Ngaba wakha wambona umntu ebambe izandla zakhe zoluliwe, aze ngequbuliso awe ngequbuliso aze aphinde ajike? Ifana nebhabhathane eliphekuza amaphiko alo. Usenokuba ukhe wayibona nawe le nto. Oku akusiyo into yokungcangcazela eqhelekileyo; kwezonyango, siyibiza ngokuba yi- Asterixis . Ayisosifo ngokwaso, kodwa luphawu lweklinikhi lwemeko ethile yezonyango engaphantsi. Kutheni oku kusenzeka, kwaye kufuneka ukhathazeke? Masiyichaze ngokucacileyo nangokulula iNirogi Lanka.
Yintoni iAsterixis?
Ngamafutshane, i-Asterixis yenzeka xa isihlunu osisebenzisayo—umzekelo, xa ubambe iingalo zakho zoluliwe—siphumla okwethutyana ngaphandle kokuzithandela. Oku kubangelwa kukuphela kwemiqondiso ethunyelwa yingqondo yakho okomzuzwana.
Cinga ngako njengokutyhala eludongeni. Ukuba izihlunu zakho zengalo beziphumla kancinci nje, isandla sakho besiya kuwa phambili size sibuyele kwindawo yaso. Yiloo nto kanye eyenzekayo kwi-Asterixis. Ngokwezonyango, ikwabizwa ngokuba yi -negative myoclonus . Kule meko, "negative" ayithethi "mbi"; ibhekisa ekulahlekelweni kwethoni yezihlunu. Ekubeni ukuxhuzula kwezihlunu okuqhelekileyo (i-positive myoclonus) kubandakanya umsebenzi ogqithisileyo, sikubiza oku ngokuchaseneyo—"ukuwa" okomzuzwana okanye ukulahleka komsebenzi.
Le meko inokubangelwa ziingxaki ezithe ngqo ngaphakathi kwengqondo, okanye ingaba luphawu lwesibini lweengxaki zomzimba, ezinje ngokungasebenzi kakuhle kwesibindi okanye izintso okuchaphazela ukusebenza kwengqondo.
Ichongwa njani?
I-Asterixis idla ngokuchaphazela amacala omabini omzimba, nangona ngamanye amaxesha inokuba neempawu ezingafaniyo. Ihlala ihamba nezinye iimpawu ezifana nokozela, ukudideka kwengqondo, kunye nokudideka malunga nexesha okanye indawo .
Ugqirha wakho uza kusebenzisa enye yezi ndlela zimbini zonyango ukujonga ukuba ikhona na:
1. Indlela yokuzikhupha izandla: Ugqirha wakho uza kukucela ukuba wolule iingalo zakho phambili, izandla zakho zijonge ngaphandle, ngokungathi utyhala eludongeni olungabonakaliyo, iminwe yakho isasazeke ngokubanzi. Ukuba, ngelixa ubambe le ndawo malunga nemizuzwana engama-30, izandla zakho "ziyajika" zize zibuyele phezulu, oko kubonisa ukuba kukho i-Asterixis.
2. Indlela yokubamba: Kolu vavanyo, ugqirha wakho uza kukucela ukuba ubambe izandla zakhe ngokuqinileyo. Baza kukwazi ukuziva ukuba amandla akho okubamba ayagungqa okanye "ayayeka" okomzuzwana, nto leyo eluphawu lweklinikhi lwesi sifo.
Kubalulekile ukukhumbula ukuba ngexesha lovavanyo lweklinikhi, i-Asterixis isenokungabonakali kwangoko. Ugqirha wakho angakucela ukuba uhlale kule ndawo umzuzu okanye ngaphezulu ukuqinisekisa ukuba ujongwa ngokuchanekileyo.
Kutheni i-Asterixis isenzeka, kwaye ziziphi izizathu eziphambili?
I-Asterixis inokubangelwa zizinto ezahlukeneyo, ingakumbi xa amalungu abalulekileyo emzimbeni wakho engasebenzi kakuhle. Makhe sijonge ezi zizathu ziphambili.
| Udidi | Ingcaciso |
|---|---|
| Iingxaki zesibindi kunye nezintso | Isibindi sakho kunye nezintso zinoxanduva lokucoca iityhefu egazini lakho. Xa la malungu engaphumeleli, iityhefu ziyaqokelelana. Ngenxa yokuba ingqondo yakho inobuthathaka kakhulu, ezi tyhefu zinokuphazamisa ukusebenza kwengqondo, nto leyo ekhokelela kwi-Asterixis. Iimeko ezifana nokungasebenzi kakuhle kwesibindi, ukungasebenzi kakuhle kwezintso, kunye ne-cirrhosis zizinto eziqhelekileyo. |
| Ukulimala kobuchopho | Ukwenzakala okanye iimeko zempilo ezifihlakeleyo zinokubangela izilonda kwiindawo ezithile zobuchopho ezilawula ukulungelelaniswa kwemisipha. Kwiimeko ezinjalo, unokubona olu phawu kwicala elinye lomzimba. |
| Ezinye Iimeko Zezonyango | Ukungalingani kwi-chemistry yegazi nako kungaba ngunobangela. Imizekelo ibandakanya i-hypoglycemia (iswekile ephantsi yegazi), i-hypokalemia (i-potassium ephantsi), i-hypomagnesemia (i-magnesium ephantsi), ukusilela kwentliziyo, kunye nokungakwazi ukuphefumla. Ukongeza, iimeko zemfuza ezifana nesifo sikaWilson, apho ubhedu luqokelelana khona emzimbeni, zinokubangela oku. |
I-Asterixis Ebangelwa Ngamayeza
Ngamanye amaxesha, i-Asterixis inokuba yimpembelelo yexeshana yamayeza athile. Umngcipheko uphezulu kakhulu ukuba unesifo sesibindi okanye sezintso esele sikhona.
