Dzimwe nguva, patinenge takangogara pasi, tsandanyama mumuviri wedu inongoerekana yanyemwerera, handiti? Pamwe tava kuda kurara tomuka tichiita zvekuvhunduka. Zvinhu zvakadai zvinowanzoitika kune wese munhu. Asi kana tsandanyama iyi ikaramba ichinyemwerera, kana ikakanganisa mabasa ezuva nezuva, inogona kuva chiratidzo cheimwe chirwere. Saka nhasi, ngatitaurei nezve 'Myoclonus' iyi, chii chinoikonzera, uye kuti tinofanira kunetseka nayo riini.
Chii chinonzi Myoclonus?
Zvichitaurwa zviri nyore, Myoclonus kusvetuka kamwe kamwe, kusingatarisirwi, uye kwenguva pfupi kana kuputika kwetsandanyama imwe kana kupfuura. Inogona kunge yakavhundutswa nemagetsi uye inogara kwenguva pfupi. Inogona kukanganisa tsandanyama imwe chete muruoko, gumbo, fudzi, chiuno, musana, kana kumeso, kana kuti inogona kukanganisa tsandanyama dzakawanda panguva imwe chete.
Kunyangwe munhu ane hutano hwakanaka anogona kusangana neizvi pane imwe nguva muhupenyu hwake. Zvisinei, dzimwe nguva, zvinogonawo kuva chiratidzo chezvirwere zvakawanda zvakakomba.
Myoclonus inogona kuitika nenzira mbiri huru:
- Myoclonus yakanaka: Apa ndipo apo tsandanyama dzinoerekana dzaita manyemwe.
- Negative myoclonus: Uku kuzorora kwetsandanyama kamwe kamwe. Mukurapa, kunonziwo "Asterixis". Kunoonekwa nekudedera kunorova ruoko.
Ndezvipi zvikonzero zvikuru zveMyoclonus?
Kune zvikonzero zvakawanda zve myoclonus. Zvimwe zvinowanzoitika uye zvinotarisirwa. Asi zvimwe zvinogona kukonzerwa nemamiriro ezvinhu ehutano anokanganisa masisitimu akasiyana mumuviri wedu. Nyanzvi dzinoparadzanisa zvikonzero izvi muzvikamu zvina zvikuru.
Zvikonzero zvemuviri zvakajairika (Physiological Myoclonus)
Idzi mhando dzemyoclonus dzisina njodzi dzinokonzerwa nemaitiro akajairwa mumiviri yedu. Hapana chikonzero chekutya izvi.
- Kukwenya: Uyu rudzi rweMyoclonus zvakare. Zvisinei, kana zvikaramba zviripo kwemazuva anopfuura maviri, zvakanaka kuti uone chiremba.
- Kurara nemyoclonus/Hypnic jerks: Kungoerekana waita kuzununguka kwemuviri, kungave paunenge wava kuda kurara kana kuti paunenge wava kuda kumuka. Izvi zvinowanzoitika kuvanhu vazhinji.
- Kuvhunduka: Patinongoerekana tavhunduka kana kushamisika, muviri wedu unovhunduka zvisingadzoreki.
Myoclonus inokonzerwa nepfari
Kukwenya kwetsandanyama uku kunogona kuitika kune mamwe matambudziko epfari. Dambudziko iri rinowanzoonekwa ne `(myoclonic seizures)`. Rinogonawo kusanganiswa nematambudziko akadai se `(Lennox-Gastaut syndrome)` uye `(juvenile myoclonic epilepsy)`.
Sechiratidzo cheimwe chirwere (Secondary Myoclonus)
Kana myoclonus ikaitika sechiratidzo chechimwe chirwere, inonzi 'Secondary Myoclonus'. Pane zvinhu zvakawanda zvinogona kukonzera izvi. Ngatidzidzei zvakawanda nezvazvo kubva patafura iri pazasi.
