Chii Chinokonzera Asterixis, uye Inorapwa Sei?

Zvemukati

• Mhedziso
• Asterixis inokonzeresa
• Asterixis njodzi zvinhu
• Kurohwa
• Chiropa chirwere
• Itsvo kutadza
• Chirwere chaWilson
• Zvimwe zvinhu zvine njodzi
• Asterixis kuongororwa
• Asterixis kurapwa
• Encephalopathies yechiropa kana itsvo
• Metabolic encephalopathy
• Zvinodhaka encephalopathy
• Cardiac encephalopathy
• Chirwere chaWilson
• Maonero easterixis

Mhedziso

Asterixis chirwere chetsinga chinokonzeresa kuti munhu arasikirwe nemota kutonga kweimwe nzvimbo dzemuviri. Tsandanyama - kazhinji mumawoko neminwe, kunyangwe zvichikwanisika kuitika mune dzimwe nzvimbo dzemuviri - zvinogona kungoerekana zvaita uye zvenguva pfupi zvorembera.

Uku kurasikirwa kwekudzora tsandanyama kunoendawo pamwe nekusajairika uye kusazvibata kwekujuza kufamba. Nechikonzero ichocho, asterixis dzimwe nguva inonzi "kurova kwekuvhunduka." Sezvo zvimwe hosha dzechiropa dzichiita senge dzakabatana neasterixis, dzimwe nguva inonzi "chiropa chinorira" futi. Kurova kunonzi kwakafanana nemapapiro eshiri ari kubhururuka.

Sekutsvagurudza, aya mawoko-ruoko "kudedera" kana "kurova" zvinongedzo zvinowanzoitika kana maoko akatambanudzwa uye mawoko akasvinudzwa. Asterixis pamativi ese emuviri akajairika kupfuura unilateral (one-sided) asterixis.

Asterixis inokonzeresa

Mamiriro acho akatanga kuzivikanwa makore anoda kusvika makumi masere apfuura, asi zvakawanda zvichiri kusazivikanwa nezvazvo. Iko kusagadzikana kunofungidzirwa kuti kunokonzerwa nekusaita basa muchikamu chehuropi icho chinodzora kufamba kwemhasuru uye kumira.

Nei kusashanda zvakanaka kwacho kusinga zivikanwe zvachose. Vatsvagiri vanofungidzira kuti panogona kunge paine zvimwe zvinokonzeresa, zvinosanganisira encephalopathies.

Encephalopathies matambudziko anokanganisa kushanda kwehuropi. Zviratidzo zvinosanganisira:

• kuvhiringidzika kwepfungwa
• hunhu hunochinja
• kudengenyeka
• kuvhiringidzika kurara

Dzimwe mhando dzececephalopathy dzinogona kukonzeresa asterixis ndeiyi:

• Hepatic encephalopathy. Hepatic inoreva chiropa. Chiropa chikuru chinoshanda kusefa huturu kubva mumuviri. Asi kana chiropa chikakanganisika chero chikonzero, chinogona kusabvisa chepfu zvinobudirira. Nekudaro, ivo vanogona kuvaka muropa uye kupinda muhuropi, uko kwavanokanganisa kushanda kwehuropi.
• Metabolic encephalopathy. Dambudziko rechiropa neitsvo chirwere metabolic encephalopathy. Izvi zvinoitika kana zvakawandisa kana kushomeka kwemamwe mavitamini kana mamineral, senge ammonia, kuyambuka iro reropa-rehuropi chipingaidzo, zvichikonzera kushushikana kwemitsipa.
• Zvinodhaka encephalopathy. Mimwe mishonga, yakadai seanticonvulsants (inoshandiswa kurapa pfari) uye barbiturates (inoshandiswa sedation), inogona kukanganisa mhinduro dzehuropi.
• Cardiac encephalopathy. Kana moyo usingapombi oxygen yakakwana mumuviri wese, uropi hunokanganiswa.

Asterixis njodzi zvinhu

Zvakanaka chero chinhu chinokanganisa mashandiro ehuropi chinogona kutungamira kune asterixis. Izvi zvinosanganisira:

Kurohwa

Kurohwa kunoitika kana kuyerera kweropa kuchikamu chehuropi kuchirambidzwa. Izvi zvinogona kuitika nekuda kweropa rakavhara tsinga kana nekuda kwekudzikira kwetsinga nekuda kwezvinhu zvakaita sekusvuta kana kukwirira kweropa.

Chiropa chirwere

Zvirwere zvechiropa zvinokuisa panjodzi huru ye asterixis zvinosanganisira cirrhosis kana hepatitis. Ose mamiriro aya anogona kukonzera kukuvara kwechiropa. Izvi zvinoita kuti isanyanya kushanda pakusefa uturu.

Maererano nekutsvaga, kusvika kune vanhu vane cirrhosis vane hepatic (chiropa) encephalopathy, inovaisa panjodzi yakakura ye asterixis.

Itsvo kutadza

Kufanana nechiropa, itsvo dzinobvisawo zvine chepfu kubva muropa. Kana zvakawandisa zveichi chepfu zvichibvumidzwa kuvaka, vanogona kushandura huropi kushanda uye kutungamira kune asterixis.

