Yini Ebangela i-Asterixis, futhi iphathwa kanjani?

-Delile

• Ukubuka konke
• Izimbangela ze-Asterixis
• Izici zobungozi be-Asterixis
• Unhlangothi
• Isifo sesibindi
• Ukuhluleka kwezinso
• Isifo sikaWilson
• Ezinye izinto ezinobungozi
• Ukuxilongwa kwe-Asterixis
• Ukwelashwa kwe-Asterixis
• Ama-Encephalopathies wesibindi noma wezinso
• I-encephalopathy yomzimba
• I-encephalopathy yezidakamizwa
• I-encephalopathy yenhliziyo
• Isifo sikaWilson
• Umbono we-Asterixis

Ukubuka konke

I-Asterixis yisifo sezinzwa esidala ukuthi umuntu alahlekelwe ukulawulwa kwezimoto ezindaweni ezithile zomzimba. Imisipha - imvamisa ezihlakaleni naseminwe, yize ingenzeka kwezinye izindawo zomzimba - ingahle ibe yindilinga ngokungazelelwe nangezikhathi ezithile.

Lokhu kulahleka kokulawulwa kwemisipha kuphinde kuhambisane nokunyakaza okungajwayelekile nokungazibandakanyi. Ngaleso sizathu, i-asterixis kwesinye isikhathi ibizwa ngokuthi "ukundindizela okukhulu." Njengoba izifo ezithile zesibindi zibonakala zixhunyaniswe ne-asterixis, kwesinye isikhathi ibizwa nangokuthi "isibindi sesibindi". Ukushaywa kuthiwa kufana nezimpiko zenyoni endizeni.

Ngokusho kocwaningo, lezi zandla "zokuthuthumela" noma "ukushaya izandla" kungenzeka ukuthi zenzeke lapho izingalo ziseluliwe futhi izihlakala zivulekile. I-Asterixis ezinhlangothini zombili zomzimba ivame kakhulu kune-unilateral (uhlangothi olulodwa) i-asterixis.

Izimbangela ze-Asterixis

Isimo saqala ukubonwa eminyakeni engaba ngu-80 eyedlule, kepha kuningi okusalokhu kungaziwa ngaso. Lesi sifo kucatshangwa ukuthi sidalwa ukungasebenzi kahle kwengxenye yobuchopho elawula ukunyakaza komzimba nokuma komzimba.

Okwenza lokho kungasebenzi kahle akwaziwa ngokuphelele. Abaphenyi basola ukuthi kungenzeka kube nezimbangela ezithile, ezibandakanya i-encephalopathies.

I-Encephalopathies yizinkinga ezithinta ukusebenza kobuchopho. Izimpawu zifaka:

• ukudideka kwengqondo
• izinguquko zobuntu
• ukuthuthumela
• ukuphazamiseka kokulala

Ezinye izinhlobo ze-encephalopathy ezingadala i-asterixis yilezi:

• I-hepatic encephalopathy. I-hepatic isho isibindi. Umsebenzi omkhulu wesibindi ukuhlunga ubuthi emzimbeni. Kepha uma isibindi sikhubazekile nganoma yisiphi isizathu, kungenzeka singasusi ubuthi kahle. Ngenxa yalokho, zingakha egazini bese zingena ebuchosheni, lapho ziphazamisa khona ukusebenza kobuchopho.
• I-encephalopathy yomzimba. Inkinga yesifo sesibindi nezinso yi-metabolic encephalopathy. Lokhu kwenzeka lapho amavithamini noma amaminerali amaningi kakhulu noma amancane kakhulu, njenge-ammonia, ewela umgoqo wegazi-lobuchopho, obangela ukungahambi kahle kwemizwa.
• I-encephalopathy yezidakamizwa. Imithi ethile, efana nama-anticonvulsants (asetshenziselwa ukwelapha isithuthwane) nama-barbiturates (asetshenziselwa ukuthambisa), angathinta izimpendulo zobuchopho.
• I-encephalopathy yenhliziyo. Lapho inhliziyo ingashayi i-oxygen eyanele emzimbeni wonke, ubuchopho buyathinteka.

Izici zobungozi be-Asterixis

Noma yini ethinta ukusebenza kobuchopho ingaholela ku-asterixis. Lokhu kufaka:

Unhlangothi

Isifo sohlangothi senzeka lapho ukugeleza kwegazi kuya engxenyeni yobuchopho kunqunyelwe. Lokhu kungenzeka ngenxa yegazi elivale umthambo noma ngenxa yokuncipha kwemithambo ngenxa yezinto ezifana nokubhema noma umfutho wegazi ophakeme.

Isifo sesibindi

Izifo zesibindi ezikubeka engcupheni enkulu ye-asterixis zifaka i-cirrhosis noma i-hepatitis. Zombili lezi zimo zingadala isibazi sesibindi. Lokhu kwenza kungasebenzi kahle ekuhluzeni ubuthi.

Ngokuya ngocwaningo, kuze kufike kubantu abane-cirrhosis bane-hepatic (isibindi) encephalopathy, okubabeka engcupheni enkulu ye-asterixis.

Ukuhluleka kwezinso

Njengesibindi, izinso zisusa nezinto ezinobuthi egazini. Uma iningi lalawa ma-toxin livunyelwe ukwakha, angashintsha ukusebenza kobuchopho futhi aholele ku-asterixis.

