Tsandanyama basa kurasikirwa

Tsandanyama basa kurasikirwa kana mhasuru isingashande kana kufamba zvakajairika. Izwi rezvechiremba rekurasikirwa kwakazara kwemhasuru basa ndeyekufa mitezo.

Kurasikirwa kwemhasuru basa kunogona kukonzerwa ne:

• Hosha yemhasuru pachayo (myopathy)
• Chirwere chenzvimbo inosangana nemhasuru uye tsinga (neuromuscular junction)
• Chirwere chehurongwa hwemitsipa: Kukuvara kwemitsipa (neuropathy), kukuvara kwemuzongoza (myelopathy), kana kukuvara kwehuropi (sitiroko kana kukuvara kwehuropi)

Kurasikirwa kwemhasuru basa mushure mezviitiko izvi zvinogona kuve zvakanyanya. Mune zvimwe zviitiko, simba remhasuru rinogona kusadzoka zvachose, kunyangwe nekurapwa.

Kuoma mitezo kunogona kuve kwechinguva kana kusingaperi Inogona kukanganisa nzvimbo diki (yemuno kana yakatarisana) kana kuve yakapararira (yakajairika). Inogona kukanganisa rimwe divi (unilateral) kana mativi ese (bilateral).

Kana urema hwukabata hafu yezasi yemuviri uye makumbo ese ari maviri anonzi paraplegia. Kana ikabata zvese maoko nemakumbo, inonzi quadriplegia. Kana urema hwacho hukanganisa mhasuru dzinokonzera kufema, inokurumidza kutyisidzira hupenyu.

Zvirwere zvemhasuru izvo zvinokonzeresa kurasikirwa kwemabasa-zvinosanganisira:

• Doro-inosanganiswa myopathy
• Congenital myopathies (kazhinji kazhinji nekuda kweiyo genetic chirwere)
• Dermatomyositis uye polymyositis
• Zvinodhaka-zvinoita myopathy (statins, steroids)
• Tsandanyama dystrophy

Zvirwere zvehurongwa hwemitsipa izvo zvinoita kuti mhasuru isarasikirwa nebasa inosanganisira:

• Amyotrophic lateral sclerosis (ALS, kana chirwere cheLou Gehrig)
• Bhero kuoma
• Botulism
• Guillain-Barré chirwere
• Myasthenia gravis kana Lambert-Eaton Syndrome
• Neuropathy
• Akaoma mitezo shellfish poisoning
• Periodic kuoma mitezo
• Focal nerve kukuvara
• Poriyo
• Spinal cord kana kukuvara kwehuropi
• Kurohwa

Kungoerekana kurasikirwa kwemhasuru kushanda kuri kwekukurumidzira kwekurapa. Wana rubatsiro rwechiremba ipapo.

Mushure mekugamuchira kurapwa, wako mupi wezvehutano anogona kukurudzira mamwe ematanho anotevera:

• Tevera kurapa kwako kwakatemwa.
• Kana tsinga kumeso kwako kana musoro dzakakuvara, unogona kunetseka kutsenga uye kumedza kana kuvhara maziso ako. Muzviitiko izvi, kudya kwakapfava kunogona kukurudzirwa. Iwe zvakare unozoda imwe nzira yekudzivirira kweziso, senge chigamba pamusoro peziso paunenge wakarara.
• Kufamba kwenguva refu kunogona kukonzera matambudziko akakomba. Chinja zvinzvimbo kazhinji uye chengeta ganda rako. Range-ye-inofamba kurovedza inogona kubatsira kuchengetedza imwe mhasuru toni.
• Zvipenga zvinogona kubatsira kudzivirira contractures yemhasuru, mamiriro umo mhasuru inopfupikiswa zvachose.

Tsvina yemitezo inogara ichida kurapwa nekukurumidza. Kana iwe ukacherekedza zvishoma nezvishoma kupera simba kana matambudziko nemhasuru, tora kurapwa nekukurumidza sezvazvinogona.

Chiremba achaita bvunzo yemuviri uye obvunza mibvunzo nezve yako nhoroondo yezvokurapa uye zviratidzo, zvinosanganisira:

Nzvimbo:

• Ndezvipi (zvikamu) zvemuviri wako zvinokanganiswa?
• Inobata rimwe kana mativi ese emuviri wako?
• Yakakura here kumusoro-kusvika-pasi pateni (ichidzika kuora mitezo), kana yepasi-ku-pamusoro pateni (inokwira kuora mitezo)?
• Iwe unonetseka here kubuda pachigaro kana kukwira masitepisi?
• Iwe unonetsa here kusimudza ruoko rwako pamusoro pemusoro wako?
• Une matambudziko ekutambanudza kana kusimudza ruoko (kudonhedza ruoko)?
• Iwe unonetseka kubata (kubata)?

Zviratidzo:

• Iwe une kurwadziwa here?
• Iwe une chiveve, kugwinha, kana kurasikirwa kwekunzwa here?
• Iwe unonetseka here kudzora dundira rako kana ura?
• Une mweya wekufema here?
• Ndezvipi zvimwe zviratidzo zvaunazvo?

Nguva yenguva:

• Zvikamu zvinoitika zvinodzokororwa (zvinodzokororwa)?
• Zvinotora nguva yakareba sei?
• Iko kurasikirwa kwemhasuru kurasikirwa kuri kuwedzera (kufambira mberi)?
• Iri kufambira mberi zvishoma kana nekukurumidza?
• Zvinowedzera kuwedzera nekufamba kwezuva here?

Kuwedzera uye kugadzirisa zvinhu:

• Chii, kana chiripo, chinoita kuti kuoma mitezo kuwedzere?
• Zvinowedzera here mushure mekutora potasium zvinowedzera kana mimwe mishonga?
• Zvirinani mushure mekunge wazorora?

Miedzo inogona kuitwa inosanganisira:

• Zvidzidzo zveropa (senge CBC, chena ropa maseru masiyano, eropa kemisitiri mazinga, kana mhasuru enzyme mazinga)
• CT scan yemusoro kana musana
• MRI yemusoro kana musana
• Lumbar puncture (musana tap)
• Tsvina kana tsinga biopsy
• Myelography
• Nerve conduction zvidzidzo uye electromyography

Kupinza mukati kana kudyisa machubhu anogona kudikanwa mune zvakakomba zviitiko. Kurapa kwepanyama, kurapa kwekuita basa, kana kurapwa kwekutaura kunogona kukurudzirwa.

Kuoma mitezo; Paresis; Kurasikirwa kwekufamba; Motokari kusagadzikana

• Mashura epamberi epamusoro
• Yakadzika anterior mhasuru
• Tendon uye mhasuru
• Makumbo emakumbo epasi

Evoli A, Vincent A. Kushungurudzika kwekutapurika kwemitsipa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 394.

Selcen D. Zvirwere zvetsandanyama. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 393.

Warner WC, Sawyer JR. Neuromuscular kusagadzikana. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 35.