Itsvo uye kugona kwavo kuita basa ravo zvinogona kukuvadzwa nemamiriro akaita se:

• chirwere cheshuga
• BP
• lupus
• zvimwe zvinetso zvemagene

Chirwere chaWilson

Muchirwere cheWilson, chiropa hachikwanisi kugadzirisa zvicherwa zvemhangura. Kana ikasiiwa isina kurapwa ikatenderwa kuvaka, mhangura inogona kukuvadza huropi. Ichi hachiwanzoitika, geni kusagadzikana.

Nyanzvi dzinofungidzira nezve 1 muvanhu zviuru makumi matatu vane chirwere cheWilson. Iripo pakuzvarwa asi inogona kusazooneka kusvika pakukura. Zviratidzo zvehuturu hwemhangura mazinga anosanganisira:

• asterixis
• kuomarara kwemhasuru
• hunhu hunochinja

Zvimwe zvinhu zvine njodzi

Zvese pfari uye kukundikana kwemoyo zvakare zvine njodzi kune asterixis.

Asterixis kuongororwa

Kuongororwa kwe asterixis kunowanzoenderana nezvose zviri zviviri bvunzo dzepanyama uye bvunzo bvunzo. Chiremba wako anogona kukukumbira kuti ubate maoko ako kunze, shandura maoko ako, uye uwaridze minwe yako. Mushure memasekondi mashoma, munhu ane asterixis anozvipira "kurova" mawoko pasi pasi, ndobva adzoka kumusoro. Chiremba wako anogona zvakare kusundira pamusoro pechiuno kuti akurumidze kupindura.

Chiremba wako anogona zvakare kuraira bvunzo dzeropa dzinotarisa kuwanda kwemakemikari kana zvicherwa muropa. Kufungidzira bvunzo, senge CT scans, inogona kuongorora mashandiro ehuropi uye kuona nzvimbo dzinogona kukanganisika.

Asterixis kurapwa

Kana iyo mamiriro ezvinhu ari kukonzera asterixis achibatwa, asterixis inowanzo gadziridza uye inotobuda zvachose.

Encephalopathies yechiropa kana itsvo

Chiremba wako anogona kukurudzira:

• Mararamiro uye shanduko yekudya. Kana iwe uri kushandisa zvisina kufanira doro kana uine itsvo-inokuvadza mamiriro seshuga, chiremba wako anogona kutaura newe nezve kudzora hutano hwako njodzi.
• Laxatives. Lactulose kunyanya inogona kukurumidza kubviswa kwehupfu kubva mumuviri.
• Mishonga inorwisa mabhakitiriya. Iyi mishonga, senge rifaximin, inoderedza huturu hwako. Kuwedzeredza gut mabhakitiriya kunogona kukonzera yakawandisa yemarara chigadzirwa amoniya kuti iwedzere muropa rako uye nekuchinja kushanda kwehuropi.
• Kuisazve. Muzviitiko zvakakomba zvechiropa kana cheitsvo kukuvara, ungangoda kuisirwa ine nhengo ine hutano.

Metabolic encephalopathy

Chiremba wako angango kuraira shanduko yekudya, kutora zvinodhaka zvinozosunga kune iyo mineral kubatsira kubvisa iyo kubva mumuviri, kana zvese zviri zviviri. Izvo zvinoenderana nekuti ndeipi mineral yakawandisa muropa rako.

Zvinodhaka encephalopathy

Chiremba wako anogona kushandura chipimo chemushonga kana kukuchinjisa kumushonga wakasiyana zvachose.

Cardiac encephalopathy

Kuwana chero mamiriro emoyo ari pasi pekutonga idanho rekutanga. Izvi zvinogona kureva imwe kana mubatanidzwa weinotevera:

• kuonda
• kurega kusvuta
• kutora BP

Chiremba wako anogona zvakare kupa ACE inhibitors, iyo inowedzera arteri, uye beta-blockers, iyo inononoka kurova kwemoyo.

Chirwere chaWilson

Chiremba wako anogona kunyorera mishonga yakadai se zinc acetate, iyo inodzivirira muviri kubva mukumwa mhangura muchikafu chaunodya. Ivo vanogona zvakare kunyorera vanobiridzira vamiririri vakaita penicillamine. Inogona kubatsira kuburitsa mhangura kubva munyama.

Maonero easterixis

Asterixis haina kujairika, asi chiratidzo chechirwere chakakomba uye pamwe chakasimukira chinoda kurapwa nekukurumidza.

Muchokwadi, kumwe kuongorora kwakaratidza kuti 56 muzana yeavo vakapa asterixis zvine chekuita nechidhakwa chiropa chirwere vakafa, zvichienzaniswa ne26 muzana yeavo vasina.

Kana iwe wakacherekedza chero ipi yekurova kwekubvunda hunhu hweasterixis kana iwe uine chero chezviitiko zvataurwa pamusoro apa zvine njodzi, taura nachiremba wako. Muzviitiko zvakawanda, kana iyo mamiriro anokonzera asterixis akarapwa zvinobudirira, asterixis inovandudza kana kutonyangarika.