Wake wambona umuntu ephethe izandla zakhe zeluliwe, kodwa yena avele awe ngokungazelelwe ngaphandle kokuzithandela bese ephenduka phezulu? Kubukeka sengathi uvemvane lushaya amaphiko alo. Kungenzeka ukuthi nawe uke wakubona lokhu. Lokhu akusikho ukuthuthumela okuvamile; kwezokwelapha, lokhu sikubiza ngokuthi i- Asterixis . Akusona isifo ngokwaso, kodwa kunalokho kuyisibonakaliso sempilo sesimo sezokwelapha esingaphansi. Ngakho-ke, kungani lokhu kwenzeka, futhi kufanele ukhathazeke? Ake sikuchaze ngokucacile nangokulula nge-Nirogi Lanka.
Kuyini i-Asterixis?
Kalula nje, i-Asterixis yenzeka lapho umsipha owusebenzisayo ngenkuthalo—isibonelo, lapho ubamba izingalo zakho zeluliwe—uphumula isikhashana ngokungazikhetheli. Lokhu kubangelwa ukuphelelwa yisikhathi kwesignali ezithunyelwa zisuka ebuchosheni bakho.
Cabanga ngakho njengokusunduza odongeni. Uma imisipha yakho yengalo ibingaphumula isikhashana, isandla sakho besizowela phambili bese sibuyela esimweni saso. Yilokho okwenzekayo nge-Asterixis. Ngokwezokwelapha, yaziwa nangokuthi i-myoclonus engemihle . Kulo mongo, elithi "negative" alisho "okubi"; libhekisela ekulahlekelweni kwethoni yemisipha. Njengoba ukudikiza kwemisipha okuvamile (i-myoclonus engemihle) kuhilela umsebenzi oweqile, lokhu sikubiza ngokuphambene nalokho—"ukuwa" kwesikhashana noma ukulahlekelwa umsebenzi.
Lesi simo singabangelwa yizinkinga eziqondile ngaphakathi kobuchopho, noma kungaba uphawu lwesibili lwezinkinga zesistimu, njengokungasebenzi kahle kwesibindi noma izinso okuthinta ukusebenza kobuchopho.
Kuhlonzwa kanjani?
I-Asterixis ivame ukuthinta izinhlangothi zombili zomzimba, yize ngezinye izikhathi ingaba yi-asymmetric. Ivame ukuhambisana nezinye izimpawu ezifana nokozela, ukudideka kwengqondo, kanye nokudideka mayelana nesikhathi noma indawo .
Udokotela wakho cishe uzosebenzisa enye yalezi zindlela ezimbili zezokwelapha ukuze ayihlole:
1. Indlela yokukhumula izandla: Udokotela wakho uzokucela ukuthi welule izingalo zakho phambili izintende zakho zibheke ngaphandle, njengokungathi ucindezela odongeni olungabonakali, iminwe yakho isabalale kabanzi. Uma, ngenkathi ubambe lesi sikhundla cishe imizuzwana engama-30, izandla zakho "ziphanyeka" phansi ngokungazikhetheli bese zibuyela phezulu, lokho kusikisela ukuba khona kwe-Asterixis.
2. Indlela yokubamba: Kulesi sivivinyo, udokotela wakho uzokucela ukuthi ubambe izandla zakhe ngokuqinile. Bazokwazi ukuzwa ukuthi amandla akho okubamba ayantengantenga noma "ayayeka" okwesikhashana, okuwuphawu lwezokwelapha lwalesi simo.
Kubalulekile ukukhumbula ukuthi ngesikhathi sokuhlolwa kwezokwelapha, i-Asterixis ingase ingaveli ngokushesha. Udokotela wakho angase akucele ukuthi ugcine lesi simo umzuzu noma ngaphezulu ukuze uqinisekise ukuthi uqaphelisisa kahle.
Kungani i-Asterixis yenzeka, futhi yiziphi izimbangela eziyinhloko?
I-Asterixis ingabangelwa yizinto eziningana, ikakhulukazi uma izitho ezibalulekile emzimbeni wakho zingasebenzi kahle. Ake sibheke lezi zimbangela eziyisisekelo.
| Isigaba | Incazelo |
|---|---|
| Izinkinga Zesibindi Nezinso | Isibindi sakho nezinso zakho zinomthwalo wokuhlunga ubuthi egazini lakho. Uma lezi zitho zihluleka, ubuthi buyaqoqana. Ngenxa yokuthi ubuchopho bakho buzwela kakhulu, lobu buthi bungaphazamisa ukusebenza kobuchopho, okuholela ku-Asterixis. Izimo ezifana nokwehluleka kwesibindi, ukwehluleka kwezinso, kanye ne-cirrhosis ziyizimbangela ezivamile. |
| Ukulimala Kobuchopho | Ukulimala noma izimo zezokwelapha eziyisisekelo kungabangela izilonda ezindaweni ezithile zobuchopho ezilawula ukuhlangana kwemisipha. Ezimweni ezinjalo, ungase ubone lesi sibonakaliso ohlangothini olulodwa lomzimba. |
| Ezinye Izimo Zezokwelapha | Ukungalingani kwamakhemikhali egazini nakho kungaba yimbangela. Izibonelo zifaka phakathi i-hypoglycemia (ushukela ophansi egazini), i-hypokalemia (i-potassium ephansi), i-hypomagnesemia (i-magnesium ephansi), ukwehluleka kwenhliziyo, kanye nokwehluleka kokuphefumula. Ngaphezu kwalokho, izimo zofuzo ezifana nesifo sikaWilson, lapho ithusi liqongelela khona emzimbeni, zingaholela kulokhu. |
I-Asterixis Ebangelwa Imithi
Ngezinye izikhathi, i-Asterixis ingaba umphumela wesikhashana wemithi ethile. Ingozi iphezulu kakhulu uma unesifo sesibindi noma sezinso esivele sikhona.
