Opisthotonos

I-Opisthotonos yisimo lapho umuntu abamba khona umzimba wakhe endaweni engavamile. Umuntu uvame ukuqina futhi agobise emuva, ikhanda labo liphonswe emuva. Uma umuntu one-opisthotonos elele ngomhlane, kuphela ngemuva kwekhanda lakhe nezithende ezithinta indawo akuyo.

I-Opisthotonos ivame kakhulu ezinganeni nasezinganeni kunabantu abadala. Kubuye kweqise kakhulu ezinganeni nasezinganeni ngenxa yezinhlelo zazo ezingavuthiwe.

I-Opisthotonos kungenzeka ezinganeni ezine-meningitis. Lokhu ukutheleleka kwama-meninges, ulwelwesi olumboza ubuchopho nomgogodla. I-Opisthotonos nayo ingavela njengophawu lokuncipha kokusebenza kobuchopho noma ukulimala ohlelweni lwezinzwa.

Ezinye izimbangela zingafaka:

• I-Arnold-Chiari syndrome, inkinga ngesakhiwo sobuchopho
• Isigaxa sobuchopho
• Ukukhubazeka kobuchopho
• Isifo se-Gaucher, esidala izicubu ezinamafutha ezithweni ezithile
• Ukuntuleka kwehomoni yokukhula (ngezikhathi ezithile)
• Izinhlobo zobuthi bamakhemikhali obubizwa nge-glutaric aciduria kanye ne-organic acidemias
• Isifo seKrabbe, esibulala ukugcwala kwezinzwa ohlelweni oluphakathi lwezinzwa
• Isifo se-Maple syrup urine, ukuphazamiseka lapho umzimba ungakwazi ukudiliza izingxenye ezithile zamaprotheni
• Ukuquleka
• Ukungalingani okukhulu kwe-electrolyte
• Ukulimala kwengqondo okubuhlungu
• I-Stiff-person syndrome (isimo esenza umuntu aqine futhi abe nama-spasms)
• Ukopha ebuchosheni
• UTetanusi

Eminye imishanguzo yokulwa nengqondo ingadala umphumela ohlangothini obizwa ngokuthi yi-acute dystonic reaction. Ama-Opisthotonos angaba yingxenye yalokhu kusabela.

Ezimweni ezingavamile, izinsana ezizalwa ngabesifazane abaphuza utshwala obuningi ngesikhathi sokukhulelwa zingaba ne-opisthotonus ngenxa yokuhoxiswa kotshwala.

Umuntu owenza i-opisthotonos uzodinga ukunakekelwa esibhedlela.

Iya egumbini labezimo eziphuthumayo noma ushayele inombolo yakho yendawo ephuthumayo (njenge-911) uma izimpawu ze-opisthotonos zivela. Imvamisa, i-opisthotonos iwuphawu lwezinye izimo ezibucayi ngokwanele ukuthi umuntu afune ukwelashwa.

Lesi simo sizohlolwa esibhedlela, futhi kuthathwe izinyathelo eziphuthumayo.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba abuze ngezimpawu zokubheka imbangela yama-opisthotonos

Imibuzo ingafaka:

• Zaqala nini izimpawu?
• Ngabe ukuma komzimba kuhlala kufana?
• Yiziphi ezinye izimpawu ezafika ngaphambi noma ngokuma okungavamile (okufana nomkhuhlane, intamo eqinile, noma ikhanda)?
• Ingabe ukhona umlando wakamuva wokugula?

Ukuhlolwa komzimba kuzobandakanya ukuhlolwa okuphelele kohlelo lwezinzwa.

Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi nomchamo
• Amasiko we-Cerebrospinal fluid (CSF) nokubalwa kwamaseli
• I-CT scan yekhanda
• Ukuhlaziywa kwe-Electrolyte
• Ukubhoboza i-Lumbar (umpompi womgogodla)
• I-MRI yobuchopho

Ukwelashwa kuzoya ngesizathu. Isibonelo, uma i-meningitis iyimbangela, imithi inganikezwa.

Ukubuyela emuva emuva; Ukuma okungavamile - i-opisthotonos; Isimo se-Decerebrate - opisthotonos

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