Yintoni ebangela i-Asterixis, kwaye inyangwa njani?

Umxholo

• Ushwankathelo
• I-Asterixis ibangela
• Izinto ezinobungozi kwi-Asterixis
• Ukubetha
• Isifo sesibindi
• Ukusilela kwezintso
• Isifo sikaWilson
• Ezinye izinto ezinobungozi
• Ukuxilongwa kwe-Asterixis
• Unyango lwe-Asterixis
• I-Encephalopathies yesibindi okanye yezintso
• Unyango lwe-Metabolic encephalopathy
• I-encephalopathy yeziyobisi
• Ukunyanga kwengqondo
• Isifo sikaWilson
• Umbono we-Asterixis

Ushwankathelo

I-Asterixis sisifo se-neurological disorder esenza ukuba umntu aphulukane nolawulo lweemoto kwiindawo ezithile zomzimba. Imisipha-ihlala ezihlahleni nasemnweni, nangona inokwenzeka kwezinye iindawo zomzimba- inokuhamba ngokukhawuleza kwaye ngokuthe ngcembe ibe yilax.

Ukuphulukana nolawulo lwezihlunu kukhatshwa ziintshukumo ezingaqhelekanga nezingazenzisiyo zokunyikima. Ngenxa yeso sizathu, i-asterixis ngamanye amaxesha ibizwa ngokuba "kukungcangcazela." Kuba izifo ezithile zesibindi zibonakala zinxulunyaniswa ne-asterixis, ngamanye amaxesha ibizwa ngokuba yi "liver flap" nayo. Ukuqhwitha kuthiwa kufana namaphiko entaka xa ibhabha.

Ngokophando, ezi "zingcangcazela" okanye "ukubetha" intshukumo yesandla senzeka kakhulu xa iingalo zoluliwe kwaye izihlahla zijikajika. I-Asterixis kumacala omabini omzimba ixhaphake kakhulu kune-asterixis yecala elinye (elinye).

I-Asterixis ibangela

Imeko yaqala ukwamkelwa phantse kwiminyaka engama-80 eyadlulayo, kodwa okuninzi kuhlala kungaziwa ngayo. Ukuphazamiseka kucingelwa ukuba kubangelwa kukungasebenzi kakuhle kwengqondo okulawula ukushukuma komzimba kunye nokuma komzimba.

Kutheni le nto ukungasebenzi kakuhle kungaziwa ngokupheleleyo. Abaphandi bakrokrela ukuba kunokubakho izinto ezithile, ezibandakanya i-encephalopathies.

I-Encephalopathies ziziphazamiso ezichaphazela ukusebenza kwengqondo. Iimpawu zibandakanya:

• ukudideka engqondweni
• utshintsho kubuntu
• ukungcangcazela
• ukuphazamiseka ebuthongweni

Ezinye iintlobo ze-encephalopathy ezinokubangela i-asterixis zezi:

• I-hepatic encephalopathy. I-Hepatic ibhekisa kwisibindi. Umsebenzi ophambili wesibindi kukucoca ityhefu emzimbeni. Kodwa xa isibindi singasebenzi kakuhle ngaso nasiphi na isizathu, sisenokungayisusi ngokufanelekileyo ityhefu. Ngenxa yoko, banokwakha egazini kwaye bangene kwingqondo, apho baphazamisa ukusebenza kwengqondo.
• Unyango lwe-Metabolic encephalopathy. Ingxaki yesifo sesibindi kunye nesifo sesifo sisifo se-encephalopathy. Oku kwenzeka xa zininzi okanye zincinci kakhulu iivithamini okanye iiminerali ezithile, ezinjenge ammonia, zinqumla kuthintelo lwegazi-lobuchopho, zibangela ukungahambi kakuhle kwemithambo-luvo.
• I-encephalopathy yeziyobisi. Amayeza athile, anje ngee-anticonvulsants (ezisetyenziselwa ukunyanga isifo sokuwa) kunye neebarbiturates (ezisetyenziselwa ukuthomalalisa), zinokuchaphazela iimpendulo zobuchopho.
• Ukunyanga kwengqondo. Xa intliziyo ingampomki ioksijini eyaneleyo emzimbeni wonke, ingqondo iyachaphazeleka.

Izinto ezinobungozi kwi-Asterixis

Into entle echaphazela ukusebenza kwengqondo inokukhokelela kwi-asterixis. Oku kubandakanya:

Ukubetha

Ukubetha kwenzeka xa ukuphuma kwegazi kwinxalenye yengqondo kuthintelwe. Oku kunokwenzeka ngenxa yegazi elivale umthambo okanye ngenxa yokuncipha kwemithambo ngenxa yezinto ezifana nokutshaya okanye uxinzelelo lwegazi.

Isifo sesibindi

Izifo zesibindi ezikubeka emngciphekweni omkhulu we-asterixis zibandakanya i-cirrhosis okanye i-hepatitis. Zombini ezi meko zinokubangela ukonakala kwesibindi. Oku kuyenza ingasebenzi kakuhle ekucoceni iityhefu.

Ngokophando, ukuya kuthi ga kubantu abane-cirrhosis bane-hepatic (isibindi) encephalopathy, ebabeka emngciphekweni omkhulu we-asterixis.

Ukusilela kwezintso

Njengesibindi, izintso zisusa izinto eziyityhefu egazini. Ukuba zininzi kakhulu ezi tyhefu zivunyelwe ukuba zakhiwe, zinokutshintsha ukusebenza kwengqondo kwaye zikhokelele kwi-asterixis.

