Wake wambona umuntu eselula izingalo zakhe phambi kwakhe, bese ngokuzumayo izingalo zakhe ziwela phansi bese zibuya futhi ngaphandle kokulawula? Kufana novemvane olushaya amaphiko alo. Cishe uke wabhekana nalokhu wena ngokwakho. Lokhu akusikho ukuthuthumela okuvamile. Kwezokwelapha, sikubiza ngokuthi i-Asterixis. Akusona ngempela isifo, kodwa uphawu lwesifo esithile. Pho kungani lokhu kwenzeka? Ingabe lokhu kuyinto okufanele uyesabe? Ake sixoxe ngalokhu kalula nangokucacile.
Iyini ngempela i-Asterixis?
Kalula nje, i-asterixis yilapho usebenzisa umsipha (isibonelo, uma welula ingalo phambili), lapho umsipha uphumula khona isikhashana. Lokhu kungenxa yokuphazamiseka okufushane kakhulu kwezimpawu ezivela ebuchosheni.
Cabanga ucindezela odongeni. Kwenzekani uma imisipha engalweni yakho iphumula ngokuzumayo isikhathi esingaphansi komzuzwana? Ingalo yakho iya phambili bese ibuyela endaweni yayo yokuqala? I-Asterixis iyinto efana naleyo. Elinye igama esilinika lokhu kwezokwelapha yi-`(Negative myoclonus)`. Lapha, i-`Negative'' ayisetshenziswa ngomqondo wokuthi "kubi". Ngokuvamile, lapho imisipha inyakaza, sithi `(Positive myoclonus)``, okusho ukuthi `umsebenzi owandisiwe.' Okwenzekayo lapha ukuthi imisipha esivele isebenza iyama okwesikhashana, ngakho-ke ibizwa ngokuthi ``(Negative myoclonus)``, okusho ukuthi `umsebenzi owehlile.''
Lesi simo singabangelwa inkinga ethinta ngqo ubuchopho, noma singase sibe yisimo sesibili esithinta ubuchopho ngenxa yenkinga kwenye indawo emzimbeni (isib. isibindi, izinso).
Umqaphela kanjani umuntu one-asterixis?
I-Asterixis ivame ukuthinta izinhlangothi zombili zomzimba. Kodwa-ke, ngezinye izikhathi ingathinta uhlangothi olulodwa noma ngaphezulu kolunye. Kanye nalolu phawu, izimpawu ezifana nokozela, ukudideka, kanye nokulahlekelwa umuzwa wendawo nesikhathi nazo ziyabonakala.
Kunezindlela ezimbili eziyinhloko udokotela azohlola ngazo lokhu:
1. Indlela yokukhumula izandla: Udokotela wakho uzokutshela ukuthi ubambe izingalo zakho ziqonde phambi kwakho, izintende zibheke kude nawe, njengokungathi uvimba udonga olungabonakali. Iminwe yakho kufanele ihlukaniswe kabanzi. Uma ubamba lesi simo cishe imizuzwana engama-30 bese izingalo zakho 'ziphanyeka' phansi ngokuzumayo bese zibuya phezulu ngaphandle kokulawula kwakho, kungaba yi-asterixis.
2. Indlela yokubamba: Kule ndlela, ucelwa ukuba ubambe izandla zikadokotela ziqine ngezakho. Ngesikhathi wenza kanjalo, udokotela uzozwa uma ukubamba kwakho kuba buthaka kancane kancane.
Into ebalulekile ukuthi izimpawu ze-Asterixis zingase zingabonakali ngokushesha phakathi nalezi zivivinyo. Ngakho-ke, udokotela angakucela ukuthi uhlale kuleso simo okungenani umzuzu.
Kungani le Asterixis yenzeka? Yiziphi izimbangela eziyinhloko?
Kunezizathu eziningana zokuthi kungani i-asterixis ingenzeka. Isizathu esiyinhloko ukuthi izitho ezibalulekile emzimbeni wethu azisebenzi kahle. Ake sibone ukuthi lezi zizathu ziyini.
| Isigaba sesizathu | Incazelo elula |
|---|---|
| Izinkinga zesibindi nezinso | Isibindi nezinso zihlunga ubuthi egazini lethu. Uma lezi zitho zingasebenzi kahle, lobu buthi buqoqana egazini. Njengoba lobu buthi buzwela kakhulu ebuchosheni, bungalimaza amangqamuzana obuchopho futhi buphazamise ukusebenza kobuchopho. Izimo ezinjengokwehluleka kwesibindi, ukwehluleka kwezinso, kanye nokuqina kwesibindi kungabangela lokhu . |
| Ukulimala kobuchopho | Ukulimala noma izifo zobuchopho kungabangela umonakalo (izilonda) ezindaweni ezithile zobuchopho. Uma lezi zilonda zithinta izingxenye ezilawula imisipha, i-asterixis ingavela. Ezimweni ezinjalo, uphawu luvame ukubonakala ohlangothini olulodwa lomzimba. |
| Ezinye izimo zezokwelapha | Lesi simo singabangelwa futhi izinguquko ekwakhekeni kwamakhemikhali egazini. Izibonelo: amazinga aphansi kashukela egazini (hypoglycemia), amazinga aphansi e-potassium (hypokalemia), amazinga aphansi e-magnesium (hypomagnesemia), ukwehluleka kwenhliziyo, kanye nokwehluleka kokuphefumula. Futhi, isifo sofuzo esibizwa ngokuthi isifo sikaWilson, esibangela ukuba ithusi liqoqeke emzimbeni, siyimbangela. |
I-Asterixis ebangelwa izidakamizwa
Ngezinye izikhathi, i-asterixis ingenzeka okwesikhashana njengomphumela ongemuhle wemithi ethile esiyithathayo. Le ngozi iphezulu kakhulu kubantu abanezinkinga zesibindi noma zezinso.
