Chii chinonzi hemiballism uye inorapwa sei

Zvemukati

• Zvinogona kukonzerwa
• Ndezvipi zviratidzo
• Nei zvichiitika
• Kurapwa kunoitwa sei

Hemiballism, inozivikanwawo sehemichorea, chirwere chinoratidzwa nekuitika kwekusazvibata uye nekukurumidza kufamba kwemitezo, yehukuru hwakakura, iyo inogona zvakare kuitika muduti nemusoro, chete kune rumwe rutivi rwemuviri.

Chikonzero chinowanzoitika che hemibalism ischemic kana hemorrhagic sitiroko, inozivikanwawo se stroke, asi kune zvimwe zvikonzero zvinogona kutungamira mukutanga kwayo.

Kazhinji, kurapwa kunosanganisira kugadzirisa chinokonzera kusagadzikana, uye anti-dopaminergic, anticonvulsant kana antipsychotic mishonga inogona kupihwa.

Zvinogona kukonzerwa

Kazhinji, hemibalism inoitika nekuda kwezvironda muLuys subtalamic nucleus kana kumatunhu akapoterera, ayo anokonzerwa ne sequelae inokonzerwa neschemic kana hemorrhagic sitiroko. Nekudaro, kusagadzikana uku kunogona kukonzerwa ne:

• Zviono zvinotaridzika muzvivakwa zveiyo basal ganglia, nekuda kwechirwere, kusagadzikana kwevascular, tuberculomas kana demyelinating plaque;
• Systemic lupus erythematosus;
• Kushungurudzika kukuru;
• Zvirwere nehutachiona hutachiona hwerudzi A;
• Hyperglycemia;
• Hutachiona hweHIV;
• Chirwere chaWilson;
• Toxoplasmosis.

Uye zvakare, hemibalism inogona zvakare kukonzeresa kubva kumhedzisiro yemishonga yakadai selevodopa, mishonga yekudzivirira uye anticonvulsants.

Ndezvipi zviratidzo

Zviratidzo zvinosanganisirwa nehemiballism kurasikirwa kwekudzora mafambiro, kuitika kwemhasuru yemhasuru yekukura kukuru, nekukurumidza, nechisimba uye kusazvipira kune rumwe rutivi rwemuviri uye kune rimwe divi rekukuvara. Mune zvimwe zviitiko, zvinogona zvakare kukanganisa kumeso kwemhashu uye kukonzeresa kushomeka kana uchifamba.

Kana munhu achinge afamba kana kuita chimwe chiito, mafambiro ekusazvipira anova akasimba, uye anogona kuparara pazororo kana panguva yekurara.

Nei zvichiitika

Hemiballism inoitika nekuda kwechironda muiyo subthalamic nucleus, iyo inoderedza mafungidziro ekudzivirira eiyo basal ganglia pamutsipa wesipinha, cerebral cortex uye hutsi hwehuropi, zvichikanganisa mafambiro.

Kurapwa kunoitwa sei

Kurapa kwehemibalism kunofanirwa kutarisa pachikonzero icho chiri kwayakatangira. Uye zvakare, dopamine blockers inogona zvakare kupihwa, iyo inogona kudzikisira kusvika ku90% yekufamba kusingaite.

Mune zvimwe zviitiko, chiremba anogona zvakare kupa mishonga senge sertraline, amitriptyline, valproic acid kana benzodiazepines.