Izibonelo ezivamile zifaka:
- Imithi yokulwa nokuquleka: Ikakhulukazi i-phenytoin, evame ukubizwa ngokuthi "i-phenytoin flap." Eminye imithi efana ne-gabapentin, i-valproate, ne-carbamazepine nayo ingayibangela.
- Ama-Barbiturates
- Ama-Benzodiazepine
- Ama-antibiotic athile
- I-Lithium (isiqinisi semizwa)
- I-Metoclopramide (umuthi wokulwa nesicanucanu)
Kuphathwa kanjani lokhu?
Ayikho imithi ethile ye-Asterixis kuphela. Odokotela bagxila ekuboneni imbangela eyinhloko kanye nokwelapha leso simo.
Ngokwesibonelo:
- Uma kubangelwa yisifo sesibindi, siphatha isimo sesibindi.
- Uma kubangelwa izinkinga zezinso, sibhekana nokusebenza kwezinso.
- Uma umuthi uyimbangela, udokotela wakho uzolungisa umthamo noma akushintshele kolunye uhlobo lokwelashwa.
Ngakho-ke, uma ubhekene ne-Asterixis, isinyathelo esibaluleke kakhulu ukuthola ukuxilongwa okunembile ukuze uqale ukwelashwa okufanele. Lesi akusona isimo okufanele uzame ukuselapha ekhaya.
Yiziphi izingozi zokungalashwa?
Ingozi enkulu yokungazinaki i-Asterixis ukwehluleka ukubhekana nesimo sezokwelapha esibi esibangela lokho. Lezi zifo eziyisisekelo zingaba yingozi empilweni. Ngaphandle kokwelashwa, ungase usengozini yokulimala okungapheli kwezinzwa, okuthinta ukuqonda kwakho, ukuhamba, kanye namakhono akho okunyakaza.
Uma i-Asterixis ithinta imilenze noma umgogodla wakho, ingaholela ekuweni okungazelelwe kanye nokulimala okukhulu okulandelayo.
Kunini lapho kufanele ufune khona usizo lwezokwelapha ngokushesha?
Uma usola ukuthi ubhekene nezimpawu ze-Asterixis, kufanele ubonane nodokotela ngokushesha.
Ngaphezu kwalokho, sicela uphathe okulandelayo njengesimo esiphuthumayo sezokwelapha :
- Uma i-Asterixis ihambisana nokudideka.
- Uma uhlangabezana nokudideka, njengokungazi indawo okuyo, isikhathi, noma ukuthi ungubani.
- Uma ubonisa ezinye izinguquko ezisheshayo esimweni sengqondo.
Lezi zimpawu zisikisela umthelela omkhulu ekusebenzeni kobuchopho. Ezimweni ezinjalo, sicela uye emnyangweni wezimo eziphuthumayo oseduze ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
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💬 I-Macitentan isiza kanjani lapho imithambo yegazi yamaphaphu iba mincane?
Into eyingozi emzimbeni wakho ebizwa ngokuthi 'i-Endothelin-1' ibangela ukuvaleka kanye nokuqina kwale mithambo yegazi. Uma lo muthi ungena egazini lakho, uvimba ngempumelelo ama-receptor (i-ETA kanye ne-ETB - i-dual block) esetshenziswa yi-Endothelin-1 ukuze ibangele umonakalo. Ngaphezu kwalokho, umuthi ungena ezicutshini zamaphaphu ukusiza ekuvimbeleni ukujiya okwengeziwe kwezindonga zemithambo yegazi.
💬 Yiziphi 'Izixwayiso Zebhokisi Elimnyama' ezibalulekile okufanele ngizazi ngaphambi kokuthatha i-Opsumit?
Isixwayiso esingathi sína kakhulu ukuthi lo muthi awuvunyelwe ngokuphelele ngesikhathi sokukhulelwa; ungabangela ukukhubazeka okukhulu kokuzalwa noma ukufa kombungu. Abesifazane kumele banamathele ezinhlelweni ezithile zokuphepha ze-REMS. Ngaphezu kwalokho, kwabesilisa, lo muthi waziwa ngokubangela ukwehla kwenani lesidoda kanye nokungabi nabantwana okungenzeka. Ezinye iziguli zingase zibe ne-anemia ebalulekile (amazinga aphansi e-hemoglobin).
