Opisthotonos

Opisthotonos chiitiko umo munhu anobata muviri wake munzvimbo isina kujairika. Munhu wacho anowanzoomarara uye anopinza musana wavo, nemusoro wavo wakakandirwa kumashure. Kana munhu ane opisthotonos akarara kumusana kwavo, chete kumashure kwemusoro wavo uye zvitsitsinho zvinobata pamusoro pavari.

Opisthotonos yakanyanya kuwanda muvacheche uye vana kupfuura muvakuru. Izvo zvakare zvakanyanya kunyanyisa muvacheche nevana nekuda kwehurongwa hwavo hushoma husina kukura.

Opisthotonos inogona kuitika muvacheche vane meningitis. Ichi chirwere chema meninges, maronda anovhara uropi uye musana. Opisthotonos inogona zvakare kuitika sechiratidzo chekuderedzwa kwehuropi kana kukuvara kune tsinga system.

Zvimwe zvikonzero zvinogona kusanganisira:

• Arnold-Chiari syndrome, dambudziko nekuumbwa kwehuropi
• Bundu rebongo
• Cerebral palsy
• Chirwere cheGaucher, icho chinokonzera kuwanda kwemafuta emafuta mune dzimwe nhengo
• Kukura kushomeka kwehomoni (pano neapo)
• Mafomu ehupfu hwemakemikari anonzi glutaric aciduria uye organic acidemias
• Chirwere cheKrabbe, icho chinoparadza kupfeka kwemitsipa mukati mepakati tsinga system
• Maple sirasi weti chirwere, kusagadzikana uko muviri usingakwanise kuputsa zvimwe zvikamu zveprotein
• Kufenda
• Yakakura electrolyte kusaenzana
• Kushungurudzika kwepfungwa kukuvara
• Stiff-person syndrome (mamiriro anoita kuti munhu aome uye ave neaspasms)
• Kubuda ropa muuropi
• Tetenasi

Mimwe mishonga inorwisa mapiritsi inogona kukonzera mhedzisiro inonzi acute dystonic reaction. Opisthotonos inogona kuve chikamu cheichi chiitiko.

Muzviitiko zvisingawanzoitika, vacheche vanozvarwa nevakadzi vanonwa yakawanda doro panguva yekuzvitakura vanogona kunge vane opisthotonus nekuda kwekubvisa doro.

Munhu anovandudza opisthotonos anozoda kuchengetwa muchipatara.

Enda kuimba yekukurumidzira kana kufonera yako yemuno emergency emergency (se911) kana zviratidzo zveopisthotonos zvikaitika. Kazhinji, opisthotonos chiratidzo cheimwe mamiriro akakomba zvakakwana kuti munhu atsvage kurapwa.

Aya mamiriro anozoongororwa muchipatara, uye matanho echimbichimbi anogona kutorwa.

Anopa hutano anozoongorora muviri uye obvunza nezvezviratidzo zvekutarisa chikonzero cheopisthotonos

Mibvunzo inogona kusanganisira:

• Zviratidzo zvakatanga rini?
• Iko kumira kwemuviri kunogara kwakafanana here?
• Ndezvipi zvimwe zviratidzo zvakauya kumberi kana nekumira zvisina kujairika (senge fivhiri, mitsipa yakaoma, kana kurwadziwa nemusoro)?
• Pane chero nhoroondo yechinyakare yekurwara here?

Iko kuongorora kwemuviri kunosanganisira kuongorora kwakazara kwenzira.

Miedzo inogona kusanganisira:

• Ropa uye weti kuongororwa
• Cerebrospinal fluid (CSF) tsika uye masero kuverenga
• CT scan yemusoro
• Kuongorora kweElectrolyte
• Lumbar puncture (musana tap)
• MRI yeuropi

Kurapa kunoenderana nechikonzero. Semuenzaniso, kana meningitis iri iyo honzeri, mishonga inogona kupihwa.

Kudzoka shure; Kusamira zvakanaka - opisthotonos; Decerebrate mamiriro - opisthotonos

Berger JR. Stupor nekoma. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits.

Hamati AI. Neurological zvinetso zve systemic chirwere: vana. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 59.

Hodowanec A, Bleck TP. Tetenasi (Clostridium tetani). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 246.

Rezvani I, Ficicioglu CH. Kukanganisa mune metabolism yemamino acids. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chits 85.