Izinso nokukwazi kwazo ukwenza umsebenzi wazo kungalimala ngezimo ezinjengalezi:

• isifo sikashukela
• umfutho wegazi ophakeme
• lupus
• izifo ezithile zofuzo

Isifo sikaWilson

Esifo sikaWilson, isibindi asicubunguli ngokwanele ithusi lamaminerali. Uma ishiywe ingalashwa futhi ivunyelwe ukwakha, ithusi lingalimaza ubuchopho. Lesi yisifo esingajwayelekile, esinezakhi zofuzo.

Ochwepheshe balinganisela ukuthi umuntu oyedwa kwabangu-30,000 unesifo sikaWilson. Sikhona ngesikhathi sokuzalwa kodwa kungenzeka singabonakali kuze kube semdala. Izimpawu zamazinga ethusi anobuthi afaka:

• asterixis
• ukuqina kwemisipha
• izinguquko zobuntu

Ezinye izinto ezinobungozi

Kokubili isithuthwane nokuhluleka kwenhliziyo nakho kuyizinto eziyingozi ku-asterixis.

Ukuxilongwa kwe-Asterixis

Ukuxilongwa kwe-asterixis kuvame ukususelwa kokuhlolwa komzimba kanye nokuhlolwa kwebhu. Udokotela wakho angakucela ukuthi ubambe izingalo zakho, uguqule izihlakala zakho, futhi usakaze iminwe yakho. Ngemuva kwemizuzwana embalwa, umuntu one-asterixis "uzoshaya" izihlakala phansi ngokuthanda kwakhe bese ehlehla. Udokotela wakho angaphinde acindezele izihlakala ukuze ashukumise impendulo.

Udokotela wakho futhi anga-oda ukuhlolwa kwegazi okubheka ukwakheka kwamakhemikhali noma amaminerali egazini. Ukufanekisa izivivinyo, njengokuhlolwa kwe-CT, kungahlola ukusebenza kobuchopho futhi kubone ngeso lengqondo izindawo ezingathinteka.

Ukwelashwa kwe-Asterixis

Lapho isimo esiyisisekelo esibangela i-asterixis siphathwa, i-asterixis ngokuvamile iyathuthuka futhi isuke ihambe ngokuphelele.

Ama-Encephalopathies wesibindi noma wezinso

Udokotela wakho angancoma:

• Izinguquko zendlela yokuphila nezokudla. Uma usebenzisa kabi utshwala noma unesimo esilimaza izinso njengesifo sikashukela, udokotela wakho angakhuluma nawe mayelana nokunciphisa izingozi zakho zempilo.
• Ama-laxatives. I-Lactulose ikakhulukazi ingasheshisa ukususwa kobuthi emzimbeni.
• Imithi elwa namagciwane. Le mithi, efana ne-rifaximin, inciphisa ama-gut gut bacteria. Ukweqisa amabhaktheriya emathunjini kungadala umkhiqizo omningi we-ammonia ukuba wakhe egazini lakho futhi kuguqule ukusebenza kobuchopho.
• Ukufakelwa kabusha. Ezimweni ezimbi zokulimala kwesibindi noma izinso, ungadinga ukufakelwa ngomzimba ophilile.

I-encephalopathy yomzimba

Udokotela wakho cishe uzokweluleka ngokushintsha kokudla, uthatha izidakamizwa ezizobopha amaminerali ukusiza ukukususa emzimbeni, noma kokubili. Kuzoya ngokuthi imuphi amaminerali agcwele ngokweqile egazini lakho.

I-encephalopathy yezidakamizwa

Udokotela wakho angashintsha isilinganiso somuthi noma akushintshele kumuthi ohluke ngokuphelele.

I-encephalopathy yenhliziyo

Ukuthola noma yiziphi izimo zenhliziyo ezingaphansi kokulawulwa yisinyathelo sokuqala. Lokho kungasho okukodwa noma inhlanganisela yalokhu okulandelayo:

• ukuncipha
• ukuyeka ukubhema
• uthatha imithi yomfutho wegazi ophezulu

Udokotela wakho angaphinde anikeze i-ACE inhibitors, ekhulisa imithambo yegazi, kanye ne-beta-blockers, eyehlisa ukushaya kwenhliziyo.

Isifo sikaWilson

Udokotela wakho angakunika izidakamizwa ezifana ne-zinc acetate, evimbela umzimba ukuthi ungamunci ithusi ekudleni okudlayo. Bangabuye banikeze ama-ejenti okukhohlisa afana ne-penicillamine. Kungasiza ukukhipha ithusi ezicutshini.

Umbono we-Asterixis

I-Asterixis ayijwayelekile, kepha iyisibonakaliso sesifo esingathi sína futhi mhlawumbe esithuthukile esidinga ukunakekelwa ngokushesha kwezokwelapha.

Eqinisweni, olunye ucwaningo lwabika ukuthi amaphesenti angama-56 alabo abethula i-asterixis maqondana nesifo sesibindi sotshwala bafa, uma kuqhathaniswa namaphesenti angama-26 alabo ababengenayo.

Uma ngabe uqaphele noma yikuphi ukuthuthumela okushaya eceleni kwe-asterixis noma unezici ezingenhla eziphawuliwe ngenhla, khuluma nodokotela wakho. Ezimweni eziningi, lapho isimo esibangela i-asterixis siphathwa ngempumelelo, i-asterixis iyathuthuka noma inyamalale.