| Chinhu chinokonzera | Tsananguro nemienzaniso |
|---|---|
| Zvirwere zve autoimmune | Zvirwere umo masoja emuviri anorwisa masero awo. Semuenzaniso: (Chirwere cheCeliac) . |
| Kusawirirana kwemakemikari mumuviri | Zvirwere zveitsvo kana zvechiropa, matambudziko ethyroid, kushomeka kwemavhitamini kana zvicherwa, uye kusaenzana kwema electrolyte mumuviri . |
| Maronda ehuropi | Kukuvadzwa kwetsinga dzeuropi nekuda kwekushaikwa kweokisijeni (cerebral hypoxia) kana sitiroko. |
| Zvirwere zvepfungwa zvinokanganisa uropi | Semuenzaniso: dementia ine chekuita ne (chirwere cheAlzheimer's) , (Lewy body dementia) , uye (Parkinson's disease) . |
| Matambudziko emajini | Zvirwere zvinokonzerwa nekuchinja kweDNA kunogona kugarwa nhaka kubva kuvabereki. Semuenzaniso: (chirwere cheKrabbe) , (chirwere cheWilson) . |
| Utachiona | Utachiona hwemavhairasi kana mabhakitiriya hunokanganisa uropi kana tsinga. Semuenzaniso: (Herpes simplex virus) , (Lyme disease). |
| Kukuvara kwetsinga kana musana | Tsaona inokanganisa kutaurirana pakati pehuropi nenhengo dzemuviri, zvichiita kuti nhengo idzodzo dzishande dzoga. |
| Mishonga nemishonga | Izvi zvinogona kukonzerwa nemishonga inotorwa isina kunyorerwa nachiremba (yakadai sedoro, cocaine, heroin). Inogonawo kukonzerwa nemishonga yakanyorerwa nachiremba, yakadai semishonga inorwisa pfari, mishonga inorwisa kuora mwoyo, mishonga yeBP , nemishonga inorwisa mabhakitiriya . |
| Chepfu uye chepfu | Kudya simbi dzinorema dzakadai se lead, manganese, mercury. Chepfu dzakadai semishonga yekuuraya zvipembenene (semuenzaniso methyl bromide ). |
Myoclonus inokosha
Ichi chirwere chemajini chinopfuudzwa kubva kuchizvarwa kuenda kune chimwe. Kazhinji hachikuvadzi uye hachiwedzere kuipa nekufamba kwenguva. Zvisinei, kunwa doro kunogona kuita kuti kudhonzwa kwetsandanyama idzi kuonekwe zvakanyanya.
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Myoclonus chinhu chinoitika kamwe kamwe, pasina yambiro. Saka mhando dzemyoclonus dzatakataura nezvadzo kare, dzinonzi physiological uye essential myoclonus, hadzigone kudzivirirwa.
Zvisinei, tinogona kudzora mamiriro e myoclonus anokonzerwa nezvimwe zvirwere (zvechipiri) uye pfari (epileptic) kusvika pamwero wakati.
- Dzivisa kushandisa mishonga: Dzivisa kushandisa mishonga isina kunyorerwa nachiremba. Uyewo, kana ukaona zviratidzo izvi mushure mekutora mushonga wakanyorerwa nachiremba, zivisa chiremba wako nekukasika. Varipo kuti vakubatsire, kwete kukutongera. Saka, zvakakosha kuti uchengetedzeke uye kurapwa kwakakodzera kuvaudza nezvese zvawakashandisa.
- Dzivirira tsinga dzako: Kushandisa zvinhu zvekuchengetedza zvakaita sengowani nemabhandi ekuchengetedza kunogona kudzivirira kukuvara kweuropi hwako nemusana.
- Kurapa zvirwere zvisingaperi: Kana uine zvirwere zvisingaperi zvakaita sepfari kana chirwere chethyroid, kutevedzera mirairo yachiremba wako zvakanaka kunogona kubatsira kudzivirira kana kuderedza kuitika kwemyoclonus.
Tinofanira kuona chiremba rini?
Kurwadziwa kwakajairika hakudi kurapwa. Zvisinei, kana kurwadziwa uku kwetsandanyama kukaramba kuripo, kunyanya kana kuchikanganisa mabasa ako ezuva nezuva kana kurara, unofanira kuona chiremba.
Yeuka, hapana chikonzero chekutya nezvechimwe chinhu chakaita semapundu akajairika. Asi kana mapundu aya akaramba aripo, zvinogona kuva chiratidzo chechimwe chinhu chakakomba, saka zvakanaka kutsvaga rubatsiro rwechiremba.
Kana uchifungidzira kuti wadya chepfu, enda kuchipatara Emergency Treatment Unit (ETU) nekukasika. Unogona zvakare kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mamwe marudzi chaiwo e myoclonus
Kune mamwe marudzi akasiyana-siyana e myoclonus, ayo anowanikwa chete mumapoka ezera kana nenzira dzakasiyana.
Myoclonus yekurara isina njodzi yemwana achangoberekwa
Ichi chirwere chinokanganisa vacheche vachangoberekwa. Vana ava vanongoerekana vabatwa nemakumbo kana miviri yavo pavanenge vakarara. Kunyangwe izvi zvingaita sepfari pakutanga, electroencephalogram (EEG) hairatidzi kushanda kwepfari. Izvi hazvikuvadzi mwana uye zvinowanzo nyangarika zvachose paanosvika mwedzi mitanhatu.
