafupipafupi, kuli koopsa, kapena kusokoneza moyo wanu watsiku ndi tsiku, kungakhale chizindikiro cha matenda ena.
- Mu mkhalidwe wotere, musanyalanyaze, ndipo ndithudi pitani kwa dokotala wanu.
- Chithandizo chimadalira chifukwa chake, chomwe dokotala wanu yekha ndiye angadziwe.
- Kulankhula moona mtima ndi dokotala wanu za mankhwala kapena zinthu zina zomwe mukumwa ndikofunikira kwambiri kuti mupeze matenda olondola komanso chithandizo chotetezeka.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi mapiritsi a Metoprolol Tartrate / Lopressor amalembedwa matenda ati?
Iyi ndi 'piritsi la mtima' lopambana komanso lamphamvu kwambiri padziko lonse lapansi (Cardioselective Beta-blocker)! Ndi 'Tartrate', kotero imalowa mwachangu m'thupi ikamwedwa. Madokotala amagwiritsa ntchito poletsa 'High Blood Pressure', angina, makamaka ngati mankhwala oyamba kupulumutsa moyo wa wodwalayo nthawi yomweyo atatha 'Heart Attack'.
💬 Kodi piritsi la mtima lachangu (Metoprolol Tartrate) limachepetsa bwanji kuthamanga kwa magazi ndi kutopa kwa mtima?
Pamene mtima ukugunda, mtima umagunda mofulumira chifukwa cha uthenga wakuti 'adrenaline (Epinephrine)' wotumizidwa kuchokera muubongo. Piritsi ili likangolowa m'thupi, limapita molunjika kumtima womwe uli pafupi kufa popanda mpweya, ndipo 100% ya zipata zomwe adrenaline imadutsa (Beta-1 Receptors) zimatsekedwa/kutsekedwa, ndikutsekedwa mwamphamvu. Popeza palibe njira yoti uthengawo udutse, mtima umangochepetsa liwiro ndikuyamba kugunda pamene wapuma. Kenako katundu pamtima umachepa ndipo wodwalayo amapulumutsidwa ku imfa.
💬 N’chifukwa chiyani akuti musasiye kumwa mankhwala awa (Lopressor) mwadzidzidzi? Kodi zoopsa zake ndi ziti (Chenjezo la Black Box)?
Ngati mumwa piritsi ili kwa miyezi ingapo kenako 'muyimitsa mwadzidzidzi', ma adrenaline receptors onse otsekedwawo adzatseguka mwadzidzidzi mosalamulirika! Kenako, patangopita mphindi zochepa, mudzakhala ndi vuto lalikulu la mtima ndipo mtima wanu udzasiya (Angina Exacerbation / Myocardial Infarction / Severe Tachycardia) zomwe ndi zakupha kwambiri moti mungafe! Komanso, piritsi ili lingathe kuchepetsa mtima wanu kwambiri ndikupangitsa chizungulire/kugona tulo topitirira muyeso/kusowa tulo/kutopa.
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