Nazi ezinye izibonelo:
- Imithi yokulwa nesifo sokuwa: ikakhulukazi i-phenytoin. I-Asterixis ebangelwa yilokhu ibizwa nangokuthi "i-phenytoin flap". Ingabangelwa futhi yimithi efana ne-gabapentin, i-valproate, ne-carbamazepine.
- Ama-Barbiturates
- Ama-Benzodiazepine
- Amanye ama-antibiotic
- I-Lithium (umuthi osetshenziselwa ukulinganisela kwengqondo)
- I-Metoclopramide (umuthi wokulwa nokuhlanza)
Kuphathwa kanjani lokhu?
Akukho ukwelashwa okuqondile kwezimpawu ze-asterixis. Odokotela bazama ukuthola imbangela bese beyelapha ngokufanele.
Ngokwesibonelo:
- Uma imbangela iyinkinga yesibindi, izokwelashwa.
- Uma imbangela kuyinkinga yezinso, izokwelashwa.
- Uma imbangela ingumphumela ongemuhle wokusetshenziswa komuthi, udokotela uzonquma ukuthi uzowushintsha yini umuthi noma anciphise umthamo.
Ngakho-ke, uma une-asterixis, into ebaluleke kakhulu ukuthola imbangela eqondile bese uqala ukuyilapha. Lokhu akuyona into ongayilapha ekhaya wedwa.
Yiziphi izingozi uma zingelashwa?
Ingozi enkulu yokungazinaki i-asterixis ukuthi ingaholela ezimweni zezokwelapha ezimbi kakhulu ezingaba yingozi empilweni. Uma ingelashwa, ingabangela ukulimala kobuchopho okungapheli, okuhlanganisa ukulahlekelwa ukucabanga, ukuhamba, kanye nokusebenzisa izitho zomzimba.
Uma i-asterixis ithinta imilenze noma isiqu, ingabangela ukuwa okungazelelwe, okungaholela ekulimaleni okukhulu.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Uma usola ngisho nokuncane ukuthi unezimpawu ze-Asterixis, kufanele nakanjani ubone udokotela.
Kodwa-ke, uma unezimpawu ezilandelayo, zibheke njengesimo esiphuthumayo sezokwelapha :
- Uma kukhona ukudideka engqondweni kanye nezimpawu ze-asterixis.
- Uma udidekile (ukulahlekelwa yindawo, isikhathi, noma ubuwena ).
- Uma kuboniswa ezinye izinguquko zengqondo .
Lezi zimpawu zibonisa ukuthi ukusebenza kobuchopho kuthinteke kakhulu. Ngakho-ke, ezimweni ezinjalo , kubaluleke kakhulu ukuya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Asterixis ayisona isifo. Iyisibonakaliso esiyisixwayiso sesimo esibi esingathinta isibindi, izinso, inhliziyo, noma ubuchopho.
- Uma wena noma othile omaziyo enalolu phawu lwezandla ezinyakazayo, ungalokothi ulushaye indiva. Bonana nodokotela ngokushesha okukhulu.
- Uma lesi sibonakaliso sihambisana nokudideka, ukozela, noma ukuphazamiseka kwengqondo, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha.
- Lesi simo kufanele sihlolwe futhi selashwe udokotela kuphela. Gwema ukuzama ukuzelapha noma ukuzixilonga wena.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Macitentan (Opsumit) ayimithi ethile enikezwa yisiphi isifo?
Lona akuwona umuthi ojwayelekile! Lona umuthi ophumelela kakhulu (i-Endothelin Receptor Antagonist) owelapha 'i-Pulmonary Arterial Hypertension (PAH),' isifo esibulalayo lapho imithambo yegazi esuka enhliziyweni iye emaphashini incipha/iqina, futhi umfutho wegazi ngaphakathi kwaleyo mithambo uba phezulu kangangokuthi uyaqhuma bese isiguli sifa. 'Ubambezela ukuqhubeka kwesifo' futhi wandise impilo, kunokuba kube yizimpawu nje kuphela!
💬 Uma ushona ngenxa yokuqhekeka kwegazi emaphashini akho, uwathatha kanjani la maphilisi (i-Macitentan) ukuze andise imithambo yakho/alawule lesi sifo?
Imithambo yegazi emaphashini iyalelwa ukuba inciphe futhi iqine (i-Fibrosis) yikhemikhali eyingozi emzimbeni wethu ebizwa ngokuthi 'i-Endothelin-1'! Lapho nje leli philisi lingena egazini, livimba ithuba elingu-100% lokuthi lelo khemikhali libophe kuma-receptor emithanjeni yegazi (kokubili ama-ETA nama-ETB receptors - i-Dual block). Akukhona lokho kuphela, lo muthi uphinde uvimbele imithambo yegazi ekuqineni ngokungena emaseli emaphashini (ukungena kwezicubu).
💬 Yiziphi 'Izixwayiso Zebhokisi Elimnyama' okufanele abesifazane/abesilisa abathatha lo muthi (i-Opsumit) baziqaphele?
Ingozi enkulu ukuthi lokhu akuvunyelwe ngokuphelele 'kumama abakhulelwe'! Uma ukhulelwa ngenkathi uphuza lokhu, ingane izokhubazeka nakanjani (Amaphutha Okuzalwa Amakhulu) futhi ifele ngaphakathi (omama kumele bahlolwe uhlelo lwe-REMS). Ngaphezu kwalokho, lokhu kuzobangela 'Ukwehla kwenani lesidoda / Ukungazali' emadodeni! Futhi, i-hemoglobin yabanye abantu (i-Anemia) ingase yehle kakhulu futhi iholele ekuntuleni igazi.
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