Myoclonus yenzeve yepakati
Apa ndipo apo tsandanyama inonzi tensor tympani iri munzeve yako inodzvinyirirwa zvisingadzoreki. Kazhinji, tsandanyama iyi inodzvinyirirwa patinotaura, tichidya, kana kuseka kudzivirira nzeve yemukati. Asi muchiitiko ichi, tsandanyama iyi inodzvinyirirwa panguva isiriyo, zvichikonzera ruzha runogara ruchirira kana kubuda munzeve. Izvi zvinonetsa, asi hazvina njodzi. Zvinogona kurapwa nekuvhiyiwa kana dzimwe nzira.
Opsoclonus-myoclonus syndrome (OMS)
Opsoclonus kufamba kwetsandanyama kusingatarisirwi kunodzora mafambiro emaziso. OMS chirwere chisingawanzoitiki apo maziso anokwenya uye muviri unokwenya tsandanyama. Dzimwe nguva zvinoitika kana masoja edu emuviri achirwisa tsinga dzedu zvisirizvo. Muvana, mhinduro iyi yemasoja inogona kukonzerwa nerudzi rwekenza yeuropi inonzi neuroblastoma. Muvanhu vakuru, chirwere ichi chinogona kusanganiswa nekenza yemapapu, yemazamu, kana ovarian.
Myoclonus yePalatal
Iyi imhando yemyoclonus inokanganisa tsandanyama dzemukanwa wakapfava uri mukati memuromo medu. Izvi zvinogona kukonzera ruzha rusina kujairika rwe'kudzvanya' munzeve. Izvi zvinogona kuva zvekuzvarwa nazvo kana chiratidzo chekukuvara kweuropi. Dambudziko iri rinogona kudzorwa nemishonga.
Mharidzo Yekuenda Nayo Kumba
- Myoclonus kugwinha kwetsandanyama kamwe kamwe. Zvinhu zvakaita sekugwinha uye kufamba-famba wakarara zvakajairika uye hazvina njodzi.
- Asi kana kugwinha uku kwetsandanyama kukaramba kuripo, kuchiitika kakawanda, kwakanyanya, kana kukanganisa hupenyu hwako hwezuva nezuva, zvinogona kunge zviri chiratidzo cheimwe chirwere.
- Mumamiriro ezvinhu akadaro, usazviregeredza, uye taura nachiremba wako.
- Kurapwa kunoenderana nechikonzero, icho chiremba wako chete ndiye anogona kusarudza.
- Kutaura nachiremba wako chokwadi nezvemishonga kana zvimwe zvinhu zvauri kutora kwakakosha zvikuru kuti uzive chirwere chako nemazvo uye kuti uwane kurapwa kwakachengeteka.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eMetoprolol Tartrate / Lopressor anonyorerwa chirwere chipi?
Uyu ndiwo mushonga wemwoyo unoshanda zvakanyanya uye une simba, unoshanda nekukurumidza pasi rose (Cardioselective Beta-blocker)! Inonzi 'Tartrate', saka inonyudzwa nekukurumidza mumuviri kana ikatorwa. Vanachiremba vanoishandisa kudzora 'High Blood Pressure' yakanyanya, angina, uye kunyanya semushonga wekutanga kuponesa hupenyu hwemurwere munguva pfupi mushure me'Heart Attack'.
💬 Piritsi iri remwoyo rinopa nekukurumidza (Metoprolol Tartrate) rinoderedza sei BP nekuneta kwemoyo?
Kana chirwere chemwoyo chikaitika, mwoyo unorova nekukurumidza nekuda kwemashoko ekuti 'adrenaline (Epinephrine)' anotumirwa kubva kuuropi. Piritsi iri parinongopinda mumuviri, rinoenda zvakananga kumoyo wava kuda kufa usina okisijeni, uye 100% yemagedhi anopinda neadrenaline (Beta-1 Receptors) anovharwa/kuvharwa, uye anokiyiwa zvine simba. Sezvo pasina nzira yekuti shoko ripfuure, moyo unongononoka wotanga kurova wazorora. Ipapo mutoro uri pamoyo unodzikira uye murwere anoponeswa kubva parufu.
💬 Sei zvichinzi usarega kutora mushonga uyu (Lopressor) kamwe kamwe? Ndezvipi njodzi dziripo (Black Box Yambiro)?
Kana ukatora piritsi iri kwemwedzi yakati wandei wobva 'warega kamwe kamwe', ma adrenaline receptors ese akavharika anongoerekana avhurika zvisingadzoreki! Zvadaro, mukati memaminitsi mashoma, uchava nechirwere chemwoyo chakakomba uye moyo wako uchamira (Angina Exacerbation / Myocardial Infarction / Severe Tachycardia) izvo zvinouraya zvekuti unogona kufa! Zvakare, piritsi iri rinogona kunonotsa moyo wako zvakanyanya uye kukonzera dzungu/hope dzakawandisa/kusarara/kuneta.
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