Imizekelo eqhelekileyo ibandakanya:
- Amayeza okulwa nokuxhuzula: Ingakumbi i-phenytoin, edla ngokubizwa ngokuba yi-"phenytoin flap." Amanye amayeza afana ne-gabapentin, i-valproate, kunye ne-carbamazepine nawo anokubangela oku.
- IiBarbiturates
- IiBenzodiazepines
- Amayeza athile okubulala iintsholongwane
- I-Lithium (isizinzisi semood)
- I-Metoclopramide (iyeza lokulwa nesicaphucaphu)
Iphathwa njani le nto?
Akukho nyango lukhethekileyo lwe-Asterixis kuphela. Oogqirha bagxila ekuchongeni unobangela kunye nokunyanga loo meko.
Njengokuba:
- Ukuba ibangelwa sisifo sesibindi, siyayilawula imeko yesibindi.
- Ukuba ibangelwa ziingxaki zezintso, sijongana nomsebenzi wezintso.
- Ukuba iyeza lilo elibangela ingxaki, ugqirha wakho uza kulungisa idosi okanye akutshintshele kunyango olwahlukileyo.
Ngoko ke, ukuba une-Asterixis, eyona nyathelo libalulekileyo kukufumana ukuxilongwa ngokuchanekileyo ukuze uqale unyango olufanelekileyo. Esi asisosimo ekufuneka uzame ukusinyanga ekhaya.
Zithini iingozi zokungayinyangi?
Eyona ngozi inkulu yokungayihoyi i-Asterixis kukusilela ukulungisa imeko yezonyango ebangela oko. Ezi zifo zingaphantsi zinokuba yingozi ebomini. Ngaphandle konyango, unokuba sengozini yokonakala okungapheliyo kwemithambo-luvo, okuchaphazela ukuqonda kwakho, ukuhamba kwakho, kunye nezakhono zakho zokuhamba kakuhle.
Ukuba i-Asterixis ichaphazela imilenze okanye umqolo wakho, inokukhokelela ekuweni ngequbuliso kunye nokwenzakala okukhulu okulandelayo.
Ufanele ufune nini unyango ngokukhawuleza?
Ukuba ukrokrela ukuba uneempawu ze-Asterixis, kufuneka ubonane nogqirha ngokukhawuleza.
Ngaphezu koko, nceda uthathe oku kulandelayo njengengxamiseko yezonyango :
- Ukuba i-Asterixis ihamba nokudideka.
- Ukuba ufumana ukuphazamiseka kwengqondo, njengokungazi indawo ekungqongileyo, ixesha, okanye ubuwena.
- Ukuba ubonisa ezinye iinguqulelo ezikhawulezileyo kwimeko yengqondo.
Ezi mpawu zibonisa impembelelo enkulu ekusebenzeni kwengqondo. Kwiimeko ezinjalo, nceda uye kwicandelo lezonyango olukhawulezileyo elikufutshane ngoko nangoko.
Umyalezo Wokuya Ekhaya
👩🏽⚕️ Imibuzo Ebuzwa Rhoqo (Ii-FAQ)
💬 Yintoni esetyenziselwa iyeza elikhethekileyo iMacitentan (Opsumit)?
Olu nyango lukhethekileyo kakhulu. Lusetyenziselwa ukunyanga 'i-Pulmonary Arterial Hypertension (PAH),' imeko enzima apho imithambo yegazi ethwala igazi esuka entliziyweni yakho ukuya emiphungeni yakho incipha kwaye iqine, nto leyo ekhokelela kuxinzelelo lwegazi oluphezulu ngendlela eyingozi. Ngokusebenza 'njenge-Endothelin Receptor Antagonist,' eli yeza lenzelwe ukucothisa ukuqhubela phambili kwesifo kunye nokwandisa ixesha lokuphila kwakho.
💬 Inceda njani iMacitentan xa imithambo yegazi yemiphunga incipha?
Into enobungozi emzimbeni wakho ebizwa ngokuba yi-'Endothelin-1' ibangela ukuxinana kunye nokuqina kwemithambo yegazi. Nje ukuba eli yeza lingene egazini lakho, lithintela ngokufanelekileyo ii-receptors (i-ETA kunye ne-ETB - i-dual block) ezisetyenziswa yi-Endothelin-1 ukwenza umonakalo. Ukongeza, eli yeza lingena kwizicubu zemiphunga ukunceda ukuthintela ukuqina ngakumbi kweendonga zemithambo yegazi.
💬 Zeziphi 'Izilumkiso zeBlack Box' ezibalulekileyo ekufuneka ndizazi ngaphambi kokuba ndithathe iOpsumit?
Isilumkiso esinzulu kukuba eli yeza alivumelekanga ngokusemthethweni ngexesha lokukhulelwa; linokubangela iziphene ezinzulu zokuzalwa okanye ukufa komntwana ongekazalwa. Abafazi kufuneka balandele iinkqubo ezithile zokhuseleko lwe-REMS. Ngaphezu koko, kumadoda, eli yeza liyaziwa ngokubangela ukwehla kwenani lamadlozi kunye nokungabikho kokuzala. Ezinye izigulana zinokuba ne-anemia ebalulekileyo (amanqanaba aphantsi e-hemoglobin).
