Yintoni i-hemiballism kwaye inyangwa njani?

Umxholo

• Izizathu ezinokubangela
• Ziintoni iimpawu
• Kutheni le nto isenzeka
• Unyango lwenziwa njani

I-Hemiballism, ekwabizwa ngokuba yi-hemichorea, sisifo esichaphazeleka kukuvela kokungazibandakanyi kunye nokuhamba ngesiquphe kwemilenze, yobukhulu obukhulu, obunokubakho esiqwini nasentloko, kwicala elinye kuphela lomzimba.

Unobangela oqhelekileyo we-hemibalism yi-ischemic okanye i-hemorrhagic stroke, ekwabizwa ngokuba yi-stroke, kodwa zikho ezinye izizathu ezinokubangela ukuqala kwayo.

Ngokubanzi, unyango luqulathe ukusombulula unobangela wokuphazamiseka, kunye neyeza-anti-dopaminergic, anticonvulsant okanye amayeza antipsychotic nawo anokuqhutywa.

Izizathu ezinokubangela

Ngokubanzi, i-hemibalism yenzeka ngenxa yezilonda kwi-Luys subtalamic nucleus okanye kwimimandla ejikelezileyo, nesiphumo se-sequelae esibangelwa sischemic okanye isifo sokopha. Nangona kunjalo, esi sifo sinokubangelwa:

• Izilonda ezijolise kulwakhiwo lwe-basal ganglia, ngenxa yethumba, i-vascular malformations, i-tuberculomas okanye i-demyelinating plaques;
• Inkqubo ye lupus erythematosus;
• Ukonzakala komntu;
• Usuleleko yintsholongwane yomkhuhlane yohlobo A;
• Hyperglycemia;
• Usulelo lwe-HIV;
• Isifo sikaWilson;
• Toxoplasmosis.

Ukongeza, i-hemibalism nayo inokubangelwa ziziphumo ebezingalindelekanga zamayeza afana nelevodopa, izinto zokucwangcisa kunye nee-anticonvulsants.

Ziintoni iimpawu

Iimpawu ezinxulunyaniswa ne-hemiballism kukuphulukana nolawulo lweentshukumo, ukubakho kwemisipha yokuphakama okukhulu, ukukhawuleza, ubundlobongela nokungazibandakanyi kuphela kwicala elinye lomzimba nakwelinye icala lokwenzakala. Ngamanye amaxesha, inokuchaphazela nokuqaqamba kobuso kwaye ibangele ukungabikho kokulingana xa uhamba.

Xa umntu eshukuma okanye esenza isenzo esithile, iintshukumo ezingazibandakanyiyo ziba namandla ngakumbi, kwaye zinokuphela ngokuphumla okanye ngexesha lokulala.

Kutheni le nto isenzeka

I-Hemiballism yenzeka ngenxa yesilonda kwi-subthalamic nucleus, eyanciphisa iimpembelelo zothintelo lwe-basal ganglia kumqolo womqolo, i-cortex yecerebral kunye nesiqu sobuchopho, esiphazamisa iintshukumo.

Unyango lwenziwa njani

Unyango lwe-hemibalism kufuneka lujolise kwisizathu esivela kuyo. Ukongeza, ii-block block ze-dopamine nazo zinokumiselwa, ezinokuthi zinciphise ukuya kuthi ga kwi-90% yokuhamba okungazibandakanyi.

Ngamanye amaxesha ugqirha unokuyalela amayeza anje nge-sertraline, amitriptyline, valproic acid okanye i-benzodiazepines.