Opisthotonos

I-Opisthotonos yimeko apho umntu abamba umzimba wakhe kwindawo engaqhelekanga. Umntu uhlala eqinile kwaye egobe umqolo, iintloko zabo ziphoswe ngasemva. Ukuba umntu opisthotonos ulala ngomqolo, kuphela ngasemva kweentloko zabo kunye nezithende ezichaphazela umphezulu abakuwo.

I-Opisthotonos ixhaphake kakhulu kwiintsana nakubantwana kunabantu abadala. Kukwalusisi ngakumbi kubantwana nakubantwana ngenxa yeenkqubo zabo zemithambo-luvo ezingakhuli ngokwaneleyo.

I-Opisthotonos inokwenzeka kwiintsana ezine-meningitis. Olu lusulelo lwee-meninges, inwebu egubungela ubuchopho kunye nentambo yomqolo. I-Opisthotonos inokwenzeka kwakhona njengomqondiso wokunciphisa ukusebenza kwengqondo okanye ukwenzakala kwenkqubo yeemvakalelo.

Ezinye izizathu zinokubandakanya:

• Isifo iArnold-Chiari, ingxaki kulwakhiwo lobuchopho
• Ithumba lobuchopho
• Umvakalelo yokitazo
• Isifo seGaucher, esibangela amanqatha amaninzi kwizitho ezithile
• Ukukhula kwehomoni yokukhula (ngamanye amaxesha)
• Iifom zetyhefu yemichiza ebizwa ngokuba yi-glutaric aciduria kunye ne-organic acidemias
• Isifo seKrabbe, esitshabalalisa ukutyabeka kwemithambo-luvo kwinkqubo yovalo
• Isifo seMaple isirine isifo, ukuphazamiseka apho umzimba ungenako ukophula iinxalenye ezithile zeeproteni
• Ukuxhuzula
• Ukungalingani okungathethekiyo kwe-electrolyte
• Ukonzakala kwengqondo ebuhlungu
• Isifo somntu onzima (imeko eyenza umntu aqineke kwaye abe ne-spasms)
• Ukopha kwingqondo
• Isifo sokuqina kwemihlathi

Amanye amayeza antipsychotic anokubangela iziphumo ebezingalindelekanga ezibizwa ngokuba yi-acute dystonic reaction. I-Opisthotonos inokuba yinxalenye yale mpendulo.

Kwiimeko ezinqabileyo, abantwana abazelwe ngabasetyhini abasela izixa ezikhulu zotywala ngexesha lokukhulelwa banokuba ne-opisthotonus ngenxa yokurhoxa etywaleni.

Umntu ophuhlisa ii-opisthotonos kuya kufuneka akhathalelwe esibhedlele.

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo yakho (enje nge-911) ukuba iimpawu ze-opisthotonos ziyenzeka. Ngokwesiqhelo, ii-opisthotonos luphawu lwezinye iimeko ezinobuzaza ngokwaneleyo ukuba umntu afune unyango.

Le meko iya kuvavanywa esibhedlele, kwaye kuthathwe amanyathelo angxamisekileyo.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zokujonga unobangela we-opisthotonos

Imibuzo inokubandakanya:

• Ziqale nini iimpawu?
• Ngaba ukuma komzimba kuhlala kufana?
• Zeziphi ezinye iimpawu eza ngaphambili okanye ngokubekwa ngendlela engaqhelekanga (njengomkhuhlane, intamo elukhuni, okanye intloko)?
• Ngaba ikho imbali yakutshanje yokugula?

Uvavanyo lomzimba luya kubandakanya uvavanyo olupheleleyo lwenkqubo yemithambo-luvo.

Uvavanyo lunokubandakanya:

• Uvavanyo lwegazi kunye nomchamo
• Inkcubeko yeCerebrospinal fluid (CSF) kunye nokubalwa kweeseli
• Ukuvavanywa kwentloko kwe-CT
• Uhlalutyo lwe-Electrolyte
• Ukugqobhoza iLumbar (impompo yomqolo)
• I-MRI yengqondo

Unyango luya kuxhomekeka kwisizathu. Umzekelo, ukuba meningitis ngunobangela, amayeza anokunikwa.

Ukubuyela umva; Ukuma ngokungaqhelekanga - iiopisthotonos; Ukuma okungahambi kakuhle - opisthotonos

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IHamati AI. Iingxaki ze-neurological zesifo se-systemic: abantwana. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 59.

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