Izintso kunye nokukwazi kwabo ukwenza umsebenzi wabo kunokonakaliswa ziimeko ezinje:

• isifo seswekile
• igazi elonyukayo
• ilupus
• ukuphazamiseka kwemfuza ethile

Isifo sikaWilson

Kwisifo sikaWilson, isibindi asiqhubeki ngokwaneleyo ubhedu lwezimbiwa. Ukuba ishiywe inganyangwa kwaye ivumelekile ukuba yakhe, ubhedu bunokonakalisa ingqondo. Oku kunqabile, ukuphazamiseka kwemfuza.

Iingcali ziqikelela ukuba umntu omnye kwabangama-30,000 unesifo sikaWilson. Ikho xa kuzalwa kodwa isenokungabonakali de ibe mdala. Iimpawu zamanqanaba obhedu anetyhefu zibandakanya:

• I-asterixis
• ukuqina kwemisipha
• utshintsho kubuntu

Ezinye izinto ezinobungozi

Zombini isathuthwane kunye nokusilela kwentliziyo zikwangumngcipheko we-asterixis.

Ukuxilongwa kwe-Asterixis

Ukuxilongwa kwe-asterixis kuhlala kusekwe kuvavanyo lomzimba kunye novavanyo lwelebhu. Ugqirha wakho unokukucela ukuba ubambe iingalo zakho ngaphandle, uguqule izihlahla zakho, kwaye usasaze iminwe yakho. Emva kwemizuzwana embalwa, umntu one-asterixis uya kuthi "ngokungathandabuzekiyo" abethe izihlahla phantsi, emva koko abuye umva. Ugqirha wakho unokutyhala ngokuchasene nezihlahla ukuze akhawuleze impendulo.

Ugqirha wakho unokuyalela kuvavanyo lwegazi olujonga ukwakhiwa kweekhemikhali okanye iiminerali egazini. Ukujonga iimvavanyo, ezinje nge-CT scans, kunokuvavanya ukusebenza kwengqondo kunye nokujonga indawo ezinokuchaphazeleka.

Unyango lwe-Asterixis

Xa imeko ebangela ukuba i-asterixis inyangwe, i-asterixis ngokubanzi iyaphucuka kwaye imke ihambe kwaphela.

I-Encephalopathies yesibindi okanye yezintso

Ugqirha wakho unokucebisa:

• Indlela yokuphila kunye notshintsho kwindlela otya ngayo. Ukuba ubusebenzisa kakubi utywala okanye unesimo sesifo seswekile, ugqirha wakho angathetha nawe malunga nokunciphisa iingozi zempilo yakho.
• Izidambisi. I-Lactulose ngokukodwa inokukhawulezisa ukususwa kweetyhefu emzimbeni.
• Amayeza okubulala iintsholongwane. La machiza, njenge-rifaximin, anciphisa ibacteria yakho. Ukuntywila kwintsholongwane ngokugqithileyo kunokubangela ubuninzi bemveliso yenkunkuma eyi-ammonia yokwakha egazini lakho kunye nokuguqula ukusebenza kwengqondo.
• Ukutshintshwa. Kwiimeko ezinzima zesibindi okanye ukonakala kwezintso, unokufuna ukufakelwa ngomzimba osempilweni.

Unyango lwe-Metabolic encephalopathy

Ugqirha wakho uya kuthi acebise utshintsho kwindlela otya ngayo, uthatha amayeza aya kuthi abophelele kwiminerali ukukunceda uwususe emzimbeni, okanye zombini. Kuya kuxhomekeka ekubeni yeyiphi na izimbiwa ezigqithileyo kwigazi lakho.

I-encephalopathy yeziyobisi

Ugqirha wakho unokutshintsha idosi okanye atshintshele kwichiza elahlukileyo ngokupheleleyo.

Ukunyanga kwengqondo

Ukufumana naziphi na iimeko zentliziyo eziphantsi kolawulo linyathelo lokuqala. Oko kunokuthetha enye okanye indibaniselwano yoku kulandelayo:

• ukunciphisa umzimba
• ukuyeka ukutshaya
• ukuthatha amayeza oxinzelelo lwegazi

Ugqirha wakho unokuyalela i-ACE inhibitors, eyandisa imithambo, kunye ne-beta-blockers, ecothisa ukubetha kwentliziyo.

Isifo sikaWilson

Ugqirha wakho unokukunika amayeza afana ne-zinc acetate, ethintela umzimba ekufunxeni ubhedu ekutyeni okutyayo. Banokumisela iiarhente zokukhohlisa njengepenicillamine. Inokukunceda ukukhupha ubhedu kwizicubu.

Umbono we-Asterixis

I-Asterixis ayiqhelekanga, kodwa luphawu lwesifo esinzulu kwaye kunokwenzeka ukuba sihambele phambili esidinga unyango.

Ngapha koko, olunye uphononongo luchaze ukuba iipesenti ezingama-56 zabo banikezela nge-asterixis ngokunxulumene nesifo sesibindi esinxilisayo bafa, xa kuthelekiswa neepesenti ezingama-26 zabo babengenayo.

Ukuba uye waphawula nayiphi na into yokungcangcazela uphawu lwe-asterixis okanye unayo nayiphi na kwezi zinto zichazwe apha ngasentla, thetha nogqirha wakho. Kwiimeko ezininzi, xa imeko ebangela i-asterixis inyangwa ngempumelelo, i-asterixis iyaphucuka okanye inyamalale.