Yini i-hemiballism nokuthi iphathwa kanjani

-Delile

• Izimbangela ezingaba khona
• Ziyini izimpawu
• Kungani kwenzeka
• Yelashwa kanjani

I-Hemiballism, eyaziwa nangokuthi i-hemichorea, yisifo esivezwa ngokwenzeka kokunyakaza okungazibandakanyi nokuzumayo kwezitho, ze-amplitude enkulu, engaphinde yenzeke esiqwini nasekhanda, ohlangothini olulodwa kuphela lomzimba.

Isizathu esivame kakhulu se-hemibalism ischemic noma hemorrhagic stroke, eyaziwa nangokuthi yi-stroke, kepha kunezinye izimbangela ezingaholela ekuqaleni kwayo.

Ngokuvamile, ukwelashwa kuqukethe ukuxazulula imbangela yalesi sifo, futhi nemithi elwa ne-dopaminergic, anticonvulsant noma antipsychotic nayo inganikezwa.

Izimbangela ezingaba khona

Ngokuvamile, i-hemibalism yenzeka ngenxa yezilonda ku-Luys subtalamic nucleus noma ezifundeni ezizungezile, okubangelwa i-sequelae ebangelwa i-ischemic noma i-hemorrhagic stroke. Noma kunjalo, lesi sifo singabangelwa ngu:

• Izilonda ezigxile ezakhiweni ze-basal ganglia, ngenxa yesimila, ukukhubazeka kwemithambo yegazi, isifo sofuba noma amapuleti adonsela phansi;
• Uhlelo lwe-lupus erythematosus;
• Ukuhlukumezeka kwe-Cranial;
• Ukutheleleka ngegciwane lomkhuhlane hlobo A;
• I-hyperglycemia;
• Ukutheleleka nge-HIV;
• Isifo sikaWilson;
• I-Toxoplasmosis.

Ngaphezu kwalokho, i-hemibalism nayo ingavela emiphumeleni emibi yemithi efana ne-levodopa, izinto zokuvimbela inzalo kanye nama-anticonvulsants.

Ziyini izimpawu

Izimpawu ezihambisana ne-hemiballism ukulahlekelwa ukulawula ukunyakaza, ukuvela kwemisipha ye-amplitude enkulu, esheshayo, enobudlova futhi engazibandakanyi ohlangothini olulodwa lomzimba nakwelinye uhlangothi lokulimala. Kwezinye izimo, ingaphazamisa nomsipha wobuso futhi idale ukungalingani lapho uhamba.

Lapho umuntu enyakaza noma enza okuthile, ukunyakaza okungazibandakanyi kuba namandla kakhulu, futhi kunganyamalala lapho ephumule noma ngesikhathi sokulala.

Kungani kwenzeka

I-Hemiballism yenzeka ngenxa yesilonda esikhungweni se-subthalamic, esinciphisa amandla okuvimbela we-basal ganglia emgogodleni, i-cerebral cortex nesiqu sobuchopho, okuphazamisa ukunyakaza.

Yelashwa kanjani

Ukwelashwa kwe-hemibalism kufanele kugxile embangela okuvela kuyo. Ngaphezu kwalokho, i-dopamine blockers nayo ingabekwa, enganciphisa kuze kube ngu-90% wokunyakaza okungazibandakanyi.

Kwezinye izimo, udokotela angahle anikeze nemithi efana ne-sertraline, i-amitriptyline, i-valproic acid noma i-benzodiazepines.